RKA Belanja PDF 2024 Final Habis Desk 290823 12 SEPT 2023 Versi 2

RENCANA KERJA DAN ANGGARAN
PEMERINTAH KABUPATEN KLATEN

TAHUN ANGGARAN 2024
Urusan Pemerintahan : 1 Urusan Wajib Pelayanan Dasar

Bidang Urusan : 1.02 Kesehatan
Unit Sub Unit : 1.02 . 1.02.03 Rumah Sakit Umum Daerah
Program Kegiatan : 1.02 . 1.02.03 . 01 RSUD Klaten
Sub Kegiatan : 1.02 . 1.02.03 . 02 Program Penunjang Urusan Pemerintahan Daerah Kabupaten/Kota
: 1.02 . 1.02.03 . 02.210 Peningkatan Pelayanan BLUD
: 1.02 . 1.02.03 . 02.210.01 Pelayanan dan Penunjang Pelayanan BLUD RSUD Klaten
Lokasi Sub Kegiatan : JL IR SOEKARNO KM 2,BUNTALAN, KLATEN TENGGAH

Sumber Dana Waktu : Jasa Layanan.
Pelaksanaan : 2024
Jumlah Tahun n : Rp 82.000.000.000,00 ( Delapan Puluh Dua Milyar Rupiah )
Indikator dan Tolak Ukur Kinerja Kegiatan
Indikator Tolak Ukur Kinerja
CAPAIAN PROGRAM Persentase pemenuhan kebutuhan penunjang urusan pemerintah daerah
Masukan Jumlah Dana
KEGIATAN
Keluaran
Hasil
SUB KEGIATAN
Keluaran Jumlah BLUD yang menyediakan pelayanan dan penunjang pelayanan
Hasil Terpenuhinya persentase layanan BLUD sesuai SOP
Kelompok Sasaran Sub Kegiatan :
Rincian Anggaran Belanja Kegiatan Satuan Kerja Perangkat Daerah
RINCIAN PERHITUNGAN
KODE REKENING URAIAN JUMLAH (Rp)

Harga Satuan
Volume Satuan
1 2 3 4 5 6=3x5
5 BELANJA DAERAH 82,000,000,000.00
5.1 BELANJA OPERASI 78,433,632,000.00
5.1.1 Belanja Pegawai 140,560,000.00
5.1.1.99 Belanja Pegawai BLUD 140,560,000.00
5.1.1.99.99.9999.01 Belanja Jasa Pelayanan Kesehatan bagi ASN 91,000,000.00
Honorarium Dewan Pengawas RSUD 91,000,000.00

- Honorarium Ketua Dewan Pengawas RSUD Bagas 14 orang/bulan 2,500,000.00 35,000,000.00
Waras (14 orang)
- Honorarium Anggota Dewan Pengawas RSUD Bagas 28 Orang/bulan 2,000,000.00 56,000,000.00

Waras (28 Orang)
5.1.1.99.99.9999.02 Belanja Honorarium Penanggungjawaban Pengelola 49,560,000.00

Keuangan
Honorarium Penanggungjawab Pengelola Keuangan 49,560,000.00
- Honorarium PPTK Selaku PPKom, Nilai pagu dana di 12 Orang /Bulan 4,130,000.00 49,560,000.00
atas Rp 75 miliar s.d. Rp 100 miliar (1 Orang x 12
Bulan)
5.1.2 Belanja Barang dan Jasa 78,293,072,000.00

Formulir RKA
Kabupaten/Kota
Klaten
Target Kinerja
00%
Rp 82.000.000.000,00
1 unit kerja
100 %
erah
STANDAR
KOMPONEN
JUMLAH (Rp)
S K
6=3x5 7 8
82,000,000,000.00
78,433,632,000.00
140,560,000.00
140,560,000.00
91,000,000.00
91,000,000.00
35,000,000.00 1 1
56,000,000.00 1 1
49,560,000.00
49,560,000.00
49,560,000.00 1 1
78,293,072,000.00
RINCIAN PERHITUNGAN
KODE REKENING URAIAN

Harga Satuan
Volume Satuan
1 2 3 4 5
5.1.2.99 Belanja Barang dan Jasa BLUD
5.1.2.99.99.9999.01 Belanja Bahan-Bahan Bangunan dan Konstruksi
Belanja Bahan-Bahan Bangunan dan Konstruksi

(Penunjang Non Medik)
- Cat Besi (6 Unit) 6 Unit 92,510.00
- Thinner (pengencer) (6 Kg) 6 Kg 51,000.00
- Seri Black : Door Closer DCL 300 NHO Matt Black (10 10 Set 509,000.00
Set)
- Dynabolt.10x60.Kuning (100 Buah) 100 Buah 1,600.00
- Dynabolt.12x75.Kuning (200 Buah) 200 Buah 2,400.00
- Dynabolt.99.Kuning (200 Buah) 200 Buah 2,900.00
- Mata Bor Nachi 1 Set (2 Set) 2 Set 121,424.00
5.1.2.99.99.9999.02 Belanja Bahan-Bahan Kimia
Belanja Bahan-Bahan Kimia (Penunjang Non Medik)
- Refill Pack including seal kit for all bowie dick test, 1 Box 4,070,000.00
kemasan box @ 100 strip (1 Box)
- Cairan Penghilang Karat (6 Liter) 6 Liter 781,000.00
- Sikat Instrument (7 Buah) 7 Buah 26,000.00
- Pemutih (510 Buah) 510 Buah 31,778.00
- Reagen Borax Test Kit (1 Paket) 1 Paket 847,000.00
- Reagen Formalin Test Kit (1 Paket) 1 Paket 847,000.00
- Reagen Methanyl Yellow Test Kit (1 Paket) 1 Paket 847,000.00
- Reagen Rodhamin B Test Kit (1 Paket) 1 Paket 847,000.00
- Reagen Coliform Test Kit (2 Paket) 2 Paket 1,512,500.00
- Minyak Srimpi (60 Botol) 60 Botol 61,100.00
- Oksigen Cell (5 Buah) 5 Buah 6,825,940.00
- Liquid Oxygen (100.000 Rupiah) 100,000 Rupiah 8,250.00
- Oxygen Bleach, isi 5 liter (150 Jerigen) 150 Jerigen 265,000.00
5.1.2.99.99.9999.03 Belanja Bahan-Bahan Bakar dan Pelumas
Belanja Bahan-Bahan Bakar dan Pelumas (Umpeg)
- BBM / Bahan Bakar Logistik (60.000 Rupiah) 60,000 Rupiah 1,000.00
- Isi ulang korek gas (6 Botol) 6 Botol 35,000.00

Belanja Bahan-Bahan Bakar dan Pelumas (Penunjang
Non Medik)
- Pelumas Anti Karat (6 Botol) 6 Botol 79,080.00
- Solar Industri (3.000 Liter) 3,000 Liter 20,000.00
5.1.2.99.99.9999.04 Belanja Bahan-Bahan Baku
Belanja Bahan-Bahan Baku (Penunjang Non Medik)
- Bendrat (1 Kg) 1 Kg 24,360.00
5.1.2.99.99.9999.09 Belanja Bahan-Isi Tabung Gas
1 2 3 4 5
Belanja Bahan-Isi Tabung Gas (Penunjang Non Medik)
- Isi ulang gas Oksigen 1 m3 (426 Tabung) 426 Tabung 38,500.00
- Isi Ulang O2 6 m3 (213 Tabung) 213 Tabung 65,550.00
- Isi Ulang Tabung Gas LPG 50 Kg (130 Buah) 130 Buah 933,000.00
5.1.2.99.99.9999.13 Belanja Suku Cadang-Suku Cadang Alat Besar
Belanja Suku Cadang-Suku Cadang Alat Besar

- Belt dressing (6 Buah) 6 Buah 96,500.00
- Relay (1 Unit) 1 Unit 950,000.00
- Slang solar (1 Buah) 1 Buah 241,843.00
- Baut (10 Buah) 10 Buah 75,600.00
5.1.2.99.99.9999.14 Belanja Suku Cadang-Suku Cadang Alat Kedokteran
Belanja Suku Cadang-Suku Cadang Alat Kedokteran

- Indikator Eksternal sterilisasi (4 Box) 4 Box 8,269,690.00
- Indikator sterilisasi class 6 (15 Box) 15 Box 561,000.00
- Mini Bio indicator untuk mesin steam (1 Box) 1 Box 3,366,000.00
- Plasma cassete (1 Box) 1 Box 7,247,500.00
- Deconex Lube spray komposisi Minyak parafin, 2 Botol 850,000.00

Aerosol (2 Botol)
- Safety box 12,5 L (1.500 Buah) 1,500 Buah 40,000.00
- Safety box 5 liter (500 Buah) 500 Buah 30,000.00
- Paket Linen RSUD Klas VIP (12 Paket) 12 Paket 520,000.00
- Paket Linen RSUD Klas I (48 Paket) 48 Paket 475,000.00
- Paket Linen RSUD Klas II (36 Paket) 36 Paket 400,000.00
- Duk besar ukuran 145x170 cm (240 Buah) 240 Buah 192,000.00

- Duk persegi ukuran 100x100 cm (400 Buah) 400 Buah 174,000.00
- Kapas, per pak (60 Pak) 60 Pak 6,690.00
- Surgical Masker (60 Pak) 60 Pak 40,000.00
- Lampu laringoscope (48 Buah) 48 Buah 367,950.00
- Bulb ECG (46 Buah) 46 Buah 144,375.00
- Kabel ECG (33 Buah) 33 Buah 1,839,750.00
- Kabel Oximetri (15 Buah) 15 Buah 1,960,750.00
- Elektroda EKG (32 Buah) 32 Buah 5,500.00
- Manset Bedside monitor (20 Pcs) 20 Pcs 396,000.00
- Manset anak (15 Pcs) 15 Pcs 56,000.00
- Manset tensi meter (15 Buah) 15 Buah 183,975.00
- Medical filter suction (10 Buah) 10 Buah 159,445.00
- Roda trolley 360 derajat (12 Buah) 12 Buah 86,213.00
- Roda trolley linier (12 Buah) 12 Buah 50,004.00
1 2 3 4 5
- Masker N-95 (24 Buah) 24 Buah 149,776.00
- Pouches Sterilisasi Rolls 4IN X 228 FT (1 Paket) 1 Paket 6,781,000.00
- Isi Ulang N2O 5 Kg (240 Tabung) 240 Tabung 607,000.00
- Underpad Uk. 60x90 cm, @ 100 buah (24 Kotak) 24 Kotak 880,850.00
- Steril Pouch with indicator uk 10 cm x 200 m (15 Roll) 15 Roll 390,500.00
- Steril Pouch with indicator uk 15 cm x 200 m (18 Roll) 18 Roll 556,600.00
- Steril Pouch With Indicator Uk 25cm x 200m (30 Roll) 30 Roll 2,153,438.00
- Steril Pouch with indicator uk 40 cm x 200 m (7 Roll) 7 Roll 1,485,000.00
Belanja Suku Cadang-Suku Cadang Alat Kedokteran

(Gizi)
- Sandal karet anti slip depan tertutup (20 Unit) 20 Unit 80,000.00
5.1.2.99.99.9999.19 Belanja Suku Cadang-Suku Cadang Alat Bengkel
Belanja Suku Cadang-Suku Cadang Alat Bengkel

- Mata Solder (5 Buah) 5 Buah 25,000.00
- Flux (6 Buah) 6 Buah 25,000.00
- Timah Cair (6 Buah) 6 Buah 60,500.00
5.1.2.99.99.9999.22 Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Tulis

Kantor
Belanja alat/bahan untuk kegiatan kantor - alat tulis
kantor (PP-PPHK)
- Cetak Baliho besar 5 x10 M kayu, besi, triplek, digital 1 Buah 15,000,000.00
printing (1 Buah)
- Cetak Poster (10 M2) 10 M2 20,000.00
- Cetak Roll banner (5 Unit) 5 Unit 1,650,000.00
- Cetak Stiker kotak (50 Buah) 50 Buah 4,000.00
- Cetak Tabloid (200 Eksemplar) 200 Eksemplar 8,000.00
- Cetak Undangan Kertas Bufalo (100 Lembar) 100 Lembar 10,000.00
- Kartu Katalog (100 Buah) 100 Buah 750.00
- Cetak Lembar Balik Penyuluhan Kesehatan (uk. 21x30 2 Buku 190,000.00

cm, 20 - 40 lembar) (2 Buku)
- Blangko Daftar Penukar Bahan Makanan (500 500 Lembar 700.00

Lembar)
- Formulir/cetakan Blanko Sertifikat HVS 80 gr (500 500 Lembar 400.00

Lembar)
- Paper Bag Tanggung (500 Buah) 500 Buah 17,500.00
- Brosur warna (21 x 32 cm) kertas art paper 120 g, 100 Lembar 4,000.00
sparasi (100 Lembar)
- Brosur Warna Sparasi Uk Folio art paper 120 gr (min 2 Rim 1,400,000.00
2 rim) (2 Rim)
- Promkes Kit (1 Kit) 1 Kit 18,240,750.00
1 2 3 4 5
- Cetak Banner Uk. 60x120 cm bahan plastik 260 gr + 50 Buah 131,250.00

cagak alumunium (50 Buah)
- Cetak Kalender Meja 12 Bulan (500 Set) 500 Set 30,000.00
- Cetak Kalender Dinding 12 Bulan (750 Set) 750 Set 39,000.00
- Cetak Leaflet Full Colour bolak balik at paper 120 s/d 8,500 Lembar 2,500.00
150 gr plus up gelap/dop (8.500 Lembar)
- Backdrop 2 x 5 M (Termasuk Biaya Pasang (10 Paket) 10 Paket 625,000.00
- Cetak Spanduk (30 Buah) 30 Buah 250,000.00
- Plakat/vandel fiberglas Uk. 7 x 12 (20 Buah) 20 Buah 125,000.00
- Piagam penghargaan (200 Lembar) 200 Lembar 5,000.00
- Papan larangan dan peringatan uk. 60 x 90 cn (10 10 Buah 1,000,000.00

Buah)
- Plakat Bahan Marmer (10 Buah) 10 Buah 250,000.00
- Tanda arah OW/ pengumuman (10 Paket) 10 Paket 1,000,000.00
- Foto Copy Kertas HVS folio (14.000 Lembar) 14,000 Lembar 350.00
Belanja Alat/Bahan untuk Kegiatan Kantor - Alat Tulis
Kantor (Umpeg)
- Stempel Dinas dengan bantalan dan film (100 Buah) 100 Buah 94,500.00
- Box File Plastik roda 135 Liter (50 Buah) 50 Buah 185,000.00
- Backdrop 2 x 5 M (Termasuk Biaya Pasang (2 Paket) 2 Paket 625,000.00
- Box Container APE (15 Buah) 15 Buah 86,900.00
- Kartu ID Card (650 Biji) 650 Biji 5,000.00

Kantor (Keuangan)
Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Tulis

Kantor (Pelayanan)
- Box file triplek (107 Buah) 107 Buah 18,700.00
- Buku Ekspedisi Isi 100 Lembar (20 Eksemplar) 20 Eksemplar 14,100.00
- Buku Folio 100 (26 Eksemplar) 26 Eksemplar 24,150.00
- Buku Kwarto 100 (90 Eksemplar) 90 Eksemplar 12,000.00
- Business File Folio (1.020 Buah) 1,020 Buah 5,250.00
- Clip No. 3 (78 Dos) 78 Dos 4,050.00
- Clip Binder 222 (12 Dos) 12 Dos 38,800.00
1 2 3 4 5
- Clip Jumbo (875 Dos) 875 Dos 6,100.00
- Gunting Tanggung (134 biji) 134 biji 9,750.00
- Isi BollPoint Pentel (12 Buah) 12 Buah 19,000.00
- Isi cutter besar (28 Pak) 28 Pak 6,750.00
- Isi Staples HD 10 (1.383 Dos) 1,383 Dos 2,000.00
- Kalkulator (5 Buah) 5 Buah 156,500.00
- Kesen stempel besar (23 Buah) 23 Buah 11,250.00
- Lakban 2" hitam (122 Roll) 122 Roll 19,500.00
- Lakban Bening 2 Inchi (72 Roll) 72 Roll 18,000.00
- Isolasi Kertas (39 Buah) 39 Buah 8,000.00
- Isolasi Double tape 1" (172 Roll) 172 Roll 7,500.00

- Lem Kertas Tanggung (35 Botol) 35 Botol 5,750.00
- Ordner Ukuran Folio (86 Buah) 86 Buah 20,000.00
- Pensil 2B (102 Pcs) 102 Pcs 4,625.00
- Cartridge Epson LX 310 (22 Buah) 22 Buah 62,500.00
- Spidol Besar Permanen (432 Biji) 432 Biji 7,250.00
- Spidol White Board (84 Biji) 84 Biji 9,000.00
- Stabillo (25 Biji) 25 Biji 10,000.00
- Staples HD 10 (72 Buah) 72 Buah 21,000.00
- Stempel Tanggal Greweed (14 Buah) 14 Buah 9,500.00
- Stopmap Kertas (990 Lembar) 990 Lembar 950.00
- Stopmap Plastik 310 & Kancing (290 Buah) 290 Buah 3,725.00
- Pembatas Kertas (Post It) (1.022 Buah) 1,022 Buah 11,500.00
- Cartridge Ribbon ERC 30/34/38 (115 Buah) 115 Buah 48,000.00
- Rautan (10 Buah) 10 Buah 3,000.00
- Tip-ex Pentel Botol & Pen (37 Buah) 37 Buah 42,200.00
- Stempel Lunas (4 Buah) 4 Buah 8,000.00
- Penghapus White Board kecil (8 Pcs) 8 Pcs 7,800.00
- Penghapus (19 Buah) 19 Buah 2,500.00
- Spidol Kecil Marker 4 Warna (625 Set) 625 Set 11,500.00
- Dokumen keeper isi 20 (42 Buah) 42 Buah 25,000.00
- Cutter Besar (70 Buah) 70 Buah 26,500.00
- BollPoint Standar AE7 (4.230 Pcs) 4,230 Pcs 2,350.00
- BollPoint Pentel (7 Biji) 7 Biji 85,000.00
- Pembolong Kertas 40 x 1 (17 Pcs) 17 Pcs 80,000.00
- Isi staples No. 3 (12-04) (19 Dos) 19 Dos 4,750.00
- Buku Tulis 38 Lembar (16 Eksemplar) 16 Eksemplar 4,600.00
- Penggaris 30 Cm besi (17 Buah) 17 Buah 5,000.00
1 2 3 4 5
- Stopmap Jepit (127 Buah) 127 Buah 8,000.00
- Isolasi 1 x 72 (12 Buah) 12 Buah 9,500.00
- Isolasi 1/2 x 72 (17 Buah) 17 Buah 6,000.00
- Snelhecter Plastik (29 Buah) 29 Buah 8,750.00
Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Tulis

Kantor (Perencanaan)
- BollPoint Pilot BPTP (20 Biji) 20 Biji 3,000.00

- BollPoint Pentel (10 Biji) 10 Biji 85,000.00
- Ordner Ukuran Folio (20 Buah) 20 Buah 20,000.00
- Buku Agenda (6 Buku) 6 Buku 8,000.00
- Stopmap Plastik 310 & Kancing (40 Buah) 40 Buah 3,725.00
- Box file plastik (10 Pcs) 10 Pcs 24,000.00
- Isi Staples HD 10 (5 Dos) 5 Dos 2,000.00
- Isi Staples Tanggung HD 30 (5 Dos) 5 Dos 4,500.00
- Isi BollPoint Pentel (5 Buah) 5 Buah 19,000.00
- Cetak Buku profil kesehatan (10 Buku) 10 Buku 150,000.00
- Cetak dan Jilid (100 Buku) 100 Buku 5,000.00
Belanja Alat/Bahan untuk Kegiatan Kantor- Cetak

(Pelayanan)
- Cetak formulir HVS Uk. 1/2 Folio Isi 100 Lembar (795 795 Buku 10,000.00
Buku)
- Cetak formulir Kertas HVS Uk. Folio isi 100 lembar 1,800 Buku 20,000.00
(1.800 Buku)
- Cetak formulir Kertas HVS Uk. Folio Bolak Balik Isi 646 Buku 22,500.00
100 Lembar (646 Buku)
- Cetak formulir HVS warna Uk. Folio Isi 100 Lembar 228 Buku 22,500.00
(228 Buku)
- Cetak formulir HVS Uk. Folio Full Colour Isi 100 157 Buku 65,000.00
Lembar (157 Buku)
- Cetak formulir HVS Berwarna Uk. Plano (1.320 Buku) 1,320 Buku 4,000.00
- Cetak formulir HVS Uk. Folio 1 Muka (200 Rim) 200 Rim 100,000.00
- Cetak Kartu Kertas BC Uk. 1/2 Folio BB (5.810 5,810 Lembar 650.00
Lembar)
- Cetak Kartu Kertas BC Uk. 1/3 Folio BB (8.050 8,050 Lembar 500.00
Lembar)
- Cetak Kartu Kertas BC Uk. Kartu Nama (14.390 14,390 Lembar 150.00
Lembar)
- Buku kertas NCR 3 ply uk. folio isi 50 set (250 Buku) 250 Buku 45,000.00
1 2 3 4 5
- Buku kertas NCR 3 ply uk. 1/2 folio isi 50 set (24 24 Buku 23,750.00
Buku)
- Buku kertas NCR 4 ply uk.1/2 folio isi 50 set (36 36 Buku 28,000.00
Buku)
- Buku kertas NCR 2 ply uk.1/2 folio isi 50 set (1.136 1,136 Buku 15,750.00
Buku)
- Buku kertas NCR 2 ply uk.1/4 folio isi 50 set (85 85 Buku 8,750.00
Buku)
- Cetak Stopmap Pasien Ivory 310 + Snell (10.500 10,500 Buah 2,750.00
Buah)
- Cetak Stop Map Berlambang (515 Lembar) 515 Lembar 4,000.00
- Cetak Amplop Radiologi Sedang (5.000 Lembar) 5,000 Lembar 3,000.00
- Cetak Amplop Radiologi Besar (792 Lembar) 792 Lembar 4,000.00
- Cetak Formulir HVS Uk. 1/3 Folio isi 100 lbr (40 Buku) 40 Buku 7,000.00
- Cetak Formulir HVS Uk. 1/4 Folio isi 100 lbr (50 Buku) 50 Buku 4,850.00

Kantor (Penunjang Non Medik)
- Lem Alteco (50 Tube) 50 Tube 10,000.00
- Lem PVC (10 Buah) 10 Buah 79,860.00
- Lem Kaca 300ml (20 Buah) 20 Buah 48,000.00
- Lem Wallpaper 1 Kg (5 Pak) 5 Pak 19,000.00
- Lem Aica Aibon (10 Kg) 10 Kg 64,350.00
- Sealtape (200 Buah) 200 Buah 3,740.00
5.1.2.99.99.9999.23 Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan

Cover
Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan

Cover (Perencanaan)
- Kertas HVS 70 gram (80 Rim) 80 Rim 70,750.00
Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan

Cover (Pelayanan)
- Amplop Coklat A (191 Pak) 191 Pak 19,375.00
- Amplop Kabinet (2 Dos) 2 Dos 23,000.00
- Amplop Kecil (27 Dos) 27 Dos 10,350.00
- Amplop Tanggung (27 Pak) 27 Pak 18,000.00
- Kertas BC Folio (warna muda) (19 Pak) 19 Pak 40,000.00
- Kertas Foto (Per Pak) (10 Pak) 10 Pak 46,750.00
- Kertas HVS 70 gram (1.576 Rim) 1,576 Rim 70,750.00
- Kertas HVS Kwarto 70 gr (27 Rim) 27 Rim 62,750.00

- Kertas Roll besar (850 Roll) 850 Roll 10,700.00
- Kertas Roll besar 2 ply (144 Roll) 144 Roll 70,000.00
- Kertas Label Box (475 Lembar) 475 Lembar 1,000.00
1 2 3 4 5
- Kertas HVS Folio 70 gr warna (6 Rim) 6 Rim 92,000.00
5.1.2.99.99.9999.25 Belanja Alat/Bahan untuk Kegiatan Kantor- Benda Pos
Belanja Alat/Bahan untuk Kegiatan Kantor - Benda Pos

(Umpeg)
- Meterai 10000 (800 Lembar) 800 Lembar 13,750.00
- Perangko Kilat khusus (100 Kg) 100 Kg 5,000.00
5.1.2.99.99.9999.27 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan

Komputer
Belanja Alat/Bahan untuk Kegiatan Kantor - Bahan

Komputer (Umpeg)
- Refill Toner (1.000 Buah) 1,000 Buah 157,500.00
Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan

Komputer (Perencanaan)
- Toner Laser Jet (4 Buah) 4 Buah 210,000.00
- Refill Toner (6 Buah) 6 Buah 157,500.00
- Flashdisk 32 GB (4 Buah) 4 Buah 142,500.00
Belanja Alat/Bahan untuk Kegiatan Kantor - Bahan

Komputer (Pelayanan)
- Tinta Printer epson (43 Botol) 43 Botol 126,000.00
- Tinta Stempel (35 Botol) 35 Botol 14,000.00
- Kertas Continues Form Besar 3 Play (7 Box) 7 Box 639,500.00
- Kertas Continues Form Besar 2 Play (14 Box) 14 Box 468,000.00
- Kertas Continues Form Kecil 3 Play (10 Box) 10 Box 490,000.00
5.1.2.99.99.9999.28 Belanja Alat/Bahan untuk Kegiatan Kantor- Perabot

Kantor
Belanja Alat/Bahan untuk Kegiatan Kantor - Perabot

Kantor (Umpeg)
- Tisu Facial (7.000 Buah) 7,000 Buah 12,705.00
- Pengharum ruangan (100 Botol) 100 Botol 25,088.00
- Cairan Pel, isi 5 kg (70 Jerigen) 70 Jerigen 220,000.00
- Ceramic Cleaner Isi 5 kg (40 Jerigen) 40 Jerigen 352,000.00
- Alat Pel (MOP) (20 Buah) 20 Buah 235,000.00
- Super karbol (400 Buah) 400 Buah 21,250.00

- Sapu pel gagang alumunium (20 Buah) 20 Buah 225,000.00
- Refill kain mop pel (50 Buah) 50 Buah 51,000.00
- Sapu lantai (30 Buah) 30 Buah 27,875.00
- Sekop lengkap tangkai (20 Buah) 20 Buah 75,000.00
- Sapu air (20 Buah) 20 Buah 28,990.00
- Isi Ulang Pengharum Ruangan (100 Kg) 100 Kg 65,000.00
- Kain Lap Kaca (100 Buah) 100 Buah 10,500.00
- Box Pengharum Ruangan (biasa, kecil) (10 Buah) 10 Buah 325,000.00
1 2 3 4 5
- Pasta Gigi (150 Dus) 150 Dus 18,375.00
- Sabun mandi (150 Buah) 150 Buah 4,000.00
- Sikat gigi (150 Buah) 150 Buah 10,290.00
- Handuk Tanggung (150 Buah) 150 Buah 55,000.00
- Shampoo (150 Botol) 150 Botol 24,623.00

Kantor (Gizi)
- Sabun cuci alat makan isi 5 liter (150 Jerigen) 150 Jerigen 480,975.00
- Sendok Plastik (60 Pak) 60 Pak 35,960.00
- Sendok Puding Plastik (5 Pak) 5 Pak 30,250.00
- Plastik Segitiga 24x24x33 (5 Bks) 5 Bks 24,200.00
- Bento tray (400 Pcs) 400 Pcs 4,000.00
- Sabut Stainless (288 Buah) 288 Buah 10,000.00
- Busa spon (144 Buah) 144 Buah 6,500.00
- Tisu Makan (200 Pak) 200 Pak 29,000.00
- Kantong Plastik 8x20 (isi 100) (50 Bks) 50 Bks 11,798.00
- Kantong Plastik 30x50 (isi 100) (50 Pak) 50 Pak 65,945.00
- Kantong Plastik Berperekat 10x15 (isi 100) (120 Bks) 120 Bks 10,588.00
- Kantong Plastik Berperekat 6x20 (isi 100) (100 Bks) 100 Bks 14,823.00
- Kantong Plastik Berperekat 8X12 (isi 100) (50 Bks) 50 Bks 10,588.00
- Gelas plastik 10oz (160 Pak) 160 Pak 24,000.00
- Gelas Plastik 12oz (300 Pak) 300 Pak 41,140.00
- Gelas Plastik 14oz (280 Pak) 280 Pak 41,140.00

- Sedotan plastik bengkok (50 Pak) 50 Pak 11,798.00
- Tempat Makan Mika 8,5 x 8,5 x 2 (100 Pak) 100 Pak 18,154.00
- Tempat Makan Mika 10 x 10 x 2,5 (50 Pak) 50 Pak 20,010.00
- Steroform tray (50 Buah) 50 Buah 550.00
- Cup Plastik Agar-agar (100 Bks) 100 Bks 26,680.00
- Garpu Plastik Kecil (120 Pak) 120 Pak 6,100.00
- Alumunium Foil Cup (100 Biji) 100 Biji 2,320.00
- Alumunium Foil (60 Roll) 60 Roll 90,000.00
- Mika cup mangkok plastik diameter 7cm (10 Pak) 10 Pak 14,334.00
- Plastik kresek 28cm (250 Bks) 250 Bks 21,000.00
- Pisau (10 Buah) 10 Buah 181,500.00
- Kotak Box 306 L (20 Buah) 20 Buah 63,525.00
- Pisau Kupas (5 Buah) 5 Buah 25,000.00
1 2 3 4 5
- Kuas (5 Buah) 5 Buah 16,500.00
- Talenan (8 Buah) 8 Buah 50,000.00
- Cetakan Kue Lumpur (1 Buah) 1 Buah 273,700.00
- Loyang (10 Buah) 10 Buah 28,750.00
- Serbet Katun (20 Buah) 20 Buah 66,240.00
- Krat telur (10 Buah) 10 Buah 27,400.00
- Celemek kain katun (30 Buah) 30 Buah 75,000.00
- Burner (12 Buah) 12 Buah 52,587.00
- Cetakan Kue Pukis (2 Buah) 2 Buah 291,160.00

Kantor (Pelayanan)
- Plastik bening (20 x 30), (23 x 40), 958 Pak 6,500.00

(30x50) isi 100 (958 Pak)
- Plastik Klip Tic Tas isi 100 (1.535 Pak) 1,535 Pak 4,500.00
- Plastik Klip 10x7 @100 Pcs (1.267 Pack) 1,267 Pack 5,655.00
- Plastik Klip 8 x 5 isi 100 (43 Pak) 43 Pak 1,700.00
- Plastik Klip 13x8,7 @100 Pcs (1.226 Pack) 1,226 Pack 8,062.00
- Plastik 17 x 11 (76 Pak) 76 Pak 101,000.00
- Karet gelang pentil (20 Pak) 20 Pak 60,500.00
Belanja Alat/Bahan untuk Kegiatan Kantor- Perabot

Kantor (Penunjang Non Medik)
- Detergen Alkali Enzimatik (20 Liter) 20 Liter 965,373.00
- Desinfectan tingkat tinggi (15 Liter) 15 Liter 1,603,448.00

- Kantong Plastik Uk 60 x 70 cm (111.500 Lembar) 111,500 Lembar 1,815.00
- Kantong Plastik Hitam uk. 80x110 cm (60.000 Pcs) 60,000 Pcs 5,568.00
- Kantong Plastik Kuning uk. 60x100 cm (10.000 Pcs) 10,000 Pcs 2,420.00
- Desinfektan isi 5 kg (70 Jerigen) 70 Jerigen 425,000.00
- Tempat sampah injak 25-30 L (15 Buah) 15 Buah 177,500.00
- Tempat sampah 36 L (35 Buah) 35 Buah 368,506.00
- Hand Soap, isi 5 kg (125 Jerigen) 125 Jerigen 209,000.00
- Hand Rub (4.500 Botol) 4,500 Botol 67,100.00
- Waslap (30 Pcs) 30 Pcs 12,375.00
- Hospital Care Detergent, isi 5 kg (200 Jerigen) 200 Jerigen 1,045,000.00
- Pelembut pakaian (Softener) isi 5 kg (190 Botol) 190 Botol 300,000.00
- Karbol Sere (1.500 Botol) 1,500 Botol 24,000.00
- Heavy Remover (20 Zak) 20 Zak 1,065,000.00
- Neutralizer detergen, isi 5 liter (90 Jerigen) 90 Jerigen 265,000.00
- Sabun Mandi Cair (48 Botol) 48 Botol 50,000.00
- Shampoo (36 Botol) 36 Botol 24,623.00
- Kapur barus (kemasan) (120 Bks) 120 Bks 14,700.00
1 2 3 4 5
- Plastik (36 Meter) 36 Meter 25,000.00
- Cable Ties 10 cm (30 Pak) 30 Pak 15,980.00
- obeng drei besar (15 Buah) 15 Buah 25,000.00
- Tang Potong (10 Buah) 10 Buah 96,921.00
- Tespen Besar (15 Buah) 15 Buah 26,250.00
- Burner (20 Buah) 20 Buah 52,587.00
- Selang Kompor (10 Buah) 10 Buah 48,400.00
- Connector blender (5 Buah) 5 Buah 4,235.00
- Pisau blender (5 Buah) 5 Buah 12,439.00
- Seal blender (5 Buah) 5 Buah 9,229.00
- Brostel blender / Sikat arang / Arang Blender / 5 Buah 7,079.00

Carbon Brush (5 Buah)
- Kuas 4" (10 Buah) 10 Buah 19,600.00
- Kuas sedang 1 (10 Buah) 10 Buah 3,000.00
- Kuas sedang 1,5 (10 Buah) 10 Buah 5,000.00

- Shower Bidet (30 Buah) 30 Buah 121,000.00
- Shower Mandi (30 Buah) 30 Buah 168,750.00
- Set Selang Outlet Wastafel (50 Buah) 50 Buah 102,850.00
- T Shower 1/2 " (10 Buah) 10 Buah 24,000.00
- Gembok Besar (20 Buah) 20 Buah 150,000.00
- Handel Kaca Alumunium (30 Buah) 30 Buah 24,000.00
- Kran Air Diameter 1/2" (30 Biji) 30 Biji 30,800.00
- Kran Air Diameter 3/4" (10 Buah) 10 Buah 52,000.00
- Kran Double Shower (15 Buah) 15 Buah 280,800.00
- Kran Panas Dingin 1/2" (20 Buah) 20 Buah 495,000.00
- Kran Panjang Cuci Tangan (15 Buah) 15 Buah 174,000.00
- Kran Sink Flexible (15 Buah) 15 Buah 288,865.00
- Kran Wastafel 1/2" (30 Buah) 30 Buah 222,000.00
- Kunci Laci (20 Buah) 20 Buah 18,750.00
- Kunci Pintu Komplit (20 Buah) 20 Buah 162,000.00
- Automatis Pelampung 1.5 Inc (2 Buah) 2 Buah 4,960,000.00
- Knee Drat Dalam 3/4 (10 Buah) 10 Buah 30,000.00
- Pelampung Air Radar (5 Buah) 5 Buah 73,200.00
- Ring Gorden (100 Buah) 100 Buah 1,210.00
- L Pralon (Knee) 1,5 Dim (20 Buah) 20 Buah 10,920.00
- L Pralon (Knee) 3/4 Dim (10 Buah) 10 Buah 2,880.00
- L Pralon (Knee) 1/2 Dim (10 Buah) 10 Buah 2,160.00
- Klem Selang 3/4" (20 Buah) 20 Buah 3,267.00
- Klem Selang 1/2" (50 Buah) 50 Buah 2,723.00
1 2 3 4 5
- Cairan Desinfektan Hydrogen Peroxide 7,5% 3 Jerigen 10,864,590.00

Kemasan 20 Liter (3 Jerigen)
- Cairan Desinfectan Hydrogen Peroxide 3% (50 Liter) 50 Liter 966,344.00
5.1.2.99.99.9999.29 Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Listrik
Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Listrik

(Pelayanan)
- Batu Bateray A2 (312 Set) 312 Set 16,500.00
- Batu Bateray A3 (262 Set) 262 Set 15,600.00
- Batu Bateray Besar (14 Buah) 14 Buah 11,257.00
- Batu Bateray Tanggung (35 Pcs) 35 Pcs 5,400.00
- Batu Bateray 9 Volt (16 Pcs) 16 Pcs 23,375.00
Belanja Alat/Bahan untuk Kegiatan Kantor- Alat Listrik

- Ballast lampu TL (270 Buah) 270 Buah 67,753.00
- Kabel NYM 2 x 1,5mm (100 M) 100 M/Lari 20,000.00
- Kabel NYM ukuran 2 x 2,5 mm, per roll (5 Roll) 5 Roll 796,250.00
- Fitting Keramik E27 (100 Buah) 100 Buah 10,921.00
- Fitting Lampu TL RM (100 Buah) 100 Buah 8,636.00
- Fitting Lampu TL (50 Buah) 50 Buah 7,260.00
- NH Fuse 300A (10 Buah) 10 Buah 678,810.00
- NH Fuse 160A (10 Buah) 10 Buah 275,275.00
- Skun kabel O ring ukuran 6 mm (2 Buah) 2 Buah 96,416.00
- Skun kabel O ring ukuran 2,5 mm (2 Buah) 2 Buah 49,580.00
- Embodus / Inbowdus (25 Buah) 25 Buah 2,299.00
- Box Panel Listrik Indoor 40 x 50 x 20 cm (2 Buah) 2 Buah 577,775.00
- Busbar Netral (2 Buah) 2 Buah 93,973.00
- DIN Rail MCB (4 Buah) 4 Buah 54,535.00
- Digital Timer Thc-15A 220V (7 Buah) 7 Buah 138,545.00
- Baterai UPS 12 V/65 AH (1 Buah) 1 Buah 8,000,000.00
- Halogen lamp 12V/20W (10 Buah) 10 Buah 525,745.00
- Lampu Blue light dulux L Blue 18 watt (15 Buah) 15 Buah 517,500.00
- Bolam Lampu Tindakan 12 V 50 W (5 Pcs) 5 Pcs 132,000.00
- Cable Duct TC-6 Putih (50 Unit) 50 Unit 19,000.00
- Klem kabel 6 (5 Dos) 5 Dos 4,725.00
- Klem kabel 8 (25 Dos) 25 Dos 4,725.00
- Isolasi Kabel (100 Buah) 100 Buah 9,800.00
- T Duct TC-8 (200 Buah) 200 Buah 13,613.00
- Kabel NYAF 1 x 1,5mm (200 M) 200 M/Lari 4,400.00
- Kabel NYM 3 x 1,5 mm (2 Roll) 2 Roll 702,500.00
- Kabel NYM 3 x 2,5mm (200 M) 200 M/Lari 37,000.00
1 2 3 4 5
- Kabel NYY 2 x 1,5mm (100 M) 100 M/Lari 24,000.00
- Kabel NYY 3 x 2,5mm (300 M) 300 M /Lari 42,000.00
- Kabel NYY 4 x 2,5mm (100 M) 100 M /Lari 56,000.00
- Kabel Roll 15 M (25 Buah) 25 Buah 112,500.00
- Bolam Lampu LED 19 watt (25 Buah) 25 Buah 137,468.00
- Lampu LED 8 watt (600 Buah) 600 Buah 61,589.00
- Lampu TL 18W (500 Buah) 500 Buah 39,325.00

- Lampu TL 36 W (100 Buah) 100 Buah 62,013.00
- Lampu Sorot LED 50 Watt IP 66 (20 Buah) 20 Buah 342,000.00
- Lampu TL LED T8 8W (130 Buah) 130 Buah 105,875.00
- Magnetic Contractor LCID 09 25 A (5 Buah) 5 Buah 138,000.00
- Magnetic Contactor 50A (3 Buah) 3 Buah 774,050.00
- Saklar Tunggal Tanam (50 Buah) 50 Buah 18,750.00
- Steker T Broco (50 Buah) 50 Buah 34,853.00
- Starter Neon (100 Buah) 100 Buah 17,426.00
- Stop Kontak Broco 4 lubang (100 Buah) 100 Buah 67,250.00
- Stop Kontak Tanam (25 Buah) 25 Buah 28,051.00
- Kap Lampu Taman (20 Buah) 20 Buah 198,440.00
- Fitting Tempel (200 Buah) 200 Buah 14,875.00
5.1.2.99.99.9999.30 Belanja Alat/Bahan untuk Kegiatan Kantor-

Perlengkapan Dinas
Belanja Alat/bahan untuk Kegiatan Kantor-

Perlengkapan Dinas (PP-PPHK)
- Topi Lapangan (850 Buah) 850 Buah 50,000.00
- Umbul - umbul bahan Kain (30 Meter) 30 Meter 50,000.00
- Payung (500 Buah) 500 Buah 60,000.00
- Karpet (3 M2) 3 M2 425,000.00
- Kaos Polo katun (600 Buah) 600 Buah 187,500.00
Belanja Alat/Bahan untuk Kegiatan Kantor -

