PEMERINTAH KABUPATEN INDRAGIRI HILIR

RUMAH SAKIT UMUM DAERAH PURI HUSADA TEMBILAHAN

PENGADAAN BAHAN HABIS PAKAI ALAT KESEHATAN E KATALOG BLUD 2014 (HUTANG 2014 TERBAYAR 2015)

NO NAMA BARANG SATUAN VOL HARGA JUMLAH

1 Actimove cervical collar medium density m pcs 2 Rp 80,438.82 Rp 160,877.64

2 Actimove cervical collar medium density s pcs 2 Rp 79,695.00 Rp 159,390.00
3 Apron mitralab box 5 Rp 367,840.00 Rp 1,839,200.00
4 Arm Sling L pcs 12 Rp 24,200.00 Rp 290,400.00
5 Arm Sling M pcs 10 Rp 24,200.00 Rp 242,000.00
6 Arm Sling S pcs 7 Rp 24,200.00 Rp 169,400.00
7 Atramat PGA 0 TP 40 mm G4091-90 pcs 12 Rp 93,500.00 Rp 1,122,000.00
8 Atramat PGA 1 G4898 pcs 120 Rp 93,500.00 Rp 11,220,000.00
9 Atramat PGA 2/0 R2692 pcs 12 Rp 74,250.00 Rp 891,000.00
10 Atramat PGA 4/0 R2694 pcs 24 Rp 74,250.00 Rp 1,782,000.00
11 Atramat PGA 6/0 PE1396-45 B pcs 12 Rp 104,500.00 Rp 1,254,000.00
12 Atramat PPL 2/0 CE2462 pcs 20 Rp 93,775.44 Rp 1,875,508.80
13 Atramat PPL 4/0 CE1964 pcs 43 Rp 91,396.25 Rp 3,930,038.64
14 Atramat PPL 5-0 Reverse cutting pcs 36 Rp 84,480.00 Rp 3,041,280.00
15 Blood ADM Set Terumo pcs 800 Rp 20,542.50 Rp 16,434,000.00
16 Breast pum mami pcs 26 Rp 13,115.38 Rp 341,000.00
17 Breathing Bag non Latex 0,5 L pcs 1 Rp 61,600.00 Rp 61,600.00
18 Cat gut chromic 3/0 B. Braun roll 1 Rp 1,644,500.00 Rp 1,644,500.00
19 Catgut chromic 0 roll 4 Rp 1,335,840.00 Rp 5,343,360.00
20 Catgut chromic 2/0 roll 1 Rp 1,384,240.00 Rp 1,384,240.00
21 Catgut Chromic 3 surgiroll roll 8 Rp 1,335,840.00 Rp 10,686,720.00
22 Catgut cromich 2 surgiroll roll 1 Rp 1,335,840.00 Rp 1,335,840.00
23 Catgut cromich 2/0 surgiroll roll 2 Rp 1,384,240.00 Rp 2,768,480.00
24 Catgut plain 0 surgiroll roll 2 Rp 1,335,840.00 Rp 2,671,680.00
25 Catgut plain 2/0 roll 2 Rp 1,384,240.00 Rp 2,768,480.00
26 Colostomi bag 3 pack 10 2 Rp 44,000.00 Rp 88,000.00
27 Curaspon 80 x 50 x 10 pcs 20 Rp 61,600.00 Rp 1,232,000.00
28 Electroda pack 18 Rp 157,666.67 Rp 2,838,000.00
29 Endo tracheal tube with cupped murph 3 pcs 3 Rp 26,950.00 Rp 80,850.00
30 Endo tracheal tube with cupped murph 4,5 pcs 3 Rp 26,950.00 Rp 80,850.00
31 Endo tracheal tube with cupped murph 6,5 pcs 3 Rp 26,950.00 Rp 80,850.00
32 Endotracheal tube uncuffed murphy 2,5 pcs 5 Rp 14,630.00 Rp 73,150.00
33 Endotracheal tube with cuffed murphy 3,5 pcs 5 Rp 26,950.00 Rp 134,750.00
34 Etanol 70% btl 1 L 100 Rp 25,850.00 Rp 2,585,000.00
35 Ethylclorethyl btl 10 Rp 110,316.40 Rp 1,103,164.00
36 ETT Kingking no. 2.5 bicakcillar pcs 5 Rp 27,500.00 Rp 137,500.00
37 ETT Kingking no. 3.5 bicakcillar pcs 5 Rp 27,500.00 Rp 137,500.00
38 ETT Kingking no. 4 pcs 5 Rp 44,000.00 Rp 220,000.00
39 ETT Kingking no. 4,5 pcs 5 Rp 44,000.00 Rp 220,000.00
40 ETT no. 3.0 bicakcillar pcs 5 Rp 27,500.00 Rp 137,500.00
41 ETT uncuffed no 2,5 pcs 3 Rp 14,630.00 Rp 43,890.00
42 ETT uncuffed no 3 pcs 3 Rp 14,630.00 Rp 43,890.00
43 ETT with cuffed no. 3 pcs 3 Rp 26,950.00 Rp 80,850.00
44 Extention tube 150 cm pcs 5 Rp 31,696.50 Rp 158,482.50
45 Face mask 3 ply tali green isi 50 pcs box 80 Rp 23,362.25 Rp 1,868,980.00
46 Feeding tube 8/100 terumo pcs 50 Rp 17,600.00 Rp 880,000.00
47 Folley catheter 2 way 18 rusch pcs 170 Rp 15,335.29 Rp 2,607,000.00
48 Folley catheter 3 way no. 20 rusch pcs 40 Rp 71,775.00 Rp 2,871,000.00
49 Folley catheter 3 way no. 22 rusch pcs 30 Rp 76,156.67 Rp 2,284,700.00
50 Folley chateter 3 way no. 24 rusch pcs 10 Rp 70,070.00 Rp 700,700.00
51 Folley chateter no. 12 rusch pcs 20 Rp 17,050.00 Rp 341,000.00
52 Folley chateter no. 14 pcs 10 Rp 14,850.00 Rp 148,500.00
53 Folley chateter no. 16 rusch pcs 200 Rp 16,478.00 Rp 3,295,600.00
54 Fuji IX kemasan kecil box 1 Rp 461,620.80 Rp 461,620.80
55 Guedel airway 3/080 mm, sterile pcs 6 Rp 9,240.00 Rp 55,440.00

