JUMLAH
JUMLAH
SPESIFIKASI BARANG BARANG HARGA SATUAN JUMLAH ALASAN / KAJIAN
NO. NAMA BARANG / JASA BARANG
UKURAN, MERK. TYPE dsb YANG (Rp) TOTAL(Rp) PENGAJUAN USULAN
YANG ADA
DIUSULKAN
A Listrik
1 Bel Wireless 4 bh 4 85,000 340,000
2 Bohlam 70 bh 60 Watt 150 5,000 750,000
3 Bohlam 70 bh 25 Watt 70 4,000 280,000
4 Bohlam 30 bh 25 Watt Lombok 30 4,750 142,500
5 Bohlam 10 bh 5 Watt 10 1,600 16,000
6 Bohlam senter 1 set 6,2 Volt 1 2,000 2,000
7 Conector 20 bh 20 13,500 270,000
8 Contak Cleaner 2 bh 200 ml 12 38,000 456,000
9 Contak Cleaner 6 bh C&C 475 mL 2 260,000 520,000
10 Cover DB 9 2 bh 15 2,750 41,250
11 Fitting Gantung 15 bh 15 3,500 52,500
12 Fitting plafon Broco 35 bh 35 13,500 472,500
13 Fitting TL 45 bh 45 800 36,000
14 Iphone 45 bh 45 287,100 12,919,500
15 Isolasi 50 bh 50 7,100 355,000
16 Jeck Mix Mono 5 bh 5 4,500 22,500
17 Jek Antena TV 5 bh 1 2,000 2,000
18 Jek kabel VCD 1 set 5 8,250 41,250
19 Jek Mic Stereo 5 bh 2 2,000 4,000
20 Jek VGA 1SP 2 bh 30 3,250 97,500
21 Kabel MIC Stereo 30 Meter 2 6,000 12,000
22 Kabel NYM 2 rol 3 x 1,5 mm / Eterna 4 437,500 1,750,000
23 Kabel NYM 3 x 2,5 mm / Eterna 50 meter 4 rol 1 575,000 575,000
24 Kabel NYY 1 rol 2 x 2,5 mm/Eterna 50 mtr 90 600,000 54,000,000
25 Kabel NYY 90 Meter 1 x 240 mm 6 275,000 1,650,000
26 Kabel Roll 6 bh 15 m/ Yunior 1 56,000 56,000
27 Kabel serabut 1 roll 2 x 30 2 175,000 350,000
28 Kabel setrika 2 bh 5 13,500 67,500
29 Kabel Telepon 5 roll isi 2 10 132,500 1,325,000
30 Kabel Telepon 2 rol Isi 20 10 1,300,000 13,000,000
JUMLAH
JUMLAH
SPESIFIKASI BARANG BARANG HARGA SATUAN JUMLAH ALASAN / KAJIAN
NO. NAMA BARANG / JASA BARANG
UKURAN, MERK. TYPE dsb YANG (Rp) TOTAL(Rp) PENGAJUAN USULAN
YANG ADA
DIUSULKAN
B. Peralatan Kesehatan
107 Bak Instrumen 20 cm 14 unit 14 609,200 8,528,800
Latex Bulb ABN Print with Standard
108 Bulb Tensimeter 50 buah
Valve Assembly
50 3,000,000
60,000
109 Bein 2 unit 2 116,800 233,600
110 Breathing Bag 1,5 lt 8 unit 8 158,200 1,265,600
111 Breathing Bag 2 lt 8 unit 8 158,200 1,265,600
112 Breathing circuit 12 buah 12 250,000 3,000,000
113 Cemen spatel 18 cm 2 unit 2 138,400 276,800
114 Com tertutup 8 unit 8 20,700 165,600
115 ECG Suction Electrode 12 unit 6 pcs/Set 12 1,065,000 12,780,000
116 ECG Limb Clip 4 unit 4 pcs/set 4 1,190,000 4,760,000
117 ET Non Kingking 5 6 unit 6 408,800 2,452,800
118 ET Non Kingking 5,5 6 unit 6 408,800 2,452,800
119 ET Non Kingking 6 6 unit 6 408,800 2,452,800
120 ET Non Kingking 6,5 6 unit 6 408,800 2,452,800
121 ET Non Kingking 7 6 unit 6 408,800 2,452,800
122 ET Non Kingking 7,5 6 unit 6 408,800 2,452,800
123 Face Mask uk. 1 8 unit 8 664,000 5,312,000
124 Face Mask uk. 2 10 unit 10 664,000 6,640,000
125 Face Mask uk. 3 9 unit 9 664,000 5,976,000
126 Face Mask uk. 4 10 unit 10 664,000 6,640,000
127 Face Mask uk. 5 7 unit 7 664,000 4,648,000
128 Guedle / Mayo no.0 10 unit 10 16,500 165,000
129 Gunting episiotomi 8 unit 8 1,346,000 10,768,000
130 Gunting jaringan 3 unit 3 2,505,000 7,515,000
131 Gunting operasi 15 unit 15 33,300 499,500
132 Gunting tali pusat 5 unit 5 4,000,000 20,000,000
133 Gunting verban 5 unit 5 40,400 202,000
134 Jackson Rees 7 unit 7 325,500 2,278,500
JUMLAH
JUMLAH
SPESIFIKASI BARANG BARANG HARGA SATUAN JUMLAH ALASAN / KAJIAN
NO. NAMA BARANG / JASA BARANG
UKURAN, MERK. TYPE dsb YANG (Rp) TOTAL(Rp) PENGAJUAN USULAN
YANG ADA
DIUSULKAN
C. Belanja Modal
188 Bor Duduk 0 unit Leopard/ZJQ4116 1 3,164,656 3,164,656
189 Mesin Bor Rotary Hammer+Demolition 0 unit Bosch/ GBH 4-32 DFR 1 7,626,220 7,626,220
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
1 30 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
10
50
5
5
1
5
2
30
2
4
1
90
6
1
2
5
2
10
10
1
1
1
35
30
35
1
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
6
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
10
2 2
1 2
20
10
5
5
2
15
20
6
10
5
10
6
1
1
2
2
1
3
20
10
5
2
6
6
6
10
5
5
14
70
48
10
5
5
30
30
24
12
2
5
3
10
6
14
2
JUMLAH
45
4
150
70
30
10
1
20
2
2
15
45
45
50
5
5
1
5
2
30
2
4
1
90
6
1
2
5
2
10
10
1
1
1
35
30
35
1
25
170
30
10
6
180
170
12
120
10
10
5
30
20
10
5
5
2
15
20
6
10
5
10
6
1
1
2
2
1
3
20
10
6
15
10
6
5
2
6
6
6
10
5
5
7
2
14
70
48
10
5
5
30
30
24
12
2
30
2
6
5
3
10
6
14
2