Perlengkapan Dinas (Umpeg)
- Tas bahan kain (150 Buah) 150 Buah 8,000.00
- Bendera (50 Buah) 50 Buah 75,000.00
- Bendera Merah Putih uk 180 x 270 (6 Buah) 6 Buah 375,950.00
- Umbul - umbul bahan Kain (120 Meter) 120 Meter 50,000.00
Belanja Alat/Bahan untuk Kegiatan Kantor-

Perlengkapan Dinas (Penunjang Non Medik)
- Selimut (30 Buah) 30 Buah 195,600.00
- Jas Operasi Standart L, XL (240 Buah) 240 Buah 500,000.00
- Bedong Bayi (30 Buah) 30 Buah 50,000.00
- Baju Kerja Rumah Sakit (20 Buah) 20 Buah 500,000.00
- Kain kafan (1.500 Meter) 1,500 Meter 30,000.00
- Tutup kepala (24 Buah) 24 Buah 5,500.00
1 2 3 4 5
- Sarung tangan Non steril (S,M,L) B Braun 36 Pasang 7,500.00

/ Handscoon (36 Pasang)
- Sarung tangan Handscoon Obgyn / Panjang (360 360 Pasang 45,000.00
Pasang)
- Sarung Tangan (36 Pasang) 36 Pasang 5,000.00
- kaos kaki hitam putih Standard (36 Pasang) 36 Pasang 23,000.00
- Senter LED (1 Unit) 1 Unit 338,000.00
- Apron (60 Unit) 60 Unit 30,894.00
5.1.2.99.99.9999.35 Belanja Obat-Obatan-Obat
Belanja Obat-Obatan-Obat (Farmasi 2024)
- Komposit Flowable Setara G-aenial Universal Flow GC 1 Botol 1,058,200.00

(1 Botol)

(2 Botol)

(1 Botol)

(1 Botol)

(1 Botol)

(1 Botol)

(1 Botol)

(1 Botol)
- Electroda Red Dot 4.0 cm'''' 3M (15 Buah) 15 Buah 80,590.00
- Plester Non Woven Pharmafix 15 cm x 5 m (125 Roll) 125 Roll 111,430.00
- 3 ALL (1 Botol) 1 Botol 330,000.00

(1 Botol)

(1 Botol)

(1 Botol)
- Etsa (1 Tube) 1 Tube 282,000.00
- Glass lonomer cement ART (2 Set) 2 Set 553,575.00

(1 Botol)
- Komposit resin posterior (1 Tube) 1 Tube 557,000.00

(1 Botol)
- Adult Disposable Patient Return Elektrode With Cord- 7 Buah 145,000.00

Standart (7 Buah)
- Circuit ventilator (80 Buah) 80 Buah 234,600.00
- Pasta pengisi saluran akar, setara (N2) Apikal (1 Box) 1 Box 893,000.00
- Aqua pro injeksi steril bebas pirogen 25 ml (9.000 9,000 Botol 3,500.00
Botol)
- Air untuk irigasi 1000 ml (110 Botol) 110 Botol 14,200.00
1 2 3 4 5
- Acarbose tab 50 mg (145 Dos) 145 Dos 180,630.00
- Albumin 5% 250 ml botol @250 ml (33 Dus) 33 Dus 1,452,000.00

(1 Botol)
- Alkohol swab serenity 2 box isi 100 buah (600 Box) 600 Box 12,100.00
- Allopurinol tablet 100 mg, 10 x 10 tablet 53 Kotak 50,000.00

(53 Kotak)
- Alprazolam tablet 0,25 mg 10 x 10 tablet 3 Kotak 48,400.00

(3 Kotak)
- Ambroxol sirup 15 mg/ml 60 ml (480 Botol) 480 Botol 9,000.00
- Aminofllin injeksi 24 mg/ml 30 ampul @ 10 ml (10 10 Kotak 106,920.00

Kotak)
- Amiodaron inj 50 mg/ml (150 mg/ 3 mL) 50 Dus 58,203.00

(G) (50 Dus)
- Amiodaron inj 50 mg/ml (150 mg/ 3 mL) 35 Dus 58,203.00

(G) (35 Dus)
- Amitriptillin tablet salut 25 mg (HCL) 10x 10 tablet 110 Kotak 24,310.00

salut (110 Kotak)
- Amlodipin tablet 10 mg ktk 3 x 10 tablet (375 Kotak) 375 Kotak 50,800.00
- Komb: Amoxycillin trihydrate 1.000 mg, 200 Vial 95,480.00

K. Clavulanate 200 mg inj (200 Vial)
- Amoxycillin 250 mg + Clavulanic acid 62,5 mg syr (75 75 Botol 81,741.00

Botol)
- Amoksisilin drops 100mg/ml (botol 20 ml) (9 Botol) 9 Botol 21,450.00
- Amoksisilin sirup kering 125 mg/5 ml, 60 ml (70 70 Botol 10,000.00

Botol)
- Amoksisilin kaplet 500 mg 10 x 10, 39 Kotak 62,011.00

Generik (39 Kotak)
- Kombinasi: Ampisilin 500 mg + Sulbaktam 250 mg 90 Dus 14,891.00

serb inj 750 mg, 1 vial
@ 0,75 g (90 Dus)
- Ampisillin serbuk injeksi i.m/i.v 1000 mg/ml 10 vial 95 Kotak 77,220.00

(95 Kotak)
- Kombinasi: Ampisilin 1000 mg + Sulbaktam 500 mg 725 Dus 20,010.00

serb inj 1500 mg, 1 vial
@ 1,5 g (725 Dus)
- Antasida Doen I tablet kunyah Kombinasi 20 Kotak 32,000.00

: Aluminium hidroksida 200 mg+magnesium hidroksida
200 mg 10 x 10 tablet kunyah (20 Kotak)
- Antihemoroid kombinasi : Bismith subgalat 150 mg + 250 Kotak 40,000.00
heksaklorofen 2,5 mg 10 supp (250 Kotak)
- Levodopa 100mg + Benserazide HCL 25mg (155 Box) 155 Box 172,841.00
- Antitusif Kaplet; kombinasi Dextromethorphan HBr 15 18 Kotak 120,600.00

mg , Gliseril Guaiakolat 100 mg, Klorfeniramin maleat 2
mg, kotak 10 x 12 (18 Kotak)
- Microbrush,botol 100 pcs (1 Botol) 1 Botol 209,895.00
- Arm Sling (50 Pcs) 50 Pcs 42,000.00
1 2 3 4 5
- Asam asetilsalisilat tablet 80 mg (885 Dos) 885 Dos 60,879.00
- Vitamin C 500 mg tablet (200 Tablet) 200 Tablet 600.00
- Asam Folat tablet/kapsul/kaplet 0,4 mg (7 Dus) 7 Dus 108,700.00
- Asam folat tablet 1 mg 100 tablet (4.800 Tablet) 4,800 Tablet 356.00
- Asam Mefenamat Kaplet 500 mg (12.500 Tablet) 12,500 Tablet 246.00
- Asam Traneksamat 100 mg/ ml inj (1.200 Ampul) 1,200 Ampul 4,400.00
- Asetazolamid tablet 250 mg 100 tablet (13 Botol) 13 Botol 650,000.00
- Asetil sistein kaps 200 mg, box 60 kapsul (7.100 7,100 Kapsul 5,005.00
Kapsul)
- Asetil sistein kaps 200 mg, box 60 kapsul (1.450 1,450 Kapsul 5,005.00
Kapsul)
- Acyclovir tablet 400 mg 5 x 10 tablet (40 Kotak) 40 Kotak 31,525.00
- Antidiare Tablet (kombinasi Anttapulgit 600 mg dan 32 Kotak 60,000.00

Pectin 50 mg), kotak 10 x 10
(32 Kotak)
- Atrakurium besylate 10 mg/ml (80 Ampul) 80 Ampul 13,200.00
- Slim flex/Aurolens P20.0 D (27 Pcs) 27 Pcs 126,500.00
- Azitromisin serb inj 500 mg, kemasan vial (7 Ampul) 7 Ampul 138,138.00
- Bacterial Filter (37 Buah) 37 Buah 43,962.00
- Bacterial Filter (235 Buah) 235 Buah 43,962.00
- Carbon Steel Scalpel Blades (2 Box) 2 Box 311,085.00
- Carbon Steel Scalpel Blades (3 Box) 3 Box 311,085.00
- Betametason krim 0,1% (sebagai valerat) 5 gram (45 45 Tube 5,026.00

Tube)
- Dullcolax tablet 5 mg (120 Tablet) 120 Tablet 7,150.00
- Dulcolax 10mg Suppositoria (60 Pcs) 60 Pcs 32,165.00

- Bonding (1 Buah) 1 Buah 1,255,000.00
- Bisoprolol 2,5 mg (7 Dos) 7 Dos 877,282.00
- Bisoprolol tablet 5 mg 3 x 10 tablet (53 Kotak) 53 Kotak 69,650.00
- Borax Glycerol 5% (6 Botol) 6 Botol 9,402.00
- Curcuma tab (4.200 Tablet) 4,200 Tablet 1,513.00
- Symbicort Rapihaler 160 (105 Dus) 105 Dus 597,105.00
- Symbicort Rapihaler 160 (100 Dus) 100 Dus 597,105.00
- Mata bur gigi (1 Unit) 1 Unit 750,000.00
- Jarum Gigi (1 Kotak) 1 Kotak 83,980.00
- Usg gel (2 Galon) 2 Galon 242,000.00
- Pasta kalsium hidroksida (1 Set) 1 Set 109,423.00
1 2 3 4 5
- Carpule Cytojet (1 Unit) 1 Unit 950,000.00
- Carbachol 1,5% (28 Botol) 28 Botol 11,138.00
- Cassette 100 NX Cassette (2 Paket) 2 Paket 4,903,646.00
- Disp 50 cc Catheter Tip (85 Buah) 85 Buah 27,500.00
- Citicholin inj 250 mg/2 ml, box 5 ampul (660 Box) 660 Box 125,400.00
- Citicholin 500 mg, box 30 tab (174 Box) 174 Box 285,990.00
- Condom catheter uk. S, M, L per Pcs (112 Pcs) 112 Pcs 5,500.00
- Deksametason injeksi v5 mg/ml 100 ampul @1 ml (2 2 Kotak 200,200.00

Kotak)
- Polimiksin, Neomisin, Deksametason Tetes Mata, 5 ml 500 Botol 25,850.00

(500 Botol)
- Cotton rol (4 Pak) 4 Pak 74,250.00
- Dentin Conditioner, 25 gr (1 Kotak) 1 Kotak 486,000.00
- Desoxymethasone 0,25 % 5 mg (1.540 Tube) 1,540 Tube 12,500.00

- Diazepam Enema 5 Mg/2.5 ML (1 Dus) 1 Dus 125,000.00
- Diazepam inj 5mg/ml (85 Ampul) 85 Ampul 4,500.00
- Diazepam tab 2 mg, kotak 100 tablet (70 Kotak) 70 Kotak 20,000.00
- Diazepam Tablet 5mg ktk 10x10 Tablet (47 Box) 47 Box 29,007.00
- Difenhidramin injeksi i.m 10 mg/ml (HCL) 30 ampul 87 Kotak 50,850.00

@ 1 ml (87 Kotak)
- Digoksin Injeksi 0,25mg/ml (2 Box) 2 Box 348,000.00
- Digoksin tablet 0,25 mg 10 x 10 tablet 22 Kotak 18,571.00

(22 Kotak)
- Diltiazem HCL tablet 30 mg 10 x 10 tablet (110 110 Kotak 15,163.00

Kotak)
- Dimenhidrinat tablet 50 mg 100 tablet (123 Botol) 123 Botol 15,000.00
- Valproat tab salut enterik 250 mg (615 Dus) 615 Dus 133,800.00
- Docusate Na 0,5% tt 10ml (75 Botol) 75 Botol 39,000.00
- Domperidon sirup 5 mg/5 ml 60 ml (7 Botol) 7 Botol 20,625.00
- Donepezil HCI Tablet/Kapsul/Kaplet Salut Selaput 95 Box 208,350.00

5mg (95 Box)
1 2 3 4 5
- Dopamine hidrochloride injeksi 40 mg/ml (18 Dus) 18 Dus 34,342.00
- Dry view laser imaging film 35 x 28 setara 6 Box 6,200,000.00

Carestream (6 Box)

Carestream (2 Box)

Carestream (3 Box)

(1 Botol)
- Efedrin Inj 50 mg/ ml (38 Ampul) 38 Ampul 50,000.00
- Ekstrak kering ginkgo-biloba, Kotak/100 tab (10 10 Kotak 628,000.00

Kotak)
- Electroda Red Dot 4.0 cm'''' 3M (32 Buah) 32 Buah 80,590.00
- Pasta pengisi saluran akar, setara (N2) Apikal (1 Box) 1 Box 893,000.00
- Eperison 10x10 tablet (237 Kotak) 237 Kotak 352,000.00
- Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL) (740 740 Ampul 2,000.00
Ampul)
- Erdostein kapsul 300 mg, box 20 kapsul (540 Kapsul) 540 Kapsul 4,840.00
- Antimigrain:Ergotamin Tartrat 1 mg 7 Botol 13,530.00
+kofein 50 mg 100 tablet (7 Botol)
- Eritromisin sirup 200 mg/5ml 60 ml (2 Botol) 2 Botol 38,462.00
- Omeprazole kapsul 20 mg 3 x 10 kapsul 220 Kotak 23,588.00

(220 Kotak)
- Etil klorida spray 100 ml (9 Botol) 9 Botol 250,000.00
- Etsa (2 Tube) 2 Tube 282,000.00
- Reinforced Endotracheal Tube with Intubating Stylet. 3 Pcs 153,870.00

ETT NKK (3 Pcs)

ETT NKK (4 Pcs)

ETT NKK (11 Pcs)

ETT NKK (1 Pcs)

ETT NKK (2 Pcs)
- ETT With Cuff 3; 3,5; 4; 4,5; 5 (2 Buah) 2 Buah 27,000.00
- ETT With Cuff 3; 3,5; 4; 4,5; 5 (115 115 Buah 27,000.00

Buah)
1 2 3 4 5
- Feeding Tube (10 Pcs) 10 Pcs 13,650.00
- Foley Catheter 2 way (60 Pcs) 60 Pcs 18,150.00
- Foley Catheter No. 14, 16, 18, 20 (800 Pcs) 800 Pcs 24,750.00
- Maxter Surgical Glove All Size isi 50 pasang (30 Box) 30 Box 390,500.00
- Guedel airway No.00, 0,1,2,3,4,5 (1 Buah) 1 Buah 15,720.00
- IV Catheter 14 (4 Pcs) 4 Pcs 68,775.00
- IV Cathere No. 20, 22, 24 (103 Box) 103 Box 389,375.00
- IV Catheter (580 Pcs) 580 Pcs 25,757.00
- Laryngeal Mask (46 Pcs) 46 Pcs 138,260.00
- masker anestesi disposible size 0,1,2,3,4,5,6 (3 Buah) 3 Buah 56,100.00
- Masker Nebulizer (255 Set) 255 Set 28,600.00
- Masker Nebulizer (605 Set) 605 Set 28,600.00
- nasal O2 anak (112 Pcs) 112 Pcs 12,700.00
- Nasal O2 dewasa (775 Pcs) 775 Pcs 12,700.00
- Nasal O2 Neonatus (20 Pcs) 20 Pcs 5,843.00
1 2 3 4 5
- Glukosa larutan infus steril 5% 500 ml (460 Botol) 460 Botol 7,600.00
- Glukosa larutan infus steril 5% 500 ml (490 Botol) 490 Botol 7,600.00
- Glukosamin tab 250 mg, box 60 tab (245 Box) 245 Box 56,160.00
- Eugenol cairan 12 btl @ 10 ml (1 Kotak) 1 Kotak 742,500.00
- Jarum Eksterpasi (Barbe Broach / smooth broach) (1 1 Buah 65,520.00

Buah)
- BESI II FUMARAT + ASAM FOLAT (TABLET TAMBAH 305 Kotak 14,851.00
DARAH - TABLET SALUT GULA) (305 Kotak)
- Phenylephrine / Fenilefrin HCl TM MD (25 Ml) 25 Ml 16,913.00
- Fenitoin natrium injeksi 50 mg/ ml, 10 ampul x 2 ml 4 Kotak 532,048.00

(4 Kotak)
- Fenobarbital tablet 30 mg, isi 100 tablet (230 Botol) 230 Botol 19,965.00
- Fenofibrate Capsule 300 Mg (10 Box) 10 Box 242,000.00
- Berodual MDI 10ml (347 Box) 347 Box 343,209.00
- Fitomenadion (Vit.K) injeksi 2 mg/ml (98 Ampul) 98 Ampul 7,888.00
- Fitomenadion (Vit. K) Tablet 10 (2.000 Tablet) 2,000 Tablet 1,699.00
- Flukonazal tablet 150 mg 10 tablet (2 Kotak) 2 Kotak 220,003.00
- Framisetin (5 Box) 5 Box 330,000.00
- Glass Ionomer Fuji IXld Posterior warna (1 Pak) 1 Pak 890,000.00
- Furosemid tablet 40 mg 10 x 10 tablet 220 Kotak 24,750.00

(220 Kotak)
- Gigi Gutta Pecha Point (3 Box) 3 Box 138,600.00
- Gabapentin tablet/kapsul/kaplet 100 mg (1.575 Box) 1,575 Box 169,400.00
- Garam oralit serbuk kombinasi : natrium 23 Kotak 10,026.00

0.52 g + kalium klorida 0.30 g 25 sachet (23 Kotak)
- Gemfibrozil 300 mg 10 x 10 kapsul (98 Kotak) 98 Kotak 29,222.00
- Gemfibrozil Tablet 600mg 10x10 Tablet (32 Kotak) 32 Kotak 84,117.00
- Gentamisin salep kulit 0,1 % 10 Tube @ 5 gram (50 50 Botol 21,260.00

Botol)
- Gentamisin injeksi 40 mg/ml 5 ampul @ 2ml (105 105 Kotak 17,072.00

Kotak)
1 2 3 4 5

- Gliclazide 80 mg (18 Dos) 18 Dos 39,930.00
- Glimepiride tablet 2 mg (9.500 Tablet) 9,500 Tablet 300.00
- Glimepiride tablet 3 mg 5 x 10 tablet (15 Kotak) 15 Kotak 97,724.00
- Glimepiride tablet 4 mg 5 x 10 tablet (11 Kotak) 11 Kotak 130,299.00
- Glyceryl trinitrate kap SR 2,5 mg (356 Dos) 356 Dos 339,183.00
- Haloperidol tablet 1,5 mg 10 x 10 tablet 120 Kotak 10,311.00

(120 Kotak)
- Heparin Sodium 200 IU 15 mg (24 Tube) 24 Tube 21,000.00
- Heparin injeksi 5000 IU/ml (i.v./s.k.) (1 Dus) 1 Dus 346,500.00
- Hidrokortisaon krim 2,5% 24 Tube @ 5 8 Kotak 117,858.00

gram (8 Kotak)
- Hidroksi Urea/ Hydroxy urea tablet/kapsul/kaplet 500 7 Dus 211,850.00

mg (7 Dus)
- Eye Drape D700 (75 Pcs) 75 Pcs 55,000.00
- Serum Tetanus Injeksi 1500 IU/Ampul 1 ml (32 32 Ampul 165,000.00

Ampul)
- Natrium hipoklorit (21 Botol) 21 Botol 60,000.00
- Ibuprofen suspensi 100 mg /5 ml (36 Botol) 36 Botol 3,812.00
- ONBREZ BREEZHALER Indakaterol serbuk ih 300 mcg 1,155 Pcs 14,189.00

(1.155 Pcs)
- Infus set (639 Buah) 639 Buah 31,080.00
- Analog insulin fast acting inj 100 IU/mL, vial/cartridge 32 Dus 485,025.00
disposible/penfill cartridge (32 Dus)
- Levemir Flexpen (28 Tabung) 28 Tabung 220,380.00
- Ryzodeg analog insulin mix insulin injeksi 100 IU/ml 652 Pcs 112,000.00
Penfill Cartridge (652 Pcs)
- Novomix-30 Flexpen (1.677 Tabung) 1,677 Tabung 187,001.00
- Ryzodeg analog insulin mix insulin injeksi 100 IU/ml 2,623 Pcs 112,000.00
Penfill Cartridge (2.623 Pcs)
- Novorapid Flexpen (1.935 Tabung) 1,935 Tabung 187,001.00
1 2 3 4 5
- Infus set (510 Buah) 510 Buah 31,080.00
- Infusion set anak (129 Set) 129 Set 4,600.00
- Iohexol 300 Mg, 20 Ml (45 Pcs) 45 Pcs 96,800.00
- Iohexol 140 - 350 mg Iodium / mL (350 mg, 50 mL) 68 Dus 235,950.00

(68 Dus)
- Flixotide Nebules (7 Box) 7 Box 222,551.00
- Isoniazid tablet 300 mg 1000 tablet (2 Botol) 2 Botol 343,420.00
- Isoniazid tablet 300 mg 1000 tablet (1 Botol) 1 Botol 343,420.00
- Isosorbid Dinitrat Injeksi 1 mg/ml (24 Box) 24 Box 182,258.00
- Itrakonazol kapsul 100 mg 3 x 10 kapsul 155 Kotak 43,320.00

(155 Kotak)
- Lubricating Jelly (250 Tube) 250 Tube 38,500.00
- Kalium L- Aspartat (10 Kotak) 10 Kotak 180,000.00
- Kalium diklofenak tablet 25 mg 5 x 10 78 Kotak 40,000.00

tablet (78 Kotak)
- Kalsium hidroksida pasta 2 Tube (1 Kotak) 1 Kotak 408,000.00
- Calcium Carbonat (118 Kg) 118 Kg 75,000.00
- Kalsium laktat (Kalk) tablet 500 mg 10 x 10 (42 42 Kotak 30,000.00

Kotak)
- Candesartan 8 Mg (4.340 Tablet) 4,340 Tablet 5,495.00
- Kapsul Kosong 2 (103 Pack) 103 Pack 62,493.00
- Kaptopril Tablet 25 mg 10x10 Tablet (152 Kotak) 152 Kotak 25,077.00
- Karbamazepin tablet 200 mg 10 x 10 80 Kotak 26,730.00

tablet (80 Kotak)
- Soft U Derm Hydro 10% (33 Tube) 33 Tube 36,714.00
- Karbogliserin tetes telinga 10% (18 Botol) 18 Botol 4,400.00
- Kasa hidrofil sterol uk. 16 x 16 cm (isi 16 lembar) 2,200 Kotak 9,775.00

(2.200 Kotak)
- Kasa Lipat 20 cm x 24 cm isi 500 pcs (120 Pack) 120 Pack 211,200.00
- Kertas USG, Paper/ink ribbon set Model (36 Box) 36 Box 250,000.00
- Ketoacid Essensial (510 Tablet) 510 Tablet 6,600.00
- Ketoconazole Tablet 200mg, 5x10 Tablet (2 Kotak) 2 Kotak 52,596.00
- Ketoconazole krim 2% 15 gram (23 Tube) 23 Tube 7,315.00
- Ketoprofen supositoria 100 mg (1 Dus) 1 Dus 26,537.00
- Ketorolac Injeksi 30 mg/1ml (425 Ampul) 425 Ampul 2,512.00
- Ketorolac tab 10 mg, isi 100 tab (15 Kotak) 15 Kotak 315,700.00
1 2 3 4 5
- Klindamisin kapsul 150 mg 5 x 10 kapsul 280 Kotak 25,500.00

(280 Kotak)
- Clobazam 10mg (5 Box) 5 Box 107,955.00
- Clobetazol krim 0,05% 10 gram (890 Tube) 890 Tube 13,662.00
- Clopidogrel 75 mg Tablet (5.530 Tablet) 5,530 Tablet 1,328.00
- Contaact Glass (1 Unit) 1 Unit 6,000,000.00
- Kloramfenikol Tetes Telinga (3 Botol) 3 Botol 10,733.00
- Colsancetin inj (217 Vial) 217 Vial 15,939.00
- Kloramfenicol salep kulit 2% (330 Tube) 330 Tube 4,000.00
- Chlorphenamine Maleate/Klorfeniramin 3 Botol 18,700.00

tablet/kapsul/kaplet 4 mg, 10 x 10 tablet (3 Botol)
- Klorpromazin tablet salut 100 mg (HCL) 10 x 10 17 Kotak 14,630.00

tablet (17 Kotak)
- Klorpromazin tablet salut 100 mg (HCL) 10 x 10 11 Kotak 14,630.00

tablet (11 Kotak)
- Kodein tablet 10 mg. 10 x 10 tablet (97 Kotak) 97 Kotak 75,293.00
- Kodein tablet 20 mg. 10 x 10 tablet (56 Kotak) 56 Kotak 114,950.00

(1 Botol)

(1 Botol)
- Composite Resin Anterior (1 Buah) 1 Buah 557,000.00
- Composite Resin Anterior (1 Buah) 1 Buah 557,000.00

- Komposit resin posterior (1 Tube) 1 Tube 557,000.00
- Korset Lumbal uk.S,M,L,XL,XXL (5 Buah) 5 Buah 202,400.00
- Kotrimoksasol suspensi kombinasi : sulfanetokzasol 20 Botol 5,440.00

200 mg+trimetroprim 40
mg/5 ml, 60 ml (20 Botol)
- Kruk (3 Pasang) 3 Pasang 162,000.00
- Lansoprazol tablet 30 mg 3 x10 kapsul (1.000 Kotak) 1,000 Kotak 40,541.00
- Lansoprazol tablet 30 mg 3 x10 kapsul (330 Kotak) 330 Kotak 40,541.00
- Glaopen MD (Latanoprost 0,05mg/ml) (220 Strip) 220 Strip 102,750.00
- Levofloksasin tablet 500 mg 5 x 10 tablet 250 Kotak 57,684.00

(250 Kotak)
- Levofloksasin tablet 500 mg 5 x 10 tablet 50 Kotak 57,684.00

(50 Kotak)
- Lidokain HCL 2 ml (420 Ampul) 420 Ampul 2,479.00
1 2 3 4 5
- Lisinopril tablet 10 mg 3 x 10 tablet (450 Kotak) 450 Kotak 17,321.00
- Widahes 130 (14 Botol) 14 Botol 212,020.00
- G Bond (GI) 5 ml (1 Botol) 1 Botol 913,000.00
- Povidon iodine lart 10% 1000 ml (30 Botol) 30 Botol 90,750.00
- Mekobalamin inj 500 mg(box/10''''s ml) (940 Box) 940 Box 88,000.00
- Mekobalamin 500 mcg, 10x10 caps (2.800 Box) 2,800 Box 77,000.00
- Metformin HCL tablet 500 mg 10 x 10 50 Kotak 26,136.00

tablet (50 Kotak)
- Metformin HCL tablet 850 mg 10 x 10 40 Kotak 33,000.00

tablet (40 Kotak)
- Metildopa tablet 250 mg (600 Tablet) 600 Tablet 1,800.00
- Metilergometrin maleat injeksi 0,200 mg-1 ml (230 230 Ampul 3,500.00

Ampul)
- Metilergometrin maleat tablet salut 0,125 mg 10 x 10 2 Kotak 27,060.00

tablet (2 Kotak)
- Metilprednisolon tablet 4 mg 10 x 10 100 Kotak 44,055.00

tablet (100 Kotak)
- Metoklopramide injeksi 5 mg/ml 10 ampul @ 2 ml (9 9 Kotak 77,000.00

Kotak)
- Metoklopramide tablet 5 mg (3.800 Tablet) 3,800 Tablet 135.00
- Methotrexate, rheutrex tablet (2.700 Tablet) 2,700 Tablet 972.00

- Kombinasi : Metronidazole 500 dan nystatin 100.000 34 Ampul 13,860.00
SI Ovula (34 Ampul)
- Metronidazol infus 500 mg/100 ml 100 ml (305 Botol) 305 Botol 29,500.00
- Metronidazol 500 mg Tablet (250 Tablet) 250 Tablet 475.00
- Microbrush,botol 100 pcs (2 Botol) 2 Botol 209,895.00
- Midazolam injeksi 5 mg/ml (i.v.) (24 Dus) 24 Dus 247,500.00
- Mikonazol krim/salep 2% (nitrat) 10 gram (65 Tube) 65 Tube 4,125.00
- Mineral mix sachet/8 gr (70 Sachet) 70 Sachet 8,360.00
- Interlac 1 gram komposisi minyak bunga matahari 620 Sachet 15,000.00

(sun flower oil), lactobacillus reuteri protectis, silicon
dioxide (620 Sachet)
- misoprostol invitec tab 200 mcg (6 Box) 6 Box 574,750.00
- Infimox Moxifloxacin 400 mg/250 ml (3 Box) 3 Box 242,000.00
- Morfin injeksi 10 mg/ml 10 ampul @ 1 ml (3 Kotak) 3 Kotak 391,580.00
- Morfin injeksi 10 mg/ml 10 ampul @ 1 ml (1 Kotak) 1 Kotak 391,580.00
- Kombinasi : Asam Folat 1 mg + beta carotene 10.000 6,000 Tablet 1,947.00

IU + Multivitamin + Mineral (6.000 Tablet)
1 2 3 4 5
- Multivitamin drop : Vitamin A 2000 iu, Vitamin B1 1 100 Botol 48,400.00

mg, Vitamin B2 1,2 mg, Vitamin B6 1 mg, Vitamin B12
2 mcg, Vitamin C 30mg, Vitamin D 400 iu,
Nikotinamida 10 mg (100 Botol)
- Multivitamin sirup, kombinasi : Vit. A 5000IU + Vit B1 230 Botol 10,520.00

2 mg + Vit B2 2 mg + + Vit B6 2 mg + Vit. C 50 mg +
vit D 400 IU
+ Narkotinamida 10 mg + kalsium Pantotenat 5 mg / 5
ml (230 Botol)
- NaCl infus (10.500 Vial) 10,500 Vial 1,755.00
- NaCl 0,9% 1000ml (13.550 Botol) 13,550 Botol 17,600.00
- NaCl 0,9% 1000ml (520 Botol) 520 Botol 17,600.00
- Kombinasi : Ion Natrium & Kalium dengan 1,280 Ml 19,250.00

Benzalkonium Cl TM MD (1.280 Ml)
- Natrium bikarbonat tablet 500 mg 1000 tablet (13 13 Botol 14,300.00

Botol)
- Sarung tangan karet, 100/pk (60 Pak) 60 Pak 96,000.00
- Sarung tangan karet, 100/pk (330 Pak) 330 Pak 96,000.00
- Sarung tangan karet, 100/pk (1.985 Pak) 1,985 Pak 96,000.00
- Natrium diklofenak Gel 10 mg/g (530 Tube) 530 Tube 16,280.00
- Kalium diklofenak 50 mg 5 x 10 tablet 220 Kotak 54,000.00

(220 Kotak)
- Asam Fusidat krim (175 Tube) 175 Tube 31,900.00
- Hyalub MD Cendo, Sodium Hyaluronat 1 mg/ml (170 170 Strip 64,895.00

Strip)
- Needle (23G, 24G, 25G, 26G, 27G) (1 1 Buah 56,580.00

Buah)

Buah)

Buah)

Buah)
- Jarum Citojet (1 Box) 1 Box 224,475.00
- nasal O2 anak (130 Pcs) 130 Pcs 12,700.00
- Nistatin susp 100.000UI/ml, @ 12 ml (70 Botol) 70 Botol 27,501.00
- SNMC (Stronger Neo-Minophagen C) (16 Ampul) 16 Ampul 125,430.00
- Ofloxacin tetes mata (660 Ml) 660 Ml 29,425.00
- Oxytocin injeksi 10 ml (103 Botol) 103 Botol 71,500.00
- Omeprazole kapsul 20 mg 3 x 10 kapsul 1,850 Kotak 23,588.00

(1.850 Kotak)
- Ondansetron inj 4 mg/ 2 ml (6.100 Ampul) 6,100 Ampul 1,400.00
- Ondansetron tablet/kapsul/kaplet 8 mg (7.320 7,320 Tablet 6,161.00

Tablet)
- Sealing film / Parafilm 4 in x 125 Ft (5 Pak) 5 Pak 410,400.00
- Kombinasi suspensi : Parafin + Gliserin + Fenoltalein 240 Botol 12,450.00

60 ml (240 Botol)
- PCT 500 mg + NAC 200 mg (3.350 3,350 Tablet 3,122.00

Tablet)
1 2 3 4 5
- Paracetamol infus (260 Vial) 260 Vial 49,500.00
- Paracetamol sirup 120 mg/5 ml 60 ml (106 Botol) 106 Botol 7,500.00
- Paracetamol tablet 500 mg 10 x 10 tablet 98 Kotak 36,000.00

(98 Kotak)

(190 Kotak)
- Devitec (1 Buah) 1 Buah 684,750.00
- Pen needle (510 Pcs) 510 Pcs 3,655.00
- Perfusor Tube (1.275 Buah) 1,275 Buah 40,425.00
- Nano cristalline hidroxyapatite dan ca.sulfat 1 x 6 (5 5 Pcs 2,644,334.00

Pcs)
- PIroksikam kapsul 10 mg 10 x 10 kapsul 6 Kotak 17,500.00

(6 Kotak)
- Piroksikom tablet 20 mg 10 x 10 tablet (2 Kotak) 2 Kotak 47,500.00
- Neocenta Gel (64 Tube) 64 Tube 18,557.00
- Orthopaedic Padding / Bantalan Gyps (55 Pcs) 55 Pcs 30,663.00
- Leukocrepe 3" (147 Box) 147 Box 35,280.00
- IV Catheter (170 Pcs) 170 Pcs 25,757.00
- Iodin povidon obat kumur 100 ml (200 Botol) 200 Botol 25,289.00
- Pramipeksol tablet 0,125mg (24 Dus) 24 Dus 376,881.00
- Pregabain tab 150 mg, 30 tablet (116 Box) 116 Box 439,560.00
- Propiltiourasil tablet 100 mg 100 tablet (114 Botol) 114 Botol 65,785.00
- Propanolol tablet 10 mg (HCI) 10 x 10 340 Kotak 8,470.00

tablet (340 Kotak)
- Gigi tapper Point (5 Pcs) 5 Pcs 64,050.00
- Devitalisasi pasta (non arsen) (1 Gelas) 1 Gelas 710,000.00
- Ramipril tablet 5 mg 10 x 10 tablet (41 Kotak) 41 Kotak 58,300.00
- Ranitidin injeksi 25 mg/2ml (9.200 Ampul) 9,200 Ampul 1,500.00
- Ranitidin tablet 150 mg 10 x 10 tablet (98 Kotak) 98 Kotak 25,275.00
1 2 3 4 5
- Retinol (vitamin A) 200000 IU kapsul lunak 50 kapsul 33 Botol 31,654.00

(33 Botol)
- Rice starch, Maltodextrin, Lactobacillus acidophilus, 1,300 Sachet 8,547.00

Lactobacillus casei, Lactobacillus salivarius,
Bifidobacterium infantis, Bifidobacterium lactis,
Bifidobacterium longum, Lactococcus lactis setara L-
Bio, box, 30 sachet (1.300 Sachet)
- Rifampisin kaplet 600 mg 10 x 10 kaplet 28 Kotak 307,658.00

(28 Kotak)
- Rifampisin kaplet 600 mg 10 x 10 kaplet 20 Kotak 307,658.00
(20 Kotak)
- Riger laktal larutan infus 500ml (43.100 Botol) 43,100 Botol 7,600.00
- Uperio 100mg, box 28 (21 Boks) 21 Boks 444,747.00
- Suprasma HFA Inhaler (28 Box) 28 Box 84,530.00
- Lasal Syr komposisi salbutamol sulfat 2 mg, 49 Botol 55,000.00

Guaifenisin (Gliserilis Guaiacolas) 75 mg (49 Botol)
- Salbutamol tablet 2 mg (sebagai sulfat) 10 x 10 tablet 260 Kotak 10,493.00

(260 Kotak)
- Sarung tangan ortopedi (93 Pcs) 93 Pcs 41,758.00
- Sarung tangan panjang obgyn sterile (305 Pasang) 305 Pasang 49,500.00
- Composite resin (3 Buah) 3 Buah 449,000.00

(2 Botol)
- Sefadroksil Kapsul 500mg 10x10 Kapsul (90 Kotak) 90 Kotak 106,530.00
- Sefazolin injeksi 1 g 2 vial (470 Kotak) 470 Kotak 41,300.00
- Sefiksim sirup kering 100 mg/ 5 ml 30 ml (90 Botol) 90 Botol 30,250.00
- Sefiksim kapsul 100 mg 3 x 10 kapsul 265 Kotak 71,838.00

(265 Kotak)
- Sefotaksim serbuk injeksi 1 g/vial 1 vial (4.000 Kotak) 4,000 Kotak 6,930.00
- Seftazidim injeksi 1 g 2 vial (110 Kotak) 110 Kotak 67,716.00
- Seftriakson serbuk injeksi 1 g/vial 1 vial @ 10 ml 3,280 Kotak 8,594.00

(3.280 Kotak)
- Serun Anti Bisa Ular Injeksi (ABU I) 5 ml (15 Vial) 15 Vial 640,530.00
- Serum Tetanus Injeksi 1500 IU/Ampul 1 ml (93 93 Ampul 165,000.00

Ampul)
- Cetirizin Sirup 5mg/5ml (10 Botol) 10 Botol 10,450.00
- Cetirizine tablet 10 mg 3 x 10 tablet (150 Kotak) 150 Kotak 9,900.00
- Vitamin B12 100 ml (7 Botol) 7 Botol 88,000.00
- Ferriz Drop (147 Botol) 147 Botol 32,258.00
- Solutio Lugol (1 Liter) 1 Liter 100,000.00
- Spalk (65 Pcs) 65 Pcs 83,805.00
- Spalk (32 Pcs) 32 Pcs 83,805.00
- Spalk (11 Pcs) 11 Pcs 83,805.00
1 2 3 4 5
- Spalk (23 Pcs) 23 Pcs 83,805.00

- Spalk (5 Pcs) 5 Pcs 83,805.00
- Spalk (11 Pcs) 11 Pcs 83,805.00
- Spalk (22 Pcs) 22 Pcs 83,805.00
- Spalk (4 Pcs) 4 Pcs 83,805.00
- Spalk (186 Pcs) 186 Pcs 83,805.00
- Spinal Needle 26 (235 Pcs) 235 Pcs 45,711.00
- Spinal Needle 27 (455 Pcs) 455 Pcs 53,778.00
- Spironolakton tablet 25 mg 10 x 10 tablet 60 Kotak 34,637.00

(60 Kotak)
- Spironolakton tablet 100 mg 10 x 10 59 Kotak 105,496.00

tablet (59 Kotak)
- Spongestan/Spon Gelatine (1 Dsn) 1 Dsn 865,260.00
- Plester Transparan Anti Air + Pad (50 Pcs) 50 Pcs 9,650.00
- Suction Catheter No.10 (36 Pcs) 36 Pcs 5,775.00
- Suction Catheter No.12 (1.440 Pcs) 1,440 Pcs 5,775.00
- Suction Catheter No.8 (570 Pcs) 570 Pcs 5,775.00
- Suction Connecting Tube (350 Pcs) 350 Pcs 37,910.00
- Sukralfat susp 500 mg/5 mL (850 Botol) 850 Botol 25,253.00
- Sukralfat 500mg tab (2.000 Tablet) 2,000 Tablet 1,766.00
- Sulfasalazin 500 mg kap, box 100 tab (12 Box) 12 Box 220,000.00
- Surfaktan 25mg/ml Injeksi (2 Vial) 2 Vial 3,655,433.00
- Masker Disposible (box) (478 Box) 478 Box 95,000.00
- Disposable Syinge 10 ml (33.370 Pcs) 33,370 Pcs 1,905.00
- Spuit 20 cc (1 Box) 1 Box 383,000.00
- Syringe Injector 200 ml, Radiologi (29 Pcs) 29 Pcs 297,275.00
- Plester Transparan Anti Air + Pad (1.600 Pcs) 1,600 Pcs 9,650.00
- Teofilin tablet 150 mg 10 x 10 tablet (238 Kotak) 238 Kotak 53,520.00
- Terbutalin tablet 2,5 mg 5 x 10 tablet (18 Kotak) 18 Kotak 4,869.00
- Blood Administration set (1.625 Set) 1,625 Set 23,520.00

- Benang Polypropylne 5/0 (21 Pcs) 21 Pcs 100,590.00
- Thorasic Cather/ Thorac Tube (1 Pcs) 1 Pcs 113,400.00
- Three way slopcock (275 Pcs) 275 Pcs 26,250.00
1 2 3 4 5
- Thiamazole 5 mg (45 Dos) 45 Dos 179,292.00
- Tobramycin + Dexamethasone TM (360 Botol) 360 Botol 39,050.00
- Tramadol tablet 50 mg, kotak isi 100 tab (21 Kotak) 21 Kotak 220,000.00
- Transofix (980 Pcs) 980 Pcs 4,577.00
- Triamcinolone acetonide, 5 gr (35 Tube) 35 Tube 57,750.00
- Triamsinolon inj 10 mg/ml, vial 5 ml (5 Vial) 5 Vial 42,947.00
- Triamcinolon tab 4 mg (1.710 Tablet) 1,710 Tablet 797.00
- Pseudoefedrin HCL 60 mg Triprolidin HCL 2,5mg tab. 12,500 Kotak 1,100.00

isi 60 tab (12.500 Kotak)
- Benang Jahit Catgut Chromic 2-0 (583-51m) (90 90 Lembar 160,310.00