NO NAMA BARANG SATUAN VOL HARGA JUMLAH

56 Guedel airway 4/090 mm, sterile pcs 4 Rp 9,240.00 Rp 36,960.00

57 Guedel airway 5/100 mm, sterile pcs 1 Rp 9,240.00 Rp 9,240.00
58 Guedel airway 6/110 mm, sterile pcs 9 Rp 9,240.00 Rp 83,160.00
59 Guedel airway, size 2, Length 80 mm pcs 9 Rp 20,020.00 Rp 180,180.00
60 Guedel airway, size 2, Length 90 mm pcs 11 Rp 20,020.00 Rp 220,220.00
61 Guedel airway, size 3, Length 100 mm pcs 14 Rp 20,020.00 Rp 280,280.00
62 Guedel airway, size 4, Length 110 mm pcs 5 Rp 20,020.00 Rp 100,100.00
63 Guedel no. 2 rusch (Iso 7) pcs 2 Rp 175,560.00 Rp 351,120.00
64 Guedel no. 4 rusch (iso 9) pcs 4 Rp 175,560.00 Rp 702,240.00
65 Handscoen steril no. 7.5 gammex psg 360 Rp 12,100.00 Rp 4,356,000.00
66 ID. Bracelet adult blue onemed box 2 Rp 103,675.00 Rp 207,350.00
67 ID. Bracelet adult pink onemed box 5 Rp 103,675.00 Rp 518,375.00
68 Infuset terumo dewasa pcs 800 Rp 11,000.00 Rp 8,800,000.00
69 Injection Plug/Stripy pcs 50 Rp 9,295.00 Rp 464,750.00
70 IV Catheter no. 14 terumo pcs 100 Rp 11,880.00 Rp 1,188,000.00
71 IV catheter no. 20 pcs 950 Rp 12,016.91 Rp 11,416,060.00
72 IV catheter no. 22 pcs 300 Rp 12,961.97 Rp 3,888,590.00
73 IV Catheter no. 26 terumo pcs 123 Rp 38,500.00 Rp 4,735,500.00
74 Kapsul kosong 00 box 5 Rp 100,100.00 Rp 500,500.00
75 KY Jelly 100 g tube 22 Rp 59,900.00 Rp 1,317,800.00
76 Masker Non Rebreathing (NRM) dewasa pcs 120 Rp 41,250.00 Rp 4,950,000.00
77 Masker non rebrithing anak salter pcs 30 Rp 75,625.00 Rp 2,268,750.00
78 Masker tali box 200 Rp 22,165.00 Rp 4,433,000.00
79 Nald hecting GR no. 6 pcs 5 Rp 25,960.00 Rp 129,800.00
80 Nald hecting GR no. 9 lsn 12 Rp 14,850.00 Rp 178,200.00
81 Nald hecting MPM GR 7 lsn 1 Rp 38,500.00 Rp 38,500.00
82 Nald hecting MPM GT-07 lsn 4 Rp 14,850.00 Rp 59,400.00
83 Nald hecting MPM GT-13 lsn 6 Rp 14,850.00 Rp 89,100.00
84 Nald hecting MPM GT-15 lsn 5 Rp 17,094.00 Rp 85,470.00
85 Nasal bayi pcs 5 Rp 11,000.00 Rp 55,000.00
86 Nasal canula 02 anak GEA pcs 110 Rp 8,577.50 Rp 943,525.00
87 Nasal oksigen canula dewasa anzon pcs 200 Rp 8,030.00 Rp 1,606,000.00
88 Needle BD 23 G new pcs 500 Rp 385.00 Rp 192,500.00
89 Nurse cup onemed box 20 Rp 45,375.00 Rp 907,500.00
90 Pisau operasi no. 15 aesculap pcs 300 Rp 2,552.55 Rp 765,765.00
91 Pisau operasi no. 20 aesculap pcs 300 Rp 2,552.55 Rp 765,765.00
92 Pisau operasi no. 22 aesculap pcs 300 Rp 2,552.55 Rp 765,765.00
93 Polysorb 1 pcs 6 Rp 70,840.00 Rp 425,040.00
94 Pot urine 40 ml pcs 69 Rp 2,750.00 Rp 189,750.00
95 Premilene 4/0 DS19 RP pcs 36 Rp 80,850.00 Rp 2,910,600.00
96 Premilene 5/0 pcs 21 Rp 101,062.50 Rp 2,122,312.50
97 Reinforced endo tracheal tube with no 4 pcs 3 Rp 126,434.00 Rp 379,302.00
98 Reinforced endo tracheal tube with no 6 pcs 3 Rp 126,434.00 Rp 379,302.00
99 Reinforced endo tracheal tube with no 7 pcs 3 Rp 126,434.00 Rp 379,302.00
100 S.T sensi uk M box 260 Rp 45,692.31 Rp 11,880,000.00
101 Safil 2/0 HR 26 90 cm pcs 36 Rp 74,250.00 Rp 2,673,000.00
102 Silkblack 0 roll 1 Rp 625,973.04 Rp 625,973.04
103 Silkblack 3/0 roll 2 Rp 522,720.00 Rp 1,045,440.00
104 Spalk anak psg 20 Rp 35,750.00 Rp 715,000.00
105 Spalk first aid onemed pcs 6 Rp 110,000.00 Rp 660,000.00
106 Spalk kaki dewasa psg 19 Rp 49,500.00 Rp 940,500.00
107 Spalk tangan dewasa psg 25 Rp 38,500.00 Rp 962,500.00
108 Spinal anasthesia no. 25 pcs 300 Rp 13,629.00 Rp 4,088,700.00
109 Spinal anesthesia needle 26 pcs 100 Rp 14,553.00 Rp 1,455,300.00
110 Spuit 10 cc BD box 1 Rp 198,000.00 Rp 198,000.00
111 Stomach tube (NGT) 12 terumo pcs 100 Rp 17,160.00 Rp 1,716,000.00
112 Stomach tube (NGT) 16 terumo pcs 169 Rp 17,870.12 Rp 3,020,050.00
113 Suction cateter no. 8 pcs 263 Rp 4,697.00 Rp 1,235,311.00
114 Surg PGA 8/0 box 1 Rp 3,332,340.00 Rp 3,332,340.00

NO NAMA BARANG SATUAN VOL HARGA JUMLAH

115 Surgiroll silk black 0 (75 M) roll 1 Rp 625,973.04 Rp 625,973.04

116 Surgiroll silk chromic 3/0 (100 M) roll 1 Rp 1,335,840.00 Rp 1,335,840.00
117 Syringe 50 cc (L. Tengah) terumo pcs 220 Rp 20,300.00 Rp 4,466,000.00
118 Syringe 50 cc (L. Tepi) terumo pcs 120 Rp 18,608.33 Rp 2,233,000.00
119 Tensocrefe 6 inc roll 50 Rp 118,800.00 Rp 5,940,000.00
120 Terumo feeding tube 5 40 cm pcs 100 Rp 14,107.50 Rp 1,410,750.00
121 Terumo IV Cath no. 24 pcs 250 Rp 13,475.00 Rp 3,368,750.00
122 Tes kehamilan box 50 5 Rp 60,500.00 Rp 302,500.00
123 Thermal paper 50 cm pcs 20 Rp 29,150.00 Rp 583,000.00
124 Three way stop cock GEA pcs 550 Rp 7,116.00 Rp 3,913,800.00
125 Trochar no. 24 pcs 7 Rp 160,694.29 Rp 1,124,860.00
126 Trochar no. 28 pcs 7 Rp 160,694.29 Rp 1,124,860.00
127 Ultrasonic gel 5 L galon 3 Rp 231,000.00 Rp 693,000.00
128 Umbilical cateter no. 5 pcs 50 Rp 8,470.00 Rp 423,500.00
129 Umbilical cateter no. 6 pcs 80 Rp 8,470.00 Rp 677,600.00
130 Umbilicald cord clamp cosa pcs 150 Rp 1,573.00 Rp 235,950.00
131 Urine bag pcs 830 Rp 4,327.11 Rp 3,591,500.00
132 USG Paper UPP 110 HG roll 10 Rp 221,314.50 Rp 2,213,145.00
133 X-Ray Diagnosis of colon set 1 Rp 620,000.00 Rp 620,000.00
TOTAL Rp 232,215,977.96
 Kasi Pelayanan Medis Kepala Instalasi Farmasi
RSUD Puri Husada Tembilahan RSUD Puri Husada Tembilahan

Dr. Udin syafriudin Nurul Wardani, S. Far, Apt

NIP. 197604152009031004 NIP. 19790912 200501 2 005

Mengetahui
Kabid Pelayanan dan Penunjang Medis
RSUD PURI HUSADA TEMBILAHAN

dr. H. Rahmat Susanto

NIP. 19710105 200604 1 008
 PEMERINTAH KABUPATEN INDRAGIRI HILIR
RUMAH SAKIT UMUM DAERAH PURI HUSADA TEMBILAHAN
PENGADAAN BAHAN HABIS PAKAI ALAT KESEHATAN E KATALOG BLUD 2015 (UTANG 2015)

