KEBUTUHAN ALAT MEDIS (UNIT BISNIS)

TAHUN……………….
BUDGET Rencana Pemenuhan
NO NAMA ALAT MERK KETERANGAN
Total Qty Qty
Harga Qty Aktiva Beban Total Aktiva Beban I II III IV
RAWAT INAP - - - √
1 Pispot stainless 360,000 1 360,000 - 360,000
2 Senter u/ pemeriksaan merk eiger 250,000 1 250,000 - 250,000
3 Stethoscope dewasa merk littman 1,320,000 1 1,320,000 - 1,320,000
6 Trolley Injeksi Arnezy/yc-31-ja3108/silent 14,208,425 1 14,208,425 14,208,425 -
7 Urinal plastik 50,000 5 250,000 - 250,000
8 Washing set (alat untuk cuci rambut pasien) 1,650,000 1 1,650,000 - 1,650,000
9 Hot Cool Pack 22 X 12 Cm 100,000 4 400,000 - 400,000
10 Gunting aff hecting 12 cm aesculap 3,300,000 1 3,300,000 - 3,300,000 √
11 Pinset anatomis Smic 1,500,000 1 1,500,000 - 1,500,000 √
12 Pinset chirurgi Smic 1,500,000 1 1,500,000 - 1,500,000 √
13 Senter u/ pemeriksaan eiger 250,000 2 500,000 - 500,000 √
14 Stethoscope dewasa litmann 1,320,000 1 1,320,000 - 1,320,000 √
15 Tensimeter semi Automatic one med 1,000,000 1 1,000,000 - 1,000,000 √
16 Termometer digital one med 100,000 3 300,000 - 300,000 √
17 Termometer kulkas one med 200,000 1 200,000 - 200,000 √
18 Termohygrometer ruangan 300,000 7 2,100,000 - 2,100,000 √
19 Termometer termofinder 700,000 2 1,400,000 - 1,400,000 √
20 Trolley Injeksi Arnezy/yc-31-ja3108/silent 16,500,000 1 16,500,000 16,500,000 - √
21 Urinal plastik 50,000 5 250,000 - 250,000 √
22 Hot Cool Pack 22 X 12 Cm 100,000 4 400,000 - 400,000 √ √
23 Torniquet one med 100,000 5 500,000 - 500,000 √
24 Vacum dinding Sentral ( Untuk semua ruangan ) 20,000,000 0 - - - √
25 Compresor Air Sentral dibagi u/ semua ruangan 35,000,000 0 - - - √
26 Kupet Sedang 22X 12 cm 100,000 1 100,000 - 100,000 √
27 Gelas Ukur 1000ml 100,000 5 500,000 - 500,000 √
28 Meja makan pasien linet 4,500,000 1 4,500,000 - 4,500,000 √
29 Agraff tang 2,000,000 1 2,000,000 - 2,000,000 √
35 Fracture splint set 1 - - - √
36 Weight @ 1 kgs (leather sand bags) linet 4 - - - √
37 Urine bottle holder linet 5 - - - √
38 Oxygen bottle holder linet 1 - - - √
39 Linen collecting trolly linet 1 - - - √
- -
40 Termometer digital one med 40,000 10 400,000 - 400,000 5 5

40
FLOWMETER & HUMIDIFIER QUICK TYPE 5
CENTRAL UNICO (kecil) 2,420,000 12,100,000 - 12,100,000 5
40 STETHOSCOPE LITTMANN ANAK 990,000 3 2,970,000 - 2,970,000 3
40 STETHOSCOPE LITTMANN DWS 750,000 3 2,250,000 - 2,250,000 3
40 Infuse pump 25,000,000 1 25,000,000 25,000,000 - 1
Kasur listrik GEA A-012 Deluxe 1,200,000 2 2,400,000 - 2,400,000 1 1
Hot Cool Pack Uk 22X 12 cm 75,000 2 150,000 - 150,000 2
Smaf filter suction LX 84DL 90,000 - - -
Tensimeter semi Automatic AND 2,500,000 5 12,500,000 - 12,500,000 3 2
Bengkok Sedang 27,500 10 275,000 - 275,000 5 5
Nebulizer Omron NE U17 Silent 9,600,000 1 9,600,000 9,600,000 - 1
Bed eleganza 1 electric + matras 35,530,000 7 248,710,000 248,710,000 - 5
Standar Infus Beroda (lima) 1,800,000 6 10,800,000 - 10,800,000 6
urinal lakiplastik 20,000 20 400,000 - 400,000 20
urinal wanita plastik 20,000 20 400,000 - 400,000 20
manset anak AND 600,000 5 3,000,000 - 3,000,000 5
manset dewasa AND 960,000 5 4,800,000 - 4,800,000 5
blood womer 15,000,000 1 15,000,000 15,000,000 - 1
gelas ukur kencing 100,000 10 1,000,000 - 1,000,000 5 5
Termometer digital dgn sensor sentuh untuk 1
anak 450,000 450,000 - 450,000 1
Lampu laryngoscope riester dewasa 300,000 1 300,000 - 300,000 1
Lampu baca X Ray DV SL 1206 13,000,000 1 13,000,000 13,000,000 - 1
face mask anak nomor 3 74,400 1 74,400 - 74,400 1
face mask dewasa nomor 4&5 74,400 1 74,400 - 74,400 1
Selang suction 8x12 cm 462,000 1 462,000 - 462,000 1
Selang nebulizer 462,000 4 1,848,000 - 1,848,000 2 2
Gudel nomor 4 200,000 2 400,000 - 400,000 2
Kasur Pasien 2,000,000 0 - - -
Vacum dinding 16,500,000 0 - - -
Compresor Air 29,700,000 0 - - -
Bola tensi reister 228,000 4 2 2

Lampu laryngoscope riester dewasa 300,000 3 900,000 - 900,000 1 1 1

Tensimeter semi Automatic AND 2,500,000 3 7,500,000 - 7,500,000 1 1 1
Papan Resusitasi 1,500,000 0 - - - 1
Lampu baca X Ray DV SL 1206 13,000,000 1 13,000,000 13,000,000 - 1
Stetoskop Dewasa Litman 1,080,000 4 4,320,000 - 4,320,000 1 2 1
Stetoskop Anak Litman 1,080,000 3 3,240,000 - 3,240,000 1 1 1
Termometer ( Digital ) One Med 50,000 12 600,000 - 600,000 3 3 3 3
Torniquet ( One Med ) 60,500 3 181,500 - 181,500 3
Trolley Injeksi Arnezy/yc-31-ja3108/silent 12,916,750 1 12,916,750 12,916,750 - 1
Vacum dinding Sentral ( Untuk semua ruangan ) 16,500,000 - - -
Compresor Air Sentral dibagi u/ semua ruangan 29,700,000 - - -
Hot Cool Pack 22 X 12 Cm 100,000 4 400,000 - 400,000 4
Hot Cool Pack besar 200,000 2 400,000 - 400,000 2
Urinal Plastik 30,000 50 1,500,000 - 1,500,000 15 10 15 10
Gunting Verband 14 Cm ( One Med ) 50,000 2 100,000 - 100,000 2
Bengkok sedang 23 Cm 33,000 20 660,000 - 660,000 5 5 5 5
Brancard side guard 101996 9,312,000 0 - - - 1
Kursi roda 872,726 0 - - - 1
Kasur Pasien 2,000,000 0 - - - 2 1 1 1
Kasur listrik GEA A-012 Deluxe 1,200,000 1 1,200,000 - 1,200,000 1 1
Bed eleganza 1 electric + matras 35,530,000 5 177,650,000 177,650,000 - 5
Reflek Hammer 200,000 1 200,000 - 200,000
Timbangan dewasa digital 576,000 1 576,000 - 576,000 1
Flowmeter dan humidifier 2,640,000 10 26,400,000 - 26,400,000 5 5
Korentang 96,000 1 96,000 - 96,000
Tempat Korentang 120,000 1 120,000 - 120,000
Syringe pump merk terumo TE 331NW35 31,000,000 1 31,000,000 31,000,000 - 1
Washing set (alat untuk cuci rambut pasien) 4,000,000 - - -
face mask anak nomor 3 74,400 1 74,400 - 74,400 1
face mask dewasa nomor 4&5 74,400 2 148,800 - 148,800 2
Gelas Ukur Untuk Zonde' 100,000 - - -
Gelas Ukur Urine 100,000 10 1,000,000 - 1,000,000 2 3 2 3
Manset Anak 600,000 3 1,800,000 - 1,800,000 1 2
Manset Dewasa 960,000 3 2,880,000 - 2,880,000 1 2
Standar Infus Beroda (lima) 1,800,000 3 5,400,000 - 5,400,000 2 1
Cucing kecil 5cm 100,000 14 1,400,000 - 1,400,000 3 3 4 4
Pinset anatomi 14 CM One Med 37,200 14 520,800 - 520,800 4 4 3 3
Pinset chirurgis 14 CM One Med 37,200 14 520,800 - 520,800 3 3 4 4
Nald folder 18 cm One Med 60,000 7 420,000 - 420,000 1 2 2 2
Klem jaringan lurus 48,000 7 336,000 - 336,000 2 1 2 2
Gunting jaringan kecil 14 cm Aesculap 3,600,000 1 3,600,000 - 3,600,000 1
Gunting benang Martin 960,000 3 2,880,000 - 2,880,000 3
Arteri Klem bengkok 14 cm ( One Med ) 60,000 7 420,000 - 420,000 7
Kupet sedang SH 508 100,000 10 1,000,000 - 1,000,000 10
Alat EKG merk Fukuda 34,000,000 - - -
Baterai IV pump merk terumo 8,500,000 1 8,500,000 8,500,000 - 1
Baterai Syringe pump merk terumo 8,000,000 1 8,000,000 8,000,000 - 1
Selang suction 8x12 cm 462,000 2 924,000 - 924,000 2
Selang nebulizer 462,000 4 1,848,000 - 1,848,000 2 2
Filter nebulizer 2 2
Bola tensi reister 228,000 4 2 2
Gudel nomor 4 200,000 2 400,000 - 400,000 2
Termometer digital dgn sensor sentuh untuk 1
anak 450,000 450,000 - 450,000 1
WWZ(Buli-buli panas) 50,000 - - -
Wind Ring 200,000 - - - 2
KAMAR OPERASI - - -
Pinset Cobra Chirurgies( BD 512 R ) aeskulap 750,000 2 1,500,000 - 1,500,000 2 OK
Meja instrumen 1,155,000 1 1,155,000 - 1,155,000 1 OK
Klem pean kecil UK 12 CM aeskulap 850,000 6 5,100,000 - 5,100,000 6 OK
Gunting jaringan kecil uk 12 cm aeskulap 3,500,000 1 3,500,000 - 3,500,000 1 OK
Gunting jaringan besar uk 20 cm aeskulap 2,750,000 2 5,500,000 - 5,500,000 2 OK
Uretroscope STORZ 200,000,000 1 200,000,000 200,000,000 - 1 OK
Mesin medipack 5,500,000 1 5,500,000 5,500,000 - 1 OK
Naldpoeder cm dan uk 18 cm aeskulap 2,750,000 2 5,500,000 - 5,500,000 2 OK
Corugeted anestesi 1,000,000 2 2,000,000 - 2,000,000 2 OK
Corugeted respirasi 1,000,000 2 2,000,000 - 2,000,000 2 OK
Kabel & Probe Saturasi O2 GOLDWAY 4,000,000 2 8,000,000 - 8,000,000 2 OK
Buldog aeskulap 3,000,000 0 - - - OK
sprider urologi 3,500,000 1 3,500,000 - 3,500,000 1 OK
Monitor jantung ………….. invinity apollo 60,000,000 1 60,000,000 60,000,000 - 1 OK
Appendik klem smic 270,000 2 540,000 - 540,000 2 OK
Sterilisator smic 1,500,000 1 1,500,000 - 1,500,000 1 OK
Darm klem untuk anak aeskulap 2,500,000 4 10,000,000 - 10,000,000 4 OK
Mobil stretcher(brancard)31208 9,230,700 2 18,461,400 18,461,400 - 2 OK
Corugeted anestesi adult 1,000,000 1 1,000,000 - 1,000,000 1 OK
Corugeted anestesi pediatric 1,000,000 1 1,000,000 - 1,000,000 1 OK
Sensor O 2 drager 3,100,000 2 6,200,000 - 6,200,000 2 OK
Spirolog flow senspor 2,000,000 2 4,000,000 - 4,000,000 2 OK
bone tang kecil aeskulap 3,000,000 2 6,000,000 - 6,000,000 2 OK
vacum bayi no fortune 2,000,000 1 2,000,000 - 2,000,000 1 OK
Selang suction silikon 350,000 10 3,500,000 - 3,500,000 10 OK
Balon Laringoscope 300,000 6 1,800,000 - 1,800,000 6 OK
Mesin printer kameraC Arm 150,000,000 0 - - - OK
Bag anestesi 2,3 ltr 1,375,000 2 2,750,000 - 2,750,000 2 OK
Ureter dilator set storz 4,500,000 1 4,500,000 - 4,500,000 1 OK
Kabel monitor jantung Goodway 3,000,000 1 3,000,000 - 3,000,000 1 OK
Elis Klem uk 14 cm smic 650,000 4 2,600,000 - 2,600,000 4 OK
Ureteroscope storz 120,000,000 1 120,000,000 - 1 OK
Apron kelida 2,000,000 2 4,000,000 - 4,000,000 2 OK
Klem kocher lurus uk 12 cm martin 1,600,000 2 3,200,000 - 3,200,000 2 OK
Klem Kocher bengkok uk 12 cm martin 1,177,200 2 2,354,400 - 2,354,400 2 OK
Meja Mayo 1,524,000 0 - - - OK
Plate couter bipolar 80 342 03 martin 6,622,000 0 - - - OK
Haak automatis 2,000,000 1 2,000,000 - 2,000,000 OK
Lampu Operasi 150,000,000 0 - - - OK
Probe litotriptor/calcusplit 1,250,000 2 2,500,000 - 2,500,000 2 OK
Stone basket gimmi 2,000,000 2 4,000,000 - 4,000,000 2 OK
Termometer digital one med 50,000 0 - - - OK
Filter Mesin Suction 700,000 2 1,400,000 - 1,400,000 2 OK
vacum central 16,500,000 0 - - - OK
compresor air 29,700,000 0 - - - OK
Syringe pump merk terumo TE 331NW35 31,000,000 1 31,000,000 31,000,000 - 1 OK
Sheat dan obturator no 17 STORZ 40,000,000 1 40,000,000 40,000,000 - OK
MESIN SUCTION 50,000,000 2 100,000,000 100,000,000 - OK
Balon lampu xenon 175 storz 20,000,000 1 20,000,000 20,000,000 - 1 OK
Laringoscopeset ( Riester )adult Riester 2,280,000 2 4,560,000 - 4,560,000 2 OK
Sealing cap 450,000 2 900,000 - 900,000 2 OK
Manset Anak 600,000 3 1,800,000 - 1,800,000 3 OK
Manset Dewasa 960,000 7 6,720,000 - 6,720,000 7 OK
Gudel nomor 4 200,000 4 800,000 - 800,000 4 OK
Balon Lampu Operasi 330,000 12 3,960,000 - 3,960,000 3 3 3 OK
PCA Perfusor Space Pump 8,000,000 2 16,000,000 16,000,000 -
PCA Smit 50,000,000 1 50,000,000 50,000,000 -

ICU/ICCU/HCU - - -
ACU MASSAGER 840,000 1 840,000 - 840,000 1 ICU
Air Flow O2 / Humidifier 3,000,000 5 15,000,000 - 15,000,000 2 3 ICU
Resusitator anak ( AMBU) 5,400,000 1 5,400,000 5,400,000 - 1 ICU
Resucitator Dewasa[AMBU] 5,400,000 1 5,400,000 5,400,000 - 1 ICU