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)

Lembar)
Lembar)

Lembar)

Lembar)
Lembar)

Lembar)
Lembar)
1 2 3 4 5

Lembar)
- Tropicamid TM 1 % (265 Botol) 265 Botol 40,150.00
- Tubing Single (Medela) (1 Pcs) 1 Pcs 503,723.00
- Umbilical venus catheter (30 Buah) 30 Buah 68,850.00
- Umbilical Cord (1 Box) 1 Box 125,000.00
- Umbilical venus catheter (3 Buah) 3 Buah 68,850.00
- Underpad Uk. 60x90 cm, @ 100 buah (15 Kotak) 15 Kotak 880,850.00
- Urine bag (440 Buah) 440 Buah 32,500.00
- Sodium Valproate sirup 250 mg, botol 60ml (36 Dus) 36 Dus 20,000.00
- Valsartan 80 mg (2 Dos) 2 Dos 208,403.00
- Visco sodium hyaluronate 1,4% 0,85 ml (70 Pcs) 70 Pcs 800,000.00
- Vitamin B komplek 10 x 10 tablet (72 Dus) 72 Dus 30,000.00
- Vitamin Neurotropik Injeksi (680 Ampul) 680 Ampul 5,808.00
- Asam askorbat (Vitamin C) tablet 50 mg 1000 tablet 11 Botol 40,000.00

(11 Botol)
- Xylocaine jelly 10 % komposisi Lidokain Jelly 2 %, 10 4 Box 805,000.00

gram, box isi 10 syringe (4 Box)
- Zinc tablet 20 mg 10 x 10 tablet (5 Kotak) 5 Kotak 47,630.00
- Zinc tablet 20 mg 10 x 10 tablet (2 Kotak) 2 Kotak 47,630.00
- K.Wire all size (21 Pcs) 21 Pcs 785,400.00
- Albumin 5% 250 ml botol @250 ml (36 Dus) 36 Dus 1,452,000.00

- Clavicula S-Plate L5 / L6 / L7 / L8 / L9 R/L (60 Pcs) 60 Pcs 1,827,000.00
- 3,5mm Small DCP-Plates 12 holes Length 145mm (8 8 Pcs 1,342,661.00

Pcs)
- 1/3 Tubular Plate L4 / L5 / L6 / L7 / L8 (26 Pcs) 26 Pcs 478,000.00
- 4,5mm DCP Plates, Narrow 7 Holes (3 Pcs) 3 Pcs 1,763,528.00
- 3,5mm Small DCP-Plates 12 holes Length 145mm (6 6 Pcs 1,342,661.00

Pcs)
- 3,5mm Straight Reconstruction Plates 20 Holes (5 5 Pcs 3,508,994.00

Pcs)
- Cancellous screws 6,5 mm Diameter (395 Pcs) 395 Pcs 172,000.00
1 2 3 4 5
- Apron Medis Disposable isi 100 pcs (70 Box) 70 Box 294,030.00
- Bonding (1 Buah) 1 Buah 1,255,000.00
- Asam traneksamat tablet 500 mg, box 100 tablet 4,930 Tablet 3,300.00
(4.930 Tablet)
- Asetazolamid tablet 250 mg 100 tablet (13 Botol) 13 Botol 650,000.00
- Glukosa larutan infus 40% steril 10 ampul @ 25 ml 240 Kotak 35,000.00

(240 Kotak)
- Flixotide Nebules (59 Box) 59 Box 222,551.00
- Petidin injeksi 50 mg/ml 10 ampul (59 Kotak) 59 Kotak 224,030.00
- Petidin injeksi 50 mg/ml 10 ampul (20 Kotak) 20 Kotak 224,030.00
- Kompolax Syrup (580 Botol) 580 Botol 5,915.00
- Salbutamol sulfat 2.5 mg, nebules (755 Ampul) 755 Ampul 22,750.00
- Diazepam tab 2 mg, kotak 100 tablet (720 Kotak) 720 Kotak 20,000.00
- Metronidazol infus 500 mg/100 ml 100 ml (750 Botol) 750 Botol 29,500.00
- Natrium klorida / sodium chloride / NaCl 6,5 mg 37 Botol 47,438.00

setara breathy nasal drop kemasan botol plastik 30 ml
(37 Botol)
- EPINEPHRINE INJEKSI 1 MG/ML 30 11 Kotak 224,153.00

ampul (11 Kotak)
- Oksitetrasiklin spray 200 ml (1 Botol) 1 Botol 190,000.00
- Oksitetrasiklin spray 200 ml (7 Botol) 7 Botol 190,000.00
- Obat batuk flu sirup mengandung Paracetamol 250 6,930 Botol 9,500.00
mg, pseudoephedrine hcl 15 mg, dextrometrophan 7.5
mg, chlorpheniramine maleat 1 mg @60 ml (6.930
Botol)
- Dopamine hidrochloride injeksi 40 mg/ml (118 Dus) 118 Dus 34,342.00
- Water isotonic/ garam fisflab (86 Botol) 86 Botol 99,000.00
- Betametason krim 0,1% (sebagai valerat) 5 gram 2,410 Tube 5,026.00

(2.410 Tube)
- Riger laktal larutan infus 500ml (313 Botol) 313 Botol 7,600.00
1 2 3 4 5
- Gentamisin injeksi 40 mg/ml 5 ampul @ 2ml (36 36 Kotak 17,072.00

Kotak)
- Asam asetilsalisilat tablet 100 mg (asetosal) 10 x 10 1,335 Kotak 11,000.00

tablet (1.335 Kotak)
- Simvastatin tablet 20 mg 3 x 10 tablet 410 Kotak 30,780.00

(410 Kotak)
- Sefazolin injeksi 1 g 2 vial (4 Kotak) 4 Kotak 41,300.00
- Seftazidim injeksi 1 g 2 vial (320 Kotak) 320 Kotak 67,716.00

- Sefotaksim serbuk injeksi 1 g/vial 1 vial (16 Kotak) 16 Kotak 6,930.00
- Cairan Nebulizer (141 Set) 141 Set 63,525.00
- Cairan Nebulizer (2.332 Set) 2,332 Set 63,525.00
- Calcium Carbonat (43 Kg) 43 Kg 75,000.00
- Heparin injeksi 5000 IU/ml (i.v./s.k.) (465 Dus) 465 Dus 346,500.00
- Cliad (600 Tablet) 600 Tablet 3,321.00
- Isivas 10 mg tablet (24 Box) 24 Box 227,273.00
- Lidokain HCL 2 ml (330 Ampul) 330 Ampul 2,479.00
- ID band, bahan vinyl p : 17 cm (3.880 Buah) 3,880 Buah 2,723.00
- Metamizole Na Inj 1 g / 2 ml, box 5 ampul (69 Box) 69 Box 52,250.00
- Natrium bikarbonat tablet 500 mg 1000 tablet (103 103 Botol 14,300.00
Botol)
- Klonidin tablet 0,15 mg 10 x10 tablet (50 Kotak) 50 Kotak 20,500.00
- Klonidin tablet 0,15 mg 10 x10 tablet (852 Kotak) 852 Kotak 20,500.00
- Ramipril 10 mg (420 Box) 420 Box 43,845.00
- Asam askorbat (vitamin C) tablet100 mg, 10x10 1,000 Kotak 5,610.00

tablet (1.000 Kotak)
- Pemeriksaan papsmear (2 Paket) 2 Paket 125,000.00
- Lidokain HCL 2 ml (2.320 Ampul) 2,320 Ampul 2,479.00
1 2 3 4 5
- Obat flu sirup mengandung Paracetamol 250 mg, 140 Botol 8,000.00
pseudoephedrine hcl 15 mg, chlorpheniramine maleat
1 mg @60 ml (140 Botol)
- Lidokain HCL 2 ml (25.400 Ampul) 25,400 Ampul 2,479.00
- Hidroklortiazida tablet 25 mg (25.000 Tablet) 25,000 Tablet 500.00
- Cairan Nebulizer (1.670 Set) 1,670 Set 63,525.00
- Visco sodium hyaluronate 1,4% 0,85 ml (5 Pcs) 5 Pcs 800,000.00
- Fitomenadion (Vit.K) injeksi 10 mg/ml (230 Ampul) 230 Ampul 4,000.00

- Fitomenadion (Vit. K) Tablet 10 (3.400 Tablet) 3,400 Tablet 1,699.00
- Ryzodeg analog insulin mix insulin injeksi 100 IU/ml 1,000 Pcs 112,000.00
Penfill Cartridge (1.000 Pcs)
- Novorapid Flexpen (1.500 Tabung) 1,500 Tabung 187,001.00
- Analog insulin fast acting inj 100 IU/mL, vial/cartridge 1,000 Dus 485,025.00
disposible/penfill cartridge (1.000 Dus)
- Novomix-30 Flexpen (500 Tabung) 500 Tabung 187,001.00
- NaCl 0,9% 1000ml (5.000 Botol) 5,000 Botol 17,600.00
- Matrix Holder (1 Box) 1 Box 330,908.00
- Sarung tangan Handscoon No. 6,5 - 8 (2.000 Pasang) 2,000 Pasang 11,550.00
- Berodual MDI 10ml (500 Box) 500 Box 343,209.00
- Ramipril 10 mg (150 Box) 150 Box 43,845.00

(100 Kotak)
- Meloksikam tablet 7,5 mg 5 x 10 tablet 100 Kotak 34,595.00

(100 Kotak)
- Mekobalamin 500 mcg, 10x10 caps (50 Box) 50 Box 77,000.00
- Ambroxol 30 mg tablet, kotak 10 x 10 200 Kotak 19,510.00

(200 Kotak)
- Ambroxol sirup 15 mg/ml 60 ml (300 Botol) 300 Botol 9,000.00
- Asam folat tablet 1 mg 100 tablet (10.000 Tablet) 10,000 Tablet 356.00
- Allopurinol tablet 100 mg, 10 x 10 tablet 40 Kotak 50,000.00

(40 Kotak)
1 2 3 4 5
- Amoksisilin kaplet 500 mg 10 x 10 kaplet 20 Kaplet 115,000.00

(20 Kaplet)
- Antasida Doen I tablet kunyah Kombinasi 100 Kotak 32,000.00
: Aluminium hidroksida 200 mg+magnesium hidroksida
200 mg 10 x 10 tablet kunyah (100 Kotak)
- Mouth Piece (20 Box) 20 Box 241,500.00
- Tubing Single (Medela) (10 Pcs) 10 Pcs 503,723.00
- Freka Tube (20 Pcs) 20 Pcs 201,213.00
- Circuit ventilator (100 Buah) 100 Buah 234,600.00
- Sefadroksil kapsul 500 mg 5 x 10 kapsul 60 Kotak 73,000.00

(60 Kotak)
- Bupivakain inj 0,50% (P.V) (700 Ampul) 700 Ampul 55,000.00
- Cetirizine tablet 10 mg 3 x 10 tablet (500 Kotak) 500 Kotak 9,900.00
- Bisoprolol tablet 5 mg 3 x 10 tablet (100 Kotak) 100 Kotak 69,650.00
- Bisoprolol 2,5 mg (6 Dos) 6 Dos 877,282.00
- Spuit 20 cc (300 Box) 300 Box 383,000.00
- Antasida Doen II suspensi, kombinasi : Aluminium 500 Botol 9,804.00

hidriksida 200mg/5ml+Magnesium Hidroksida
200mg/5ml, 60 ml (500 Botol)
- Atropin sulfat tetes mata 0,5% 24 btl @ 5 ml (50 50 Kotak 67,216.00

Kotak)
- Barium Sulfat (3 Kg) 3 Kg 1,078,220.00
- Betahistin mesilat tablet 6 mg 3 x 10 30 Kotak 72,600.00

tablet (30 Kotak)
- Channa Kapsul Box @ 3 blister 10 kapsul (300 300 Kapsul 7,326.00

Kapsul)
- Deksametason tablet 0,5 mg 10 x 10 100 Kotak 25,168.00

tablet (100 Kotak)
- Diazepam Enema 5 Mg/2.5 ML (50 Dus) 50 Dus 125,000.00
- Domperidon tablet 10 mg 10 strip x 10 100 Kotak 40,362.00

tablet (100 Kotak)
- Eritromisin 500 mg 10 x 10 kapsul (10 Kotak) 10 Kotak 316,250.00
- Fenitoin kapsul 100 mg 100 kapsul (20 Botol) 20 Botol 115,253.00
- Fenobarbital injeksi i.m/i.v 50 mg/ml 30 ampul @ 1 100 Kotak 56,628.00

ml (100 Kotak)
- Flukonazal tablet 150 mg 10 tablet (15 Kotak) 15 Kotak 220,003.00
- Flunarizin 5 mg, box 100 tab (10 Box) 10 Box 308,000.00
- Furosemid injeksi i.v/i.m 10 mg/ml 5 ampul @ 2 ml 100 Kotak 51,502.00

(100 Kotak)
- Gabapentin tablet/kapsul/kaplet 100 mg (25 Box) 25 Box 169,400.00
- Glimepirid 1 mg (25.000 Tablet) 25,000 Tablet 200.00

- Haloperidol 5mg/ml Injeksi (200 Ampul) 200 Ampul 12,938.00
1 2 3 4 5
- Fartison inj 100 mg komposisi Hidrokortison inj (30 30 Ampul 185,000.00

Ampul)
- Isosorbid Dinitrat Tablet Sublingual 5 mg 10 x 10 100 Box 26,825.00

Tablet (100 Box)
- Potassium Iodida + Sodium Iodide + Vitamin A (100 100 Botol 36,025.00

Botol)
- Candesartan 16 mg (2.000 Tablet) 2,000 Tablet 1,600.00
- Catarlent MD (100 Strip) 100 Strip 22,770.00
- Kotrimoksazol Doen I (dewasa) kombinasi 100 Kotak 26,730.00

: sulfanetoksazol 400 mg+Trimettoprin 80
mg 10 x 10 tablet (100 Kotak)
- Latanoprost + Timolol maleat TM, (0,6ml@5''''s 40 Dos 105,463.00

minidose) (40 Dos)
- Loratadin tablet 10 mg 5 x 10 tablet (200 Kotak) 200 Kotak 16,654.00
- Magnesium sulfat injeksi (IV) 20%-25 ml 10 vial (100 100 Kotak 32,000.00
Kotak)
- Metamizole Na Inj 1 g / 2 ml, box 5 ampul (100 Box) 100 Box 52,250.00
- Metilprednisolon injeksi 500 mg 1 vial (80 Kotak) 80 Kotak 83,025.00
- Momethason krim 0,1% 10 gram (100 Tube) 100 Tube 22,275.00
- Multivitamin Syr: Vitamin A 5000 iu, vitamin B1 3 mg, 100 Botol 41,745.00
vitamin B2 2 mg, vitamin B6 6 mg, vitamin B12 5 mcg,
vitamin C 50 mg, vitamin D 400 mg, nicotinamide 20
mg, lusine HCL 250 mg. (100 ml) (100 Botol)
- Natamycin TM (0,6ml@5''''s minidose) (100 Dos) 100 Dos 45,788.00
- Natrium diklofenak tablet 25 mg 5 x 10 800 Kotak 8,384.00

tablet (800 Kotak)
- Mono P (1.1,3.3, Tetra Methyl Buthyl Phenoxy 100 Botol 58,025.00

Polyethylene Glycol 603) + Polyethylene glycol 600 +
Dhymethyl Polysiloxan TM 5 ml (100 Botol)
- Polimiksin, Neomisin, Deksametason Tetes Mata, 5 ml 100 Botol 25,850.00

(100 Botol)
- Omeprazole kapsul 20 mg 3 x 10 kapsul 100 Kotak 23,588.00

(100 Kotak)
- Paracetamol drops 15 ml (1.000 Botol) 1,000 Botol 6,857.00
- Pilocarpin tetes mata 2% (HCI/Nitrat) 5 ml (100 100 Botol 28,800.00

Botol)
- Pirantel Tab. ScoRed (Base) 125mg 10x10 Tablet 50 Box 92,541.00

Score (50 Box)
- Piracetam injeksi 1 g/5 ml 10 ampul (100 Kotak) 100 Kotak 55,000.00
- Piracetam tablet 800 mg 5 x 10 tablet (20 Kotak) 20 Kotak 264,000.00
- POLIETHILEN GLIKOL (3 Dus) 3 Dus 1,377,025.00
- Polimiksin B sulfat 1.000.000 IU; Neomisin sulfat 0,5 100 Botol 49,500.00
g; Fludrokortison asetat 0,1 g; lidokain HCl 4g; air;
propilen glikol; gliserin TT (100 Botol)
- Pot salep (1.000 Pcs) 1,000 Pcs 5,500.00
1 2 3 4 5
- Noroid komposisi aqua, glycerin, butylene glycol, 20 Tube 210,000.00

myristoyl/palmitoyl oxostearamide/arahamide MEA,
PEG-15 glyceryl stearate, vitis vinifera seed oil, glyceryl
stearate, cetearyl alcohol, sodium lactate, dll (20 Tube)
- Salbutamol sulfat 2.5 mg, nebules (100 Ampul) 100 Ampul 22,750.00
- Sendok Obat (10.000 Pcs) 10,000 Pcs 286.00
- Simvastatin tablet 20 mg 3 x 10 tablet 100 Kotak 30,780.00

(100 Kotak)
- Simvastatin tablet 10 mg 3 x 10 tablet 1,000 Kotak 5,940.00

(1.000 Kotak)
- Aragan inj Sodium Hyaluronat (10 Ampul) 10 Ampul 600,000.00
- Obat batuk hitam (OBH) cairan rasa mint jeruk nipis 800 Botol 8,601.00
mengandung : succus liquiritiae 166,7 mg, amonium
chlorida 100 mg, SASA 100 mg 100 ml (800 Botol)
- Plester Transparan Anti Air + Pad (700 Pcs) 700 Pcs 9,650.00
- Timol 0,5 % 0,6 ml MD (100 Strip) 100 Strip 44,074.00
- Triheksifenidil tabel 2 mg 10 x 10 tablet 100 Kotak 50,800.00

(100 Kotak)
Belanja Pengelolaan Darah PMI
- Pengelolaan darah PMI (700 Rupiah) 700 Rupiah 360,000.00
Belanja Obat-Obatan-Obat (Perencanaan)
- Thermal Roll (264 Roll) 264 Roll 30,000.00
- Plastik Klip 20 x 12 (350 Pak) 350 Pak 10,000.00
- Klip 10 x 15 (79 Pack) 79 Pack 85,000.00
- Kertas puyer berlogo (2 Box) 2 Box 5,073,750.00
Belanja Obat-Obatan-Obat (Gizi)
- Plastik Wrap Roll (6 Roll) 6 Roll 290,580.00
Belanja Obat-Obatan-Obat (Penunjang Non Medik)
- Baby oil (1 Buah) 1 Buah 20,070.00

- Selang dental unit (5 Unit) 5 Unit 145,200.00
5.1.2.99.99.9999.37 Belanja Natura dan Pakan-Natura
Belanja Natura dan Pakan Natura (Gizi)
- Bayam (237 Kg) 237 Kg 18,000.00
- Buncis (309 Kg) 309 Kg 18,000.00
- Brokoli (128 Kg) 128 Kg 30,450.00
- Cabai Merah (7 Kg) 7 Kg 72,000.00
- Daun Kemangi (7 Kg) 7 Kg 55,000.00
- Enthik (157 Kg) 157 Kg 6,600.00
- Jagung Muda (224 Kg) 224 Kg 16,500.00
- Jagung Manis (460 Kg) 460 Kg 11,000.00
- Jamur Tiram (24 Kg) 24 Kg 26,000.00
- Jamur Putih Kering (12 Kg) 12 Kg 235,500.00
1 2 3 4 5
- Jamur Kuping (7 Kg) 7 Kg 249,515.00
- Kacang Panjang (230 Kg) 230 Kg 15,600.00
- Kacang Kapri (12 Kg) 12 Kg 101,000.00
- Kelapa Parut (85 Kg) 85 Kg 13,000.00
- Kelapa Muda (182 Buah) 182 Buah 13,500.00
- Kembang Kol (24 Kg) 24 Kg 23,100.00
- Kentang (854 Kg) 854 Kg 24,940.00
- Ketimun (278 Kg) 278 Kg 10,000.00
- Kol Putih (24 Kg) 24 Kg 15,000.00
- Labu Kuning (218 Kg) 218 Kg 23,500.00
- Labu Siam (503 Kg) 503 Kg 12,180.00
- Loncang (36 Kg) 36 Kg 24,000.00
- Oyong (145 Kg) 145 Kg 11,000.00
- Buah Pepaya Muda (67 Kg) 67 Kg 7,500.00
- Sawi Hijau (19 Kg) 19 Kg 18,000.00
- Sawi PUtih (31 Kg) 31 Kg 15,000.00
- Seledri (19 Kg) 19 Kg 30,000.00
- Jembak (79 Kg) 79 Kg 14,000.00
- Daun selada (3 Kg) 3 Kg 48,000.00
- Selasih (3 Kg) 3 Kg 165,000.00
- Sukun (12 Kg) 12 Kg 14,500.00
- Tauge (43 Kg) 43 Kg 16,000.00
- Terong (109 Kg) 109 Kg 8,800.00

- Tomat (73 Kg) 73 Kg 21,000.00
- Wortel (1.773 Kg) 1,773 Kg 40,000.00
- Buah Anggur (254 Kg) 254 Kg 63,500.00
- Buah Apel (67 Kg) 67 Kg 42,000.00
- Buah Cerry (12 Bks) 12 Bks 18,000.00
- Buah Jambu Biji (5 Kg) 5 Kg 15,000.00
- Buah Jeruk Siam (980 Kg) 980 Kg 31,500.00
- Buah Kiwi (1 Kg) 1 Kg 63,000.00
- Buah Melon (649 Kg) 649 Kg 19,000.00
- Buah Pepaya (847 Kg) 847 Kg 20,000.00
- Buah Pisang Ambon (9.186 Buah) 9,186 Buah 3,300.00
- Buah Pisang Mas (2.700 Buah) 2,700 Buah 2,118.00
- Buah Pisang Raja (762 Buah) 762 Buah 4,500.00
- Buah Pear (73 Kg) 73 Kg 50,000.00
- Buah Pisang Kepok (2.190 Buah) 2,190 Buah 2,500.00
- Buah Semangka (847 Kg) 847 Kg 13,000.00
- Buah Strawberi (2 Kg) 2 Kg 140,500.00
- Asam Jawa (7 Kg) 7 Kg 26,500.00
1 2 3 4 5
- Bawang Merah (164 Kg) 164 Kg 54,000.00
- Bawang Putih (145 Kg) 145 Kg 66,000.00
- Bawang bombay (73 Kg) 73 Kg 50,000.00
- Daun Pandan (7 Kg) 7 Kg 33,000.00
- Daun Salam (7 Kg) 7 Kg 20,000.00
- Daun Jeruk Purut (3 Kg) 3 Kg 50,500.00
- Daun Pisang (194 Lembar) 194 Lembar 7,500.00
- Jahe (33 Kg) 33 Kg 59,000.00
- Jeruk Nipis (7 Kg) 7 Kg 29,500.00
- Kunyit (12 Kg) 12 Kg 18,000.00
- Kencur (7 Kg) 7 Kg 95,000.00
- Kunci (7 Kg) 7 Kg 20,000.00
- Lengkuas (33 Kg) 33 Kg 22,500.00
- Sereh (44 Kg) 44 Kg 10,500.00
- Keluwak (12 Kg) 12 Kg 40,000.00
- Jinten (1 Kg) 1 Kg 105,000.00
- Daging Ayam Broiler (3.014 Kg) 3,014 Kg 52,530.00
- Daging Ayam Kampung (28 Kg) 28 Kg 65,500.00

- Daging Sapi (358 Kg) 358 Kg 170,208.00
- Iga Sapi (19 Kg) 19 Kg 99,000.00
- Ikan Nila Filet (726 Kg) 726 Kg 119,000.00
- Telur Ayam Negeri (1.793 Kg) 1,793 Kg 46,350.00
- Ubi Jalar (19 Kg) 19 Kg 7,200.00
- Kayu Manis (1 Kg) 1 Kg 99,000.00
- Ketumbar (6 Kg) 6 Kg 52,500.00
- Merica (28 Ons) 28 Ons 15,000.00
- Kemiri (12 Kg) 12 Kg 89,500.00
- Roti Tawar (187 Bks) 187 Bks 19,200.00
- Bandeng (187 Ekor) 187 Ekor 9,000.00
- Bakso Sapi (19 Bks) 19 Bks 150,000.00
- Putih Telur (336 Bks) 336 Bks 37,500.00
- Nuget Ayam (11 Bks) 11 Bks 33,000.00
- Sosis Sapi (44 Bks) 44 Bks 48,000.00
- Sosis Ayam (20 Bks) 20 Bks 34,485.00
- Telur Puyuh (4.510 Buah) 4,510 Buah 750.00
- Tempe Iris (2.420 Bks) 2,420 Bks 10,500.00
- Tempe Kripik (24 Kg) 24 Kg 50,000.00
- Tahu mentah (30.525 Buah) 30,525 Buah 750.00
- Singkong Keju (30 Bks) 30 Bks 29,355.00
- Kulit Pangsit (15 Bks) 15 Bks 41,140.00
- Beras giling (3.600 Kg) 3,600 Kg 16,000.00
1 2 3 4 5
- Garam Halus (5 Pak) 5 Pak 30,000.00
- Garam bata (50 Bks) 50 Bks 27,500.00
- Abon sapi (3 Kg) 3 Kg 200,700.00
- Agar - agar / Sachet (360 Sachet) 360 Sachet 4,159.00
- Baking Powder (12 Kg) 12 Kg 6,000.00
- Biskuit Choco chip (50 Bks) 50 Bks 19,500.00
- Biskuit Pie (50 Bks) 50 Bks 10,800.00
- Cokelat Blok (8 Buah) 8 Buah 41,585.00
- Cokelat Bubuk (25 Bks) 25 Bks 31,000.00
- Garam Rendah Natrium (15 Bks) 15 Bks 34,500.00
- Gula Jawa (270 Kg) 270 Kg 25,500.00
- Gula Jawa Rendah Kalori (130 Botol) 130 Botol 84,100.00
- Gula Pasir (500 Kg) 500 Kg 20,250.00

- Kacang Hijau (70 Kg) 70 Kg 30,500.00
- Kacang Merah (10 Kg) 10 Kg 48,500.00
- Kacang Tanah (10 Kg) 10 Kg 45,500.00
- Kacang Tholo (65 Kg) 65 Kg 26,000.00
- Kecap Manis (100 Bks) 100 Bks 28,000.00
- Kecap Manis DM (65 Botol) 65 Botol 43,672.00
- Keju Batangan (120 Bks) 120 Bks 31,000.00
- Keju Slice (70 Bks) 70 Bks 12,900.00
- Kembang Tahu (2 Kg) 2 Kg 181,000.00
- Krupuk Udang (10 Kg) 10 Kg 34,655.00
- Madu (5 Botol) 5 Botol 68,200.00
- Macaroni (50 Kg) 50 Kg 44,355.00
- Margarine (240 Bks) 240 Bks 11,000.00
- Mayonaise (90 Bks) 90 Bks 7,000.00
- Meses (120 Bks) 120 Bks 24,600.00
- Mie Jagung (100 Bks) 100 Bks 10,000.00
- Mie Telur (24 Bks) 24 Bks 14,000.00
- Miesoa (40 Bks) 40 Bks 27,500.00
- Minyak Goreng Kemasan 2 Liter (150 Bks) 150 Bks 39,500.00
- Ovalet (10 Kg) 10 Kg 104,000.00
- Pasta Pandan (20 Bks) 20 Bks 8,400.00
- Pemanis Rendah Kalori (40 Bks) 40 Bks 161,000.00
- Pewarna Makanan (30 Botol) 30 Botol 4,800.00
- Rumput laut panggang (Nori) 5 g (60 Bks) 60 Bks 12,000.00
- Roti Mari (50 Bks) 50 Bks 31,350.00
- Sagu Mutiara (40 Bks) 40 Bks 84,500.00
- Santan Cair Kotak (60 Dus) 60 Dus 291,000.00
- Saos (20 Botol) 20 Botol 20,000.00
1 2 3 4 5
- Saos Terriyaki (10 Botol) 10 Botol 24,500.00
- Saos Tiram (70 Botol) 70 Botol 25,000.00
- Selai Diabetes Melitus (50 Botol) 50 Botol 92,500.00
- Selai Sarikaya (100 Botol) 100 Botol 59,998.00
- Selai Roti (50 Bks) 50 Bks 90,145.00
- Sirup (24 Botol) 24 Botol 27,600.00
- Teh (30 Pak) 30 Pak 46,000.00
- Tepung Beras (500 Bks) 500 Bks 10,500.00

- Tepung Ketan (10 Kg) 10 Kg 13,000.00
- Tepung Maizena (10 Kg) 10 Kg 22,000.00
- Tepung Pangko (16 Pak) 16 Pak 27,000.00
- Tepung panir (120 Pak) 120 Pak 27,000.00
- Tepung Pati (30 Kg) 30 Kg 22,000.00
- Tepung tapioka (20 Bks) 20 Bks 8,400.00
- Tepung Terigu Protein Sedang (180 Kg) 180 Kg 15,000.00
- Terasi (10 Pak) 10 Pak 25,000.00
- Wafer (30 Bks) 30 Bks 6,000.00
- Makanan Enteral Anak (20 Bks) 20 Bks 88,500.00
- Makanan Enteral Khusus Diabetes (912 Bks) 912 Bks 70,040.00
- Makanan Enteral Khusus GAngguan Fungsi Hati 72 Bks 151,000.00

dangan BCAA (72 Bks)
- Makanan Enteral Malnutrisi (12 Box) 12 Box 307,455.00
- Makanan Enteral Rendah Protein (120 Bks) 120 Bks 97,850.00
- Makanan enteral gangguan paru (12 Bks) 12 Bks 83,000.00
- Makanan Enteral Nutrisi Harian (300 Bks) 300 Bks 185,400.00
- Makanan Enteral Tinggi Kalsium (336 Bks) 336 Bks 49,955.00
- Makanan Enteral Tinggi Protein (48 Bks) 48 Bks 108,150.00
- Susu 0-6 bulan (10 Bks) 10 Bks 41,200.00
- Susu BBLR (Bayi berat lahir rendah) (10 Bks) 10 Bks 60,500.00
- Susu Bubuk (48 Kg) 48 Kg 145,200.00
- Susu Full Cream (24 Bks) 24 Bks 129,008.00
- Susu LLM (Low Lactose Milk) (24 Bks) 24 Bks 62,264.00
- Susu Skim Bubuk (72 Bks) 72 Bks 54,178.00
- Susu kental manis 6 sachet x 37 gr (35 Set) 35 Set 23,000.00
- Wijen (2 Kg) 2 Kg 75,000.00
- Air Mineral Gelas 240 ml (480 Gelas) 480 Gelas 1,125.00
- Air Mineral Botol 330 ml (2.400 Botol) 2,400 Botol 2,850.00
- Yeast (10 Bks) 10 Bks 21,000.00
- Kertas Roti (150 Lembar) 150 Lembar 2,500.00
1 2 3 4 5
Belanja Natura dan Pakan - Natura (Umpeg)
- Ekstra Fooding Tenaga Kesehatan (Snack) (36.500 36,500 Orang/hari 10,000.00

Orang x 1 hari)
- Ekstra Fooding Tenaga Kesehatan (Nasi Box) (12.400 12,400 Orang/hari 22,000.00
Orang x 1 hari)
Belanja Natura dan Pakan Natura (Gizi- Yanbik)
- Air Mineral Gelas 240 ml (14.400 Gelas) 14,400 Gelas 1,125.00
Belanja Natura dan Pakan - Natura (Penunjang Non

Medik)
- Air Mineral Galon (3.500 Buah) 3,500 Buah 29,000.00
- Kopi Bubuk (48 Bks) 48 Bks 16,200.00
5.1.2.99.99.9999.46 Belanja Makanan dan Minuman Rapat
Belanja Makanan dan Minuman Rapat (PP- PPHK)
- Satuan Biaya Konsumsi Rapat Biasa, Makan 10,000 Orang 38,000.00

(Termasuk Minuman), Jawa Tengah (10.000 Orang)
- Satuan Biaya Konsumsi Rapat Biasa, Snack/Kudapan 10,000 Orang 15,000.00

(Termasuk Minuman), Jawa Tengah (10.000 Orang)
5.1.2.99.99.9999.66 Honorarium Narasumber atau Pembahas, Moderator,

Pembawa Acara, dan Panitia
Honorarium Narasumber atau Pembahas, Moderator,

Pembawa Acara dan Panitia (PP- PPHK)
- Honorarium Narasumber/Pembahas, Kepala Daerah/ 41 Orang/Jam 1,400,000.00

Pejabat Setingkat Kepala Daerah/Pejabat
Daerah/Pejabat Daerah Lain yang disetarakan (41
Orang x 1 Jam)
- Honorarium Narasumber/Pembahas, Pejabat Eselon 5 Orang/Jam 1,000,000.00

II yang disetarakan (5 Orang x 1 Jam)
- Honorarium Narasumber/Pembahas, Pejabat Eselon 10 Orang/Jam 900,000.00

III ke bawah/ yang disetarakan (10 Orang x 1 Jam)
5.1.2.99.99.9999.82 Belanja Jasa Tenaga Kebersihan
Belanja Jasa Tenaga Kebersihan (Cleaning Service)
- Outsourcing Jasa Tenaga Kebersihan RSUD dan 429 Orang/bulan 3,879,203.00

kelengkapannya (429 Orang x 1 bulan)
5.1.2.99.99.9999.83 Belanja Jasa Tenaga Keamanan
Belanja Jasa Tenaga Keamanan
- Outsourcing Jasa Tenaga Keamanan RSUD dan 385 Orang/bulan 3,769,131.00

kelengkapannya (385 Orang x 1 bulan)
5.1.2.99.99.9999.88 Belanja Jasa Juri Perlombaan/Pertandingan
Belanja Jasa Juri Perlombaan/Pertandingan (PP-PPHK)
- Honorarium juri seni (lokal) (3 Org) 3 Org 1,000,000.00
5.1.2.99.99.9999.95 Belanja Jasa Pelayanan Kearsipan
Belanja Jasa Pelayanan Kearsipan

- Biaya Penyimpanan arsip box besar (4.500 Boks) 4,500 Boks 5,940.00
1 2 3 4 5
- Biaya Penyimpanan arsip box standart (4.500 Boks) 4,500 Boks 3,960.00
5.1.2.99.99.9999.98 Belanja Jasa Kontribusi Asosiasi
Belanja Jasa Kontribusi/Asosiasi (PP-PPHK)
- Iuran Arsada/Persi (1 Tahun) 1 Tahun 25,000,000.00
5.1.2.99.99.9999.100 Belanja Jasa Kalibrasi
Belanja Jasa Kalibrasi (Penunjang Non Medik)
- Kalibrasi ENT Unit (1 Unit) 1 Unit 546,150.00
- Kalibrasi CPAP (3 Unit) 3 Unit 832,700.00
- Kalibrasi Timbangan Laundry (1 Unit) 1 Unit 601,150.00
- Kalibrasi Bedside Monitor (36 Unit) 36 Unit 827,750.00
- Kalibrasi Autoclave (3 Unit) 3 Unit 906,950.00
- Kalibrasi Electrosurgery Unit (5 Unit) 5 Unit 948,200.00
- Kalibrasi Slit Lamp (1 Unit) 1 Unit 700,000.00
- Kalibrasi Thermohygrometer (16 Unit) 16 Unit 604,450.00
- Kalibrasi CT-Scan (1 Unit) 1 Unit 3,377,550.00
- Kalibrasi Baby Incubator (13 Unit) 13 Unit 975,700.00
- Kalibrasi Timbangan Analitik (2 Unit) 2 Unit 707,300.00
- Kalibrasi Anesthesi Unit (5 Unit) 5 Unit 1,309,000.00
- Kalibrasi Tonometri (1 Unit) 1 Unit 500,000.00
- Kalibrasi CTG (4 Unit) 4 Unit 423,500.00
- Kalibrasi Xray General Purpose (1 Unit) 1 Unit 2,264,900.00
- Kalibrasi Pulse Oximeter (16 Unit) 16 Unit 512,600.00
- Kalibrasi Infant Warmer (9 Unit) 9 Unit 825,000.00
- Kalibrasi Electrocardiograph (ECG) (12 Unit) 12 Unit 965,800.00
- Kalibrasi Medical Refrigerator (4 Unit) 4 Unit 858,000.00
- Kalibrasi Defibrillator (3 Unit) 3 Unit 653,950.00
- Kalibrasi Dental Unit (2 Unit) 2 Unit 509,300.00
- Kalibrasi Timbangan Sanitasi (2 Unit) 2 Unit 601,150.00
- Kalibrasi Cold Chain (2 Unit) 2 Unit 858,000.00
- Kalibrasi Autorefraktometer (1 Unit) 1 Unit 650,000.00
- Kalibrasi Infusion Pump (37 Unit) 37 Unit 791,450.00
- Kalibrasi Nebulizer (20 Unit) 20 Unit 517,000.00
- Kalibrasi InfraRed Therapy (8 Unit) 8 Unit 522,500.00

- Kalibrasi Timbangan Dewasa (20 Unit) 20 Unit 536,250.00
- Kalibrasi Timbangan Gizi (5 Unit) 5 Unit 601,150.00
- Kalibrasi Sphygmomanometer / tensimeter (26 Unit) 26 Unit 511,500.00
- Kalibrasi Ventilator (9 Unit) 9 Unit 1,106,600.00
- Kalibrasi Suction Pump (12 Unit) 12 Unit 388,300.00
- Kalibrasi Syringe pump (32 Unit) 32 Unit 795,850.00
1 2 3 4 5
- Kalibrasi Timbangan Bayi (8 Unit) 8 Unit 463,650.00
- Kalibrasi Ultrasonograph (USG) (7 Unit) 7 Unit 658,350.00
- Kalibrasi Mobile X-Ray (1 Unit) 1 Unit 2,206,589.00
- Kalibrasi Panoramic X-Ray (1 Unit) 1 Unit 2,429,521.00
- Kalibrasi Phototerapy (7 Unit) 7 Unit 573,689.00
- Kalibrasi Traction Unit (1 Unit) 1 Unit 659,104.00
- Kalibrasi Treadmill + ECG (1 Unit) 1 Unit 629,921.00
- Kalibrasi Electric Simulator (4 Unit) 4 Unit 878,625.00
- Kalibrasi Ultrasoundthrapy (UST) (3 Unit) 3 Unit 847,077.00
- Kalibrasi Echocardiograph (1 Unit) 1 Unit 1,111,363.00
- Kalibrasi EEG (1 Unit) 1 Unit 887,117.00
- Kalibrasi Short Wave Diathermy (SWD) (1 Unit) 1 Unit 788,574.00
- Kalibrasi Fetal doppler (4 Unit) 4 Unit 590,167.00
- Riksa Uji Fire Alarm Sistem (1 Unit) 1 Unit 4,312,500.00
- Riksa Uji Genset (2 Unit) 2 Unit 4,025,000.00
- Riksa Uji Instalasi Listrik (4 Rupiah) 4 Rupiah 1,500,000.00
- Riksa Uji Lift Autoclave/Bejana Tekan (3 Unit) 3 Unit 3,450,000.00
- Riksa Uji Lift Penumpang (1 Unit) 1 Unit 3,450,000.00
- Riksa Uji Penyalur Petir (2 Unit) 2 Unit 2,875,000.00
- Riksa Uji Proteksi Kebakaran/Hidrant (1 Unit) 1 Unit 5,750,000.00
5.1.2.99.99.9999.101 Belanja Jasa Pengolahan Sampah
Belanja Jasa Pengolahan Sampah (Penunjang Non

Medik)
- Jasa pelayanan Persampahan / kebersihan Rumah 12 Bulan 160,000.00

Sakit (12 Bulan)
5.1.2.99.99.9999.102 Belanja Jasa Pembersihan, Pengendalian Hama, dan

Fumigasi
Belanja Jasa Pembersihan, Pengendalian Hama, dan

Fumigasi (Penunjang Non Medik)
- Jaspel Pemusnahan limbah medis padat (47.150 Kg) 47,150 Kg 12,100.00
- Pemusnahan lampu (150 Kg) 150 Kg 300,000.00
- Jaspel Pest Control (12 Bulan) 12 Bulan 5,600,000.00
- Termite Control (500 M2) 500 M2 60,000.00
5.1.2.99.99.9999.104 Belanja Jasa Iklan/Reklame, Film, dan Pemotretan
Belanja Jasa Iklan/Reklame, Film, dan Pemotretan (PP-