NO NAMA BARANG SATUAN VOLUME HARGA SATUAN JUMLAH

1 Acidic HD conc HDM 303 10 L galon 50 Rp 145,860.00 Rp 7,293,000.00

2 Actimove cervical collar Medium density M pcs 3 Rp 80,438.82 Rp 241,316.46
3 Actimove cervical collar Medium density S pcs 3 Rp 79,695.00 Rp 239,085.00
4 Adult aerosol mask with swivel connec pcs 50 Rp 25,410.00 Rp 1,270,500.00
5 Apron mitralab (disposible) box 24 Rp 349,800.00 Rp 8,395,200.00
6 Atramat PGA 2/0 pcs 24 Rp 77,137.50 Rp 1,851,300.00
7 Atramat PGA 8/0 pcs 24 Rp 205,700.00 Rp 4,936,800.00
8 Atramat PPL 2/0 pcs 12 Rp 77,137.50 Rp 925,650.00
9 Atramat PPL 3/0 pcs 3 Rp 87,422.50 Rp 262,267.50
10 Blood adm set terumo pcs 500 Rp 20,460.00 Rp 10,230,000.00
11 Braunoderm uncolo spray 250 ml btl 2 Rp 165,000.00 Rp 330,000.00
12 Cannofix -PU pcs 200 Rp 6,352.50 Rp 1,270,500.00
13 Catgut Chromich 0 surgiroll roll 1 Rp 1,626,240.00 Rp 1,626,240.00
14 Catgut plain 0 surgiroll roll 2 Rp 1,335,840.00 Rp 2,671,680.00
15 Catgut Plain 3 surgiroll roll 1 Rp 1,626,240.00 Rp 1,626,240.00
16 Condom cateter L inusco pcs 10 Rp 4,950.00 Rp 49,500.00
17 Condom cateter M Inusco pcs 10 Rp 4,950.00 Rp 49,500.00
18 Cuticell classic 10 cm x 10 cm sach 200 Rp 8,602.00 Rp 1,720,400.00
19 Dermafix-T 5 x 7 cm new (25 str) box 7 Rp 63,250.00 Rp 442,750.00
20 Diacan arterial G16 30 mm pcs 290 Rp 8,494.20 Rp 2,463,318.00
21 Diacap lops 15 PS-dialysat gamm pcs 120 Rp 197,340.00 Rp 23,680,800.00
22 Dialog bloodline A&V w aerofil pcs 120 Rp 104,676.00 Rp 12,561,120.00
23 Elektroda kendal bks 20 Rp 148,225.00 Rp 2,964,500.00
24 Endotracheal tube with cuffed murph no. 3 pcs 3 Rp 26,950.00 Rp 80,850.00
25 Endotracheal tube with cuffed no. 6 pcs 10 Rp 26,950.00 Rp 269,500.00
26 Endotracheal tube with cuffed no. 6,5 pcs 10 Rp 26,950.00 Rp 269,500.00
27 Endotracheal tube with cuffed no. 7 pcs 15 Rp 26,950.00 Rp 404,250.00
28 ETT no. 4.0 bicakcillar uncuffed pcs 5 Rp 27,500.00 Rp 137,500.00
29 ETT no. 4.5 bicakcillar uncuffed pcs 5 Rp 27,500.00 Rp 137,500.00
30 ETT no. 5.0 bicakcillar uncuffed pcs 5 Rp 27,500.00 Rp 137,500.00
31 ETT no. 6.5 bicakcillar uncuffed pcs 10 Rp 40,700.00 Rp 407,000.00
32 ETT with cuffed no. 4,5 pcs 5 Rp 26,950.00 Rp 134,750.00
33 Folley cateter no. 18 rusch pcs 120 Rp 14,850.00 Rp 1,782,000.00
34 Guedel airway size 2 length 80 mm pcs 10 Rp 20,020.00 Rp 200,200.00
35 Guedel airway size 3 length 100 mm pcs 20 Rp 20,020.00 Rp 400,400.00
36 Gypsona 4 " 3,5 m x 10 cm roll 108 Rp 35,083.00 Rp 3,788,964.43
37 Gypsona 6" roll 12 Rp 46,005.52 Rp 552,066.24
38 Handscoen steril Gammex pcs 3480 Rp 11,576.55 Rp 40,286,400.00
39 Handscoen gynaecology onemed psg 80 Rp 20,900.00 Rp 1,672,000.00
40 Handscoen non steril uk. M box 250 Rp 44,000.00 Rp 11,000,000.00
41 Hypafix 10 cm x 5 m (new) pcs 32 Rp 102,673.47 Rp 3,285,551.10
42 Hypafix 15 cm x 5 m pcs 346 Rp 140,723.74 Rp 48,690,412.67
43 ID band adult blue onemed box 8 Rp 107,800.00 Rp 862,400.00
44 ID band adult pink onemed box 10 Rp 107,800.00 Rp 1,078,000.00
45 Infuset dewasa GEA pcs 400 Rp 4,070.00 Rp 1,628,000.00
46 Infuset dewasa terumo pcs 400 Rp 9,000.24 Rp 3,600,097.60
47 IV Cateter no. 20 terumo pcs 1000 Rp 11,440.00 Rp 11,440,000.00
48 IV Cateter no. 24 terumo pcs 150 Rp 11,733.33 Rp 1,760,000.00
49 Jelli 5 L galon 5 Rp 217,800.00 Rp 1,089,000.00
50 Kapas pembalut bks 50 Rp 36,857.70 Rp 1,842,885.00
51 Kapsul 0 pack 5 Rp 60,500.00 Rp 302,500.00
52 Kapsul 00 pack 5 Rp 88,000.00 Rp 440,000.00
53 Kapsul 2 pack 5 Rp 88,000.00 Rp 440,000.00
54 Kasa hydrofil 36 x 80 roll 75 Rp 121,000.00 Rp 9,075,000.00
55 Kassa kotak 16 x 16 pcs 135 Rp 3,630.00 Rp 490,050.00

NO NAMA BARANG SATUAN VOLUME HARGA SATUAN JUMLAH

56 Kertas EKG 50 x 30 fukuda roll 10 Rp 26,400.00 Rp 264,000.00

57 Leukocrepe 8240 4,5 m x 10 cm (4 x 5) roll 24 Rp 74,305.00 Rp 1,783,320.00
58 Leukoplast 1562 (1 x 1) roll 20 Rp 4,452.80 Rp 89,056.00
59 Leukoplast 1621H (0,5 X 5) roll 20 Rp 6,426.20 Rp 128,524.00
60 Leukoplast 1625H roll 50 Rp 36,634.40 Rp 1,831,720.00
61 Leukopor 1,25 cm x 9,2 m roll 48 Rp 7,815.68 Rp 375,152.45
62 Leukopor 2,50 cm x 9,2 m roll 48 Rp 15,678.92 Rp 752,587.97
63 Masker box 240 Rp 25,102.00 Rp 6,024,480.00
64 Masker kimberli box 42 Rp 220,000.00 Rp 9,240,000.00
65 Masker nebulizer anak (GEA) pcs 20 Rp 19,800.00 Rp 396,000.00
66 Masker nebulizer dewasa pcs 30 Rp 27,500.00 Rp 825,000.00
67 Masker non rebrithing dws pcs 90 Rp 46,505.56 Rp 4,185,500.00
68 My jelly 80 g onemed tube 24 Rp 35,200.00 Rp 844,800.00
69 Nald hecting GR 10 MPM lsn 6 Rp 17,380.00 Rp 104,280.00
70 Nald hecting GR 11 MPM lsn 6 Rp 17,380.00 Rp 104,280.00
71 Nald hecting GR 9 MPM lsn 6 Rp 17,380.00 Rp 104,280.00
72 Nald hecting GT 10 MPM lsn 6 Rp 17,380.00 Rp 104,280.00
73 Nald hecting GT 11 MPM lsn 6 Rp 17,380.00 Rp 104,280.00
74 Nald hecting GT 15 MPM bks 6 Rp 17,380.00 Rp 104,280.00
75 Nasal canula infant Gea pcs 150 Rp 6,600.00 Rp 990,000.00
76 Nasal canula pedriatic Gea pcs 50 Rp 6,600.00 Rp 330,000.00
77 Nasal oxygen canula dewasa GEA pcs 200 Rp 6,050.00 Rp 1,210,000.00
78 Needle no. 23 terumo box 5 Rp 56,100.00 Rp 280,500.00
79 NGT 18 pcs 50 Rp 13,750.00 Rp 687,500.00
80 Novo twist 32 G box 100 20 Rp 231,000.00 Rp 4,620,000.00
81 Nurse cup onemed box 35 Rp 49,500.00 Rp 1,732,500.00
82 Pharmafix 15 x 500 cm pcs 10 Rp 78,155.00 Rp 781,550.00
83 Premilene 3/0 DS 24 RP pcs 72 Rp 75,900.00 Rp 5,464,800.00
84 Safil 1 HR 48 90 cm pcs 108 Rp 91,987.50 Rp 9,934,650.00
85 Safil 3/0 HR 26 90 cm pcs 6 Rp 75,790.00 Rp 454,740.00
86 Silkblack 2/0 surgiroll roll 1 Rp 726,000.00 Rp 726,000.00
87 Silkblack 3/0 surgiroll roll 2 Rp 629,200.00 Rp 1,258,400.00
88 Softban 4" roll 29 Rp 18,983.10 Rp 550,509.78
89 Softban 6" roll 24 Rp 27,288.58 Rp 654,925.92
90 Sol cart B pcs 120 Rp 94,380.00 Rp 11,325,600.00
 91 Spinal needle no. 25 pcs 700 Rp 13,629.00 Rp 9,540,300.00
92 Spinal needle no. 26 pcs 200 Rp 14,553.00 Rp 2,910,600.00
93 Spuit 10 cc onemed box 64 Rp 112,200.00 Rp 7,180,800.00
94 Spuit 20 cc terumo box 36 Rp 297,000.00 Rp 10,692,000.00
95 Spuit 50 cc lobang tengah pcs 240 Rp 30,800.00 Rp 7,392,000.00
96 Suction cateter no. 12 pcs 7 Rp 7,260.00 Rp 50,820.00
97 Suction cateter no. 8 pcs 160 Rp 6,298.88 Rp 1,007,820.00
98 Suction cateter no.10 pcs 90 Rp 5,551.33 Rp 499,620.00
99 Surgical blade no. 10 aesculap box 1 Rp 297,000.00 Rp 297,000.00
100 Surgical blade no. 20 box 2 Rp 297,000.00 Rp 594,000.00
101 Tensocrepe 6" roll 36 Rp 84,116.43 Rp 3,028,191.41
102 Three way stop cock gea pcs 150 Rp 6,600.00 Rp 990,000.00
103 Umbilical cateter no. 5 pcs 56 Rp 8,470.00 Rp 474,320.00
TOTAL Rp 347,810,911.54

