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RENCANA ANGGARAN BIAYA (RAB)

PEMBANGUNAN
RSU MENTARI KORMA HUSADA

Nama Perusahaan : PT. Mentari Korma Husada


Alamat Perusahaan : Perumahan Grand Safira City Blok J No. 9 RT
02 RW 13 Kelurahan Arcawinangun, Kecamatan
Purwokerto Timur Kabupaten Banyumas, Provinsi
Jawa Tengah
Nama Proyek : RSU Mentari Korma Husada
Alamat Proyek : JL. Raya Poros Utama Kecamatan (PUK) – Jl.
Raya Provinsi Desa Tidu Kec. Bukateja. Kab.
Purbalingga. Provinsi Jawa Tengah
Telp./ HP. : 083891371001
Email : pt.mentarikormahusada.01@gmail.com
REKAPITULASI RENCANA ANGGARAN BIAYA (RAB) PEMBANGUNAN RSU
MENTARI KORMA HUSADA PURBALINGGA
No. Uraian Pekerjaan RAB (Rp)

1 Biaya lahan RSU MKH Purbalingga 7.195.320.000

2 Biaya Legalitas Perizinan RSU MKH 1.439.064.000

Biaya Infrastruktur Non Gedung RSU/ Landscape dan Pematangan


3 42.601.157.443
Lahan/ Pengurugan/ Sarpras Luar Gedung RSU

4 Biaya Konstruksi Gedung RSU/ Bangunan, MEP, SIMRS - IT dan UPS 155.720.988.800

5 Biaya Interior Furniture 16.336.020.800

6 Biaya Alat Kesehatan 256.302.291.552

7 Biaya Mobil Operasional, Ambulance, Mobil Bus Lab dan RO 9.500.000.000

8 Biaya Recruitmen SDM, Pelatihan dan Pendidikan Spesialis 5.175.000.000

9 Biaya Konsultan (Perencanaan dan Pengawasan) 6.093.367.700

10 Biaya Manajemen Konstruksi 3.607.500.000

Biaya Over Head Cost karena inflasi, regulasi, tambah kurang


11 16.660.966.525
konstruksi dan alkes

12 Biaya Succes Fee 16.660.966.525

Biaya Operasional RS Tahun Pertama (Beban Karyawan, Beban Usaha,


Beban Pemeliharaan Gedung, Beban Pemeliharaan Alkes, Beban
13 18.072.907.495
Penunjang Medik dan Umum, beban Akreditasi RS, Beban Akreditasi
BPJS/Kes, Beban Akreditasi BPJS Ketenagakerjaan, Beban CSR)

Nilai Pembiayaan 555.365.550.840


RENCANA ANGGARAN BIAYA (RAB)
KONSTRUKSI PEMBANGUNAN
RSU MENTARI KORMA HUSADA

Nama Perusahaan : PT. Mentari Korma Husada


Alamat Perusahaan : Perumahan Grand Safira City Blok J No. 9 RT
02 RW 13 Kelurahan Arcawinangun, Kecamatan
Purwokerto Timur Kabupaten Banyumas, Provinsi
Jawa Tengah
Nama Proyek : RSU Mentari Korma Husada
Alamat Proyek : JL. Raya Poros Utama Kecamatan (PUK) – Jl.
Raya Provinsi Desa Tidu Kec. Bukateja. Kab.
Purbalingga. Provinsi Jawa Tengah
Telp./ HP. : 083891371001
Email : pt.mentarikormahusada.01@gmail.com
REKAPITULASI RENCANA ANGGARAN BIAYA
PEKERJAAN : PEMBANGUNAN RUMAH SAKIT UMUM MENTARI KORMA HUSADA
LOKASI : BUKATEJA, PURBALINGGA

NO. URAIAN PEKERJAAN JUMLAH HARGA

A. PERSIAPAN Rp. 1.611.761.662,38


B. PEKERJAAN PEMATANGAN LAHAN Rp. 27.418.712.780,45
C. PEKERJAAN PENATAAN LANDSCAPE Rp. 21.161.904.525,86
D. PEKERJAAN STRUKTUR Rp. 33.307.402.073,61
E. PEKERJAAN ARSITEKTUR Rp. 46.819.119.474,07
F. PEKERJAAN EXTERIOR Rp. 2.212.466.076,92
G. PEKERJAAN INTERIOR Rp. 4.786.434.250,66
H. PEKERJAAN MEP Rp. 56.067.935.733,28

JUMLAH : Rp. 193.385.736.577,22


PPN 11% 21.272.431.023,49
214.658.167.600,71
DIBULATKAN : Rp. 214.658.167.000,00
DUA RATUS EMPAT BELAS MILYAR ENAM RATUS LIMA PULUH DELAPAN JUTA
TERBILANG :
SERATUS ENAM PULUH TUJUH RIBU RUPIAH
REKAPITULASI RENCANA ANGGARAN BIAYA
PEKERJAAN : MEKANIKAL ELEKTRIKAL
PROYEK : RSU MENTARI KORMA HUSADA

NO URAIAN PEKERJAAN JUMLAH

A GEDUNG UTAMA
I PEKERJAAN ELEKTRIKAL
1 PEKERJAAN PANEL LISTRIK 257.953.165
2 PEKERJAAN KABEL FEEDER 589.760.587
3 PEKERJAAN INSTALASI LISTRIK 1.615.745.860
4 PEKERJAAN PENANGKAL PETIR 51.863.595
2.515.323.207
II PEKERJAAN ELEKTRONIKA
1 PEKERJAAN TELEPON 326.924.582
2 PEKERJAAN SOUND SYSTEM 292.787.153
3 PEKERJAAN FIRE ALARM 204.057.447
4 PEKERJAAN FIRE EXTINGUISHER 66.677.549
5 PEKERJAAN MATV 41.790.858
6 PEKERJAAN NURSE CALL 221.572.043
7 PEKERJAAN CCTV 323.390.135
8 PEKERJAAN DATA 84.255.795
1.561.455.561
III PEKERJAAN PLUMBING
1 PEKERJAAN AIR BERSIH 834.545.652
2 PEKERJAAN AIR KOTOR & BEKAS 179.217.544
1.013.763.196
IV PEKERJAAN GAS MEDIS 1.005.853.629
V PEKERJAAN PNEUMATIC 3.354.001.434
VI PEKERJAAN AIR CONDITIONING (AC) 2.178.695.907
VII PEKERJAAN EXHAUST FAN 261.268.799
VIII PEKERJAAN HYDRANT 224.964.854
VIII PEKERJAAN lift 1,2,3,dan 4 4.248.401.816
PEKERJAAN ME GEDUNG UTAMA 16.363.728.403

B IRNA
I PEKERJAAN ELEKTRIKAL
1 PEKERJAAN PANEL LISTRIK 51.875.759
2 PEKERJAAN KABEL FEEDER 28.544.484
3 PEKERJAAN INSTALASI LISTRIK 360.319.597
440.739.840
NO URAIAN PEKERJAAN JUMLAH

II PEKERJAAN ELEKTRONIKA
1 PEKERJAAN TELEPON 10.567.341
2 PEKERJAAN SOUND SYSTEM 48.731.405
3 PEKERJAAN FIRE ALARM 47.711.416
4 PEKERJAAN FIRE EXTINGUISHER 13.494.266
5 PEKERJAAN NURSE CALL 243.074.173
6 PEKERJAAN CCTV 32.959.206
7 PEKERJAAN DATA 5.444.588
401.982.394
III PEKERJAAN PLUMBING
1 PEKERJAAN AIR BERSIH 48.852.169
2 PEKERJAAN AIR KOTOR & BEKAS 53.829.359
102.681.528
IV PEKERJAAN GAS MEDIS 456.462.955
V PEKERJAAN AIR CONDITIONING (AC) 333.626.208
VI PEKERJAAN EXHAUST FAN 45.829.458
VII PEKERJAAN HYDRANT 28.343.470
PEKERJAAN ME IRNA 1.809.665.853

C SITEPLAN & UTILITY


I PEKERJAAN ELEKTRIKAL
1 PEKERJAAN TEGANGAN MENENGAH 347.641.503
2 PEKERJAAN PENYAMBUNGAN LISTRIK 1.341.600.574
3 PEKERJAAN TRANSFORMATOR 470.566.103
4 PEKERJAAN GENSET 3.702.823.902
5 PEKERJAAN PANEL LISTRIK 436.102.993
6 PEKERJAAN KABEL FEEDER 239.152.967
7 PEKERJAAN INSTALASI LISTRIK 196.345.033
8 GENERATOR OKSIGEN 19.378.674.951
9 PEKERJAAN SOLAR CELL 5.440.881.687
31.553.843.685
II PEKERJAAN PLUMBING
1 PEKERJAAN AIR BERSIH 550.202.316
2 PEKERJAAN AIR KOTOR & BEKAS 1.738.894.152
2.289.096.467
III PEKERJAAN GAS MEDIS 1.042.193.976
IV PEKERJAAN EXHAUST FAN 42.625.632
V PEKERJAAN HYDRANT 1.300.282.718
PEKERJAAN ME SITEPLAN & UTILITY 36.228.042.478
TOTAL PEKERJAAN ME 56.067.935.733
RENCANA ANGGARAN BIAYA
PEKERJAAN : PEMBANGUNAN RUMAH SAKIT UMUM MENTARI KORMA HUSADA
LOKASI : BUKATEJA, PURBALINGGA

HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
A. PEKERJAAN PERSIAPAN 1.611.761.662,38
1 Pembersihan Lahan 21.242 m2 26.086,68 554.133.210,23
2 Listrik Kerja 1 ls 335.400.143,39 335.400.143,39
3 Koordinasi Dan Keamanan Lingkungan 18 month 6.335.336,04 114.036.048,75
4 Pekerjaan Bouwplank 1 ls 4.472.001,91 4.472.001,91
5 Laporan dan Dokumentasi 18 month 5.590.002,39 100.620.043,02
6 Mobilisasi dan Demobilisasi 1 ls 484.466.873,78 484.466.873,78
7 Site Managemen 1 ls 18.633.341,30 18.633.341,30

B. PEKERJAAN PEMATANGAN LAHAN 27.418.712.780,45


1 Stripping Tanah 14.869 m2 204.966,75 3.047.732.656,27
2 Limestone 40.360 m3 204.966,75 8.272.417.209,88
3 Tanah Merah 34.000 m3 163.973,40 5.575.095.716,74
4 Sirtu 43.000 m3 204.966,75 8.813.570.434,56
5 Gelaran Base Course ( di padatkan ) 6.373 m3 268.320,11 1.709.896.763,00

C. PEKERJAAN PENATAAN LANDSCAPE 21.161.904.525,86


1 Pekerjaan Pasangan 1 ls 583.596.249,49 583.596.249,49
2 Pekerjaan Acsesories Taman 1 ls 698.377.631,90 698.377.631,90
3 Pekerjaan Penanaman Pohon Dan Rumput 1 ls 2.086.934.225,52 2.086.934.225,52
4 Pekerjaan Pedestrian 1 ls 1.817.007.380,15 1.817.007.380,15
5 Pekerjaan Danau 1 ls 5.901.522.758,53 5.901.522.758,53
6 Pekerjaan Area Parkir 1 ls 5.093.610.177,57 5.093.610.177,57
7 Pekerjaan Mesjid 1 ls 2.772.641,19 2.772.641,19
8 fitne centre 1 ls 1.453.400.621,34 1.453.400.621,34
9 Pekerjaan Pagar Keliling 1 ls 3.524.682.840,17 3.524.682.840,17

D. PEKERJAAN STRUKTUR 33.307.402.073,61


D.1. PEKERJAAN STRUKTUR BAWAH
D.1.1. PEKERJAAN TANAH DAN PONDASI 3.022.482.582,04
1 Galian Tanah
a Pondasi Tiang Pancang 109,00 bh 79.750,70 8.692.826,38
2 Urugan Tanah Kembali 471,72 m3 35.776,02 16.876.261,93
3 Pekerjaan bobokan tiang pancang sampai cut of level tanah termasuk
1,00 LS 20.153.821,95 20.153.821,95
buang puing keluar proyek dan perapihannya untuk sambungan pilecap
4 Mob & Demob Alat Pancang 1,00 ls 35.776.015,29 35.776.015,29
5 Pengadaan Spun Pile 109,00 bh 5.440.935,66 593.061.986,87
6 Pemancangan Spun Pile dia 600 mm 109,00 bh 648.440,28 70.679.990,22
7 Pasang Pondsi Batu Belah Camp. 1 sp : 6 pp 973,22 m3 722.973,64 703.612.408,27
8 Pemasangan batu kosong (anstamping) 472,41 m3 618.626,93 292.245.548,54

D.1.2. PEKERJAAN BETON


1 Beton lantai kerja K-100
a Footplat 30,41 m3 843.568,63 25.652.921,96
b Pitlift 17,22 m3 843.568,63 14.526.251,76
c Tie Beam 35,91 m3 843.568,63 30.292.549,41
2 Beton K.225
a Footplat 79,20 m3 1.030.796,44 81.639.078,10
b Kaki Fotplat 56,26 m3 1.030.796,44 57.992.607,75
c Pitlift 17,22 m3 1.030.796,44 17.750.314,71
d Tie Beam 184,05 m3 1.030.796,44 189.715.507,92

3 Pekerjaan pembesian BJTD 40 dan BJTP 24


a Footplat 12.349,31 kg 10.732,80 132.542.683,81
b Kaki Fotplat 12.328,31 kg 10.732,80 132.317.342,14
c Pitlift 2.374,61 kg 10.732,80 25.486.225,10
d Tie Beam 28.683,09 kg 10.732,80 307.849.979,84
4 Pekerjaan bekisting
a Footplat 214,08 m2 132.818,46 28.433.775,23
b Kaki Fotplat 392,08 m2 179.401,81 70.339.861,68
c Pitlift 75,43 m2 179.401,81 13.532.278,53
d Tie Beam 1.154,30 m2 132.818,46 153.312.344,66

D.2. PEKERJAAN STRUKTUR ATAS 30.284.919.491,57


D.2.1. PEKERJAAN BALOK IWF 17.003.880.345,34
1 Lantai Satu 101.701,91 kg 32.422,01 3.297.380.890,10
2 Lantai Dua 105.688,22 kg 32.422,01 3.426.624.863,81
3 Lantai Tiga 105.688,22 kg 32.422,01 3.426.624.863,81
4 Lantai Empat 105.688,22 kg 32.422,01 3.426.624.863,81
5 Lantai Lima 105.688,22 kg 32.422,01 3.426.624.863,81

D.2.2. PEKERJAAN KOLOM 6.878.830.079,94


1 Lantai Satu 46.122,92 kg 32.422,01 1.495.397.843,46
2 Lantai Dua 41.510,63 kg 32.422,01 1.345.858.059,12
3 Lantai Tiga 41.510,63 kg 32.422,01 1.345.858.059,12
4 Lantai Empat 41.510,63 kg 32.422,01 1.345.858.059,12
5 Lantai Lima 41.510,63 kg 32.422,01 1.345.858.059,12

D.2.3. PEKERJAAN PENGELASAN 282.330.998,21


1 Lantai Satu 2.547,09 m1 22.136,41 56.383.320,93
2 Lantai Dua 2.551,77 m1 22.136,41 56.486.919,32
3 Lantai Tiga 2.551,77 m1 22.136,41 56.486.919,32
4 Lantai Empat 2.551,77 m1 22.136,41 56.486.919,32
5 Lantai Lima 2.551,77 m1 22.136,41 56.486.919,32
HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
D.2.4. PEKERJAAN MUR BAUT D24mm 324.205.231,93
1 Lantai Satu 3.640,00 bh 17.813,47 64.841.046,39
2 Lantai Dua 3.640,00 bh 17.813,47 64.841.046,39
3 Lantai Tiga 3.640,00 bh 17.813,47 64.841.046,39
4 Lantai Empat 3.640,00 bh 17.813,47 64.841.046,39
5 Lantai Lima 3.640,00 bh 17.813,47 64.841.046,39

D.2.5. PEKERJAAN MUR BAUT D20mm 175.385.952,31


1 Lantai Satu 2.464,00 bh 14.235,87 35.077.190,46
2 Lantai Dua 2.464,00 bh 14.235,87 35.077.190,46
3 Lantai Tiga 2.464,00 bh 14.235,87 35.077.190,46
4 Lantai Empat 2.464,00 bh 14.235,87 35.077.190,46
5 Lantai Lima 2.464,00 bh 14.235,87 35.077.190,46