PPHK)
- Jasa Peliputan Dokumentasi 6 jam (5 Kegiatan) 5 Kegiatan 5,000,000.00
- Paket Iklan Media Cetak (4 Paket) 4 Paket 15,000,000.00
- Paket Iklan Media Online (18 Paket) 18 Paket 2,500,000.00
- Talk Show Orasi RSPD (4 Tayang) 4 Tayang 500,000.00
1 2 3 4 5
- Spot 30 menit iklan - Still store 30 menit, Jam 16.00 - 4 Tayang 200,000.00
13.00 silver II (4 Tayang)
5.1.2.99.99.9999.105 Belanja Tagihan Telepon
Belanja Tagihan Telepon
- Jasa Telepon (50.000 Rupiah) 50,000 Rupiah 1,000.00
5.1.2.99.99.9999.106 Belanja Tagihan Air
Belanja Tagihan Air
- Jasa Air (295.000 Rupiah) 295,000 Rupiah 1,000.00
5.1.2.99.99.9999.107 Belanja Tagihan Listrik
Belanja Tagihan Listrik
- Jasa Listrik (8.935.000 Rupiah) 8,935,000 Rupiah 1,000.00
5.1.2.99.99.9999.109 Belanja Kawat/Faksimili/Internet/TV Berlangganan
Belanja Kawat/Faksimili/Internet/TV Berlangganan

(HK-PPHK)
- Langganan internet (360.000 Rupiah) 360,000 Rupiah 1,000.00
- Hosting (2 Paket) 2 Paket 3,000,000.00
- Sewa Cloud (180.000 Rupiah) 180,000 Rupiah 1,000.00
5.1.2.99.99.9999.125 Belanja Sewa Kendaraan Bermotor Penumpang
Belanja Sewa Kendaraan Bermotor Penumpang (PP-

PPHK)
- Mobil Hias (1 Paket) 1 Paket 48,400,000.00
- Sewa kendaraan (5.000 Rupiah) 5,000 Rupiah 1,000.00
5.1.2.99.99.9999.156 Belanja Sewa Peralatan Bengkel Khusus Peladam
Belanja Sewa Peralatan Bengkel Khusus Peladam -

Penunjang Non Medik
- Palu Besar (2 Buah) 2 Buah 62,500.00
5.1.2.99.99.9999.186 Belanja Sewa Mebel
Belanja Sewa Meja/Kursi (Umpeg)
- Sewa Meja + taplak VIP (50 Buah) 50 Buah 50,000.00
- Sewa Meja + Taplak (200 Buah) 200 Buah 5,000.00
- Sewa kursi (500 Buah) 500 Buah 1,500.00
- Sewa Kursi VIP (155 Buah) 155 Buah 10,000.00
- Sewa Kursi lipat (450 Buah) 450 Buah 2,000.00
5.1.2.99.99.9999.191 Belanja Sewa Alat Rumah Tangga Lainnya (Home Use)
Belanja Sewa Alat Rumah Tangga Lainnya (Home Use)

- (PP-PPHK)
- Sewa Deklit Panggung (30 Set) 30 Set 250,000.00
- Sewa Deklit Plafon VIP (30 Set) 30 Set 400,000.00
- Sewa Kursi VIP (1.000 Buah) 1,000 Buah 10,000.00
- Sewa Dekorasi (50 Set) 50 Set 200,000.00
- Sewa Meja + taplak VIP (50 Buah) 50 Buah 50,000.00
- Tenda Sarnavil (4 Unit) 4 Unit 1,210,000.00
1 2 3 4 5
- Kamera 3 video shooting (1 Paket) 1 Paket 5,445,000.00
- Sewa sound system Pentas Musik (2 Set) 2 Set 17,500,000.00
- Paket Lighting (4 Paket) 4 Paket 1,210,000.00
- Sewa Panggung dan Rigging (10 x 12) (1 Paket) 1 Paket 30,250,000.00
- Sound System 30.000 watt (1 Paket) 1 Paket 30,250,000.00
- Sewa Barikade (55 Meter) 55 Meter 125,000.00
5.1.2.99.99.9999.353 Belanja Sewa Peralatan Personal Computer
Belanja Sewa Peralatan Personal Computer (Umpeg)
- Sewa Printer (1.225 Hari) 1,225 Hari 250,000.00
5.1.2.99.99.9999.435 Belanja Sewa Bangunan Gedung Kantor
Belanja Sewa Gedung/Kantor/Tempat (Umpeg)
- Sewa Gedung pertemuan (2 Unit) 2 Unit 750,000.00
5.1.2.99.99.9999.474 Belanja Sewa Alat Musik
Belanja Sewa Alat Musik (PP-PPHK)
- Sewa Alat Band (1 Paket) 1 Paket 6,050,000.00
5.1.2.99.99.9999.476 Belanja Sewa Alat Peraga Kesenian
Belanja Sewa Alat Peraga Kesenian (PP- PPHK)

- Sewa Kostum penari Tk. Kabupaten (50 Orang) 50 Orang 150,000.00
- Sewa Pakaian adat (50 Buah) 50 Buah 200,000.00
5.1.2.99.99.9999.497 Belanja Jasa Konsultansi Berorientasi Bidang-Keuangan
Biaya Administrasi Bank
- Biaya administrasi Bank (500 Bulan) 500 Bulan 10,000.00
Jasa Akuntan Publik/ Pengawasan Internal
- Jasa Akuntan Publik RSUD (1 Paket) 1 Paket 67,500,000.00
Jasa Asuransi Profesi Dokter
- Premi Asuransi (250.000 Rupiah) 250,000 Rupiah 1,000.00
5.1.2.99.99.9999.499 Belanja Jasa Konsultansi Berorientasi Bidang-Kesehatan
Jasa Pelayanan Rumah Sakit
- Jasa Pelayanan Rumah Sakit (25.600.109 Rupiah) 25,600,109 Rupiah 1,000.00
KSO Pelayanan Hemodialisa
- Jasa Hemodialisa (1.500.000 Rupiah) 1,500,000 Rupiah 1,000.00
Rujukan ke RS Lain
- Rujukan ke RS Lain (150.000 Rupiah) 150,000 Rupiah 1,000.00
Belanja Jasa Konsultansi Berorientasi Bidang-Kesehatan

- Jasa Pengujian Angka Kuman Udara (35 Sampel) 35 Sampel 66,000.00
- Jasa Pengujian Angka Kuman Usap Lantai (35 35 Sampel 212,300.00

Sampel)
1 2 3 4 5
- Jasa Pengujian Angka Kuman Usap Dinding (35 35 Sampel 66,000.00

Sampel)
- Jasa Pengujian Angka Kuman Usap Alat Makan / 12 Sampel 66,000.00

Linen (12 Sampel)
- Jasa Pengujian Rectal Swap (6 Sampel) 6 Sampel 261,800.00
- Jasa Pengujian Sampel Makanan & Minuman (E. coli) 6 Sampel 96,800.00
(6 Sampel)
- Jasa Pengujian Udara Ambient (12 Sampel) 12 Sampel 521,400.00
- Jasa Pengujian Emisi Gas Cerobong Genset (6 6 Sampel 319,000.00

Sampel)
- Jasa Pengujian Getaran dan Kebisingan (4 Sampel) 4 Sampel 473,000.00
- Jasa Petugas Pengujian Angka Kuman (100 Orang) 100 Orang 572,000.00
/kegiatan
- Jasa Pengujian Fisika Kimia Air Limbah (120 Rupiah) 120 Rupiah 129,800.00
- Jasa Pengujian Mrikrobiologi Air Limbah (12 Rupiah) 12 Rupiah 84,700.00
- Jasa Pengujian Fisika Kimia Air Bersih (16 Rupiah) 16 Rupiah 973,500.00
- jasa Pengujian Mrikrobiologi Air Bersih (24 Rupiah) 24 Rupiah 181,500.00
Jasa Laboratorium
- Jasa Laboratorium (6.000.000 Rupiah) 6,000,000 Rupiah 1,000.00
5.1.2.99.99.9999.501 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa

Studi Penelitian dan Bantuan Teknik
Belanja Jasa Konsultansi Dokumen Perencanaan
- Jasa Konsultansi Penelitian di bawah Rp 100.000.000 100,000 Rupiah 1,000.00

(100.000 Rupiah)
5.1.2.99.99.9999.503 Belanja Jasa Konsultansi Berorientasi Layanan-Jasa

Khusus
Belanja Jasa Konsultansi Berorientasi Layanan - Jasa

Khusus
- Software/Aplikasi (660.000 Rupiah) 660,000 Rupiah 1,000.00
5.1.2.99.99.9999.507 Belanja Diklat Kepemimpinan
Belanja Diklat Kepemimpinan (PP-PPHK)
- Kontribusi Diklat Teknis (100 Per Orang) 100 Per Orang 4,500,000.00
5.1.2.99.99.9999.525 Belanja Pemeliharaan Alat Angkutan-Alat Angkutan

Darat Bermotor-Kendaraan Bermotor Penumpang
Belanja Pemeliharaan Alat Angkutan - Alat Angkutan

Darat Bermotor - Kendaraan (Umpeg)
- Pemeliharaan Kendaraan Operasional dalam 3 Unit/Tahun 9,750,000.00

Lingkungan Kantor (Termasuk BBM) (3 Unit x 1 Tahun)
- Pemeliharaan Kendaraan Operasional Roda Empat 9 Unit/Tahun 34,880,000.00

(Termasuk BBM) (9 Unit x 1 Tahun)
5.1.2.99.99.9999.527 Belanja Pemeliharaan Alat Angkutan-Alat Angkutan

Darat Bermotor-Kendaraan Bermotor Beroda Dua
1 2 3 4 5
Belanja Pemeliharaan Alat Angkutan - Alat Angkutan

Darat (Umpeg)
- Pemeliharaan Kendaraan Operasional Roda Dua 3 Unit/Tahun 3,950,000.00

(Termasuk BBM) (3 Unit x 1 Tahun)
5.1.2.99.99.9999.593 Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-

Alat Kantor-Alat Kantor
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-

Alat Kantor- Alat Kantor (HK-PPHK)
- Pemeliharaan CCTV (10 Paket) 10 Paket 2,000,000.00

- Perbaikan Jaringan Backbone (2 Titik) 2 Titik 15,837,000.00
- Pemeliharaan Personal Computer / Notebook (70 70 Tahun 730,000.00

Tahun)
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga -

Alat Kantor - Alat Kantor (Umpeg)
- Pemeliharaan LCD Proyektor (8 Unit) 8 Unit 450,000.00

Alat Rumah Tangga-Mebel
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga -

Alat Rumah Tangga - Mebel (Umpeg)
- Pemeliharaan kursi putar pegawai (20 Buah) 20 Buah 80,000.00
- Pemeliharaan kursi tamu (2 Buah) 2 Buah 1,750,000.00
- Pemeliharaan Sofa (20 Buah) 20 Buah 825,000.00

Alat Rumah Tangga-Alat Pendingin

Alat Rumah Tangga-Alat Pendingin (Penunjang Non
Medik)
- Pemeliharaan AC Besar/ Standing (20 Unit) 20 Unit 3,750,000.00
- Pemeliharaan AC Split (200 Tahun) 200 Tahun 610,000.00

Alat Rumah Tangga-Alat Pemadam Kebakaran

Alat Rumah Tangga-Alat Pemadam Kebakaran
- Perbaikan Panel kontrol hidrant (1 Lot) 1 Lot 13,612,500.00
- Pemeriksaan Jaringan Fire Alarm (1 Lot) 1 Lot 47,492,500.00
- Perbaikan Master Control Fire Alarm (1 Lot) 1 Lot 44,467,500.00
- Pengujian Sistem Hidrant (1 Lot) 1 Lot 15,125,000.00
- Perbaikan Instalasi Hidrant (1 Lot) 1 Lot 15,125,000.00
- Perbaikan Pompa Diesel hidrant (1 Lot) 1 Lot 16,637,500.00
- Perbaikan Pompa Utama Hidrant (1 Lot) 1 Lot 35,203,740.00
5.1.2.99.99.9999.629 Belanja Pemeliharaan Alat Studio, Komunikasi, dan

Pemancar-Peralatan Pemancar-Peralatan Pemancar
SHF
1 2 3 4 5
Belanja Pemeliharaan Alat Studio, Komunikasi, dan

Pemancar-Peralatan Pemancar-Peralatan Pemancar
SHF (Penunjang Non Medik)
- Pemeliharaan Genset ? 500KVA (2 Tahun) 2 Tahun 29,304,000.00

5.1.2.99.99.9999.680 Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-
Alat Kedokteran-Alat Kedokteran Umum
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-

Alat Kedokteran-Alat Kedokteran Umum (Penunjang
Non Medik)
- Pemeliharaan Alat Kesehatan (500.000 Rupiah) 500,000 Rupiah 1,000.00
- Pemeliharaan jaringan Gas Medik (20 Kegiatan) 20 Kegiatan 4,400,000.00
5.1.2.99.99.9999.698 Belanja Pemeliharaan Komputer-Komputer Unit-

Komputer Jaringan
Belanja Pemeliharaan Komputer- Komputer Unit-

Komputer Jaringan (HK-PPHK)
- Perbaikan Instalsi Jaringan (20 Paket) 20 Paket 1,500,000.00
- SSD Internal 240 GB (30 Buah) 30 Buah 943,500.00
- Baterai UPS 12 V 7.5 AH (30 Unit) 30 Unit 555,000.00
5.1.2.99.99.9999.703 Belanja Pemeliharaan Komputer-Peralatan Komputer-

Peralatan Personal Computer
Belanja Pemeliharaan Komputer- Peralatan Komputer-

Peralatan Personal Computer (HK-PPHK)
- Pemeliharaan Printer (42 Tahun) 42 Tahun 690,000.00
5.1.2.99.99.9999.712 Belanja Pemeliharaan Bangunan Gedung- Bangunan

Gedung Tempat Kerja-Bangunan Gedung Kantor
Belanja Pemeliharaan Bangunan Gedung - Bangunan

Gedung Tempat Kerja - Bangunan Gedung Kantor
(Umpeg)
- Pemeliharaan Rutin Gedung Bertingkat (Tingkat 450 M2/Tahun 173,000.00

kerusakan kurang dari atau sama dengan 2% dari nilai
bangunan saat ini) (450 M2 x 1 Tahun)
- Pemeliharaan Rutin Gedung Tidak Bertingkat (Tingkat 4,000 M2/Tahun 97,000.00

kerusakan kurang dari atau sama dengan 2% dari nilai
bangunan saat ini) (4.000 M2 x 1 Tahun)
5.1.2.99.99.9999.758 Belanja Perjalanan Dinas Biasa
Belanja Perjalanan Dinas Dalam Daerah (Umpeg)
- Uang Harian Perjalanan Dinas Luar Kota, 50 Orang/Hari 530,000.00

D.K.I. Jakarta (50 Orang x 1 Hari)
- Uang Harian Perjalanan Dinas Luar Kota, Jawa 250 Orang/Hari 370,000.00
Tengah (250 Orang x 1 Hari)
- Uang Harian Perjalanan Dinas Luar Kota, 200 Orang/Hari 420,000.00

D.I. Yogyakarta (200 Orang x 1 Hari)
- Tiket Pesawat Ekonomi Yogyakarta- Jakarta (15 15 Rupiah 2,268,000.00

Rupiah)
- Satuan Biaya Penginapan DKI Jakarta, Pejabat Eselon 15 Orang/Hari 992,000.00

III (15 Orang x 1 Hari)
- Satuan Biaya Penginapan DKI Jakarta, Pejabat Eselon 15 Orang/Hari 730,000.00
IV/ Golongan III (15 Orang x 1 Hari)
1 2 3 4 5
- Satuan Biaya Penginapan Jawa Tengah, Pejabat 15 Orang/Hari 954,000.00

Eselon III (15 Orang x 1 Hari)
- Satuan Biaya Penginapan Jawa Tengah, Pejabat 15 Orang/Hari 600,000.00

Eselon IV/ Golongan III (15 Orang x 1 Hari)
5.1.2.99.99.9999.760 Belanja Perjalanan Dinas Dalam Kota
Belanja Perjalanan Dinas Dalam Kota (Umpeg)
- Uang Harian Perjalanan Dinas Dalam Kota, Lebih Dari 60 Orang/Hari 150,000.00
8 Jam (60 Orang x 1 Hari)
- Uang Transportasi Lokal Dalam Kota, Kurang Dari 8 125 Rupiah 90,000.00
Jam (125 Rupiah)
5.1.2.99.99.9999.764 Belanja Hadiah yang Bersifat Perlombaan
Belanja Hadiah Yang Bersifat Perlombaan (PP-PPHK)
- Hadiah Lomba Bidang Kesehatan, Juara I (3 Regu) 3 Regu 3,500,000.00
- Hadiah Lomba Bidang Kesehatan, Juara II (3 Regu) 3 Regu 3,250,000.00
- Hadiah Lomba Bidang Kesehatan, Juara III (3 Regu) 3 Regu 3,000,000.00
- Hadiah Lomba Bidang Kesehatan, Juara Harapan I (3 3 Regu 2,750,000.00

Regu)
- Hadiah Lomba Bidang Kesehatan, Juara Harapan II 3 Regu 2,500,000.00

(3 Regu)
- Hadiah Lomba Bidang Kesehatan, Juara Harapan III 3 Regu 2,250,000.00

(3 Regu)
5.1.2.99.99.9999.785 Belanja Komponen-Komponen Rambu- Rambu
Belanja Komponen-Komponen Rambu- Rambu -

Penunjang Non Medik
- Terminal Kabel MCB 10 mm logam (10 Buah) 10 Buah 26,400.00
- Terminal kabel 12 ruas 4mm (35 Buah) 35 Buah 9,600.00
5.1.2.99.99.9999.791 Belanja Pipa-Pipa Beton Pratekan
Belanja Pipa-Pipa Beton Pratekan (Penunjang Non

Medik)
- T pipa gorden lubang 3 stainless (30 Buah) 30 Buah 32,400.00
- T pipa gorden lubang 4 stainless (30 Buah) 30 Buah 36,000.00
5.1.2.99.99.9999.801 Belanja Jasa Tenaga Kesehatan
Belanja Jasa Tenaga Kesehatan

- Honorarium Pegawai BLUD Non PNS (7.200.000 7,200,000 Rupiah 1,000.00
Rupiah)
- Honorarium Dokter Tamu Non PNS BLUD (100 100 Rupiah 1,000,000.00
Rupiah)
5.1.2.99.99.9999.810 Belanja Jasa Tenaga Pelayanan Umum
Belanja Jasa Tenaga Pelayanan Umum (PP- PPHK)
- Outsourcing Jasa Tenaga Costumer Service RSD dan 134 rupiah 2,985,000.00
kelengkapannya (134 rupiah)
- Event Organizer (200.000 Rupiah) 200,000 Rupiah 1,000.00
1 2 3 4 5
5.1.2.99.99.9999.817 Belanja Pembayaran Pajak, Bea, dan Perizinan
Belanja Pembayaran Pajak, Bea, dan Perizinan

(Umpeg)
- Pajak Kendaraan Bermotor (20.000 Rupiah) 20,000 Rupiah 1,000.00
Belanja Pembayaran Pajak, Bea, dan Perizinan

- Ijin Operasional Rumah Sakit (10 Paket) 10 Paket 5,000,000.00
5.1.2.99.99.9999.137 Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-

7 Alat Kedokteran-Alat Kedokteran Anak
Belanja Pemeliharaan Alat Kedokteran dan Kesehatan-

Alat Kedokteran-Alat Kedokteran Anak (Penunjang Non
Medik)
- Handweel Kid O2 (15 Pcs) 15 Pcs 440,000.00
5.1.2.99.99.9999.145 Belanja Pemeliharaan Alat Laboratorium-Unit Alat

6 Laboratorium-Alat Laboratorium Lain
Belanja Pemeliharaan Alat Laboratorium- Unit Alat

Laboratorium-Alat Laboratorium Lain (Penunjang Non
Medik)
- Penggantian media filter IPAL (carbon aktif) pada 6 Zak 2,040,000.00

tabung filter IPAL dengan Spesifikasi : Media : Carbon
Aktif, Fungsi : Menurunkan Zat amoniak dan phospat
(6 Zak)
- Penggantian media filter (biofilter) di dalam tangki 25 M3 3,060,000.00

pengolahan dengan Spesifikasi : Bahan : PVC Sheet
(transparan
/clear), Bahan : PVC Sheet (transparan
/clear), Ukuran : 30 x 30 x 100 cm / blok, Sistem :
Cross flow, Fungsi (25 M3)
5.1.2.99.99.9999.164 Belanja Pemeliharaan Bangunan Gedung- Bangunan

5 Gedung Tempat Kerja-Taman
Belanja Pemeliharaan Bangunan Gedung - Bangunan

Gedung Tempat Kerja - Taman (Umpeg)
- Bangunan Gedung Negara Sederhana 1 lantai 30 M2 5,471,800.00

dengan, Aksesbilitas Difable, Taman dan Parkir, Dan
Peningkatan Mutu Lantai (30 M2)
5.2 BELANJA MODAL
5.2.2 Belanja Modal Peralatan dan Mesin
5.2.2.99 Belanja Modal Peralatan dan Mesin BLUD
5.2.2.99.99.9999.05 Belanja Modal Kendaraan Bermotor Penumpang
Belanja Modal Kendaraan Bermotor Penumpang
- Kendaraan Operasional Kantor Dan/Atau Lapangan 2 Unit 310.732.000,0

Roda 4 (Empat), Minibus (2 Unit) 0
5.2.2.99.99.9999.13 Belanja Modal Kendaraan Tak Bermotor Angkutan

Barang
Belanja Modal Kendaraan Tak Bermotor Angkutan

Barang
- Trolley Keranjang Besi (4 Buah) 4 Buah 5,000,000.00
5.2.2.99.99.9999.15 Belanja Modal Perkakas Konstruksi Logam Terpasang

pada Fondasi
Belanja Modal Perkakas Konstruksi Logam Terpasang

pada Fondasi
1 2 3 4 5
- Heater Pipa PPR (1 Set) 1 Set 2,921,000.00
5.2.2.99.99.9999.29 Belanja Modal Perkakas Standard (Standard Tools)
Belanja Modal Perkakas Standard (Standard Tools)
- Toolkit Sock Set (3 Unit) 3 Unit 302,500.00
5.2.2.99.99.9999.31 Belanja Modal Perkakas Bengkel Kerja
Belanja Modal Perkakas Bengkel Kerja
- Palu 2 Kg (2 Buah) 2 Buah 82,500.00
5.2.2.99.99.9999.32 Belanja Modal Peralatan Tukang Besi
Belanja Modal Peralatan Tukang Besi
- Kunci inggris 12" (3 Buah) 3 Buah 104,500.00
- Tang cucut (runcing) (10 Buah) 10 Buah 44,000.00
- Obeng 1000V (1 Set) 1 Set 616,774.00
- Tang kombinasi / kekep (10 Buah) 10 Buah 65,000.00
5.2.2.99.99.9999.55 Belanja Modal Alat Pengukur Penglihatan
Belanja Modal Alat Pengukur Penglihatan
- Barometer (untuk di dinding lab, dilengkapi 20 Buah 709,500.00

termometer) (20 Buah)
5.2.2.99.99.9999.60 Belanja Modal Alat Pemeliharaan

Tanaman/Ikan/Ternak
Belanja Modal Alat Pemeliharaan

Tanaman/Ikan/Ternak
- Sprayer (100 Buah) 100 Buah 14,000.00

5.2.2.99.99.9999.72 Belanja Modal Alat Penyimpan Perlengkapan Kantor
Belanja Modal Alat Penyimpan Perlengkapan Kantor
- Locker 6 pintu (3 Buah) 3 Buah 1,825,000.00
- Cabinet stainless steel (1 Buah) 1 Buah 21,145,425.00
- Rak Arsip Besi (Uk. p = 1,2 m, l = 0,5 m, t = 2,5 m) 10 Unit 3,500,000.00

(10 Unit)
- Lemari Besi pintu geser (3 Set) 3 Set 4,000,000.00
- Lemari Arsip Pintu Kaca Geser uk.915 x 460 x 1850 1 Unit 7,000,000.00
mm (1 Unit)
5.2.2.99.99.9999.74 Belanja Modal Mebel
Belanja Modal Mebel
- Rak Sepatu (3 Unit) 3 Unit 1,000,000.00
- Kursi Anak Bahan Besi (10 Buah) 10 Buah 318,000.00
- Meja 1/2 Biro, Bahan Kayu Mahoni, Uk 120x60x75 cm 2 Unit 2,250,000.00

(2 Unit)
- Kursi Putar sandaran pendek (4 Buah) 4 Buah 2,750,000.00
- Meja 1/2 Biro , Bahan Kayu Jati, Uk 120x60x75 cm 11 Unit 2,750,000.00

(11 Unit)
- Kursi Susun Chrome (66 Buah) 66 Buah 600,000.00
- Pembulatan (100.805 Rupiah) 100,805 Rupiah 1.00
5.2.2.99.99.9999.75 Belanja Modal Alat Pengukur Waktu
1 2 3 4 5
Belanja Modal Alat Pengukur Waktu
- Jam Dinding (100 Buah) 100 Buah 49,500.00
5.2.2.99.99.9999.77 Belanja Modal Alat Pendingin
Belanja Modal Alat Pendingin
- AC Spilt 3/4 PK (1 Unit) 1 Unit 3,410,000.00
- Lemari Es Dua Pintu (1 Buah) 1 Buah 9,860,000.00
- Lemari Es Medis (1 Unit) 1 Unit 39,650,000.00
- Lemari penyimpan Freezer Forced Air (2 Unit) 2 Unit 48,000,000.00
- Exhaust Fan 100W Termasuk Ducting (4 Unit) 4 Unit 1,320,000.00
5.2.2.99.99.9999.78 Belanja Modal Alat Dapur
Belanja Modal Alat Dapur
- Wajan Besar (Aluminium, ukuran tipe 28) (1 Buah) 1 Buah 230,000.00
- Alat Penggiling Daging (1 Unit) 1 Unit 3,500,000.00
5.2.2.99.99.9999.79 Belanja Modal Alat Rumah Tangga Lainnya (Home Use)

Belanja Modal Alat Rumah Tangga Lainnya (Home Use)
- Sound System mobil pelayanan (1 Unit) 1 Unit 2,500,000.00
- Sound System (2 Unit) 2 Unit 1,725,000.00
- Speaker Sound (2 Buah) 2 Buah 8,064,000.00
- Dispenser (3 Buah) 3 Buah 3,750,000.00
- Pemanas Air / water heater (2 Unit) 2 Unit 8,250,000.00
5.2.2.99.99.9999.80 Belanja Modal Alat Pemadam Kebakaran
Belanja Modal Alat Pemadam Kebakaran
- Tabung Apar Powder 3,5 kg (4 Unit) 4 Unit 555,000.00
5.2.2.99.99.9999.87 Belanja Modal Lemari dan Arsip Pejabat
Belanja Modal Lemari dan Arsip Pejabat
- Lemari Arsip (2 Buah) 2 Buah 945,000.00
5.2.2.99.99.9999.88 Belanja Modal Peralatan Studio Audio
Belanja Modal Peralatan Studio Audio
- Mic wireless (2 Unit) 2 Unit 2,100,000.00
- UPS server 2000 VA 1400 watt (2 Unit) 2 Unit 9,000,000.00
5.2.2.99.99.9999.91 Belanja Modal Peralatan Cetak
Belanja Modal Peralatan Cetak
- Mesin Perekat Kertas (Farmasi) (1 Unit) 1 Unit 4,000,000.00
5.2.2.99.99.9999.94 Belanja Modal Alat Komunikasi Telephone
Belanja Modal Alat Komunikasi Telephone
- Pesawat telepon (1 Buah) 1 Buah 3,234,000.00
- Single line telp analog (10 Unit) 10 Unit 350,000.00
- Single line digital (10 Unit) 10 Unit 550,000.00
5.2.2.99.99.9999.160 Belanja Modal Alat Kedokteran Umum
1 2 3 4 5
Belanja Modal Alat Kedokteran Umum
- Timbangan Injak (1 Unit) 1 Unit 600,000.00
- Flowmeter Gas Medik (17 Unit) 17 Unit 1,650,000.00
- Bed Periksa Pasien (15 Unit) 15 Unit 5,720,000.00
5.2.2.99.99.9999.161 Belanja Modal Alat Kesehatan Umum Lainnya
Belanja Modal Alat Kesehatan Umum Lainnya
- Timbangan digital (6 Buah) 6 Buah 3,300,000.00
5.2.2.99.99.9999.172 Belanja Modal Alat Laboratorium Umum
Belanja Modal Alat Laboratorium Umum
- Blender obat lengkap (8 Unit) 8 Unit 1,800,000.00

- Laminar Air Flow (1 Unit) 1 Unit 64,305,776.00
5.2.2.99.99.9999.261 Belanja Modal Personal Computer
Belanja Modal Personal Computer
- Laptop, Intel Core i7 , SSD 512 GB, RAM 8 GB (1 1 Unit 31,080,000.00

Unit)
- Komputer Multimedia Intel Core i7, RAM 16GB, 2TB + 2 Unit 24,000,000.00
256GBSSD, VGA, Win10 Pro,
Display 23 inch (2 Unit)
- PC (All In One) Intel Core i5, SSD 500 GB, RAM 8GB 5 Unit 18,315,000.00
(5 Unit)
5.2.2.99.99.9999.265 Belanja Modal Peralatan Personal Computer
Belanja Modal Peralatan Personal Computer
- Printer Multifunction Inkjet Infus Original (2 Unit) 2 Unit 3,000,000.00
- Printer/Scan/Copy (2 Unit) 2 Unit 3,000,000.00
- Printer Thermal (3 Buah) 3 Buah 3,500,000.00
5.2.2.99.99.9999.266 Belanja Modal Peralatan Jaringan
Belanja Modal Peralatan Jaringan
- Wireless AP (5 Set) 5 Set 4,500,000.00
- Mikrotik Router Gatway (2 Unit) 2 Unit 17,266,500.00
- Splicer Fiber Optik (1 Unit) 1 Unit 127.000.000,0

0
5.2.2.99.99.9999.331 Belanja Modal Alat Kedokteran Gigi
Belanja Modal Alat Kedokteran Gigi
- Infra Red (10 Unit) 10 Unit 800,000.00
5.2.2.99.99.9999.334 Belanja Modal Alat Kesehatan Kebidanan dan Penyakit

Kandungan
Belanja Modal Alat Kesehatan Kebidanan dan Penyakit

Kandungan
- Regulator tabung oksigen (20 Buah) 20 Buah 1,487,661.00
- Fetal Monitor Antepartum Fetal / Maternal Monitor 4 Unit 92,500,000.00

With Trolly (4 Unit)
5.2.2.99.99.9999.335 Belanja Modal Alat Kedokteran THT
Belanja Modal Alat Kedokteran THT
- Rhinoplasty Set (1 Set) 1 Set 39,070,000.00
1 2 3 4 5
- Polypectomy (1 Unit) 1 Unit 55,000,000.00
- Tracheotomy Instrument Set (1 Set) 1 Set 131.420.000,0

0
- Laryngoscope (3 Unit) 3 Unit 49,000,000.00
- Caldwell-Luc (1 Unit) 1 Unit 327.810.000,0

0
5.2.2.99.99.9999.336 Belanja Modal Alat Kedokteran Mata

Belanja Modal Alat Kedokteran Mata
- Non Contact Tonometer (1 Unit) 1 Unit 220.000.000,0

0
- USG mata (1 Unit) 1 Unit 444.000.000,0

0
5.2.2.99.99.9999.341 Belanja Modal Alat Kesehatan Rehabilitasi Medis
Belanja Modal Alat Kesehatan Rehabilitasi Medis
- Infra Red Lamp (3 Unit) 3 Unit 1,400,000.00
5.2.2.99.99.9999.461 Belanja Modal Transport and Storage Equipment for

Liquid
Belanja Modal Transport and Storage Equipment for

Liquid
- Pompa SWP (2 Buah) 2 Buah 28,000,000.00
5.2.2.99.99.9999.462 Belanja Modal Solid Material Handling Equipment
Belanja Modal Solid Material Handling Equipment
- Pallet plastik (20 Unit) 20 Unit 1,170,000.00
5.2.4 Belanja Modal Jalan, Jaringan, dan Irigasi
5.2.4.99 Belanja Modal Jalan, Jaringan, dan Irigasi BLUD
5.2.4.99.99.9999.125 Belanja Modal Jaringan Distribusi
Belanja Modal Jaringan Distribusi
- PJU LED dengan LED 30 W/220V- DIM (5 5 Buah 4,500,000.00

Buah)
5.2.5 Belanja Modal Aset Tetap Lainnya
5.2.5.99 Belanja Modal Aset Tetap Lainnya BLUD
5.2.5.99.99.9999.01 Belanja Modal Buku Umum
Belanja Modal Buku Umum
- Buku Kesehatan (30 Buku) 30 Buku 250,000.00
Keterangan : Klaten, 15 August 2023