Endotracheal Tube Introducer 40X673

3,000,000 1 3,000,000 - 3,000,000 1 ICU
Fibrator 800,000 - - - - ICU batal
Gelas Ukur Untuk Zonde' 100,000 1 100,000 - 100,000 1 ICU
INFUSION PUMP TE 311 39,000,000 2 78,000,000 78,000,000 - 2 ICU
Infusable Pressure 1,170,000 1 1,170,000 - 1,170,000 1 ICU
Kom mandi stenlis[smic] 200,000 4 800,000 - 800,000 4 ICU
Kasur listrik GEA A-012 Deluxe 1,200,000 1 1,200,000 - 1,200,000 1 ICU
Lampu Tindakan [kawe] 2,000,000 1 2,000,000 - 2,000,000 1 ICU
Manset Anak 600,000 4 2,400,000 - 2,400,000 4 ICU
Manset Dewasa 960,000 10 9,600,000 - 9,600,000 10 ICU
Meja EKG [morico] 840,000 1 840,000 - 840,000 1 ICU
Mortil Stanles 360,000 1 360,000 - 360,000 1 ICU
 Suction portable OM7-E-D (AC-DC) 3,600,000 1 3,600,000 - 3,600,000 1 ICU
TERMOMETER DIGITAL ONE MED 50,000 2 100,000 - 100,000 2 ICU
BATERAI SERINGE PUM TERUMO 2,400,000 3 7,200,000 - 7,200,000 3 ICU
REMOTE BED KASTRON 720,000 - - - - ICU
RODA BED KASTRON 1,000,000 - - - - ICU
THERMOHYGROMETER [RRC] 300,000 2 600,000 - 600,000 2 ICU
Bed Pasien ICU/ICCU/HCU ( Tread In ) Platinum 40,000,000 8 320,000,000 320,000,000 - 8 ICU
Bed pasien Eleganza 3 60,000,000 2 120,000,000 120,000,000 - 2 ICU
Kasur angin Apex 2,000,000 - - - - ICU
syringe pump terumo 30,000,000 3 90,000,000 90,000,000 - 3 ICU
ventilator draeger ( savina ), untuk PICU 450,000,000 1 450,000,000 450,000,000 - 1 ICU
baterai DC Shock premedict 4,000,000 1 4,000,000 - 4,000,000 1 ICU
expirasi valve ( ventilator ) 7,500,000 1 7,500,000 7,500,000 - 1 ICU
baterai ventilator 5,000,000 1 5,000,000 5,000,000 - 1 ICU
control box ( bed pasien ) 5,000,000 - - - - ICU
reflek hamer 200,000 1 200,000 - 200,000 1 ICU
senter 100,000 2 200,000 - 200,000 2 ICU
stetoscope lytment dewasa 1,000,000 3 3,000,000 - 3,000,000 3 ICU
taung spatel 100,000 1 100,000 - 100,000 1 ICU
kupet kecil untuk injeksi 200,000 8 1,600,000 - 1,600,000 8 ICU
sleding bed 4,000,000 1 4,000,000 - 4,000,000 1 ICU
laryngoscope anak lurus 3,000,000 1 3,000,000 - 3,000,000 1 ICU
Spirometri 5,000,000 1 5,000,000 5,000,000 - 1 ICU
Air dinding 160,000,000 1 160,000,000 - 1 ICU
Suction dinding 290,000,000 1 290,000,000 - 1 ICU
Active Ventilator mobile 1 - - - 1 ICU
Head Box GEA 3,000,000 1 3,000,000 - 3,000,000 1 ICU
POLIKLINIK - - -
Humidifire 2,500,000 3 7,500,000 - 7,500,000 1 POLI
pincet anatomi halus kecil, 12 cm 600,000 4 2,400,000 - 2,400,000 2 2 POLI
pincet chirurgie 12 cm 600,000 4 2,400,000 - 2,400,000 2 2 POLI
gunting benang ujungnya bengkok 12cm 600,000 6 3,600,000 - 3,600,000 3 3 POLI
brancard 8,000,000 1 8,000,000 8,000,000 - POLI
Klem pean kecil bengkok UK 12 CM smic 100,000 3 300,000 - 300,000 3 POLI
Klem pean kecil bengkok UK 12 CM aeskulap 600,000 1 600,000 - 600,000 1 POLI
termometer digital 50,000 20 1,000,000 - 1,000,000 POLI
tensimeter non air raksa AND 2,500,000 5 12,500,000 - 12,500,000 1 2 POLI
Stetoskop Dewasa Litman 1,080,000 11 11,880,000 - 11,880,000 1 2 2 POLI
Stetoskop Anak Litman 1,080,000 4 4,320,000 - 4,320,000 2 POLI
bola tensi reister 228,000 10 2,280,000 - 2,280,000 2 3 2 3 POLI
gunting benang panjang ± 18 cm ujung
tumpul dan bengkok smic 100,000 2 200,000 - 200,000 2 POLI
Klem pean bengkok 14 cm smic 250,000 4 1,000,000 - 1,000,000 2 2
speculum hidung S smic 98,000 3 294,000 - 294,000 3 POLI
SPeculum hidung M 105,000 10 1,050,000 - 1,050,000 5 5 POLI
pincet cirurgi 14 cm 70,000 5 350,000 - 350,000 2 3 POLI
pincet anatomi 14 cm 70,000 5 350,000 - 350,000 2 3 POLI
mesin TREDMILL 300,000,000 0 - - - POLI
Head lamp 2,000,000 1 2,000,000 - 2,000,000 1 POLI
Lampu otoscope 350,000 5 1,750,000 - 1,750,000 5 POLI
tourniquet 60,000 4 240,000 - 240,000 4 POLI
aligator mikro telinga 90,000 12 1,080,000 - 1,080,000 6 6 POLI
Trocar Elip 3 mm medicon 2,500,000 2 5,000,000 - 5,000,000 POLI
Saturasi O2 Dewasa ( Fingertip ) 3,300,000 1 3,300,000 - 3,300,000 1 POLI
Manset Anak 600,000 2 1,200,000 - 1,200,000 1 1 POLI
Manset Dewasa 960,000 3 2,880,000 - 2,880,000 1 2 POLI
Senter kecil 150,000 13 1,950,000 - 1,950,000 5 2 5 1 POLI
UGD - - -
Bengkok sedang 33,000 15 495,000 - 495,000 15 UGD
Brancard side guard 9,312,000 5 46,560,000 46,560,000 - 2 3 UGD
Face Mask Ambu dewasa ( ukuran 4 ) 1,440,000 2 2,880,000 - 2,880,000 2 UGD
Face Mask Ambu anak 1,440,000 1 1,440,000 - 1,440,000 1 UGD
Kursi roda warna hitam GEA FS 207 LA 8 JP 3,120,000 3 9,360,000 - 9,360,000 3 UGD
Manset anak (manual) 605,000 1 605,000 - 605,000 1 UGD
Manset anak (monitor) 605,000 2 1,210,000 - 1,210,000 2 UGD
Nebulizer Omron NE U17 Silent 9,600,000 2 19,200,000 19,200,000 - 1 1 UGD
Sirkuit Nebulizer Omron 1,500,000 6 9,000,000 - 9,000,000 3 3 UGD
Pispot plastik 60,000 2 120,000 - 120,000 2 UGD
Regulator tempel (Humidifier) 2,420,000 5 12,100,000 - 12,100,000 5 UGD
Senter kecil 30,000 10 300,000 - 300,000 10 UGD
Stetoscop paediatric Litmann 1,200,000 1 1,200,000 - 1,200,000 1 UGD
Termometer axila digital 45,000 12 540,000 - 540,000 3 3 3 3 UGD
Urinal plastik wanita 25,000 2 50,000 - 50,000 2 UGD
Urinal plastik pria 25,000 2 50,000 - 50,000 2 UGD
Cucing 6CM 18,000 10 180,000 - 180,000 10 UGD
Pinset anatomi 14 CM One Med 37,200 10 372,000 - 372,000 10 UGD
Pinset chirurgis 14 CM One Med 37,200 10 372,000 - 372,000 10 UGD
Nald folder 18 cm One Med 60,000 10 600,000 - 600,000 10 UGD
Klem jaringan lurus 48,000 10 480,000 - 480,000 10 UGD
Gunting jaringan kecil 14 cm Aesculap 672,000 5 3,360,000 - 3,360,000 5 UGD
Gunting benang Aesculap 240,000 5 1,200,000 - 1,200,000 5 UGD
Arteri Klem bengkok 14 cm ( One Med ) 60,000 10 600,000 - 600,000 10 UGD
Kupet kecil SH 508 60,000 10 600,000 - 600,000 10 UGD
Baterai DC Shock 3,850,000 2 7,700,000 - 7,700,000 2 UGD
Torniquet 55,000 6 330,000 - 330,000 3 3 UGD
Gunting verban besar 18 CM 141,600 3 424,800 - 424,800 3 UGD
Gunting verban kecil 14 CM 84,000 3 252,000 - 252,000 3 UGD
Saturasi O2 Dewasa ( Fingertip ) minray 3,300,000 1 3,300,000 - 3,300,000 1 UGD
Saturasi O2 anak ( Fingertip ) minray 3,300,000 1 3,300,000 - 3,300,000 1 UGD
Baterai Monitor Goldway 3,000,000 2 6,000,000 - 6,000,000 2 UGD
Tensimeter semi Automatic Anak (One Med ) 0
Berdiri 3,600,000 - - - UGD
Tensimeter Erka Vario Aneroid /ST 4,895,000 2 9,790,000 - 9,790,000 2 UGD
Spalk ukuran 60 cm 60,000 6 360,000 - 360,000 6 UGD
Spalk ukuran 80 cm 90,000 6 540,000 - 540,000 6 UGD
Spalk ukuran 120 cm 120,000 6 720,000 - 720,000 6 UGD
Guedel Uk. 3,4,5,6,7,8 222,000 10 2,220,000 - 2,220,000 10 UGD
Nasopharingeal tube 370,000 3 1,110,000 - 1,110,000 3 UGD
Airway bag ambulan 0 - - - UGD
Laringoskop anak 250,000 2 500,000 - 500,000 2 UGD
Sliding board 2,000,000 1 2,000,000 - 2,000,000 1 UGD
Mandrin utk pasang catheter 300,000 2 600,000 - 600,000 2 UGD
Mandrin utk intubasi 300,000 3 900,000 - 900,000 3 UGD
Monitor jantung kecil invinity apollo 60,000,000 1 60,000,000 - 1 UGD
 Syring Pump terrumo 1 - - - 1 UGD
Mortir obat kecil 1 - - - 1 UGD
Manset tensi dewasa manual 2 - - - 2 UGD
Stetoskop Dewasa Litment 1 - - - 1 UGD
Manset tensi dewasa monitor 2 - - - 2 UGD
Selang nebulizer 462,000 12 5,544,000 - 5,544,000 3 3 3 3
R. BAYI - - -
PERLENGKAPAN NICU - - - R.Bayi
Syringe pump Terumo 31,000,000 1 31,000,000 31,000,000 - 1 R.Bayi
INFUS PUMP Terumo TE 311 39,000,000 1 39,000,000 39,000,000 - 1 R.Bayi
INKUBATOR(infan inkubator) David Medikal YP 2
90A 204,000,000 408,000,000 408,000,000 - 2 R.Bayi
Monitor Jantung bayi apollo n1 28,500,000 1 28,500,000 28,500,000 - 1 R.Bayi
Baterai Infus Pump 8,000,000 1 8,000,000 8,000,000 - 1 R.Bayi
BATERAI SERINGE PUM TERUMO 8,500,000 1 8,500,000 8,500,000 - 1 R.Bayi
Goldway reusable SPO2 sensor Neonatus Wrap 4,080,000 1 4,080,000 - 4,080,000 1 R.Bayi
Oxymetri 4,000,000 0 - - - R.Bayi
Resusitator anak ( AMBU) 4,000,000 1 4,000,000 - 4,000,000 1 R.Bayi
Foto Teraphy (onderdil) life MP 71 2 - - - 2 R.Bayi
Head Box GEA 3,000,000 1 3,000,000 - 3,000,000 1 R.Bayi
Flowmeter &Humidifiyer Quick Type 2,640,000 1 2,640,000 - 2,640,000 1 R.Bayi
Stetoskope Neonatus Litmen 1,080,000 1 1,080,000 - 1,080,000 1 R.Bayi
Termometer Digital 50,000 4 200,000 - 200,000 4 R.Bayi
Timbangan bayi digital (Laica) 342,000 1 342,000 - 342,000 1 R.Bayi
vacum central 16,500,000 0 - - - R.Bayi
Humidifier Suction - - - R.Bayi
compresor air 29,700,000 - - - R.Bayi
Kabel monitor 4,000,000 - - - R.Bayi
Troly EKG 1,000,000 2 2,000,000 - 2,000,000

VK - - -
DOPPLER Hadeko ES 102 15,925,000 1 15,925,000 15,925,000 - 1 VK
busi dilatator no 8.5/6 / 6,5 720,000 0 - - - VK
DOPPLER kecil(mobile) 2,280,000 1 2,280,000 - 2,280,000 1 VK
STETOSKOP dewasa LITMEN 750,000 1 750,000 - 750,000 1 VK
termometer Digital 50,000 5 250,000 - 250,000 5 VK
Timbangan digital Bayi 450,000 1 450,000 - 450,000 1 1 VK
vaccum Cup silikon Uk. M ( 7 ) 2,280,000 1 2,280,000 - 2,280,000 1 VK
gunting episiotomi 14 cm martin 3,900,000 2 7,800,000 - 7,800,000 2 VK
kerokan absesO(0,5/1cm) 1 - - - VK
ellis Klem kecil 14 cm 26,400 2 52,800 - 52,800 2 VK
ellis Klem kecil 24 cm 26,400 2 52,800 - 52,800 2 VK
Tensimeter Erka Vario Aneroid /ST 4,895,000 2 9,790,000 - 9,790,000 2
Manset dewasa monitor jantung 650,000 1 650,000 - 650,000 1 VK
vacum central 16,500,000 0 - - - VK
Humidifier Suction - - - VK
compresor air 29,700,000 - - - VK
Monitor kolposcopy 2,000,000 - - - VK
abortus tang 2 - - - 2 VK
CUCI kecil (.) 10 cm 50,000 2 100,000 - 100,000 2 VK
Lampu laryngoscope riester dewasa 300,000 3 900,000 - 900,000 3
DEPO - - -
Sealing Machine ( Obat Puyer ) 3,630,000 1 3,630,000 - 3,630,000 DEPO FARMASI
Laminar Air Flow ( Mesin u/ mencampur 30,000,000 1
elektrolit pekat ) 30,000,000 30,000,000 - DEPO FARMASI
Pulverizer (Blender obat) 1,746,000 1 1,746,000 - 1,746,000 DEPO FARMASI
LAB - - -
Kit maintanance cobas 46,250,000 1 46,250,000 46,250,000 - 1 LAB
Set elektrode AVL 26,250,000 1 26,250,000 26,250,000 - 1 LAB
kit maintanance AVL 2,500,000 1 2,500,000 - 2,500,000 1 LAB
Lampu halogen Cobas 10,000,000 4 40,000,000 40,000,000 - 1 1 1 1 LAB
Lampu perox Advia 6,250,000 1 6,250,000 6,250,000 - 1 LAB
UFC advia 2120 156,250,000 1 156,250,000 156,250,000 - 1 LAB
Rotator 10,312,500 1 10,312,500 10,312,500 - 1 LAB
Roller mixer 10,312,500 1 10,312,500 10,312,500 - 1 LAB
Bengkok ukuran sedang 125,000 4 500,000 - 500,000 4 LAB
Matras cherry blossom 1,089,000 1 1,089,000 - 1,089,000 1 LAB
Alat AGD 343,750,000 1 343,750,000 343,750,000 - 1 LAB ( Pengembangan )
Alat PT-APTT 343,750,000 1 343,750,000 343,750,000 - 1 LAB ( Pengembangan )
Peralatan TB 2,000,000 1 2,000,000 - 2,000,000 1 LAB
Cuvette Cobas 12,500,000 1 12,500,000 12,500,000 - 1 LAB
RO Cobas 20,000,000 1 20,000,000 20,000,000 - 1 LAB
sentrifuge 37,500,000 1 37,500,000 37,500,000 - 1 LAB
Sparepart maintanance sentrifuge 6,250,000 1 6,250,000 6,250,000 - 1 LAB
Mikropipet adjustable 7,500,000 2 15,000,000 15,000,000 - 1 1 LAB
Preventive maintanance kid Advia 31,250,000 1 31,250,000 31,250,000 - 1 LAB
troley 1,250,000 1 1,250,000 - 1,250,000 1 LAB
PEMANTAPAN MUTU EKSTERNAL 7,500,000 1 7,500,000 7,500,000 - 1 LAB
Kroscek alat ke lab luar
HD
Arteri klem 14 cm ( One Med ) 48,000 2 96,000 - 96,000 2 HD
Cucing 5 cm 42,000 5 210,000 - 210,000 5 HD
Humidifier 2,420,000 2 4,840,000 - 4,840,000 2 HD
Gunting aff hecting one med 48,000 1 48,000 - 48,000 1 HD
Gunting verband 15 cm one med 188,400 1 188,400 - 188,400 1 HD
Kupet sedang 72,000 5 360,000 - 360,000 5 HD
Bed pasien manual hospital bad, 3 crank 14,179,000 1
function PI-508 MX 14,179,000 14,179,000 - 1 HD
STETOSKOP LITMEN DEWASA 750,000 1 750,000 - 750,000 1 HD
TENSI METER SEMI OTOMATIC A&D MEDICAL 1,500,000 1 1,500,000 - 1,500,000 1 HD
Termometer One Med 100,000 1 100,000 - 100,000 1 HD
Meja mayo 4,000,000 1 4,000,000 - 4,000,000 1 HD
Standar Infus Beroda (lima) 1,800,000 2 3,600,000 - 3,600,000 2 HD
Timbangan digital ( One Med ) 576,000 2 1,152,000 - 1,152,000 1 1 HD
Pincet Chirurgis 14 cm SMC 42,000 2 84,000 - 84,000 2 HD
Matras cherry blossom 1,089,000 1 1,089,000 - 1,089,000 1 HD
NAALPODER 14 Cm ( One Med ) 60,000 1 60,000 - 60,000 1 x HD
Gelas Ukur Urine 100,000 2 200,000 - 200,000 2 HD
Manset Dewasa 960,000 2 1,920,000 - 1,920,000 x HD
RADIOLOGI
Cucing kecil stanlis 200,000 2 400,000 - 400,000 2 Radiologi
Yumidifiyer (control kelembaban ruangan ct-scan) 1,500,000 2 3,000,000 3,000,000 - 2 Radiologi
Tube X - Ray CT Scan ( Pemeliharaan ) 100,000,000 1 100,000,000 100,000,000 - 1 Radiologi
 Klem cateter/gunting klem kecil 100,000 3 300,000 - 300,000 3 Radiologi
- - -
JUMLAH 1140 0 0 5,315,093,875 4,093,335,575 591,758,300

NOTE : DIISI SESUAI KEBUTUHAN MENGACU PADA DATA ASET YANG DIMILIKI 630,000,000

harga blm pasti PERAWATAN ALKES 591,758,300

masuk proyek
PENYUSUTAN 1,023,333,894

PERBULAN 85,277,824
CONTOH KEBUTUHAN NON MEDIS (UNIT BISNIS/DEPARTEMEN)
TAHUN
BUDGET Rencana Pemenuhan
NO NAMA ALAT MERK KETERANGAN
Harga Total Qty Qty Qty Total Aktiva Beban I II III IV
Aktiva Beban

Lemari file 6,000,000 1 6,000,000 6,000,000 -

lemari alat 3,000,000 1 3,000,000 3,000,000 -
Exhause fan merk panasonic 1,000,000 5 5,000,000 5,000,000 -
Jam dinding 100,000 7 700,000 - 700,000
Gelas Goblet 50,000 12 600,000 - 600,000
Cangkir 50,000 12 600,000 - 600,000
Kursi duduk donati warna biru 800,000 2 1,600,000 - 1,600,000
TV LED 32 inc 3,000,000 2 6,000,000 6,000,000 -
TV LED 42 inc 6,000,000 3 18,000,000 18,000,000 -
Remote AC 100,000 3 300,000 - 300,000
Jam dinding 120,000 5 600,000 - 600,000
Tempat sampah 5 lt 120,000 10 1,200,000 - 1,200,000
Tempat sampah 15 lt 250,000 5 1,250,000 - 1,250,000
Gantungan kunci logo SH 30,000 5 150,000 - 150,000
Timbangan kue (utk pampers) 150,000 1 150,000 - 150,000
Kulkas mini 1,500,000 4 6,000,000 6,000,000 -
Home theatre 2,000,000 1 2,000,000 2,000,000 -
Hanger 20,000 25 500,000 500,000
Rak sepatu 600,000 1 600,000 - 600,000
Sandal untuk pasien 50,000 500 25,000,000 25,000,000

Komputer 1 set PC Acer M3970 (Perawat ) 8,000,000 1 8,000,000 8,000,000 - 1 RI Lt IV