D.2.6. PEKERJAAN BETON KOMPOSIT KOLOM


1 Beton instan 523.364.337,09
a Lantai Satu 64,69 m3 1.758.838,35 113.774.855,89
b Lantai Dua 58,22 m3 1.758.838,35 102.397.370,30
c Lantai Tiga 58,22 m3 1.758.838,35 102.397.370,30
d Lantai Empat 58,22 m3 1.758.838,35 102.397.370,30
e Lantai Lima 58,22 m3 1.758.838,35 102.397.370,30

2 Kawat Strimin 36.436.753,58


a Lantai Satu 545,00 m2 14.534,01 7.921.033,39
b Lantai Dua 490,50 m2 14.534,01 7.128.930,05
c Lantai Tiga 490,50 m2 14.534,01 7.128.930,05
d Lantai Empat 490,50 m2 14.534,01 7.128.930,05
e Lantai Lima 490,50 m2 14.534,01 7.128.930,05

3 Bekisting multiplek 449.760.337,74


a Lantai Satu 545,00 m2 179.401,81 97.773.986,47
b Lantai Dua 490,50 m2 179.401,81 87.996.587,82
c Lantai Tiga 490,50 m2 179.401,81 87.996.587,82
d Lantai Empat 490,50 m2 179.401,81 87.996.587,82
e Lantai Lima 490,50 m2 179.401,81 87.996.587,82

D.2.7. PEKERJAAN PLAT LANTAI


1 PEKERJAAN BETON 1.137.221.534,59
a Lantai Dua 237,60 m3 1.030.796,44 244.916.925,07
b Lantai Tiga 245,86 m3 1.030.796,44 253.430.169,79
c Lantai Empat 245,86 m3 1.030.796,44 253.430.169,79
d Lantai Lima 245,86 m3 1.030.796,44 253.430.169,79
e Lantai Rooftop 128,07 m3 1.030.796,44 132.014.100,16

2 PEKERJAAN TULANGAN 96.445.018,80


a Lantai Dua 1.956,19 kg 10.732,80 20.995.411,28
b Lantai Tiga 1.996,63 kg 10.732,80 21.429.419,74
c Lantai Empat 1.996,63 kg 10.732,80 21.429.419,74
d Lantai Lima 1.996,63 kg 10.732,80 21.429.419,74
e Lantai Rooftop 1.039,93 kg 10.732,80 11.161.348,30

3 PEKERJAAN BEKISTING (BONDEK) 2.879.475.513,51


a Lantai Dua 1.827,69 m2 338.903,21 619.410.010,72
b Lantai Tiga 1.891,22 m2 338.903,21 640.940.531,75
c Lantai Empat 1.891,22 m2 338.903,21 640.940.531,75
d Lantai Lima 1.891,22 m2 338.903,21 640.940.531,75
e Lantai Rooftop 995,10 m2 338.903,21 337.243.907,54

D.2.8. PEKERJAAN TANGGA


1 PEKERJAAN BETON 70.661.096,01
a Lantai Satu 13,71 m3 1.030.796,44 14.132.219,20
b Lantai Dua 13,71 m3 1.030.796,44 14.132.219,20
c Lantai Tiga 13,71 m3 1.030.796,44 14.132.219,20
d Lantai Empat 13,71 m3 1.030.796,44 14.132.219,20
e Lantai Lima 13,71 m3 1.030.796,44 14.132.219,20

2 PEKERJAAN TULANGAN 11.036.006,32


a Lantai Satu 205,65 kg 10.732,80 2.207.201,26
b Lantai Dua 205,65 kg 10.732,80 2.207.201,26
c Lantai Tiga 205,65 kg 10.732,80 2.207.201,26
d Lantai Empat 205,65 kg 10.732,80 2.207.201,26
e Lantai Lima 205,65 kg 10.732,80 2.207.201,26

3 PEKERJAAN BEKISTING (BONDEK) 73.491.161,42


a Lantai Satu 43,37 m2 338.903,21 14.698.232,28
b Lantai Dua 43,37 m2 338.903,21 14.698.232,28
c Lantai Tiga 43,37 m2 338.903,21 14.698.232,28
d Lantai Empat 43,37 m2 338.903,21 14.698.232,28
e Lantai Lima 43,37 m2 338.903,21 14.698.232,28

D.2.8. PEKERJAAN RAM


1 PEKERJAAN BETON 140.755.253,97
a Lantai Satu 27,31 m3 1.030.796,44 28.151.050,79
b Lantai Dua 27,31 m3 1.030.796,44 28.151.050,79
c Lantai Tiga 27,31 m3 1.030.796,44 28.151.050,79
d Lantai Empat 27,31 m3 1.030.796,44 28.151.050,79
e Lantai Lima 27,31 m3 1.030.796,44 28.151.050,79
HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
2 PEKERJAAN TULANGAN 28.936.714,45
a Lantai Satu 539,22 kg 10.732,80 5.787.342,89
b Lantai Dua 539,22 kg 10.732,80 5.787.342,89
c Lantai Tiga 539,22 kg 10.732,80 5.787.342,89
d Lantai Empat 539,22 kg 10.732,80 5.787.342,89
e Lantai Lima 539,22 kg 10.732,80 5.787.342,89

3 PEKERJAAN BEKISTING (BONDEK) 172.703.156,35


a Lantai Satu 101,92 m2 338.903,21 34.540.631,27
b Lantai Dua 101,92 m2 338.903,21 34.540.631,27
c Lantai Tiga 101,92 m2 338.903,21 34.540.631,27
d Lantai Empat 101,92 m2 338.903,21 34.540.631,27
e Lantai Lima 101,92 m2 338.903,21 34.540.631,27

E. PEKERJAAN ARSITEKTUR 46.819.119.474,07


E.1. PEKERJAAN LANTAI 1 7.342.163.034,64
1.1. PEKERJAAN DINDING
1 Hebel / Setara Bata Ringan 3.866,53 m2 278.605,72 1.077.235.978,07
2 Plester Aci Instan 6.573,09 m2 164.346,07 1.080.261.921,83
3 Pengecatan dinding (1lapis plamuur, 1 lapis cat dasar, 2 lapis cat penutup) 6.010,57 m2 73.564,43 442.164.127,96
4 Pengecatan dinding anti bakteri, zat kimia ruang OK 562,52 m2 151.824,46 85.404.753,47
5 Kolom praktis 12/12cm, muttu beton K-175 1.278,88 m1 206.606,49 264.223.872,76
6 Openingan kusen pintu dan jendela ( beton kolom praktis 12/12cm) 627,85 m1 206.606,49 129.717.470,48
7 Hospital Plint Ukuran 10x60 White 2.266,76 m1 275.475,32 624.435.880,35
8 Keramik dinding ruangan : Granite uk. 30cm x 60cm, tinggi 120cm 1.443,03 m2 439.821,39 634.673.698,28
9 Keramik dinding Toilet : Granite uk. 25cm x 40cm, tinggi 200cm 876,89 m2 439.821,39 385.674.537,13
10 Walpaper dinding ruangan : refer to detail 569,23 m2 579.124,25 329.655.474,58
11 Panel dinding 3D Custom untuk poli anak : refer to detail 30,75 m2 129.911,66 3.994.133,85
12 List keramik dinding stainless lebar 10cm 438,63 m1 464.864,60 203.904.953,54
13 Wall Backdrop : refer to detail 108,43 m2 730.948,71 79.258.961,74
14 Fin. Dinding pintu lift : Homogenous tile uk. 60cm x 120cm 48,53 m2 458.603,80 22.255.583,62

1.2. PEKERJAAN LANTAI


1 Penutup Lantai Ruangan : Homogenous tile uk. 60cm x 60cm Warna Muda 1.262,90 m2 432.666,18 546.412.827,00
2 Penutup Lantai Lobby : Homogenous tile uk. 60cm x 60cm Motif 43,59 m2 440.492,19 19.201.054,49
3 Penutup Lantai Tangga : Homogenous tile uk. 60cm x 60cm Warna Muda 36,52 m2 441.610,19 16.127.604,09
4 Stepnosing uk. 10cm x 60cm warna gelap 96,00 m1 203.476,09 19.533.704,35
5 Penutup Lantai r. OK : Vinyl anti bakteri 16,33 m2 539.994,23 8.818.105,79
6 Penutup Lantai Toilet : Keramik antislip uk. 50cm x 50cm 273,41 m2 294.034,13 80.391.870,31
7 Penutup Lantai Ramp : Keramik antislip uk. 60cm x 60cm 104,73 m2 440.492,19 46.132.746,88

1.3. PEKERJAAN PLAFOND


1 Rangka Plafond : metal hollow 35.35.0,25 mm, modul 60 x 60 cm 1.610,27 m2 121.862,05 196.230.441,04
2 Penutup Plafond Variasi Lobby : Aksen Kayu 74,36 m2 348.816,15 25.937.968,85
3 Penutup Plafond Ruangan : gypsum board uk. (120x240x9) mm, tebal 9 mm 1.669,93 m2 95.030,04 158.693.230,65
4 Penutup Plafond Variasi Drop ceiling : gypsum board 51,22 m2 146.458,06 7.501.581,97
5 Compoun Plafond 1.721,15 m2 48.074,02 82.742.456,25
6 List Profil Gypsum Uk. 10 - 15 Cm 1.729,41 m1 31.304,01 54.137.473,78
7 Cat Plafond 3 x 1.721,15 m2 46.956,02 80.818.213,08

1.4. PEKERJAAN PINTU DAN JENDELA


1 Pintu Utama : Daun Pintu Patch Fitting Uk. 100 x 250 cm Kaca Tempered Tebal
1,00 unit - -
12 mm + Aksesoris Terpasang Lengkap
2 Pintu Type P1 : uk. 150cm x 230 cm : refer to detail 16,00 unit 3.689.401,58 59.030.425,24
3 Pintu Type P2 : uk. 130cm x 230 cm : refer to detail 12,00 unit 3.465.801,48 41.589.617,78
4 Pintu Type P3 : uk. 100cm x 230 cm : refer to detail 11,00 unit 3.409.901,46 37.508.916,04
5 Pintu Type P4 : uk. 80cm x 230 cm : refer to detail 12,00 unit 3.298.101,41 39.577.216,92
6 Pintu Type PG1 : uk. 90cm x 230 cm : refer to detail 11,00 unit 3.857.101,65 42.428.118,14
7 Jendela Type cw : refer to detail 90,30 m2 2.012.400,86 181.719.797,69
8 Pintu Type PD : uk. 90cm x 210 cm : refer to detail 1,00 unit 2.649.661,13 2.649.661,13
9 Pintu Type PS : uk. 130cm x 230 cm : refer to detail 1,00 unit 6.529.122,79 6.529.122,79
10 Jendela Type J1 : uk. 100cm x 260 cm : refer to detail 5,00 unit 2.951.521,26 14.757.606,31
11 Jendela Type J2 : uk. 200cm x 260 cm : refer to detail 8,00 unit 3.307.045,41 26.456.363,31
12 Jendela Type J7 : uk. 760cm x 212 cm : refer to detail 1,00 unit 5.388.762,30 5.388.762,30
13 Jendela Type J8 : uk. 424cm x108 cm : refer to detail 1,00 unit 4.035.981,73 4.035.981,73

1.5. PEKERJAAN RAILING


Pasang Hand Railing Stainlees, Area :
1 Drop Off 8,10 m2 1.934.140,83 15.666.540,70
2 Koridor 247,73 m1 305.214,13 75.610.696,54
3 Tangga 21,88 m2 1.934.140,83 42.317.067,15
4 Ramp 128,00 m1 305.214,13 39.067.408,70
5 Toilet 7,50 m1 305.214,13 2.289.105,98

E.2. PEKERJAAN LANTAI 2 8.707.431.632,93


2.1. PEKERJAAN DINDING
1 Hebel / Setara Bata Ringan 4.108,33 m2 278.605,72 1.144.602.840,95
2 Plester Aci Instan 6.984,15 m2 164.346,07 1.147.818.017,47
3 Pengecatan dinding (1lapis plamuur, 1 lapis cat dasar, 2 lapis cat penutup) 5.321,62 m2 73.564,43 391.481.581,87
4 Kolom praktis 12/12cm, muttu beton K-175 1.662,54 m1 206.606,49 343.491.034,59
5 Openingan kusen pintu dan jendela ( beton kolom praktis 12/12cm) 816,20 m1 206.606,49 168.632.711,63
6 Hospital Plint Ukuran 10x60 White 2.946,79 m1 275.475,32 811.766.644,46
7 Keramik dinding ruangan : Granite uk. 30cm x 60cm, tinggi 120cm 1.875,93 m2 439.821,39 825.075.807,76
8 Keramik dinding Toilet : Granite uk. 25cm x 40cm, tinggi 200cm 1.139,96 m2 439.821,39 501.376.898,26
9 Walpaper dinding ruangan : refer to detail 740,00 m2 579.124,25 428.552.116,95
10 List keramik dinding stainless lebar 10cm 570,22 m1 129.911,66 74.078.600,96
11 Wall Backdrop : refer to detail 140,96 m2 730.948,71 103.036.650,26
12 Fin. Dinding pintu lift : Homogenous tile uk. 60cm x 120cm 63,09 m2 458.603,80 28.932.258,70

2.2. PEKERJAAN LANTAI


1 Penutup Lantai Ruangan : Homogenous tile uk. 60cm x 60cm Warna Muda 1.294,90 m2 605.732,66 784.361.402,89
2 Penutup Lantai Variasi : Homogenous tile uk. 60cm x 60cm Motif 43,59 m2 616.689,06 26.881.476,28
3 Penutup Lantai Tangga : Homogenous tile uk. 60cm x 60cm Warna Muda 36,52 m2 618.254,26 22.578.645,73
4 Stepnosing uk. 10cm x 60cm warna gelap 96,00 m1 284.866,52 27.347.186,09
5 Penutup Lantai Toilet : Keramik antislip uk. 50cm x 50cm 273,41 m2 411.647,78 112.548.618,43
6 Penutup Lantai Ramp : Keramik antislip uk. 60cm x 60cm 104,73 m2 616.689,06 64.585.845,64
HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
-
2.3. PEKERJAAN PLAFOND
1 Rangka Plafond : metal hollow 35.35.0,25 mm, modul 60 x 60 cm 1.644,27 m2 170.606,87 280.523.251,14
2 Penutup Plafond Ruangan : gypsum board uk. (120x240x9) mm, tebal 9 mm 1.613,09 m2 133.042,06 214.608.412,40
3 Penutup Plafond Variasi Drop ceiling : gypsum board 51,22 m2 205.041,29 10.502.214,75
4 Compoun Plafond 1.664,31 m2 67.303,63 112.013.900,49
5 List Profil Gypsum Uk. 10 - 15 Cm 1.729,41 m1 43.825,62 75.792.463,30
6 Cat Plafond 3 x 1.664,31 m2 65.738,43 109.408.926,06

2.4. PEKERJAAN PINTU DAN JENDELA


1 Pintu Utama : Daun Pintu Patch Fitting Uk. 100 x 250 cm Kaca Tempered Tebal
1,00 unit 9.257.043,96 9.257.043,96
12 mm + Aksesoris Terpasang Lengkap
2 Pintu Type P1 : uk. 150cm x 230 cm : refer to detail 17,00 unit 5.165.162,21 87.807.757,54
3 Pintu Type P2 : uk. 130cm x 230 cm : refer to detail 3,00 unit 4.852.122,07 14.556.366,22
4 Pintu Type P3 : uk. 100cm x 230 cm : refer to detail 2,00 unit 4.773.862,04 9.547.724,08
5 Pintu Type P4 : uk. 80cm x 230 cm : refer to detail 30,00 unit 4.617.341,97 138.520.259,22
6 Pintu Type PG1 : uk. 90cm x 230 cm : refer to detail 7,00 unit 5.399.942,31 37.799.596,16
7 Pintu Type PJ1 : uk. 240cm x 230 cm : refer to detail 11,00 unit 2.817.361,20 30.990.973,25
8 Pintu Type PJ2 : uk. 190cm x 230 cm : refer to detail 2,00 unit 3.709.525,59 7.419.051,17
9 Pintu Type PD : uk. 90cm x 210 cm : refer to detail 1,00 unit 9.140.771,91 9.140.771,91
10 Jendela Type J3 : uk. 80cm x 180 cm : refer to detail 7,00 unit 4.132.129,77 28.924.908,37
11 Jendela Type J4 : uk. 156cm x 180 cm : refer to detail 1,00 unit 4.629.863,58 4.629.863,58
12 Jendela Type J6 : uk. 340cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
13 Jendela Type J7 : uk. 760cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
14 Jendela Type J8 : uk. 424cm x108 cm : refer to detail 1,00 unit 5.650.374,42 5.650.374,42
15 Jendela Type cw : refer to detail 124,00 m2 2.012.400,86 249.537.706,68

