DAFTAR ALAT KESEHATAN

RSU AMANAH SUMPIUH

NO URAIAN JUMLAH HARGA (Rp)

1 Bed side monitor 48 476.160.000
2 Bed side monitor 11 132.000.000
3 Bed side monitor 1 26.400.000
4 Bed side monitor transport 3 43.200.000
5 Central monitor Bonus 0
6 Vital sign monitor 19 127.680.000
7 EKG 18 316.800.000
8 Fetal Maternal Monitor (CTG) 4 64.000.000
9 Trolley BSM,EKG,CTG, VT Monitor 93 193.440.000
10 Incubator transport 3 348.000.000
11 Infant warmer 5 208.000.000
12 Incubator baby 25 1.120.000.000
13 Lampu operasi 6 345.600.000
14 Meja operasi 6 940.800.000
15 Pendant ICU/NICU/PICU 19 1.216.000.000
16 Pendant IGD 7 392.000.000
17 Pendant IBS & Anestesi 16 896.000.000
18 Syringe pump 50 184.000.000
19 Infus pump 40 147.200.000
20 Defibrilator 4 160.000.000
21 Ventilator Basic 1 136.000.000
22 Ventilator advance 6 1.344.000.000
23 Ventilator neonatal 3 480.000.000
24 Ventilator transport 1 176.000.000
25 Laringoskop anak 6 43.200.000
26 Mesin Anestesi 1 120.000.000
27 Mesin Anestesi dengan ETCO2 dan BIS 2 448.000.000
28 Fototerapy 4 54.400.000
29 CPAP bayi 7 210.000.000
30 Instalasi Gizi 1 678.915.627
TOTAL 11.027.795.627

Gombong, 01 Maret 2024

dr. Muhammad Miftahuddin

Direktur Utama Rumah Sakit
PKU Muhammadiyah Gombong
 DAFTAR ALAT KESEHATAN
RSU AMANAH SUMPIUH

NO URAIAN JUMLAH HARGA (Rp)

1 Bed side monitor 48 476.160.000
2 Bed side monitor 11 132.000.000
3 Bed side monitor 1 26.400.000
4 Bed side monitor transport 3 43.200.000
5 Central monitor Bonus 0
6 Vital sign monitor 19 127.680.000
7 EKG 18 316.800.000
8 Fetal Maternal Monitor (CTG) 4 64.000.000
9 Trolley BSM,EKG,CTG, VT Monitor 93 193.440.000
10 Incubator transport 3 348.000.000
11 Infant warmer 5 208.000.000
12 Incubator baby 25 1.120.000.000
13 Lampu operasi 6 345.600.000
14 Meja operasi 6 940.800.000
15 Pendant ICU/NICU/PICU 19 1.216.000.000
16 Pendant IGD 7 392.000.000
17 Pendant IBS & Anestesi 16 896.000.000
18 Syringe pump 50 184.000.000
19 Infus pump 40 147.200.000
20 Defibrilator 4 160.000.000
21 Ventilator Basic 1 136.000.000
22 Ventilator advance 6 1.344.000.000
23 Ventilator neonatal 3 480.000.000
24 Ventilator transport 1 176.000.000
25 Laringoskop anak 6 43.200.000
26 Mesin Anestesi 1 120.000.000
27 Mesin Anestesi dengan ETCO2 dan BIS 2 448.000.000
28 Fototerapy 4 54.400.000
29 CPAP bayi 7 210.000.000
30 Bed ICU/ICCU 16 711.680.000
31 Bed PICU 6 148.992.000
32 Bed 3 crank Rawat Inap 124 1.368.960.000
33 Bed Anak 16 165.888.000
34 Bed IGD/RR/Cathlab/Brankar 43 440.320.000
35 Bed Transport 10 138.240.000
36 Bed Gyn VIP 10 526.400.000
37 Bed Gyn 13 684.320.000
38 Bed Poli 24 476.160.000
39 Bed Sampling Darah 2 18.240.000
40 Matras 177 192.576.000
41 Matras Decubitus 23 19.136.000
42 Troly Emergency 18 126.720.000
43 Tiang Infus rawat Inap 225 136.800.000
44 Tiang Infus ICU 22 17.600.000
45 Stretcher 8 26.880.000
46 Kursi Roda 24 54.528.000
47 Kursi Kantor 22 40.832.000
48 Meja Kantor 22 151.360.000
49 Lemari Arsip 20 118.400.000
50 Stretcher Ambulance 9 171.360.000
51 Bedside cabinet 140 192.640.000
52 Overbed 180 397.440.000
53 Kursi Tunggu Poli 60 576.000.000
54 Troley Laptop 49 760.480.000
55 Troley Tindakan 38 121.600.000
56 Troley Injeksi 29 343.360.000
57 Troley Instrumen IBS 10 27.200.000
58 Instalasi Gizi 1 678.915.627
TOTAL 19.181.907.627