Kursi coklat futura (ruang perawat) 540,000 20 10,800,000 - 10,800,000 10 10 RI Lt IV
Tempat sampah toilet 5 lt 220,000 38 8,360,000 - 8,360,000 10 10 10 8 RI Lt IV
Printer L100 1,740,000 1 1,740,000 1,740,000 - 1 RI Lt IV
Remote Bed 750,000 4 3,000,000 - 3,000,000 RI Lt IV
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 5 5 RI Lt IV
Tulisan Sampah Non Infeksius 10,000 38 380,000 - 380,000 10 10 10 8 RI Lt IV
Jam dinding 100,000 50 5,000,000 - 5,000,000 10 10 10 17 RI Lt IV
UPS 1,800,000 1 1,800,000 1,800,000 - 1 RI Lt IV
Mouse 90,000 1 90,000 - 90,000 1 RI Lt IV
Telepon di nurse station Plan A &Plan B 200,000 2 400,000 - 400,000 1 1 RI Lt IV
Telepon di kmr px 200,000 2 400,000 - 400,000 1 1 RI Lt IV
Loker perawat + kunci ( isi 30 ) 5,000,000 1 5,000,000 5,000,000 - 1 RI Lt IV
Meja makan px 4,500,000 2 9,000,000 9,000,000 - 1 1 RI Lt IV
Kotak saran (acrilic) 400,000 20 8,000,000 - 8,000,000 5 5 5 5 RI Lt IV
Tempat sampah 15 lt 240,000 6 1,440,000 - 1,440,000 3 3 RI Lt IV
Tempat sampah 25 lt 350,000 4 1,400,000 - 1,400,000 2 2 RI Lt IV
Gantungan kunci logo SH 20,000 10 200,000 - 200,000 10 RI Lt IV
Keranjang obat utk di troli injeksi 75,000 4 300,000 - 300,000 4 RI Lt IV
Kalkulator 90,000 4 360,000 - 360,000 2 2 RI Lt IV
Gunting gagang plastik 15,000 6 90,000 - 90,000 3 3 RI Lt IV
Kipas angin untuk kmr 441 &442 500,000 4 2,000,000 - 2,000,000 2 RI Lt IV
Roda bed 750,000 4 3,000,000 - 3,000,000 4 RI Lt IV
Hot Spot ( 4 Titik ) 1,500,000 4 6,000,000 6,000,000 - RI Lt IV

Komputer 1 set PC Acer M3970 8,000,000 2 16,000,000 16,000,000 - 1 1 RI LT III

Printer L100 1,740,000 1 1,740,000 1,740,000 - 1 RI LT III
Mouse 35,000 1 35,000 - 35,000 1 RI LT III
Telepon di nurse station Plan A &Plan B 200,000 2 400,000 - 400,000 1 1 RI LT III
Telepon di kmr px 200,000 10 2,000,000 - 2,000,000 2 2 3 3 RI LT III
Remote bed 720,000 10 7,200,000 - 7,200,000 3 3 2 2 RI LT III
Lemari linen 3 pintu 6,000,000 1 6,000,000 6,000,000 - 1 RI LT III
Loker perawat dari kayu isi 12 + kunci 3,500,000 1 3,500,000 3,500,000 - 1 RI LT III
Jam dinding 100,000 40 4,000,000 - 4,000,000 10 10 10 10 RI LT III
Meja makan px VIP 4,500,000 5 22,500,000 22,500,000 - 2 3 RI LT III
Kotak saran 220,000 20 4,400,000 - 4,400,000 10 10 10 10 RI LT III
Tempat sampah 5 lt 120,000 80 9,600,000 - 9,600,000 10 10 10 10 RI LT III
Tempat sampah 15 lt 240,000 80 19,200,000 - 19,200,000 10 10 10 10 RI LT III
Tempat sampah 25 lt 270,000 10 2,700,000 - 2,700,000 2 2 2 2 RI LT III
Gantungan kunci logo SH 30,000 20 600,000 - 600,000 10 10 10 10 RI LT III
Ember sedang ( kamar mandi ) 8 Gln + Tutup 210,000 5 1,050,000 - 1,050,000 10 10 10 7 RI LT III
Meja nakas ( Kelas 1,2,3) 500,000 10 5,000,000 - 5,000,000 10 5 5 7 RI LT III
Jemuran aluminium 300,000 5 1,500,000 - 1,500,000 5 RI LT III
Kabel rol 150,000 3 450,000 - 450,000 1 1 1 RI LT III
Keranjang obat plastik 30 cm utk di troli injeksi 20,000 3 60,000 - 60,000 RI LT III
Dispenser 400,000 1 400,000 - 400,000 1 RI LT III
Baterai utk alat BS 50,000 4 200,000 - 200,000 1 1 1 1 RI LT III
Timbangan kue (utk pampers) 150,000 1 150,000 - 150,000 1 RI LT III
roda bed 750,000 4 3,000,000 - 3,000,000 RI LT III
Show case sharp SCH 210P(sedang) 3,000,000 1 3,000,000 3,000,000 - 1 RI LT III
Kontener P 30 cm,L 23 cm 200,000 5 1,000,000 - 1,000,000 2 1 1 1 RI LT III
Kursi coklat 500,000 5 2,500,000 - 2,500,000 2 1 1 1 RI LT III
UPS 2,500,000 1 2,500,000 2,500,000 - 1 RI LT III
Kipas Angin 500,000 3 1,500,000 - 1,500,000 3 RI LT III
Senter 50,000 3 150,000 - 150,000 3 RI LT III
Hot Spot ( 4 Titik ) 1,500,000 4 6,000,000 6,000,000 - RI LT III
Travel bag 750,000 1 750,000 - 750,000 RI LT III
- -
Door closer 1,800,000 8 14,400,000 14,400,000 2 2 2 2 OK
Kursi bulat pendek 150,000 4 600,000 - 600,000 4 OK
Mouse komputer 50,000 1 50,000 - 50,000 1 OK
Printer epson L X 300 + II 1,500,000 1 1,500,000 1,500,000 - 1 OK
Pedal suction 300,000 2 600,000 - 600,000 2 OK
Lampu microscope 250,000 2 500,000 - 500,000 2 OK
Skuis ( Serok Karet ) 70,000 2 140,000 - 140,000 2 OK
Sikat plastik panjang 75,000 2 150,000 - 150,000 2 OK
Sapu ijuk 40,000 2 80,000 - 80,000 2 OK
Tulisan Sampah Infeksius 10,000 8 80,000 - 80,000 8 OK
Tulisan Sampah Non Infeksius 10,000 8 80,000 - 80,000 8 OK
Lemari kaca (utk di CSSD) 3,000,000 1 3,000,000 3,000,000 - 1 OK
UPS 750,000 1 750,000 - 750,000 1 OK
Jam dinding 100,000 2 200,000 - 200,000 2 OK
Kamera digital Sony 2,500,000 1 2,500,000 2,500,000 - 1 OK
Tempat Sampah 15 ltr 250,000 4 1,000,000 - 1,000,000 4 OK
Dispenser ( Cold & Hot ) 1,500,000 1 1,500,000 1,500,000 - 1 OK
- -
Tulisan Sampah Infeksius 10,000 20 200,000 - 200,000 20 ICU
Tulisan Sampah Non Infeksius 10,000 20 200,000 - 200,000 20 ICU
Kursi beroda Ichiko IC 09 570,000 4 2,280,000 - 2,280,000 4 ICU
komputer 1 set PC Acer M3970 (Picu ) 7,000,000 1 8,200,000 8,200,000 - 1 ICU
meja tempat flow sheet isi keranjang bwh) 3,000,000 2 6,000,000 6,000,000 - 2 ICU
Pesawat telpon 500,000 1 500,000 - 500,000 1 ICU
Stavol UPS u/ Komputer 1,800,000 1 1,800,000 1,800,000 - 1 ICU
Kabel rol 100,000 2 200,000 - 200,000 2 ICU
Kalkulator 250,000 2 500,000 - 500,000 2 ICU
kasur pasien 2,500,000 - - - - ICU batal
box kotak tempat syringe/infuse pump 75,000 5 375,000 - 375,000 5 ICU
troly laken kotor kecil isi tutup 500,000 1 500,000 - 500,000 1 ICU
tempat sampah 25 liter 270,000 6 1,620,000 - 1,620,000 6 ICU
remote bed 1,000,000 - - - - ICU batal
Rak sepatu 1,500,000 1 1,500,000 1,500,000 - 1 ICU
Rak Kayu Kecil 1,500,000 1 1,500,000 1,500,000 - 1 ICU
- -

printer EPSON LX 300 u/ mesin echo 2,100,000 2 4,200,000 4,200,000 - 1 1 POLI

timbangan bayi 600,000 2 1,200,000 - 1,200,000 1 1 POLI
Lemari Kayu untuk file 3,200,000 1 3,200,000 3,200,000 - 1 POLI
tempat sampah injak 15 liter 250,000 6 1,500,000 - 1,500,000 3 3 POLI
tulisan sampah ineksius 10,000 15 150,000 - 150,000 8 7 POLI
tulisan non infeksiun 10,000 15 150,000 - 150,000 8 7 POLI
CPU ( peremajaan ) 4,000,000 6 24,000,000 24,000,000 - 3 3 POLI
meja periksa 2,000,000 2 4,000,000 4,000,000 - 1 1 POLI
meja kayu kecil ukuran 60x60 cm 1,500,000 2 3,000,000 3,000,000 - 1 1 POLI
jam dinding 100,000 10 1,000,000 - 1,000,000 5 5 POLI
papan nama dokter 250,000 6 1,500,000 - 1,500,000 3 3 POLI
stempel dokter( kecil ) 150,000 15 2,250,000 - 2,250,000 7 8 POLI
layar monitor 800,000 2 1,600,000 - 1,600,000 1 1 POLI
Lampu tindakan ( Rawat Luka ) 2,000,000 1 2,000,000 2,000,000 - 1 POLI
Pesawat telepon 200,000 5 1,000,000 - 1,000,000 3 2 POLI
Dispenser 500,000 1 500,000 - 500,000 1 POLI
- -
Telepon di nurse station CDMA Sahitel SC 850 1,000,000 2 2,000,000 - 2,000,000 UGD
Roda bed brankard 500,000 5 2,500,000 - 2,500,000 UGD
Stavol UPS u/ Komputer 1,800,000 2 3,600,000 3,600,000 - UGD
Neon Box 200,000 4 800,000 - 800,000 UGD
Exhause fan merk panasonic 500,000 1 500,000 - 500,000 UGD
Komputer 1 set PC Acer M3970 (Perawat ) 8,500,000 1 8,200,000 8,200,000 - UGD
Printer Epson LX-300+II 2,500,000 1 2,500,000 2,500,000 - UGD
Tempat sampah injak 42 lt 234,000 2 468,000 - 468,000 UGD
Tempat sampah injak 15 lt 208,800 5 1,044,000 - 1,044,000 UGD
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 UGD
Tulisan Sampah Non Infeksius 10,000 10 100,000 - 100,000 UGD
Tempat Handschoen tempel Stainles 300,000 2 600,000 - 600,000 UGD
Sofa panjang 3,000,000 1 3,000,000 3,000,000 - UGD
Meja Komputer 700,000 1 700,000 - 700,000 UGD
Lemari kayu tempat arsip 4 susun 350,000 1 350,000 - 350,000 UGD
Kursi Futura 350,000 10 3,500,000 - 3,500,000 UGD
Spiroform ukuran 100x60cm 150,000 1 150,000 - 150,000 UGD
Washtafel 1 - - - UGD
Kaca meja konsultasi 250,000 1 250,000 - 250,000 UGD
Kaca meja komputer 250,000 1 250,000 - 250,000 UGD
Rel Gorden (di bed 5) 300,000 1 300,000 - 300,000 UGD
Lemari linen 2,500,000 1 2,500,000 2,500,000 -

- -
EMBER SEDANG O 40 cm 60,000 3 180,000 - 180,000 VK
SANDAL DOKTER 65,000 5 325,000 - 325,000 VK
jam dinding 100,000 2 200,000 - 200,000 VK
Kontener P 30 cm,L 23 cm 200,000 2 400,000 - 400,000 VK
Printer epson L 100 1,800,000 1 1,800,000 1,800,000 - VK
waskom stenlis O 28 cm 72,000 2 144,000 - 144,000 VK
tmpt sampah injak 15LT 208,800 3 626,400 - 626,400 VK
Mouse Logitech 50,000 1 50,000 - 50,000 VK
UPS ICA 600 VA 1,440,000 1 1,440,000 - 1,440,000 VK
LAMPU EMERGENSI 300,000 0 - - - VK
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 VK
Tulisan Sampah Non Infeksius 10,000 10 100,000 - 100,000 VK
Kalkulator 90,000 1 90,000 - 90,000 VK
- - -
DISPENSER 165,000 1 165,000 - 165,000 R.Bayi
KULKAS Toshiba Portable 1,500,000 1 1,500,000 1,500,000 - R.Bayi
TERMOS es ( u/ ambil vaksin ) 150,000 1 150,000 - 150,000 R.Bayi
Steam sterilisator Susu Pigeon 420,000 1 420,000 - 420,000 R.Bayi
PESAWAT TELPON 150,000 1 150,000 - 150,000 R.Bayi
STEMPEL DR 50,000 10 500,000 - 500,000 R.Bayi
Komputer 1 set PC Acer M3970 (Perawat ) 8,500,000 1 8,500,000 8,500,000 - R.Bayi
PRINTER EPSON LX-300+II 1,800,000 1 1,800,000 1,800,000 - R.Bayi
SAMSUNG CDMA 354,000 1 354,000 - 354,000 R.Bayi
JAM DINDING 100,000 2 200,000 - 200,000 R.Bayi
LAMPU EMERGENSI 300,000 2 600,000 - 600,000 R.Bayi
TV LCD 14" Toshiba 840,000 1 840,000 - 840,000 R.Bayi
DVD Toshiba 420,000 1 420,000 - 420,000 R.Bayi
PAPAN TEMPEL ( Papan Pengumuman ) 180,000 1 180,000 - 180,000 R.Bayi
KALKULATOR 210,000 1 210,000 - 210,000 R.Bayi
KASUR BAYI 192,500 10 1,925,000 - 1,925,000 R.Bayi
Kamera Sony Digital 2,275,000 1 2,275,000 2,275,000 - R.Bayi
waskom stenlis O 15 cm 30,000 3 90,000 - 90,000 R.Bayi
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 R.Bayi
Tulisan Sampah Non Infeksius 10,000 10 100,000 - 100,000 R.Bayi
- -
Komputer 1 set PC Acer M3970 (Perawat ) 8,000,000 1 8,000,000 8,000,000 - 1 DEPO FARMASI
Meja dispensing dan administrasi 2,000,000 2 4,000,000 4,000,000 - 2 DEPO FARMASI
Printer epson stylus L-110 1,800,000 1 1,800,000 1,800,000 - 1 DEPO FARMASI
Printer epson LX 300 for billing 2,500,000 2 5,000,000 5,000,000 - 2 DEPO FARMASI
Rak obat dan infus ( Peremajaan ) 25,000,000 1 25,000,000 25,000,000 - 1 DEPO FARMASI
Perluasan area kerja 50,000,000 1 50,000,000 50,000,000 DEPO FARMASI ( Pengembangan )
Pengembangan ruang teknik aseptik DEPO FARMASI
Show case sharp SCH 210P 3,000,000 2 6,000,000 6,000,000 - 1 1 DEPO FARMASI
Printer TM for e-R/ 2,750,000 2 5,500,000 5,500,000 - 1 1 DEPO FARMASI
Lemari Kecil untuk ATK 1,000,000 2 2,000,000 2,000,000 2 DEPO FARMASI
Loker obat pasien 200,000 50 10,000,000 - 10,000,000 50 DEPO FARMASI
Keranjang obat 50,000 100 5,000,000 - 5,000,000 100 DEPO FARMASI
Jam dinding 100,000 1 100,000 - 100,000 1 DEPO FARMASI
Dispenser 250,000 1 250,000 - 250,000 1 DEPO FARMASI
Termometer kulkas/ruangan 100,000 2 200,000 - 200,000 2 DEPO FARMASI
Kursi bulat 50,000 4 200,000 - 200,000 4 DEPO FARMASI
Box obat putih 5,000 200 1,000,000 - 1,000,000 200 DEPO FARMASI
Printer Postek 168 4,840,000 1 4,840,000 4,840,000 - 1 DEPO FARMASI
Container Obat B3 150,000 1 150,000 - 150,000 1 DEPO FARMASI
Emergency Kit 250,000 1 250,000 - 250,000 1 DEPO FARMASI
Tempat sampah injak 25 ltr 250,000 1 250,000 - 250,000 1 DEPO FARMASI
UPS 750,000 1 750,000 - 750,000 1 DEPO FARMASI
Termos u/ darah PMI ( Sopir ) 500,000 1 500,000 - 500,000 1 DEPO FARMASI
- -
Baterai UPS ADVIA 2120 4,000,000 1 4,000,000 4,000,000 - 1 LABORATORIUM
Komputer 1 set PC Acer M3970 8,000,000 2 16,000,000 16,000,000 - 1 1 LABORATORIUM
Printer HP Laser jet 1,620,000 1 1,620,000 1,620,000 - 1 LABORATORIUM
Printer L100 1,500,000 1 1,500,000 1,500,000 - 1 LABORATORIUM
Printer LX300 1,500,000 1 1,500,000 1,500,000 - 1 LABORATORIUM
Tas sampling 300,000 10 3,000,000 - 3,000,000 10 LABORATORIUM
Sandal jaga 100,000 5 500,000 - 500,000 5 LABORATORIUM
Kursi hitam merk donati u/ baca BTA 500,000 2 1,000,000 - 1,000,000 2 LABORATORIUM
UPS 840,000 2 1,680,000 - 1,680,000 2 LABORATORIUM
Meja kerja 2,000,000 2 4,000,000 4,000,000 - 1 1 LABORATORIUM
Telepon yang mobile 625,000 1 625,000 - 625,000 2 LABORATORIUM
Stavol UPS u/ Komputer 2,100,000 2 4,200,000 4,200,000 - 2 LABORATORIUM
Kursi putar ( merk Donati) 625,000 2 1,250,000 - 1,250,000 2 LABORATORIUM
Loker perawat dari kayu isi 12 + kunci 5,625,000 1 5,625,000 5,625,000 - LABORATORIUM
TERMOS es ( u/ rujuk AGD ) 500,000 1 500,000 - 500,000 2 LABORATORIUM
Show case sharp SCH 210P 3,450,000 2 6,900,000 6,900,000 - 2 LABORATORIUM
Dispenser 500,000 1 500,000 - 500,000 1 LABORATORIUM
Printer Postek 168 6,050,000 1 6,050,000 6,050,000 - 1 LABORATORIUM
HUB 16 Volt 500,000 1 500,000 - 500,000 1 LABORATORIUM
Printer deskjet 2000 1,500,000 1 1,500,000 1,500,000 - 1 LABORATORIUM
Tempat cat BTA 10,000,000 1 10,000,000 10,000,000 - 1 LABORATORIUM
Rak / Lemari barang 10,000,000 1 10,000,000 10,000,000 - 1 LABORATORIUM
 - -

Kursi Hitam Putar merek indachi/donati 700,000 3 2,100,000 - 2,100,000 √ Radiologi

Sekat lemari obat radiologi (skat canopy) 1,000,000 1 1,000,000 - 1,000,000 √ Radiologi
Service cat bad USG ( PEMELIHARAAN ) 300,000 1 300,000 - 300,000 √ Radiologi
Kasur bed USG 700,000 1 700,000 - 700,000 Radiologi