DIREKTUR
dr. LIMAWAN BUDIWIBOWO,M.Kes
NIP. 196601031996021002
STANDAR
KOMPONEN
JUMLAH (Rp)
S K
6=3x5 7 8
78,293,072,000.00
7,413,908.00
7,413,908.00
555,060.00 2 1
306,000.00 2 1
5,090,000.00 2 1
160,000.00 2 1
480,000.00 2 1
580,000.00 2 1
242,848.00 2 1
934,103,480.00
934,103,480.00
4,070,000.00 2 1
4,686,000.00 2 1
182,000.00 2 1
16,206,780.00 2 1
847,000.00 2 1
847,000.00 2 1
847,000.00 2 1
847,000.00 2 1
3,025,000.00 2 1
3,666,000.00 2 1
34,129,700.00 2 1
825,000,000.00 2 1
39,750,000.00 2 1
120,684,480.00
60,210,000.00
60,000,000.00 2 1
210,000.00 2 1
60,474,480.00
474,480.00 2 1
60,000,000.00 2 1
24,360.00
24,360.00
24,360.00 2 1
151,653,150.00
6=3x5 7 8
151,653,150.00
16,401,000.00 2 1
13,962,150.00 2 1
121,290,000.00 2 1
2,526,843.00
2,526,843.00
579,000.00 2 1
950,000.00 2 1
241,843.00 2 1
756,000.00 2 1
689,749,653.00
688,149,653.00
33,078,760.00 2 1
8,415,000.00 2 1
3,366,000.00 2 1
7,247,500.00 2 1
1,700,000.00 2 1
60,000,000.00 2 1
15,000,000.00 2 1
6,240,000.00 2 1
22,800,000.00 2 1
14,400,000.00 2 1
46,080,000.00 2 1
69,600,000.00 2 1
401,400.00 2 1
2,400,000.00 2 1
17,661,600.00 2 1
6,641,250.00 2 1
60,711,750.00 2 1
29,411,250.00 2 1
176,000.00 2 1
7,920,000.00 2 1
840,000.00 2 1
2,759,625.00 2 1
1,594,450.00 2 1
1,034,556.00 2 1
600,048.00 2 1
6=3x5 7 8
3,594,624.00 2 1
6,781,000.00 2 1
145,680,000.00 2 1
21,140,400.00 2 1
5,857,500.00 2 1
10,018,800.00 2 1
64,603,140.00 2 1
10,395,000.00 2 1
1,600,000.00
1,600,000.00 2 1
638,000.00
638,000.00
125,000.00 2 1
150,000.00 2 1
363,000.00 2 1
549,863,500.00
174,158,250.00
15,000,000.00 2 1
200,000.00 2 1
8,250,000.00 2 1
200,000.00 2 1
1,600,000.00 2 1
1,000,000.00 2 1
75,000.00 2 1
380,000.00 2 1
350,000.00 2 1
200,000.00 2 1
8,750,000.00 2 1
400,000.00 2 1
2,800,000.00 2 1
18,240,750.00 2 1
6=3x5 7 8
6,562,500.00 2 1
15,000,000.00 2 1
29,250,000.00 2 1
21,250,000.00 2 1
6,250,000.00 2 1
7,500,000.00 2 1
2,500,000.00 2 1
1,000,000.00 2 1
10,000,000.00 2 1
2,500,000.00 2 1
10,000,000.00 2 1
4,900,000.00 2 1
46,254,250.00
9,450,000.00 2 1
21,750,750.00 2 1
9,250,000.00 2 1
1,250,000.00 2 1
1,303,500.00 2 1
3,250,000.00 2 1
2,000,000.00
2,000,000.00 2 1
85,427,650.00
2,000,900.00 2 1
282,000.00 2 1
627,900.00 2 1
2,287,500.00 2 1
1,080,000.00 2 1
5,355,000.00 2 1
315,900.00 2 1
465,600.00 2 1
146,250.00 2 1
155,000.00 2 1
565,500.00 2 1
439,200.00 2 1
6=3x5 7 8
5,337,500.00 2 1
1,306,500.00 2 1
228,000.00 2 1
189,000.00 2 1
2,766,000.00 2 1
782,500.00 2 1
258,750.00 2 1
2,379,000.00 2 1
1,296,000.00 2 1
312,000.00 2 1
1,290,000.00 2 1
201,250.00 2 1
1,720,000.00 2 1
471,750.00 2 1
1,375,000.00 2 1
3,132,000.00 2 1
756,000.00 2 1
250,000.00 2 1
1,512,000.00 2 1
133,000.00 2 1
940,500.00 2 1
1,080,250.00 2 1
11,753,000.00 2 1
5,520,000.00 2 1
30,000.00 2 1
1,561,400.00 2 1
32,000.00 2 1
62,400.00 2 1
47,500.00 2 1
7,187,500.00 2 1
1,050,000.00 2 1
1,855,000.00 2 1
9,940,500.00 2 1
141,000.00 2 1
595,000.00 2 1
1,360,000.00 2 1
1,120,000.00 2 1
90,250.00 2 1
73,600.00 2 1
85,000.00 2 1
6=3x5 7 8
1,016,000.00 2 1
114,000.00 2 1
102,000.00 2 1
253,750.00 2 1
35,024,250.00
60,000.00 2 1
850,000.00 2 1
400,000.00 2 1
48,000.00 2 1
149,000.00 2 1
137,250.00 2 1
240,000.00 2 1
105,000.00 2 1
10,000.00 2 1
280,000.00 2 1
22,500.00 2 1
95,000.00 2 1
77,500.00 2 1
800,000.00 2 1
1,500,000.00 2 1
29,750,000.00 2 1
500,000.00 2 1
203,254,000.00
7,950,000.00 2 1
36,000,000.00 2 1
14,535,000.00 2 1
5,130,000.00 2 1
10,205,000.00 2 1
5,280,000.00 2 1
20,000,000.00 2 1
3,776,500.00 2 1
4,025,000.00 2 1
2,158,500.00 2 1
11,250,000.00 2 1
6=3x5 7 8
570,000.00 2 1
1,008,000.00 2 1
343,500.00 2 1
12,761,250.00 2 1
17,892,000.00 2 1
743,750.00 2 1
28,875,000.00 2 1
2,060,000.00 2 1
15,000,000.00 2 1
3,168,000.00 2 1
280,000.00 2 1
242,500.00 2 1
3,745,100.00
500,000.00 2 1
798,600.00 2 1
960,000.00 2 1
95,000.00 2 1
643,500.00 2 1
748,000.00 2 1
144,797,825.00
5,660,000.00
5,660,000.00 2 1
139,137,825.00
3,700,625.00 2 1
46,000.00 2 1
279,450.00 2 1
486,000.00 2 1
760,000.00 2 1
467,500.00 2 1
111,502,000.00 2 1
1,694,250.00 2 1
9,095,000.00 2 1
10,080,000.00 2 1
475,000.00 2 1
6=3x5 7 8
552,000.00 2 1
11,500,000.00
11,500,000.00
11,000,000.00 2 1
500,000.00 2 1
184,912,000.00
157,500,000.00
157,500,000.00 2 1
2,355,000.00
840,000.00 2 1
945,000.00 2 1
570,000.00 2 1
25,057,000.00
1,368,000.00 2 1
1,852,500.00 2 1
5,418,000.00 2 1
490,000.00 2 1
4,476,500.00 2 1
6,552,000.00 2 1
4,900,000.00 2 1
1,840,493,004.00
171,733,050.00
88,935,000.00 2 1
2,508,800.00 2 1
15,400,000.00 2 1
14,080,000.00 2 1
4,700,000.00 2 1
8,500,000.00 2 1
4,500,000.00 2 1
2,550,000.00 2 1
836,250.00 2 1
1,500,000.00 2 1
579,800.00 2 1
6,500,000.00 2 1
1,050,000.00 2 1
3,250,000.00 2 1
6=3x5 7 8
2,756,250.00 2 1
600,000.00 2 1
1,543,500.00 2 1
8,250,000.00 2 1
3,693,450.00 2 1
149,241,354.00
72,146,250.00 2 1
2,157,600.00 2 1
151,250.00 2 1
121,000.00 2 1
1,600,000.00 2 1
2,880,000.00 2 1
936,000.00 2 1
5,800,000.00 2 1
589,900.00 2 1
353,940.00 2 1
332,760.00 2 1
716,940.00 2 1
3,297,250.00 2 1
1,270,560.00 2 1
1,482,300.00 2 1
529,400.00 2 1
3,840,000.00 2 1
12,342,000.00 2 1
11,519,200.00 2 1
589,900.00 2 1
1,815,400.00 2 1
1,000,500.00 2 1
27,500.00 2 1
2,668,000.00 2 1
732,000.00 2 1
232,000.00 2 1
5,400,000.00 2 1
143,340.00 2 1
5,250,000.00 2 1
1,815,000.00 2 1
1,270,500.00 2 1
125,000.00 2 1
6=3x5 7 8
82,500.00 2 1
400,000.00 2 1
273,700.00 2 1
287,500.00 2 1
1,324,800.00 2 1
274,000.00 2 1
2,250,000.00 2 1
631,044.00 2 1
582,320.00 2 1
39,142,497.00
6,227,000.00 2 1
6,907,500.00 2 1
7,164,885.00 2 1
73,100.00 2 1
9,884,012.00 2 1
7,676,000.00 2 1
1,210,000.00 2 1
1,480,376,103.00
19,307,460.00 2 1
24,051,720.00 2 1
202,372,500.00 2 1
334,080,000.00 2 1
24,200,000.00 2 1
29,750,000.00 2 1
2,662,500.00 2 1
12,897,710.00 2 1
26,125,000.00 2 1
301,950,000.00 2 1
371,250.00 2 1
209,000,000.00 2 1
57,000,000.00 2 1
36,000,000.00 2 1
21,300,000.00 2 1
23,850,000.00 2 1
2,400,000.00 2 1
886,428.00 2 1
1,764,000.00 2 1
6=3x5 7 8
900,000.00 2 1
479,400.00 2 1
1,845,030.00 2 1
811,260.00 2 1
375,000.00 2 1
969,210.00 2 1
393,750.00 2 1
1,051,740.00 2 1
484,000.00 2 1
21,175.00 2 1
62,195.00 2 1
46,145.00 2 1
35,395.00 2 1
196,000.00 2 1
30,000.00 2 1
50,000.00 2 1
3,630,000.00 2 1
5,062,500.00 2 1
5,142,500.00 2 1
240,000.00 2 1
3,000,000.00 2 1
720,000.00 2 1
924,000.00 2 1
520,000.00 2 1
4,212,000.00 2 1
9,900,000.00 2 1
2,610,000.00 2 1
4,332,975.00 2 1
6,660,000.00 2 1
375,000.00 2 1
3,240,000.00 2 1
9,920,000.00 2 1
300,000.00 2 1
366,000.00 2 1
121,000.00 2 1
218,400.00 2 1
28,800.00 2 1
21,600.00 2 1
65,340.00 2 1
136,150.00 2 1
6=3x5 7 8
32,593,770.00 2 1
48,317,200.00 2 1
217,205,251.00
9,955,798.00
5,148,000.00 2 1
4,087,200.00 2 1
157,598.00 2 1
189,000.00 2 1
374,000.00 2 1
207,249,453.00
18,293,310.00 2 1
2,000,000.00 2 1
3,981,250.00 2 1
1,092,100.00 2 1
863,600.00 2 1
363,000.00 2 1
6,788,100.00 2 1
2,752,750.00 2 1
192,832.00 2 1
99,160.00 2 1
57,475.00 2 1
1,155,550.00 2 1
187,946.00 2 1
218,140.00 2 1
969,815.00 2 1
8,000,000.00 2 1
5,257,450.00 2 1
7,762,500.00 2 1
660,000.00 2 1
950,000.00 2 1
23,625.00 2 1
118,125.00 2 1
980,000.00 2 1
2,722,600.00 2 1
880,000.00 2 1
1,405,000.00 2 1
7,400,000.00 2 1
6=3x5 7 8
2,400,000.00 2 1
12,600,000.00 2 1
5,600,000.00 2 1
2,812,500.00 2 1
3,436,700.00 2 1
36,953,400.00 2 1
19,662,500.00 2 1
6,201,300.00 2 1
6,840,000.00 2 1
13,763,750.00 2 1
690,000.00 2 1
2,322,150.00 2 1
937,500.00 2 1
1,742,650.00 2 1
1,742,600.00 2 1
6,725,000.00 2 1
701,275.00 2 1
3,968,800.00 2 1
2,975,000.00 2 1
403,150,340.00
187,775,000.00
42,500,000.00 2 1
1,500,000.00 2 1
30,000,000.00 2 1
1,275,000.00 2 1
112,500,000.00 2 1
13,205,700.00
1,200,000.00 2 1
3,750,000.00 2 1
2,255,700.00 2 1
6,000,000.00 2 1
202,169,640.00
5,868,000.00 2 1
120,000,000.00 2 1
1,500,000.00 2 1
10,000,000.00 2 1
45,000,000.00 2 1
132,000.00 2 1
6=3x5 7 8
270,000.00 2 1
16,200,000.00 2 1
180,000.00 2 1
828,000.00 2 1
338,000.00 2 1
1,853,640.00 2 1
10,206,847,160.00
9,924,075,110.00
1,058,200.00 2 1
2,116,400.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
1,208,850.00 2 1
13,928,750.00 2 1
330,000.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
282,000.00 2 1
1,107,150.00 2 1
1,058,200.00 2 1
557,000.00 2 1
1,058,200.00 2 1
1,015,000.00 2 1
18,768,000.00 2 1
893,000.00 2 1
31,500,000.00 2 1
1,562,000.00 2 1
6=3x5 7 8
26,191,350.00 2 1
47,916,000.00 2 1
1,058,200.00 2 1
7,260,000.00 2 1
2,650,000.00 2 1
145,200.00 2 1
4,320,000.00 2 1
1,069,200.00 2 1
2,910,150.00 2 1
2,037,105.00 2 1
2,674,100.00 2 1
19,050,000.00 2 1
4,080,000.00 2 1
19,096,000.00 2 1
6,130,575.00 2 1
193,050.00 2 1
700,000.00 2 1
2,418,429.00 2 1
1,340,190.00 2 1
7,335,900.00 2 1
14,507,250.00 2 1
640,000.00 2 1
10,000,000.00 2 1
26,790,355.00 2 1
2,170,800.00 2 1
209,895.00 2 1
2,100,000.00 2 1
6=3x5 7 8
53,877,915.00 2 1
120,000.00 2 1
760,900.00 2 1
1,708,800.00 2 1
3,075,000.00 2 1
5,280,000.00 2 1
8,450,000.00 2 1
35,535,500.00 2 1
7,257,250.00 2 1
1,261,000.00 2 1
914,225.00 2 1
1,920,000.00 2 1
1,056,000.00 2 1
3,415,500.00 2 1
966,966.00 2 1
1,626,594.00 2 1
10,331,070.00 2 1
622,170.00 2 1
933,255.00 2 1
226,170.00 2 1
858,000.00 2 1
1,929,900.00 2 1
1,255,000.00 2 1
6,140,974.00 2 1
3,691,450.00 2 1
56,412.00 2 1
6,354,600.00 2 1
62,696,025.00 2 1
59,710,500.00 2 1
750,000.00 2 1
750,000.00 2 1
83,980.00 2 1
484,000.00 2 1
109,423.00 2 1
6=3x5 7 8
109,423.00 2 1
218,846.00 2 1
950,000.00 2 1
311,864.00 2 1
9,807,292.00 2 1
2,337,500.00 2 1
82,764,000.00 2 1
49,762,260.00 2 1
616,000.00 2 1
400,400.00 2 1
12,925,000.00 2 1
297,000.00 2 1
83,980.00 2 1
83,980.00 2 1
587,860.00 2 1
335,920.00 2 1
486,000.00 2 1
83,980.00 2 1
19,250,000.00 2 1
750,000.00 2 1
750,000.00 2 1
125,000.00 2 1
382,500.00 2 1
1,400,000.00 2 1
1,363,329.00 2 1
4,423,950.00 2 1
696,000.00 2 1
408,562.00 2 1
1,667,930.00 2 1
1,845,000.00 2 1
82,287,000.00 2 1
2,925,000.00 2 1
144,375.00 2 1
19,793,250.00 2 1
6=3x5 7 8
618,156.00 2 1
37,200,000.00 2 1
12,400,000.00 2 1
18,600,000.00 2 1
109,423.00 2 1
109,423.00 2 1
1,058,200.00 2 1
1,900,000.00 2 1
6,280,000.00 2 1
2,578,880.00 2 1
893,000.00 2 1
83,424,000.00 2 1
1,480,000.00 2 1
2,613,600.00 2 1
94,710.00 2 1
76,924.00 2 1
5,189,360.00 2 1
2,250,000.00 2 1
564,000.00 2 1
461,610.00 2 1
615,480.00 2 1
1,692,570.00 2 1
153,870.00 2 1
307,740.00 2 1
54,000.00 2 1
189,000.00 2 1
216,000.00 2 1
189,000.00 2 1
3,105,000.00 2 1
243,000.00 2 1
1,215,000.00 2 1
270,000.00 2 1
270,000.00 2 1
6=3x5 7 8
405,000.00 2 1
81,000.00 2 1
108,000.00 2 1
136,500.00 2 1
40,950.00 2 1
204,750.00 2 1
1,089,000.00 2 1
19,800,000.00 2 1
9,652,500.00 2 1
8,662,500.00 2 1
272,250.00 2 1
1,237,500.00 2 1
9,999,000.00 2 1
11,715,000.00 2 1
15,720.00 2 1
94,320.00 2 1
1,414,800.00 2 1
3,144,000.00 2 1
10,846,800.00 2 1
275,100.00 2 1
40,105,625.00 2 1
67,751,250.00 2 1
13,628,125.00 2 1
14,939,060.00 2 1
6,359,960.00 2 1
4,286,060.00 2 1
29,172,860.00 2 1
414,780.00 2 1
2,073,900.00 2 1
168,300.00 2 1
7,293,000.00 2 1
17,303,000.00 2 1
1,422,400.00 2 1
9,842,500.00 2 1
116,860.00 2 1
6=3x5 7 8
3,496,000.00 2 1
3,724,000.00 2 1
13,759,200.00 2 1
742,500.00 2 1
65,520.00 2 1
4,529,555.00 2 1
422,825.00 2 1
2,128,192.00 2 1
4,591,950.00 2 1
2,420,000.00 2 1
119,093,523.00 2 1
773,024.00 2 1
3,398,000.00 2 1
440,006.00 2 1
251,940.00 2 1
1,650,000.00 2 1
890,000.00 2 1
890,000.00 2 1
3,560,000.00 2 1
890,000.00 2 1
5,445,000.00 2 1
415,800.00 2 1
266,805,000.00 2 1
230,598.00 2 1
2,863,756.00 2 1
2,691,744.00 2 1
1,063,000.00 2 1
1,792,560.00 2 1
890,000.00 2 1
6=3x5 7 8
890,000.00 2 1
718,740.00 2 1
2,850,000.00 2 1
1,465,860.00 2 1
1,433,289.00 2 1
120,749,148.00 2 1
138,600.00 2 1
277,200.00 2 1
415,800.00 2 1
277,200.00 2 1
251,940.00 2 1
1,237,320.00 2 1
504,000.00 2 1
346,500.00 2 1
167,960.00 2 1
942,864.00 2 1
1,482,950.00 2 1
4,125,000.00 2 1
5,280,000.00 2 1
1,260,000.00 2 1
137,232.00 2 1
16,388,295.00 2 1
19,860,120.00 2 1
15,520,800.00 2 1
6,170,640.00 2 1
412,756,275.00 2 1
16,005,825.00 2 1
73,024,000.00 2 1
313,600,677.00 2 1
293,776,000.00 2 1
55,292,850.00 2 1
361,846,935.00 2 1
6=3x5 7 8
2,910,150.00 2 1
15,850,800.00 2 1
593,400.00 2 1
4,356,000.00 2 1
16,044,600.00 2 1
1,557,857.00 2 1
686,840.00 2 1
343,420.00 2 1
4,374,192.00 2 1
6,714,600.00 2 1
9,625,000.00 2 1
167,960.00 2 1
1,800,000.00 2 1
3,120,000.00 2 1
408,000.00 2 1
8,850,000.00 2 1
1,260,000.00 2 1
23,848,300.00 2 1
6,436,779.00 2 1
3,811,704.00 2 1
2,138,400.00 2 1
1,211,562.00 2 1
79,200.00 2 1
21,505,000.00 2 1
25,344,000.00 2 1
9,000,000.00 2 1
3,366,000.00 2 1
105,192.00 2 1
168,245.00 2 1
26,537.00 2 1
1,067,600.00 2 1
4,735,500.00 2 1
167,960.00 2 1
6=3x5 7 8
83,980.00 2 1
83,980.00 2 1
83,980.00 2 1
83,980.00 2 1
167,960.00 2 1
83,980.00 2 1
7,140,000.00 2 1
539,775.00 2 1
12,159,180.00 2 1
7,343,840.00 2 1
6,000,000.00 2 1
32,199.00 2 1
3,458,763.00 2 1
1,320,000.00 2 1
56,100.00 2 1
248,710.00 2 1
160,930.00 2 1
7,303,421.00 2 1
6,437,200.00 2 1
1,058,200.00 2 1
1,058,200.00 2 1
557,000.00 2 1
557,000.00 2 1
557,000.00 2 1
1,012,000.00 2 1
108,800.00 2 1
486,000.00 2 1
40,541,000.00 2 1
13,378,530.00 2 1
22,605,000.00 2 1
14,421,000.00 2 1
2,884,200.00 2 1
1,041,180.00 2 1
6=3x5 7 8
7,794,450.00 2 1
8,040,800.00 2 1
2,968,280.00 2 1
913,000.00 2 1
2,722,500.00 2 1
82,720,000.00 2 1
215,600,000.00 2 1
1,306,800.00 2 1
1,320,000.00 2 1
1,080,000.00 2 1
805,000.00 2 1
54,120.00 2 1
4,405,500.00 2 1
693,000.00 2 1
513,000.00 2 1
2,624,400.00 2 1
471,240.00 2 1
8,997,500.00 2 1
118,750.00 2 1
419,790.00 2 1
5,940,000.00 2 1
268,125.00 2 1
585,200.00 2 1
9,300,000.00 2 1
3,448,500.00 2 1
726,000.00 2 1
1,174,740.00 2 1
391,580.00 2 1
11,682,000.00 2 1
6=3x5 7 8
4,840,000.00 2 1
2,419,600.00 2 1
18,427,500.00 2 1
238,480,000.00 2 1
9,152,000.00 2 1
24,640,000.00 2 1
185,900.00 2 1
5,760,000.00 2 1
31,680,000.00 2 1
190,560,000.00 2 1
8,628,400.00 2 1
11,880,000.00 2 1
5,582,500.00 2 1
11,032,150.00 2 1
56,580.00 2 1
339,480.00 2 1
56,580.00 2 1
339,480.00 2 1
224,475.00 2 1
1,651,000.00 2 1
1,925,070.00 2 1
2,006,880.00 2 1
19,420,500.00 2 1
7,364,500.00 2 1
43,637,800.00 2 1
8,540,000.00 2 1
45,098,520.00 2 1
2,052,000.00 2 1
2,988,000.00 2 1
10,458,700.00 2 1
6=3x5 7 8
12,870,000.00 2 1
795,000.00 2 1
3,528,000.00 2 1
6,840,000.00 2 1
684,750.00 2 1
1,864,050.00 2 1
51,541,875.00 2 1
13,221,670.00 2 1
105,000.00 2 1
95,000.00 2 1
1,187,648.00 2 1
1,686,465.00 2 1
5,186,160.00 2 1
4,727,520.00 2 1
2,928,240.00 2 1
4,378,690.00 2 1
5,057,800.00 2 1
1,837,440.00 2 1
21,780,000.00 2 1
9,045,144.00 2 1
50,988,960.00 2 1
913,000.00 2 1
7,499,490.00 2 1
2,879,800.00 2 1
587,860.00 2 1
587,860.00 2 1
587,860.00 2 1
320,250.00 2 1
192,150.00 2 1
128,100.00 2 1
710,000.00 2 1
2,390,300.00 2 1
13,800,000.00 2 1
2,476,950.00 2 1
6=3x5 7 8
1,044,582.00 2 1
11,111,100.00 2 1
8,614,424.00 2 1
6,153,160.00 2 1
327,560,000.00 2 1
9,339,687.00 2 1
2,366,840.00 2 1
2,695,000.00 2 1
2,728,180.00 2 1
3,883,494.00 2 1
14,030,688.00 2 1
15,097,500.00 2 1
1,347,000.00 2 1
2,116,400.00 2 1
9,587,700.00 2 1
19,411,000.00 2 1
2,722,500.00 2 1
19,037,070.00 2 1
27,720,000.00 2 1
7,448,760.00 2 1
28,188,320.00 2 1
9,607,950.00 2 1
15,345,000.00 2 1
104,500.00 2 1
1,485,000.00 2 1
616,000.00 2 1
4,741,926.00 2 1
100,000.00 2 1
5,447,325.00 2 1
2,681,760.00 2 1
921,855.00 2 1
6=3x5 7 8
1,927,515.00 2 1
419,025.00 2 1
921,855.00 2 1
1,843,710.00 2 1
335,220.00 2 1
15,587,730.00 2 1
218,846.00 2 1
913,000.00 2 1
10,742,085.00 2 1
24,468,990.00 2 1
2,078,220.00 2 1
6,224,264.00 2 1
865,260.00 2 1
482,500.00 2 1
505,050.00 2 1
1,228,500.00 2 1
207,900.00 2 1
8,316,000.00 2 1
3,291,750.00 2 1
13,268,500.00 2 1
21,465,050.00 2 1
3,532,000.00 2 1
2,640,000.00 2 1
7,310,866.00 2 1
45,410,000.00 2 1
63,569,850.00 2 1
67,543,500.00 2 1
383,000.00 2 1
10,500,000.00 2 1
15,790,500.00 2 1
8,620,975.00 2 1
15,440,000.00 2 1
12,737,760.00 2 1
87,642.00 2 1
38,220,000.00 2 1
2,112,390.00 2 1
113,400.00 2 1
7,218,750.00 2 1
6=3x5 7 8
8,068,140.00 2 1
14,058,000.00 2 1
4,620,000.00 2 1
4,485,460.00 2 1
2,021,250.00 2 1
214,735.00 2 1
1,362,870.00 2 1
13,750,000.00 2 1
14,427,900.00 2 1
6,091,780.00 2 1
4,488,680.00 2 1
1,923,720.00 2 1
2,725,270.00 2 1
4,328,370.00 2 1
1,122,170.00 2 1
11,702,630.00 2 1
4,007,750.00 2 1
1,442,790.00 2 1
13,145,420.00 2 1
1,603,100.00 2 1
1,122,170.00 2 1
1,763,410.00 2 1
9,618,600.00 2 1
19,237,200.00 2 1
4,648,990.00 2 1
2,725,270.00 2 1
43,924,940.00 2 1
3,206,200.00 2 1
62,200,280.00 2 1
6=3x5 7 8
1,923,720.00 2 1
10,639,750.00 2 1
503,723.00 2 1
2,065,500.00 2 1
125,000.00 2 1
206,550.00 2 1
13,212,750.00 2 1
14,300,000.00 2 1
720,000.00 2 1
416,806.00 2 1
56,000,000.00 2 1
2,160,000.00 2 1
3,949,440.00 2 1
440,000.00 2 1
3,220,000.00 2 1
238,150.00 2 1
95,260.00 2 1
16,493,400.00 2 1
20,420,400.00 2 1
16,493,400.00 2 1
21,991,200.00 2 1
13,351,800.00 2 1
52,272,000.00 2 1
109,620,000.00 2 1
10,741,288.00 2 1
12,428,000.00 2 1
5,290,584.00 2 1
8,055,966.00 2 1
17,544,970.00 2 1
31,548,000.00 2 1
6,214,000.00 2 1
67,940,000.00 2 1
6=3x5 7 8
19,264,000.00 2 1
20,984,000.00 2 1
1,032,000.00 2 1
1,032,000.00 2 1
17,686,000.00 2 1
750,000.00 2 1
20,582,100.00 2 1
1,255,000.00 2 1
16,269,000.00 2 1
8,450,000.00 2 1
8,400,000.00 2 1
13,130,509.00 2 1
13,217,770.00 2 1
4,480,600.00 2 1
3,430,700.00 2 1
17,176,250.00 2 1
14,400,000.00 2 1
22,125,000.00 2 1
1,755,206.00 2 1
2,465,683.00 2 1
190,000.00 2 1
1,330,000.00 2 1
65,835,000.00 2 1
4,052,356.00 2 1
8,514,000.00 2 1
12,112,660.00 2 1
30,552,000.00 2 1
2,378,800.00 2 1
380,000.00 2 1
661,200.00 2 1
6=3x5 7 8
11,324,000.00 2 1
1,672,000.00 2 1
1,520,000.00 2 1
37,848,000.00 2 1
266,000.00 2 1
4,028,000.00 2 1
1,580,800.00 2 1
614,592.00 2 1
14,685,000.00 2 1
12,619,800.00 2 1
165,200.00 2 1
21,669,120.00 2 1
110,880.00 2 1
8,957,025.00 2 1
148,140,300.00 2 1
24,965,325.00 2 1
3,225,000.00 2 1
161,122,500.00 2 1
1,992,600.00 2 1
5,454,552.00 2 1
818,070.00 2 1
11,180,000.00 2 1
10,565,240.00 2 1
5,044,000.00 2 1
3,605,250.00 2 1
1,472,900.00 2 1
1,025,000.00 2 1
17,466,000.00 2 1
18,414,900.00 2 1
5,610,000.00 2 1
250,000.00 2 1
5,751,280.00 2 1
6=3x5 7 8
1,120,000.00 2 1
2,585,050.00 2 1
62,966,600.00 2 1
12,500,000.00 2 1
106,086,750.00 2 1
4,000,000.00 2 1
920,000.00 2 1
5,776,600.00 2 1
112,000,000.00 2 1
280,501,500.00 2 1
485,025,000.00 2 1
93,500,500.00 2 1
88,000,000.00 2 1
330,908.00 2 1
76,000,000.00 2 1
20,879,000.00 2 1
23,100,000.00 2 1
23,100,000.00 2 1
23,100,000.00 2 1
171,604,500.00 2 1
6,576,750.00 2 1
3,600,000.00 2 1
3,464,200.00 2 1
3,459,500.00 2 1
3,850,000.00 2 1
3,902,000.00 2 1
2,700,000.00 2 1
3,560,000.00 2 1
2,000,000.00 2 1
2,540,000.00 2 1
6=3x5 7 8
2,400,000.00 2 1
2,300,000.00 2 1
3,200,000.00 2 1
4,830,000.00 2 1
5,037,230.00 2 1
4,024,260.00 2 1
23,460,000.00 2 1
4,380,000.00 2 1
38,500,000.00 2 1
4,950,000.00 2 1
6,965,000.00 2 1
5,263,692.00 2 1
114,900,000.00 2 1
4,902,000.00 2 1
3,360,800.00 2 1
3,234,660.00 2 1
2,178,000.00 2 1
2,197,800.00 2 1
2,516,800.00 2 1
6,250,000.00 2 1
4,036,200.00 2 1
3,162,500.00 2 1
2,305,060.00 2 1
5,662,800.00 2 1
3,300,045.00 2 1
3,080,000.00 2 1
6,352,500.00 2 1
5,150,200.00 2 1
4,235,000.00 2 1
5,000,000.00 2 1
2,587,600.00 2 1
6=3x5 7 8
5,550,000.00 2 1
3,800,000.00 2 1
2,682,500.00 2 1
3,602,500.00 2 1
3,200,000.00 2 1
2,277,000.00 2 1
2,673,000.00 2 1
4,218,520.00 2 1
3,330,800.00 2 1
3,200,000.00 2 1
5,225,000.00 2 1
6,642,000.00 2 1
2,227,500.00 2 1
4,174,500.00 2 1
4,578,800.00 2 1
6,707,200.00 2 1
5,802,500.00 2 1
2,585,000.00 2 1
2,358,800.00 2 1
6,857,000.00 2 1
2,880,000.00 2 1
4,627,050.00 2 1
5,500,000.00 2 1
5,280,000.00 2 1
4,131,075.00 2 1
4,950,000.00 2 1
5,500,000.00 2 1
6=3x5 7 8
4,200,000.00 2 1
2,275,000.00 2 1
2,860,000.00 2 1
3,078,000.00 2 1
5,940,000.00 2 1
6,000,000.00 2 1
6,880,800.00 2 1
2,250,000.00 2 1
6,755,000.00 2 1
4,407,400.00 2 1
5,080,000.00 2 1
252,000,000.00
252,000,000.00 2 1
28,282,500.00
7,920,000.00 2 1
3,500,000.00 2 1
6,715,000.00 2 1
10,147,500.00 2 1
1,743,480.00
1,743,480.00 2 1
746,070.00
20,070.00 2 1
726,000.00 2 1
1,937,069,553.00
1,180,791,953.00
4,266,000.00 2 1
5,562,000.00 2 1
3,897,600.00 2 1
504,000.00 2 1
385,000.00 2 1
1,036,200.00 2 1
3,696,000.00 2 1
5,060,000.00 2 1
624,000.00 2 1
2,826,000.00 2 1
6=3x5 7 8
1,746,605.00 2 1
3,588,000.00 2 1
1,212,000.00 2 1
1,105,000.00 2 1
2,457,000.00 2 1
554,400.00 2 1
21,298,760.00 2 1
2,780,000.00 2 1
360,000.00 2 1
5,123,000.00 2 1
6,126,540.00 2 1
864,000.00 2 1
1,595,000.00 2 1
502,500.00 2 1
342,000.00 2 1
465,000.00 2 1
570,000.00 2 1
1,106,000.00 2 1
144,000.00 2 1
495,000.00 2 1
174,000.00 2 1
688,000.00 2 1
959,200.00 2 1
1,533,000.00 2 1
70,920,000.00 2 1
16,129,000.00 2 1
2,814,000.00 2 1
216,000.00 2 1
75,000.00 2 1
30,870,000.00 2 1
63,000.00 2 1
12,331,000.00 2 1
16,940,000.00 2 1
30,313,800.00 2 1
5,718,600.00 2 1
3,429,000.00 2 1
3,650,000.00 2 1
5,475,000.00 2 1
11,011,000.00 2 1
281,000.00 2 1
185,500.00 2 1
6=3x5 7 8
8,856,000.00 2 1
9,570,000.00 2 1
3,650,000.00 2 1
231,000.00 2 1
140,000.00 2 1
151,500.00 2 1
1,455,000.00 2 1
1,947,000.00 2 1
206,500.00 2 1
216,000.00 2 1
665,000.00 2 1
140,000.00 2 1
742,500.00 2 1
462,000.00 2 1
480,000.00 2 1
105,000.00 2 1
158,325,420.00 2 1
1,834,000.00 2 1
60,934,464.00 2 1
1,881,000.00 2 1
86,394,000.00 2 1
83,105,550.00 2 1
136,800.00 2 1
99,000.00 2 1
315,000.00 2 1
420,000.00 2 1
1,074,000.00 2 1
3,590,400.00 2 1
1,683,000.00 2 1
2,850,000.00 2 1
12,600,000.00 2 1
363,000.00 2 1
2,112,000.00 2 1
689,700.00 2 1
3,382,500.00 2 1
25,410,000.00 2 1
1,200,000.00 2 1
22,893,750.00 2 1
880,650.00 2 1
617,100.00 2 1
57,600,000.00 2 1
6=3x5 7 8
150,000.00 2 1
1,375,000.00 2 1
602,100.00 2 1
1,497,240.00 2 1
72,000.00 2 1
975,000.00 2 1
540,000.00 2 1
332,680.00 2 1
775,000.00 2 1
517,500.00 2 1
6,885,000.00 2 1
10,933,000.00 2 1
10,125,000.00 2 1
2,135,000.00 2 1
485,000.00 2 1
455,000.00 2 1
1,690,000.00 2 1
2,800,000.00 2 1
2,838,680.00 2 1
3,720,000.00 2 1
903,000.00 2 1
362,000.00 2 1
346,550.00 2 1
341,000.00 2 1
2,217,750.00 2 1
2,640,000.00 2 1
630,000.00 2 1
2,952,000.00 2 1
1,000,000.00 2 1
336,000.00 2 1
1,100,000.00 2 1
5,925,000.00 2 1
1,040,000.00 2 1
168,000.00 2 1
6,440,000.00 2 1
144,000.00 2 1
720,000.00 2 1
1,567,500.00 2 1
3,380,000.00 2 1
17,460,000.00 2 1
400,000.00 2 1
6=3x5 7 8
245,000.00 2 1
1,750,000.00 2 1
4,625,000.00 2 1
5,999,800.00 2 1
4,507,250.00 2 1
662,400.00 2 1
1,380,000.00 2 1
5,250,000.00 2 1
130,000.00 2 1
220,000.00 2 1
432,000.00 2 1
3,240,000.00 2 1
660,000.00 2 1
168,000.00 2 1
2,700,000.00 2 1
250,000.00 2 1
180,000.00 2 1
1,770,000.00 2 1
63,876,480.00 2 1
10,872,000.00 2 1
3,689,460.00 2 1
11,742,000.00 2 1
996,000.00 2 1
55,620,000.00 2 1
16,784,880.00 2 1
5,191,200.00 2 1
412,000.00 2 1
605,000.00 2 1
6,969,600.00 2 1
3,096,192.00 2 1
1,494,336.00 2 1
3,900,816.00 2 1
805,000.00 2 1
150,000.00 2 1
540,000.00 2 1
6,840,000.00 2 1
210,000.00 2 1
375,000.00 2 1
6=3x5 7 8
637,800,000.00
365,000,000.00 2 1
272,800,000.00 2 1
16,200,000.00
16,200,000.00 2 1
102,277,600.00
101,500,000.00 2 1
777,600.00 2 1
530,000,000.00
530,000,000.00
380,000,000.00 2 1
150,000,000.00 2 1
71,400,000.00
71,400,000.00
57,400,000.00 2 1
5,000,000.00 2 1
9,000,000.00 2 1
1,664,178,087.00
1,664,178,087.00
1,664,178,087.00 2 1
1,451,115,435.00
1,451,115,435.00
1,451,115,435.00 2 1
3,000,000.00
3,000,000.00
3,000,000.00 2 1
44,550,000.00
44,550,000.00
26,730,000.00 2 1
6=3x5 7 8
17,820,000.00 2 1
25,000,000.00
25,000,000.00
25,000,000.00 2 1
300,998,711.00
300,998,711.00
546,150.00 2 1
2,498,100.00 2 1
601,150.00 2 1
29,799,000.00 2 1
2,720,850.00 2 1
4,741,000.00 2 1
700,000.00 2 1
9,671,200.00 2 1
3,377,550.00 2 1
12,684,100.00 2 1
1,414,600.00 2 1
6,545,000.00 2 1
500,000.00 2 1
1,694,000.00 2 1
2,264,900.00 2 1
8,201,600.00 2 1
7,425,000.00 2 1
11,589,600.00 2 1
3,432,000.00 2 1
1,961,850.00 2 1
1,018,600.00 2 1
1,202,300.00 2 1
1,716,000.00 2 1
650,000.00 2 1
29,283,650.00 2 1
10,340,000.00 2 1
4,180,000.00 2 1
10,725,000.00 2 1
3,005,750.00 2 1
13,299,000.00 2 1
9,959,400.00 2 1
4,659,600.00 2 1
25,467,200.00 2 1
6=3x5 7 8
3,709,200.00 2 1
4,608,450.00 2 1
2,206,589.00 2 1
2,429,521.00 2 1
4,015,823.00 2 1
659,104.00 2 1
629,921.00 2 1
3,514,500.00 2 1
2,541,231.00 2 1
1,111,363.00 2 1
887,117.00 2 1
788,574.00 2 1
2,360,668.00 2 1
4,312,500.00 2 1
8,050,000.00 2 1
6,000,000.00 2 1
10,350,000.00 2 1
3,450,000.00 2 1
5,750,000.00 2 1
5,750,000.00 2 1
1,920,000.00
1,920,000.00
1,920,000.00 2 1
712,715,000.00
712,715,000.00
570,515,000.00 2 1
45,000,000.00 2 1
67,200,000.00 2 1
30,000,000.00 2 1
132,800,000.00
132,800,000.00
25,000,000.00 2 1
60,000,000.00 2 1
45,000,000.00 2 1
2,000,000.00 2 1
6=3x5 7 8
800,000.00 2 1
50,000,000.00
50,000,000.00
50,000,000.00 2 1
295,000,000.00
295,000,000.00
295,000,000.00 2 1
8,935,000,000.00
8,935,000,000.00
8,935,000,000.00 2 1
546,000,000.00
546,000,000.00
360,000,000.00 2 1
6,000,000.00 2 1
180,000,000.00 2 1
53,400,000.00
53,400,000.00
48,400,000.00 2 1
5,000,000.00 2 1
125,000.00
125,000.00
125,000.00 2 1
6,700,000.00
6,700,000.00
2,500,000.00 2 1
1,000,000.00 2 1
750,000.00 2 1
1,550,000.00 2 1
900,000.00 2 1
159,500,000.00
159,500,000.00
7,500,000.00 2 1
12,000,000.00 2 1
10,000,000.00 2 1
10,000,000.00 2 1
2,500,000.00 2 1
4,840,000.00 2 1
6=3x5 7 8
5,445,000.00 2 1
35,000,000.00 2 1
4,840,000.00 2 1
30,250,000.00 2 1
30,250,000.00 2 1
6,875,000.00 2 1
306,250,000.00
306,250,000.00
306,250,000.00 2 1
1,500,000.00
1,500,000.00
1,500,000.00 2 1
6,050,000.00
6,050,000.00
6,050,000.00 2 1
17,500,000.00
17,500,000.00
7,500,000.00 2 1
10,000,000.00 2 1
322,500,000.00
5,000,000.00
5,000,000.00 2 1
67,500,000.00
67,500,000.00 2 1
250,000,000.00
250,000,000.00 2 1
33,368,890,520.00
25,600,109,220.00
25,600,109,220.00 2 1
1,500,000,000.00
1,500,000,000.00 2 1
150,000,000.00
150,000,000.00 2 1
118,781,300.00
2,310,000.00 2 1
7,430,500.00 2 1
6=3x5 7 8
2,310,000.00 2 1
792,000.00 2 1
1,570,800.00 2 1
580,800.00 2 1
6,256,800.00 2 1
1,914,000.00 2 1
1,892,000.00 2 1
57,200,000.00 2 1
15,576,000.00 2 1
1,016,400.00 2 1
15,576,000.00 2 1
4,356,000.00 2 1
6,000,000,000.00
6,000,000,000.00 2 1
100,000,000.00
100,000,000.00
100,000,000.00 2 1
660,000,000.00
660,000,000.00
660,000,000.00 2 1
450,000,000.00
450,000,000.00
450,000,000.00 2 1
343,170,000.00
343,170,000.00
29,250,000.00 2 1
313,920,000.00 2 1
11,850,000.00
6=3x5 7 8
11,850,000.00
11,850,000.00 2 1
106,374,000.00
102,774,000.00
20,000,000.00 2 1
31,674,000.00 2 1
51,100,000.00 2 1
3,600,000.00
3,600,000.00 2 1
21,600,000.00
21,600,000.00
1,600,000.00 2 1
3,500,000.00 2 1
16,500,000.00 2 1
197,000,000.00
197,000,000.00
75,000,000.00 2 1
122,000,000.00 2 1
187,663,740.00
187,663,740.00
13,612,500.00 2 1
47,492,500.00 2 1
44,467,500.00 2 1
15,125,000.00 2 1
15,125,000.00 2 1
16,637,500.00 2 1
35,203,740.00 2 1
58,608,000.00
6=3x5 7 8
58,608,000.00
58,608,000.00 2 1
588,000,000.00
588,000,000.00
500,000,000.00 2 1
88,000,000.00 2 1
74,955,000.00
74,955,000.00
30,000,000.00 2 1
28,305,000.00 2 1
16,650,000.00 2 1
28,980,000.00
28,980,000.00
28,980,000.00 2 1
465,850,000.00
465,850,000.00
77,850,000.00 2 1
388,000,000.00 2 1
286,160,000.00
286,160,000.00
26,500,000.00 2 1
92,500,000.00 2 1
84,000,000.00 2 1
34,020,000.00 2 1
14,880,000.00 2 1
10,950,000.00 2 1
6=3x5 7 8
14,310,000.00 2 1
9,000,000.00 2 1
20,250,000.00
20,250,000.00
9,000,000.00 2 1
11,250,000.00 2 1
51,750,000.00
51,750,000.00
10,500,000.00 2 1
9,750,000.00 2 1
9,000,000.00 2 1
8,250,000.00 2 1
7,500,000.00 2 1
6,750,000.00 2 1
600,000.00
600,000.00
264,000.00 2 1
336,000.00 2 1
2,052,000.00
2,052,000.00
972,000.00 2 1
1,080,000.00 2 1
7,300,000,000.00
7,300,000,000.00
7,200,000,000.00 2 1
100,000,000.00 2 1
599,990,000.00
599,990,000.00
399,990,000.00 2 1
200,000,000.00 2 1
6=3x5 7 8
70,000,000.00
20,000,000.00
20,000,000.00 2 1
50,000,000.00
50,000,000.00 2 1
6,600,000.00
6,600,000.00
6,600,000.00 2 1
88,740,000.00
88,740,000.00
12,240,000.00 2 1
76,500,000.00 2 1
164,154,000.00
164,154,000.00
164,154,000.00 2 1
3,566,368,000.00
3,536,368,000.00
3,536,368,000.00
621,464,000.00
621,464,000.00
621,464,000.00 2 2
20,000,000.00
20,000,000.00
20,000,000.00 2 2
2,921,000.00
2,921,000.00
6=3x5 7 8
2,921,000.00 2 2
907,500.00
907,500.00
907,500.00 2 2
165,000.00
165,000.00
165,000.00 2 2
2,020,274.00
2,020,274.00
313,500.00 2 2
440,000.00 2 2
616,774.00 2 2
650,000.00 2 2
14,190,000.00
14,190,000.00
14,190,000.00 2 2
1,400,000.00
1,400,000.00
1,400,000.00 2 2
80,620,425.00
80,620,425.00
5,475,000.00 2 2
21,145,425.00 2 2
35,000,000.00 2 2
12,000,000.00 2 2
7,000,000.00 2 2
91,630,805.00
91,630,805.00
3,000,000.00 2 2
3,180,000.00 2 2
4,500,000.00 2 2
11,000,000.00 2 2
30,250,000.00 2 2
39,600,000.00 2 2
100,805.00 2 2
4,950,000.00
6=3x5 7 8
4,950,000.00
4,950,000.00 2 2
154,200,000.00
154,200,000.00
3,410,000.00 2 2
9,860,000.00 2 2
39,650,000.00 2 2
96,000,000.00 2 2
5,280,000.00 2 2
3,730,000.00
3,730,000.00
230,000.00 2 2
3,500,000.00 2 2
49,828,000.00
49,828,000.00
2,500,000.00 2 2
3,450,000.00 2 2
16,128,000.00 2 2
11,250,000.00 2 2
16,500,000.00 2 2
2,220,000.00
2,220,000.00
2,220,000.00 2 2
1,890,000.00
1,890,000.00
1,890,000.00 2 2
22,200,000.00
22,200,000.00
4,200,000.00 2 2
18,000,000.00 2 2
4,000,000.00
4,000,000.00
4,000,000.00 2 2
12,234,000.00
12,234,000.00
3,234,000.00 2 2
3,500,000.00 2 2
5,500,000.00 2 2
114,450,000.00
6=3x5 7 8
114,450,000.00
600,000.00 2 2
28,050,000.00 2 2
85,800,000.00 2 2
19,800,000.00
19,800,000.00
19,800,000.00 2 2
78,705,776.00
78,705,776.00
14,400,000.00 2 2
64,305,776.00 2 2
170,655,000.00
170,655,000.00
31,080,000.00 2 2
48,000,000.00 2 2
91,575,000.00 2 2
22,500,000.00
22,500,000.00
6,000,000.00 2 2
6,000,000.00 2 2
10,500,000.00 2 2
184,033,000.00
184,033,000.00
22,500,000.00 2 2
34,533,000.00 2 2
127,000,000.00 2 2
8,000,000.00
8,000,000.00
8,000,000.00 2 2
399,753,220.00
399,753,220.00
29,753,220.00 2 2
370,000,000.00 2 2
700,300,000.00
700,300,000.00
39,070,000.00 2 2
6=3x5 7 8
55,000,000.00 2 2
131,420,000.00 2 2
147,000,000.00 2 2
327,810,000.00 2 2
664,000,000.00
664,000,000.00
220,000,000.00 2 2
444,000,000.00 2 2
4,200,000.00
4,200,000.00
4,200,000.00 2 2
56,000,000.00
56,000,000.00
56,000,000.00 2 2
23,400,000.00
23,400,000.00
23,400,000.00 2 2
22,500,000.00
22,500,000.00
22,500,000.00
22,500,000.00
22,500,000.00 4 2
7,500,000.00
7,500,000.00
7,500,000.00
7,500,000.00
7,500,000.00 5 2
Klaten, 15 August 2023