2.5. PEKERJAAN RAILING


Pasang Hand Railing Stainlees, Area :
1 Drop Off 8,10 m2 2.707.797,16 21.933.156,98
2 Koridor 247,73 m1 427.299,78 105.854.975,16
3 Tangga 21,88 m2 2.707.797,16 59.243.894,01
4 Ramp 128,00 m1 427.299,78 54.694.372,18
5 Toilet 16,00 m1 427.299,78 6.836.796,52

E.3. PEKERJAAN LANTAI 3 9.976.692.478,90


3.1. PEKERJAAN DINDING
1 Hebel / Setara Bata Ringan 4.255,33 m2 390.048,01 1.659.781.034,32
2 Plester Aci Instan 7.234,05 m2 230.084,50 1.664.443.340,60
3 Pengecatan dinding (1lapis plamuur, 1 lapis cat dasar, 2 lapis cat penutup) 6.770,83 m2 102.990,20 697.329.420,62
4 Pengecatan dinding anti bakteri, zat kimia ruang OK 463,22 m2 108.446,05 50.234.377,60
5 Kolom praktis 12/12cm, muttu beton K-175 983,75 m1 289.249,08 284.548.786,05
6 Openingan kusen pintu dan jendela ( beton kolom praktis 12/12cm) 482,96 m1 289.249,08 139.695.737,44
7 Hospital Plint Ukuran 10x60 White 1.743,66 m1 385.665,44 672.469.409,61
8 Keramik dinding ruangan : Granite uk. 30cm x 60cm, tinggi 120cm 1.110,02 m2 615.749,94 683.494.751,99
9 Keramik dinding Toilet : Granite uk. 25cm x 40cm, tinggi 200cm 674,53 m2 615.749,94 415.341.809,21
10 Walpaper dinding ruangan : refer to detail 437,87 m2 810.773,95 355.013.588,00
11 List keramik dinding stainless lebar 10cm 337,41 m1 181.876,32 61.366.888,37
12 Wall Backdrop : refer to detail 83,41 m2 1.023.328,20 85.355.804,95
13 Fin. Dinding pintu lift : Homogenous tile uk. 60cm x 120cm 37,33 m2 642.045,31 23.967.551,59

3.2. PEKERJAAN LANTAI


1 Penutup Lantai Ruangan : Homogenous tile uk. 60cm x 60cm Warna Muda 1.130,90 m2 605.732,66 685.021.246,82
2 Penutup Lantai Variasi : Homogenous tile uk. 60cm x 60cm Motif 43,59 m2 616.689,06 26.881.476,28
3 Penutup Lantai Tangga : Homogenous tile uk. 60cm x 60cm Warna Muda 36,52 m2 618.254,26 22.578.645,73
4 Stepnosing uk. 10cm x 60cm warna gelap 96,00 m1 284.866,52 27.347.186,09
5 Penutup Lantai r. OK : Vinyl anti bakteri 157,53 m2 755.991,92 119.091.407,66
6 Penutup Lantai Toilet : Keramik antislip uk. 50cm x 50cm 273,41 m2 411.647,78 112.548.618,43
7 Penutup Lantai Ramp : Keramik antislip uk. 60cm x 60cm 104,73 m2 616.689,06 64.585.845,64

3.3. PEKERJAAN PLAFOND


1 Rangka Plafond : metal hollow 35.35.0,25 mm, modul 60 x 60 cm 1.594,94 m2 170.606,87 272.107.553,61
2 Penutup Plafond Ruangan : gypsum board uk. (120x240x9) mm, tebal 9 mm 1.564,69 m2 133.042,06 208.170.160,03
3 Penutup Plafond Variasi Drop ceiling : gypsum board 49,68 m2 205.041,29 10.187.148,31
4 Compoun Plafond 1.614,38 m2 67.303,63 108.653.483,48
5 List Profil Gypsum Uk. 10 - 15 Cm 1.677,53 m1 43.825,62 73.518.689,40
6 Cat Plafond 3 x 1.614,38 m2 65.738,43 106.126.658,28

3.4. PEKERJAAN PINTU DAN JENDELA


1 Pintu Type P1 : uk. 150cm x 230 cm : refer to detail 24,00 unit 5.165.162,21 123.963.893,00
2 Pintu Type P2 : uk. 130cm x 230 cm : refer to detail 4,00 unit 4.852.122,07 19.408.488,30
3 Pintu Type P3 : uk. 100cm x 230 cm : refer to detail 10,00 unit 4.773.862,04 47.738.620,41
4 Pintu Type P4 : uk. 80cm x 230 cm : refer to detail 28,00 unit 4.617.341,97 129.285.575,27
5 Pintu Type PG1 : uk. 90cm x 230 cm : refer to detail 15,00 unit 5.399.942,31 80.999.134,63
6 Pintu Type PS : uk. 130cm x 230 cm : refer to detail 4,00 unit 9.140.771,91 36.563.087,63
7 Pintu Type PD : uk. 90cm x 210 cm : refer to detail 1,00 unit 9.140.771,91 9.140.771,91
8 Jendela Type J3 : uk. 80cm x 180 cm : refer to detail 14,00 unit 4.132.129,77 57.849.816,73
9 Jendela Type J4 : uk. 156cm x 180 cm : refer to detail 4,00 unit 4.629.863,58 18.519.454,32
10 Jendela Type J5 : uk. 232cm x 180 cm : refer to detail 2,00 unit 3.545.179,52 7.090.359,03
11 Jendela Type J6 : uk. 340cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
12 Jendela Type J7 : uk. 760cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
13 Jendela Type J8 : uk. 424cm x108 cm : refer to detail 1,00 unit 5.650.374,42 5.650.374,42
14 Jendela Type cw : refer to detail 271,80 m2 2.012.400,86 546.970.553,84

3.5. PEKERJAAN RAILING


Pasang Hand Railing Stainlees, Area :
1 Drop Off 8,10 m2 2.707.797,16 21.933.156,98
2 Koridor 247,73 m1 427.299,78 105.854.975,16
3 Tangga 21,88 m2 2.707.797,16 59.243.894,01
4 Ramp 128,00 m1 427.299,78 54.694.372,18
5 Toilet 16,00 m1 427.299,78 6.836.796,52

E.4. PEKERJAAN LANTAI 4 10.083.812.764,65


4.1. PEKERJAAN DINDING
1 Hebel / Setara Bata Ringan 4.299,43 m2 390.048,01 1.676.982.151,42
2 Plester Aci Instan 7.309,02 m2 230.084,50 1.681.692.775,44
3 Pengecatan dinding (1lapis plamuur, 1 lapis cat dasar, 2 lapis cat penutup) 6.706,84 m2 102.990,20 690.738.459,53
4 Kolom praktis 12/12cm, muttu beton K-175 1.278,88 m1 289.249,08 369.913.421,86
5 Openingan kusen pintu dan jendela ( beton kolom praktis 12/12cm) 627,85 m1 289.249,08 181.604.458,68
6 Hospital Plint Ukuran 10x60 White 2.266,76 m1 385.665,44 874.210.232,50
7 Keramik dinding ruangan : Granite uk. 30cm x 60cm, tinggi 120cm 1.443,03 m2 615.749,94 888.543.177,59
8 Keramik dinding Toilet : Granite uk. 25cm x 40cm, tinggi 200cm 876,89 m2 615.749,94 539.944.351,98
9 Walpaper dinding ruangan : refer to detail 569,23 m2 810.773,95 461.517.664,41
10 List keramik dinding stainless lebar 10cm 438,63 m1 181.876,32 79.776.954,89
11 Wall Backdrop : refer to detail 108,43 m2 1.023.328,20 110.962.546,44
12 Fin. Dinding pintu lift : Homogenous tile uk. 60cm x 120cm 48,53 m2 642.045,31 31.157.817,07
HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
4.2. PEKERJAAN LANTAI
1 Penutup Lantai Ruangan : Homogenous tile uk. 60cm x 60cm Warna Muda 1.164,82 m2 605.732,66 705.571.884,22
2 Penutup Lantai Variasi : Homogenous tile uk. 60cm x 60cm Motif 44,90 m2 616.689,06 27.687.920,57
3 Penutup Lantai Tangga : Homogenous tile uk. 60cm x 60cm Warna Muda 37,62 m2 618.254,26 23.256.005,10
4 Stepnosing uk. 10cm x 60cm warna gelap 98,88 m1 284.866,52 28.167.601,67
5 Penutup Lantai Toilet : Keramik antislip uk. 50cm x 50cm 281,61 m2 411.647,78 115.925.076,98
6 Penutup Lantai Ramp : Keramik antislip uk. 60cm x 60cm 107,87 m2 616.689,06 66.523.421,00

4.3. PEKERJAAN PLAFOND


1 Rangka Plafond : metal hollow 35.35.0,25 mm, modul 60 x 60 cm 1.642,79 m2 170.606,87 280.270.780,22
2 Penutup Plafond Ruangan : gypsum board uk. (120x240x9) mm, tebal 9 mm 1.611,64 m2 133.042,06 214.415.264,83
3 Penutup Plafond Variasi Drop ceiling : gypsum board 51,17 m2 205.041,29 10.492.762,76
4 Compoun Plafond 1.662,81 m2 67.303,63 111.913.087,98
5 List Profil Gypsum Uk. 10 - 15 Cm 1.727,85 m2 43.825,62 75.724.250,08
6 Cat Plafond 3 x 1.662,81 m2 65.738,43 109.310.458,03

4.4. PEKERJAAN PINTU DAN JENDELA


1 Pintu Utama : Daun Pintu Patch Fitting Uk. 100 x 250 cm Kaca Tempered Tebal
1,00 unit 9.257.043,96 9.257.043,96
12 mm + Aksesoris Terpasang Lengkap
2 Pintu Type P1 : uk. 150cm x 230 cm : refer to detail 21,00 unit 5.165.162,21 108.468.406,37
3 Pintu Type P2 : uk. 130cm x 230 cm : refer to detail 3,00 unit 4.852.122,07 14.556.366,22
4 Pintu Type P3 : uk. 100cm x 230 cm : refer to detail 4,00 unit 4.773.862,04 19.095.448,16
5 Pintu Type P4 : uk. 80cm x 230 cm : refer to detail 27,00 unit 4.617.341,97 124.668.233,30
6 Pintu Type PG1 : uk. 90cm x 230 cm : refer to detail 7,00 unit 5.399.942,31 37.799.596,16
7 Pintu Type PJ1 : uk. 240cm x 230 cm : refer to detail 4,00 unit 2.817.361,20 11.269.444,82
8 Pintu Type PJ2 : uk. 190cm x 230 cm : refer to detail 14,00 unit 3.709.525,59 51.933.358,20
9 Pintu Type PD : uk. 90cm x 210 cm : refer to detail 1,00 unit 9.140.771,91 9.140.771,91
10 Jendela Type J3 : uk. 80cm x 180 cm : refer to detail 1,00 unit 4.132.129,77 4.132.129,77
11 Jendela Type J4 : uk. 156cm x 180 cm : refer to detail 3,00 unit 4.629.863,58 13.889.590,74
12 Jendela Type J5 : uk. 232cm x 180 cm : refer to detail 2,00 unit 3.545.179,52 7.090.359,03
13 Jendela Type J6 : uk. 340cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
14 Jendela Type J7 : uk. 760cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
15 Jendela Type J8 : uk. 424cm x108 cm : refer to detail 1,00 unit 5.650.374,42 5.650.374,42
16 Jendela Type cw : refer to detail 23,84 m2 2.012.400,86 47.975.636,51

4.5. PEKERJAAN RAILING


Pasang Hand Railing Stainlees, Area :
1 Drop Off 8,10 m2 2.707.797,16 21.933.156,98
2 Koridor 247,73 m1 427.299,78 105.854.975,16
3 Tangga 21,88 m2 2.707.797,16 59.243.894,01
4 Ramp 128,00 m1 427.299,78 54.694.372,18
5 Toilet 13,50 m1 427.299,78 5.768.547,07

E.5. PEKERJAAN LANTAI 5 10.709.019.562,94


5.1. PEKERJAAN DINDING
1 Hebel / Setara Bata Ringan 4.428,41 m2 390.048,01 1.727.291.615,96
2 Plester Aci Instan 7.528,29 m2 230.084,50 1.732.143.558,70
3 Pengecatan dinding (1lapis plamuur, 1 lapis cat dasar, 2 lapis cat penutup) 6.908,04 m2 102.990,20 711.460.613,31
4 Kolom praktis 12/12cm, muttu beton K-175 1.317,24 m1 289.249,08 381.010.824,52
5 Openingan kusen pintu dan jendela ( beton kolom praktis 12/12cm) 646,68 m1 289.249,08 187.052.592,44
6 Hospital Plint Ukuran 10x60 White 2.334,76 m1 385.665,44 900.436.539,47
7 Keramik dinding ruangan : Granite uk. 30cm x 60cm, tinggi 120cm 1.486,32 m2 615.749,94 915.199.472,92
8 Keramik dinding Toilet : Granite uk. 25cm x 40cm, tinggi 200cm 903,20 m2 615.749,94 556.142.682,54
9 Walpaper dinding ruangan : refer to detail 586,31 m2 810.773,95 475.363.194,34
10 List keramik dinding stainless lebar 10cm 451,79 m1 181.876,32 82.170.263,53
11 Wall Backdrop : refer to detail 111,69 m2 1.023.328,20 114.291.422,83
12 Fin. Dinding pintu lift : Homogenous tile uk. 60cm x 120cm 49,98 m2 642.045,31 32.092.551,58

5.2. PEKERJAAN LANTAI


1 Penutup Lantai Ruangan : Homogenous tile uk. 60cm x 60cm Warna Muda 1.118,23 m2 605.732,66 677.349.008,85
2 Penutup Lantai Variasi : Homogenous tile uk. 60cm x 60cm Motif 43,10 m2 616.689,06 26.580.403,75
3 Penutup Lantai Tangga : Homogenous tile uk. 60cm x 60cm Warna Muda 36,11 m2 618.254,26 22.325.764,90
4 Stepnosing uk. 10cm x 60cm warna gelap 94,92 m1 284.866,52 27.040.897,61
5 Penutup Lantai Toilet : Keramik antislip uk. 50cm x 50cm 270,35 m2 411.647,78 111.288.073,91
6 Penutup Lantai Ramp : Keramik antislip uk. 60cm x 60cm 103,56 m2 616.689,06 63.862.484,16

5.3. PEKERJAAN PLAFOND


1 Rangka Plafond : metal hollow 35.35.0,25 mm, modul 60 x 60 cm 1.577,08 m2 170.606,87 269.059.949,01
2 Penutup Plafond Ruangan : gypsum board uk. (120x240x9) mm, tebal 9 mm 1.547,17 m2 133.042,06 205.838.654,24
3 Penutup Plafond Variasi Drop ceiling : gypsum board 49,13 m2 205.041,29 10.073.052,25
4 Compoun Plafond 1.596,30 m2 67.303,63 107.436.564,46
5 List Profil Gypsum Uk. 10 - 15 Cm 1.658,74 m1 43.825,62 72.695.280,08
6 Cat Plafond 3 x 1.596,30 m2 65.738,43 104.938.039,71

