SKPD : RUMAH SAKIT UMUM DAERAH LEWOLEBA

KABUPATEN : LEMBATA
PROPINSI : NTT

DAFTAR RENCANA KEBUTUHAN BARANG RSUD LEWOLEBA

TAHUN ANGGARAN 2016

No Nama/ Jenis Merk/ Type Jumlah Harga Jumlah Kode Ket.

Barang Ukuran Barang Satuan (Rp) Biaya (Rp) Rekening
1 2 3 4 5 6 7 8
1 Mobil Jabatan 1 Unit 400,000,000.00 400,000,000.00 1.02.1.02.02.01.06.5.2.2.05.04
2 Mobil Operasional 3 Unit 300,000,000.00 900,000,000.00 1.02.1.02.02.01.06.5.2.2.05.04
3 Kendaraan Roda Dua - Honda Mega Pro 5 Unit 29,000,000.00 145,000,000.00 1.02.1.02.02.01.06.5.2.2.05.06
- Honda Supra 125 10 Unit 18,000,000.00 180,000,000.00
- Yamaha Jupiter z 5 Unit 17,000,000.00 85,000,000.00
4 Kursi Chitose 100 Buah 400,000.00 40,000,000.00 1.02.1.02.02.26.21.5.2.3.13.01

Lewoleba, 18 Juni 2015

Mengetahui
Plh. Direktur / Pengguna Barang,

PETRUS PAIGOLE NAMANG

Penata
NIP. 19611129 200012 1 001
SKPD : RUMAH SAKIT UMUM DAERAH LEWOLEBA
KABUPATEN : LEMBATA
PROPINSI : NTT
TAHUN ANGGARAN 2016
DAFTAR RENCANA KEBUTUHAN PEMILIHARAAN BARANG RSUD LEWOLEBA
TAHUN ANGGARAN 2016

No Nama/ Jenis Merk/ Type Jumlah Harga Jumlah Kode Ket. Ket.
Barang Ukuran Barang Satuan (Rp) Biaya (Rp) Rekening
1 2 3 4 5 6 7 8 10
1 Mobil Jabatan 1 Unit 400,000,000.00 400,000,000.00 1.02.1.02.02.01.06.5.2.2.05.04
2 Mobil Operasional 3 Unit 300,000,000.00 900,000,000.00 1.02.1.02.02.01.06.5.2.2.05.04
3 Kendaraan Roda Dua - Honda Mega Pro 5 Unit 29,000,000.00 145,000,000.00 1.02.1.02.02.01.06.5.2.2.05.06
- Honda Supra 125 10 Unit 18,000,000.00 180,000,000.00
- Yamaha Jupiter z 5 Unit 17,000,000.00 85,000,000.00
4 Kursi Chitose 100 Buah 400,000.00 40,000,000.00 1.02.1.02.02.26.21.5.2.3.13.01

Lewoleba, 18 Juni 2015

Mengetahui
Plh. Direktur / Pengguna Barang,

PETRUS PAIGOLE NAMANG

Penata
NIP. 19611129 200012 1 001
PETRUS PAIGOLE NAMANG
Penata
NIP. 19611129 200012 1 001
 Mengetahui
Plh. Direktur / Pengguna Barang,

PETRUS PAIGOLE NAMANG

Penata
NIP. 19611129 200012 1 001
 PEMERINTAH KABUPATEN LEMBATA
RUMAH SAKIT UMUM DAERAH LEWOLEBA
Jl. Trans Lembata No. Telp./Fax : (0383)2343442
Email : rsud.lewoleba@yahoo.co.id