Gombong, 01 Maret 2024

dr. Muhammad Miftahuddin

Direktur Utama Rumah Sakit
PKU Muhammadiyah Gombong

DAFTAR ALAT KESEHATAN

RS PKU MUHAMMADIYAH GOMBONG
NO URAIAN JUMLAH HARGA (Rp)
1 CT SIMULATOR 1 8.000.000.000
TOTAL 8.000.000.000

Gombong, 01 Maret 2024

dr. Muhammad Miftahuddin

Direktur Utama Rumah Sakit
PKU Muhammadiyah Gombong
 PKU
No Nama Item Seri Gombon
g
1 Bed side monitor ND 12 5 3.1
2 Bed side monitor ND 15 0 0
3 Bed side monitor ND 15 Premium 0 0
4 Bed side monitor transport C30 0 0
5 Central monitor Free, bonus atas pembelian bed side monitor 0
6 Vital sign monitor NC3 10 4.2
7 EKG H12 5 5.5
8 Fetal Maternal Monitor C21 2 2
(CTG)
9 Trolley BSM,EKG,CTG, VT 17 2.21
Monitor
10 Incubator transport BT800 1 7.25
11 Infant warmer BQ80 2 5.2
12 Incubator baby B2 20 56
13 Lampu operasi L5 0 0
14 Meja operasi W5 0 0
15 Pendant ICU/NICU/PICU D9 0 0

16 Pendant IGD D5 0 0
17 Pendant IBS & Anestesi D5 Pro 0 0
18 Syringe pump M300/500 10 2.3
19 Infus pump ME6000 10 2.3
20 Defibrilator S8/S5 1 2.5
21 Ventilator Basic V3 0 0
22 Ventilator advance V8 1 14

23 Ventilator neonatal NV90 1 10

24 Ventilator transport V1 0 0
25 Laringoskop anak CVL 2 900
26 Mesin Anestesi A7 0 0
27 Mesin Anestesi dengan AX700 0 0
ETCO2 dan BIS
28 Fototerapy BL70 2 1.7
29 CPAP bayi NF5 5 9.375
Total 94 128.535
Self
Financin
g
 Jumlah Kebutuhan
Rp15.675 RS RS
Amanah Aghisna

Rp48.592.500 32 19.84 Rp310.992.000 11 6.82 Rp106.903.500

Rp0 8 6 Rp94.050.000 3 2.25 Rp35.268.750
Rp0 1 1.65 Rp25.863.750 0 0 Rp0
Rp0 2 1.8 Rp28.215.000 1 900 Rp14.107.500
Rp0 0 Rp0 0 Rp0
Rp65.835.000 6 2.52 Rp39.501.000 3 1.26 Rp19.750.500
Rp86.212.500 10 11 Rp172.425.000 3 3.3 Rp51.727.500
Rp31.350.000 2 2 Rp31.350.000 0 0 Rp0

Rp34.641.750 71 9.23 Rp144.680.250 5 650 Rp10.188.750

Rp113.643.750 1 7.25 Rp113.643.750 1 7.25 Rp113.643.750

Rp81.510.000 2 5.2 Rp81.510.000 1 2.6 Rp40.755.000
Rp877.800.000 4 11.2 Rp175.560.000 1 2.8 Rp43.890.000
Rp0 4 14.4 Rp225.720.000 2 7.2 Rp112.860.000
Rp0 4 39.2 Rp614.460.000 2 19.6 Rp307.230.000
Rp0 19 76 Rp1.191.300.000 0 0 Rp0