5.4. PEKERJAAN PINTU DAN JENDELA


1 Pintu Utama : Daun Pintu Patch Fitting Uk. 100 x 250 cm Kaca Tempered Tebal
1,00 unit 9.257.043,96 9.257.043,96
12 mm + Aksesoris Terpasang Lengkap
2 Pintu Type P1 : uk. 150cm x 230 cm : refer to detail 23,00 unit 5.165.162,21 118.798.730,79
3 Pintu Type P2 : uk. 130cm x 230 cm : refer to detail 1,00 unit 4.852.122,07 4.852.122,07
4 Pintu Type P3 : uk. 100cm x 230 cm : refer to detail 3,00 unit 4.773.862,04 14.321.586,12
5 Pintu Type P4 : uk. 80cm x 230 cm : refer to detail 27,00 unit 4.617.341,97 124.668.233,30
6 Pintu Type PG1 : uk. 90cm x 230 cm : refer to detail 7,00 unit 5.399.942,31 37.799.596,16
7 Pintu Type PJ2 : uk. 190cm x 230 cm : refer to detail 22,00 unit 3.709.525,59 81.609.562,89
8 Pintu Type PD : uk. 90cm x 210 cm : refer to detail 1,00 unit 9.140.771,91 9.140.771,91
9 Jendela Type J4 : uk. 156cm x 180 cm : refer to detail 4,00 unit 4.629.863,58 18.519.454,32
10 Jendela Type J6 : uk. 340cm x 212 cm : refer to detail 1,00 unit 7.544.267,23 7.544.267,23
11 Jendela Type J8 : uk. 424cm x108 cm : refer to detail 1,00 unit 5.650.374,42 5.650.374,42
12 Jendela Type cw : refer to detail 23,20 m2 2.012.400,86 46.687.699,96

5.5. PEKERJAAN RAILING


Pasang Hand Railing Stainlees, Area :
1 Drop Off 8,10 m2 2.707.797,16 21.933.156,98
2 Koridor 247,73 m1 427.299,78 105.854.975,16
3 Tangga 21,88 m2 2.707.797,16 59.243.894,01
4 Ramp 128,00 m1 427.299,78 54.694.372,18
5 Toilet 13,50 m1 427.299,78 5.768.547,07

5.6. PEKERJAAN ATAP


1 Struktur Atap Baja Ringan 974,71 m2 196.768,08 191.791.819,27
2 Penutup Atap Genteng Metal Berpasir 974,71 m2 164.346,07 160.189.758,14
3 Pasang Nok Genteng Metal 107,22 m1 108.446,05 11.627.585,09
4 Pasang Talang Seng Galvalum 47,21 m2 422.604,18 19.951.143,37
5 Pasang Listplank 97,22 m1 105.092,04 10.217.048,61
6 Waterproofing Dak Atap 142,65 m2 531.050,23 75.754.314,89
HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
F. PEKERJAAN EXTERIOR 2.212.466.076,92
F.1. Alumunium Composite Panel
1 Tampak Depan 583,21 m2 1.021.107,10 595.519.873,66
2 Tampak Samping Kiri 422,52 m2 1.021.107,10 431.438.173,24
3 Tampak Samping Kanan 391,52 m2 1.021.107,10 399.783.853,05
4 Tampak Belakang 407,53 m2 1.021.107,10 416.131.777,77
5 Atap Canopy 198,23 m2 1.021.107,10 202.414.061,07

F.2. IDENTITAS RUMAH SAKIT


1 Sign Board 1 1,00 ls 55.154.690,25 55.154.690,25
2 Sign Board 2 1,00 ls 46.956.020,07 46.956.020,07
3 Logo Rumah Sakit 1,00 ls 65.067.627,82 65.067.627,82

G. PEKERJAAN INTERIOR 4.786.434.250,66


G.1. LANTAI 1
- Nurse station dan meja pelayanan 1,00 ls - -
- Closet 11,00 unit 3.257.108,06 35.828.188,65
- Closet difabel 1,00 unit 3.331.641,42 3.331.641,42
- Uriner 2,00 unit 2.582.581,10 5.165.162,21
- wastafel 10,00 unit 1.824.576,78 18.245.767,80
- Exhouse 12,00 unit 366.704,16 4.400.449,88
- Bedhead 11,00 unit 3.288.412,07 36.172.532,80
- Set meja kursi type 1 12,00 unit 1.375.885,92 16.510.631,06
- Set meja kursi type 2 2,00 unit 1.788.651,70 3.577.303,40
- Set meja kursi type 3 12,00 unit 2.325.247,21 27.902.966,49
- Set meja kursi type 4 2,00 unit 3.022.821,37 6.045.642,74
- Sofa set type 1 3,00 unit 7.170.855,07 21.512.565,20
- Sofa type 1 2,00 unit 5.582.549,05 11.165.098,11
- Kursi tunggu koridor 12,00 unit 2.218.112,95 26.617.355,38
- Wastaffel type 2 15,00 unit 1.975.134,18 29.627.012,67
- Wastaffel type 3 4,00 unit 2.034.760,87 8.139.043,48
- Cabinet type 1 11,00 unit 2.809.907,87 30.908.986,55
- Cabinet type 2 1,00 unit 3.652.880,23 3.652.880,23
- Cabinet type 3 7,00 unit 4.748.744,30 33.241.210,08
- Cabinet type 4 4,00 unit 6.173.367,59 24.693.470,34
- Cabinet type 5 5,00 unit 8.025.377,86 40.126.889,31
- Freezer darah 1,00 unit 5.440.935,66 5.440.935,66
- Loker 3,00 unit 6.037.202,58 18.111.607,74
- Nurse station type 1 1,00 unit 28.173.612,04 28.173.612,04

G.2. LANTAI 2
- Nurse station dan meja pelayanan 1,00 ls - -
- Closet 28,00 unit 3.257.108,06 91.199.025,66
- Uriner 1,00 unit 2.213.640,95 2.213.640,95
- wastafel 28,00 unit 1.824.576,78 51.088.149,84
- Shower 28,00 unit 1.021.107,10 28.590.998,89
- Exhouse 28,00 unit 366.704,16 10.267.716,39
- Bedhead 68,00 unit 3.288.412,07 223.612.020,93
- Set meja kursi type 1 2,00 unit 1.375.885,92 2.751.771,84
- Set meja kursi type 3 2,00 unit 2.325.247,21 4.650.494,41
- Set meja kursi type 4 1,00 unit 3.022.821,37 3.022.821,37
- Sofa set type 2 2,00 unit 6.453.769,56 12.907.539,12
- Sofa type 2 24,00 unit 7.257.313,77 174.175.530,46
- Sofa type 3 42,00 unit 9.797.373,59 411.489.690,72
- Kursi IRNA type 1 24,00 unit 3.525.428,17 84.610.276,17
- Kursi tunggu koridor 4,00 unit 2.218.112,95 8.872.451,79
- Wastaffel type 3 1,00 unit 2.034.760,87 2.034.760,87
- Cabinet type 3 66,00 unit 4.748.744,30 313.417.123,59
- Cabinet type 5 6,00 unit 8.025.377,86 48.152.267,17
- Cabinet type 6 66,00 unit 3.212.388,04 212.017.610,64
- Nurse station type 2 1,00 unit 43.974.685,47 43.974.685,47
HARGA JUMLAH
NO URAIAN PEKERJAAN VOL SAT SATUAN HARGA
(Rp) (Rp)
G.3. LANTAI 3
- Nurse station dan meja pelayanan 1 ls 63.576.960,51 63.576.960,51
- Closet 15 unit 3.257.108,06 48.856.620,89
- Uriner 1 unit 2.213.640,95 2.213.640,95
- wastafel 15 unit 1.824.576,78 27.368.651,70
- Shower 5 unit 1.021.107,10 5.105.535,52
- Exhouse 15 unit 366.704,16 5.500.562,35
- Bedhead 24 unit 3.288.412,07 78.921.889,74
- Set meja kursi type 1 15 unit 1.375.885,92 20.638.288,82
- Set meja kursi type 2 3 unit 1.788.651,70 5.365.955,09
- Set meja kursi type 3 4 unit 2.325.247,21 9.300.988,83
- Sofa set type 2 2 unit 6.453.769,56 12.907.539,12
- Sofa type 3 4 unit 9.797.373,59 39.189.494,35
- Kursi tunggu koridor 14 unit 2.218.112,95 31.053.581,28
- Wastaffel type 3 4 unit 2.034.760,87 8.139.043,48
- Cabinet type 3 7 unit 4.748.744,30 33.241.210,08
- Cabinet type 4 4 unit 5.698.493,16 22.793.972,62
- Loker 2 unit 6.037.202,58 12.074.405,16

G.4. LANTAI 4
- Nurse station dan meja pelayanan 1 ls - -
- Closet 25 unit 3.257.108,06 81.427.701,48
- Uriner 1 unit 2.213.640,95 2.213.640,95
- wastafel 25 unit 1.824.576,78 45.614.419,50
- Shower 25 unit 1.021.107,10 25.527.677,58
- Exhouse 22 unit 366.704,16 8.067.491,45
- Bedhead 66 unit 3.288.412,07 217.035.196,78
- Set meja kursi type 1 11 unit 1.375.885,92 15.134.745,14
- Set meja kursi type 3 1 unit 2.325.247,21 2.325.247,21
- Set meja kursi type 4 1 unit 3.022.821,37 3.022.821,37
- Sofa type 2 40 unit 7.257.313,77 290.292.550,77
- Sofa type 3 24 unit 9.797.373,59 235.136.966,12
- Kursi IRNA type 1 40 unit 3.525.428,17 141.017.126,95
- Kursi tunggu koridor 7 unit 2.218.112,95 15.526.790,64
- Wastaffel type 2 4 unit 1.975.134,18 7.900.536,71
- Cabinet type 3 64 unit 4.748.744,30 303.919.635,00
- Cabinet type 6 40 unit 3.212.388,04 128.495.521,60
- Nurse station type 4 1 unit 39.800.817,02 39.800.817,02

G.5. LANTAI 5
- Nurse station dan meja pelayanan 1,00 ls - -
- Closet 24,00 unit 3.257.108,06 78.170.593,42
- Uriner 1,00 unit 2.213.640,95 2.213.640,95
- wastafel 24,00 unit 1.824.576,78 43.789.842,72
- Shower 22,00 unit 1.021.107,10 22.464.356,27
- Exhouse 24,00 unit 366.704,16 8.800.899,76
- Bedhead 24,00 unit 3.288.412,07 78.921.889,74
- Set meja kursi type 1 5,00 unit 1.375.885,92 6.879.429,61
- Set meja kursi type 3 1,00 unit 2.325.247,21 2.325.247,21
- Set meja kursi type 5 22,00 unit 2.795.001,19 61.490.026,29
- Sofa set type 3 22,00 unit 5.373.855,63 118.224.823,88
- Kursi IRNA type 3 22,00 unit 3.877.970,99 85.315.361,81
- Kursi tunggu koridor 6,00 unit 2.218.112,95 13.308.677,69
- Wastaffel type 1 4,00 unit 1.975.134,18 7.900.536,71
- Wastaffel type 4 22,00 unit 2.172.647,60 47.798.247,10
- Cabinet type 4 3,00 unit 5.698.493,16 17.095.479,47
- Cabinet type 6 1,00 unit 3.212.388,04 3.212.388,04
- Nurse station type 5 1,00 unit 32.176.053,76 32.176.053,76

SUB TOTAL PEKERJAAN GEDUNG RSU : 137.317.800.843,94


SUB TOTAL DIBULATKAN : 137.317.800.000,00
RENCANA ANGGARAN BIAYA (RAB)
ALAT KESEHATAN
RSU MENTARI KORMA HUSADA

Nama Perusahaan : PT. Mentari Korma Husada


Alamat Perusahaan : Perumahan Grand Safira City Blok J No. 9 RT
02 RW 13 Kelurahan Arcawinangun, Kecamatan
Purwokerto Timur Kabupaten Banyumas, Provinsi
Jawa Tengah
Nama Proyek : RSU Mentari Korma Husada
Alamat Proyek : JL. Raya Poros Utama Kecamatan (PUK) – Jl.
Raya Provinsi Desa Tidu Kec. Bukateja. Kab.
Purbalingga. Provinsi Jawa Tengah
Telp./ HP. : 083891371001
Email : pt.mentarikormahusada.01@gmail.com
RENCANA KEBUTUHAN ALAT KESEHATAN PEMBANGUNAN RSU MENTARI KORMA HUSADA PURBALINGGA-JAWA TENGAH

NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN OBSTETRI, GINEKOLOGI & RUANG VK