Kode Produk Nama Produk Mei'22-Mei'23 RATA2
1002123173 1370A2 ESPE FILTEK Z250 Universal Restorative

1 0
1002122726 1370A2 Z250 UNIV REST SYR 4G LA/APAC - -
1002122858 1370A3 ESPE FILTEK Z250 Universal Restorative
3 0
1002122727 1370A3 Z250 UNIV REST SYR 4G LA/APAC - -
1002123172 1370A3.5 ESPE FILTEK Z250 Universal Restorative
- -
1002123175 1370UD ESPE FILTEK Z250 Universal Restorative
1 0
1002122728 1470A2 Z250 XT REST SYR 3G LA/APAC/MEA
- -
1470A3 ESPE FILTEK Z250 XT Nano Hybrid
1002122878
Universal Restorative 2 0
1002122729 1470A3 Z250 XT REST SYR 3G LA/APAC/MEA
- -
2268-3 REDDOT SC MON ELECTRODE
5013126
NEONATUS (3M) 135 11
5012657 Soft Cloth Tape On Liner 15cmx10m (3M) 403 34
1002122983 3 ALL ( PULPEVIT A ) 1 0
1002122739 41282 SINGLE BOND UNIVERSAL RF VIAL 5 ML
- -
1002122733 51202 SINGLE BOND 2 RF LA/APAC - -
7032A2 Filtek Supreme Flowable Syring Refill- A2
1002122880
APAC/LA 1 0
7032A2 FILTEK SUPREME FLOWABLE
1002122731
SYRINGE - -
7032A3 FILTEK SUPREME FLOWABLE
1002122732
SYRINGE 1 0
1002122737 7423 ETCHANT GEL VIAL 9 ML - -
7510MP ESPE VITREBOND Light Cure Glass
1002122857
Ionomer Liner / Base 2 0
1002122879 8100A3 ESPE Filtek P60 Restorative System 2 0
1002122730 8100A3 P60 POSTERIOR SYR 4G ME/AUS/NZ - -
1002123174 8100B2 ESPE Filtek P60 Restorative System 2 0
1002122877 Absorbent paper points.04 Taper 25 3 0
1002122755 ACCES BUR FG 1 - 1 PC (ENDO) - -
5013162 Adult Patient Return Electrode 9' 21 2
Adult Ventilation Circuit with separate water traps &
1002122716
spare limb (Bestera) 161 13
1002122752 AH PLUS EXPORT - -
5012001 Air untuk Injeksi 25 ml 23,600 1,967
Air untuk irigasi larutan infus 1000 ml (Wida WI
5012002
Unicap) 1,440 120
5011800 Akarbose tab 50 mg 45,300 3,775
5011704 Albumin Serum Normal inj 20% 50ml (Plasbumin)
278 23
Albumin serum normal, human albumin inj 5% 250ml
5011706
(Octalbin) 55 5
5013099 Alkohol Swab 139,200 11,600
5011487 Alopurinol tab 100 mg 63,300 5,275
5012107 Alprazolam tab 0,5 mg 6,500 542
5012246 Ambroksol sirup 15 mg/ 5 ml 599 50
5011608 Amikasin inj 250 mg/mL 50 4
5012205 Aminofilin inj 24 mg/ml 507 42
5011850 Amiodaron inj 150 mg/3 ml 640 53
5011854 Amiodaron tab 200 MG (Tiaryt) 660 55
5012113 Amitriptillin tab 25 mg 38,000 3,167
5011873 Amlodipin tab 10 mg 266,230 22,186
5011874 Amlodipin tablet 5 mg 109,800 9,150
Amoksisilin 1.000 mg dan asam klavulanat 200mg
5011582
(Clabat inj) 192 16
Amoksisilin 250mg+Asam Klavulanat 62,5mg (Ancla
5011580
Forte dry syr) 151 13
5011577 Amoksisilin drops 100 mg/mL 17 1
5011549 Amoksisilin sir kering 125 mg/5 mL 319 27
5011551 Amoksisillin tab 500 mg 17,700 1,475
Ampisilin 500mg+Sulbaktam 250mg serb inj 750 mg
5013732
(Bactesyn) 74 6
5011564 Ampisilin inj 1.000 mg (i.v.) 1,340 112
ampisillin 1000mg+sulbaktam 500mg serb inj 1.500
1002122249
mg (Bactesyn inj 1500 mg) 1,180 98
Antasida Doen I tablet kunyah, Alumunium
5012132
Hidroksida 200 mg Magnesium Hidro 15,700 1,308
Antasida Doen II suspensi, Alumunium Hidroksida
5012133
200 mg/5 ml Magnesium Hidr 146 12
Antihemoroid: Diosmin 450mg+Hesperidin
5012174
50mg(Dios tab) 3,180 265
Antiparkinson Benserazid 25 mg+Levodopa 100 mg
5011668
(Levopar tab) 53,790 4,483
Dextro 10mg, CTM 1 mg, PPA 12,5 mg, GG 50 mg
1002122978
Tablet (Grantusif) 2,340 195
1002123181 Applicator tips refill 2 0
5013003 Apron 7,840 653
5013005 Arm Sling uk L 187 16
5011893 Asam Asetilsalisilat tab 80mg (Miniaspi) 239,500 19,958
5012383 Asam Askorbat (Vitamin C) tab 500 mg 600 50
1002122606 Asam Folat tab 0,4 mg 17,200 1,433
5011670 asam folat tab 1 mg 80,700 6,725
5011442 Asam Mefenamat tab 500 mg 64,900 5,408
5011684 Asam Traneksamat inj 100 mg/mL* 4,590 383
5011681 Asam Traneksamat tab sal selaput 500mg 9,700 808
5012204 Asam Ursodeoksikolat tab 250mg 14,790 1,233
5012043 Asetazolamide tab 250mg(Glauseta) 7,300 608
5012244 Asetil sistein sir 100mg/ml(Fluimucyl syr) 632 53
5012249 Asetil Sistein tab 200 mg 43,920 3,660
5011647 Asiklovir 200 mg tablet 2,000 167
5011648 Asiklovir tab 400 mg 3,000 250
1002123179 Atapulgit tab 600mg+Pektin 50mg (Arcapec) 4,400 367
5011917 Atorvastatin tab 20 mg 28,020 2,335
5012126 Atrakurium inj 10mg/mL 160 13
5012028 Atropin TM 0,5 % (Tropin 0,5% tm) 196 16
5012096 AUROLENS P 21 D 25 2
5011602 Azitromisin serb inj 500mg 385 32
5012897 Bakterial Filter (Disposable) 116 10
1002122771 Bakterial Filter BARRIERBAC 5865 211 18
5013115 Barium Sulfat @100gr 130 11
Bbraun Aesculap Blades/ Carbon Steel Scalpel Blades
5013135
10 1,000 83
Bbraun Aesculap Blades/ Carbon Steel Scalpel Blades
5013138
20 900 75
5011661 Betahistine 6 mg tab 94,800 7,900
5011930 Betametason krim 0.1 % (sebagai valerat) 214 18
5012199 Bisakodil 5 mg supp infant (Dulcolax) 168 14
5012196 Bisakodil sup 10 mg (Dulcolax 10 mg) 550 46
1002122226 bisoprolol tab 2.5 mg 119,000 9,917
5011886 Bisoprolol tab 5 mg 80,550 6,713
5011953 Borax Gliserin 10% 8 ml 37 3
1002122715 Curcuma, Piperin Nigri Fructus (Curcuma Force tab)
26,760 2,230
5012207 Budesonid cairan ih 0,25 mg/mL(Pulmicort Respulse)
3,080 257
Budesonide-Formoterol Rapihaler 160/4,5(Symbicort
1002122719
Rapihaler 160/4,5) 213 18
1002122396 Budesonid-formoterol 160/4 (Symbicort 160/4.5 mcg)
1,505 125
5011490 Bupivakain inj 0,5% + glukosa 8% 1,320 110
1002122982 BUR BR-31 (MANI) - -
1002122747 BUR DIAMOND MEISINGER B 389 014 - -
1002122756 C+FILE READYSTEEL 21 MM 008 - -
1002122938 Cairan USG (Baygel 5 liter) 4 0
1002122892 CAL LC 1 0
1002123189 Calcigel (Denpro) 1 0
1002122872 Calplus 3 0
5012088 Carbachol 221 18
1002122992 Carpule cytoject (Orabloc ) 10 1
1002122790 CASSETTE 100 NX 4 0
5012422 Catheter Tip 50 cc 1,080 90
5013159 Cauter Bedah (Alphamed) 830 69
5012063 Cautery 15 1
1002122738 CAVITON WHITE 3 0
1002122885 CAVITY ACCESS Z SET 1 0
1002122891 CELLULOSE MATRIX STRIP 3 0
CERAM.X SPHERETEC ONE COMPULES INTRO
1002122900
KIT 2 0
5013151 Cervical Collar SR-N1 Serenity 22 2
5012357 CHANNA STRIATA 500MG CAP 15,270 1,273
5012301 Citicolin 250 mg/2 ml inj 10,525 877
5012298 Citicoline tab 500 mg 12,690 1,058
5012782 Condom Chateter uk L 157 13
5011662 Deksametason 0,5 mg tab 33,200 2,767
5011508 Deksametason inj 5mg/mL( i.v/i.m) 2,600 217
deksametason+neomisin+polimiksin 10000IU
1002122805
MD(Cendo Xitrol) 1,088 91
5011987 Dekstrosa 40% (D 40%) 2,340 195
5011775 Dental cotton roll 15 1
DENTAL ROOT CANAL INSTRUMENTS K FILES
1002122889
25MM- 10 3 0
DENTAL ROOT CANAL INSTRUMENTS K FILES
1002122890
25MM- 15 1 0
1002122871 Dental Root Canal Instruments MG3-25MM 4 0
DENTAL ROOT CANAL INSTRUMENTS RC-
1002123187
BLUE 25 MM 1 0
5011749 Dentin Conditioner - -
1002123188 Dentorama barbed broach (Svenska) 1 0
5011936 Desoksimetason salep 0,25% 15gr 1,718 143
1002122753 DIAMENDO BUR 21 MM - 1 PC - -
1002122754 DIAMENDO BUR 25 MM - 1 PC - -
5011530 Diazepam enema 10 mg/2,5 mL (Stesolid 10) 27 2
5011529 Diazepam enema 5 mg/2,5 mL (Stesolid 5) 35 3
5011535 Diazepam inj 5 mg/mL 340 28
5012108 Diazepam tab 2 mg 26,700 2,225
5012112 Diazepam tab 5 mg 12,800 1,067
5011509 Difenhidramin injeksi i.v/i.m 10 mg/ml (HCl) 3,860 322
1002122955 Digoksin inj 0.25 mg/ml 240 20
5011852 Digoksin tab 0.25 mg* 13,100 1,092
5011875 Diltiazem inj 50 mg (Herbesser inj) - -
5012148 Dimenhidrinat tab 50 mg 23,000 1,917
1002122289 Valproat tab sal enterik 250 mg 79,300 6,608
5011904 Dobutamin inj 50 mg/ml 1,030 86
5012288 Docusate Na 0.5% Tetes Telinga (Forumen) 107 9
5012149 Domperidon sir 5mg/5 ml 95 8
5012150 Domperidon tablet 10 mg 14,600 1,217
5012128 DONEPEZIL 5 MG 19,640 1,637
5011905 Dopamin inj 40 mg/ml 240 20
5013118 DRY VIEW LASER IMAGING FILM 20 X 25 CM
111 9
Dry view laser imaging film 35 x 28 cm,
5013116
CARESTREAM 7 1
5013114 Dry view laser imaging film 35 x 43 cm 11 1
DYCAL DENTINE STANDARD PKG. B : 13 GR,
1002122894
C : 11 GR 1 0
DYCAL DENTINE STANDARD PKG. B : 13 GR.
1002122902
C : 11 GR* 1 0
1002122901 DYRACT FLOW REFILL A3 (2X1.8G) 2 0
5011516 Efedrin inj 50 mg/ml 390 33
5012300 Ekstrak Gingkgo Biloba Tablet, Tebokan tab 1,970 164
5013121 Elektroda 3M Red Dot 2244 5,000 417
5013160 EMERGENCY RED SEAL 1,300 108
1002122874 Endoseal 1 0
5012122 Eperison tab 50 mg 73,600 6,133
5011906 Epinefrin (Adrenalin) inj 1 mg/mL 1,360 113
5012252 Erdostein kapsul 300mg 2,300 192
5011654 Ergotamin tartrat 1mg+Kafein 50mg (Antimigren)
- -
5011597 Eritromisin sir kering 200 mg/5 mL - -
5011596 Eritromisin tab/kaps 500 mg 1,800 150
1002122268 Esomeprazol inj 40 mg (i.v) 1,320 110
5011764 Etil klorida spray 100 mL 17 1
1002122979 ETSA (DENTEX DX ETCH 37) 2 0
1002122933 ETT NKK with intubating stylet No 6.5 Forsch 4 0
5012825 ETT NKK with intubating stylet No 6.5 Work 3 0
5012827 ETT NKK with intubating stylet No 7.5 Work 2 0
5012813 ETT with cuff No. 3 Work 2 0
5012815 ETT with cuff No. 5 Work 10 1
1002122238 ETT with cuff no. 6,5 FORSCH 29 2
5012817 ETT with cuff No. 6.0 Work 8 1
1002122239 ETT with cuff no. 7 FORSCH 198 17
1002122240 ETT with cuff no. 7,5 FORSCH 15 1
5012820 ETT with cuff No. 7.5 Work 52 4
ETT WITH CUFF, AXIMED AIRFLOW TUBE
5012801
(SIZE 3.5) 10 1
5012803
(SIZE 6.0) 10 1
5012804
(SIZE 6.5) 19 2
5012805
(SIZE 7.0) 50 4
5012806
(SIZE 7.5) 36 3
1002122793 FEEDING TUBE 40CM, NO. 8 (AXIMED) 15 1
1002122791 Feeding Tube 8fr ( 100 cm ) (MAS) 15 1
5012799 FEEDING TUBE, 100CM, NO. 10 (AXIMED) 20 2
5012779 FOLLEY CATHETER 2 WAY NO 12, AXIMED 70 6
5012777 Folley Catheter 2 Way no 16, Aximed 1,190 99
5012778 FOLLEY CATHETER 2 WAY NO 18, AXIMED 590 49
1002123161 FOLLEY CATHETER 2 WAY NO 18, BARA 200 17
1002122712 Folley Catheter 2 Way no 8, Fesco 22 2
1002122940 Folley Catheter 2 way No. 16 ( Bardia ) 50 4
1002122950 Folley Catheter 2 way No. 16 ( Eskamed ) 550 46
1002122619 Glove Non Steril L (SPMED) 3,600 300
1002122957 Glove Non Steril M (N3) 169,600 14,133
5012710 Glove Non Steril S (MAS) 433,700 36,142
1002122687 Glove Steril 7 Powder Free (Intouch) 7,650 638
5012746 Glove Steril 7.5 Powdered (MAS) 4,750 396
1002122960 Guedel air way (mayo tube) 50 mm No. 00 (Forsch)
7 1
5012869 Guedel air way (mayo tube) 60 mm No. 0 36 3
5012866 Guedel air way (mayo tube) 70 mm No.1 109 9
5012440 Iv cath no 14, 1451 (Surflo) 200 17
1002122432 Iv cath no 20, 2032 (Surflo)* 5,760 480
1002122433 Iv cath no 22, 2225 (Surflo)* 9,400 783
5012436 Iv cath no 24, 2419 (Surflo) 2,550 213
5012437 Iv cath no 26 Polyflex 1,200 100
1002122698 Laringeal Mask Airway No. 2 Forsch 40 3
1002122699 Laringeal Mask Airway No. 2,5 Forsch 35 3
1002122658 Laringeal Mask Airway No. 3 Forsch 410 34
5012890 Laringeal Mask, LM 1.5 (Work) 3 0
5012892 Laringeal Mask, LM 2.5 (Work) 13 1
5012940 Masker Anestesi Size 3 Work 4 0
5012908 Masker nebulizer set anak 410 34
5012909 Masker nebulizer set dewasa 1,250 104
1002122943 Nasal Oxygen Anak (Forsch) 360 30
5012880 Nasal Oxygen Dewasa (Oxyflow) 5,750 479
1002122923 Nasal Oxygen Neonatus XS (Forsch) 412 34
5011980 Glukosa Larutan infus 10 % steril 740 62
5011981 Glukosa Larutan infus 5 % steril 720 60
5012371 GLUKOSAMIN TAB 500 MG 36,400 3,033
5011724 Eugenol cairan 2 0
1002122736 EXTERPANTIE/BARBED BROACH SENDOLINE
- -
5011651 Favipiravir tab 200 mg 1,200 100
Fe fumarat 60 mg+asam folat 0,4 mg (Tablet Tambah
5012354
Darah) 24,400 2,033
5012025 Fenilefrin 10% TM(Efrisel 10% TM) 22 2
5011522 Fenitoin inj 50 mg/mL 415 35
5011521 Fenitoin kaps 100 mg* 145,500 12,125
5011543 Fenobarbital inj 100 mg/mL (SIBITAL INJ) 60 5
5011528 Fenobarbital tab 30 mg* 50,600 4,217
5011910 Fenofibrat kaps 100 mg 4,500 375
Fenoterol HBr aerosol 100 mcg/puff(Berotec MDI
5012219
Inhaler)+ berodual 745 62
1002122250 Fentanil inj 0,05 mg/mL (i.v) 1,550 129
5011436 Fentanil Patch 12.5 mcg/jam (Durogesic Patch) 75 6
5011676 Fitomenadion (Vit K) injeksi 2 mg/ml (i.m) 1,390 116
5011677 Fitomenadion (Vit K) tab 10 mg 5,300 442
5011639 Flukonazol inf 2 mg/mL 159 13
5011640 Flukonazol kaps 150 mg 400 33
1002122965 Flunarizine tab 5 mg 34,720 2,893
1002122888 FLUOROCORE 2+ MIXING TIP REF 1 0
5012212 Flutikason 100mcg+Salmeterol 50mcg (Seretide 100)
226 19
1,472 123
419 35
5012209 Flutikason MDI/ aerosol 50 mcg/dosis(Avamys spray)
184 15
5011678 Fondaparinux inj 2,5 mg/0,5 mL (Arixtra inj) 740 62
5012667 framisetin sulfat tulle 1% 10X10cm 3,760 313
1002122881 Fuji II LC 1-1 Mini Pack 5 gr/ 3 gr A2 1 0
1002122740 FUJI IX GP 1-1 #EXTRA A2 - -
1002122741 FUJI IX GP 1-1 #EXTRA A3 6 1
1002122742 FUJI IX GP 1-1 #EXTRA A3,5 - -
5011787 Furosemid inj 10 mg/mL (i.v./i.m.) 10,725 894
5011788 Furosemid tab 40 mg 136,700 11,392
5012353 Fursultiamin 2,5 mg Injeksi 10 ml, furamin 225 19
G.P. PROTAPER UNIVERSAL ASS . F1-F3,
1002122751
60/BOX 3 0
5011538 Gabapentin 300mg 204,900 17,075
1002122666 Gabapentin kaps 100 mg 275,350 22,946
Garam Oralit I serbuk, Natrium klorida 0.52 g kalium
5011960
klorida 0.30 g Trinat 1,000 83
5011911 Gemfibrozil kap 300 mg 16,300 1,358
5011918 Gemfibrozil tab 600 mg 2,700 225
5011921 Gentamisin 0,1 % Salep kulit tube 5 mg 1,746 146
5011606 Gentamisin inj 40 mg/ml 1,720 143
5011744 Glass Ionomer Gold A2 - -
5011758 Glass Ionomer Gold A3 1 0
5011802 Gliklazid tab 80 mg 6,900 575
5011803 Glimepiride tab 1 mg 24,100 2,008
5011804 Glimepiride tab 2 mg 85,000 7,083
5011809 GLIMEPIRIDE TAB 3 MG 22,500 1,875
5011810 GLIMEPIRIDE TAB 4 MG 19,900 1,658
5011848 gliseril trinitrat 2,5mg (Nitrokaf Retard 2,5mg) 83,300 6,942
5011726 Gutta Perca 15-40 mm - -
1002122948 GUTTA PERCHA 0.04 #25 3 0
1002122945 Gutta Percha F1/F2/F3 Protaper 2 0
1002122875 Gutta percha points .06 Taper 25 6 1
1002122748 H FILE SVENSKA 15-40 L25 - -
5012286 H2O2 Perhidrol 3% 100 ml (OneMed) 179 15
1002122909 Haloperidol inj 50mg/ml @1ML (HALDOL DEC)
5 0
5012116 Haloperidol tab 1.5 mg 13,300 1,108
5011431 Heparin Na gel 20.000 IU (Hico gel) 137 11
1002122264 Heparin Na inj 5.000 IU/mL (i.v./s.k.) 155 13
1002122745 H-FILE L25 - 45-80 (SENDOLINE) - -
5011796 Hidrokortison inj 100 mg (Fartison inj) 196 16
5011931 Hidrokortison krim 2.5 % 438 37
5012384 hidroksiurea Medac kaps 500 mg 2,350 196
5012102 HOGY OPTHALMIC DRAPE 75 X 75 305 25
Human Tetanus Imunoglobulin inj i.m 250 UI
5012278
(Tetagam) 52 4
1002122735 HYPOSOL 3% DENPRO 17 1
5011461 Ibuprofen susp 100mg/5ml 50 4
5012236 indakaterol serb ih 300 mcg(Onbrez 300mcg) 1,680 140
1002122882 Infus Asam Amino (Bfluid 500ml) 500 42
5011970 Infus Asam Amino (Aminofusin Hepar) 20 2
5011997 Infus Asam Amino (Valamin 500ml) 10 1
5012093 Infus BSS (Balance Steril Solution) 25ml - -
5011974 Infus Elektrolit (Asering) 1,660 138
1002122491 Larutan mengandung elektrolit (Tridex 27-A*) 216 18
5011995 Infus elektrolit (Tridex 27-B) 144 12
1002122713 Infus Elektrolit (Tutosol Flexibag 500 ml) 1,400 117
5011989 Infus Karbohidrat+Elektrolit (Wida D5-1/2NS) 180 15
5011990 Infus Karbohidrat+Elektrolit (Wida D5-1/4NS) 580 48
5011999 Infus Lipid 20 % (Intralipid) 7 1
5012456 Infus Set type Y (Nipro) 4,350 363
1002122893 Insulin Basal Long Acting (Ezelin) 230 19
5011816 Insulin Basal Long Acting (Levemir Flexpen) 255 21
5011812 Insulin Basal Long Acting 100 UI/ml(Lantus Solostar)
4,400 367
Insulin Basal Ultra Long Acting 300iu/ml (Lantus
1002122906
XR) 150 13
5011817 Insulin Mix (Humalog Mix 50 Kwikpen) 930 78
5011813 Insulin Mix (Novomix-30 Flexpen) 3,115 260
1002122663 Insulin Mix Ultra Long Acting(Ryzodeg Flex Touch)
3,150 263
5011819 Insulin Prandial Short Acting (APIDRA) 745 62
5011814 Insulin Prandial Short Acting (Novorapid Flespen)
5,870 489
INSULIN RAPID ACTING VIAL 100 IU/ML
5011820
(APIDRA) 12 1
5012457 Intrafix Primeline (Bbraun) 1,890 158
5012458 Intrafix Primeline with Microdropper (Bbraun) 170 14
5011712 Ioheksol 300 mg Iodium/mL (20ml) 64 5
5011711 Ioheksol 350 mg Iodium/mL (50ml) 159 13
Ipratropium Bromida 0,5mg+Salbutamol 2,5mg
1002122261
(Meprovent) 7,390 616
5011636 Isoniazid tab 100 mg 10,600 883
5011631 Isoniazid tab 300 mg 9,900 825
5011849 isosorbid dinitrat inj 1 mg/mL (i.v.) 540 45
5011847 Isosorbid Dinitrat tab SL 5 mg 213,700 17,808
Isoxuprine tab 20 mg (Tonotan), ga usah diorder, acc
5012177
bu ning 300 25
5011645 Itrakonazol kaps 100 mg 1,830 153
5013113 JELY GEL 82GR (MY JELLY) 492 41
1002122743 K FILE SVENSKA 15-40 L21 - -
1002122769 kalium aspartat tab 300mg 4,800 400
5011463 Kalium diklofenak tab 25 mg 5,700 475
Kalium iodida 5mg+Natrium Iodida 10mg(Vitrolenta
5012045
TM) 435 36
5011961 Kalium Klorida tablet 600 mg, KSR 18,000 1,500
1002122290 KALSITRIOL KAPSUL LUNAK 0,5 MCG 1,410 118
5011517 Kalsium Glukonat inj 10% (100 mg/ml) 264 22
1002122944 Kalsium Hidroksida pasta (Calcidor Paste) - -
5012335 Kalsium karbonat tab 32,200 2,683
5012326 Kalsium Laktat (Kalk) tablet/kapsul/ kaplet 500 mg
66,200 5,517
5011866 Kandesartan tab 16 mg 175,650 14,638
5011867 Kandesartan tab 8 mg 178,500 14,875
5013002 Kapsul 2 196,000 16,333
5011856 Kaptopril tab 12,5 mg 50,300 4,192
5011523 Karbamazepin tab 200 mg 15,300 1,275
Karbamide Karbonyl diamide 10%(Soft u Derm 10%
5011956
krim 20gr) 143 12
5012283 Karbogliserin tetes telinga 10% 33 3
5012953 Kasa Hydrophil Steril 16 x 16 cm 84,448 7,037
1002122720 Kasa Lipat Jadi 20x30 cm 80,000 6,667
5013129 Kertas USG, Paper/ink ribon set model CK30L 35 3
5011495 Ketamin inj 50 mg/mL (i.m./i.v.) 117 10
5012341 keto acid (Aminoral) 9,700 808
5011925 Ketokonazol krim 2 % 497 41
5011641 Ketokonazol tab 200 mg 3,000 250
1002122777 Ketoprofen sup 100mg (Protofen sup) 360 30
5011445 Ketorolak inj 30 mg/ml 14,900 1,242
5011458 Ketorolak tab 10 mg 6,430 536
1002122744 K-FILE L25- 45-80 (SENDOLINE) - -
1002122757 K-FILE M 25 MM 006 (ACCESS) - -
1002122758 K-FILE M 25 MM 008 (ACCESS) - -
1002122759 K-FILE M 25 MM 010 (ACCESS) - -
1002122760 K-FILE M 25 MM 015 (ACCESS) 4 0
1002122761 K-FILE M 25 MM 15-40 (ACCESS) - -
K-Iodida+k-klorida+na-tiosulfat+timerosal(Catarlent
5012073
MD) 280 23
5011600 Klindamisin kaps 150 mg 24,500 2,042
5012109 Klobazam tab 10 mg 4,200 350
5011937 Klobetasol propionat 0,5% krim 1,638 137
5011894 Klopidogrel tab 75 mg 89,880 7,490
1002122912 Kloralhidrat (per gram) 1,000 83
5012289 Kloramfenikol 1% Tetes telinga 30 3
5011922 Kloramfenikol 2% Salep Kulit (Bufacetin 15gr) 1,306 109
5011583 Kloramfenikol inj 1.000 mg (Colsancetine inj) 400 33
Klordiazepoksid 5mg+Klidinium Bromida 2.5mg
5012173
(Melidox tab) 2,900 242
5012389 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG
3,000 250
5012118 klorpromazin tab salut 100 mg 1,300 108
5012117 klorpromazin tab salut 25 mg 400 33
5012242 Kodein tab 10 mg 33,500 2,792
1002122778 Kodein tab 20 mg 5,500 458
Komposit Flowable (TETRIC N-FLOW BULK FILL
1002123170
REF 1X2G IVA) - -
Komposit Flowable (TETRIC N-FLOW REFILL
1002123171
1X2G A2) - -
5011745 Komposit Resin Anterior A2 - -
1002122996 Komposit Resin Anterior A3 2ml (Solare) 1 0
Komposit Resin Posterior A3 (TETRIC N-CERAM
1002123169
REFILL 1X3 5G A3) - -
1002123006 Korset Lumbal XXXL 5 0
5011591 Kotrimoksazol susp 200/40 mg per 5 mL 74 6
5011592 Kotrimoksazol tab 400/80 mg 3,500 292
5013147 Kruk 22 2
5012192 Laktulosa sir 3,335 g/5 mL 824 69
5012134 Lansoprazol kapsul 30 mg 290,650 24,221
1002122884 Lansoprazol serb inj 30 mg 410 34
Larutan mengandung Elektrolit (Kalium Klorida)
5011973
(Otsu-KCL 7,46% ) 990 83
5012037 Latanoprost 0,05mg+Timolol 5mg(Glaoplus MD)
270 23
1002122233 Latanoprost tts mata 0.005% 394 33
5011610 Levofloksasin inf 5 mg/mL 2,232 186
5011609 Levofloksasin tab sal selaput 500mg 7,000 583
5011491 Lidokain inj 2% 3,400 283
5011857 Lisinopril tab 10 mg 86,800 7,233
5011858 Lisinopril tab 5 mg 64,300 5,358
5011510 Loratadin tab 10 mg 13,200 1,100
1002123003 Widahes 130 infus 500 ml 145 12
5011534 Magnesium Sulfat inj 20% (i.v.) 786 66
5011789 Manitol inf 20% 1,250 104
1002122734 MASTER BOND - -
1002123159 Matrix Wide 7 mm - roll 100 cm (3082-7) 1 0
5011720 MEDIKA POVIDONE 10% 1 LITER 83 7
5012304 Mekobalamin inj 500 mg 4,660 388
5012308 Mekobalamin kapsul 500 Mcg 262,700 21,892
5011470 Meloksikam tab 7,5mg 31,700 2,642
5011616 Meropenem serb inj 1.000mg 1,198 100
Metamizol 500mg dan Diazepam 2 mg (Analsik
1002122779
tablet) 55,600 4,633
5011472 Metamizol inj 500 mg/mL 8,470 706
5011805 Metformin HCl tab 500 mg 246,600 20,550
5011806 Metformin HCl tab 850 mg 34,000 2,833
5011888 Metildopa tab 250 mg (Dopamet) 9,100 758
5012106 metilergometrin inj 0,2 mg/mL 1mL 1,275 106
5012104 Metilergometrin tab salut 0,125 mg 800 67
5011839 Metilprednisolon inj 125 mg/2 ml 3,024 252
5011665 Metilprednisolon tab 4 mg 56,000 4,667
5012158 metoklopramid inj 5 mg/mL 600 50
5012156 Metoklopramid tab 5 mg 5,100 425
5012388 metotreksat tab 2,5 mg (Rheu-Trex) 3,250 271
METRONIDAZOL + NYSTATIN OVULA,
5011626
VAGISTIN OVULA 100 8
5011618 Metronidazol inf 5 mg/mL 4,008 334
5011628 Metronidazol susp 125 mg/5 mL 27 2
5011619 Metronidazol tab 500 mg 8,800 733
5011776 Microbrush @100 pcs 2 0
1002122853 Midazolam inj 1 mg/mL (i.v.) 1,090 91
5011926 Mikonazol krim 2 % (Nitrat) 188 16
1002122928 Mineral mix 200 17
MINYAK BUNGA MATAHARI,
5012189 LACTOBACILLUS REUTERI PROTECTIS,
SILICON DIOXIDE (INTERLAC) 780 65
1002122961 Misoprostol tab 200 mcg 3,300 275
5011615 Moksifloksasin inf 1,6 mg/mL (botol 400mg/250ml)
10 1
5011934 mometason furoat krim 0,1% 10gr 706 59
1002123164 Montelukast sodium 10 mg (Isivas 10) 600 50
5011437 Morfin inj 10 mg/ml 60 5
5011438 Morfin tab 10 mg 390 33
5012334 Multivitamin dan mineral kap (Folamil) 11,400 950
Mulvit Drop:A, C, D, B1, B2, B6, B12, Lysine
5012366
(Apialys Drop) 204 17
Mulvit Syr: A,B1,B2,B6,C,D, Narkotinamida, ca
5012342
Pantotenat(Recovit Syr) 661 55
5012324 Mulvit: Vit A, Vit B1 (Apialys syr) 320 27
5011984 NaCl 0.9 % 100 ml 4,330 361
5011983 NaCl 0.9 % 500 ml 18,680 1,557
5011985 NACL 3 % 500 ML 400 33
5012068 Nacl 4,4 mg+Kcl 0,8 mg MD(Lyteers MD) 2,811 234
1002122278 Nalokson inj 0,4 mg/mL - -
Natamisin 50 mg/mL (Natacen MD), ga usah order,
5012022
acc bu ning 144 12
5011519 Natrium Bikarbonat inj 8,4% (i.v.) (Meylon inj) 210 18
5011943 Natrium Diklofenak Gel (Flamar Emulgel 20 gr) 3,495 291
5011471 Natrium Diklofenak tab sal enterik 25 mg 116,350 9,696
5011446 Natrium Diklofenak tab sal enterik 50 mg 176,850 14,738
5012193 Natrium fosfat lar oral 45 mL (Fleet Phosposoda)
80 7
1002122866 Natrium Fusidat krim 2% (Fusycom) 331 28
Natrium hialuronat 1,5mg+Na klorida 50mg(Siloxan
5012056
TM) 126 11
1002122691 Natrium Hyaluronat 1mg(Hyaloph Eye Drop 5 ml)
340 28
5012420 Needle 18 Terumo 1,000 83
5012416 Needle 23 Terumo 2,600 217
5012417 Needle 25 Terumo 400 33
5012419 Needle 27 Terumo 2,600 217
5012421 Needle Citoject, 30G. Short 16 (0,3x16mm) 2 0
Neomisin+Polimiksin 6000IU+Deksametason (Litrol
5012050
TM) 690 58
5011878 Nifedipin tab 10 mg 11,900 992
5011884 Nifedipin tab 30 mg SR (Adalat Oros) 4,230 353
5011880 Nikardipin inj 1 mg/ml 1,475 123
5012889 NASAL PRONG UK. S 5 0
5011740 Nistatin susp 100.000 IU/mL drop (botol 15 ml) 183 15
5011907 NOREPINEFRIN INJ 1 MG/ML 3,410 284
Monoammunium Glycyrhizinate+Glycine+L-Cysteine
1002122214
(Norphagen) 370 31
1002123005 Ofloksasin Tetes Telinga 3 % 413 34
5012284 Oksimetazolin tetes hidung 0.025 % (Iliadin drops)
9 1
OKSIMETAZOLIN TETES HIDUNG 0.05 %
5012294
(ILIADIN SPRAY) 55 5
5012105 Oksitosin inj 10 IU/ml (Oxytocin "S") 3,600 300
5012136 Omeprazol inj 40 mg/10 ml 13,190 1,099
5012137 Omeprazol kaps 20 mg 173,010 14,418
5012152 Ondansetron inj 2mg/1ml 26,450 2,204
5012154 Ondansetron tablet 8 mg 22,800 1,900
1002122984 PALFIQUE BOND ( TOKUYAMA DENTAL ) - -
5012368 Pankreatin 170 mg+Simetikon 80 mg (Xepazym) 2,110 176
5013000 Pap Smear Test Kit - -
1002122947 PAPER POINTS 0.06 #25 3 0
1002122946 PAPER POINTS SURE ENDO 14/40 3 0
1002122908 Parafilm 4 inchi x 125 ft BEMIS 2 0
1002122668 Parafin+gliserin+fenolftalein (Laxadin emulsi 60ml)
592 49
Parasetamol 500mg - Nasetilsistein 200mg (Sistenol
5011465
kaplet salut) 13,320 1,110
5011698 Parasetamol drops 100 mg/mL 113 9
5011457 Parasetamol inf 10 mg/mL 4,352 363
5011447 Parasetamol sir 120 mg/5 mL 1,140 95
5011467 Parasetamol supp 125 mg (Dumin) 243 20
5011449 Parasetamol tab 500 mg 250,100 20,842
5011766 Pasta Devitalisasi Non Arsen (devitec) 1 0
PEN NEEDLE 32G X 4 MM (BD ULTRA-FINE
1002122277
PRO) 10,400 867
5011920 Perak sulfadiazin krim 1 % tube 35g 541 45
5012459 Perfusor Line MR 150 mm LL 1,950 163
PEROSSAL RESORBABLE HYDROXY APATITE

5012369
FOR FILLING OF BONE DEFFECT, 1X6
10 1
5012078 Pilokarpin 2% TM(Carpin TM 2%) 157 13
5011546 Pirantel Pamoat tab 125 mg 100 8
5012310 Pirasetam inj 200mg/ml 3,628 302
5012313 Pirasetam tab 800 mg 31,900 2,658
1002122614 Piroksikam tab 10 mg (Faxiden) 500 42
5011455 Piroksikam tab 20mg 1,300 108
5011948 Plasenta 10%+ Neomisin 0.05% (Neocenta gel 15gr)
1,182 99
5012686 Poliban 10 cm x 2,7 m 130 11
5012692 Policrepe 10 cm x 4,55 m 412 34
5012693 Policrepe 15 cm x 4,55 m 150 13
5012691 Policrepe 7,5 cm x 4,55 m 193 16
5012201 Polietilen Glikol (Niflec) 8 1
Polimiksin+Neomisin
5012290
Sulfat+Fludrokortison+Lidokain (Otopain) 240 20
POLYVAC SET 12 FG (POLYMED MMP
5012862
POLYMED) 13 1
5013015 Pot Salep 60 ml 2,900 242
Iodin Povidone 100 mg/mL, 100ml (Betadine gargle
5011736
100ml) 574 48
5011714 Povidon Iodin larutan 10 % 30 ml 662 55
5011715 Povidon Iodin larutan 10% 1000ml ECODINE 273 23
1002122254 Pramipeksol tab 0,125 mg 7,770 648
5011537 Pregabalin kaps 150 mg 5,160 430
1002122749 PRIME&BOND UNIVERSAL REF(4ML) - -
5011833 Propiltiourasil tab 100 mg 38,400 3,200
1002122708 Propofol inj 1% 20 ml 625 52
5011653 Propranolol tab 10 mg 72,000 6,000
1002123182 Protaper gold F1 25MM 1 0
1002123183 Protaper gold F2 25MM 1 0
1002123184 Protaper gold F3 25MM - -
5011955 Pseudo-Dermal Lipids (Noroid Lotion 200 ml) 126 11
Pseudoefedrin 30mg+Brompheniramin maleat
5012267
2mg+Dextrometorphan 10mg(Alco Plus DMP) 1,024 85
1002123190 Pseudoefedrin drop 7,5 mg (Lanos drop) 182 15
1002122873 PULP-X 2 0
5011859 Ramipril tab 5 mg 20,700 1,725
5012138 Ranitidin inj 25 mg/ml 18,425 1,535
5012139 Ranitidine tab 150 mg 109,100 9,092
5011652 Remdesivir inj 100 mg - -
5012317 Retinol (Vitamin A) 200.000 IU Kapsul lunak 1,900 158
Rice starch, Maltodextrin, Lactobacillus acidophilus,