Kasi Pelayanan Medis Kepala Instalasi Farmasi

RSUD Puri Husada Tembilahan RSUD Puri Husada Tembilahan

Dr. Udin syafriudin Nurul Wardani, S. Far, Apt

NIP. 197604152009031004 NIP. 19790912 200501 2 005

Mengetahui
Kabid Pelayanan dan Penunjang Medis
RSUD PURI HUSADA TEMBILAHAN

dr. H. Rahmat Susanto

NIP. 19710105 200604 1 008
 PEMERINTAH KABUPATEN INDRAGIRI HILIR
RUMAH SAKIT UMUM DAERAH PURI HUSADA TEMBILAHAN
PENGADAAN BAHAN HABIS PAKAI ALAT KESEHATAN E KATALOG BLUD 2015

HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
1 Acidic HD conc HDM 303 10 LID galon 272 Rp 145,860.00 Rp 39,673,920.00
2 Aggravan box 30 7 Rp 217,800.00 Rp 1,524,600.00
3 Alkohol 100 ml brataco btl 36 Rp 3,960.00 Rp 142,560.00
4 Alkohol 70% 1 L btl 456 Rp 26,287.97 Rp 11,987,316.00
5 Alkohol 96% 1000 ml brataco btl 6 Rp 33,000.00 Rp 198,000.00
6 Alkohol swab 100 's GC box 174 Rp 18,243.56 Rp 3,174,380.00
7 Ambroxol 30 mg tab ktk 100 100 Rp 11,869.11 Rp 1,186,911.00
8 Ambu Bag Set 1 Rp 720,101.25 Rp 720,101.25
9 Ambu Bag Set 1 Rp 510,000.00 Rp 510,000.00
10 Anestesi mask no. 3 pcs 5 Rp 46,816.00 Rp 234,080.00
11 Anestesi mask no. 4 pcs 5 Rp 46,816.00 Rp 234,080.00
12 Apron mitralab box 49 Rp 352,808.16 Rp 17,287,600.00
13 Arm Sling L pcs 20 Rp 22,467.50 Rp 449,350.00
14 Arm Sling M pcs 29 Rp 23,100.00 Rp 669,900.00
15 Arm Sling S pcs 20 Rp 22,467.50 Rp 449,350.00
16 Arteri Clem Bengkok Renz 14 Pcs 20 Rp 18,600.00 Rp 372,000.00
17 Arteri Clem Lurus Renz 14 Pcs 20 Rp 18,240.00 Rp 364,800.00
18 Atramat PGA 1 pcs 684 Rp 91,551.84 Rp 62,621,460.00
19 Atramat PGA 2/0 pcs 120 Rp 74,250.00 Rp 8,910,000.00
20 Atramat PGA 3/0 pcs 104 Rp 76,410.87 Rp 7,946,730.00
21 Atramat PGA 8/0 pcs 36 Rp 205,700.00 Rp 7,405,200.00
22 Atramat PPL 2/0 roll 156 Rp 76,153.85 Rp 11,880,000.00
23 Atramat PPL 3/0 sach 84 Rp 81,541.43 Rp 6,849,480.00
24 Autoclave sil ress MR 130-0 mow infant unit 2 Rp 490,050.00 Rp 980,100.00
25 Bak Instrumen 20 cm Pcs 20 Rp 40,200.00 Rp 804,000.00
26 Bak Instrumen Besar Pcs 6 Rp 170,775.00 Rp 1,024,650.00
27 Bak Instrumen Kecil Pcs 4 Rp 65,463.75 Rp 261,855.00
28 Batang pengaduk kaca pcs 3 Rp 5,500.00 Rp 16,500.00
29 Beaker Pelastik Pcs 2 Rp 58,190.00 Rp 116,380.00
30 Belajar Alur Menulis Buah 1 Rp 345,000.00 Rp 345,000.00
31 Bengkok Pcs 6 Rp 50,916.80 Rp 305,500.80
32 Blender obat omron unit 1 Rp 3,432,000.00 Rp 3,432,000.00
33 Blood adm set pcs 4450 Rp 19,906.90 Rp 88,585,706.00
34 Bloodline A&V w aerofil pcs 200 Rp 104,676.00 Rp 20,935,200.00
35 Box Tactile Buah 1 Rp 1,235,000.00 Rp 1,235,000.00
36 Braunoderm uncolo spray 250 ml btl 1 Rp 165,000.00 Rp 165,000.00
37 Breaker Glass 1000 ml Unit 4 Rp 42,120.00 Rp 168,480.00
38 Breast pump pcs 116 Rp 11,430.44 Rp 1,325,931.20
39 Brushing Buah 3 Rp 65,000.00 Rp 195,000.00
40 Button switch pencil with E-7 clean ACF blade and holster unit 1 Rp 1,892,000.00 Rp 1,892,000.00
41 Canderin 16 mg box 30 20 Rp 253,440.00 Rp 5,068,800.00
42 Cat gut chromic 0 surgiroll roll 13 Rp 1,432,640.00 Rp 18,624,320.00
43 Cat gut chromic 2/0 surgiroll roll 14 Rp 1,518,377.14 Rp 21,257,280.00
44 Cat gut plain 0 surgiroll roll 12 Rp 1,513,306.67 Rp 18,159,680.00
45 Cat gut plain 2/0 100 m surgiroll roll 15 Rp 1,553,317.33 Rp 23,299,760.00
46 Catgut Chromic 1 roll 7 Rp 1,515,611.43 Rp 10,609,280.00
47 Catgut chromic 3 surgiroll roll 47 Rp 1,509,593.19 Rp 70,950,880.00
48 Catgut chromic 3/0 roll 12 Rp 1,384,240.00 Rp 16,610,880.00
49 Catgut plain 1 surgiroll roll 1 Rp 1,626,240.00 Rp 1,626,240.00
50 Catgut plain 3 roll 5 Rp 1,510,080.00 Rp 7,550,400.00
51 Catgut plain 3/0 roll 5 Rp 1,384,240.00 Rp 6,921,200.00
52 Certofix duo V720 pcs 3 Rp 673,200.00 Rp 2,019,600.00
53 Certofix Trio V 720 pcs 5 Rp 962,225.00 Rp 4,811,125.00
54 Chewy tube Buah 1 Rp 320,000.00 Rp 320,000.00
55 Clopidogrel tab 75 mg box 30 50 Rp 155,925.00 Rp 7,796,250.00
HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
56 Colostomy bag no. 3 box 10 8 Rp 47,437.50 Rp 379,500.00
57 Colour Peg Board Buah 1 Rp 185,000.00 Rp 185,000.00
58 Com Kecil SS Pcs 24 Rp 29,095.00 Rp 698,280.00
59 Comb + tutup 12 cm x 6 cm ss pcs 3 Rp 82,500.00 Rp 247,500.00
60 Condom cateter M inusco pcs 30 Rp 3,960.00 Rp 118,800.00
61 Cuticell classic 10 cm x 10 cm sach 300 Rp 8,602.00 Rp 2,580,600.00
62 Dermafix-T 5 x 7 cm box 25 10 Rp 63,250.00 Rp 632,500.00
63 Develover galon 2 Rp 779,794.00 Rp 1,559,588.00
64 Diacan arterial G16 30 mm pcs 1190 Rp 8,494.20 Rp 10,108,098.00
65 Diacap lops 15 PS-Dialysat gamm pcs 300 Rp 197,340.00 Rp 59,202,000.00
66 Dialog bloodline A&V w aerofil pcs 420 Rp 104,676.00 Rp 43,963,920.00
67 Dialyzer elisio pcs 320 Rp 197,340.00 Rp 63,148,800.00
68 Digital termometer GC pcs 72 Rp 24,493.33 Rp 1,763,520.00
69 Ecosol NaCl 0.9% 500 cc NR btl 20 Rp 5,335.00 Rp 106,700.00
70 Ecosol NaCl 0.9% 1000 ml NR btl 60 Rp 8,222.50 Rp 493,350.00
71 Electroda box 68 Rp 160,511.03 Rp 10,914,750.00
72 Electroda Chat Set 2 Rp 720,000.00 Rp 1,440,000.00
73 Ethyl clorida btl 18 Rp 107,800.00 Rp 1,940,400.00