VACUUM EXTRACTOR VACUUM EXTRACTOR MANUAL / ALAT BANTU PERSALINAN BAYI SET 1 Rp 19.795.343 Rp 19.795.343 OBGYN DAN VK

VEOTAL MONITORING GEA - BISTOS CTG FETAL MONITOR BT - 300 1UNIT Pcs 1 Rp 45.185.022 Rp 45.185.022 OBGYN DAN VK
SUCTION PUMP GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 OBGYN DAN VK
BED OBGYN PARAMOUNT PD-1000AA Pcs 6 Rp 69.247.682 Rp 415.486.095 OBGYN DAN VK
ANAESTESI APP RESUCITATION KIT DEWASA Pcs 1 Rp 25.820.012 Rp 25.820.012 OBGYN DAN VK
RESUCITATION KIT ANAK Pcs 1 Rp 25.820.012 Rp 25.820.012 OBGYN DAN VK
RESUCITATION KIT BAYI Pcs 1 Rp 25.820.012 Rp 25.820.012 OBGYN DAN VK
INFUSE PUMP MINDRAY - BENEFUSION VP5 WITH DROP SENSOR Pcs 2 Rp 43.455.081 Rp 86.910.162 OBGYN DAN VK
BABY WEIGHING SCALE GEA RGZ-20A Pcs 1 Rp 2.409.868 Rp 2.409.868 OBGYN DAN VK
GYNAECOLOGICAL EXAM TABLE PARAMOUNT PD-150 Pcs 1 Rp 61.558.536 Rp 61.558.536 OBGYN DAN VK
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 OBGYN DAN VK
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 OBGYN DAN VK
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 OBGYN DAN VK
BABY INCUBATOR GEA - HKN 9010 Pcs 2 Rp 96.669.251 Rp 193.338.503 OBGYN DAN VK
PREMATUR INFANT WARMER GEA - YP-100W Pcs 1 Rp 85.589.468 Rp 85.589.468 OBGYN DAN VK
BOX BABY TRANSPORT PARAMOUNT - PB-1120C Pcs 2 Rp 36.290.957 Rp 72.581.914 OBGYN DAN VK
BED TRANSPORT PARAMOUNT - KK 738BE Pcs 2 Rp 113.409.241 Rp 226.818.482 OBGYN DAN VK
EXAMINATION LAMP INNOVMED - INNOV_76 Pcs 6 Rp 5.039.937 Rp 30.239.624 OBGYN DAN VK
SCALE WEIGHT GEA BODY WEIGHT SCALE ZT-120 Pcs 1 Rp 2.891.841 Rp 2.891.841 OBGYN DAN VK
AUTOCLAVE TABLE EURONDA - E5 CLASS N AUTOCLAVE 18 L - FREKUENSI 230V/50HZ Pcs 1 Rp 134.222.710 Rp 134.222.710 OBGYN DAN VK
FILM VIEWER INNOVMED - INNOV_104 Pcs 1 Rp 7.310.678 Rp 7.310.678 OBGYN DAN VK
SPECULUM SIMS SIMS VAGINAL SPECULA 65X25+70X30MM Pcs 3 Rp 2.091.894 Rp 6.275.681 OBGYN DAN VK
SIMS VAGINAL SPECULA 70X30+70X35MM Pcs 3 Rp 2.091.893 Rp 6.275.680 OBGYN DAN VK
SIMS VAGINAL SPECULA 85X35+90X40MM Pcs 3 Rp 2.091.893 Rp 6.275.680 OBGYN DAN VK
SONDE UTERUS ESMICO - SIMS UTERINE SOUND MALLEABLE 32CM Pcs 3 Rp 1.098.246 Rp 3.294.739 OBGYN DAN VK
TENAKULUM SCHROEDER TENACULUM FORCEPS 25CM Pcs 3 Rp 1.317.893 Rp 3.953.679 OBGYN DAN VK
TAMPON TANG (UTERINE DRESSINY FOCEPS) BOZEMANN DRESSING FORCEPS S-SHAPED 26CM Pcs 3 Rp 1.581.471 Rp 4.744.414 OBGYN DAN VK
PINSET ANATOMI (BERBAGAI UKURAN) DISSECTING FORCEPS NARROW STR 14.5CM Pcs 3 Rp 702.876 Rp 2.108.629 OBGYN DAN VK
DISSECTING FORCEPS NARROW STR 16CM Pcs 3 Rp 790.736 Rp 2.372.207 OBGYN DAN VK
DISSECTING FORCEPS NARROW STR 18CM Pcs 3 Rp 878.595 Rp 2.635.786 OBGYN DAN VK
DISSECTING FORCEPS NARROW STR 20CM Pcs 3 Rp 1.054.314 Rp 3.162.943 OBGYN DAN VK
DISSECTING FORCEPS NARROW STR 25CM Pcs 3 Rp 1.317.893 Rp 3.953.679 OBGYN DAN VK
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
GUNTING LURUS (BERBAGAI UKURAN) MAYO OPERATING SCISSORS STR BL/BL 14.5CM. Pcs 3 Rp 702.876 Rp 2.108.629 OBGYN DAN VK
MAYO OPERATING SCISSORS STR BL/BL 17CM. Pcs 3 Rp 1.054.314 Rp 3.162.943 OBGYN DAN VK
MAYO OPERATING SCISSORS STR BL/BL 23CM. Pcs 3 Rp 1.581.471 Rp 4.744.414 OBGYN DAN VK
PENGAIT A K D R INSTRUMENT FOR REMOVAL OF I.U.D. SHAFT 20CM - 33-646-20 Pcs 3 Rp 4.646.882 Rp 13.940.646 OBGYN DAN VK
STETOSKOP MONOAURAL LAENEC FETOSKOP/ STETOSKOP WOODEN - ONEMED Pcs 1 Rp 550.827 Rp 550.827 OBGYN DAN VK
FLACENTA BASIN TRIANGULAR BASIN W.HANDLE Pcs 6 Rp 5.262.625 Rp 31.575.750 OBGYN DAN VK
GUNTING TALI PUSAT BUSCH UMBILICAL SCISSORS CURVED TO SIDE 16CM. Pcs 3 Rp 878.595 Rp 2.635.786 OBGYN DAN VK
KLEM KOCHER KOCHER (OCHSNER) ARTERY FORCEPS 1:2 T STR 14CM Pcs 3 Rp 702.876 Rp 2.108.629 OBGYN DAN VK
KOCHER (OCHSNER) ARTERY FORCEPS 1:2 T STR 16CM Pcs 3 Rp 878.595 Rp 2.635.786 OBGYN DAN VK
KOCHER (OCHSNER) ARTERY FORCEPS 1:2 T STR 18CM Pcs 3 Rp 1.054.314 Rp 3.162.943 OBGYN DAN VK
KOCHER (OCHSNER) ARTERY FORCEPS 1:2 T STR 20CM Pcs 3 Rp 1.317.893 Rp 3.953.679 OBGYN DAN VK
KOCHER (OCHSNER) ARTERY FORCEPS 1:2 T STR 22CM Pcs 3 Rp 1.581.471 Rp 4.744.414 OBGYN DAN VK
KOCHER (OCHSNER) ARTERY FORCEPS 1:2 T STR 24CM Pcs 3 Rp 1.757.190 Rp 5.271.571 OBGYN DAN VK
KLEM PEAN (LURUS) PEAN (ROCHESTER) ARTERY FORCEPS STR 14CM Pcs 3 Rp 702.876 Rp 2.108.629 OBGYN DAN VK
PEAN (ROCHESTER) ARTERY FORCEPS STR 16CM Pcs 3 Rp 878.595 Rp 2.635.786 OBGYN DAN VK
PEAN (ROCHESTER) ARTERY FORCEPS STR 18CM Pcs 3 Rp 1.054.314 Rp 3.162.943 OBGYN DAN VK
PEAN (ROCHESTER) ARTERY FORCEPS STR 20CM Pcs 3 Rp 1.317.893 Rp 3.953.679 OBGYN DAN VK
KLEM PEAN (BENGKOK) PEAN (ROCHESTER) ARTERY FORCEPS CVD 14CM Pcs 3 Rp 702.876 Rp 2.108.629 OBGYN DAN VK
PEAN (ROCHESTER) ARTERY FORCEPS CVD 16CM Pcs 3 Rp 878.595 Rp 2.635.786 OBGYN DAN VK
PEAN (ROCHESTER) ARTERY FORCEPS CVD 18CM Pcs 3 Rp 1.054.314 Rp 3.162.943 OBGYN DAN VK
PEAN (ROCHESTER) ARTERY FORCEPS CVD 20CM Pcs 3 Rp 1.317.893 Rp 3.953.679 OBGYN DAN VK
BADPAN UNTUK ORANG DEWASA BADPAN PISPOT Pcs 3 Rp 860.667 Rp 2.582.001 OBGYN DAN VK
CUNAM NAEGELE NAEGELE OBSTETRICAL FORCEPS 36CM Pcs 3 Rp 13.156.563 Rp 39.469.688 OBGYN DAN VK
CUNAM FIPER PIPER OBSTETRICAL FORCEPS W/TRACTION HDL 40CM Pcs 3 Rp 29.286.507 Rp 87.859.521 OBGYN DAN VK
GUNTING SIEBOLD SIEBOLD GYNAE SCISSORS S-SHAPED BL/BL 24CM Pcs 1 Rp 1.757.192 Rp 1.757.192 OBGYN DAN VK
GUNTING EPISIOTOMI BRAUN-STADLER EPISIOTOMY SCISSORS 14.5CM Pcs 3 Rp 878.596 Rp 2.635.788 OBGYN DAN VK
JANGKA PANGGUL MARTIN PELVIMETERS CM/INCH SCALE 34CM Pcs 1 Rp 7.045.339 Rp 7.045.339 OBGYN DAN VK
CHROMIC CAT GUT T SILK 2-0 S25 Pcs 1 Rp 284.020 Rp 284.020 OBGYN DAN VK
BENANG SUTRA T CHROMIC 2-0 C27 Pcs 1 Rp 258.200 Rp 258.200 OBGYN DAN VK
SPONGGE HOLDING FORCEPS FOERSTER-BALLENGER SPONGE HOLDING STR 25CM Pcs 1 Rp 1.317.894 Rp 1.317.894 OBGYN DAN VK
GUNTING VERBAND LISTER BANDAGE SCISSORS 16CM Pcs 1 Rp 1.054.315 Rp 1.054.315 OBGYN DAN VK
DILATATOR HEGAR HEGAR UT. DILATORS SET OF 8 3/4 - 17/18MM CANVAS ROLL Pcs 1 Rp 9.664.549 Rp 9.664.549 OBGYN DAN VK
KURET UTERUS TAJAM NO 1 DAN NO 2 RECAMIER UTERINE CURETTE SHARP RIGID 7MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
RECAMIER UTERINE CURETTE SHARP RIGID 8MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
KURET UTERUS TUMPUL SIMS UTERINE CURETTE BLUNT RIGID 7MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 8MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 9MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 11MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 12MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 14MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 5MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 16MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 19MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 20MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 21MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SIMS UTERINE CURETTE BLUNT RIGID 23MM 31CM Pcs 1 Rp 2.091.895 Rp 2.091.895 OBGYN DAN VK
SPEKULUM LANGENBECK DOYEN VAGINAL SPECULA SL. CONCAVE 55X60MM Pcs 1 Rp 3.221.516 Rp 3.221.516 OBGYN DAN VK
DOYEN VAGINAL SPECULA SL. CONCAVE 85X60MM Pcs 1 Rp 3.221.516 Rp 3.221.516 OBGYN DAN VK
DOYEN VAGINAL SPECULA SL. CONCAVE 115X60MM Pcs 1 Rp 3.367.950 Rp 3.367.950 OBGYN DAN VK
GUNTING OPERASI LENGKUNG MAYO-STILLE OPERATING SCISSORS STR BL/BL 19CM. Pcs 2 Rp 1.083.601 Rp 2.167.201 OBGYN DAN VK
GUNTING OPERASI LURUS MAYO-STILLE OPERATING SCISSORS STR BL/BL 19CM. Pcs 2 Rp 1.083.601 Rp 2.167.201 OBGYN DAN VK
HIPODERMIC SYRINGE 1:3:5:10:50:100 CC TERUMMO Pcs 1 Rp 842.765 Rp 842.765 OBGYN DAN VK
HIPODERMIC NEEDLE 2:12:14:16:18 TERUMMO Pcs 1 Rp 561.843 Rp 561.843 OBGYN DAN VK
TUBERCULINI SYRINGE TERUMMO Pcs 1 Rp 561.843 Rp 561.843 OBGYN DAN VK
INSULFIN SYRINGE TERUMMO Pcs 1 Rp 561.843 Rp 561.843 OBGYN DAN VK
ALKOHOL COTTON CASE ONEMED Pcs 1 Rp 140.461 Rp 140.461 OBGYN DAN VK
JARUM PUNGSI PLEURA TERUMMO Pcs 1 Rp 561.843 Rp 561.843 OBGYN DAN VK
JARUM PUNGSI ASITES TERUMMO Pcs 1 Rp 561.843 Rp 561.843 OBGYN DAN VK
INSTRUMEN CASE 9 (STERILE) STORING CASE 400X290X120MM Pcs 1 Rp 16.445.703 Rp 16.445.703 OBGYN DAN VK
INSTRUMENT TRAY INSTRUMENT TRAY DEEP W/O.LID 300X175X30MM Pcs 1 Rp 3.715.202 Rp 3.715.202 OBGYN DAN VK
TEST TUBE KECIL DENGAN RAK PAKET TEST TUBE 12PCS 16X150 LOGO PYREX +TUTUP+RAK STENLIS SET 1 Rp 568.040 Rp 568.040 OBGYN DAN VK
URINEMETER KESEHATAN ALAT MEDIS URINOMETER Pcs 1 Rp 426.030 Rp 426.030 OBGYN DAN VK
STOP WATCH KENKO Pcs 1 Rp 550.827 Rp 550.827 OBGYN DAN VK
NIERBEKKEN (BENGKOK) KIDNEY DISH WITHOUT LID 250MM Pcs 3 Rp 2.130.151 Rp 6.390.453 OBGYN DAN VK
WASKOM WASH BOWL 330X90MM Pcs 2 Rp 2.430.187 Rp 4.860.374 OBGYN DAN VK
STANDAR WASKOM SOLUTION BOWL 165X60MM ,75L Pcs 2 Rp 1.317.894 Rp 2.635.788 OBGYN DAN VK
SET OKSIGEN TABUNG UKURAN 1M³, REGULATOR, TROLLY Pcs 1 Rp 2.840.201 Rp 2.840.201 OBGYN DAN VK
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 OBGYN DAN VK
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 1 Rp 32.320.926 Rp 32.320.926 OBGYN DAN VK
ULTRA SONOGRAFI 4D GE ~ VOLUSON P8 ULTRASONOGRAPHY COLOR DOPPLER REAL TIME 4D Pcs 1 Rp 1.860.331.899 Rp 1.860.331.899 OBGYN DAN VK
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN ANAK
SUCTION PUMP GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 PEDIATRI
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 PEDIATRI
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 PEDIATRI
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 PEDIATRI
BABY INKUBATOR GEA INFANT INCUBATOR YP90AB Pcs 1 Rp 132.855.929 Rp 132.855.929 PEDIATRI
MEJA PERIKSA UNTUK ANAK PARAMOUNT - PK 1122 Pcs 1 Rp 45.157.498 Rp 45.157.498 PEDIATRI
MEJA GANTI PAKAIAN BAYI (BABY LAFEL) INNOVMED - INNOV_79 Pcs 1 Rp 8.833.736 Rp 8.833.736 PEDIATRI
REFRIGERATOR PANASONIC - 1 PINTU - 171 Pcs 1 Rp 6.251.977 Rp 6.251.977 PEDIATRI
PENGUKUR PANJANG BAYI GEA - STATURE GAUGE WB-B Pcs 1 Rp 1.514.774 Rp 1.514.774 PEDIATRI
TIMBANGAN DAN PENGUKUR TINGGI ANAK GEA - ER7210 Pcs 1 Rp 3.270.535 Rp 3.270.535 PEDIATRI
MANSET TENSIMETER BAYI MANSET TENSIMETER CUFF TENSI BAYI Pcs 1 Rp 454.432 Rp 454.432 PEDIATRI
MANSET TENSIMETER ANAK MANSET TENSIMETER CUFF TENSI ANAK Pcs 1 Rp 454.432 Rp 454.432 PEDIATRI
FEEDING TUBES-BAYI NGT TERUMO / FEEDING TUBE TERUMO FR 8-100CM / SELANG MAKAN BAYI Pcs 1 Rp 378.694 Rp 378.694 PEDIATRI

FEEDING TUBES-ANAK FEEDING TUBE NO FR 8,FR 5,FR 3,5 TERUMO/NGT TERUMO/SELANG MAKAN - 8/100 Pcs 1 Rp 378.694 Rp 378.694 PEDIATRI

GIYCERIN SPUIT RECTAL IRIGATOR-ANAK ONEMED NWS 36087 ENEMA GLISERIN SYRINGE 60CC Pcs 1 Rp 550.827 Rp 550.827 PEDIATRI
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 PEDIATRI

PELAYANAN PENYAKIT DALAM - JANTUNG


TEMPAT TIDUR PERIKSA PARAMOUNT - PK 1122 Pcs 1 Rp 45.157.498 Rp 45.157.498 INTERNA DAN JANTUNG
LEMARI OBAT / ALAT INNOVMED - INNOV_88 Pcs 1 Rp 10.661.406 Rp 10.661.406 INTERNA DAN JANTUNG
INSTRUMEN TROLLY INNOVMED - INNOV_34 Pcs 1 Rp 6.092.232 Rp 6.092.232 INTERNA DAN JANTUNG
TIMBANGAN / TINGGI BADAN GEA - BODY WEIGHT SCALE ZT-120 Pcs 1 Rp 2.624.346 Rp 2.624.346 INTERNA DAN JANTUNG
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 INTERNA DAN JANTUNG
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 2 Rp 5.386.821 Rp 10.773.642 INTERNA DAN JANTUNG
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 INTERNA DAN JANTUNG
EKG 1 CHANNEL ECG FUKUDA DENSHI 1 CHANNEL FX 7000 Pcs 1 Rp 51.123.625 Rp 51.123.625 INTERNA DAN JANTUNG
USG 4D GE ~ VOLUSON P8 ULTRASONOGRAPHY COLOR DOPPLER REAL TIME 4D Pcs 1 Rp 1.860.331.899 Rp 1.860.331.899 INTERNA DAN JANTUNG
RESUSCITATOR UNTUK DEWASA GEA - MPM RUBBER RESUSCITATOR ADULT Pcs 1 Rp 1.514.774 Rp 1.514.774 INTERNA DAN JANTUNG
RESUSCITATOR UNTUK ANAK GEA - MPM RUBBER RESUSCITATOR CHILD Pcs 1 Rp 1.514.774 Rp 1.514.774 INTERNA DAN JANTUNG
FILM VIEWER INNOVMED - INNOV_104 Pcs 1 Rp 7.310.678 Rp 7.310.678 INTERNA DAN JANTUNG
EXAMINATION LAMP INNOVMED - INNOV_76 Pcs 1 Rp 5.039.937 Rp 5.039.937 INTERNA DAN JANTUNG
HEAD LAMP GEA - MEDICAL HEAD LAMP BT-410 Pcs 1 Rp 3.420.597 Rp 3.420.597 INTERNA DAN JANTUNG
HAMMER REFLEX TAYLOR MOD. USA PERCUSSION HAMMER 18CM Pcs 1 Rp 2.071.183 Rp 2.071.183 INTERNA DAN JANTUNG
SUCTION FOR THORAX GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 INTERNA DAN JANTUNG
HEMODIALISA SET ESMICO Pcs 1 Rp 10.121.445 Rp 10.121.445 INTERNA DAN JANTUNG
CATHLAB SET ESMICO Pcs 1 Rp 7.171.508 Rp 7.171.508 INTERNA DAN JANTUNG
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 INTERNA DAN JANTUNG
THREADMILL DAN SISTEM STRESS EKG CONTEC 8000S Pcs 1 Rp 250.000.000 Rp 250.000.000 INTERNA DAN JANTUNG
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN BEDAH
ANAESTESI APP RESUCITATION KIT DEWASA Pcs 1 Rp 25.820.012 Rp 25.820.012 OK DAN IBS
RESUCITATION KIT ANAK Pcs 1 Rp 25.820.012 Rp 25.820.012 OK DAN IBS
RESUCITATION KIT BAYI Pcs 1 Rp 25.820.012 Rp 25.820.012 OK DAN IBS
FLASH LIGHT PENLIGHT SENTER MEDIS Pcs 1 Rp 550.827 Rp 550.827 OK DAN IBS
HAMMER REFLEX TAYLOR MOD. USA PERCUSSION HAMMER 18CM Pcs 1 Rp 2.071.183 Rp 2.071.183 OK DAN IBS
SPATEL LIDAH KROENIG TONGUE DEPRESSOR 15CM Pcs 1 Rp 1.534.055 Rp 1.534.055 OK DAN IBS
SUCTION PUMP GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 OK DAN IBS
LAMPU TINDAKAN INNOVMED - INNOV_76 Pcs 1 Rp 5.039.937 Rp 5.039.937 OK DAN IBS
EXAMINATION TABLE PARAMOUNT - PK 1122 Pcs 1 Rp 45.157.498 Rp 45.157.498 OK DAN IBS
AUTOCLAVE TABLE EURONDA - E5 CLASS N AUTOCLAVE 18 L - FREKUENSI 230V/50HZ Pcs 1 Rp 134.222.710 Rp 134.222.710 OK DAN IBS
HECHTING SET AESCULAP Pcs 1 Rp 28.983.546 Rp 28.983.546 OK DAN IBS
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 OK DAN IBS