Komputer 1 set PC Acer M3970 (Perawat ) 8,000,000 1 8,200,000 8,200,000 - 1 HD

Printer epson L 100 1,800,000 1 1,800,000 1,800,000 - 1 HD
stavol 600 VA 500,000 1 500,000 - 500,000 1 HD
Sandal selop plastik unt dokter 65,000 4 260,000 - 260,000 2 2 HD
sandal Surya Husadha 5,000 10 50,000 - 50,000 5 5 HD
Bateray UPS ICA 600VA 228,000 24 5,472,000 - 5,472,000 12 12 HD
Remote TV Sharp 50,000 5 250,000 - 250,000 3 2 HD
Roda Bed 186,000 4 744,000 - 744,000 2 2 HD
Tulisan Sampah Infeksius 10,000 6 60,000 - 60,000 6 HD
Tulisan Sampah Non Infeksius 10,000 6 60,000 - 60,000 6 HD
Papan jadwal dokter 660,000 1 660,000 - 660,000 1 HD
Kabel Roll 100,000 1 100,000 - 100,000 1 HD
Bak Sampah Injak 15 ltr 200,000 2 400,000 - 400,000 1 1 HD
TV LCD 14" + Breket Sharp 900,000 1 900,000 - 900,000 1 HD

Printer LQ-2180 2,500,000 1 2,500,000 2,500,000 - 1 RM

Printer LX-300 2,600,000 1 2,600,000 2,600,000 - 1 RM
Printer epson L-100 2,000,000 1 2,000,000 2,000,000 - 1 RM
Pesawat telephone ( kunci otomatis) 1,000,000 1 1,000,000 1,000,000 1 RM
Tangga Aluminium 1,200,000 2 2,400,000 2,400,000 - 1 1 RM
UPS 1,800,000 1 1,800,000 1,800,000 - 1 RM
Meja Kerja 750,000 1 750,000 - 750,000 1 RM
Rak rekam medis 2,000,000 6 12,000,000 12,000,000 - 6 RM
Ruang rekam medis 80,000,000 1 80,000,000 80,000,000 RM
Troli barang (seperti troli supermarket) 5,000,000 1 5,000,000 5,000,000 - 1 RM
Loker 5,000,000 1 5,000,000 5,000,000 - 1 RM
Rak kayu (tempat formulir) 3,000,000 1 3,000,000 3,000,000 - 1 RM
Kursi Kayu bundar 300,000 3 900,000 - 900,000 3 RM
Kipas Angin 500,000 2 1,000,000 - 1,000,000 2 RM
- -
Mesin printer kartu berobat elektrik 3,200 24000 76,800,000 - 76,800,000 1 1 1 1 Pendaftaran/FO
Mesin printer barcode 6,000,000 1 6,000,000 6,000,000 - 1 Pendaftaran/FO
Printer L 100 1,800,000 1 1,800,000 1,800,000 - 1 Pendaftaran/FO
Scanner 1,500,000 1 1,500,000 1,500,000 - 1 Pendaftaran/FO
Kursi beroda donati 500,000 5 2,500,000 - 2,500,000 5 Pendaftaran/FO
Komputer 8,524,800 3 25,574,400 25,574,400 - 3 Pendaftaran/FO
Pesawat Telephone panasonic 200,000 3 600,000 - 600,000 3 Pendaftaran/FO
Kipas Angin 500,000 1 500,000 - 500,000 1 Pendaftaran/FO
Tablet (monitor) 6,000,000 3 18,000,000 18,000,000 - 3 Pendaftaran/FO
UPS ICA 600 VA 750,000 5 3,750,000 - 3,750,000 1 Pendaftaran/FO
 Jam dinding 100,000 1 100,000 - 100,000 1 Pendaftaran/FO
HP Nokia 2,500,000 1 2,500,000 2,500,000 - 1 Pendaftaran/FO
Rak File 5,000,000 1 5,000,000 5,000,000 - 1 Pendaftaran/FO
Alat Make up 500,000 1 500,000 - 500,000 1 Pendaftaran/FO
Counter FO 200,000,000 1 200,000,000 200,000,000 Pendaftaran/FO ( Pengembangan )
Scanner + Printer 2,500,000 3 7,500,000 7,500,000 Pendaftaran/FO
Set Counter F.O Executive 100,000,000 1 100,000,000 100,000,000 FO Executive ( Pengembangan )
Bar Storage 10,000,000 1 10,000,000 10,000,000 1 FO Executive
Meja Komputer 300,000 1 300,000 - 300,000 1 FO Executive
Printer Barcode 4,000,000 1 4,000,000 4,000,000 - 1 FO Executive
1 Unit Komputer HP 8,000,000 1 8,000,000 8,000,000 - 1 FO Executive
Pesawat Telephone Panasonic Digital 500,000 1 500,000 - 500,000 1 FO Executive
UPS 750,000 1 750,000 - 750,000 1 FO Executive
Water Dispenser 1,500,000 1 1,500,000 1,500,000 - 1 FO Executive
Jam dinding 100,000 8 800,000 - 800,000 8 FO Executive
Tempat Sampah injak 15 ltr 150,000 3 450,000 - 450,000 3 FO Executive
Tempat Sampah injak 25 ltr 200,000 1 200,000 - 200,000 3 FO Executive
Scanner 1,500,000 1 1,500,000 1,500,000 - 1 Customer care
Printer L100 1,800,000 1 1,800,000 1,800,000 - 1 Customer care
Komputer 8,524,800 2 17,049,600 17,049,600 - 2 Customer care
Pesawat telephone panasonic 200,000 2 400,000 - 400,000 2 Customer care
HP Nokia 2,160,000 1 2,160,000 2,160,000 - 1 Customer care
Tempat payung 500,000 1 500,000 - 500,000 1 Customer care
Mesin Faximili panasonic KX-FT987 2,400,000 1 2,400,000 2,400,000 - 1 Customer care
Kursi bulat 500,000 1 500,000 - 500,000 1 Customer care
Kursi kayu 600,000 3 1,800,000 - 1,800,000 3 Customer care
Tablet (monitor) 6,000,000 2 12,000,000 12,000,000 - 2 Customer care
Counter meja Customer Care 5,000,000 1 Customer care
- - -
Head set 1,200,000 2 2,400,000 - 2,400,000 2 Operator
Telephone panasonic 2,400,000 2 4,800,000 4,800,000 - 2 Operator
Komputer 8,524,800 1 8,524,800 8,524,800 - 1 Operator
Aplifayer TOA 30,000,000 1 30,000,000 30,000,000 - 1 Operator
Mikrofon untuk informasi jam berkunjung 6,000,000 1 6,000,000 6,000,000 - 1 Operator
Mesin Penjawab telephone 12,000,000 1 12,000,000 12,000,000 - 1 Operator
Jam Dinding 100,000 1 100,000 - 100,000 Operator
Maintenance Mesin Antrean 10,000,000 1 10,000,000 10,000,000 Operator
Renovasi R. Operator 10,000,000 1 10,000,000 10,000,000 Operator

- -
356 Piring utk tatakan mangkok bubur VIP 100,000 25 2,500,000 - 2,500,000 V GIZI (PRAMUSAJI )
357 Kompor Gas 2 tungku 1,000,000 1 1,000,000 1,000,000 V GIZI (PRAMUSAJI )
358 Mangkok Bubur VIP 150,000 25 3,750,000 - 3,750,000 V GIZI (PRAMUSAJI )
359 Oval Lauk VIP 80,000 25 2,000,000 - 2,000,000 V GIZI (PRAMUSAJI )
360 Tempat climpark 1,000,000 2 2,000,000 2,000,000 V GIZI (PRAMUSAJI )
361 Mangkok Sayur VIP 90,000 24 2,160,000 - 2,160,000 V GIZI (PRAMUSAJI )
362 Gelas susu utk VIP 50,000 60 3,000,000 - 3,000,000 V GIZI (PRAMUSAJI )
363 Toaster roti 1,000,000 1 1,000,000 1,000,000 V GIZI (PRAMUSAJI )
364 Teko VIP 300,000 25 7,500,000 - 7,500,000 V GIZI (PRAMUSAJI )
365 Tempat Gula 15,000 20 300,000 - 300,000 V GIZI (PRAMUSAJI )
366 blender juice 1,500,000 1 1,500,000 1,500,000 - V GIZI (PRAMUSAJI )
367 Nampan Panjang Kecil 80,000 100 8,000,000 - 8,000,000 V GIZI (PRAMUSAJI )
368 Nampan Panjang Besar 100,000 100 10,000,000 - 10,000,000 V GIZI (PRAMUSAJI )
369 Nampan Snack kcl 60,000 150 9,000,000 - 9,000,000 V GIZI (PRAMUSAJI )
370 Sendok bubur Stenles 50,000 2 100,000 - 100,000 V GIZI (PRAMUSAJI )
371 Jepitan lauk 50,000 4 200,000 - 200,000 V GIZI (PRAMUSAJI )
372 Keranjang Plastik Sedang 100,000 6 600,000 - 600,000 V GIZI (PRAMUSAJI )
373 Panci besar utk buat air hangat 500,000 1 500,000 - 500,000 V GIZI (PRAMUSAJI )
374 Tempat garam dan merica 15,000 20 300,000 - 300,000 V GIZI (PRAMUSAJI )
375 Lap Piring 30,000 24 720,000 - 720,000 V GIZI (PRAMUSAJI )
376 Panci utk buat teh 250,000 1 250,000 - 250,000 V GIZI (PRAMUSAJI )
377 Water Goblet 15,000 60 900,000 - 900,000 V GIZI (PRAMUSAJI )
378 Mangkok Sayur kls I 50,000 100 5,000,000 - 5,000,000 V GIZI (PRAMUSAJI )
379 Gelas susu kls I 40,000 120 4,800,000 - 4,800,000 V GIZI (PRAMUSAJI )
380 Termos kls I 250,000 10 2,500,000 - 2,500,000 V GIZI (PRAMUSAJI )
381 Lepekan Snack kls I 75,000 120 9,000,000 - 9,000,000 V GIZI (PRAMUSAJI )
382 Ovale Lauk kls I 100,000 120 12,000,000 - 12,000,000 V GIZI (PRAMUSAJI )
383 Sendok Garfu doll 20,000 120 2,400,000 - 2,400,000 V GIZI (PRAMUSAJI )
384 Sendok Makan doll 20,000 120 2,400,000 - 2,400,000 V GIZI (PRAMUSAJI )
385 Termos VIP 200,000 15 3,000,000 - 3,000,000 V GIZI (PRAMUSAJI )
386 Magic com 1,500,000 1 1,500,000 1,500,000 - V GIZI (PRAMUSAJI )
387 Troly Makan tertutup 10,000,000 3 30,000,000 30,000,000 - V GIZI (PRAMUSAJI )
388 Sapu Ijuk 100,000 2 200,000 - 200,000 V GIZI (PRAMUSAJI )
389 Pemanas air 5,000,000 1 5,000,000 5,000,000 - V GIZI (PRAMUSAJI )
390 Rak stenles tempat alat hidang 5,000,000 2 10,000,000 10,000,000 - V GIZI (PRAMUSAJI )
391 Pengepelan 150,000 3 450,000 - 450,000 V GIZI (PRAMUSAJI )
392 Clemek plastik dipakai pas cuci alat makan pasien 150,000 4 600,000 - 600,000 V GIZI (PRAMUSAJI )
393 Rak tempat sampah sisa makan pasien 2,500,000 2 5,000,000 5,000,000 -
395 Blender Bumbu 10,000,000 1 10,000,000 10,000,000 - V V V V GIZI (PRAMUSAJI )
396 Termos Bubur 175,000 10 1,750,000 - 1,750,000 V GIZI (Dapur )
397 Saringan Minyak 100,000 2 200,000 - 200,000 V GIZI (Dapur)
398 Grill Wajan 250,000 1 250,000 - 250,000 V GIZI (Dapur)
399 Kwaliring besar baja 2,000,000 2 4,000,000 4,000,000 - V GIZI (Dapur)
400 Pemanggangan Sate utk diluar 3,000,000 1 3,000,000 3,000,000 - V GIZI (Dapur)
401 Box Lauk / Sayur 100,000 10 1,000,000 - 1,000,000 V GIZI (Dapur)
402 Box Makanan 200,000 10 2,000,000 - 2,000,000 V GIZI (Dapur)
403 Dinner Plate 80,000 100 8,000,000 - 8,000,000 V GIZI (Dapur)
404 Mangkok Bakso untuk acara OK 30,000 100 3,000,000 - 3,000,000 V GIZI (Dapur)
405 Teplon 500,000 2 1,000,000 - 1,000,000 V GIZI (Dapur)
406 Panci tangkai utk diet 250,000 4 1,000,000 - 1,000,000 V GIZI (Dapur)
407 Kompor elektrik 1,500,000 1 1,500,000 1,500,000 - V GIZI (Dapur)
408 Serutan Bumbu 150,000 1 150,000 - 150,000 V GIZI (Dapur)
409 Blender Buah 2,000,000 1 2,000,000 2,000,000 - V GIZI (Dapur)
410 Panci Sedang tutup kaca 1,000,000 1 1,000,000 - 1,000,000 V GIZI (Dapur)
411 Piring Snack Prasmanan 600,000 2 1,200,000 1,200,000 V GIZI (Dapur)
412 Sutil Goreng 75,000 2 150,000 - 150,000 V GIZI (Dapur)
413 Baskom Besar utk merendam beras 250,000 5 1,250,000 - 1,250,000 V GIZI (Dapur)
414 Sequis 150,000 1 150,000 - 150,000 V GIZI (Dapur)
415 Sapu lidi 10,000 2 20,000 - 20,000 V GIZI (Dapur)
416 Komputer 7,000,000 1 7,000,000 7,000,000 - V GIZI (Dapur)
417 Rak Kayu Gantung utk tempat file 5,000,000 1 5,000,000 5,000,000 - V GIZI (Dapur)
418 Sendok makan doll 20,000 96 1,920,000 - 1,920,000 V GIZI (Dapur)
419 Garfu Makan doll 20,000 96 1,920,000 - 1,920,000 V GIZI (Dapur)
420 Sendok Lauk 25,000 12 300,000 - 300,000 V GIZI (Dapur)
421 Sendok sayur kuah 25,000 12 300,000 - 300,000 V GIZI (Dapur)
422 Jar air panas stenles 1,500,000 2 3,000,000 3,000,000 - V GIZI (Dapur)
423 Kran air 100,000 10 1,000,000 - 1,000,000 V GIZI (Dapur)
424 Lampu neon 150,000 20 3,000,000 - 3,000,000 V GIZI (Dapur)
425 Keset 100,000 15 1,500,000 - 1,500,000 V GIZI (Dapur)
426 Lap 50,000 12 600,000 - 600,000 V GIZI (Dapur)
427 Sendok nasi 25,000 4 100,000 - 100,000 V GIZI (Dapur)
428 Karet utk di gang makanan 2,000,000 - 2,000,000 V GIZI (Dapur)
429 Cempal 50,000 12 600,000 - 600,000 V GIZI (Dapur)
Jam dinding 100,000 2 200,000 - 200,000
Rak Arsip 1,500,000 1 1,500,000 1,500,000 -
Gelas ukur 25,000 12 300,000 - 300,000

komputer untuk admin 8,000,000 3 24,000,000 24,000,000 - ADMIN & KASIR

komputer untuk kasir 8,000,000 2 16,000,000 16,000,000
printer epson LQ 300 (untuk adm & kasir) 3,000,000 2 6,000,000 6,000,000 - ADMIN & KASIR
Printer Epson L110 1,750,000 1 1,750,000 1,750,000 ADMIN