74 ETT no. 3 bicakcillar cuffed pcs 12 Rp 44,000.00 Rp 528,000.00
75 ETT uncuffed no. 3 pcs 5 Rp 14,630.00 Rp 73,150.00
76 ETT uncuffed no. 3.5 pcs 5 Rp 14,630.00 Rp 73,150.00
77 Extension tube 150 cm hospitech pcs 475 Rp 15,185.79 Rp 7,213,250.00
78 Extention tube 75 cm pcs 275 Rp 11,477.90 Rp 3,156,422.50
79 Feeding tube 5 100 cm pcs 175 Rp 13,663.78 Rp 2,391,161.85
80 Feeding tube 5 40 cm pcs 175 Rp 9,806.69 Rp 1,716,169.95
81 Feeding tube 8 100 cm pcs 200 Rp 14,186.75 Rp 2,837,349.35
82 Feeding tube 8 40 cm pcs 295 Rp 13,996.45 Rp 4,128,953.40
83 Feeding tube FR 10 pcs 75 Rp 17,952.00 Rp 1,346,400.00
84 Film rontgen uk. 24 x 30 box 4 Rp 1,678,000.00 Rp 6,712,000.00
85 Film rontgen uk. 35 x 35 box 5 Rp 2,320,000.00 Rp 11,600,000.00
86 Finger Extention Exercise Buah 1 Rp 265,000.00 Rp 265,000.00
87 Fixer galon 1 Rp 450,000.00 Rp 450,000.00
88 Foley cateter 3 way no. 20 rusch pcs 30 Rp 75,812.00 Rp 2,274,360.00
89 Foley cateter 3 way no. 22 rusch pcs 60 Rp 70,081.00 Rp 4,204,860.00
90 Foley cateter 3 way no. 24 rusch pcs 40 Rp 73,029.00 Rp 2,921,160.00
91 Foley cateter no. 10 pcs 20 Rp 46,750.00 Rp 935,000.00
92 Foley cateter no. 14 rusch pcs 90 Rp 15,705.56 Rp 1,413,500.00
93 Foley cateter no. 18 pcs 1160 Rp 14,516.21 Rp 16,838,800.00
94 Foley cateter no. 8 pcs 20 Rp 46,750.00 Rp 935,000.00
95 Foley catheter 2 way 16 rusch pcs 1670 Rp 14,406.16 Rp 24,058,290.00
96 Foley catheter no. 22 rusch pcs 50 Rp 16,331.36 Rp 816,568.00
97 Folley cath JMS WRP no. 12 pcs 40 Rp 14,025.00 Rp 561,000.00
98 Formalin buffer unit 1 Rp 400,000.00 Rp 400,000.00
99 Fresco antiseptik hand rub 500 ml btl 10 Rp 84,260.00 Rp 842,600.00
100 Fuji 9 EXTRA A3.5 box 1 Rp 1,320,118.75 Rp 1,320,118.75
101 Gelas ukur 50 ml pcs 3 Rp 71,500.00 Rp 214,500.00
102 Gliserin 1 L brataco btl 5 Rp 82,500.00 Rp 412,500.00
103 Glucose God PAP pak 2 Rp 761,090.00 Rp 1,522,180.00
104 Guedel airway size 3 length 100 mm pcs 10 Rp 20,020.00 Rp 200,200.00
105 Guedel size 2 length 80 mm pcs 10 Rp 20,020.00 Rp 200,200.00
106 Guedel size 2 length 90 mm pcs 10 Rp 20,020.00 Rp 200,200.00
107 Guedel size 4 length 110 mm pcs 10 Rp 20,020.00 Rp 200,200.00
108 Gunting Ephistomy Renz 14 Pcs 4 Rp 19,800.00 Rp 79,200.00
109 Gunting Hecting Renz 13 Pcs 10 Rp 23,520.00 Rp 235,200.00
110 Gunting Jaringan Lurus Tj/Tp Renz 14 Pcs 10 Rp 16,920.00 Rp 169,200.00
111 Gunting lurus Tj/ Tp Renz 14 Pcs 10 Rp 16,920.00 Rp 169,200.00
112 Gunting tali pusat pcs 2 Rp 18,700.00 Rp 37,400.00
113 Gunting Umbilical Renz 14 Pcs 4 Rp 18,240.00 Rp 72,960.00
114 Gunting Verban Pcs 6 Rp 36,368.75 Rp 218,212.50
HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
115 Gunting Verban Renz 14 Pcs 10 Rp 21,600.00 Rp 216,000.00
116 Gypsona 4" 3.5 m x 10 cm roll 12 Rp 35,083.00 Rp 420,996.05
117 Gypsona 6" 3.5 m x 15 cm roll 12 Rp 46,005.52 Rp 552,066.24
118 H2O2 3% 100 ml btl 10 Rp 9,350.00 Rp 93,500.00
119 H2O2 3% 800 ml btl 10 Rp 26,638.40 Rp 266,384.00
120 Hand Skill Set Buah 1 Rp 265,000.00 Rp 265,000.00
121 Handscoen gynaecologi psg 152 Rp 21,044.74 Rp 3,198,800.00
122 Handscoen non steril S sensi box 80 Rp 46,805.00 Rp 3,744,400.00
123 Handscoen non steril uk L box 55 Rp 44,000.00 Rp 2,420,000.00
124 Handscoen non steril uk M box 1710 Rp 44,852.37 Rp 76,697,548.47
125 Handscoen steril 7,5 box 50 58 Rp 316,243.07 Rp 18,342,098.06
126 Handscoen steril 7,5 gammex psg 6880 Rp 11,358.91 Rp 78,149,280.00
127 Handscrub 5 L galon 11 Rp 704,200.00 Rp 7,746,200.00
128 Hanoi Bulat Buah 1 Rp 110,000.00 Rp 110,000.00
129 Hanoi Segitiga Buah 1 Rp 110,000.00 Rp 110,000.00
130 HCG One med box 5 Rp 60,500.00 Rp 302,500.00
131 Hypafix 10 cm x 5 m roll 48 Rp 107,137.54 Rp 5,142,601.73
132 Hypafix 15 cm x 5 m pcs 254 Rp 141,942.78 Rp 36,053,466.24
133 Hypafix 5 cm x 5 m pcs 16 Rp 53,891.02 Rp 862,256.38
134 ID bracelet adult blue box 22 Rp 97,837.09 Rp 2,152,416.00
135 Id bracelet adult pink one med box 15 Rp 109,266.67 Rp 1,639,000.00
136 ID bracelet adult red hospilab box 2 Rp 222,062.50 Rp 444,125.00
137 ID bracelet adult remedi (yellow) box 3 Rp 210,008.33 Rp 630,025.00
138 ID Bracelet infant blue onemed box 11 Rp 103,675.00 Rp 1,140,425.00
139 Infuset anak terumo pcs 450 Rp 16,878.89 Rp 7,595,500.00
140 Infuset dewasa GEA pcs 1850 Rp 4,185.95 Rp 7,744,000.00
141 Infuset dewasa terumo pcs 7589 Rp 8,557.53 Rp 64,943,105.22
142 Inj plug pcs 300 Rp 7,205.00 Rp 2,161,500.00
143 Iodin Cup 6 cm Pcs 20 Rp 11,760.00 Rp 235,200.00
144 Isosorbide Dinitrate 5 mg box 100 50 Rp 9,300.02 Rp 465,000.80
145 IV Cateter no. 14 terumo pcs 100 Rp 12,870.00 Rp 1,287,000.00
146 IV Cateter no. 16 terumo pcs 100 Rp 12,870.00 Rp 1,287,000.00
147 IV cateter no. 20 terumo pcs 9100 Rp 9,411.55 Rp 85,645,081.50
148 IV Cateter no. 24 terumo pcs 2150 Rp 9,656.68 Rp 20,761,862.00
149 IV cath 18 pcs 5000 Rp 9,111.58 Rp 45,557,916.25
150 IV cath 22 terumo pcs 1100 Rp 9,501.03 Rp 10,451,133.00
151 IV catheter no. 26 terumo pcs 200 Rp 36,850.00 Rp 7,370,000.00
152 Kaca mata operasi pcs 4 Rp 57,805.00 Rp 231,220.00