PELAYANAN GIGI DAN MULUT


PERALATAN STANDAR KG(1) :
◘ BEDAH MULUT MINOR (1)
DENTAL UNIT :
AIR KOMPRESOR SWAN Pcs 1 Rp 35.341.194 Rp 35.341.194 DENTAL
OPERATING STOOL MOBILE (DENTAL UNIT) TRIDENT PANORAMIC DENTAL UNIT Pcs 1 Rp 3.694.101.382 Rp 3.694.101.382 DENTAL

◘ ALAT-ALAT TAMBAHAN :
BOILING WATER STERILIZER
DRESSING DRUMS DRESSING DRUM 36 CM Pcs 1 Rp 2.840.201 Rp 2.840.201 DENTAL
AMALGAM MIXER HSM GC Pcs 1 Rp 21.141.607 Rp 21.141.607 DENTAL
DENTAL CABINET DENTAL CABINET Pcs 1 Rp 28.402.014 Rp 28.402.014 DENTAL
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
◘. PENGAWET GIGI :
MOUTH MIRROR MEDESY 4903 Pcs 1 Rp 119.908 Rp 119.908 DENTAL
DRESSING TWEEZERS MEDESY 1024 Pcs 1 Rp 473.320 Rp 473.320 DENTAL
EXCLORES MEDESY 555/2 Pcs 1 Rp 343.946 Rp 343.946 DENTAL
EXCAVATOR DOUBELE ENDED MEDESY 670 Pcs 1 Rp 776.244 Rp 776.244 DENTAL
CEMENT PLUFFERS DOUBLE ENDED MEDESY 500/2 Pcs 1 Rp 463.853 Rp 463.853 DENTAL
FINISHING INSTRUMENT MEDESY 499/1T Pcs 1 Rp 1.009.748 Rp 1.009.748 DENTAL
AMALGAMA CARRIERS (PISTOL AMALGAMA) MEDESY 4859 Pcs 1 Rp 1.246.408 Rp 1.246.408 DENTAL
MIXING GLASS SLAB MEDESY 6300 Pcs 1 Rp 836.198 Rp 836.198 DENTAL
MATRIK RETAINER IVORK MEDESY 4978 Pcs 1 Rp 1.041.303 Rp 1.041.303 DENTAL
MATRIK BAND MEDESY 4976 Pcs 1 Rp 1.041.303 Rp 1.041.303 DENTAL
SCISSOR MEDESY 3504/1 Pcs 1 Rp 1.511.467 Rp 1.511.467 DENTAL
CEMENT SPATULAS DOUBLE ENDED MEDESY 657 Pcs 1 Rp 596.383 Rp 596.383 DENTAL
COTTON WOOL DISPENSOR WITH SPRINGS MEDESY 974 Pcs 1 Rp 1.356.849 Rp 1.356.849 DENTAL
TONGUE DEPRESSOR WITH COTTON ROLI HOLDER TONG SPATEL KAYU ONEMED DAN DENTAL COTTON ROLL HOLDER SET 1 Rp 344.267 Rp 344.267 DENTAL
CHIP BLOWER PAKISTAN Pcs 1 Rp 141.996 Rp 141.996 DENTAL
WATER SYRIGE ALL METAL COBRA DENTAL - GNATUS Pcs 1 Rp 3.376.346 Rp 3.376.346 DENTAL
MORTER & PESTLE FOR AMALGAMA COBRA DENTAL - DOCHEM Pcs 1 Rp 347.101 Rp 347.101 DENTAL
DAPPAN GLASS COBRA DENTAL - COTTISEN Pcs 1 Rp 53.643 Rp 53.643 DENTAL
AMALGAMA 1 PLUGGERS DOUBLE ENDED AMALGAMA 1 PLUGGERS DOUBLE ENDED 527/1Z - COBRA DENTAL Pcs 1 Rp 498.563 Rp 498.563 DENTAL
PLASTIC FILLING INSTRUMENT DOUBEL ENDED DOUBEL ENDED 488/3 - COBRA DENTAL Pcs 1 Rp 492.252 Rp 492.252 DENTAL
PETRIC DISH COBRA DENTAL Pcs 1 Rp 552.206 Rp 552.206 DENTAL
ALKOHOL / SPIRITUS BUMERS ALL METAL COBRA DENTAL Pcs 1 Rp 104.130 Rp 104.130 DENTAL
REAMER ASSORTED COBRA DENTAL - SVENSKA Pcs 1 Rp 573.721 Rp 573.721 DENTAL
EXTRIPATION NEEDLES ASSORTED COBRA DENTAL - SVENSKA Pcs 1 Rp 362.878 Rp 362.878 DENTAL
DIAMOND BURS ESSORTED COBRA DENTAL - EDENTA Pcs 1 Rp 709.979 Rp 709.979 DENTAL
SILICATE SPATULAS DOUBLE ENDED COBRA DENTAL Pcs 1 Rp 25.244 Rp 25.244 DENTAL
LENTULO E NEADLES ASSORIED COBRA DENTAL - SVENSKA Pcs 1 Rp 709.979 Rp 709.979 DENTAL

◘ PEMBERSIH KARANG GIGI :


SCALER ABBOT MEDESY 653.1 Pcs 1 Rp 631.093 Rp 631.093 DENTAL
SCALER CALL MEDESY 651/11 Pcs 1 Rp 1.148.589 Rp 1.148.589 DENTAL
CURET ALVEOLI LUCAS MEDESY 661 Pcs 1 Rp 1.019.215 Rp 1.019.215 DENTAL
SCALER WHITE WHITE SICKLE SCALER Pcs 1 Rp 172.133 Rp 172.133 DENTAL
SCALER BLACKS CHISEL SCALER BLACK LEFT Pcs 1 Rp 172.133 Rp 172.133 DENTAL
SCALER COBRA DENTAL - BONART Pcs 1 Rp 31.554.637 Rp 31.554.637 DENTAL
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
◘ UNTUK PENCABUTAN GIGI :
KLEIN'S CHIIDREN FORCEPS FOR UPPER INCICORS &CANINE MEDESY 2600/111 Pcs 1 Rp 3.958.673 Rp 3.958.673 DENTAL
KLEIN'S CHIIDREN FORCEPS FOR UPPER MOLARS MEDESY 2600/115 Pcs 1 Rp 3.958.673 Rp 3.958.673 DENTAL
KLEIN'S CHIIDREN FORCEPS FOR LOWER INCISORS MEDESY 2600/150 Pcs 1 Rp 3.379.502 Rp 3.379.502 DENTAL
KLEIN'S CHIIDREN FORCEPS FOR LOWER MOLAR MEDESY 2600/160 Pcs 1 Rp 3.379.502 Rp 3.379.502 DENTAL
KLEIN'S CHIIDREN FORCEPS FOR UPPER ROOTS MEEDESY 2600/122 Pcs 1 Rp 3.958.673 Rp 3.958.673 DENTAL
KLEIN'S CHIIDREN FORCEPS FOR LOWER ROOTS MEDESY 2600/170 Pcs 1 Rp 3.958.673 Rp 3.958.673 DENTAL
KLEIN'S CHIIDREN FORCEPS FOR UPPER ROOTS(BAYONET) MEDESY 2600/122 Pcs 1 Rp 3.958.673 Rp 3.958.673 DENTAL
EXTRACTING FORCEPS FOR UPPER LATERALS MEDESY 2500/2-S Pcs 1 Rp 2.997.691 Rp 2.997.691 DENTAL
EXTRACTING FORCEPS FOR UPPER CENTRAL AND CANINE MEDESY 2500/163 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR UPPER BICUSPID MEDESY 2500/1 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR RIGHT UPPER MOLAR MEDESY 2500/17 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR LEFT UPPER MOLAR MEDESY 2500/18 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR UPPER WISDOM MEDESY 2500/67 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR UPPER ROOT INCISORS MEDESY 2500/51 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR UPPER ROOT BICUSPIDS MEDESY 2500/113 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR BAYONET MEDESY 2500/51 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR LOWER INCISORES AND CANINE MEDESY 2500/4 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR LOWER MOLARS MEDESY 2500/73 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR LOWER ROOTS MEDESY 2500/33 Pcs 1 Rp 3.098.665 Rp 3.098.665 DENTAL
EXTRACTING FORCEPS FOR LOWER WISDOM LEFT MEDESY 2500/350 Pcs 1 Rp 2.694.766 Rp 2.694.766 DENTAL
EXRTACTING FORCEPS FOR LOWER WISDOM RIGHT MEDESY 2500/351 Pcs 1 Rp 2.694.766 Rp 2.694.766 DENTAL
ROOT ELEVATORS (BEIN) BESAR MEDESY 680/3 Pcs 1 Rp 1.300.051 Rp 1.300.051 DENTAL
ROOT ELEVATORS (BEIN) KECIL MEDESY 680/1 Pcs 1 Rp 1.300.051 Rp 1.300.051 DENTAL
ROOT ELEVATORS APICAL KANAN MEDESY 690/4 Pcs 1 Rp 1.233.786 Rp 1.233.786 DENTAL
ROOT ELEVATORS APICAL KIRI MEDESY 690/3 Pcs 1 Rp 1.233.786 Rp 1.233.786 DENTAL
ROOT ELEVATORS CRYER KIRI MEDESY 780/1 Pcs 1 Rp 1.830.169 Rp 1.830.169 DENTAL
ROOT ELEVATORS CRYER KANAN MEDESY 780/2 Pcs 1 Rp 1.830.169 Rp 1.830.169 DENTAL
PRIOSTELA ELEVATORS MEDESY 852 Pcs 1 Rp 1.104.412 Rp 1.104.412 DENTAL
ALVAOLOTOMY FILES MEDESY 898/1 Pcs 1 Rp 1.151.744 Rp 1.151.744 DENTAL
DRESING FORCEPS MEDESY 1512 Pcs 1 Rp 1.419.959 Rp 1.419.959 DENTAL
SCAPLE HANDLES MEDESY 3629 Pcs 1 Rp 315.546 Rp 315.546 DENTAL
GUM SCISSCRS BENGKOK MEDESY 3504/2 Pcs 1 Rp 1.508.312 Rp 1.508.312 DENTAL
SCAPLE BLADES COBRA DENTAL Pcs 1 Rp 236.660 Rp 236.660 DENTAL
SUTURE NEEDLES COBRA DENTAL Pcs 1 Rp 50.487 Rp 50.487 DENTAL
SIIK SUTURE COBRA DENTAL Pcs 1 Rp 34.710 Rp 34.710 DENTAL
GAUZE PAVER TISSUE FORCEPS MEDESY 1007/10R Pcs 1 Rp 1.214.854 Rp 1.214.854 DENTAL
FINGER PROTECTOR COBRA DENTAL Pcs 1 Rp 410.210 Rp 410.210 DENTAL
BONE RONGEURS MEDESY 3809 Pcs 1 Rp 4.483.914 Rp 4.483.914 DENTAL
NEEDLE HOLDER MEDESY 1748 Pcs 1 Rp 1.577.732 Rp 1.577.732 DENTAL
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
STEMILISING FORCEPS CHEATLE STERILIZING FORCEPS 27CM -20-001-27 Pcs 1 Rp 1.136.081 Rp 1.136.081 DENTAL
KIDNEY BOWLS KIDNEY DISH WITHOUT LID 200MM Pcs 1 Rp 1.546.177 Rp 1.546.177 DENTAL
DISPOSIBLE SYRINGE + JARUM TERUMMO - 1CC,3CC,5CC,10CC,50CC Pcs 1 Rp 725.757 Rp 725.757 DENTAL
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 DENTAL

PELAYANAN SYARAF
◘ KLINIK RAWAT JALAN :
RIESTER PENSCOPE POCKET OPTHALMOSCOPE W/2.7V VACUUM LIGHT, AA HANDLE,
OFTALMOSKOP Pcs 1 Rp 11.962.928 Rp 11.962.928 NEUROLOGI
IN POUCH, 2076
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 NEUROLOGI
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 NEUROLOGI
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 NEUROLOGI
FLASH LIGHT PENLIGHT SENTER MEDIS Pcs 1 Rp 550.827 Rp 550.827 NEUROLOGI
GARPU TALA TUNING FORK SET OF 5 ALU Pcs 1 Rp 17.100.830 Rp 17.100.830 NEUROLOGI
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 NEUROLOGI
SPATEL LIDAH KROENIG TONGUE DEPRESSOR 15CM Pcs 1 Rp 1.534.055 Rp 1.534.055 NEUROLOGI
PALU REFLEX TAYLOR MOD. USA PERCUSSION HAMMER 18CM Pcs 1 Rp 1.206.982 Rp 1.206.982 NEUROLOGI
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 NEUROLOGI

PELAYANAN GAWAT DARURAT


DEFIBRILATOR MINDRAY - BENEHEART D3 WITH ECG Pcs 1 Rp 223.062.773 Rp 223.062.773 IGD
EKG EKG 6 CHANNEL MERK FUKUDA DENSHI TIPE FX-7202 Pcs 1 Rp 110.767.854 Rp 110.767.854 IGD
LAMPU TINDAKAN INNOVMED - INNOV_76 Pcs 2 Rp 5.039.937 Rp 10.079.875 IGD
RESUCITATION KIT DEWASA Pcs 1 Rp 25.820.012 Rp 25.820.012 IGD
ANAESTESI APP RESUCITATION KIT ANAK Pcs 1 Rp 25.820.012 Rp 25.820.012 IGD
RESUCITATION KIT BAYI Pcs 1 Rp 25.820.012 Rp 25.820.012 IGD
STERILIZER STERILISATOR FORTUNE 2 PINTU AC220V ~ 60 HZ Pcs 1 Rp 7.881.559 Rp 7.881.559 IGD
SUCTION PUMP GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 IGD
BED SIDE MONITOR GE PATIENT MONITOR +MODUL E-ENTOPY B650 Pcs 2 Rp 674.088.230 Rp 1.348.176.460 IGD
BED IGD OBSERVASI PARAMOUNT - PK 5114X Pcs 10 Rp 98.261.890 Rp 982.618.902 IGD
BED IGD RESUS PARAMOUNT - PK 5114X Pcs 2 Rp 98.261.890 Rp 196.523.780 IGD
BED TRANSPORT IGD PARAMOUNT - KK 738BE Pcs 7 Rp 113.409.241 Rp 793.864.686 IGD
SYRINGE PUMP MINDRAY - BENEFUSION SP5 Pcs 2 Rp 38.342.719 Rp 76.685.437 IGD
INFUSE PUMP MINDRAY - BENEFUSION VP5 WITH DROP SENSOR Pcs 2 Rp 43.455.081 Rp 86.910.162 IGD
KURSI RODA GEA - FS-869 LX Pcs 2 Rp 16.959.836 Rp 33.919.673 IGD
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 IGD
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 IGD
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 IGD
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 2 Rp 32.320.926 Rp 64.641.852 IGD
FILM VIEWER INNOVMED - INNOV_104 Pcs 1 Rp 7.310.678 Rp 7.310.678 IGD
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
KAMAR OPERASI
RESUCITATION KIT DEWASA Pcs 2 Rp 25.820.012 Rp 51.640.025 OK DAN IBS
ANAESTESI APP RESUCITATION KIT ANAK Pcs 2 Rp 25.820.012 Rp 51.640.025 OK DAN IBS
RESUCITATION KIT BAYI Pcs 2 Rp 25.820.012 Rp 51.640.025 OK DAN IBS
SUCTION PUMP GEA YX930D Pcs 7 Rp 23.754.411 Rp 166.280.880 OK DAN IBS
OPERATING LAMP MERILED L3L5, MERIVAARA FINDLAND Pcs 6 Rp 1.030.475.004 Rp 6.182.850.025 OK DAN IBS
OPERATING TABLE PARAMOUNT - KM411 Pcs 6 Rp 2.190.103.022 Rp 13.140.618.133 OK DAN IBS
ELECTRO SURGERY/ESU DOCTANZ 400 Pcs 6 Rp 121.698.084 Rp 730.188.507 OK DAN IBS
DEFIBRILATOR MINDRAY - BENEHEART D3 WITH ECG Pcs 1 Rp 223.062.773 Rp 223.062.773 OK DAN IBS
AUTOCLAVE TABLE EURONDA - E5 CLASS N AUTOCLAVE 18 L - FREKUENSI 230V/50HZ Pcs 1 Rp 134.222.710 Rp 134.222.710 OK DAN IBS
BED SIDE MONITOR GE PATIENT MONITOR +MODUL E-ENTOPY B650 Pcs 11 Rp 674.088.230 Rp 7.414.970.532 OK DAN IBS
MESIN ANESTHESI 2 VAPORIZER - MODUL GAS EsCAiO GE - AVANCE CS2 Unit 6 Rp 2.715.481.389 Rp 16.292.888.333 OK DAN IBS
BED OK MOBILE PARAMOUNT - KK 738BE Pcs 10 Rp 113.409.241 Rp 1.134.092.408 OK DAN IBS
SYRINGE PUMP MINDRAY - BENEFUSION SP5 Pcs 5 Rp 38.342.719 Rp 191.713.593 OK DAN IBS
SCRUBSTASION INNOVMED - INNOV_143 Pcs 3 Rp 462.694.624 Rp 1.388.083.871 OK DAN IBS
MEJA MAYO INNOVMED - INNOV_38 Pcs 30 Rp 5.483.009 Rp 164.490.262 OK DAN IBS
FILM VIEWER INNOVMED - INNOV_104 Pcs 6 Rp 7.310.678 Rp 43.864.070 OK DAN IBS
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 7 Rp 32.320.926 Rp 226.246.482 OK DAN IBS

