BHP BAKSOS BIBIR SUMBING

No Nama Item Jumlah Satuan Harga (Rp.)

1 Alkohol 70% 1 galon 1,022,450
2 Apron Plastik 20 pcs 162,191
3 Bactigras 4 pak 726,726
4 Betadine Solution Galon 1 galon 990,990
5 Bisturi No. 11 15 pcs 70,785
6 Bisturi No. 15 20 pcs 78,650
7 Dafilon 5-0 20 pcs 1,808,950
8 E-Care 10 pcs 144,201
9 ETT No. 3 2 pcs 141,570
10 ETT No. 3.5 2 pcs 152,896
11 ETT No. 4 3 pcs 212,355
12 ETT No. 4.5 3 pcs 229,343
13 ETT No. 5 2 pcs 141,570
14 ETT No. 6 2 pcs 152,896
15 ETT No. 7 3 pcs 229,301
16 Guedel Airway 60 MM - 3 4 pcs 84,942
17 Handscoon Gamex 6.5 1 dus 912,340
18 Handscoon Gamex 7 1 dus 912,340
19 Handscoon Gamex 7.5 1 dus 912,340
20 Handscoon Gamex 8 1 dus 912,340
21 Handscoon Sens Glove 1 dus 66,066
22 Hypavix 2 rol 346,060
23 Infuset Adult 5 pcs 25,025
24 Infuset Child 15 pcs 85,800
25 Introcan No. 20 2 pcs 94,380
26 Introcan No. 24 15 pcs 707,850
27 Kasa Gulung 1 rol 280,781
28 Lyostype 2 pcs 317,746
29 Mandrean S (ETT 2.5 - 4.5) 1 pcs 121,121
30 Masker 4 Tali 1 box 55,055
31 Masker Oksigen Anak 1 pcs 102,245
32 Micro Shield 1 galon 1,271,771
33 Needle No. 26 1 dus 83,369
34 NGT No. 16 2 pcs 135,278
35 Pastik 1 box 51,909
36 Pehacain 1 dus 89,060
37 Peneng Anak Biru 10 pcs 42,829
38 Peneng Anak Pink 10 pcs 17,875
39 Polysorb 4-0 20 pcs 3,303,300
40 Pot Urin 200 ml 15 pcs 58,988
41 Pot Urin 50 ml 10 pcs 12,584
42 Premilene 6-0 20 pcs 3,822,390
43 Selang O2 Anak 10 pcs 314,600
44 Selang Suction 3M 3 pcs 141,570
45 Selang Suction No. 10 1 pcs 31,460
46 Isoflurane 1 botol 2,556,131
47 Sevodex 4 botol 14,471,600
48 Sofsilk 3-0 SS-684 1 pcs 78,650
49 Softaman 4 botol 1,038,180
50 Spatel Kayu Anak 1 box 36,179
51 Spuit 1 cc 1 dus 281,567
52 Spuit 10 cc 1 dus 281,567
53 Spuit 20 cc 1 pcs 14,300
54 Spuit 3 cc 1 dus 228,085
55 Spuit 5 cc 1 dus 281,567
56 Suction Catheter No. 8 17 pcs 387,745
57 Surgipro 5-0 5 pcs 786,500
58 Topi Pasien 1 box 78,650
59 Transofix 10 pcs 78,650
60 Underpad 2 pak 157,300
61 Vasofix No. 22 3 pcs 165,165
TOTAL 42,500,121
 OBAT - OBATAN BAKSOS BIBIR SUMBING
No Nama Item Jumlah Satuan Harga (Rp.)

1 2A (D5 + 1/4 NS) Sanbe 2 dus 52,224

2 Amoxicillin 500 mg 2 box 141,570
3 Aqua Pro 10 ml 13 ampul 61,347
4 Aqua Pro 50 ml 20 botol 471,900
5 Asam Mefenamat 500 mg 2 box 66,352
6 Atropin Sulfat Inj 20 ampul 72,673
7 Bisolvon Inj 1 box 601,201
8 Cefotaxim Inj 20 ampul 275,790
9 Dexamethason 5mg/ml 1 dus 314,600
10 Ecosol Nacl 500 ml B'Braun 2 dus 261,118
11 Ecosol RL B'Braun 2 dus 283,140
12 Ecron Inj 10 vial 1,061,775
13 Epinephrine Inj 20 ampul 271,700
14 Fentanyl Inj 10 ampul 611,068
15 Kalnex 250 mg Inj 2 box 283,140
16 Ketorolac Inj 4 box 550,424
17 Midazolam Inj 2 box 290,690
18 Novamox Syr 125 mg 40 botol 201,344
19 Ondansetron 4mg/2ml 5 box 393,250
20 Paracetamol 500 mg 1 box 20,449
21 Pehacain 1 box 89,060
22 Pronalges Supp 1 box 173,030
23 Proris Supp 2 box 147,862
24 Reco Salep Mata 4 box 286,000
25 Recofol Inj 2 box 1,305,590
26 Tramadol 50 mg Inj 2 box 91,549
27 Unicetamol Syr 120 mg 35 botol 121,121
TOTAL 8,499,966