153 Kapas 500 g roll 92 Rp 24,956.25 Rp 2,295,975.00
154 Kapsul 0 pak 6 Rp 60,500.00 Rp 363,000.00
155 Kapsul 00 bks 2 Rp 88,000.00 Rp 176,000.00
156 Kapsul 1 pak 11 Rp 55,500.00 Rp 610,500.00
157 Kartu edukasi Gradasi Besar Kecil Buah 1 Rp 89,000.00 Rp 89,000.00
158 Kartu Edukasi Klasifikasi kata benda Buah 1 Rp 75,000.00 Rp 75,000.00
159 Kartu edukasi lotto Board benda Buah 1 Rp 107,000.00 Rp 107,000.00
160 Kartu edukasi Lotto Board Kendaraan Buah 1 Rp 82,000.00 Rp 82,000.00
161 Kartu edukasi pemahaman tempat Buah 1 Rp 132,000.00 Rp 132,000.00
162 Kartu Edukasi Rumahku 2 Buah 1 Rp 117,000.00 Rp 117,000.00
163 Kartu Edukasi Tubuhku Buah 1 Rp 137,000.00 Rp 137,000.00
164 Kartu Klasifikasi kata kerja Buah 1 Rp 117,000.00 Rp 117,000.00
165 Kasa hydrofil 36 x 80 swallow roll 331 Rp 117,361.03 Rp 38,846,500.00
166 Kassa ktk 16 x 16 box 158 Rp 4,311.72 Rp 681,252.00
167 Kertas USG 110 HG Sony roll 35 Rp 243,320.00 Rp 8,516,200.00
168 Kertas EKG 50 x 30 fukuda roll 100 Rp 25,768.49 Rp 2,576,849.00
169 Kertas EKG 63 x 50 fukuda pcs 12 Rp 55,440.00 Rp 665,280.00
170 Kertas EKG Welch Allyn 210 x 11" x 200 pack 15 Rp 1,072,500.00 Rp 16,087,500.00
171 Ketesse inj 50 mg box 5 6 Rp 258,500.00 Rp 1,551,000.00
172 Ketorolac 1% inj box 10 50 Rp 70,875.09 Rp 3,543,754.50
173 Klip obat 10 x 7 lbr 70000 Rp 323.71 Rp 22,660,000.00
HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
174 Klip obat 13 x 8 lbr 50000 Rp 348.00 Rp 17,400,000.00
175 Klip obat 15 x 10 lbr 40000 Rp 382.50 Rp 15,300,000.00
176 Klip obat 17 x 11 lbr 20000 Rp 420.20 Rp 8,404,000.00
177 K-Nail 4 mm 1, femour plate 10 hole 1, screw 24 mm 10 unit 1 Rp 6,780,000.00 Rp 6,780,000.00
178 Kocher bengkok renz 18 cm pcs 10 Rp 30,004.13 Rp 300,041.28
179 Korentang Pcs 2 Rp 96,000.00 Rp 192,000.00
180 Korentang 25 cm Pcs 10 Rp 51,600.00 Rp 516,000.00
181 K-wire unit 2 Rp 3,390,000.00 Rp 6,780,000.00
182 KY Jelli 82 g tube 88 Rp 63,000.00 Rp 5,544,000.00
183 KY Jelly 100 g tube 7 Rp 82,500.00 Rp 577,500.00
184 KY Jelly 50 g johnson tube 24 Rp 47,300.00 Rp 1,135,200.00
185 Lacidofil cap box 60 2 Rp 254,100.00 Rp 508,200.00
186 Laringoscope Set 1 Rp 14,313,950.00 Rp 14,313,950.00
187 Leucofor 2,5 cm x 9,2 m roll 10 Rp 22,550.00 Rp 225,500.00
188 Leukoplast 1562 (1 x 1) roll 20 Rp 4,587.40 Rp 91,747.92
189 Leukoplast 1621 (0.5 x 5) roll 20 Rp 6,619.49 Rp 132,389.84
190 Leukoplast 1625H roll 30 Rp 37,733.43 Rp 1,132,002.96
191 Leukopor 1,25 cm x 9,2 M 2453-07/2453H roll 10 Rp 7,815.68 Rp 78,156.76
192 Lumbar sacro laki-laki M pcs 1 Rp 275,000.00 Rp 275,000.00
193 Lumbar sacro laki-laki S pcs 1 Rp 275,000.00 Rp 275,000.00
194 Lumpang 16 cm pcs 3 Rp 88,000.00 Rp 264,000.00
195 Lumpang 8 cm pcs 3 Rp 27,500.00 Rp 82,500.00
196 Mancet Anak Pcs 5 Rp 44,275.00 Rp 221,375.00
197 Mancet Dewasa Pcs 7 Rp 120,175.00 Rp 841,225.00
198 Masker box 900 Rp 20,827.33 Rp 18,744,594.00
199 Masker N 95 box 50 Rp 228,712.00 Rp 11,435,600.00
200 Masker nebulizer anak (GEA) pcs 80 Rp 22,000.00 Rp 1,760,000.00
201 Masker nebulizer dewasa GEA pcs 90 Rp 22,000.00 Rp 1,980,000.00
202 Masker Non Rebrithing (NRM) dewasa pcs 210 Rp 34,885.71 Rp 7,326,000.00
203 Masker oksigen bayi basemed pcs 5 Rp 41,250.00 Rp 206,250.00
204 Masker oksigen dws GEA pcs 80 Rp 34,375.00 Rp 2,750,000.00
205 Medisorb 4,5 kg galon 4 Rp 700,476.04 Rp 2,801,904.16
206 Meja Kursi Ergonomi Set 1 Rp 1,345,000.00 Rp 1,345,000.00
207 Menjahit Baju 1 Lapis Buah 1 Rp 110,000.00 Rp 110,000.00
208 Merana Pelang Buah 1 Rp 175,000.00 Rp 175,000.00
209 Meroce Huruf Buah 1 Rp 175,000.00 Rp 175,000.00
210 Meronce 27 Pcs Buah 1 Rp 110,000.00 Rp 110,000.00
211 Meropenem inj box 1 150 Rp 78,540.00 Rp 11,781,000.00
212 Mertigo tab 6 mg box 100 5 Rp 304,700.00 Rp 1,523,500.00
213 Metformin 500 mg box 100 Rp 18,104.63 Rp 1,810,462.50
214 Metronidazol infus btl 1000 Rp 15,372.84 Rp 15,372,842.87
215 Minor Set Set 2 Rp 472,814.10 Rp 945,628.20
216 N2O unit 1 Rp 2,698,300.00 Rp 2,698,300.00
217 N2O 25 kg btl 3 Rp 3,345,320.00 Rp 10,035,960.00
218 Nald heating GR 7 box 23 Rp 17,695.65 Rp 407,000.00
219 Nald heating GT 11 mpm box 20 Rp 15,576.00 Rp 311,520.00
220 Nald heating GT 15 mpm box 20 Rp 15,196.50 Rp 303,930.00
221 Nald heating GT 6 mpm bks 5 Rp 16,830.00 Rp 84,150.00
222 Nald heating GT 7 MPM bks 18 Rp 17,783.33 Rp 320,100.00
223 Nald hecting MPM GR 15 lsn 5 Rp 14,355.00 Rp 71,775.00
224 Nald hecting GR 10 remedi lsn 22 Rp 15,075.00 Rp 331,650.00
225 Nald hecting GR 13 MPM bks 13 Rp 15,383.08 Rp 199,980.00
226 Nald hecting GR 6 suture bks 8 Rp 22,495.00 Rp 179,960.00
227 Nald hecting GR 9 MPM lsn 38 Rp 16,239.47 Rp 617,100.00
228 Nald hecting GT 13 remedi lsn 16 Rp 16,500.00 Rp 264,000.00
229 Nald hecting GT 5 MPM pcs 2 Rp 17,487.12 Rp 34,974.24
230 Nald hecting MPM BT 10 lsn 10 Rp 14,850.00 Rp 148,500.00
231 Nald hecting MPM GT-09 lsn 27 Rp 14,452.78 Rp 390,225.00
232 Nald otot no. 11 lsn 12 Rp 16,335.00 Rp 196,020.00
HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