Lactobacillus casei, Lactobacillus salivarius,
5012185 Bifidobacterium infantis, Bifidobacterium lactis,
Bifidobacterium longum, Lactococcus lactis setara L-
Bio, box, 30 sachet (L-Bio Sach)
5,840 487
5011635 Rifampisin tab 450 mg 9,400 783
5011629 Rifampisin tab 600 mg 5,400 450
5011986 Ringer Laktat Larutan infus 500 ml 33,600 2,800
sacubitril valsartan tab 48,6/51,4mg (Uperio fct
1002122899
100mg ) 1,456 121
1002122949 Salbutamol inhalasi (Ventasal) 4,880 407
1002122252 Salbutamol MDI/aerosol 100 mcg/dosis(Suprasma)
599 50
5012241 Salbutamol sir 2mg/5mL (Lasal 100ml) 29 2
5012215 Salbutamol tablet 2mg (sebagai Sulfat) 126,200 10,517
Salmeterol 50mcg+Flutikason 500mcg (Seretide
5012240
diskus 500) 314 26
1002122864 SARUNG TANGAN ORTHOPEDI UK 7 (TROGE)
100 8
1002122865 SARUNG TANGAN ORTHOPEDI UK 7,5 (TROGE)
400 33
SARUNG TANGAN PANJANG OBGYN
5012724
ONECARE 1,202 100
1002122887 SDR PLUS COMPULA REFILL A3 2 0
1002122886 SDR SYRINGE REFILL (3) 2 0
5012291 Sea water (Nasaline spray 100ml) 105 9
5011561 Sefadroksil kaps 500 mg 21,400 1,783
5011554 Sefazolin inj 1.000 mg/vial 3,840 320
1002122917 Sefepim inj 1000 mg 5 0
1002122267 Sefiksim sir 100 mg/5 mL 567 47
5011570 Sefiksim tab/kaps 100 mg 41,970 3,498
5011567 Sefoperazon serb inj 1.000 mg 1,280 107
5011557 Sefotaksim serb inj 1.000 mg 12,636 1,053
5011558 Seftazidim serb inj 1.000 mg 2,920 243
5011559 Seftriaksone inj 1.000 mg/vial 9,850 821
5011563 Sefuroksim inj 750 mg serbuk kering - -
5013014 SENDOK OBAT 1,700 142
Serum anti bisa ular: A.B.U. I (khusus ular dari luar
5012279
Papua) (Biosave) 38 3
5012280 serum antitetanus (A.T.S) 1500 UI (Biosat) 270 23
5011511 Setirizin sir 5 mg/5 mL 261 22
5011512 Setirizin tab 10 mg 66,100 5,508
5011502 Sevofluran ih 250mL 103 9
5011671 Sianokobalamin (Vit B12) tab 50 mcg 49,900 4,158
5011913 Simvastatin 10 mg tablet 45,300 3,775
5011914 Simvastatin 20 mg tablet 32,600 2,717
5012337 Sodium Fe EDTA 115.4 mg (Ferriz Drop 15ml) 246 21
SODIUM HYALURONATE 25 MG/2,5 ML
5012370
(ARAGAN INJ) 21 2
5011836 Solutio Lugol 1 L 1 0
1002122987 SPALK 15 CM 80 7
5013061 SPALK 40 CM 105 9
5013055 SPALK 50 CM 65 5
5013056 SPALK 60 CM 75 6
5013059 SPALK 90 CM 32 3
5013066 SPALK ANAK L 85 7
5013065 SPALK ANAK M 170 14
5013052 Spalk untuk anak 40 3
5013053 Spalk untuk bayi 265 22
1002122876 spectra Fresh 1 0
1002122750 SPECTRUM BOND REF(3,5) - -
5012466 Spinal anesthesia needles, setara spinocan n0.26
400 33
5012467 Spinal anesthesia needles, setara spinocan n0.27
975 81
5011791 Spironolacton tab 25 mg 35,100 2,925
5011790 Spironolakton tab 100 mg 13,300 1,108
5012974 Spon Gelatin 80x50x10 mm 100 8
5012660 STERI-STRIP 1547R (3M) 50 4
5012793 Stomach Tube 14fr ( 125 cm ) (Terumo Safeed) 49 4
5012790 Stomach Tube 16fr ( 125 cm ) (Terumo Safeed) 895 75
5012247 succus liquiritae+Amonium Chloridum (OBH syr)
454 38
5012850 Suction Catheter FR 10 (Onemed) 230 19
5012851 Suction Catheter FR 12 (Onemed) 2,110 176
5012849 Suction Catheter FR 8 (Onemed) 1,060 88
1002122222 SUCTION CONNECTING TUBE NOUSMED 1,223 102
5012147 sukralfat susp 500 mg/5 mL, 100ml 5,397 450
5012141 Sukralfat tab 500 mg (Ulsidex tab) 5,100 425
5011469 Sulfasalazine 500mg tablet 3,390 283
5012238 surfaktan susp 25 mg/mL (intratrakeal)(Survanta)
3 0
SURGICAL FACE MASK 3 PLY EARLOOP,
1002122784
BUMA 237,000 19,750
5012399 Syringe 10cc Luer Lock With Needle (Nipro) 67,500 5,625
5012396 Syringe 1cc Tuberculin With Needle (Nipro) 7,800 650
5012394 Syringe 20 cc ec (Stera) 300 25
5012423 syringe 20 cc Luer Lock (Terumo) 100 8
5012400 Syringe 20cc Luer Slip w/o Needle (Nipro) 400 33
5012401 Syringe 50cc Luer Slip w/o Needle (Nipro) 2,900 242
SYRINGE INJECTOR 190 ML, RADIOLOGI
1002123160
(Technomed) 132 11
5011797 Tamsulosin tab 0.2 mg (Harnal D) 3,472 289
5012655 Tegaderm IV Film 6x7cm 9,300 775
5012654 Tegaderm Pad 9x25cm 625 52
5012216 Teofillin tab 150 mg (Bronsolvan) 55,000 4,583
5012217 Terbutalin tablet 2.5 mg (Molasma tab) - -
5012463 Terufusion Blood Adm Set (Terumo TB*U800L11)
4,750 396
5013155 T-Hernia Mesh MM-18 6 X 11 cm 19 2
5012907 Thorac Chateter no 24 9 1
1002122952 Three Way Stop Cock with Tube (Hexa Care) 10450 871
5011835 Tiamazol tab 10 mg (Thyrozol 10mg) 4,900 408
1002122293 Timolol 0,5 % TM (Timol 0.5% TM) 1,430 119
Tiotropium cairan ih 2,5mcg/semprot(Spiriva
5012237
Respimat) 275 23
Tobramisin 3mg+Deksametason 1mg TM(Tobroson
5012051
TM) 647 54
1002122925 Trakeostomi Kit 7.5 Fen (Portex) 3 0
5011451 Tramadol kap 50 mg 32,250 2,688
5012461 Transofix (Bbraun) 1,400 117
5011932 Triamsinolon asetonid gel 0,1% (Bufacomb) 132 11
5011842 Triamsinolon Inj 10mg/ml 67 6
5011838 Triamsinolon tab 4 mg 8,300 692
5011669 Triheksifenidil tab 2 mg 62300 5,192
5012274 Tripolidin 2,5 mg+Pseudoefedrin 60 mg (Eflin) 30,000 2,500
Triton C27 T-Chromic 2/0 90cm RoundB 1/2 circle
5012578
35mm 788 66
TRITON C28 T-CHROMIC 0 90CM ROUNDB 1/2
5012581
CIRCLE 35MM 146 12
TRITON C44 T-CHROMIC 3/0 90CM ROUNDB 1/2
5012584
CIRCLE 22MM 84 7
TRITON C55 T-CHROMIC 1 90CM 1/2 HEAVY
5012582
ROUNDB 1/2 CIRCLE 40MM 60 5
TRITON N180 T NYLON 5-0 90CM REVERSE-
5012627
CUTTING, 3/8 CIRCLE, 12 MM 36 3
Triton N32 T-Nylon 3-0 76cm Reverse-cutting, 3/8
5012622
circle, 26 mm 294 25
TRITON N37 T NYLON 4/0 76CM RESERVE-
5012626
CUTTING , 3/8 CIRCLE 26MM 36 3
Triton N90 T Nylon 2-0 76cm Reverse-cutting, 3/8
5012625
circle, 26 mm 264 22
TRITON P180 T-Plain Catgut Plain 2-0, 90 cm Round
5012620
Bodied, 1/2 circle, 37 mm 192 16
TRITON P87 T-Plain Catgut Plain 3-0, 76 cm Round
5012621
Bodied, 1/2 circle, 25 mm 36 3
TRITON S21 T-SILK SILK/SUTERA 3-0, 76 CM
5012594
REVERSE CUTTING, 3/8 CIRCLE, 26 MM 348 29
Triton S22 T-Silk 3/0 76cm RoundBodied 1/2 circle
5012589
25mm 264 22
Triton S25 T-Silk 2/0 76cm RoundBodied 1/2 circle
5012587
25mm 144 12
TRITON S77 T-SILK SILK/SUTERA 4-0, 76 CM
5012595
TRITON V10 T-VIO POLYGLYCOLIDE 2-0, 90
1002122519
CM ROUND BODIED, 1/2 CIRCLE, 25 MM 156 13
TRITON V173 T-VIO POLYGLYCOLIDE 8/0,
1002122542 25CM MICROPOINT SPATULA, 3/8 CIRCLE,
6,5MM 180 15
TRITON V7 T-VIO POLYGLYCOLIDE 3-0, 76 CM
5012606
TRITON V1 T-VIO POLYGLYCOLIDE 4-0, 76 CM
1002122531
ROUND BODIED, 1/2 CIRCLE, 20 MM 60 5
TRITON V14 T-Vio Polyglycolide 1, 90cm Heavy
5012600
Tapercut, 1/2 circle, 35mm 852 71
TRITON V16 T-Vio Polyglycolide 1, 90cm Round
5012598
Bodied Heavy, 1/2 circle, 48mm 192 16
TRITON V171 T-Vio Polyglycolide 2, 90cm Heavy
5012599
Round Bodied, 1/2 circle, 40mm 792 66
TRITON V4 T-VIO POLYGLYCOLIDE 3/0, 76 CM
1002122539
ROUND BODIED, 1/2 CIRCLE, 25 MM 36 3
5012027 Tropikamid TM 1 % (Mydriatil 1% TM) 508 42
5012087 Trypan Blue 1% 1 ml 142 12
1002122932 Tubing single small conector ( Medela) - -
5012903 UMBILICAL VENUS CATHETER 5 77 6
5012972 Umbilical Cord Klem Steril Nylon 1,050 88
5012902 Umbilical venus catheter 3.5 9 1
5012973 Underpad uk.60x90cm 10's 8,650 721
5012780 Urine Bag Standard Steril 2 lt (T Valve) 4,520 377
5011542 Valproat sir 250 mg/5 mL 1,049 87
5011871 Valsartan 80mg 150 13
5012123 vekuronium inj 2mg/ml (Ecron 10 inj) - -
5012091 VISCO SODIUM HYALURONAT 1,6 % 0,85 ML
122 10
5012320 Vitamin B Kompleks tablet 163,800 13,650
5012378 Vitamin B1, B6, B12 (Neurotropic 5000 Inj) 2,080 173
5012360 VITAMIN C TABLET 50 MG 41,300 3,442
5011691 Warfarin tab 2mg (Notisil 2mg) 11,600 967
5011949 Xylocaine 2% jelly 10gr syringe 59 5
5012184 Zinc sir 20 mg/5ml 216 18
5012181 Zinc tab dispersible 20 mg 5,600 467
K-WIRE 1.2 16
K-WIRE 1.4 17
K-WIRE 1.6 15
K-WIRE 1.8 21
K-WIRE 2.0 13
S-PLATE 17
SMAL DCP 3
DRILL BIT 3
1/3 TUBULAR BS 4
NARROW PLATE 1
DISTAL TIBIA 1
RECON PLATE 2
DISTAL FEMUR LOCKING 2
T PLATE 1
CORT SCREW 3,5 SELF TAPP 107
CORT SCREW 4.5 28
CANCELOUS 3,5 FULL TRADE 23
CANCELOUS 6,5 1/2 TRADE 1
CANCELOUS 6,5 2/3 TRADE 1
SCREW LOCKING 5.0 14
versi asli, tapi diminta perubahan 1 M, 2024, 9 M

tahun 2024
15 bulan perubahan
SISA MEI'23 ED GUDANG BULAN HARGA SUB TOTAL Murni
per juni 2023
2023
15 15
1 - 0 438,500 109,625 - 1 -
- - - 410,300 - - 1 -
1 - 3 225,400 619,850 - 3 -
- - - 410,300 - - 1 -
2 - - 2 438,500 - 877,000 - 1 -
1 - 0 438,500 109,625 - 1 -
- - - 234,300 - - 1 -
- - 3 147,400 368,500 - 3 -
- - - 234,300 - - 1 -
110 - 59 22,000 1,292,500 - - 59

336 - 168 85,800 14,392,950 - 168 -
2 - - 1 329,850 - 247,388 - 1 -
- - - 1,061,500 - - 1 -
- - - 979,000 - - 1 -
- - 1 669,300 836,625 - 1 -
- - - 625,900 - - 1 -
- - 1 1,058,163 1,322,704 - 1 -
- - - 195,800 - - 1 -
- - 3 480,750 1,201,875 - 3 -
- - 3 166,100 415,250 - 3 -
- - - 407,000 - - 1 -
2 - 1 435,100 217,550 - 1 -
- - 4 35,000 131,250 - 4 -
1 - - 1 35,364 - 35,364 - 1 -
- - 26 70,536 1,851,570 10 16 0
91 - 110 430,000 47,407,500 43 57 10

2 - - 2 516,090 - 1,032,180 - 1 -
17,520 - 11,980 2,650 31,747,000 - 11,980 -
1,690 - 110 16,569 1,822,623 - 110 -

12,000 - 44,625 585 26,105,625 - 24,000 20,625
117 - 231 444,998 102,572,131 124 107 -
24 12 57 940,000 53,344,972 - 45 12
10,300 - 163,700 79 12,932,300 71,500 92,200 -
31,000 - 48,125 87 4,186,875 18,000 30,000 -
2,700 - 5,425 79 427,002 2,400 2,025 -
242 - 507 8,800 4,459,400 - 300 207
- - 63 9,850 615,625 - 33 30
819 729 544 2,604 1,415,918 100 94 350
220 30 610 6,118 3,731,980 130 230 250
240 - 585 8,011 4,686,143 300 285 -
17,300 - 30,200 196 5,913,160 16,200 14,000 -
88,900 - 243,887 125 30,488,254 90,000 100,000 53,888
43,800 - 93,450 53 4,952,850 16,000 40,000 37,450
90 40 190 105,028 19,955,320 - 140 50
111 - 78 79,255 6,162,076 - 78 -

3 - 18 10,725 195,731 - - 18
126 - 273 2,600 709,150 - 200 73
12,100 5,700 15,725 314 4,945,459 8,000 7,725 -
- - 93 14,891 1,377,418 - - 93
- - 1,675 8,312 13,922,063 770 - 905
420 - 1,055 20,010 21,110,655 330 725 -
2,800 - 16,825 54 908,533 5,000 6,325 5,500
- - 183 1,679 306,418 370 - -
570 120 3,525 2,979 10,499,213 - - 3,525
37,000 - 30,238 904 27,334,552 - 20,238 10,000
3,000 - - 75 444 - 33,300 - 5,000 -

4 - - 1 74,143 - 111,215 2
1,330 - 8,470 2,625 22,233,750 - 3,470 5,000
90 - 144 18,500 2,659,375 29 - 115
93,500 - 205,875 378 77,903,100 63,000 100,000 42,875
2,400 2,400 750 198 148,500 - 750 -
- - 21,500 42 903,000 3,000 8,000 10,500
70,100 - 30,775 56 1,723,385 - 30,775 -
3,600 - 77,525 111 8,605,275 50,000 27,525 -
2,830 - 2,908 1,880 5,466,100 - 1,908 1,000
4,500 - 7,625 3,300 25,162,500 2,700 2,925 2,000
3,750 - 14,738 1,679 24,744,263 6,000 6,000 2,738
14,300 - - 5,175 4,326 - 22,384,463 - - 2,000
- - 790 57,605 45,507,950 166 300 324
5,280 - 49,620 373 18,508,260 30,000 19,620 -
- - 2,500 533 1,332,416 - - 2,500
2,550 2,550 3,750 407 1,526,250 1,500 2,250 -
8,600 - - 3,100 1,221 - 3,785,100 400 - 1,600
8,190 - 26,835 471 12,639,285 - 12,000 14,835
130 100 170 8,800 1,496,000 50 - 120
22 - 223 2,997 668,331 240 - -
- - 31 110,000 3,437,500 - - 31
625 - - 144 47,920 - 6,888,500 - - 20
105 - 40 40,591 1,623,621 - 40 -
89 - 175 59,930 10,472,705 - 70 105
100 - 62 105,600 6,600,000 200 - -
200 - 1,050 2,501 2,626,186 700 350 -
700 - 425 2,501 1,062,980 - 425 -

13,600 8,300 113,200 89 10,074,800 113,200 - -
308 133 92 2,399 221,940 - 93 -
- - 210 5,085 1,067,831 35 - 175
- - 687 4,325 2,973,437 235 273 180
11,300 - 137,450 124 17,043,797 83,000 54,450 -
74,010 - 26,678 137 3,654,818 - 26,678 -
- - 46 2,926 135,327 26 20 0
29,160 - 4,290 1,476 6,333,327 - 4,290 -
480 - 3,370 10,573 35,631,847 2,140 1,230 -
54 - 212 294,267 62,458,217 - 212 0
585 - 1,296 136,810 177,339,600 872 424 0

900 - 750 11,000 8,250,000 1,200 - -
1 - - 1 749,900 - 749,900 - 1 -
- - - 38,500 - - 1 -
- - - 102,678 - - 1 -
3 - 2 159,638 319,277 - - 2
- - 1 178,700 223,375 - 1 -
4 - - 3 83,250 - 228,938 - 1 -
4 - - 0 85,000 - 21,250 - 3 -
248 - 28 11,100 313,575 - 28 0
30 - - 18 94,990 - 1,662,325 - 10 -
- - 5 2,183,000 10,915,000 - 5 -
140 - 1,210 4,587 5,550,270 700 510 -
420 - 618 37,365 23,072,888 - 408 210
4 - 15 222,000 3,274,500 - 10 5
- - 4 272,150 1,020,563 - 4 -
- - 1 594,288 742,860 - 1 -
- - 4 147,000 551,250 - 4 -
- - 3 688,355 1,720,888 - 3 -
11 - 16 250,000 4,125,000 - 17 - 1
- - 19,088 24,200 461,917,500 19,000 - -
6,505 - 6,651 12,432 82,688,340 - 5,251 1,400
330 - 15,533 9,531 148,043,364 10,300 5,233 -
85 - 111 5,500 611,875 - 80 32
9,500 - 32,000 163 5,224,640 45,500 - -
2,800 - 450 924 415,800 - 450 -
967 - 393 33,078 12,999,654 - - 393

72 - 2,853 7,000 19,972,141 1,680 933 240
10 - 9 30,000 262,500 - 9 -
5 - - 1 45,000 - 56,250 - 3 -
- - 1 45,000 56,250 - 1 -
2 - 3 195,000 585,000 - 3 -
3 - - 2 388,500 - 679,875 - 1 -
3 - - 3 485,950 - 1,457,850 - 1 -
1 - 0 101,000 25,250 - 1 -
854 - 1,294 17,500 22,636,250 190 834 270
2 - - 2 42,681 - 85,362 - 1 -
- - - 42,681 - - 1 -
28 - 6 45,732 262,959 10 - -
10 - 34 12,573 424,339 30 4 - 0
180 10 255 1,545 393,977 - 155 100
3,000 - 30,375 71 2,145,690 10,500 13,375 6,500
3,300 - 12,700 108 1,371,600 - 9,500 3,200
1,170 - 3,655 2,165 7,911,248 1,600 1,855 200
200 - 100 14,104 1,410,366 40 60 -
13,100 - 3,275 125 409,801 - 3,275 -
20 10 - 10 165,188 - 1,651,882 - - 10
4,600 - 24,150 108 2,608,200 7,000 10,750 6,400
- - 99,125 990 98,133,750 15,900 39,000 44,225
785 - 502 8,099 4,069,747 - 403 100
47 40 127 30,636 3,883,113 35 52 40
- - 119 2,296 272,650 53 46 20
8,200 - 10,050 138 1,391,091 15,300 - -
12,264 - 12,286 1,600 19,657,600 - 9,086 3,200
75 75 300 3,397 1,019,100 110 120 70
31 - 108 1,403,158 151,190,310 82 26 - 0
2 - 7 3,100,000 20,925,000 3 4 - 0
- - 14 4,800,000 66,000,000 9 5 - 0
- - 1 85,767 107,209 - 1 -
- - 1 112,767 140,959 - 1 -
1 - 2 359,080 538,620 - 2 -
- - 488 6,486 3,161,925 190 178 120
400 - 2,063 6,279 12,950,994 1,100 963 - 1
1,750 - 4,500 2,244 10,098,000 3,350 1,150 -
1,800 - - 175 10,545 - 1,845,375 - 1,000 -
- - 1 160,600 200,750 - 1 -
20,900 - 71,100 3,509 249,489,900 47,300 23,800 -
1,140 - 560 2,664 1,491,840 - 560 -
1,900 - 975 2,673 2,606,175 - 975 -
500 500 - 185 - - - 500

3 3 - 6,090 - 6 - 14
- - 2,250 782 1,759,615 2,400 - -
190 - 1,460 7,490 10,935,400 760 520 180
12 7 16 249,970 4,062,013 5 9 0
1 - 2 281,900 422,850 - 2 -
2 - 3 137,000 411,000 - 3 -
- - 4 138,000 517,500 - 4 -
- - 12 137,000 1,712,500 - 13 -
5 - 1 137,000 171,250 - 1 -
- - 3 138,000 345,000 - 3 -
- - 3 19,000 47,500 - 3 -
3 - 9 19,000 180,500 - 10 -
18 - 18 13,000 237,250 - 18 -
32 32 10 19,000 190,000 - 10 -
11 - 237 13,000 3,074,500 - - 237
- - 19 13,000 243,750 - 19 -
- - 65 19,000 1,235,000 - 65 -
- - 12 22,880 286,000 - 13 -
- - 12 22,880 286,000 - 13 -
6 - 18 22,880 406,120 - 18 -
59 - 4 23,088 80,808 - 4 -
40 - 5 22,880 114,400 - 5 -
3 3 19 7,300 136,875 - 19 -
- - 19 2,200 41,250 - 19 -
- - 25 8,030 200,750 - 25 -
- - 87 13,200 1,155,000 - 88 -
- - 1,488 13,320 19,813,500 - 1,488 -
- - 738 13,200 9,735,000 - 738 -
30 - 220 39,960 8,791,200 - 220 -
10 10 27 9,584 263,560 - 28 -
- - 63 19,869 1,241,813 - 63 -
- - 687 14,500 9,968,750 - 688 -
- - 4,500 1,309 5,891,895 - 4,500 -
123,800 - 88,200 355 31,328,640 - 88,200 -
127,600 - 414,525 460 190,681,500 - 414,525 -
8,600 - 963 7,186 6,916,875 1,800 - -
4,300 - 1,637 7,300 11,953,750 - 1,638 -
8 - 1 8,400 6,300 - 1 -
37 - 8 12,574 100,592 - 8 -
20 - 116 12,574 1,461,727 - 116 -
181 - 249 12,574 3,130,926 - 249 -
360 - 889 12,197 10,840,084 - 889 -
200 - 50 6,239 311,948 - 50 -
750 - 6,450 6,239 40,241,258 - 6,450 -
600 - 11,150 6,097 67,986,121 - 11,150 -
950 - 2,238 6,100 13,648,750 - 2,238 -
- - 1,500 9,934 14,900,984 - 1,500 -
- - 50 127,000 6,350,000 - 50 -
- - 44 100,000 4,375,000 - 44 -
220 - 293 100,000 29,250,000 - 293 -
- - 4 124,000 465,000 - 4 -
- - 16 124,000 2,015,000 - 16 -
- - 5 31,900 159,500 - 5 -
135 - 378 19,470 7,349,925 - 378 -
675 - 888 19,470 17,279,625 - 888 -
255 - 195 7,275 1,418,625 - 195 -
5,400 - 1,788 5,500 9,831,250 - 1,788 -
500 - 15 7,500 112,500 - 15 -
- - 925 7,200 6,660,000 440 365 120
340 - 560 6,627 3,711,120 - 360 200
- - 45,500 2,497 113,613,500 40,000 5,500 -
1 - 2 20,333 30,500 - 2 -
- - - 90,200 - - 1 -
500 - 1,000 5,001 5,000,550 - - 1,000
10,400 - 20,100 226 4,542,499 - 12,500 7,600

253 253 27 15,098 415,195 - - 28
130 - 389 26,400 10,263,000 300 - 89
22,900 - 158,975 170 26,951,085 218,600 - -
30 - 45 10,346 465,548 150 - -
3,900 - 59,350 182 10,801,700 34,000 - 25,350
450 - 5,175 473 2,447,775 - - 5,175
82 - 849 87,720 74,496,181 393 670 687

- - 1,938 26,928 52,173,000 1,450 488 - 1
25 - 69 63,774 4,384,488 - 40 29
100 - 1,637 1,386 2,269,575 1,080 558 - 1
300 - 6,325 748 4,731,100 1,800 2,325 2,200
- - 199 13,575 2,698,031 162 37 - 0
400 - 100 11,450 1,145,000 150 - -
3,960 - 39,440 3,079 121,439,704 63,700 - -
1 - 0 216,152 54,038 1
121 41 202 111,850 22,649,625 124 80 -
374 - 1,466 126,859 185,974,664 298 733 435
245 37 316 62,842 19,842,216 363 - -
77 - 153 116,449 17,816,691 140 13 -

175 - 750 214,565 160,923,750 - 350 400
4,640 - 60 32,190 1,931,400 - 60 -
- - 1 399,600 499,500 - 1 -
- - - 908,600 - - 1 -
2 - 6 677,985 3,728,918 - 6 -
- - - 908,600 - - 1 -
9,550 - 3,856 923 3,559,319 6,700 - -
63,800 - 107,075 100 10,755,684 52,000 55,075 -
745 730 266 14,829 3,948,221 450 - -
- - 4 108,775 407,907 - 4 -
166,860 - 89,265 750 66,947,857 166,000 - -
63,400 - 280,787 999 280,506,712 13,800 136,988 130,000
400 - 850 280 238,008 - - 850

10,800 - 9,575 300 2,872,498 - 6,575 3,000
200 - 3,175 847 2,689,225 - - 3,175
159 - 2,024 1,834 3,710,290 1,450 574 - 1
780 600 1,970 3,996 7,872,120 1,520 450 -
- - - 836,000 - - 1 -
- - 1 889,887 1,112,359 - 1 -
5,000 - 3,625 199 721,375 - 3,625 -
16,200 - 13,925 93 1,295,025 20,000 - -
83,100 - 23,150 123 2,847,450 - - 23,150
17,800 - 10,325 143 1,476,475 - 9,325 1,000
16,900 - 7,975 183 1,459,425 - 7,975 -
10,700 - 93,425 1,655 154,618,272 20,300 40,000 33,125
1 - - 1 141,000 - 141,000 - 1 -
- - 4 94,417 354,062 - 4 -
- - 3 125,000 312,500 - 3 -
- - 8 42,000 315,000 - 8 -
- - - 200,000 - - 1 -
88 - 136 4,107 557,525 - 86 -
- - 6 109,000 681,250 6 - 0
300 - 16,325 99 1,617,275 3,900 6,425 6,000
189 42 24 20,979 508,741 - 24 0
365 - - 171 46,635 - 7,986,244 20 10 -
- - - 143,000 - - 1 -
- - 245 80,750 19,783,750 250 - -
138 - 410 5,500 2,252,250 240 170 -
2,550 - 387 3,899 1,510,873 - 388 -
55 - 326 48,300 15,757,842 240 86 0
51 41 55 177,000 9,735,000 25 - 30
3 - 18 70,000 1,277,500 - 18 -
- - 63 2,236 139,749 - - 63
600 420 1,920 12,109 23,249,474 540 840 540
120 - 505 77,063 38,916,815 110 245 150
100 70 - 5 79,000 - 395,000 - 30 -
20 20 12 48,020 600,250 5 8 -
5 5 - 132,000 - - - 5
780 - 1,295 8,750 11,331,250 - 795 500
96 - 174 10,350 1,800,838 12 102 60
24 - 156 12,599 1,965,444 36 36 84
180 - 1,570 37,790 59,330,308 568 702 300
420 220 25 10,460 261,500 - 25 -
340 - 385 10,405 4,005,925 - 300 85
3 3 9 78,601 687,761 11 - -
200 - 5,238 7,128 37,332,900 2,450 2,000 788
110 - 178 89,000 15,797,500 - 100 78
245 - 74 89,000 6,563,750 - - 74
515 - 4,985 89,809 447,697,815 365 2,120 2,500
70 - 118 136,350 16,021,119 - 118 -

510 - 653 112,000 73,080,000 - 453 200
- - 3,894 113,018 440,064,616 1,120 1,555 1,220
340 - 3,598 113,018 406,582,975 995 2,340 260

80 - 851 89,500 76,186,875 230 371 250
1,640 - 5,698 90,314 514,561,745 145 2,855 2,700
4 4 15 210,014 3,150,210 - - 15
1,280 - 1,083 14,630 15,836,759 - 933 150
170 - 43 13,808 586,840 - 43 -
5 - 75 70,400 5,280,000 12 35 28
41 - 158 139,183 21,956,118 42 82 34
1,330 - 7,907 3,502 27,692,065 3,000 3,708 1,200

8,800 2,800 7,250 75 543,750 - 5,250 2,000
13,200 1,200 375 357 133,874 - 375 -
370 - 305 14,430 4,401,150 - 255 50
114,200 - 152,925 87 13,270,290 195,000 - -
550 450 275 4,500 1,237,500 - - -

- - 2,288 3,720 8,509,958 480 908 900
133 85 567 29,550 16,754,850 240 327 -
- - - 200,000 - 1
2,800 850 4,050 625 2,531,250 1,100 2,000 950
300 100 6,925 799 5,530,305 3,000 2,925 1,000
455 - 89 32,423 2,877,541 272 - -

13,500 - 9,000 1,859 16,728,750 9,000 - -
1,320 810 1,253 2,600 3,256,500 - 413 840
216 - 114 5,775 658,350 192 - -
2 - - 2 270,001 - 540,002 1
22,680 - 17,570 505 8,864,862 - 16,070 1,500
61,700 - 21,050 60 1,263,105 - 21,050 -

163,920 - 55,643 322 17,916,885 76,300 - -
58,770 - 164,355 212 34,843,260 51,700 87,655 25,000
39,000 - 206,000 51 10,518,360 80,000 100,000 26,000
27,300 - 35,575 108 3,834,985 - 25,075 10,500
7,900 - 11,225 189 2,121,547 - 4,000 7,225
- - 179 6,809 1,217,109 - - 179

20 63 84 3,300 278,025 62 24 -
62,592 - 42,968 500 21,484,000 - 30,000 12,968
36,500 - 63,500 399 25,355,550 - 40,000 23,500
7 - 37 286,500 10,528,875 5 32 - 0
- - 146 10,493 1,534,601 70 50 26
5,900 - 6,225 2,970 18,488,250 5,100 1,125 -
550 - 71 2,349 167,366 - 71 0
3,300 100 550 252 138,600 - 550 -
440 - 10 2,016 20,161 - 10 -
4,050 - 14,575 1,000 14,575,144 13,500 1,075 -
10,420 5,050 2,667 1,808 4,823,107 - 2,668 -
- - - 143,000 - - 1 -
- - - 38,291 - - 1 -
- - - 38,291 - - 1 -
- - - 38,291 - - 1 -
- - 5 45,000 225,000 - 5 -
- - - 38,291 - - 1 -
50 50 350 22,755 7,964,250 644 - -

20,700 - 9,925 723 7,178,514 - 9,925 -
12,600 8,800 1,450 387 561,861 - 1,450 -
1,015 - 1,033 11,880 12,266,100 - 600 433
66,000 1,230 47,580 575 27,358,500 34,800 12,780 -
- - 1,250 5,900 7,375,000 - 1,250 -
54 20 4 9,075 31,763 - 4 - 1
1,228 - 404 3,266 1,321,097 - 405 - 1
220 170 450 10,545 4,745,250 122 203 125
600 - 3,025 968 2,928,200 1,000 1,325 700
3,000 - 750 83 62,438 - 750 -

2,900 2,900 1,625 154 250,250 - - 1,625
- - 500 333 166,500 - - 500
26,700 - 15,175 605 9,187,696 3,000 12,175 -
2,200 - 4,675 1,372 6,415,781 - 2,675 2,000
2 - - 2 406,262 - 812,524 - 1 -
2 - - 2 337,545 - 675,090 - 1 -
- - - 251,900 - - 1 -
- - 1 556,900 696,125 - 1 -
2 - - 2 516,512 - 1,033,024 - 1 -
- - 6 202,350 1,264,688 - - 6
49 37 81 2,119 170,587 28 30 23
5,400 3,900 2,875 240 690,000 4,700 - -
25 - 2 161,940 404,850 - 3 -
756 - 274 12,533 3,434,045 - 274 -
181,150 - 182,162 278 50,641,162 31,600 143,463 5,000
370 - 143 94,560 13,474,800 - 143 - 1
810 - 428 3,700 1,581,750 - 428 - 1
407 - - 70 105,380 - 7,323,910 - - -

100 - 392 64,000 25,120,000 30 196 167
1,020 - 1,770 17,455 30,896,164 940 - 830
5,800 - 2,950 1,144 3,374,800 - 2,950 -
1,500 - 2,750 800 2,199,992 1,400 1,350 -
49,600 - 58,900 270 15,903,000 29,800 29,100 -
22,100 - 58,275 145 8,449,875 - 31,275 27,000
5,200 - 11,300 109 1,231,698 18,700 - -
104 54 131 24,195 3,175,594 - 73 58
504 - 479 3,580 1,713,030 480 - -
160 - 1,403 26,960 37,811,400 580 623 200
- - - 286,000 - - 1 -
2 - - 1 144,001 - 108,000 - 1 -
67 - 37 75,500 2,774,625 - 37 - 0
1,150 - 4,675 17,582 82,197,720 - 4,675 -
50,500 - 277,875 769 213,749,786 - 130,000 147,875
31,850 - 7,775 682 5,302,550 14,750 - -
650 - 847 35,809 30,347,788 750 100 -
39,900 - 29,600 1,247 36,897,288 18,100 - 11,500

1,140 - 9,447 2,789 26,349,049 11,800 - -
133,200 - 175,050 77 13,478,850 157,000 18,050 -
33,000 - 9,500 153 1,453,500 - 9,500 -
10,200 - 1,175 985 1,157,375 - 1,175 -
- - 1,594 1,023 1,630,406 800 800 - 6
3,000 2,200 200 216 43,190 - 200 -
648 - 3,132 10,395 32,557,140 3,300 - -
27,800 4,500 46,700 102 4,763,395 - 31,700 15,000
540 - 210 3,545 744,437 - 210 -
2,000 - 4,375 118 516,510 - 2,375 2,000
1,600 900 3,362 952 3,201,099 600 1,500 1,263
- - 125 4,729 591,075 260 100 -

774 - 4,236 5,939 25,155,486 2,700 1,536 -
- - 34 3,950 133,313 4 - 30
10,700 - 300 264 79,200 - 300 -
- - 3 180,000 450,000 3
- - 1,362 4,444 6,054,944 - 863 500
- - 235 1,900 446,430 89 86 60
- - 250 3,008 752,025 800 200 -
- - 975 14,619 14,253,233 334 - 641

3,210 - 915 3,885 3,554,775 - 915 -
84 84 12 132,000 1,650,000 7 6 - 1
434 - 448 5,743 2,575,735 500 - -
- - 750 7,215 5,411,250 - - 750
50 10 35 29,900 1,046,500 - - 35
300 - 188 1,199 224,810 - - 188
6,900 - 7,350 1,665 12,237,750 - 5,000 2,350
148 43 150 33,000 4,950,000 - - 150
353 - 473 10,434 4,937,890 239 234 0

24 - 376 40,700 15,303,200 540 - -
1,280 - 4,132 6,149 25,410,742 950 2,133 1,000
2,940 - 20,410 30,969 632,077,290 12,700 7,710 -
196 - 304 30,335 9,221,749 - - 304
224 - 3,290 19,058 62,696,056 2,000 1,290 -
10 40 30 48,920 1,467,598 - 30 -
185 155 150 45,100 6,765,000 - - -

300 270 233 7,550 1,755,375 240 240 -
- - 4,369 24,200 105,723,750 4,011 358 -
43,650 - 101,787 116 11,811,360 131,000 - -
26,100 - 194,963 109 21,252,862 - - 110,000
10 - 90 25,386 2,284,713 21 21 48
45 - 369 19,000 7,006,202 78 162 129
129 - 29 52,223 1,488,356 136 - -
75 - 350 39,356 13,774,670 67 173 110

1,100 - 150 253 37,929 - 150
1,500 - 1,750 253 442,506 300 1,000 450
300 - 200 253 50,572 - 200 -
2,200 - 1,050 314 329,692 - 1,050 -
3 1 1 137,500 68,750 - 1 -
495 - 368 25,419 9,341,483 820 - -

4,500 - 10,375 129 1,335,781 2,400 5,975 2,000
- - 5,288 4,400 23,265,000 1,320 1,968 2,000
1,840 1,360 1,364 13,378 18,244,248 - 664 700
10 - - 4 160,567 - 602,126 - - 10
25 - 204 13,100 2,669,169 57 94 53
2,250 - 2,013 5,999 12,072,988 1,600 400 -
480 - - 18 103,950 - 1,819,125 - 20 -

343 132 305 121,989 37,237,142 146 159 0
4 - 7 35,068 254,243 6 1 0
5 - 64 36,972 2,356,952 30 19 15
2,200 - 2,300 3,200 7,360,000 - 1,800 500
9,220 - 7,268 5,999 43,597,442 - 6,568 700
29,000 - 187,263 129 24,156,863 200,000 - -
17,200 - 15,863 881 13,974,861 6,220 9,700 -
360 - 28,140 2,553 71,841,420 10,500 11,000 6,640
3 - - 3 912,975 - 2,738,925 1
570 - 2,067 4,247 8,781,362 750 1,000 318
- - - 22,000 - - - 10
- - 4 81,416 305,311 - 4
- - 4 58,667 220,001 - 4
- - 3 650,000 1,625,000 - 3 -
294 - 446 38,335 17,097,410 367 79 -
6,500 - 10,150 2,000 20,300,000 4,900 5,250 -

- - 141 4,538 640,922 275 - -
2,736 - 2,704 11,605 31,380,055 1,600 1,104 -
1 - 1,424 1,161 1,652,552 738 569 117
91 - 213 22,133 4,708,796 54 124 35
260,000 - 52,625 131 6,893,875 - 52,625 -
- - 1 684,600 855,750 1
4,500 - 8,500 1,695 14,407,500 7,400 1,100 -

147 - 529 22,866 12,101,830 - 269 260
600 - 1,838 41,677 76,581,801 600 1,000 238
2 - 10 927,350 9,737,170 - 4 11
150 - 46 28,745 1,329,456 427 - -
- - 125 304 38,000 400 - -
510 - 4,025 36,296 146,092,406 4,100 - -
500 - 39,375 5,279 207,866,925 40,000 - -
1,500 1,500 625 173 108,281 - 625 -
3,100 1,600 125 474 59,237 - 200 -
787 - 691 11,988 8,277,714 888 100 -

51 - 111 15,240 1,699,249 - 62 50
248 - 267 34,810 9,294,268 118 149 -
80 - 108 43,900 4,719,250 - 70 38
146 - 95 30,700 2,924,174 - 95 0
25 9 - 6 123,495 - 740,970 30 - -
120 47 227 49,500 11,236,500 498 - -
25 - - 9 92,400 - 808,500 - 30 20
1,550 - 2,075 1,344 2,788,800 6,900 - -
285 - 432 25,195 10,896,837 225 208 -

341 - 487 3,783 1,840,641 - 337 150
67 - 274 79,650 21,844,013 - 134 140
1,200 - 8,513 1,400 11,917,500 1,800 3,713 3,000
1,290 - 5,160 9,898 51,071,100 - 2,580 2,580
- - - 546,338 - 1 -
3,700 - 44,300 385 17,055,500 24,700 19,600 -
310 - 471 12,210 5,753,962 - 313 158
38,100 - 51,900 56 2,906,379 - 31,900 20,000
- - 1 568,508 710,634 1 -
- - 1 568,508 710,634 1 -
1 - - 1 568,508 - 568,508 1 -
130 - 28 209,790 5,769,225 66 - -
433 - 847 77,700 65,811,900 - 515 332

205 - 23 47,453 1,067,681 - 23 -
- - 3 205,000 512,500 - 3 -
11,800 2,500 16,575 147 2,436,525 - 12,575 4,000
14,700 3,500 11,831 1,167 13,807,445 - 11,831 -
61,400 - 74,975 113 8,494,668 53,000 21,975 -
- - - 129,500 - - - 20
100 - 2,275 558 1,269,494 350 925 1,000
5,450 - 1,850 6,050 11,192,500 - 1,850 -

2,300 - 9,450 942 8,906,530 - 4,450 5,000
1,700 - 5,050 1,244 6,283,261 - 2,700 2,350
180 - 41,820 8,400 351,288,000 2,900 16,820 22,100
616 - 1,204 8,055 9,698,220 - 731 473

2,870 - 3,230 3,833 12,381,236 4,600 - -
21 - 728 30,000 21,832,504 649 79 -

65 - - 29 27,170 - 781,137 - 100 -
122,200 - 35,550 79 2,818,923 - 35,550 -
213 - 180 138,742 24,904,230 - 160 20
- - 125 31,288 3,911,035 - - 125
50 - 450 31,288 14,079,726 - - 450
1,198 - 305 50,000 15,225,000 - 305 - 1