Nama/ Jenis Merk/ Type Jumlah Harga

No
Barang Ukuran Barang Satuan (Rp)
1 2 3 4 5
B PERALATAN KESEHATAN
1 Alat Bantu Jalan
- Kwarti pot 1 Unit 250,000.00
- Wolker 1 Unit 1,000,000.00
Ambu Bag Dewasa Mark IV 2 Unit 5,000,000.00
Ambu Bag Anak 2 Unit 5,000,000.00
2 Bal Gymnic 1 Unit 1,500,000.00
3 Bedside monitor 6 Unit 67,245,997.00
4 Centrifuge 1 Unit 70,000,000.00
Cool box untuk ruangan 4 Unit
CPAP 2 Unit 98,150,000.00
5 Devibilator 2 Unit 148,200,000.00
6 Dental Unit dan Ortopedi 2 Unit 50,000,000.00
7 EKG (Elektrokardiogram) Fukuda Denshi 2 Unit 25,000,000.00
Elektronik Balance 2
Elektronik Sealer 2
Fetal dopler 3 Unit 2,000,000.00
Fetal Monitor 2 Unit 26,500,000.00
Haemodinamic Monitoring 2 unit 167,700,000.00
Hecting Set 1 Set 1,000,000.00
Incubator 2 Unit 38,000,000.00
Incubator Transport 1 Unit 120,300,000.00
Infant Incubator 1 Unit 845,000,000.00
Infant Resusitasi 3 Unit 460,000.00
infant Transport 1 Unit 170,000,000.00
Infant Warmer 2 Unit 114,345,420.00
Infra Red 1 Unit 1,000,000.00
Infra Red Berdiri 1 Unit 2,000,000.00
Infus Pump 10 Unit 22,437,000.00
Instrumen Bedah 10 Unit 1,249,875.00
Kursi Roda
'- Kruch 1 Unit 150,000.00
'- Tripot 1 Unit 200,000.00
Lampu Operasi 2 Unit 800,000,000.00
Lampu UV 2 Unit
Laringoskop 2 Unit
Mesin Anastesi 1 Unit 675,182,480.00
Mesin Ventilator 2 Unit 568,000,000.00
Mortil 2
Nebulizer 6 Unit
Outometic Procesing 1 Unit 80,000,000.00
Pen Light 2
Parafin Bath 1 Unit 10,000,000.00
Patient monitor 2 Unit 203,161,600.00
Pipet Pasteur Kaca 100 pcs 10,000.00
Pipet Pasteur Plastik 100 pcs 7,000.00
Peralatan Mata 1 Unit 696,800,000.00
Phototerapi 2 Unit 87,500,000.00
Pulse Oxymetri 5 Unit 13,080,060.00
Rehabilitasi Medis dan Fisioterapi 1 Paket 170,000,000.00
Plate Test 100 pcs
Sanitarian Kit 1 Unit 5,000,000.00
Sering Pump 10 Unit 17,618,040.00
Set Rawat Luka 1 Set 1,000,000.00
Spatel 14 unit 50,000.00
Sp⁰2 2 Unit 300,000.00
Static Bicycle 1 Unit 5,000,000.00
Suction pump 2 Unit 26,800,000.00
Sterilisator Kering 2 Unit
Stetoskop Erka 10 Unit 2,000,000.00
Tabungan Reaksi Kecil
Tensimeter 12 Unit 1,000,000.00
Termometer Digital 13 Set 1,000,000.00
Timbangan Bayi 2 Unit
Timbangan Berat Badan 3 Unit
Timbangan Darah 2 Unit 10,000,000.00
Treadmil 1 Unit 10,000,000.00
Triple Masage Bell 1 Unit 150,000.00
Ultraviolet Room Sterilisasi 10 Unit 20,660,000.00
USG 4 Dimensi 1 Unit 610,000,000.00
Water Destilasi 1 Unit 10,000,000.00
Water Heater 1 Unit 27,000,000.00
Wather Bath 2 Unit

Lewoleba, 25 Agustus 2015

Direktur RSUD Lewoleba

dr. Bernadus Yoseph Beda

NIP. 19761108 200803 1 001
3442

Jumlah Kode
Ket.
Biaya (Rp) Rekening
6 7 8

-
250,000.00
1,000,000.00
10,000,000.00
10,000,000.00
1,500,000.00
403,475,982.00
70,000,000.00

196,300,000.00
296,400,000.00
100,000,000.00
50,000,000.00

6,000,000.00
53,000,000.00
335,400,000.00
1,000,000.00
76,000,000.00
120,300,000.00
845,000,000.00
1,380,000.00
170,000,000.00
 228,690,840.00
1,000,000.00
2,000,000.00
224,370,000.00
12,498,750.00
-
150,000.00
200,000.00
1,600,000,000.00

675,182,480.00
1,136,000,000.00

80,000,000.00

10,000,000.00
406,323,200.00
1,000,000.00
700,000.00
696,800,000.00
175,000,000.00
65,400,300.00
170,000,000.00

5,000,000.00
176,180,400.00
1,000,000.00
700,000.00
600,000.00
5,000,000.00
53,600,000.00

20,000,000.00

12,000,000.00
13,000,000.00

20,000,000.00
 10,000,000.00
150,000.00
206,600,000.00
610,000,000.00
10,000,000.00
27,000,000.00