233 Nasal canula 02 bayi GEA pcs 240 Rp 13,188.54 Rp 3,165,250.00
234 Nasal canula paed GEA pcs 230 Rp 6,193.48 Rp 1,424,500.00
235 Nasal oksigen canula dewasa GEA pcs 1800 Rp 6,144.72 Rp 11,060,500.00
236 Nedle holder hegar Renz 14 Pcs 10 Rp 20,040.00 Rp 200,400.00
237 Needle 24 G box 3 Rp 85,800.00 Rp 257,400.00
238 Needle Flashback 22 x 1 box 60 Rp 99,825.00 Rp 5,989,500.00
239 Needle no. 23 terumo box 55 Rp 61,980.00 Rp 3,408,900.00
240 Neo-K 2 mg/ml box 5 20 Rp 67,760.00 Rp 1,355,200.00
241 Ngt 12 terumo pcs 100 Rp 19,536.00 Rp 1,953,600.00
242 NGT 14 terumo pcs 134 Rp 12,931.07 Rp 1,732,762.81
243 NGT 16 terumo pcs 743 Rp 13,733.09 Rp 10,203,689.14
244 NGT 18 pcs 206 Rp 14,735.71 Rp 3,035,556.35
245 NGT 3,5 terumo pcs 25 Rp 8,842.58 Rp 221,064.53
246 Nierbeken Pcs 20 Rp 21,000.00 Rp 420,000.00
247 Nipedifin 10 mg box 100 20 Rp 12,190.22 Rp 243,804.33
248 NMR dewasa pcs 30 Rp 33,000.00 Rp 990,000.00
249 Novo twist 32 G box 100 20 Rp 231,000.00 Rp 4,620,000.00
250 Nurse cup onemed box 95 Rp 45,881.58 Rp 4,358,750.00
251 One scrub galon 5 L galon 19 Rp 616,550.00 Rp 11,714,450.00
253 Oxigent 1m" Tbg 5 Rp 630,000.00 Rp 3,150,000.00
254 Oxygen 1m² Set Set 1 Rp 1,236,537.50 Rp 1,236,537.50
255 Palu besar Buah 1 Rp 155,000.00 Rp 155,000.00
256 Pengukur Tinggi Badan Pcs 1 Rp 43,642.50 Rp 43,642.50
257 Penjepit ECG Set 2 Rp 1,080,000.00 Rp 2,160,000.00
258 PGA 4/0 atramat sach 24 Rp 74,250.00 Rp 1,782,000.00
259 PGA 6/0 atramat sach 24 Rp 110,000.00 Rp 2,640,000.00
260 PGA 8/0 Surgiroll box 0.92 Rp 3,528,360.00 Rp 3,246,091.20
261 Pharmafix 15 x 500 roll 12 Rp 78,155.00 Rp 937,860.00
262 Pincet Anatomis Renz 14 Pcs 20 Rp 11,730.00 Rp 234,600.00
263 Pincet Anatomis Uk.Sedang Pcs 12 Rp 36,368.75 Rp 436,425.00
264 Pincet Chirugis 14 Renz Pcs 20 Rp 11,730.00 Rp 234,600.00
265 Pincet Cirugis Uk.Sedang Pcs 12 Rp 36,368.75 Rp 436,425.00
266 Pincet cirurgis renz 11,5 cm pcs 10 Rp 18,000.00 Rp 180,000.04
267 Pincet cirurgis renz 18 cm pcs 10 Rp 19,360.00 Rp 193,600.00
268 Pincet Ear Dressing Renz 14 Pcs 4 Rp 14,640.00 Rp 58,560.00
269 Pisau operasi no. 10 aesculap pcs 1200 Rp 2,814.81 Rp 3,377,775.00
270 Pisau operasi no. 11 aesculap pcs 700 Rp 2,795.38 Rp 1,956,765.00
271 Pisau operasi no. 12 aesculap pcs 200 Rp 2,805.00 Rp 561,000.00
272 Pisau operasi no. 20 aesculap pcs 1600 Rp 2,878.33 Rp 4,605,320.00
273 Pisau operasi no. 22 aesculap pcs 400 Rp 2,678.78 Rp 1,071,510.00
274 Pispot Pcs 2 Rp 50,916.80 Rp 101,833.60
275 Pispot sodok Pelastik Pcs 25 Rp 32,040.00 Rp 801,000.00
276 Pispot sodok plastik pcs 10 Rp 33,000.00 Rp 330,000.00
277 Plate claricula 8 hole 1, screw 20 mm 8, plate radius 8 ho unit 1 Rp 6,780,000.00 Rp 6,780,000.00
278 Plate femur 10 hole 1, screw 25 mm 10, skeletal fraksi fem unit 1 Rp 5,650,000.00 Rp 5,650,000.00
279 Plate femur 10 hole screw 32 mm unit 1 Rp 7,650,000.00 Rp 7,650,000.00
280 Plate humerus 8 hole unit 1 Rp 4,480,000.00 Rp 4,480,000.00
281 Plate n screw I unit 1 Rp 4,120,000.00 Rp 4,120,000.00
282 Plate radius 6 hole screw 20 mm Plate 6 hole screw 20 m unit 1 Rp 7,060,000.00 Rp 7,060,000.00
283 Plate radius 7 hole sue, screw no. 22 no. VII 5 m unit 1 Rp 4,520,000.00 Rp 4,520,000.00
284 Plate radius 8 hole 1, screw 20 mm 8, plate ulam 8 hole 1, unit 1 Rp 6,780,000.00 Rp 6,780,000.00
285 Plate screw I unit 2 Rp 3,390,000.00 Rp 6,780,000.00
286 Plate screw I 10 hole unit 4 Rp 3,955,000.00 Rp 15,820,000.00
287 Plate screw I 4 hole unit 1 Rp 3,955,000.00 Rp 3,955,000.00
288 Plate screw I 8 hole unit 1 Rp 3,390,000.00 Rp 3,390,000.00
289 Plate screw II unit 1 Rp 3,955,000.00 Rp 3,955,000.00
290 Plate screw II 10 hole, plate screw II 8 hole unit 1 Rp 8,620,000.00 Rp 8,620,000.00
291 Plate tibia 10 hole screw 34 mm unit 1 Rp 6,470,000.00 Rp 6,470,000.00
292 Plate tibia 6 hole Screw 24 mm unit 1 Rp 4,705,000.00 Rp 4,705,000.00
HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
293 Plate tibia 8 hole screw 24 mm unit 1 Rp 5,750,000.00 Rp 5,750,000.00
294 Plate tibia 8 hole screw 24 mm , Plate fibula 6 hole screw unit 2 Rp 8,620,000.00 Rp 17,240,000.00
295 PPL 4/0 atramat sach 12 Rp 85,250.00 Rp 1,023,000.00
296 Premilene 2/0 DS 24 pcs 36 Rp 54,598.62 Rp 1,965,550.28
297 Premilene 2/0 HR 26 RP pcs 144 Rp 75,075.00 Rp 10,810,800.00
298 Premilene 3/0 DS24 RP pcs 216 Rp 68,796.04 Rp 14,859,944.56
299 Premilene 4/0 DS19RP pcs 252 Rp 84,975.00 Rp 21,413,700.00
300 Premilene 7/0 2XDRC10RP pcs 36 Rp 212,025.00 Rp 7,632,900.00
301 Premilene mesh 30 x 30 pcs 2 Rp 2,024,000.00 Rp 4,048,000.00
302 Pronator and Supinator Zig-zag Buah 1 Rp 265,000.00 Rp 265,000.00
303 Regulator oksigen unit 2 Rp 7,600,000.00 Rp 15,200,000.00
304 Regurator Gea Unit 5 Rp 300,000.00 Rp 1,500,000.00
305 Regurator Oksigen Unit 4 Rp 351,000.00 Rp 1,404,000.00
306 ROM Gradion Exercise Buah 1 Rp 875,000.00 Rp 875,000.00
307 Safil 1 HR 48 90 cm pcs 516 Rp 96,361.92 Rp 49,722,750.00
308 Safil 1 HS 40s 90 cm pcs 36 Rp 79,695.00 Rp 2,869,020.00
309 Safil 2/0 HR 26 90 cm pcs 252 Rp 76,612.50 Rp 19,306,350.00