- -
Kursi tunggu staenlis 4 gandeng permjaan 2,500,000 10 25,000,000 25,000,000 - 10 RUMAH TANGGA
servis sofa 500,000 95 60,000,000 - 60,000,000 X X x x RUMAH TANGGA
servis kursi futura coklat 200,000 100 20,000,000 - 20,000,000 X X x x RUMAH TANGGA
servis gedung 750,000,000 1 300,000,000 300,000,000 X X x x RUMAH TANGGA
TV LCD 27 in permjaan 3,500,000 50 175,000,000 175,000,000 - X X x x RUMAH TANGGA
Sower mandi permjaan 500,000 100 50,000,000 - 50,000,000 X X x x RUMAH TANGGA
Kran wastafel panas dingin permjaan 1,000,000 19 19,000,000 - 19,000,000 X X x x RUMAH TANGGA
cermin wastafel 5 mm permjaan 200,000 62 12,400,000 - 12,400,000 X X x x RUMAH TANGGA
kloset toto permjaan 2,000,000 80 160,000,000 160,000,000 - X X x x RUMAH TANGGA
Wastafel permjaan 1,000,000 80 80,000,000 - 80,000,000 X X x x RUMAH TANGGA
Floor drain stenlis 100,000 80 8,000,000 - 8,000,000 X X x x RUMAH TANGGA
Tempat sabun stenlis permjaan 75,000 19 1,425,000 - 1,425,000 X X x x RUMAH TANGGA
tempat tisue 75,000 80 6,000,000 - 6,000,000 X X x x RUMAH TANGGA
Exhaust Fan 350,000 100 35,000,000 - 35,000,000 X X x x RUMAH TANGGA
Telpon cordles 500,000 3 1,500,000 - 1,500,000 X X x x RUMAH TANGGA
Gantungan handuk silfra 200,000 19 3,800,000 - 3,800,000 X X x x RUMAH TANGGA
Gantungan kunci 30,000 100 3,000,000 - 3,000,000 100 RUMAH TANGGA
Triplek untuk Bed plang 200,000 1 200,000 - 200,000 1 RUMAH TANGGA
Rel korden plan C - - - RUMAH TANGGA
Papan nama pasien di tempat tidur 50,000 90 4,500,000 - 4,500,000 X X x x RUMAH TANGGA
Jemuran untuk kls I - - - RUMAH TANGGA
Box Tandu (2 buah) 5,000,000 2 10,000,000 10,000,000 - 2 RUMAH TANGGA
Box Tenda 2 buah 5,000,000 2 10,000,000 10,000,000 - 2 RUMAH TANGGA
servis Lift elevator dan Genzet(spare part) 50,000,000 1 50,000,000 50,000,000 RUMAH TANGGA
servis ambulan 20,000,000 1 20,000,000 20,000,000 1 RUMAH TANGGA
servis tutup gronteng 30,000,000 1 30,000,000 30,000,000 3 RUMAH TANGGA
Vakum kliner kecil 2,500,000 1 2,500,000 2,500,000 - 1 RUMAH TANGGA
Printer epson L110 (akunting,ops) permjaan 2,500,000 2 5,000,000 5,000,000 - 2 RUMAH TANGGA
Lap Top 6,000,000 1 6,000,000 6,000,000 - RUMAH TANGGA
Pompa Air Mancur kolam depan UGD Grundfos
5,000,000 1 5,000,000 5,000,000 - RUMAH TANGGA
KPC 600 A
Pompa Airasi kolam indicator IPAL Grundfos KPC 6,000,000 1
Basic 300 A 6,000,000 6,000,000 - RUMAH TANGGA
Pompa Transfer dan Back Wash Filter R. Mesin
10,000,000 1 10,000,000 10,000,000 - RUMAH TANGGA
TECO ( 7,36 A ) / 3,7 Kw ( 5 Hp )
Pompa Inlet IPAL Grunfos 1X220V 50 HZ 10,000,000 1 10,000,000 10,000,000 - RUMAH TANGGA
Pompa Tekan Tower LT. V Grunfos CR 5-7 AAA-E-
HQQE 9,000,000 1 9,000,000 9,000,000 - RUMAH TANGGA
Pompa hydrant dan joki ground tank 70,000,000 1 70,000,000 70,000,000 - RUMAH TANGGA
Selang Hydrant Rosenbauer. 2,5 x 30 9,000,000 1 9,000,000 9,000,000 - RUMAH TANGGA
Selang Hydrant Rosenbauer. 1,5 x 30 7,500,000 1 7,500,000 7,500,000 - RUMAH TANGGA
Perbaikan dan Pemeliharaan mesin pompa 10,000,000 1 10,000,000 10,000,000 RUMAH TANGGA
pembuatan papan nama dokter spesilis 60,000,000 1 60,000,000 60,000,000 - RUMAH TANGGA
Roda troli 500,000 8 4,000,000 - 4,000,000 4 4 RUMAH TANGGA
tempat brosur kayu 2,000,000 3 6,000,000 6,000,000 - 3 RUMAH TANGGA
Lampu Emergency 350,000 5 1,750,000 - 1,750,000 RUMAH TANGGA
RUMAH TANGGA
Pemeliharaan air bersih( Cek lab) 10,000,000 1 10,000,000 10,000,000 RUMAH TANGGA
Pemeliharaan Kendaraan dan samsat 25,000,000 1 25,000,000 25,000,000 RUMAH TANGGA
Kalibrasi Alkes, Non Alkes, dan Sertifikasi
125,000,000 1 125,000,000 125,000,000 RUMAH TANGGA
sarana
Pengurasan Septik tank( Kantor, Dapur
10,200,000 1 10,200,000 10,200,000 RUMAH TANGGA
Umum,Kantin,ICU,HD,Susun IPAL )
Perbaikan Alkes 240,000,000 1 240,000,000 240,000,000 RUMAH TANGGA
Perbaikan Non Alkes 60,000,000 1 60,000,000 60,000,000 RUMAH TANGGA
Isi Ulang APAR 120,000,000 1 120,000,000 120,000,000 RUMAH TANGGA
Pemeliharaan elektronik (ganti bateray jam,
60,000,000 1 60,000,000 60,000,000 RUMAH TANGGA
lamp emergency,trafo, TV,Kulkas)
Pembuatan penjor galungan + spanduk 2,400,000 2 4,800,000 4,800,000 RUMAH TANGGA
Pengadaan O2 Liquid, O2 besar, O2 Kecil, N2O,
626,400,000 1 626,400,000 626,400,000 RUMAH TANGGA
N & sewa tab.Liquid
Penyelenggaraan Keselamatan dan Kesehatan
18,000,000 1 18,000,000 18,000,000 RUMAH TANGGA
Kerja
Sewa Lahan 480,000,000 1 480,000,000 480,000,000 RUMAH TANGGA
Sewa Pecalang nyepi 1,400,000 7 9,800,000 9,800,000 RUMAH TANGGA
Regulator O2 mobile 7,500,000 5 37,500,000 37,500,000 RUMAH TANGGA
Asuransi Gempa & kebakaran 60,000,000 1 60,000,000 60,000,000 RUMAH TANGGA
Selasar 1,500,000,000 1 1,500,000,000 1,500,000,000 RUMAH TANGGA
Pemb.solar 70,000 1000 70,000,000 70,000,000 RUMAH TANGGA
GENZET 650,000,000 2 1,300,000,000 1,300,000,000 RUMAH TANGGA
Finger print 2,000,000 2 4,000,000 4,000,000 RUMAH TANGGA
pointer 1,000,000 1 1,000,000 1,000,000 RUMAH TANGGA
Lisensi MS Office 2013 4,563,000 5 22,815,000 22,815,000 RUMAH TANGGA
Windows 732 bit OLP 2,258,100 5 11,290,500 11,290,500 RUMAH TANGGA
Koneksi internet astinet 2:2 Mbps 9,750,000 12 93,600,000 93,600,000 RUMAH TANGGA
Disk kit MS Office 2013 350,000 1 350,000 - 350,000 RUMAH TANGGA
Disk kit windows 732 bit OLP 350,000 1 350,000 - 350,000 RUMAH TANGGA
KENDARAAN Operasional 200,000,000 2 400,000,000 400,000,000 RUMAH TANGGA
 TEMPAT SAMPAH 20,000,000 1 20,000,000 20,000,000 RUMAH TANGGA
RENOVASI KTR SHH 50,000,000 1 50,000,000 50,000,000 RUMAH TANGGA
RAK UTK TEKNISI 50,000,000 1 50,000,000 50,000,000 RUMAH TANGGA
SERVICE AREA PARKIR 50,000,000 1 50,000,000 50,000,000 RUMAH TANGGA
RAK LINEN 50,000,000 1 50,000,000 50,000,000 RUMAH TANGGA