Rp0 7 24.5 Rp384.037.500 0 0 Rp0

Rp0 12 42 Rp658.350.000 4 14 Rp219.450.000
Rp36.052.500 30 6.9 Rp108.157.500 10 2.3 Rp36.052.500
Rp36.052.500 20 4.6 Rp72.105.000 10 2.3 Rp36.052.500
Rp39.187.500 2 5 Rp78.375.000 1 2.5 Rp39.187.500
Rp0 0 0 Rp0 1 8.5 Rp133.237.500
Rp219.450.000 5 70 Rp1.097.250.000 0 0 Rp0

Rp156.750.000 1 10 Rp156.750.000 1 10 Rp156.750.000

Rp0 1 11 Rp172.425.000 0 0 Rp0
Rp14.107.500 3 1.35 Rp21.161.250 1 450 Rp7.053.750
Rp0 0 0 Rp0 1 7.5 Rp117.562.500
Rp0 2 28 Rp438.900.000 0 0 Rp0

Rp26.647.500 1 850 Rp13.323.750 1 850 Rp13.323.750

Rp146.953.125 1 1.875 Rp29.390.625 1 1.875 Rp29.390.625
Rp2.014.786.12 251 413.365 Rp6.479.496.375 64 104.905 Rp1.644.385.875
5
 390.868.508 1.257.022.297 319.010.860

Rp10.138.668.
375 Rp209.503.716 Rp328.877.175
Total Harga Harga
satuan Total
(USD) (USD)

48 620 29.76
11 750 8.25
1 1.65 1.65
3 900 2.7

19 420 7.98
18 1.1 19.8
4 1 4

93 130 12.09

3 7.25 21.75
5 2600 13
25 2.8 70
6 3.6 21.6
6 9.8 58.8
19 4 76

7 3.5 24.5
16 3.5 56
50 230 11.5
40 230 9.2
4 2.5 10
1 8.5 8.5
6 14 84

3 10 30
1 11 11
6 450 2.7
1 7.5 7.5
2 14 28

4 850 3.4
7 1.875 13.125
409 648.805
409
 DATA ALAT KESEHATAN

Jumlah Kebutuhan Harga Harga

No Nama Item Seri PKU RS RS satuan Total
Gombong Amanah Aghisna Total (USD) (USD)
1 Bed side monitor ND 12 5 32 11 48 620 29.76
2 Bed side monitor ND 15 0 8 3 11 750 8.25
3 Bed side monitor ND 15 Premium 0 1 0 1 1.65 1.65
4 Bed side monitor transport C30 0 2 1 3 900 2.7
5 Central monitor Free, bonus atas 0 2 1 3 0 0
pembelian bed
side monitor
6 Vital sign monitor NC3 10 6 3 19 420 7.98
7 EKG H12 5 10 3 18 1.1 19.8
8 Fetal Maternal Monitor C21 2 2 0 4 1 4
(CTG)
9 Trolley BSM,EKG,CTG, 17 71 5 93 130 12.09
VT Monitor
10 Incubator transport BT800 1 1 1 3 7.25 21.75
11 Infant warmer BQ80 2 2 1 5 2600 13
12 Incubator baby B2 20 4 1 25 2.8 70
13 Lampu operasi L5 0 4 2 6 3.6 21.6
14 Meja operasi W5 0 4 2 6 9.8 58.8
15 Pendant ICU/NICU/PICU D9 0 19 0 19 4 76
16 Pendant IGD D5 0 7 0 7 3.5 24.5
17 Pendant IBS & Anestesi D5 Pro 0 12 4 16 3.5 56
18 Syringe pump M300/500 10 30 10 50 230 11.5
19 Infus pump ME6000 10 20 10 40 230 9.2
20 Defibrilator S8/S5 1 2 1 4 2.5 10
21 Ventilator Basic V3 0 0 1 1 8.5 8.5
22 Ventilator advance V8 1 5 0 6 14 84
23 Ventilator neonatal NV90 1 1 1 3 10 30
24 Ventilator transport V1 0 1 0 1 11 11
25 Laringoskop anak CVL 2 3 1 6 450 2.7
26 Mesin Anestesi A7 0 0 1 1 7.5 7.5
27 Mesin Anestesi dengan AX700 0 2 0 2 14 28
ETCO2 dan BIS
28 Fototerapy BL70 2 1 1 4 850 3.4
29 CPAP bayi NF5 5 1 1 7 1.875 13.125
Total 94 251 64 409 648.805