310 Safil 3/0 HR 26 90 cm pcs 36 Rp 93,760.78 Rp 3,375,388.00
311 Safil 5/0 HR 17 pcs 58 Rp 87,450.00 Rp 5,072,100.00
312 Sikat Oral Sensori. Buah 1 Rp 145,000.00 Rp 145,000.00
313 Silk black 0 surgiroll roll 7 Rp 650,278.01 Rp 4,551,946.08
314 Silk black 2/0 surgiroll roll 10 Rp 663,080.00 Rp 6,630,800.00
315 Silk black 3/0 100 m surgiroll roll 12 Rp 556,600.00 Rp 6,679,200.00
316 Silkam 2/0 HR 26 pcs 108 Rp 42,093.33 Rp 4,546,080.00
317 Silkam 3/0 HR 26 black 75 cm PC pcs 36 Rp 51,150.00 Rp 1,841,400.00
318 Silkblack 1 surgiroll roll 5 Rp 660,000.00 Rp 3,300,000.00
319 Sistenol caplet box 60 4 Rp 92,400.00 Rp 369,600.00
320 Sol cart B pcs 607 Rp 94,380.00 Rp 57,288,660.00
321 Spalk anak lokal psg 86 Rp 35,750.00 Rp 3,074,500.00
322 Spalk bayi lokal pcs 17 Rp 27,500.00 Rp 467,500.00
323 Spalk kaki dws lokal psg 19 Rp 49,500.00 Rp 940,500.00
324 Spalk tangan dewasa lokal psg 30 Rp 42,900.00 Rp 1,287,000.00
325 Spinal anesthesia needles no. 25 pcs 600 Rp 13,629.00 Rp 8,177,400.00
326 Spinal anesthesia needles no. 26 pcs 100 Rp 14,553.00 Rp 1,455,300.00
327 Spuit 1 cc pcs 10400 Rp 1,828.22 Rp 19,013,472.28
328 Spuit 10 cc box 512 Rp 187,377.01 Rp 95,937,028.00
329 Spuit 20 cc box 106 Rp 307,006.74 Rp 32,542,714.60
330 Spuit 3 cc box 825 Rp 115,605.94 Rp 95,374,898.85
331 Spuit 5 cc box 156 Rp 152,566.02 Rp 23,800,299.60
332 Spuit 50 cc lobang tengah pcs 1280 Rp 22,566.59 Rp 28,885,230.00
333 Spuit 50 cc lobang tepi terumo pcs 481 Rp 19,250.00 Rp 9,259,250.00
334 Sputum pot BCM Plata pcs 2 Rp 88,000.00 Rp 176,000.00
335 Srew II unit 1 Rp 3,390,000.00 Rp 3,390,000.00
336 Standar Infus Unit 10 Rp 349,140.00 Rp 3,491,400.00
337 Standar Infus Unit 13 Rp 330,000.00 Rp 4,290,000.00
338 Statur meter (pengukur tinggi badan) pcs 2 Rp 33,000.00 Rp 66,000.00
339 Suction cateter no. 8 pcs 350 Rp 6,496.29 Rp 2,273,700.00
340 Syr ABG Preset 3 Ea 100 Rp 16,335.00 Rp 1,633,500.00
341 Tempat Korentang Pcs 17 Rp 51,600.00 Rp 877,200.00
342 Tempat Korentang Pcs 2 Rp 72,000.00 Rp 144,000.00
343 Tensimeter air raksa Unit 2 Rp 400,056.25 Rp 800,112.50
344 Tensimeter Digital Unit 2 Rp 683,732.50 Rp 1,367,465.00
345 Tensocrepe 4" roll 72 Rp 62,840.81 Rp 4,524,538.66
346 Tensocrepe 6" roll 48 Rp 81,719.00 Rp 3,922,512.00
347 Test Mata Pcs 2 Rp 12,000.00 Rp 24,000.00
348 Thermometer Air Raksa Unit 2 Rp 370,961.25 Rp 741,922.50
349 Thorac tube no. 24 pcs 10 Rp 141,372.00 Rp 1,413,720.00
350 Thorac tube no. 28 pcs 10 Rp 141,372.00 Rp 1,413,720.00
351 Three way stop cock pcs 1435 Rp 6,911.99 Rp 9,918,700.00
HARGA
NO NAMA BARANG SATUAN VOLUME JUMLAH
SATUAN
352 Timbangan badan dewasa Unit 1 Rp 210,600.00 Rp 210,600.00
353 Timbangan Berat Badan Digital Unit 1 Rp 210,938.75 Rp 210,938.75
354 Timbangan injak camry unit 3 Rp 82,500.00 Rp 247,500.00
355 Timbangan laica pcs 4 Rp 124,850.00 Rp 499,400.00
356 Tongkat Unit 1 Rp 126,500.00 Rp 126,500.00
357 Tongue spatel kayu Buah 1 Rp 150,000.00 Rp 150,000.00
358 Tounge Spatula Plastik Box/50 1 Rp 23,520.00 Rp 23,520.00
359 Trampilin Buah 1 Rp 1,250,000.00 Rp 1,250,000.00
360 Transofixpcs pcs 50 Rp 6,490.00 Rp 324,500.00
361 Trolip 300 mg box 30 3 Rp 280,500.00 Rp 841,500.00
362 Tromol Gass 15 cm Pcs 10 Rp 132,000.00 Rp 1,320,000.00
363 Tromol Gass 22 cm Pcs 10 Rp 262,800.00 Rp 2,628,000.00
364 Tromol Gass 30 cm Pcs 7 Rp 436,200.00 Rp 3,053,400.00
365 Tromol Kasa Besar Pcs 2 Rp 1,047,420.00 Rp 2,094,840.00
366 Tromol Kasa Sedang Pcs 2 Rp 436,425.00 Rp 872,850.00
367 Trpley O2 1m" Unit 5 Rp 90,000.00 Rp 450,000.00
368 Tube EDTA PLH 13 x 75 3.0 PLBL LAV box 20 Rp 207,075.00 Rp 4,141,500.00
369 Tube micro W/Microgard EDTA Lav box 5 Rp 214,500.00 Rp 1,072,500.00
370 Tube micro W/Microgard PLN RD box 3 Rp 203,775.00 Rp 611,325.00
371 Ultasonic gel 5 L onemed galon 5 Rp 247,500.00 Rp 1,237,500.00
372 Umbilical catheter 05 pcs 26 Rp 8,470.00 Rp 220,220.00
373 Umbilical catheter no. 6 pcs 43 Rp 8,470.00 Rp 364,210.00
374 Umbilical cord clamp cosa pcs 750 Rp 2,354.73 Rp 1,766,050.00
375 Underpad 60 x 90 box 97 Rp 29,237.38 Rp 2,836,025.50
376 Uric Acid LCF 100 pak 1 Rp 1,600,527.50 Rp 1,600,527.50
377 Urinal Pcs 2 Rp 7,274.30 Rp 14,548.60
378 Urinal Pelastik Pcs 25 Rp 4,200.00 Rp 105,000.00
379 Urine bag 2000 ml onemed pcs 2220 Rp 4,196.35 Rp 9,315,900.00
380 Vaxcel hep inj 5000 IU V 5 ml NR box 2 Rp 429,000.00 Rp 858,000.00
381 Verban 15" pack 100 3 Rp 111,375.00 Rp 334,125.00
382 Verban 5 " pack 100 3 Rp 74,250.00 Rp 222,750.00
383 Wire 1 set unit 1 Rp 2,260,000.00 Rp 2,260,000.00
384 Wire Game Sedang Buah 1 Rp 150,000.00 Rp 150,000.00
385 Wood Balace Beam Buah 1 Rp 1,700,000.00 Rp 1,700,000.00
TOTAL Rp 2,470,319,245.96

Kasi Pelayanan Medis Kepala Instalasi Farmasi

RSUD Puri Husada Tembilahan RSUD Puri Husada Tembilahan

Dr. Udin syafriudin Nurul Wardani, S. Far, Apt

NIP. 197604152009031004 NIP. 19790912 200501 2 005

Mengetahui
Kabid Pelayanan dan Penunjang Medis
RSUD PURI HUSADA TEMBILAHAN

dr. H. Rahmat Susanto

NIP. 19710105 200604 1 008