hadiah perlombaan antar unit 12,000,000 1 12,000,000 12,000,000

Conector 500,000 1 500,000 500,000

JUMLAH 30,301 - - 7,743,116,200 2,655,048,800 5,088,067,400

NOTE : DIISI SESUAI KEBUTUHAN MENGACU PADA DATA ASET YANG DIMILIKI -
KEBUTUHAN NON MEDIS (UNIT BISNIS/DEPARTEMEN)
TAHUN 2014
BUDGET Rencana
Pemenuhan
NO NAMA ALAT MERK KETERANGAN
Qty Qty
Harga Total Qty Aktiva Beban Total Aktiva BEBAN AKTIVA Beban I II III IV
BANGUNAN KENDARAAN Umum elektronik komputer MESIN furniture BANGUNAN Umum elektronik komputer MESIN furniture Kendaraan LAB alkes sesajen sewa parkir PECALANG asuransi bahan bakar software ATK lain2 RT
Lemari file 6,000,000 1 6,000,000 6,000,000 - - 6,000,000 - - Lt II executive
lemari alat 3,000,000 1 3,000,000 3,000,000 - - 3,000,000 - - Lt II executive
Exhause fan merk panasonic 1,000,000 5 5,000,000 5,000,000 - - 5,000,000 5,000,000 - Lt II executive
Jam dinding 100,000 7 700,000 - 700,000 700,000 700,000 - Lt II executive
Gelas Goblet 50,000 12 600,000 - 600,000 600,000 600,000 - Lt II executive
Cangkir 50,000 12 600,000 - 600,000 600,000 600,000 - Lt II executive
Kursi duduk donati warna biru 800,000 2 1,600,000 - 1,600,000 1,600,000 1,600,000 - Lt II executive
TV LED 32 inc 3,000,000 2 6,000,000 6,000,000 - 6,000,000 - - - Lt II executive
TV LED 42 inc 6,000,000 3 18,000,000 18,000,000 - 18,000,000 - - - Lt II executive
Remote AC 100,000 3 300,000 - 300,000 300,000 300,000 - Lt II executive
Jam dinding 120,000 5 600,000 - 600,000 - 600,000 600,000 - Lt II executive
Tempat sampah 5 lt 120,000 10 1,200,000 - 1,200,000 - 1,200,000 1,200,000 - Lt II executive
Tempat sampah 15 lt 250,000 5 1,250,000 - 1,250,000 1,250,000 1,250,000 - Lt II executive
Gantungan kunci logo SH 30,000 5 150,000 - 150,000 150,000 150,000 - Lt II executive
Timbangan kue (utk pampers) 150,000 1 150,000 - 150,000 150,000 150,000 - Lt II executive
Kulkas mini 1,500,000 4 6,000,000 6,000,000 - 6,000,000 - - Lt II executive
Home theatre 2,000,000 1 2,000,000 2,000,000 - 2,000,000 - - Lt II executive
Hanger 20,000 25 500,000 500,000 500,000 500,000 - Lt II executive
Rak sepatu 600,000 1 600,000 - 600,000 600,000 600,000 - Lt II executive
Sandal untuk pasien 50,000 500 25,000,000 25,000,000 25,000,000 25,000,000 - Lt II executive
- - - - 1 RI Lt IV
Komputer 1 set PC Acer M3970 (Perawat ) 8,000,000 1 8,000,000 8,000,000 - 8,000,000 - - 0 RI Lt IV
Kursi coklat futura (ruang perawat) 540,000 20 10,800,000 - 10,800,000 10,800,000 10,800,000 - 10 10 RI Lt IV
Tempat sampah toilet 5 lt 220,000 38 8,360,000 - 8,360,000 8,360,000 8,360,000 - 10 10 10 8 RI Lt IV
Printer L100 1,740,000 1 1,740,000 1,740,000 - 1,740,000 - - 1 RI Lt IV
Remote Bed 750,000 4 3,000,000 - 3,000,000 - 3,000,000 3,000,000 - 1 RI Lt IV
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 100,000 100,000 - 5 5 RI Lt IV
Tulisan Sampah Non Infeksius 10,000 38 380,000 - 380,000 380,000 380,000 - 10 10 10 8 RI Lt IV
Jam dinding 100,000 50 5,000,000 - 5,000,000 5,000,000 5,000,000 - 0 RI Lt IV
UPS 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - - 10 10 10 17 RI Lt IV
Mouse 90,000 1 90,000 - 90,000 - 90,000 90,000 - 1 RI Lt IV
Telepon di nurse station Plan A &Plan B 200,000 2 400,000 - 400,000 400,000 400,000 - 1 RI Lt IV
Telepon di kmr px 200,000 2 400,000 - 400,000 400,000 400,000 - 1 1 RI Lt IV
Loker perawat + kunci ( isi 30 ) 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - - 1 1 RI Lt IV
Meja makan px 4,500,000 2 9,000,000 9,000,000 - 9,000,000 - - - 2 2 RI Lt IV
Kotak saran (acrilic) 400,000 20 8,000,000 - 8,000,000 8,000,000 8,000,000 - 20 RI Lt IV
Tempat sampah 15 lt 240,000 6 1,440,000 - 1,440,000 1,440,000 1,440,000 - 1 1 RI Lt IV
Tempat sampah 25 lt 350,000 4 1,400,000 - 1,400,000 1,400,000 1,400,000 - 0 RI Lt IV
Gantungan kunci logo SH 20,000 10 200,000 - 200,000 200,000 200,000 - 1 1 RI Lt IV
Keranjang obat utk di troli injeksi 75,000 4 300,000 - 300,000 300,000 300,000 - 0 RI Lt IV
Kalkulator 90,000 4 360,000 - 360,000 360,000 360,000 - 5 5 5 5 RI Lt IV
Gunting gagang plastik 15,000 6 90,000 - 90,000 90,000 90,000 - 3 3 RI Lt IV
Kipas angin untuk kmr 441 &442 500,000 4 2,000,000 - 2,000,000 2,000,000 2,000,000 - 2 2 RI Lt IV
Roda bed 750,000 4 3,000,000 - 3,000,000 3,000,000 3,000,000 - 1 1 RI Lt IV
Hot Spot ( 4 Titik ) 1,500,000 4 6,000,000 6,000,000 6,000,000 6,000,000 - 1 RI Lt IV
- - - 1 RI Lt IV
Komputer 1 set PC Acer M3970 8,000,000 2 16,000,000 16,000,000 - 16,000,000 - - 1 1 RI LT III
Printer L100 1,740,000 1 1,740,000 1,740,000 - 1,740,000 - - 2 2 3 3 RI LT III
Mouse 100,000 2 200,000 - 200,000 200,000 200,000 - 1 1 RI LT III
Telepon di nurse station Plan A &Plan B 200,000 2 400,000 - 400,000 400,000 400,000 - 1 1 1 2 RI LT III
Telepon di kmr px 200,000 10 2,000,000 - 2,000,000 2,000,000 2,000,000 - 3 3 2 2 RI LT III
Remote bed 720,000 10 7,200,000 - 7,200,000 7,200,000 7,200,000 - 3 3 2 2 RI LT III
Lemari linen 3 pintu 6,000,000 1 6,000,000 6,000,000 - 6,000,000 - - 1 RI LT III
Loker perawat dari kayu isi 12 + kunci 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - 1 RI LT III
Jam dinding 100,000 40 4,000,000 - 4,000,000 4,000,000 4,000,000 - 10 10 10 10 RI LT III
Meja makan px VIP 4,500,000 5 22,500,000 22,500,000 - 22,500,000 - - 2 3 RI LT III
Kotak saran 220,000 20 4,400,000 - 4,400,000 4,400,000 4,400,000 - 1 1 1 2 RI LT III
Tempat sampah 5 lt 120,000 80 9,600,000 - 9,600,000 9,600,000 9,600,000 - 10 10 10 10 RI LT III
Tempat sampah 15 lt 240,000 80 19,200,000 - 19,200,000 19,200,000 19,200,000 - 10 10 10 10 RI LT III
Tempat sampah 25 lt 270,000 10 2,700,000 - 2,700,000 2,700,000 2,700,000 - 10 10 10 10 RI LT III
Gantungan kunci logo SH 30,000 20 600,000 - 600,000 600,000 600,000 - 2 2 2 2 RI LT III
Ember sedang ( kamar mandi ) 8 Gln + Tutup 210,000 5 1,050,000 - 1,050,000 1,050,000 1,050,000 - 10 10 10 10 RI LT III
Meja nakas ( Kelas 1,2,3) 500,000 10 5,000,000 - 5,000,000 5,000,000 5,000,000 - 10 10 10 10 RI LT III
Jemuran aluminium 300,000 5 1,500,000 - 1,500,000 1,500,000 1,500,000 - 10 10 10 7 RI LT III
Kabel rol 150,000 3 450,000 - 450,000 450,000 450,000 - 10 5 5 7 RI LT III
Keranjang obat plastik 30 cm utk di troli injeksi 20,000 3 60,000 - 60,000 60,000 60,000 - 5 RI LT III
Dispenser 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - - 1 1 1 RI LT III
Baterai utk alat BS 50,000 4 200,000 - 200,000 200,000 200,000 - RI LT III
Timbangan kue (utk pampers) 150,000 0 - - - - - - 1 RI LT III
roda bed 750,000 4 3,000,000 - 3,000,000 3,000,000 3,000,000 - 1 1 1 RI LT III
Show case sharp SCH 210P(sedang) 3,000,000 1 3,000,000 3,000,000 - 3,000,000 - - 1 1 1 1 RI LT III
Kontener P 30 cm,L 23 cm 200,000 5 1,000,000 - 1,000,000 1,000,000 1,000,000 - 1 RI LT III
Kursi coklat 500,000 5 2,500,000 - 2,500,000 2,500,000 2,500,000 - RI LT III
UPS 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - RI LT III
Kipas Angin 500,000 3 1,500,000 - 1,500,000 1,500,000 1,500,000 - RI LT III
Senter 50,000 3 150,000 - 150,000 150,000 150,000 - RI LT III
Hot Spot ( 4 Titik ) 1,500,000 4 6,000,000 6,000,000 - 6,000,000 - - RI LT III
Travel bag 750,000 1 750,000 - 750,000 750,000 750,000 - RI LT III
- -
Door closer 1,800,000 8 14,400,000 14,400,000 14,400,000 14,400,000 - OK
Kursi bulat pendek 150,000 4 600,000 - 600,000 600,000 600,000 - OK
Mouse komputer 50,000 1 50,000 - 50,000 50,000 50,000 - OK
Printer epson L X 300 + II 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - OK
Pedal suction 300,000 2 600,000 - 600,000 600,000 600,000 - OK
Lampu microscope 250,000 2 500,000 - 500,000 500,000 500,000 - OK
Skuis ( Serok Karet ) 70,000 2 140,000 - 140,000 140,000 140,000 - OK
Sikat plastik panjang 75,000 2 150,000 - 150,000 150,000 150,000 - OK
Sapu ijuk 40,000 2 80,000 - 80,000 - 80,000 80,000 - OK
Tulisan Sampah Infeksius 10,000 8 80,000 - 80,000 80,000 80,000 - OK
Tulisan Sampah Non Infeksius 10,000 8 80,000 - 80,000 80,000 80,000 - OK
Lemari kaca (utk di CSSD) 3,000,000 1 3,000,000 3,000,000 - 3,000,000 - - OK
UPS 750,000 1 750,000 - 750,000 750,000 750,000 - OK
Jam dinding 100,000 2 200,000 - 200,000 200,000 200,000 - OK
Kamera digital Sony 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - OK
Tempat Sampah 15 ltr 250,000 4 1,000,000 - 1,000,000 1,000,000 1,000,000 - OK
Dispenser ( Cold & Hot ) 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - OK
- - - - - OK
Tulisan Sampah Infeksius 10,000 20 200,000 - 200,000 200,000 200,000 - ICU
Tulisan Sampah Non Infeksius 10,000 20 200,000 - 200,000 - 200,000 200,000 - ICU
Kursi beroda Ichiko IC 09 570,000 4 2,280,000 - 2,280,000 2,280,000 2,280,000 - ICU
komputer 1 set PC Acer M3970 (Picu ) 8,000,000 1 8,000,000 8,000,000 - 8,000,000 - - ICU
meja tempat flow sheet isi keranjang bwh) 3,000,000 2 6,000,000 6,000,000 - 6,000,000 - - ICU
Pesawat telpon 500,000 1 500,000 - 500,000 500,000 500,000 - ICU
Stavol UPS u/ Komputer 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - ICU
Kabel rol 100,000 2 200,000 - 200,000 200,000 200,000 - ICU
Kalkulator 250,000 2 500,000 - 500,000 500,000 500,000 - ICU
kasur pasien 2,500,000 - - - - - - - ICU
box kotak tempat syringe/infuse pump 75,000 5 375,000 - 375,000 375,000 375,000 - ICU
troly laken kotor kecil isi tutup 500,000 1 500,000 - 500,000 500,000 500,000 -
tempat sampah 25 liter 270,000 6 1,620,000 - 1,620,000 - 1,620,000 1,620,000 - POLI
remote bed 1,000,000 - - - - - - POLI
Rak sepatu 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - POLI
Rak Kayu Kecil 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - POLI
- - - - POLI
- - - POLI
printer EPSON LX 300 u/ mesin echo 2,100,000 2 4,200,000 4,200,000 - 4,200,000 - - POLI
timbangan bayi 600,000 2 1,200,000 - 1,200,000 - 1,200,000 1,200,000 - POLI
Lemari Kayu untuk file 3,200,000 1 3,200,000 3,200,000 - 3,200,000 - - POLI
tempat sampah injak 15 liter 250,000 6 1,500,000 - 1,500,000 1,500,000 1,500,000 - POLI
tulisan sampah ineksius 10,000 15 150,000 - 150,000 150,000 150,000 - POLI
tulisan non infeksiun 10,000 15 150,000 - 150,000 150,000 150,000 - POLI
CPU ( peremajaan ) 4,000,000 6 24,000,000 24,000,000 - 24,000,000 - - POLI
meja periksa 2,000,000 2 4,000,000 4,000,000 - - 4,000,000 - - POLI
meja kayu kecil ukuran 60x60 cm 1,500,000 2 3,000,000 3,000,000 - 3,000,000 - - POLI
jam dinding 100,000 10 1,000,000 - 1,000,000 1,000,000 1,000,000 - POLI
papan nama dokter 250,000 6 1,500,000 - 1,500,000 1,500,000 1,500,000 - POLI
stempel dokter( kecil ) 150,000 15 2,250,000 - 2,250,000 2,250,000 2,250,000 - POLI
layar monitor 800,000 2 1,600,000 - 1,600,000 1,600,000 1,600,000 - POLI
Lampu tindakan ( Rawat Luka ) 2,000,000 1 2,000,000 2,000,000 - 2,000,000 - - POLI
Pesawat telepon 200,000 5 1,000,000 - 1,000,000 1,000,000 1,000,000 - POLI
Dispenser 500,000 1 500,000 - 500,000 500,000 500,000 - POLI
- - - - -
Telepon di nurse station CDMA Sahitel SC 850 1,000,000 2 2,000,000 - 2,000,000 - 2,000,000 2,000,000 - 2 UGD
Roda bed brankard 500,000 5 2,500,000 - 2,500,000 2,500,000 2,500,000 - 5 UGD
Stavol UPS u/ Komputer 1,800,000 2 3,600,000 3,600,000 - 3,600,000 - - 2 UGD
Neon Box 200,000 4 800,000 - 800,000 800,000 800,000 - 4 UGD
Exhause fan merk panasonic 500,000 1 500,000 - 500,000 500,000 500,000 - 1 UGD
Komputer 1 set PC Acer M3970 (Perawat ) 8,500,000 1 8,500,000 8,500,000 - 8,500,000 - - 1 UGD
Printer Epson LX-300+II 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - 1 UGD
Tempat sampah injak 42 lt 234,000 2 468,000 - 468,000 468,000 468,000 - 2 UGD
Tempat sampah injak 15 lt 208,800 5 1,044,000 - 1,044,000 1,044,000 1,044,000 - 5 UGD
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 100,000 100,000 - 10 UGD
Tulisan Sampah Non Infeksius 10,000 10 100,000 - 100,000 100,000 100,000 - 10 UGD
Tempat Handschoen tempel Stainles 300,000 2 600,000 - 600,000 600,000 600,000 - 2 UGD
Sofa panjang 3,000,000 1 3,000,000 3,000,000 - 3,000,000 - - 1 UGD
Meja Komputer 700,000 1 700,000 - 700,000 700,000 700,000 - 1 UGD
Lemari kayu tempat arsip 4 susun 350,000 1 350,000 350,000 350,000 350,000 - 1 UGD
Kursi Futura 350,000 10 3,500,000 - 3,500,000 3,500,000 3,500,000 - 10 UGD
Spiroform ukuran 100x60cm 150,000 1 150,000 - 150,000 150,000 150,000 - 1 UGD
Washtafel 1 - - - - - - UGD
Kaca meja konsultasi 250,000 1 250,000 - 250,000 250,000 250,000 - 4 UGD
Kaca meja komputer 250,000 1 250,000 - 250,000 250,000 250,000 - 4 UGD
Rel Gorden (di bed 5) 300,000 1 300,000 - 300,000 300,000 300,000 - 1 UGD
Lemari linen 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - 1 UGD
- - - - -
EMBER SEDANG O 40 cm 60,000 3 180,000 - 180,000 180,000 180,000 - VK
SANDAL DOKTER 65,000 5 325,000 - 325,000 325,000 325,000 - VK
jam dinding 100,000 2 200,000 - 200,000 200,000 200,000 - VK
Kontener P 30 cm,L 23 cm 200,000 2 400,000 - 400,000 400,000 400,000 - VK
Printer epson L 100 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - - VK
waskom stenlis O 28 cm 72,000 2 144,000 - 144,000 144,000 144,000 - VK
tmpt sampah injak 15LT 208,800 3 626,400 - 626,400 626,400 626,400 - VK
Mouse Logitech 50,000 1 50,000 - 50,000 50,000 50,000 - VK
UPS ICA 600 VA 1,440,000 1 1,440,000 - 1,440,000 1,440,000 - 1,440,000 - VK
LAMPU EMERGENSI 300,000 0 - - - - - - VK
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 100,000 100,000 - VK
Tulisan Sampah Non Infeksius 10,000 10 100,000 - 100,000 100,000 100,000 - VK
Kalkulator 90,000 1 90,000 - 90,000 90,000 90,000 - VK
- - - - - -
DISPENSER 165,000 1 165,000 - 165,000 - 165,000 165,000 - R.Bayi
KULKAS Toshiba Portable 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - R.Bayi
TERMOS es ( u/ ambil vaksin ) 150,000 1 150,000 - 150,000 150,000 150,000 - R.Bayi
Steam sterilisator Susu Pigeon 420,000 1 420,000 - 420,000 420,000 420,000 - R.Bayi
PESAWAT TELPON 150,000 1 150,000 - 150,000 150,000 150,000 - R.Bayi
STEMPEL DR 50,000 10 500,000 - 500,000 500,000 500,000 - R.Bayi
Komputer 1 set PC Acer M3970 (Perawat ) 8,500,000 1 8,500,000 8,500,000 - 8,500,000 - - - R.Bayi
PRINTER EPSON LX-300+II 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - - R.Bayi
SAMSUNG CDMA 354,000 1 354,000 - 354,000 354,000 354,000 - R.Bayi
JAM DINDING 100,000 2 200,000 - 200,000 200,000 200,000 - R.Bayi
LAMPU EMERGENSI 300,000 2 600,000 - 600,000 - 600,000 600,000 - R.Bayi
TV LCD 14" Toshiba 840,000 1 840,000 - 840,000 840,000 840,000 - R.Bayi
DVD Toshiba 420,000 1 420,000 - 420,000 420,000 420,000 - R.Bayi
PAPAN TEMPEL ( Papan Pengumuman ) 180,000 1 180,000 - 180,000 180,000 180,000 - R.Bayi
KALKULATOR 210,000 1 210,000 - 210,000 210,000 210,000 - R.Bayi
KASUR BAYI 192,500 10 1,925,000 - 1,925,000 - 1,925,000 1,925,000 - R.Bayi
Kamera Sony Digital 2,275,000 1 2,275,000 2,275,000 - 2,275,000 - - R.Bayi
waskom stenlis O 15 cm 30,000 3 90,000 - 90,000 - 90,000 90,000 - R.Bayi
Tulisan Sampah Infeksius 10,000 10 100,000 - 100,000 - 100,000 100,000 - R.Bayi
Tulisan Sampah Non Infeksius 10,000 10 100,000 - 100,000 - 100,000 100,000 - R.Bayi
- - - - -
Komputer 1 set PC Acer M3970 (Perawat ) 8,000,000 1 8,000,000 8,000,000 8,000,000 - -
Meja dispensing dan administrasi 2,000,000 2 4,000,000 4,000,000 - 4,000,000 - - DEPO FARMASI
Printer epson stylus L-110 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - DEPO FARMASI
Printer epson LX 300 for billing 2,500,000 2 5,000,000 5,000,000 - 5,000,000 - - DEPO FARMASI
Rak obat dan infus ( Peremajaan ) 25,000,000 1 25,000,000 25,000,000 - 25,000,000 - - DEPO FARMASI
Perluasan area kerja 50,000,000 1 50,000,000 50,000,000 50,000,000 50,000,000 - DEPO FARMASI
Pengembangan ruang teknik aseptik - - - - - - DEPO FARMASI
Show case sharp SCH 210P 3,000,000 2 6,000,000 6,000,000 - 6,000,000 - - DEPO FARMASI
Printer TM for e-R/ 2,750,000 2 5,500,000 5,500,000 - 5,500,000 - - - DEPO FARMASI
Lemari Kecil untuk ATK 1,000,000 2 2,000,000 2,000,000 2,000,000 2,000,000 - DEPO FARMASI
Loker obat pasien 200,000 50 10,000,000 - 10,000,000 - 10,000,000 10,000,000 - DEPO FARMASI
Keranjang obat 50,000 100 5,000,000 - 5,000,000 5,000,000 5,000,000 - DEPO FARMASI
Jam dinding 100,000 1 100,000 - 100,000 100,000 100,000 - DEPO FARMASI
Dispenser 250,000 1 250,000 - 250,000 - 250,000 250,000 - DEPO FARMASI
Termometer kulkas/ruangan 100,000 2 200,000 - 200,000 200,000 200,000 - DEPO FARMASI
Kursi bulat 50,000 4 200,000 - 200,000 200,000 200,000 - DEPO FARMASI
Box obat putih 5,000 200 1,000,000 - 1,000,000 - 1,000,000 1,000,000 - DEPO FARMASI
Printer Postek 168 4,840,000 1 4,840,000 4,840,000 - 4,840,000 - - - DEPO FARMASI
Container Obat B3 150,000 1 150,000 - 150,000 150,000 150,000 - DEPO FARMASI
Emergency Kit 250,000 1 250,000 - 250,000 250,000 250,000 - DEPO FARMASI
Tempat sampah injak 25 ltr 250,000 1 250,000 - 250,000 250,000 250,000 - DEPO FARMASI
UPS 750,000 1 750,000 - 750,000 750,000 750,000 - DEPO FARMASI
Termos u/ darah PMI ( Sopir ) 500,000 1 500,000 - 500,000 500,000 500,000 - DEPO FARMASI
- - - -
Baterai UPS ADVIA 2120 4,000,000 1 4,000,000 4,000,000 - 4,000,000 - - LABORATORIUM
Komputer 1 set PC Acer M3970 8,000,000 2 16,000,000 16,000,000 - 16,000,000 - - LABORATORIUM
Printer HP Laser jet 1,620,000 1 1,620,000 1,620,000 - 1,620,000 - - LABORATORIUM
Printer L100 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - LABORATORIUM
Printer LX300 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - LABORATORIUM
Tas sampling 300,000 10 3,000,000 - 3,000,000 3,000,000 3,000,000 - LABORATORIUM
Sandal jaga 100,000 5 500,000 - 500,000 - 500,000 500,000 - LABORATORIUM
Kursi hitam merk donati u/ baca BTA 500,000 2 1,000,000 - 1,000,000 1,000,000 1,000,000 - LABORATORIUM
UPS 840,000 2 1,680,000 - 1,680,000 - 1,680,000 1,680,000 - LABORATORIUM
Meja kerja 2,000,000 2 4,000,000 4,000,000 - 4,000,000 - - LABORATORIUM
Telepon yang mobile 625,000 1 625,000 - 625,000 - 625,000 625,000 - LABORATORIUM
Stavol UPS u/ Komputer 2,100,000 2 4,200,000 4,200,000 - 4,200,000 - - LABORATORIUM
Kursi putar ( merk Donati) 625,000 2 1,250,000 - 1,250,000 1,250,000 1,250,000 - LABORATORIUM
Loker perawat dari kayu isi 12 + kunci 5,625,000 1 5,625,000 5,625,000 - 5,625,000 - - LABORATORIUM
TERMOS es ( u/ rujuk AGD ) 500,000 1 500,000 - 500,000 500,000 500,000 - LABORATORIUM
Show case sharp SCH 210P 3,450,000 2 6,900,000 6,900,000 - 6,900,000 - - LABORATORIUM
Dispenser 500,000 1 500,000 - 500,000 500,000 500,000 - LABORATORIUM
Printer Postek 168 6,050,000 1 6,050,000 6,050,000 - 6,050,000 - - LABORATORIUM
HUB 16 Volt 500,000 1 500,000 - 500,000 500,000 500,000 - LABORATORIUM
Printer deskjet 2000 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - LABORATORIUM
Tempat cat BTA 10,000,000 1 10,000,000 10,000,000 - 10,000,000 - - LABORATORIUM
Rak / Lemari barang 10,000,000 1 10,000,000 10,000,000 - 10,000,000 - - LABORATORIUM
- - - - -
- - - -
Kursi Hitam Putar merek indachi/donati 700,000 3 2,100,000 - 2,100,000 - 2,100,000 2,100,000 - Radiologi
Sekat lemari obat radiologi (skat canopy) 1,000,000 1 1,000,000 1,000,000 - 1,000,000 1,000,000 - Radiologi
Service cat bad USG ( PEMELIHARAAN ) 300,000 1 300,000 - 300,000 300,000 300,000 - Radiologi
Kasur bed USG 700,000 1 700,000 - 700,000 700,000 700,000 - Radiologi
- - - -
- - -
Komputer 1 set PC Acer M3970 (Perawat ) 8,000,000 1 8,000,000 8,000,000 - 8,000,000 - - HD
Printer epson L 100 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - HD
stavol 600 VA 500,000 1 500,000 - 500,000 - 500,000 500,000 - HD
Sandal selop plastik unt dokter 65,000 4 260,000 - 260,000 - 260,000 260,000 - HD
sandal Surya Husadha 5,000 10 50,000 - 50,000 - 50,000 50,000 - HD