PELAYANAN KEPERAWATAN

◘ TERSEDIA PERALATAN KEPERAWATAN SESUAI DENGAN KEMAMPUAN

PELAYANAN YANG ADA :


PEMERIKSAAAN FISIK SET (TENSIMETER, STETOSCOPE, PENGUKUR SUHU,
SET ALAT PEMERIKSA FISIK Pcs 25 Rp 8.520.604 Rp 213.015.103 NERS
OXYMETER)

PELAYANAN KAMAR MAYAT


BODY BAGS BODY BAG D600 Pcs 1 Rp 284.020 Rp 284.020 NERS
DISSECTION TABLE INNOVMED - INNOV_125 Pcs 1 Rp 53.499.066 Rp 53.499.066 NERS
EXAMINATION LAMP INNOVMED - INNOV_76 Pcs 1 Rp 7.229.603 Rp 7.229.603 NERS
BODY TROLLEY INNOVMED - INNOV_124 Pcs 1 Rp 30.156.548 Rp 30.156.548 NERS
HEAD LAMP GEA - MEDICAL HEAD LAMP BT-410 Pcs 1 Rp 3.420.597 Rp 3.420.597 NERS
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN HAEMODIALISA
MESIN HAEMODIALISA DIALOG EVOLIGHT BBRAUN Pcs 20 Rp 984.129.775 Rp 19.682.595.510 HAEMODIALISA
EKG EKG 6 CHANNEL MEREK FUKUDA DENSHI TIPE FX-7202 Pcs 1 Rp 110.767.854 Rp 110.767.854 HAEMODIALISA
SISTEM RO PORT - RO4000 Pcs 1 Rp 654.524.406 Rp 654.524.406 HAEMODIALISA
SUCTION PUMP GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 HAEMODIALISA
SET INSTRUMEN ESMICO Pcs 20 Rp 8.520.604 Rp 170.412.082 HAEMODIALISA
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 3 Rp 7.140.948 Rp 21.422.844 HAEMODIALISA
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 HAEMODIALISA
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 HAEMODIALISA
SET OKSIGEN TABUNG UKURAN 1M³, REGULATOR, TROLLY Pcs 2 Rp 2.840.201 Rp 5.680.403 HAEMODIALISA
BED HEMODIALISA PARAMOUNT - PA-9956CBM Pcs 20 Rp 80.363.850 Rp 1.607.277.000 HAEMODIALISA
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 2 Rp 32.320.926 Rp 64.641.852 HAEMODIALISA
KURSI RODA GEA - FS-869 LX Pcs 3 Rp 16.959.836 Rp 50.879.509 HAEMODIALISA
ANAESTESI APP RESUCITATION KIT DEWASA Pcs 1 Rp 25.820.012 Rp 25.820.012 HAEMODIALISA

PELAYANAN LABORATORIUM

HEMATOLOGY ANLIZER: ABBOTT-CELL DYN ZMERALD Pcs 1 Rp 855.406.685 Rp 855.406.685 LABORATORIUM


THREE PARTS DIFERENTIAL (B) TEKO CUATRON CES PRO ANALIZER Pcs 1 Rp 205.424.019 Rp 205.424.019 LABORATORIUM
CUAGULOMETER MICROLAB 300 LX Pcs 1 Rp 415.983.639 Rp 415.983.639 LABORATORIUM
FOTOMETER/SPEKTROFOTOMETER DIESSE-VESMATIC EASY, MINI-CUBE Pcs 1 Rp 319.197.720 Rp 319.197.720 LABORATORIUM
PERALATAN LAJU ENDAP DARAH (LED) DIESSE-VESMATIC EASY, TEST DEVICE NEXT 1K(1.000) Pcs 1 Rp 38.357.522 Rp 38.357.522 LABORATORIUM

URINE ANALIZER ANALIYTICON GERMANY-URILYZER AUTO Pcs 1 Rp 3.652.668.013 Rp 3.652.668.013 LABORATORIUM


URINE ANALIZER ANALYTICON GERMANY-COMBI SCREEN 11 AUTO, 150 TEST/BOTOL Pcs 1 Rp 1.904.298 Rp 1.904.298 LABORATORIUM

PELAYANAN RADIOLOGI

X - RAY UNIT DENGAN KAPASITAS MINIMAL SAMPAI DENGAN 500 MA X -RAY SYSTEM MRAD-A32S CANON TOSHIBA,32KW (150KV/500MA) Pcs 1 Rp 3.729.184.402 Rp 3.729.184.402 RADIOLOGI

CR DIGITAL AGFA-CR 12 X COMPLETE SET Pcs 1 Rp 1.562.110.755 Rp 1.562.110.755 RADIOLOGI


MOBILE UNIT DENGAN KEKUATAN 100 MA - 100 KV ALLENGERS 100 CBM APR Pcs 1 Rp 1.396.621.688 Rp 1.396.621.688 RADIOLOGI
CT SCAN GE CT SCAN 32 SLICE - ACT Pcs 1 Rp 10.900.692.867 Rp 10.900.692.867 RADIOLOGI
MOBILE C ARM X-RAY MACHINE GE MOBILE C ARM X-RAY MACHINE OEC ONE BASIC Pcs 1 Rp 3.155.463.725 Rp 3.155.463.725 RADIOLOGI
USG 4D GE ~ VOLUSON P8 ULTRASONOGRAPHY COLOR DOPPLER REAL TIME 4D Pcs 1 Rp 1.860.331.899 Rp 1.860.331.899 RADIOLOGI
FILM VIEWER INNOVMED - INNOV_104 Pcs 2 Rp 7.310.678 Rp 14.621.357 RADIOLOGI
PANORAMIC KEVO - ORTHOPANTOMOGRAPH OP 3D (PANORAMIC) Unit 1 Rp 1.793.811.393 Rp 1.793.811.393 RADIOLOGI
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 1 Rp 32.320.926 Rp 32.320.926 RADIOLOGI
KURSI RODA GEA - FS-869 LX Pcs 1 Rp 16.959.836 Rp 16.959.836 RADIOLOGI
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN FARMASI
PELAYANAN UNTUK PENYIMPANAN INNOVMED-INNOV_88 Pcs 1 Rp 13.521.176 Rp 13.521.176 FARMASI
TIMBANGAN NERACA OBAT, TIMBANGAN NERACA ANALITIK 600 GR X 0.01 GR
MATRIX, MORTIR & STAMPER, BATANG PENGADUK STAINLESS (SPATULA
STAINLESS) DIA 5 MM 20 CM, CORONG KACA DIA.90MM - FUNNEL SHORT STEM,
PERALATAN UNTUK PERACIKAN OBAT SET 1 Rp 14.201.007 Rp 14.201.007 FARMASI
GELAS UKUR 2150 2L/1L/50CC, ET36V65 LABU TAKAR 100ML, ERLENMEYER 500 ML
PYREX, SPATULA SENDOK OBAT STAINLESS\SENDOK KIMIA, BEAKER GLASS PYREX
(100 ML, 200 ML, 500 ML), TABUNG REAKSI
TIMBANGAN NERACA OBAT, TIMBANGAN NERACA ANALITIK 600 GR X 0.01 GR
MATRIX, MORTIR & STAMPER, BATANG PENGADUK STAINLESS (SPATULA
STAINLESS) DIA 5 MM 20 CM, CORONG KACA DIA.90MM - FUNNEL SHORT STEM,
PERALATAN UNTUK PRODUKSI OBAT NON STERIL SET 1 Rp 14.201.007 Rp 14.201.007 FARMASI
GELAS UKUR 2150 2L/1L/50CC, ET36V65 LABU TAKAR 100ML, ERLENMEYER 500 ML
PYREX, SPATULA SENDOK OBAT STAINLESS\SENDOK KIMIA, BEAKER GLASS PYREX
(100 ML, 200 ML, 500 ML), TABUNG REAKSI
LEMARI KHUSUS UNTUK NARKOTIKA INNOVMED - INNOV 146 Pcs 1 Rp 5.392.596 Rp 5.392.596 FARMASI
LEMARI PENDINGIN UNTUK OBAT YANG TERMOIBIL SAMSUNG - RT22FARBDSA Pcs 1 Rp 17.854.229 Rp 17.854.229 FARMASI
EMBALASE KERTAS PERKAMEN, KLIP OBAT, KANTONG PLASTIK, ETIKET Pcs 1 Rp 1.807.401 Rp 1.807.401 FARMASI

PELAYANAN GIZI
REFRIGERATOR SAMSUNG - RT22FARBDSA Pcs 1 Rp 17.854.229 Rp 17.854.229 GIZI KLINIK
FOOD TROLLER INNOVMED - INNOV_93 Pcs 1 Rp 21.322.812 Rp 21.322.812 GIZI KLINIK

SCALE FOOD WEIGHING SCALE ELECTRONIC 5000G/0.1G DIGITAL SCALE FOOD SCALES LCDCALES Pcs 1 Rp 1.420.101 Rp 1.420.101 GIZI KLINIK

WORK BENCH LYDIA BANGKU BENCH Pcs 1 Rp 3.720.664 Rp 3.720.664 GIZI KLINIK
TIMBANGAN BERODA LANTAI DIGITAL 100KG Pcs 1 Rp 2.891.841 Rp 2.891.841 GIZI KLINIK
BAK PERSEGI PANJANG BA-16 SQUARE BASIN NO. 1 ” DIM : 445 X 350 X H 155 MM Pcs 1 Rp 6.885.337 Rp 6.885.337 GIZI KLINIK
BAGIAN PENYIMPANAN KERING (GUDANG) INNOVMED - INNOV_93 Pcs 1 Rp 21.322.812 Rp 21.322.812 GIZI KLINIK
TIMBANGAN MEJA TIMBANGAN MEJA DIGITAL DAPUR 30KG Pcs 1 Rp 1.420.101 Rp 1.420.101 GIZI KLINIK
RAK BERTINGKAT 4 RAK SERBAGUNA 40X100X200 Pcs 2 Rp 4.518.502 Rp 9.037.004 GIZI KLINIK
RAK LEMARI PENYIMPANAN DAPUR STAINLESS 4 SUSUN RD002 UKURAN : 68 CM X
RAK PENDEK Pcs 3 Rp 1.807.401 Rp 5.422.203 GIZI KLINIK
33 CM X 130 CM
BAK PERSEGI EMPAT BERLUBANG BOX CONTEINER HANATA-2202 L Pcs 10 Rp 568.040 Rp 5.680.403 GIZI KLINIK
LEMARI BAHAN KERING LEMARI INSTRUMEN OBAT RUMAH SAKIT 2 PINTU Pcs 1 Rp 12.780.906 Rp 12.780.906 GIZI KLINIK

LITERMAT 90X150 KESET KARPET KARET BERLUBANG LUBANG / ANTI SLIP /LICIN LANTAI Pcs 2 Rp 1.420.101 Rp 2.840.201 GIZI KLINIK

BAK PERSEGI PANJANG BASKOM PERSEGI BAK SEGI NO.1 BA-16 LION STAR Pcs 5 Rp 426.030 Rp 2.130.151 GIZI KLINIK
PISAU DAPUR SUPER KNIVES PISAU SET FULL STAINLESS BOLDE Pcs 1 Rp 1.652.481 Rp 1.652.481 GIZI KLINIK
FREEZER MODENA BOX FREEZER - MD65W Pcs 1 Rp 27.194.928 Rp 27.194.928 GIZI KLINIK
BAK CUCI DUA BERGANDENGAN KITCHEN SINK BAK CUCI PIRING 2 DUA LUBANG 100 CM STAINLESS (BESAR) Pcs 2 Rp 2.840.201 Rp 5.680.403 GIZI KLINIK
MEJA KERJA WORKING TABLE 2 METER STAINLESS STEEL RWT-20C Pcs 1 Rp 11.360.805 Rp 11.360.805 GIZI KLINIK
MESIN PEMARUT KELAPA BERDINAMO MESIN PEMARUT KELAPA DENGAN MESIN DINAMO Pcs 1 Rp 1.420.101 Rp 1.420.101 GIZI KLINIK
PENGGILING DAN ULEKAN BUMBU BULAT MORTAR PESTLE TUMBUKAN BUMBU OBAT STAINLESS Pcs 1 Rp 1.156.737 Rp 1.156.737 GIZI KLINIK
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN STERILISASI SENTRAL (CSSD)
EO MACHINE ETHYLANE OXIDE MIXED GAS STERILIZER 240 LITER (XG2.SH) Pcs 1 Rp 5.964.422.882 Rp 5.964.422.882 CSSD
WASHER DISINFECTOR SHINVA AUTOMATIC WASHER DISINFECTOR 320 LITER (EASY 350) Pcs 1 Rp 2.362.245.026 Rp 2.362.245.026 CSSD
SINK BISAMED SCRUB SINK Pcs 1 Rp 671.508.810 Rp 671.508.810 CSSD
STEAM STELILIZER SHINVA PULSE VACUM STERILIZER 450 LITER (MAST-V) Pcs 1 Rp 4.817.522.196 Rp 4.817.522.196 CSSD

PELAYANAN ICU
VENTILATOR DISCOVERY NEONATE CARESCAPE R860, MERK GE HEALTHCARE USA Pcs 8 Rp 2.371.735.127 Rp 18.973.881.019 ICU
DEFIBRILATOR MINDRAY - BENEHEART D3 WITH ECG Pcs 1 Rp 223.062.773 Rp 223.062.773 ICU
SYRINGE PUMP MINDRAY - BENEFUSION SP5 Pcs 8 Rp 38.342.719 Rp 306.741.748 ICU
BED SIDE MONITOR GE PATIENT MONITOR +MODUL E-ENTOPY B650 Pcs 8 Rp 674.088.230 Rp 5.392.705.842 ICU
BED ICU PARAMOUNT - PA-H6415XAFA Pcs 8 Rp 306.761.425 Rp 2.454.091.401 ICU
SUCTION PUMP GEA YX930D Pcs 2 Rp 23.754.411 Rp 47.508.823 ICU
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 ICU
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 ICU
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 ICU
ANAESTESI APP RESUCITATION KIT DEWASA Pcs 1 Rp 25.820.012 Rp 25.820.012 ICU
EKG EKG 6 CHANNEL MERK FUKUDA DENSHI TIPE FX-7202 Pcs 1 Rp 110.767.854 Rp 110.767.854 ICU
FILM VIEWER INNOVMED - INNOV_104 Pcs 1 Rp 7.310.678 Rp 7.310.678 ICU
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 1 Rp 32.320.926 Rp 32.320.926 ICU
LAMPU TINDAKAN INNOVMED - INNOV_76 Pcs 1 Rp 5.039.937 Rp 5.039.937 ICU
FLASH LIGHT PENLIGHT SENTER MEDIS Pcs 1 Rp 550.827 Rp 550.827 ICU
INFUSE PUMP MINDRAY - BENEFUSION VP5 WITH DROP SENSOR Pcs 2 Rp 43.455.081 Rp 86.910.162 ICU