- - 3 522,661 1,306,653 - 3 - 1
- - 3 599,844 1,499,610 - 3 - 1
45 - 86 98,900 8,530,125 - 50 36
8,300 - 18,450 803 14,815,350 6,400 10,550 1,500
1,700 - 3,100 6,380 19,778,000 - 1,900 1,200
- - 6 16,128 100,802 - - 10
- - 709 4,723 3,347,426 130 279 300
- - 52,463 749 39,294,413 27,000 21,000 4,463
- 1,660 3,260 7,888 25,714,880 540 2,270 450
- - 15,795 2,851 45,028,623 6,000 6,295 3,500
2,500 - 1,150 6,597 7,586,550 - 1,150 -
5,728 - 6,584 4,290 28,247,505 - 4,885 1,699
10 - - 10 10,477 - 104,770 - - 10
- - 2,125 300 637,500 2,600 - -
12 - 36 521,833 18,525,079 17 9 10
20 - 318 130,999 41,592,183 200 118 -
274 - 52 2,090 109,203 - 52 -
21,900 - 60,725 49 2,975,525 30,460 30,265 -
28 - 101 887,911 89,457,033 30 34 37
- - 62,375 43 2,682,212 47,400 15,000 -
16,000 - 40,625 68 2,762,500 99,900 - -
17,700 - 23,050 151 3,488,839 32,000 - -
56 - 252 38,850 9,770,775 130 122 -
78 66 14 176,601 2,516,564 23 - -
- - 1 150,000 187,500 - - 1
- - 100 54,945 5,494,500 - - 100
24 - 107 26,400 2,831,400 3 - 104
- - 81 30,800 2,502,500 50 - 31
38 - 56 35,200 1,962,400 - - 56
25 - 15 54,945 824,175 7 - 8
- - 106 11,000 1,168,750 17 - 89
- - 213 9,900 2,103,750 26 - 187
- - 50 11,655 582,750 21 - 29
- - 331 54,945 18,200,531 47 - 284
- - 1 145,000 181,250 - 1 -
- - - 278,279 - - 1 -
150 - 350 31,300 10,955,000 - 200 150
475 - 744 32,617 24,258,894 - 500 250

20,600 12,600 35,875 190 6,816,250 25,000 10,875 -
8,500 - 8,125 775 6,296,875 - 6,625 1,500
20 - 105 77,000 8,085,000 100 5 -
- - 63 7,855 490,938 - 63 -
23 - 38 13,371 511,426 - 25 13
1,005 - 114 11,024 1,253,980 - 114 -
295 - 272 8,030 2,188,175 1,000 - -

240 - 48 4,345 206,388 - 48 -
810 600 2,427 4,215 10,231,912 450 1,600 377
570 - 755 4,345 3,280,475 - 500 255
782 - 747 17,765 13,266,014 - 600 147
2,436 - 4,310 4,989 21,503,837 - 2,710 1,600
5,600 3,100 3,875 926 3,586,894 - 2,500 1,375
5,930 - - 1,693 1,540 - 2,606,450 - 1,800 -
- - 4 3,450,000 12,937,499 2 2 -
7,850 - 288,400 908 261,867,200 150,000 138,400 -

35,400 - 48,975 1,298 63,569,550 - 30,000 18,975
6,800 - 2,950 957 2,823,150 3,500 - -
350 - 25 1,430 35,750 - 25 -
- - 125 2,438 304,730 90 100 -
- - 500 1,870 935,000 1,600 - -
4,100 - 131,025 888 116,350,200 55,000 50,000 26,025
1,000 - 2,625 4,037 10,597,125 2,625
20,400 - 38,350 968 37,122,800 22,100 16,250 -
119 - 46 192,308 8,846,168 - 46 -

2,296 252 2,296 7,860 18,046,535 728 1,568 -
4,900 - 6,725 2,299 15,460,775 - 4,725 2,000
450 - 331 22,000 7,287,500 1,100 - -
- - 68,750 330 22,687,500 30,000 20,000 18,750
- - - 89 - - 1,000 -
3,400 - 2,537 15,072 38,244,134 - 2,537 0

11 - 13 163,836 2,088,909 - 13 - 0
10 - 1 120,690 150,863 - 1 -
7200 0 5,863 6,800.00 39,865,000 4,800 1,063 -
- - 6,125 1,325 8,115,625 - - 6,125
1,357 - 431 47,273 20,351,027 500 - -
44 - 300 445,000 133,388,750 62 138 100
- - 809 45,788 37,031,045 500 309 -

- - 4 485,000 1,818,750 5 - -
13,500 - 26,813 700 18,758,025 20,000 6,813 -
500 - 1,250 6,000 7,499,438 500 750 0
62 62 165 57,720 9,523,800 130 35 -
78 - 6 33,500 192,625 - 6 -
8,200 6,600 8,775 770 6,756,750 7,000 1,775 -
6700 0 71,175 63.57 4,524,787 120,000 - -
6,900 - 30,600 999 30,569,400 16,800 13,800 -
756 - 229 63,603 14,565,087 - 229 -
84 - 99 62,715 6,177,428 - 75 24
36 - 69 65,601 4,526,469 - 30 39
48 - 27 71,610 1,933,470 - 27 -
- - 45 61,200 2,754,000 - - 45
- - 368 48,396 17,785,530 468 90 -
24 - 21 48,396 1,016,316 - 21 -
120 - 210 55,833 11,724,930 - 130 80
- - 240 56,166 13,479,840 168 72 -

- - 45 59,290 2,668,050 22 26 -
144 - 291 45,510 13,243,410 - 171 120
84 - 246 46,750 11,500,500 240 36 -
156 - 24 46,620 1,118,880 - 24 -
36 - 39 45,843 1,787,877 - 30 9
72 - 123 79,365 9,761,895 - 78 45
12 - 213 117,810 25,093,530 48 100 65
24 - 81 81,585 6,608,385 24 42 15
42 - 33 83,472 2,754,576 - 33 -
156 - 909 81,918 74,463,462 372 400 137
84 - 156 86,691 13,523,796 240 36 -
312 - 678 91,797 62,238,366 - 400 278
- - 45 77,478 3,486,510 120 24 -

52 - 583 39,600 23,086,800 315 268 -
133 - 44 75,813 3,373,678 - 44 0
2 - - 2 347,000 - 694,000 - 2 -
45 0 51 40,000.00 2,050,000 - 41 10
600 - 713 1,800 1,282,500 600 113 -
13 - - 2 36,872 - 64,526 - 5 -
6,650 - 4,162 3,300 13,736,250 - 4,163 -
3,000 - 2,650 5,500 14,575,000 - 2,000 650
579 - 732 11,637 8,521,193 670 62 -
1,740 1,740 188 1,980 371,250 - - 188
5 5 - 178,200 - - 5 -
350 268 71 799,977 56,398,379 - 40 31

16,500 - 188,250 57 10,730,259 150,000 38,250 -
310 - 2,290 5,772 13,217,880 1,600 690 -
27,200 - 24,425 42 1,035,127 14,000 10,425 -
- - 14,500 696 10,088,375 6,300 8,200 -
11 - 63 51,048 3,203,262 - 30 33
72 36 234 2,512 587,808 130 104 -
3,700 - 3,300 208 686,400 4,000 500 -
48 341,374 16,385,952 144 48
51 341,374 17,410,074 153 51
45 341,374 15,361,830 135 45
63 341,374 21,506,562 189 63
39 341,374 13,313,586 117 39
51 1,843,608 94,024,008 153 51
9 1,076,700 9,690,300 27 9
9 1,110,000 9,990,000 27 9
12 834,720 10,016,640 36 12
3 1,154,000 3,462,000 9 3
3 1,661,750 4,985,250 9 3
6 1,797,000 10,782,000 18 6
6 3,157,950 18,947,700 18 6
3 1,315,350 3,946,050 9 3
321 194,000 62,274,000 963 321
84 194,000 16,296,000 252 84
69 210,900 14,552,100 207 69
3 210,900 632,700 9 3
3 210,900 632,700 9 3
42 357,420 15,011,640 126 42
12,815,342,478
Sub Total 2024 Sub Total
perubahan
2023
- -
438,500 -
410,300 -
676,200 -
410,300 -
438,500 -
438,500 -
234,300 -
442,200 -
234,300 -
- 1,292,500
14,414,400 -
329,850 -
1,061,500 -
979,000 -
669,300 -
625,900 -
1,058,163 -
195,800 -
1,442,250 -
498,300 -
407,000 -
435,100 -
140,000 -
35,364 -
1,128,576 17,634
24,510,000 4,407,500
516,090 -
31,747,000 -
1,822,623 -
14,040,000 12,065,625
47,614,829 -
42,299,978 11,044,994
7,283,800 -
2,610,000 -
159,388 -
2,640,000 1,819,400
325,050 290,575
244,775 910,744
1,407,140 1,529,500
2,282,993 -
2,741,200 -
12,500,950 6,736,449
2,120,000 1,984,850
14,703,920 5,251,400
6,181,890 -
- 195,731
520,000 189,150
2,429,486 -
- 1,377,418
- 7,522,070
14,507,322 -
341,544 296,995
- -
- 10,499,213
18,295,053 9,039,499
2,220,000 -
- 148,286
9,108,750 13,125,000
- 2,122,875
37,840,000 16,223,900
148,500 -
336,000 441,000
1,723,385 -
3,055,275 -
3,587,040 1,879,060
9,652,500 6,600,000
10,074,000 4,596,263
- 8,651,000
17,281,500 18,664,020
7,318,260 -
- 1,332,416
915,750 -
- 1,953,600
5,652,000 6,987,285
- 1,056,000
- -
- 3,437,500
- 958,400
1,623,621 -
4,195,075 6,277,630
- -
875,396 -
1,062,980 -
- -
223,139 -
- 889,859
1,180,725 776,338
6,751,799 -
3,654,886 -
58,520 732
6,333,327 -
13,005,095 -
62,384,650 73,567
58,007,321 34,202
- -
749,900 -
38,500 -
102,678 -
- 319,277
178,700 -
83,250 -
255,000 -
310,800 2,775
949,900 -
10,915,000 -
2,339,370 -
15,244,920 7,827,968
2,220,000 1,054,500
1,088,600 -
594,288 -
588,000 -
2,065,065 -
4,250,000 - 125,000
- -
65,280,432 17,407,908
49,876,770 -
440,000 176,000
- -
415,800 -
- 12,999,654
6,531,373 1,680,096
270,000 -
135,000 -
45,000 -
585,000 -
388,500 -
485,950 -
101,000 -
14,595,000 4,716,250
42,681 -
42,681 -
- -
50,292 - 3,143
239,476 154,501
944,810 459,160
1,026,000 345,600
4,015,148 432,900
846,220 -
409,801 -
- 1,651,882
1,161,000 691,200
38,610,000 43,782,750
3,263,897 805,851
1,593,072 1,217,781
105,616 45,346
- -
14,537,600 5,120,000
407,640 237,790
36,482,117 - 350,790
12,400,000 - 775,000
24,000,000 - 1,200,000
85,767 -
112,767 -
718,160 -
1,154,508 775,077
6,046,937 - 3,140
2,580,600 -
10,545,000 -
160,600 -
83,514,200 -
1,491,840 -
2,606,175 -
- 92,500
- 85,260
- -
3,894,800 1,348,200
2,249,730 62,493
563,800 -
411,000 -
552,000 -
1,781,000 -
137,000 -
414,000 -
57,000 -
190,000 -
234,000 -
190,000 -
- 3,074,500
243,750 -
1,235,000 -
286,000 -
286,000 -
406,120 -
80,808 -
114,400 -
136,875 -
41,250 -
200,750 -
1,155,000 -
19,813,500 -
9,735,000 -
8,791,200 -
263,560 -
1,241,813 -
9,968,750 -
5,891,895 -
31,328,640 -
190,681,500 -
- -
11,953,750 -
6,300 -
100,592 -
1,461,728 -
3,130,926 -
10,840,084 -
311,948 -
40,241,258 -
67,986,122 -
13,648,750 -
14,900,984 -
6,350,000 -
4,375,000 -
29,250,000 -
465,000 -
2,015,000 -
159,500 -
7,349,925 -
17,279,625 -
1,418,625 -
9,831,250 -
112,500 -
2,628,000 864,000
2,385,720 1,325,400
13,733,500 -
40,666 -
90,200 -
- 5,000,550
2,824,938 1,717,562
- 415,195
- 2,343,000
- -
- -
- 4,613,700
- 2,447,775
58,772,377 60,263,616
13,140,864 - 13,464
2,550,975 1,833,513
773,388 - 693
1,739,100 1,645,600
502,275 - 3,394
- -
- -
- 216,152
8,948,000 -
92,987,332 55,183,478
- -
1,513,836 -
75,097,750 85,826,000
1,931,400 -
499,500 -
908,600 -
3,728,918 -
908,600 -
- -
5,532,284 -
- -
435,101 -
- -
136,851,012 129,869,501
- 238,008
1,972,499 899,999
- 2,689,225
1,052,486 - 917
1,798,200 -
836,000 -
889,887 -
721,375 -
- -
- 2,847,450
1,333,475 143,000
1,459,425 -
66,199,956 54,821,839
141,000 -
377,666 -
375,000 -
336,000 -
200,000 -
353,202 -
- 27,250
636,508 594,404
503,496 5,245
466,350 -
143,000 -
- -
935,000 -
1,512,822 -
4,153,791 12,075
- 5,310,000
1,260,000 -
- 139,749
10,171,645 6,538,915
18,880,435 11,559,450
2,370,000 -
384,160 -
- 660,000
6,956,250 4,375,000
1,055,664 620,979
453,564 1,058,316
26,528,584 11,337,002
261,500 -
3,121,500 884,425
- -
14,256,000 5,613,300
8,900,000 6,897,500
- 6,563,750
190,395,059 224,522,475
16,089,294 -
50,736,000 22,344,000
175,743,301 137,882,204
264,462,588 29,384,732
33,204,500 22,397,375
257,845,332 243,846,724
- 3,150,210
13,649,603 2,194,470
593,744 -
2,464,000 1,971,200
11,413,006 4,732,222
12,985,416 4,200,649
393,750 150,000
133,874 -
3,679,650 721,500
- -
- -
3,377,942 3,346,320
9,662,850 -
- 200,000
1,250,000 593,750
2,335,905 798,600
- -
- -
1,073,800 2,184,000
- -
- 270,001
8,108,044 756,818
1,263,105 -
- -
18,582,860 5,300,000
5,106,000 1,327,560
2,703,085 1,131,900
756,008 1,365,539
- 1,217,109
79,200 -
15,000,000 6,484,000
15,972,000 9,383,550
9,168,000 - 71,625
524,650 275,441
3,341,250 -
166,779 587
138,600 -
20,161 -
1,075,011 -
4,824,011 -
143,000 -
38,291 -
38,291 -
38,291 -
225,000 -
38,291 -
- -
7,178,514 -
561,861 -
7,128,000 5,138,100
7,348,500 -
7,375,000 -
36,300 - 4,538
1,322,730 - 1,633
2,140,635 1,318,125
1,282,600 677,600
62,438 -
- 250,250
- 166,500
7,371,347 -
3,671,062 2,744,719
406,262 -
337,545 -
251,900 -
696,125 -
516,512 -
- 1,264,688
63,573 47,680
- -
485,820 -
3,434,045 -
39,882,704 1,389,861
13,522,080 - 47,280
1,583,600 - 1,850
- -
12,544,000 10,656,000
- 14,488,032
3,374,800 -
1,079,996 -
7,857,000 -
4,534,875 3,915,000
- -
1,766,235 1,409,359
- -
16,796,080 5,378,520
286,000 -
144,001 -
2,793,500 - 18,875
82,197,720 -
99,999,900 113,749,886
- -
3,580,860 -
- 14,335,095
- -
1,389,850 -
1,453,500 -
1,157,375 -
818,400 - 6,394
43,190 -
- -
3,233,397 1,529,999
744,437 -
280,391 236,119
1,427,999 1,201,899
472,860 -
9,121,536 -
- 117,513
79,200 -
- 450,000
3,835,168 2,219,776
163,374 113,982
601,620 -
- 9,370,587
3,554,775 -
792,000 - 66,000
- -
- 5,411,250
- 1,046,500
- 224,810
8,325,000 3,912,750
- 4,950,000
2,441,556 2,609
- -
13,115,817 6,145,926
238,770,990 -
- 9,221,749
24,584,820 -
1,467,598 -
- -
1,812,000 -
8,663,600 -
- -
- 11,991,100
533,100 1,218,514
3,077,979 2,446,233
- -
6,808,623 4,329,182
- 37,929
252,860 113,787
50,572 -
329,692 -
137,500 -
- -
769,281 257,500
8,659,200 8,797,800
8,882,992 9,361,256
- 1,605,670
1,231,420 691,036
2,399,600 -
2,079,000 -
19,396,251 30,497
35,068 8,767
702,464 545,334
5,760,000 1,600,000
39,401,169 4,196,273
- -
8,545,699 -
28,083,000 16,951,920
- 912,975
4,247,333 1,348,528
- 220,000
325,665 -
234,667 -
1,950,000 -
3,028,465 -
10,500,000 -
- -
12,811,975 -
660,325 135,779
2,744,492 769,122
6,893,875 -
- 855,750
1,864,500 -
6,150,954 5,950,877
41,677,171 9,898,328
3,709,398 10,200,845
- -
- -
- -
- -
108,281 -
94,780 -
1,198,800 -
944,874 754,375
5,186,689 -
3,073,000 1,646,250
2,916,499 7,675
- -
- -
2,772,000 1,848,000
- -
5,240,560 -
1,275,017 565,623
10,673,100 11,170,913
5,198,200 4,199,300
25,535,550 25,535,550
546,338 -
7,546,000 -
3,821,730 1,932,233
1,786,387 1,119,992
568,508 -
568,508 -
568,508 -
- -
40,015,500 25,796,400
1,091,408 -
615,000 -
1,848,525 588,000
13,807,153 -
2,489,768 -
- 2,590,000
516,168 558,019
11,192,500 -
4,194,080 4,712,450
3,359,367 2,923,894
141,288,000 185,640,000
5,888,205 3,810,015
- -
2,370,000 -
2,717,000 -
2,818,923 -
22,198,756 2,705,473
- 3,911,035
- 14,079,726
15,250,000 - 25,000
1,567,983 - 261,331
1,799,532 - 299,922
4,945,000 3,585,125
8,471,650 1,204,500
12,122,000 7,656,000
- 161,283
1,317,717 1,415,719
15,729,000 3,342,413
17,905,760 3,549,600
17,945,880 9,977,853
7,586,550 -
20,956,650 7,290,855
- 104,770
- -
4,696,499 4,957,415
15,457,882 -
108,680 -
1,482,985 -
30,188,974 32,630,729
645,021 -
- -
- -
4,739,700 -
- -
- 187,500
- 5,494,500
- 2,752,200
- 962,500
- 1,962,400
- 439,560
- 981,750
- 1,846,350
- 337,995
- 15,618,116
145,000 -
278,279 -
6,260,000 4,695,000
16,308,500 8,154,250
2,066,250 -
5,134,375 1,162,500
385,000 -
494,865 -
334,265 177,161
1,256,736 -
- -
208,560 -
6,744,000 1,591,162
2,172,500 1,107,975
10,659,000 2,607,014
13,520,190 7,983,647
2,314,125 1,272,769
2,772,000 -
6,899,999 -
125,667,200 -
38,940,000 24,629,550
- -
35,750 -
243,784 -
- -
44,400,000 23,110,200
- 10,597,125
15,730,000 -
8,846,168 -
12,324,463 -
10,862,775 4,598,000
- -
6,600,000 6,187,500
89,000 -
38,236,598 7,536
2,129,868 - 40,959
120,690 -
7,228,400 -
- 8,115,625
- -
61,410,000 44,388,750
14,148,492 -
- -
4,766,375 -
4,499,663 0
2,020,200 -
201,000 -
1,366,750 -
- -
13,786,200 -
14,565,087 -
4,703,625 1,473,803
1,968,030 2,558,439
1,933,470 -
- 2,754,000
4,355,640 -
1,016,316 -
7,258,290 4,466,640
4,043,952 -
1,541,540 -
7,782,210 5,461,200
1,683,000 -
1,118,880 -
1,375,290 412,587
6,190,470 3,571,425
11,781,000 7,657,650
3,426,570 1,223,775
2,754,576 -
32,767,200 11,222,766
3,120,876 -
36,718,800 25,519,566
1,859,472 -
10,612,800 -
3,335,772 37,906
694,000 -
1,640,000 400,000
203,400 -
184,360 -
13,737,900 -
11,000,000 3,575,000
721,494 -
- 371,250
891,000 -
31,999,080 24,399,299
2,180,252 -
3,982,680 -
441,809 -
5,705,150 -
1,531,440 1,671,822
261,248 -
104,000 -
49,157,856 16,385,952
52,230,222 17,410,074
46,085,490 15,361,830
64,519,686 21,506,562
39,940,758 13,313,586
282,072,024 94,024,008
29,070,900 9,690,300
29,970,000 9,990,000
30,049,920 10,016,640
10,386,000 3,462,000
14,955,750 4,985,250
32,346,000 10,782,000
56,843,100 18,947,700
11,838,150 3,946,050
186,822,000 62,274,000
48,888,000 16,296,000
43,656,300 14,552,100
1,898,100 632,700
1,898,100 632,700
45,034,920 15,011,640
6,499,012,833 2,811,979,227
KODE REKENING URAIAN RINCIAN PERHITUNGAN
- Klonidin tablet 0,15 mg 10 x10 tablet (852

595 ecat 852 Kotak
Kotak)
266 ecat - Candesartan 8 Mg (4.340 Tablet) 4,340 Tablet
- Metamizole Na Inj 1 g / 2 ml, box 5 ampul

592 ecat 69 Box
(69 Box)
- Benang Jahit Catgut Chromic 2-0 (583-51m)

488 ecat 12 Lembar
(12 Lembar)
176 ecat - IV Catheter (580 Pcs) 580 Pcs
176 ecat - IV Catheter (580 Pcs) 580 Pcs
- Seftriakson serbuk injeksi 1 g/vial 1 vial @

428 ecat 3,280 Kotak
10 ml (3.280 Kotak)
154 ecat - ETT With Cuff 3; 3,5; 4; 4,5; 5 (3 Buah) 3 Buah
- Benang Jahit Catgut Chromic 2-0 (583-51m)

489 ecat 17 Lembar
(17 Lembar)
582 ecat - Cairan Nebulizer (2.332 Set) 2,332 Set
68 ecat - Bacterial Filter (235 Buah) 235 Buah
68 ecat - Bacterial Filter (235 Buah) 235 Buah
317 ecat - Widahes 130 (14 Botol) 14 Botol
- Multivitamin sirup, kombinasi : Vit. A 5000IU

+ Vit B1 2 mg + Vit B2 2 mg + + Vit B6 2 mg +
345 ecat Vit. C 50 mg + vit D 400 IU 230 Botol
+ Narkotinamida 10 mg + kalsium Pantotenat 5
mg / 5 ml (230 Botol)
- Multivitamin Syr: Vitamin A 5000 iu, vitamin

B1 3 mg, vitamin B2 2 mg, vitamin B6 6 mg,
674 ecat vitamin B12 5 mcg, vitamin C 50 mg, vitamin 100 Botol
D 400 mg, nicotinamide 20 mg, lusine HCL
250 mg. (100 ml) (100 Botol)
659 ecat - Glimepirid 1 mg (25.000 Tablet) 25,000 Tablet
391 ecat - Povidon iodine lart 10% 30 ml (232 Botol) 232 Botol
- Furosemid injeksi i.v/i.m 10 mg/ml 5 ampul

657 ecat 100 Kotak
@ 2 ml (100 Kotak)
655 ecat - Flunarizin 5 mg, box 100 tab (10 Box) 10 Box
641 ecat - Bisoprolol 2,5 mg (6 Dos) 6 Dos
- Lansoprazol tablet 30 mg 3 x10 kapsul (1.000

309 ecat 1,000 Kotak
Kotak)
- Asam folat tablet 1 mg 100 tablet (10.000

627 ecat 10,000 Tablet
Tablet)
UNGAN JUMLAH (Rp) KETERANGAN
20,500.00 17,466,000.00 Nifedipin tab 30 mg SR (Adalat Oros)
5,495.00 23,848,300.00
52,250.00 3,605,250.00 Meropenem serb inj 1.000mg
160,310.00 1,923,720.00 c55, 5/bln
25,757.00 14,939,060.00 Iv cath no 26 Polyflex
25,757.00 Iv cath no 26 Polyflex
8,594.00 28,188,320.00

27,000.00 81,000.00
(SIZE 7.0)
160,310.00 2,725,270.00 n180
Flutikason 250mcg+Salmeterol 50mcg

63,525.00 148,140,300.00
(Seretide 250)
43,962.00 bakterial filter barrierbac 5865
43,962.00 bakterial filter barrierbac 5865
212,020.00 2,968,280.00
10,520.00 2,419,600.00 recovit syr
41,745.00 4,174,500.00 cantolan tambahan

200.00 5,000,000.00 cantolan tambahan
7,920.00 1,837,440.00
40,541.00 40,541,000.00
356.00 3,560,000.00 cantolan tambahan

ID CATALOG NAMA PENYEDIA
TANPA MEREK / NIFEDIPIN GITS/TABLET

3526003109-OPA-045611682 PT Bayer Indonesia
LEPAS LAMBAT
TANPA MEREK KANDESARTAN/

3526003109-OPA-041798969 CANDESARTAN/ CANDESARTAN CILEXETIL P.T. Dexa Medica
TABLET/KAPSUL/KAPLET 8 MG
MEROPENEM/ MEROPENEM TRIHYDRATE

3526001012-OPA-044257594 P.T. Dexa Medica
SERB INJ 1.000 MG, nego 37.000
TRITON C55 T-CHROMIC CATGUT CHROMIC

3529001001-FKS-176350905 1, 90 CM HEAVY ROUND BODIED, 1/2 PT Medihop
CIRCLE, 40 MM
POLYMED POLYSAFETY SAFETY IV CANNULA

4815000007-AK1-002384475 PT. MEGAH MEDIKA PHARMA
26G, nego 9900
TANPA MEREK SURFLO-WP, WINGED AND

4815000001-AK1-002358179 TERUMO INDONESIA
PORTED I.V. CATHETER - SR+DM2619PX
CEFTRIAXONE/ CEFTRIAXONE SODIUM/

3525005019-OPA-042717903 P.T. Dexa Medica
SEFTRIAKSON INJ 1.000 MG, nego 5200
4815006081-FKS-177697061 FORSCH MEDICAL ENDOTRACHEAL PT.Dwiasri Graha (dwigraha

TUBE UNCUFFED 2.0 medical)
TANPA MEREK P119 T-PLAIN CATGUT PLAIN

3529001001-AK1-002007014 4-0, 76 CM ROUND BODIED, 1/2 CIRCLE, 17 PT Medihop
MM
TANPA MEREK KOMBINASI: SALMETEROL 50

3526003999-OPA-040386594 MCG + FLUTIKASON PROPIONAT 250 MCG, PT Glaxo Wellcome Indonesia
IH 250 MCG/PUFF
4816002035-AK1-002073239 ELECTROSTATIC FILTER INNOQ PT. Medtronic Indonesia
FLEXICARE HEPASHIELD ADULT PLEATED

4816003001-FKS-178213896 PAPER HYDROPHOBIC BACTERIAL VIRAL PT BINABAKTI NIAGAPERKASA
FILTER
VOLULYTE POLY (0-2 HYDROXYETHYL)

STARCH 130 60 G/ SODIUM CHLORIDE 6,02
3526099999-OPA-084220959 G/ SODIUM ACETATE 4,63 G/ POTASSIUM PT. Fresenius Kabi Combiphar
CHLORIDE 0,30 G/ MG CHLORIDE
HEXAHYDRATE 0,30 G INFUS
3525001010-ONJ-167238894 RECOVIT SIRUP 100 ML PT. GLOBAL MULTI PHARMALAB
3526003999-ONJ-057430492 IMUNOS SYRUP PT LAPI LABORATORIES

PT. NOVELL
LEVOTHYROXINE SODIUM/
3526003999-OPA-039279102 PHARMACEUTICAL
LEVOTIROKSIN TABLET 100 MCG
LABORATORIES
MEDIKA POVIDINE 10% + LOGO MEDIKA

4815000401-FKS-003086633 PT. Likuid Pharmalab Indonesia
POVIDINE 10% UKURAN 30 ML
MIDAZOLAM HYDROCHLORIDE/
3526003106-OPA-040235421 PT Ethica Industri Farmasi
MIDAZOLAM INJEKSI 1 MG/ML (I.V.)
TANPA MEREK KALIUM KLORIDA /

3526003999-OPA-040192121 POTASIUM KLORIDA INJEKSI 25 MG 7,46%, PT. Otsuka Indonesia
AMPUL @25 ML
EPINEFRIN/ EPINEPHRINE (ADRENALIN)

3526003999-OPA-041509625 PT Ethica Industri Farmasi
INJEKSI 1 MG/ML
LANSOPRAZOLE/ LANSOPRAZOL
3526003999-OPA-040202059 PT. Hexpharm Jaya Laboratories
TABLET/KAPSUL/KAPLET 30 MG, nego 425
3526003999-OPA-029134561 ASAM FOLAT / FOLIC ACID PT NOVAPHARIN

VOLUME VOLUME VOLUME VOLUME VOLUME VOLUME VOLUME VOLUME
4/1/24 15/1/24 20/1/24 29/1/24 31/1/24 6/2/24 13/2/24 24/2/24
VOLUME VOLUME
VOLUME HARGA CATALOG TOTAL CATALOG ID PAKET
02/03/24 13/3/24
3,720 4,670 17,372,400
78,900 300 23,670,000
90 37,000 3,330,000
26 72,261 1,878,786
200 9,900 1,980,000
200 17,465 3,493,000
5,400 5,200 28,080,000
4 16600
66,400
46 58,386 2,685,756
1,014 145,962 148,005,468
378 18,000 6,804,000 sisa uang 9,791,000
40 73,880 2,955,200 9,759,200
53 55,000 2,915,000
207 11,655 2,412,585
53 77700 4,118,100
2100 777 1,631,700
380 4,809 1,827,420
520 9,900 5,148,000
720 3,789 2,728,080
500 10,500.0 5,250,000
95,300 425 40,502,500
59,300 59.9 3,552,070

TANGGAL VIDIA DISTRIBUTOR A2 TKDN
n/a 93,600.00
51 178,300.00
35.7 275,250.00
42.56 44,934.00
n/a 12,959,060.00
n/a - 3,493,000.00
33.17 108,320.00
n/a
14,600.00
42.32 39,514.00
n/a 134,832.00
n/a - 6,804,000.00
n/a - 2,955,200.00
n/a 53,280.00
n/a 7,015.00
43.55 56,400.00
33.05 3,368,300.00
45.43 10,020.00
34.48 2,200.00
45.45 351,920.00
34.88 13,692.00
54.3 38,500.00
35 7,930.00
DAFTAR OBAT E CATALOG RSUD BAGAS WARAS KLATEN
TAHUN ANGGARAN 2024
VOLUME HARGA TOTAL

ID CATALOG NAMA PENYEDIA TKDN BMP 13/3/24 CATALOG CATALOG
3526003109- TANPA MEREK KANDESARTAN/ CANDESARTAN/

OPA- CANDESARTAN CILEXETIL P.T. Dexa Medica 78,900 300 23,670,000
041798969 TABLET/KAPSUL/KAPLET 8 MG
3526001012-
MEROPENEM/ MEROPENEM TRIHYDRATE
OPA- P.T. Dexa Medica 90 37,000 3,330,000
SERB INJ 1.000 MG, nego 37.000
044257594
3525005019-
CEFTRIAXONE/ CEFTRIAXONE SODIUM/
OPA- P.T. Dexa Medica 5,400 5,200 28,080,000
SEFTRIAKSON INJ 1.000 MG, nego 5200
042717903
3526003109-
TANPA MEREK / NIFEDIPIN GITS/TABLET PT Bayer
OPA- 3,720 4,670 17,372,400
LEPAS LAMBAT Indonesia
045611682
4816003001- FLEXICARE HEPASHIELD ADULT PLEATED
PT BINABAKTI
FKS- PAPER HYDROPHOBIC BACTERIAL VIRAL 40 73,880 2,955,200
NIAGAPERKASA
178213896 FILTER
3526003106-
MIDAZOLAM HYDROCHLORIDE/ MIDAZOLAM PT Ethica Industri
OPA- 520 9,900 5,148,000
INJEKSI 1 MG/ML (I.V.) Farmasi
040235421
3526003999-
EPINEFRIN/ EPINEPHRINE (ADRENALIN) PT Ethica Industri
OPA- 500 10,500.0 5,250,000
INJEKSI 1 MG/ML Farmasi
041509625
3526003999- TANPA MEREK KOMBINASI: SALMETEROL 50
PT Glaxo Wellcome
OPA- MCG + FLUTIKASON PROPIONAT 250 MCG, IH 1,014 145,962 148,005,468
Indonesia
040386594 250 MCG/PUFF
3526003999- PT LAPI
IMUNOS SYRUP 53 77700 4,118,100
ONJ-057430492 LABORATORIES
3529001001- TRITON C55 T-CHROMIC CATGUT CHROMIC 1,

FKS- 90 CM HEAVY ROUND BODIED, 1/2 CIRCLE, PT Medihop 26 72,261 1,878,786
176350905 40 MM
3529001001-
TANPA MEREK P119 T-PLAIN CATGUT PLAIN 4-
AK1- PT Medihop 46 58,386 2,685,756
0, 76 CM ROUND BODIED, 1/2 CIRCLE, 17 MM
002007014
3526003999-
OPA- ASAM FOLAT / FOLIC ACID PT NOVAPHARIN 59,300 59.9 3,552,070
029134561
VOLULYTE POLY (0-2 HYDROXYETHYL)
3526099999- STARCH 130 60 G/ SODIUM CHLORIDE 6,02
PT. Fresenius Kabi
OPA- G/ SODIUM ACETATE 4,63 G/ POTASSIUM 53 55,000 2,915,000
Combiphar
084220959 CHLORIDE 0,30 G/ MG CHLORIDE
HEXAHYDRATE 0,30 G INFUS
3525001010- PT. GLOBAL
ONJ- RECOVIT SIRUP 100 ML MULTI 207 11,655 2,412,585
167238894 PHARMALAB
3526003999-
LANSOPRAZOLE/ LANSOPRAZOL PT. Hexpharm
OPA- 95,300 425 40,502,500
TABLET/KAPSUL/KAPLET 30 MG, nego 425 Jaya Laboratories
040202059
4815000401- PT. Likuid
MEDIKA POVIDINE 10% + LOGO MEDIKA
FKS- Pharmalab 380 4,809 1,827,420
POVIDINE 10% UKURAN 30 ML
003086633 Indonesia
4816002035-
PT. Medtronic
AK1- ELECTROSTATIC FILTER INNOQ 378 18,000 6,804,000
Indonesia
002073239
4815000007-
POLYMED POLYSAFETY SAFETY IV CANNULA PT. MEGAH
AK1- 200 9,900 1,980,000
26G, nego 9900 MEDIKA PHARMA
002384475
PT. NOVELL
3526003999- LEVOTHYROXINE SODIUM/ LEVOTIROKSIN
PHARMACEUTICAL 2100 777 1,631,700
OPA-039279102 TABLET 100 MCG
LABORATORIES
3526003999- TANPA MEREK KALIUM KLORIDA / POTASIUM

PT. Otsuka
OPA- KLORIDA INJEKSI 25 MG 7,46%, AMPUL @25 720 3,789 2,728,080
Indonesia
040192121 ML
4815006081- FORSCH MEDICAL ENDOTRACHEAL TUBE PT.Dwiasri Graha
FKS-177697061 UNCUFFED 2.0 4 16600 66,400
(dwigraha medical)
4815000001-
TANPA MEREK SURFLO-WP, WINGED AND TERUMO
AK1- 200 17,465 3,493,000
PORTED I.V. CATHETER - SR+DM2619PX INDONESIA
002358179
Klaten, 14 Maret 2024
PEJABAT PEMBUAT KOMITMEN KEPALA INSTALASI FARMASI
dr. SIGIT JOKO NUGROHO DRA, SULISTYANINGTYAS A.H, M.SC, APT

NIP. 19751118200511005 NIP. 19651103199203 2 006

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RENCANA KERJA DAN ANGGARAN

PEMERINTAH KABUPATEN KLATEN

Urusan Pemerintahan : 1 Urusan Wajib Pelayanan Dasar

Lokasi Sub Kegiatan : JL IR SOEKARNO KM 2,BUNTALAN, KLATEN TENGGAH

Jumlah Tahun n : Rp 82.000.000.000,00 ( Delapan Puluh Dua Milyar Rupiah )

Indikator dan Tolak Ukur Kinerja Kegiatan

Indikator Tolak Ukur Kinerja

CAPAIAN PROGRAM Persentase pemenuhan kebutuhan penunjang urusan pemerintah daerah

Masukan Jumlah Dana

Keluaran Jumlah BLUD yang menyediakan pelayanan dan penunjang pelayanan

Hasil Terpenuhinya persentase layanan BLUD sesuai SOP

Kelompok Sasaran Sub Kegiatan :

Rincian Anggaran Belanja Kegiatan Satuan Kerja Perangkat Daerah

KODE REKENING URAIAN JUMLAH (Rp)

5 BELANJA DAERAH 82,000,000,000.00

5.1 BELANJA OPERASI 78,433,632,000.00

5.1.1 Belanja Pegawai 140,560,000.00

5.1.1.99 Belanja Pegawai BLUD 140,560,000.00

5.1.1.99.99.9999.01 Belanja Jasa Pelayanan Kesehatan bagi ASN 91,000,000.00

Honorarium Dewan Pengawas RSUD 91,000,000.00

- Honorarium Anggota Dewan Pengawas RSUD Bagas 28 Orang/bulan 2,000,000.00 56,000,000.00

5.1.1.99.99.9999.02 Belanja Honorarium Penanggungjawaban Pengelola 49,560,000.00

Honorarium Penanggungjawab Pengelola Keuangan 49,560,000.00

5.1.2 Belanja Barang dan Jasa 78,293,072,000.00

KODE REKENING URAIAN

5.1.2.99 Belanja Barang dan Jasa BLUD

5.1.2.99.99.9999.01 Belanja Bahan-Bahan Bangunan dan Konstruksi

Belanja Bahan-Bahan Bangunan dan Konstruksi

- Cat Besi (6 Unit) 6 Unit 92,510.00

- Thinner (pengencer) (6 Kg) 6 Kg 51,000.00

- Dynabolt.10x60.Kuning (100 Buah) 100 Buah 1,600.00

- Dynabolt.12x75.Kuning (200 Buah) 200 Buah 2,400.00

- Dynabolt.99.Kuning (200 Buah) 200 Buah 2,900.00

- Mata Bor Nachi 1 Set (2 Set) 2 Set 121,424.00

5.1.2.99.99.9999.02 Belanja Bahan-Bahan Kimia

Belanja Bahan-Bahan Kimia (Penunjang Non Medik)

- Cairan Penghilang Karat (6 Liter) 6 Liter 781,000.00

- Sikat Instrument (7 Buah) 7 Buah 26,000.00

- Pemutih (510 Buah) 510 Buah 31,778.00

- Reagen Borax Test Kit (1 Paket) 1 Paket 847,000.00

- Reagen Formalin Test Kit (1 Paket) 1 Paket 847,000.00

- Reagen Methanyl Yellow Test Kit (1 Paket) 1 Paket 847,000.00

- Reagen Rodhamin B Test Kit (1 Paket) 1 Paket 847,000.00

- Reagen Coliform Test Kit (2 Paket) 2 Paket 1,512,500.00

- Minyak Srimpi (60 Botol) 60 Botol 61,100.00

- Oksigen Cell (5 Buah) 5 Buah 6,825,940.00

- Liquid Oxygen (100.000 Rupiah) 100,000 Rupiah 8,250.00

- Oxygen Bleach, isi 5 liter (150 Jerigen) 150 Jerigen 265,000.00

5.1.2.99.99.9999.03 Belanja Bahan-Bahan Bakar dan Pelumas

Belanja Bahan-Bahan Bakar dan Pelumas (Umpeg)

- BBM / Bahan Bakar Logistik (60.000 Rupiah) 60,000 Rupiah 1,000.00

- Isi ulang korek gas (6 Botol) 6 Botol 35,000.00

- Pelumas Anti Karat (6 Botol) 6 Botol 79,080.00

- Solar Industri (3.000 Liter) 3,000 Liter 20,000.00

5.1.2.99.99.9999.04 Belanja Bahan-Bahan Baku

Belanja Bahan-Bahan Baku (Penunjang Non Medik)

- Bendrat (1 Kg) 1 Kg 24,360.00

5.1.2.99.99.9999.09 Belanja Bahan-Isi Tabung Gas

Belanja Bahan-Isi Tabung Gas (Penunjang Non Medik)

- Isi ulang gas Oksigen 1 m3 (426 Tabung) 426 Tabung 38,500.00

- Isi Ulang O2 6 m3 (213 Tabung) 213 Tabung 65,550.00

5.1.2.99.99.9999.13 Belanja Suku Cadang-Suku Cadang Alat Besar

Belanja Suku Cadang-Suku Cadang Alat Besar