Bateray UPS ICA 600VA 228,000 24 5,472,000 - 5,472,000 - 5,472,000 5,472,000 - HD
Remote TV Sharp 50,000 5 250,000 - 250,000 250,000 250,000 - HD
Roda Bed 186,000 4 744,000 - 744,000 744,000 744,000 - HD
Tulisan Sampah Infeksius 10,000 6 60,000 - 60,000 60,000 60,000 - HD
Tulisan Sampah Non Infeksius 10,000 6 60,000 - 60,000 60,000 60,000 - HD
Papan jadwal dokter 660,000 1 660,000 - 660,000 - 660,000 660,000 - HD
Kabel Roll 100,000 1 100,000 - 100,000 - 100,000 100,000 - HD
Bak Sampah Injak 15 ltr 200,000 2 400,000 - 400,000 - 400,000 400,000 - HD
TV LCD 14" + Breket Sharp 900,000 1 900,000 - 900,000 900,000 900,000 - HD
- - -
- - - -
Printer LQ-2180 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - RM
Printer LX-300 2,600,000 1 2,600,000 2,600,000 - 2,600,000 - - RM
Printer epson L-100 2,000,000 1 2,000,000 2,000,000 - 2,000,000 - - RM
Pesawat telephone ( kunci otomatis) 1,000,000 1 1,000,000 1,000,000 - 1,000,000 1,000,000 - RM
Tangga Aluminium 1,200,000 2 2,400,000 2,400,000 - 2,400,000 - - RM
UPS 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - RM
Meja Kerja 750,000 1 750,000 - 750,000 - 750,000 750,000 - RM
Rak rekam medis 2,000,000 6 12,000,000 12,000,000 - 12,000,000 - - RM
Troli barang (seperti troli supermarket) 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - RM
Loker 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - RM
Rak kayu (tempat formulir) 3,000,000 1 3,000,000 3,000,000 - 3,000,000 - - RM
Kursi Kayu bundar 300,000 3 900,000 - 900,000 900,000 900,000 - RM
Kipas Angin 500,000 2 1,000,000 - 1,000,000 - 1,000,000 1,000,000 - RM
- - - -
Mesin printer kartu berobat elektrik 3,200 24000 76,800,000 - 76,800,000 76,800,000 76,800,000 - Pendaftaran/FO
Mesin printer barcode 6,000,000 1 6,000,000 6,000,000 - 6,000,000 - - Pendaftaran/FO
Printer L 100 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - Pendaftaran/FO
Scanner 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - Pendaftaran/FO
Kursi beroda donati 500,000 5 2,500,000 - 2,500,000 2,500,000 2,500,000 - Pendaftaran/FO
Komputer 8,524,800 3 25,574,400 25,574,400 - 25,574,400 - - Pendaftaran/FO
Pesawat Telephone panasonic 200,000 3 600,000 - 600,000 - 600,000 600,000 - Pendaftaran/FO
Kipas Angin 500,000 1 500,000 - 500,000 - 500,000 500,000 - Pendaftaran/FO
Tablet (monitor) 6,000,000 3 18,000,000 18,000,000 - 18,000,000 - - Pendaftaran/FO
UPS ICA 600 VA 750,000 5 3,750,000 - 3,750,000 - 3,750,000 3,750,000 - Pendaftaran/FO
Jam dinding 100,000 1 100,000 - 100,000 - 100,000 100,000 - Pendaftaran/FO
HP Nokia 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - Pendaftaran/FO
Rak File 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - Pendaftaran/FO
Alat Make up 500,000 1 500,000 - 500,000 500,000 500,000 - V Pendaftaran/FO
Counter FO 200,000,000 1 200,000,000 200,000,000 200,000,000 200,000,000 - Pendaftaran/FO
Scanner + Printer 2,500,000 3 7,500,000 7,500,000 7,500,000 Pendaftaran/FO
Set Counter F.O Executive 100,000,000 1 100,000,000 100,000,000 100,000,000 100,000,000 - FO Executive
Bar Storage 10,000,000 1 10,000,000 10,000,000 10,000,000 10,000,000 - V FO Executive
Meja Komputer 300,000 1 300,000 - 300,000 300,000 300,000 - V FO Executive
Printer Barcode 4,000,000 1 4,000,000 4,000,000 - 4,000,000 - - V FO Executive
1 Unit Komputer HP 8,000,000 1 8,000,000 8,000,000 - 8,000,000 - - V FO Executive
Pesawat Telephone Panasonic Digital 500,000 1 500,000 - 500,000 500,000 500,000 - V FO Executive
UPS 750,000 1 750,000 - 750,000 750,000 750,000 - V FO Executive
Water Dispenser 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - V FO Executive
Jam dinding 100,000 8 800,000 - 800,000 - 800,000 800,000 - V FO Executive
Tempat Sampah injak 15 ltr 150,000 3 450,000 - 450,000 450,000 450,000 - V FO Executive
Tempat Sampah injak 25 ltr 200,000 1 200,000 - 200,000 200,000 200,000 - V FO Executive
Scanner 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - V Customer care
Printer L100 1,800,000 1 1,800,000 1,800,000 - 1,800,000 - - V Customer care
Komputer 8,524,800 2 17,049,600 17,049,600 - 17,049,600 - - V Customer care
Pesawat telephone panasonic 200,000 2 400,000 - 400,000 400,000 400,000 - V Customer care
HP Nokia 2,160,000 1 2,160,000 2,160,000 - 2,160,000 - - V Customer care
Tempat payung 500,000 1 500,000 - 500,000 500,000 500,000 - V Customer care
Mesin Faximili panasonic KX-FT987 2,400,000 1 2,400,000 2,400,000 - 2,400,000 - - V Customer care
Kursi bulat 500,000 1 500,000 - 500,000 500,000 500,000 - V Customer care
Kursi kayu 600,000 3 1,800,000 - 1,800,000 1,800,000 1,800,000 - V Customer care
Tablet (monitor) 6,000,000 2 12,000,000 12,000,000 - 12,000,000 - - V Customer care
Counter meja Customer Care 5,000,000 1 5,000,000 5,000,000 5,000,000 Customer care
- - - - - V
Head set 1,200,000 2 2,400,000 2,400,000 - 2,400,000 2,400,000 - V Operator
Telephone panasonic 2,400,000 2 4,800,000 4,800,000 - 4,800,000 - - V Operator
Komputer 8,524,800 1 8,524,800 8,524,800 - 8,524,800 - - V Operator
Aplifayer TOA 30,000,000 1 30,000,000 30,000,000 - 30,000,000 - - V Operator
Mikrofon untuk informasi jam berkunjung 6,000,000 1 6,000,000 6,000,000 - 6,000,000 - - V Operator
Mesin Penjawab telephone 12,000,000 1 12,000,000 12,000,000 - 12,000,000 - - V Operator
Jam Dinding 100,000 1 100,000 - 100,000 - 100,000 100,000 - V Operator
Maintenance Mesin Antrean 10,000,000 1 10,000,000 10,000,000 - 10,000,000 Operator
Renovasi R. Operator 10,000,000 1 10,000,000 10,000,000 - 10,000,000 Operator
- - - - - V
Piring utk tatakan mangkok bubur VIP 100,000 25 2,500,000 - 2,500,000 2,500,000 2,500,000 - V GIZI (PRAMUSAJI )
Kompor Gas 2 tungku 1,000,000 1 1,000,000 1,000,000 - 1,000,000 1,000,000 - V GIZI (PRAMUSAJI )
Mangkok Bubur VIP 150,000 25 3,750,000 - 3,750,000 - 3,750,000 3,750,000 - V GIZI (PRAMUSAJI )
Oval Lauk VIP 80,000 25 2,000,000 - 2,000,000 2,000,000 2,000,000 - V GIZI (PRAMUSAJI )
Tempat climpark 1,000,000 2 2,000,000 2,000,000 2,000,000 2,000,000 - V GIZI (PRAMUSAJI )
Mangkok Sayur VIP 90,000 24 2,160,000 - 2,160,000 2,160,000 2,160,000 - V V V V GIZI (PRAMUSAJI )
Gelas susu utk VIP 50,000 60 3,000,000 - 3,000,000 - 3,000,000 3,000,000 - V GIZI (PRAMUSAJI )
Toaster roti 1,000,000 1 1,000,000 1,000,000 1,000,000 1,000,000 - V GIZI (PRAMUSAJI )
Teko VIP 300,000 25 7,500,000 - 7,500,000 7,500,000 7,500,000 - V GIZI (PRAMUSAJI )
Tempat Gula 15,000 20 300,000 - 300,000 300,000 300,000 - V GIZI (PRAMUSAJI )
blender juice 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - - V GIZI (PRAMUSAJI )
Nampan Panjang Kecil 80,000 100 8,000,000 - 8,000,000 - 8,000,000 8,000,000 - V GIZI (PRAMUSAJI )
Nampan Panjang Besar 100,000 100 10,000,000 - 10,000,000 10,000,000 10,000,000 - V GIZI (PRAMUSAJI )
Nampan Snack kcl 60,000 150 9,000,000 - 9,000,000 9,000,000 9,000,000 - V GIZI (PRAMUSAJI )
Sendok bubur Stenles 50,000 2 100,000 - 100,000 100,000 100,000 - V GIZI (PRAMUSAJI )
Jepitan lauk 50,000 4 200,000 - 200,000 200,000 200,000 - V GIZI (PRAMUSAJI )
Keranjang Plastik Sedang 100,000 6 600,000 - 600,000 600,000 600,000 - V GIZI (PRAMUSAJI )
Panci besar utk buat air hangat 500,000 1 500,000 - 500,000 500,000 500,000 - V GIZI (PRAMUSAJI )
Tempat garam dan merica 15,000 20 300,000 - 300,000 - 300,000 300,000 - V GIZI (PRAMUSAJI )
Lap Piring 30,000 24 720,000 - 720,000 720,000 720,000 - V GIZI (PRAMUSAJI )
Panci utk buat teh 250,000 1 250,000 - 250,000 - 250,000 250,000 - V GIZI (PRAMUSAJI )
Water Goblet 15,000 60 900,000 - 900,000 900,000 900,000 - V GIZI (PRAMUSAJI )
Mangkok Sayur kls I 50,000 100 5,000,000 - 5,000,000 5,000,000 5,000,000 - V GIZI (PRAMUSAJI )
Gelas susu kls I 40,000 120 4,800,000 - 4,800,000 4,800,000 4,800,000 - V GIZI (PRAMUSAJI )
Termos kls I 250,000 10 2,500,000 - 2,500,000 2,500,000 2,500,000 - V GIZI (PRAMUSAJI )
Lepekan Snack kls I 75,000 120 9,000,000 - 9,000,000 9,000,000 9,000,000 - V GIZI (PRAMUSAJI )
Ovale Lauk kls I 100,000 120 12,000,000 - 12,000,000 12,000,000 12,000,000 - V GIZI (PRAMUSAJI )
Sendok Garfu doll 20,000 120 2,400,000 - 2,400,000 - 2,400,000 2,400,000 - V GIZI (PRAMUSAJI )
Sendok Makan doll 20,000 120 2,400,000 - 2,400,000 - 2,400,000 2,400,000 - V GIZI (PRAMUSAJI )
Termos VIP 200,000 15 3,000,000 - 3,000,000 3,000,000 3,000,000 - V GIZI (PRAMUSAJI )
Magic com 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - - V GIZI (PRAMUSAJI )
Troly Makan tertutup 10,000,000 3 30,000,000 30,000,000 - 30,000,000 - - - V GIZI (PRAMUSAJI )
Sapu Ijuk 100,000 2 200,000 - 200,000 200,000 200,000 - V GIZI (PRAMUSAJI )
Pemanas air 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - - V GIZI (PRAMUSAJI )
Rak stenles tempat alat hidang 5,000,000 2 10,000,000 10,000,000 - 10,000,000 - - - V GIZI (PRAMUSAJI )
Pengepelan 150,000 3 450,000 - 450,000 450,000 450,000 - V GIZI (PRAMUSAJI )
Clemek plastik dipakai pas cuci alat makan pasien 150,000 4 600,000 - 600,000 600,000 600,000 - V GIZI (PRAMUSAJI )
Rak tempat sampah sisa makan pasien 2,500,000 2 5,000,000 5,000,000 - 5,000,000 - - - V
Blender Bumbu 10,000,000 1 10,000,000 10,000,000 - 10,000,000 - - - V GIZI (PRAMUSAJI )
Termos Bubur 175,000 10 1,750,000 - 1,750,000 1,750,000 1,750,000 - V GIZI (Dapur )
Saringan Minyak 100,000 2 200,000 - 200,000 200,000 200,000 - V GIZI (Dapur)
Grill Wajan 250,000 1 250,000 - 250,000 250,000 250,000 - GIZI (Dapur)
Kwaliring besar baja 2,000,000 2 4,000,000 4,000,000 - 4,000,000 - - - GIZI (Dapur)
Pemanggangan Sate utk diluar 3,000,000 1 3,000,000 3,000,000 - 3,000,000 - - - GIZI (Dapur)
Box Lauk / Sayur 100,000 10 1,000,000 - 1,000,000 1,000,000 1,000,000 - GIZI (Dapur)
Box Makanan 200,000 10 2,000,000 - 2,000,000 - 2,000,000 2,000,000 - 10 GIZI (Dapur)
Dinner Plate 80,000 100 8,000,000 - 8,000,000 8,000,000 8,000,000 - X X x x GIZI (Dapur)
Mangkok Bakso untuk acara OK 30,000 100 3,000,000 - 3,000,000 3,000,000 3,000,000 - X X x x GIZI (Dapur)
Teplon 500,000 2 1,000,000 - 1,000,000 - 1,000,000 1,000,000 - X X x x GIZI (Dapur)
Panci tangkai utk diet 250,000 4 1,000,000 - 1,000,000 - 1,000,000 1,000,000 - X X x x GIZI (Dapur)
Kompor elektrik 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - - X X x x GIZI (Dapur)
Serutan Bumbu 150,000 1 150,000 - 150,000 150,000 150,000 - X X x x GIZI (Dapur)
Blender Buah 2,000,000 1 2,000,000 2,000,000 - 2,000,000 - - - X X x x GIZI (Dapur)
Panci Sedang tutup kaca 1,000,000 1 1,000,000 1,000,000 1,000,000 1,000,000 - X X x x GIZI (Dapur)
Piring Snack Prasmanan 600,000 2 1,200,000 1,200,000 1,200,000 1,200,000 - X X x x GIZI (Dapur)
Sutil Goreng 75,000 2 150,000 - 150,000 - 150,000 150,000 - X X x x GIZI (Dapur)
Baskom Besar utk merendam beras 250,000 5 1,250,000 - 1,250,000 - 1,250,000 1,250,000 - X X x x GIZI (Dapur)
Sequis 150,000 1 150,000 - 150,000 - 150,000 150,000 - X X x x GIZI (Dapur)
Sapu lidi 10,000 2 20,000 - 20,000 - 20,000 20,000 - X X x x GIZI (Dapur)
Komputer 8,000,000 1 8,000,000 8,000,000 - 8,000,000 - - - X X x x GIZI (Dapur)
Rak Kayu Gantung utk tempat file 5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - - X X x x GIZI (Dapur)
Sendok makan doll 20,000 96 1,920,000 - 1,920,000 1,920,000 1,920,000 - 100 GIZI (Dapur)
Garfu Makan doll 20,000 96 1,920,000 - 1,920,000 1,920,000 1,920,000 - 1 GIZI (Dapur)
Sendok Lauk 25,000 12 300,000 - 300,000 300,000 300,000 - GIZI (Dapur)
Sendok sayur kuah 25,000 12 300,000 - 300,000 300,000 300,000 - X X x x GIZI (Dapur)
Jar air panas stenles 1,500,000 2 3,000,000 3,000,000 - 3,000,000 - - - GIZI (Dapur)
Kran air 100,000 10 1,000,000 - 1,000,000 1,000,000 1,000,000 - 2 GIZI (Dapur)
Lampu neon 150,000 20 3,000,000 - 3,000,000 3,000,000 3,000,000 - 2 GIZI (Dapur)
Keset 100,000 15 1,500,000 - 1,500,000 1,500,000 1,500,000 - GIZI (Dapur)
Lap 50,000 12 600,000 - 600,000 600,000 600,000 - GIZI (Dapur)
Sendok nasi 25,000 4 100,000 - 100,000 100,000 100,000 - 1 GIZI (Dapur)
Karet utk di gang makanan 2,000,000 - 2,000,000 2,000,000 2,000,000 - 3 GIZI (Dapur)
Cempal 50,000 12 600,000 - 600,000 600,000 600,000 - 1 GIZI (Dapur)
Jam dinding 100,000 2 200,000 - 200,000 200,000 200,000 - 2 GIZI (Dapur)
Rak Arsip 1,500,000 1 1,500,000 1,500,000 - 1,500,000 - - GIZI (Dapur)
Gelas ukur 25,000 12 300,000 - 300,000 300,000 300,000 - GIZI (Dapur)
- - -
- - -
komputer untuk admin 8,000,000 3 24,000,000 24,000,000 - 24,000,000 - - ADMIN & KASIR
komputer untuk kasir 8,000,000 2 16,000,000 16,000,000 - 16,000,000 - - ADMIN & KASIR
printer epson LQ 300 (untuk adm & kasir) 3,000,000 2 6,000,000 6,000,000 - 6,000,000 - - ADMIN & KASIR
- - -
- - -
- - - -
Kursi tunggu staenlis 4 gandeng permjaan 2,500,000 10 25,000,000 25,000,000 - 25,000,000 - - RUMAH TANGGA
servis sofa 500,000 95 60,000,000 - 60,000,000 60,000,000 60,000,000 - 4 4 RUMAH TANGGA
servis kursi futura coklat 200,000 100 20,000,000 - 20,000,000 20,000,000 20,000,000 - 3 RUMAH TANGGA
servis gedung 300,000,000 1 500,000,000 500,000,000 500,000,000 500,000,000 - RUMAH TANGGA
TV LCD 27 in permjaan 3,500,000 50 175,000,000 175,000,000 - 175,000,000 - - RUMAH TANGGA
Sower mandi permjaan 500,000 100 50,000,000 - 50,000,000 50,000,000 50,000,000 - RUMAH TANGGA
Kran wastafel panas dingin permjaan 1,000,000 19 19,000,000 19,000,000 19,000,000 19,000,000 - RUMAH TANGGA
cermin wastafel 5 mm permjaan 200,000 62 12,400,000 - 12,400,000 12,400,000 12,400,000 - RUMAH TANGGA
kloset toto permjaan 2,000,000 80 160,000,000 160,000,000 160,000,000 160,000,000 - RUMAH TANGGA
Wastafel permjaan 1,000,000 80 80,000,000 80,000,000 80,000,000 80,000,000 - RUMAH TANGGA
Floor drain stenlis 100,000 80 8,000,000 - 8,000,000 8,000,000 8,000,000 - RUMAH TANGGA
Tempat sabun stenlis permjaan 75,000 19 1,425,000 - 1,425,000 1,425,000 1,425,000 - RUMAH TANGGA
tempat tisue 75,000 80 6,000,000 - 6,000,000 6,000,000 6,000,000 - RUMAH TANGGA
Exhaust Fan 350,000 100 35,000,000 - 35,000,000 35,000,000 35,000,000 - RUMAH TANGGA
Telpon cordles 500,000 3 1,500,000 - 1,500,000 1,500,000 1,500,000 - RUMAH TANGGA
Gantungan handuk silfra 200,000 19 3,800,000 - 3,800,000 3,800,000 3,800,000 - RUMAH TANGGA
Gantungan kunci 30,000 100 3,000,000 - 3,000,000 3,000,000 3,000,000 - RUMAH TANGGA
Triplek untuk Bed plang 200,000 1 200,000 - 200,000 200,000 200,000 - RUMAH TANGGA
Rel korden plan C - - - - - RUMAH TANGGA
Papan nama pasien di tempat tidur 50,000 90 4,500,000 - 4,500,000 4,500,000 4,500,000 - RUMAH TANGGA
Jemuran untuk kls I - - - - - RUMAH TANGGA
Box Tandu (2 buah) 5,000,000 2 10,000,000 10,000,000 - 10,000,000 - - RUMAH TANGGA
Box Tenda 2 buah 5,000,000 2 10,000,000 10,000,000 - 10,000,000 - - RUMAH TANGGA
servis Lift elevator dan Genzet(spare part) 50,000,000 1 50,000,000 50,000,000 50,000,000 50,000,000 - RUMAH TANGGA
servis ambulan 20,000,000 1 20,000,000 20,000,000 20,000,000 20,000,000 - RUMAH TANGGA
servis tutup gronteng 20,000,000 1 20,000,000 20,000,000 20,000,000 20,000,000 - RUMAH TANGGA
Vakum kliner kecil 2,500,000 1 2,500,000 2,500,000 - 2,500,000 - - RUMAH TANGGA
Printer epson L110 (akunting,ops) permjaan 2,500,000 2 5,000,000 5,000,000 - 5,000,000 - - RUMAH TANGGA
Lap Top 6,000,000 1 6,000,000 6,000,000 - 6,000,000 - - RUMAH TANGGA
Pompa Air Mancur kolam depan UGD
Grundfos KPCkolam
600 A indicator IPAL Grundfos
5,000,000 1 5,000,000 5,000,000 - 5,000,000 - - RUMAH TANGGA
Pompa Airasi
KPC Basic 300 A dan Back Wash Filter R. Mesin 6,000,000 1 6,000,000 6,000,000 - 6,000,000 - - RUMAH TANGGA
Pompa Transfer
TECO ( 7,36 A ) / 3,7 Kw ( 5 Hp ) 10,000,000 1 10,000,000 10,000,000 - 10,000,000 - - RUMAH TANGGA
Pompa Inlet IPAL Grunfos 1X220V 50 HZ 10,000,000 1 10,000,000 10,000,000 - 10,000,000 - - RUMAH TANGGA
Pompa Tekan Tower LT. V Grunfos CR 5-7 AAA-
E-HQQE 9,000,000 1 9,000,000 9,000,000 - 9,000,000 - - RUMAH TANGGA
Pompa hydrant dan joki ground tank 70,000,000 1 70,000,000 70,000,000 - 70,000,000 - - RUMAH TANGGA
Selang Hydrant Rosenbauer. 2,5 x 30 9,000,000 1 9,000,000 9,000,000 - 9,000,000 - - RUMAH TANGGA
 Selang Hydrant Rosenbauer. 1,5 x 30 7,500,000 1 7,500,000 7,500,000 - 7,500,000 - - RUMAH TANGGA
Perbaikan dan Pemeliharaan mesin pompa 10,000,000 1 10,000,000 10,000,000 10,000,000 10,000,000 - RUMAH TANGGA
pembuatan papan nama dokter spesilis 60,000,000 1 60,000,000 60,000,000 - 60,000,000 - - RUMAH TANGGA
Roda troli 500,000 8 4,000,000 - 4,000,000 4,000,000 4,000,000 - RUMAH TANGGA
tempat brosur kayu 2,000,000 3 6,000,000 6,000,000 - 6,000,000 - - RUMAH TANGGA
Lampu Emergency 350,000 5 1,750,000 - 1,750,000 1,750,000 1,750,000 - RUMAH TANGGA
- - - - - RUMAH TANGGA
Pemeliharaan air bersih( Cek lab) 10,000,000 1 10,000,000 10,000,000 10,000,000 10,000,000 - RUMAH TANGGA
Pemeliharaan Kendaraan dan samsat 25,000,000 1 25,000,000 25,000,000 25,000,000 25,000,000 - RUMAH TANGGA
Kalibrasi Alkes, Non Alkes, dan Sertifikasi
125,000,000 1 125,000,000 125,000,000 125,000,000 125,000,000 - RUMAH TANGGA
sarana
Pengurasan Septik tank( Kantor, Dapur
10,200,000 1 10,200,000 10,200,000 10,200,000 10,200,000 - RUMAH TANGGA
Umum,Kantin,ICU,HD,Susun IPAL )
Perbaikan Alkes 240,000,000 1 240,000,000 240,000,000 240,000,000 240,000,000 - RUMAH TANGGA
Perbaikan Non Alkes 60,000,000 1 60,000,000 60,000,000 60,000,000 60,000,000 - RUMAH TANGGA
Isi Ulang APAR 120,000,000 1
120,000,000 120,000,000 120,000,000 120,000,000 - RUMAH TANGGA
Pemeliharaan elektronik (ganti bateray jam,
60,000,000 1
lamp emergency,trafo, TV,Kulkas) 60,000,000 60,000,000 60,000,000 60,000,000 - RUMAH TANGGA
Pembuatan penjor galungan + spanduk 2,400,000 2 4,800,000 4,800,000 4,800,000 4,800,000 - RUMAH TANGGA
Pengadaan O2 Liquid, O2 besar, O2 Kecil, 626,400,000 1 626,400,000 626,400,000 626,400,000 626,400,000 - RUMAH TANGGA
N2O, N & sewa tab.Liquid
Penyelenggaraan Keselamatan dan 18,000,000 1 18,000,000 18,000,000 18,000,000 18,000,000 - RUMAH TANGGA
Kesehatan Kerja
Sewa Lahan 480,000,000 1 480,000,000 480,000,000 480,000,000 480,000,000 - RUMAH TANGGA
Sewa Pecalang nyepi 200,000 7 1,400,000 1,400,000 1,400,000 1,400,000 - RUMAH TANGGA
Regulator O2 mobile 7,500,000 5 37,500,000 37,500,000 - 37,500,000 - - RUMAH TANGGA
Asuransi Gempa & kebakaran 40,000,000 1 40,000,000 40,000,000 40,000,000 40,000,000 - RUMAH TANGGA
Selasar 1,500,000,000 1 - - - - RUMAH TANGGA
Pemb.solar 70,000 1000 70,000,000 70,000,000 70,000,000 70,000,000 - RUMAH TANGGA
GENZET 650,000,000 2 1,300,000,000 1,300,000,000 1,300,000,000 - - RUMAH TANGGA
kendaraan operasional 200,000,000 2 400,000,000 400,000,000 400,000,000 - - RUMAH TANGGA
Finger print 2,000,000 2 4,000,000 4,000,000 4,000,000 - - RUMAH TANGGA
pointer 1,000,000 1 1,000,000 1,000,000 1,000,000 1,000,000 - RUMAH TANGGA
Lisensi MS Office 2013 4,563,000 5 22,815,000 22,815,000 22,815,000 22,815,000 - RUMAH TANGGA
Windows 732 bit OLP 2,258,100 5 11,290,500 11,290,500 11,290,500 11,290,500 - RUMAH TANGGA
Koneksi internet astinet 2:2 Mbps 9,750,000 12 93,600,000 93,600,000 93,600,000 93,600,000 - RUMAH TANGGA
Disk kit MS Office 2013 350,000 1 350,000 350,000 350,000 350,000 - RUMAH TANGGA
Disk kit windows 732 bit OLP 350,000 1 350,000 350,000 350,000 350,000 - RUMAH TANGGA
TEMPAT SAMPAH 20,000,000 1 20,000,000 20,000,000 - 20,000,000 20,000,000 - RUMAH TANGGA
RENOVASI KTR SHH 50,000,000 1 50,000,000 50,000,000 - 50,000,000 50,000,000 - RUMAH TANGGA
RAK UTK TEKNISI 50,000,000 1 25,000,000 25,000,000 25,000,000 - - RUMAH TANGGA
SERVICE AREA PARKIR 100,000,000 1 25,000,000 25,000,000 25,000,000 25,000,000 - RUMAH TANGGA
RAK LINEN 50,000,000 1 50,000,000 50,000,000 50,000,000 - - RUMAH TANGGA
- -
hadiah perlombaan antar unit 12,000,000 1 12,000,000 12,000,000 12,000,000 12,000,000 -