PELAYANAN HCU
BED HCU PARAMOUNT - PA-H6115SFC Pcs 5 Rp 146.871.153 Rp 734.355.764 HCU
BED SIDE MONITOR GE PATIENT MONITOR +MODUL E-ENTOPY B650 Pcs 2 Rp 674.088.230 Rp 1.348.176.460 HCU
SUCTION PUMP GEA YX930D Pcs 2 Rp 23.754.411 Rp 47.508.823 HCU
SYRINGE PUMP MINDRAY - BENEFUSION SP5 Pcs 2 Rp 38.342.719 Rp 76.685.437 HCU
ANAESTESI APP RESUCITATION KIT DEWASA Pcs 1 Rp 25.820.012 Rp 25.820.012 HCU
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 1 Rp 32.320.926 Rp 32.320.926 HCU
FILM VIEWER INNOVMED - INNOV_104 Pcs 1 Rp 7.310.678 Rp 7.310.678 HCU
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 HCU
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 HCU
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 HCU
EKG EKG 6 CHANNEL MERK FUKUDA DENSHI TIPE FX-7202 Pcs 1 Rp 110.767.854 Rp 110.767.854 HCU
LAMPU TINDAKAN INNOVMED - INNOV_76 Pcs 1 Rp 5.039.937 Rp 5.039.937 HCU
FLASH LIGHT PENLIGHT SENTER MEDIS Pcs 1 Rp 550.827 Rp 550.827 HCU
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
PELAYANAN BANGSAL
INFUSE PUMP MINDRAY - BENEFUSION VP5 WITH DROP SENSOR Pcs 20 Rp 43.455.081 Rp 869.101.620 BANGSAL RANAP
SYRINGE PUMP MINDRAY - BENEFUSION SP5 Pcs 20 Rp 38.342.719 Rp 766.854.371 BANGSAL RANAP
BED VIP PARAMOUNT - PA-H6115AFC Pcs 23 Rp 172.749.080 Rp 3.973.228.830 BANGSAL RANAP
BED KELAS I PARAMOUNT - PA-99256CBM Pcs 16 Rp 80.363.850 Rp 1.285.821.600 BANGSAL RANAP
BED KELAS II PARAMOUNT - PA-99256CBM Pcs 48 Rp 80.363.850 Rp 3.857.464.801 BANGSAL RANAP
BED KELAS III PARAMOUNT - PA-99256CBM Pcs 66 Rp 80.363.850 Rp 5.304.014.101 BANGSAL RANAP
BOX BABY PARAMOUNT - PB1120C (Hi-Lo Type) Pcs 20 Rp 36.290.958 Rp 725.819.152 BANGSAL RANAP
FOOT STEP INNOVMED - INNOV_111B Pcs 200 Rp 1.523.058 Rp 304.611.597 BANGSAL RANAP
KURSI RODA GEA - FS-869 LX Pcs 8 Rp 16.959.836 Rp 135.678.692 BANGSAL RANAP
BANTAL MEMORY FOAM COMFORT Pcs 200 Rp 334.636 Rp 66.927.170 BANGSAL RANAP
EKG EKG 6 CHANNEL MERK FUKUDA DENSHI TIPE FX-7202 Pcs 4 Rp 110.767.854 Rp 443.071.414 BANGSAL RANAP
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 4 Rp 32.320.926 Rp 129.283.704 BANGSAL RANAP
SUCTION PUMP GEA YX930D Pcs 4 Rp 23.754.411 Rp 95.017.646 BANGSAL RANAP
FILM VIEWER INNOVMED - INNOV_104 Pcs 4 Rp 7.310.678 Rp 29.242.713 BANGSAL RANAP

PELAYANAN NICU
CPAP DRAGER Pcs 3 Rp 563.909.072 Rp 1.691.727.217 NICU
BABY INKUBATOR GEA INFANT INCUBATOR YP90AB Pcs 5 Rp 132.855.929 Rp 664.279.646 NICU
BED BABY PARAMOUNT - PB2102 Pcs 2 Rp 69.806.481 Rp 139.612.961 NICU
BED SIDE MONITOR GE PATIENT MONITOR +MODUL E-ENTOPY B650 Pcs 5 Rp 674.088.230 Rp 3.370.441.151 NICU
INFUSE PUMP MINDRAY - BENEFUSION VP5 WITH DROP SENSOR Pcs 5 Rp 43.455.081 Rp 217.275.405 NICU
SYRINGE PUMP MINDRAY - BENEFUSION SP5 Pcs 3 Rp 38.342.719 Rp 115.028.156 NICU
SUCTION PUMP GEA YX930D Pcs 1 Rp 23.754.411 Rp 23.754.411 NICU
TROLLY EMERGENCY Acare EC-500P - Emergency Trolley Pcs 1 Rp 32.320.926 Rp 32.320.926 NICU
SPHYGMOMANOMETER DIGITAL RI-SAN ORIGINAL RIESTER - GERMANY Pcs 1 Rp 7.140.948 Rp 7.140.948 NICU
STETOSKOP LITTMANN CLASSIC III COPPER EDITION Pcs 1 Rp 5.386.821 Rp 5.386.821 NICU
TERMOMETER INFRA RED THERMOMETER DT 8836M Pcs 1 Rp 826.240 Rp 826.240 NICU

PELAYANAN LAUNDRY

WHASER PRIMUS RX240 - EROPA (8115043) INFEKSIUS PACK 3 ELECTRIC HEATING 24KG Pcs 1 Rp 1.525.488.375 Rp 1.525.488.375 LAUNDRY

PRIMUS RX240 - EROPA (8115043) NON INFEKSIUS PACK 3 ELECTRIC HEATING 24 KG Pcs 1 Rp 1.525.488.375 Rp 1.525.488.375 LAUNDRY

PRIMUS RX350 - EROPA (5115104) ELECTRIC HEATING AND PREP FOR STEAM
MESIN PENGERING Pcs 1 Rp 734.321.155 Rp 734.321.155 LAUNDRY
HEATING INFEKSIUS
PRIMUS RX350 - EROPA (5115104) ELECTRIC HEATING AND PREP FOR STEAM
Pcs 1 Rp 734.321.155 Rp 734.321.155 LAUNDRY
HEATING NON INFEKSIUS
PRIMUS I3 - EROPA (8115126) I30-160 ELECTRIC HEATING CHEST HEATED IRONERS
MESIN SETRIKA Pcs 1 Rp 653.638.780 Rp 653.638.780 LAUNDRY
400
LAUNDRY TROLLY INNOVMED_INNOV_96 Pcs 1 Rp 21.008.696 Rp 21.008.696 LAUNDRY
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
INSTRUMENT SET
MAJOR BASIC SET, GENERAL SURGERY SET 2 Rp 931.785.709 Rp 1.863.571.419 NERS
MINOR BASIC SET I, GENERAL SURGERY SET 2 Rp 337.628.454 Rp 675.256.907 NERS
HERNIA AND APPENDIX SET I SET 1 Rp 540.003.075 Rp 540.003.075 NERS
LAPARATOMY SET SET 1 Rp 1.387.366.612 Rp 1.387.366.612 NERS
HAEMORRHOIDECTOMY SET I SET 1 Rp 415.444.388 Rp 415.444.388 NERS
CAESARIAN SECTION SET SET 2 Rp 729.052.864 Rp 1.458.105.729 NERS
ABORT-CURETTAGE SET SET 1 Rp 467.473.652 Rp 467.473.652 NERS
GYNAECOLOGY SET SET 1 Rp 1.186.469.117 Rp 1.186.469.117 NERS
HYSTERECTOMY SET I SET 1 Rp 848.783.674 Rp 848.783.674 NERS
VAGINAL HYSTERECTOMY SET SET 1 Rp 621.522.068 Rp 621.522.068 NERS
PARTUS SET SET 3 Rp 161.140.914 Rp 483.422.743 NERS
TUBECTOMY SET SET 1 Rp 397.487.074 Rp 397.487.074 NERS
MASTECTOMY SET SET 1 Rp 631.968.842 Rp 631.968.842 NERS
HECHTING SET SET 3 Rp 28.983.546 Rp 86.950.637 NERS
CIRCUMSISI SET SET 1 Rp 287.924.930 Rp 287.924.930 NERS
INSTRUMENT SET
SET GANTI VERBAN SET 1 Rp 30.948.348 Rp 30.948.348 NERS
THT SET SET 1 Rp 1.009.685.773 Rp 1.009.685.773 NERS
BASIC SET, VASCULAR SET 1 Rp 1.402.995.541 Rp 1.402.995.541 NERS
AV-SHUNT SET SET 1 Rp 598.968.850 Rp 598.968.850 NERS
BASIC SET PEDIATRIC (NEONATUS) SET 1 Rp 276.263.666 Rp 276.263.666 NERS
LAPAROTOMY FOR PEDIATRIC SET SET 1 Rp 1.020.733.714 Rp 1.020.733.714 NERS
BASIC ORTHOPEDIC SET SET 1 Rp 1.082.478.436 Rp 1.082.478.436 NERS
UROLOGY SET SET 1 Rp 533.517.057 Rp 533.517.057 NERS
CRANIOTOMY SET SET 1 Rp 1.028.568.498 Rp 1.028.568.498 NERS
BASIC EYE SURGERY SET SET 1 Rp 371.744.502 Rp 371.744.502 NERS
CATARAC SET SET 1 Rp 603.395.490 Rp 603.395.490 NERS
SET SMALL ORTHOPEDY SET 1 Rp 81.414.454 Rp 81.414.454 NERS
SET LARGE ORTHOPEDY SET 1 Rp 81.414.454 Rp 81.414.454 NERS
BOOR ORTHOPEDY CANNULATING SET 1 Rp 139.788.756 Rp 139.788.756 NERS
BOOR ORTHOPEDI OSCILATING SAW SET 1 Rp 292.417.059 Rp 292.417.059 NERS
NAMA ALAT KESEHATAN DESKRIPSI ITEM UNIT QTY HARGA SATUAN TOTAL HARGA RUANG
FISIOTERAPY TENS BTL ELECTRO THERAPY +TROLLY+VACUM SET 1 Rp 362.875.851 Rp 362.875.851 FISIOTERAPY / RM
BTL ULTRASOUND THERAPY+TROLLY+US HEAD 1CM2+HANDFREE SONO 6 SET 1 Rp 318.312.150 Rp 318.312.150 FISIOTERAPY / RM
BTL MICROWAVE DIATEMI SHORT WAVE DIATEMY+COMPELE AKSESORI SET 1 Rp 814.985.208 Rp 814.985.208 FISIOTERAPY / RM
SHOULDER WHELL SET 1 Rp 46.552.091 Rp 46.552.091 FISIOTERAPY / RM
PARALLEL BAR SET 1 Rp 46.552.091 Rp 46.552.091 FISIOTERAPY / RM
QUADRICEPS BENCH SET 1 Rp 82.442.847 Rp 82.442.847 FISIOTERAPY / RM
MIRROR EXERCISE SET 1 Rp 28.648.094 Rp 28.648.094 FISIOTERAPY / RM
DOUBLE PULLEY SET 1 Rp 56.897.236 Rp 56.897.236 FISIOTERAPY / RM
FINGER LADDER SET 1 Rp 7.654.346 Rp 7.654.346 FISIOTERAPY / RM
INFRARED THERAPY 6 LAMPU SET 1 Rp 94.220.396 Rp 94.220.396 FISIOTERAPY / RM
WALL BARS SET 1 Rp 36.206.946 Rp 36.206.946 FISIOTERAPY / RM
TWO STAIRS STEEL SET 1 Rp 93.106.304 Rp 93.106.304 FISIOTERAPY / RM
MANUAL THERAPY BED DMT 3E SET 1 Rp 221.863.569 Rp 221.863.569 FISIOTERAPY / RM

POLI MATA SLIT LAMP IMAGING MODEL SL-CAM ICM 7 SET 1 Rp 851.281.281 Rp 851.281.281 POLI
CHART PROJECTOR CP 500 SET 1 Rp 171.481.121 Rp 171.481.121 POLI
FULL APERTURE TRIAL LENS SETS SET 1 Rp 244.973.031 Rp 244.973.031 POLI
DL-900 LENSMETER SET 1 Rp 257.221.682 Rp 257.221.682 POLI
SHIN NIPPON NTC-200 NON CONTAC TONOMETER SET 1 Rp 899.912.536 Rp 899.912.536 POLI
AUTOREF KERATOMETER ACCUREF K900SHIN NIPON SET 1 Rp 745.041.418 Rp 745.041.418 POLI
OPHHALMIC ULTRASOUND SCANNER SET 1 Rp 275.601.810 Rp 275.601.810 POLI
SET MATA SET 1 Rp 159.792.699 Rp 159.792.699 POLI

EEG NEUROSOFT EEG NEUROSOFT 52 CHANEL WITH QEEG BRAIN MAPPING AND VEDIO EEG SET 1 Rp 1.900.488.046 Rp 1.900.488.046 POLI
CENTRAL MONITOR ICU GE CENTRAL MONITOR CARESPACE SET 1 Rp 1.101.850.300 Rp 1.101.850.300 CENTRAL ICU
ALAT TERAPI HIPERBARIK MODEL POLY 074B SET 1 Rp 15.115.941.552 Rp 15.115.941.552 REHAB MEDIK
GRAND TOTAL 1447 Rp 217.285.000.000
PPN 11% Rp 23.901.350.000
GRAND TOTAL + PPN 11% Rp 256.302.291.552
RENCANA ANGGARAN BIAYA (RAB)
MOBIL DAN AMBULANCE
RSU MENTARI KORMA HUSADA

Nama Perusahaan : PT. Mentari Korma Husada


Alamat Perusahaan : Perumahan Grand Safira City Blok J No. 9 RT
02 RW 13 Kelurahan Arcawinangun, Kecamatan
Purwokerto Timur Kabupaten Banyumas, Provinsi
Jawa Tengah
Nama Proyek : RSU Mentari Korma Husada
Alamat Proyek : JL. Raya Poros Utama Kecamatan (PUK) – Jl.
Raya Provinsi Desa Tidu Kec. Bukateja. Kab.
Purbalingga. Provinsi Jawa Tengah
Telp./ HP. : 083891371001
Email : pt.mentarikormahusada.01@gmail.com
MOBIL OPERASIONAL/ AMBULANCE SERTA MOBIL BUS DIAGNOSTIK LABORATORIUM DAN RONTGEN

NAMA BARANG SPESIFIKASI HARGA RUANG


MOBIL AMBULANCE BESAR 2 UNIT AMBULANCE LENGKAP DENGAN PERALATAN Rp 1.773.320.000 R Garasi
MOBIL AMBULANCE MEDIUM 1 UNIT AMBULANCE LENGKAP DENGAN PERALATAN Rp 318.780.000 R Garasi
MOBIL TRANSPORT MANAJEMEN RS 2 UNIT G DIESEL MATIC UNTUK MANAJEMEN RS Rp 738.600.000 R Garasi
MOBIL TRANSPORT MANAJEMEN PT 3 UNIT V DIESEL MATIC UNTUK MANAJEMEN PT Rp 1.800.000.000 R Garasi
MOBIL AMBULANCE JENAZAH 1 UNIT AMBULANCE G DIESEL MATIC UNTUK JENAZAH Rp 369.300.000 R Garasi
MOBIL BUS DIAGNOSTIK LAB DAN RO 1 UNIT Rp 4.500.000.000 R Garasi
SUB TOTAL Rp 9.500.000.000

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