Conector 500,000 1 500,000 500,000 500,000

1 0 0 7,031,486,700 2,968,698,800 4,062,787,900 37,500,000 400,000,000 121,900,000 342,375,000 371,098,800 1,426,500,000 269,325,000 1,305,225,000 1,151,741,000 178,542,400 14,740,000 70,000,000 158,324,000 45,000,000 10,000,000 365,550,000 - 480,000,000 1,400,000 - 70,000,000 198,405,500 1,860,000 12,000,000 3,806,882,400 -
JUMLAH
NOTE : DIISI SESUAI KEBUTUHAN MENGACU PADA DATA ASET YANG DIMILIKI 93,600,000 2,968,698,800 4,062,787,900
SELISIH - selisih - selisih -
10% 25% 25% 25% 25% 25% 25%
7,031,486,700

3,750,000 100,000,000 30,475,000 85,593,750 92,774,700 356,625,000 67,331,250

7,743,116,200

(711,629,500)
PERBULAN 312,500 8,333,333 2,539,583 7,132,813 7,731,225 29,718,750 5,610,938

Tahun 2013 Tahun 2014 TOTAL

920,487,093 3,750,000 924,237,093

Penyusutan Bangunan 226,505,932 356,625,000 583,130,932
Penyusutan Mesin 122,594,478 8,333,333 130,927,811
Penyusutan Kendaraan 1,781,731,866 1,023,333,894 2,805,065,760
Penyusutan Alat Kesehatan 152,162,567 30,475,000 182,637,567
Penyusutan Peralatan Umum 32,620,861 85,593,750 118,214,611
Penyusutan Peralaan Elektronik 78,837,771 92,774,700 171,612,471
Penyusutan Komputer 24,881,956 67,331,250 92,213,206
Penyusutan Furniture
Penyusutan Software 3,339,822,524 1,668,216,927 5,008,039,451
 BUDGE

MAINTE
BULAN
NO KEGIATAN JAN FEB MAR APR MEI JUNI
1 2 3 4 5 6
A PEMELIHARAAN AIR
- Pemeriksaan air limbah √ √
- Pemeriksaan air bersih ( Sumur, Pam ) √ √
- Cuci tanki Tower √
- Service dapur , kompor

B Kontrak Kerja sama

Sewa Anggrek (Duta Orchid) √ √ √ √ √ √
Hoffmen (Pengharum) √ √ √ √ √ √
Kebersihan (ISS) √ √ √ √ √ √
Pest Kontrol (ISS) √ √ √ √ √ √
Security √ √ √ √ √ √
PECALANG √ √ √ √ √ √
PECALANG NYEPI √ √ √ √ √ √
UD Muncul √ √ √ √ √ √
UD Budiasih √ √ √ √ √ √
Pemeliharaan alkes √ √ √ √ √ √
Pemeliharaan PABX √ √ √ √ √ √
Sewa AC √ √ √ √ √ √
Kontrak service AC √ √ √ √ √ √
Mixbroadband VPN √ √ √ √ √ √
BHP Frekuensi (HT)
Biaya Telpon dan Faximale √ √ √ √ √ √
SEWA TANAH PARKIR

C Perawatan Ambulance,Sepeda Motor, Genzet & HT

a. Ambulance dan sepeda motor

c. Pemeliharaan genset
 Servis berkala genset (ganti oli, filter solar) √
SERVICE Lift
SERVICE Lift apotik
d. Service Pesawat HT
Servis pesawat HT √

D Pemeliharaan Bangunan
Jumlah
SERTIFIKASI / KALIBRASI
Fire Alarm System √
Instalasi Penyalur Petir √
Motor Diesel / Genzet √
Instalasi Listrik √
Kalibrasi alat Medis/ non Medis √
Jumlah

Beban Sewa Tanah Parkir

Beban Sewa Gedung
Beban Sewa AC
Beban Sewa Kendaraan
Beban Sewa Pengharum
Beban Sewa Tanaman Hias
Beban Sewa Jaringan VPN
Beban Sewa Tangki Samator
Beban Sewa Fotocopy
 BUDGET 2014

MAINTENANCE
BULAN
RAB
JULI AGS SEPT OKT NOV DES
7 8 9 10 11 12 Jml/tahun Biaya/Bulan Biaya dinaikkan 10%

√ √ 4 500,000 550,000
√ √ 4 1,700,000 1,870,000
√ 2 400,000 440,000
12 800,000 880,000

√ √ √ √ √ √ 12 3,770,000 4,147,000
√ √ √ √ √ √ 3 4,922,500 5,414,750
√ √ √ √ √ √ 12 130,900,000 143,990,000
√ √ √ √ √ √ 12 2,200,000 2,420,000
√ √ √ √ √ √ 12 44,141,760 48,555,936
√ √ √ √ √ √ 12 6,500,000 7,150,000
√ √ √ √ √ √ 1 1,400,000 1,540,000
√ √ √ √ √ √ 12 2,500,000 2,750,000
√ √ √ √ √ √ 12 8,000,000 8,800,000
√ √ √ √ √ √ 12 3,250,000 3,575,000
√ √ √ √ √ √ 12 2,200,000 2,420,000
√ √ √ √ √ √ 12 58,752,291 64,627,520
√ √ √ √ √ √ 12 1,650,000 1,815,000
√ √ √ √ √ √ 12 2,200,000 2,420,000
√ 1 2,500,000 2,750,000
√ √ √ √ √ √ 12 -
12 44,444,444 48,888,888
√ 2 8,910,000 9,801,000
5 2,200,000 2,420,000
12 440,000 484,000

1 2,200,000 2,420,000

370,129,095

1 5,000,000 5,500,000
1 3,000,000 3,300,000
1 3,000,000 3,300,000
1 10,000,000 11,000,000
√ 1 125,000,000 137,500,000
160,600,000
 Biaya 1 tahun
setelah dinaikkan 10 %

2,200,000 MASUK KE B PERAWATAN UMUM

7,480,000 MASUK KE B PERAWATAN UMUM
880,000 MASUK KE B PERAWATAN UMUM
10,560,000
-
-
49,764,000
16,244,250
1,727,880,000
29,040,000
582,671,232
85,800,000
1,540,000
33,000,000
105,600,000
42,900,000
29,040,000
775,530,241
21,780,000
29,040,000
2,750,000
-
586,666,661

25,000,000
 19,602,000
12,100,000
5,808,000

2,420,000

5,500,000 MASUK KE B PERWATAN

3,300,000
3,300,000
11,000,000
137,500,000
KEBUTUHAN LINEN
TAHUN …………………

NO NAMA LINEN Non Medis

LT II Eswl
1 Alas tindakan/ kuning u/ ok
2 Alas sepatu
3 Alas Tromol
4 Baju +celana +staf ok
5 Baju bayi
6 Baju pasien vip dan kelas 1 ( Dewasa )
Celana pasien VIP dan kelas 1 ( Dewas )
Baju pasien vip dan kelas 1 ( Anak
Celana pasien VIP dan kelas 1 ( Anak )
7 Baju Pasien ICU Dewasa
Celana pasien ICU Dewasa
Baju Pasien ICU Anak
Celana pasien ICU Anak
Baju Kangooro
9 Baju Pasien Executive Dewasa 40
10 Celana pasien Executive Dewasa 40
Baju Pasien Executive Anak 5
Celana pasien Executive Anak 5
11 Baju pasien untuk VK
12 Baju Pasien Ok
13 Bantal pasien Spring Air 10 2
14 Bantal Biasa
15 Bantal bayi 2
16 Bantal Ok
17 Bantal pasir
18 Bed Cover 20 1
19 Doek besar
20 Doek lubang 8
21 Doek mata
22 Doek kecil
23 Doek sedang 8
Doek Sedang warna Biru U/ Echo
24 Doek vk
25 Gorden coklat # 201-204
26 Gorden Jendela Coklat ( VIP )
27 Gorden Jendela Putih ( VIP )
28 Gorden Jendela Coklat
29 Gorden Jendela Coklat Slasar
30 Gorden Jendela Putih
31 Gorden Sekat kelas III
32 Gorden Sekat Biru
Gorden Sekat putih
 Gorden Sekat Cream
33 Gorden untuk kelas 1
34 Gorden Cream
35 Gorden Biru
36 Gorden Motif Anak2
37 Gorden Susu
38 Gorden Pintu R. OK
39 Guling pasien
40 Guling pasien Spring Air 2
41 Guling bayi
Gurita Ibu
42 Handuk Bayi
43 Handuk mandi pasien umum
44 Handuk mandi pasien executive 40
45 Handuk lap u/ ok
46 Handuk Kelas VIP dan kelas 1
47 Handuk Kecil
48 Handuk Cuci alat 2
49 Handuk Lap Tangan
50 Jas ok
51 Jas Putih dokter 2
52 Jas biru Dokter
53 Jas Biru Lab
Jas Putih Lab
Gorden sampling
Perbed
54 Jas biru perawat
Jas lab lengan panjang tebal petugas CT-Scan
55 Kasur besar /. U serep latex
56 Kelambu box
57 Keset handuk Coklat
58 Keset handuk putih 190
59 Keset handuk hitam panjang
60 Laken
61 Laken box
62 Mitela
63 Perlak kecil
64 Perlak Panjang
65 Perlak standart
66 Perlak Rawat Luka
67 Perlak Orange
68 Pitrase warna putih #201 - 204
69 Popok Bayi
Sarung Bantal Spring Air 2
70 Sarung Bantal Biasa
71 Sarung bantal bayi
72 Sarung Bantal King Koil 80
73 Sarung Guling
74 Sarung Guling King Koil 10
75 Sarung Guling bayi
76 sarung Bantal Protector 20
sarung Guling Protector 4
77 sarung Bed Protector 10
sarung Bed Protector penunggu 202-204 10
sarung Bed Protector penunggu 205 3
78 Sarung kain pasien
79 Sarung kasur besar
80 Sarung O2 kecil 4
81 Sarung tangan / kaki
82 Selimut
83 Selimut bayi
84 Selimut Tebal u/bayi
85 Sprai Biasa
86 Sprai Karet
87 Sprai kingkoil
88 Sprei karet king koil pasien 160
89 Sprei karet king koil penunggu 50
90 Sprei karet king koil penunggu 205 10
91 Sprei rampel bed penunggu 15
92 Sprei rampel bed penunggu 205 5
93 Bed cover bed penunggu 205 5
94 Stik laken kingkoil 160
95 Stik laken
96 Taplak meja besar
97 Taplak meja sedang
98 Taplak meja kecil
99 Topi bayi
100 Topi OK
101 Sarung kursi /selendang
102 Rempel meja kecak
103 Alas tindakan eswl
104 Laken kingkoil lengkap
105 Laken lengkap spring bed
106 Skort 2
107 Tutup USG
108 Tutup alat 4
109 Alas Brankar
110 Tirai belakang Vertical Blind
111 Jas / Blazer FO
112 kain tutup urinal dan pispot
113 kain isi spon untuk restrain pasien
114 Sarung Timbangan Bayi 4

TOTAL 926 5
 PEREMAJAAN / PENGADAAN BARU
HD LT III LT IV OK R BAYI VK POLI UGD
3
4

100
150
75 112
75 112
10 10
10 10

10
0
10

20
30
80 85 5 5 10

20
4 2
10
40 36
120
60 20
60 6
80
120 5
6
40

4 6
8
8

1
2
3 2

21 2
25

40
200
10
50 75

50
80 96

20 20 4 20
50
150
10

7 20

10
300 152 10
36 4 15 16

20 304 5 15 40
20
20
10 6 10 20 3
1 10
148 188 4 10 12 40
4

300
150 170 10
200 304 10 15 40
30
30 300 170

5
40

20 18

10 5

4 2 4 4

20 200 152 4 10 40
300

15

80 72

16

80 72
30 108 304 5 120
10
8 10 5 10
5

10 10 4

15
5 5
 4

125 2,048 2,529 899 978 499 159 302

 Jumlah
Jumlah
Ro ICU Lab FO satuan RP
3.00 800,000
4 75,000
-
100 250,000
150 10,000
187 200,000
187 150,000
20 200,000
20 150,000
60 60 200,000
20 20 150,000
25 35 150,000
25 25 150,000
10 100,000
40 250,000
40 200,000
5 200,000
5 150,000
20 150,000
30 200,000
24 221 250,000
- 75,000
22 39,000
6 55,000
10 6,000
97 300,000
120 100,000
10 98 45,000
66 45,000
80 50,000
133 75,000
6 100,000
40 45,000
- -
- -
-
2 12 -
8
2 10
-
1
2
 5
-
30 53
25
-
-
1
10 10 150,000
2 150,000
40 50,000
200 12,500
10 75,000
30 155 50,000
40 85,000
50 25,000
176 50,000
- 30,000
66 25,000
50 30,000
150 140,000
12 150,000
- 150,000
10 10 150,000
10 10 150,000
1 1
2 2
27 150,000
2 2 300,000
- 3,240,000
10 35,000
462 40,000
261 175,000
- 350,000
48 432 75,000
20 30,000
20 50,000
49 57,500
24 35 100,000
24 426 75,000
4 75,000
- 130,000
- 3,000,000
300 8,000
24 356 75,000
569 50,000
30 25,000
 580 85,000
10 10 50,000
15 65,000
40 30,000
20 100,000
4 150,000
24 72 100,000
10 100,000
3 100,000
15 70,000
-
18 25,000
- 5,000
48 474 95,000
300 7,500
- 75,000
15 125,000
- 70,000
152 275,000
160 275,000
66 275,000
10 275,000
15 350,000
5 350,000
5 350,000
312 135,000
48 615 75,000
10 25,000
33 20,000
5 20,000
- 50,000
- 1,000
- 250,000
- 250,000
- 300,000
- 436,000
- 250,000
26 75,000
- 75,000
30 49 250,000
10 65,000
- 6,500,000
- 300,000
8 8 100,000
8 8 100,000
 8 200,000

2 534 23 - 9,029 27,312,500

Gorden

TOTAL
Total TW II
Rp Jumlah satuan RP
2,400,000 2,100,000 (300,000) 700,000
300,000 200,000 (100,000)
- - -
25,000,000 17,500,000 (7,500,000) 175,000
1,500,000 1,200,000 (300,000) 8,000
37,400,000 37,400,000 - 200,000
28,050,000 28,050,000 -
4,000,000 4,000,000 -
3,000,000 3,000,000 -
12,000,000 12,000,000 -
3,000,000 3,000,000 -
5,250,000 5,250,000 -
3,750,000 3,750,000 -
1,000,000 1,000,000 -
10,000,000 10,000,000 -
8,000,000 8,000,000 -
1,000,000 1,000,000 -
750,000 750,000 -
3,000,000 3,000,000 - 150,000
6,000,000 6,000,000 -
55,250,000 55,250,000 - 200,000
- - -
858,000 858,000 - 39,000
330,000 330,000 - 55,000
60,000 60,000 -
29,100,000 29,100,000 -
12,000,000 12,000,000 - 100,000
4,410,000 4,410,000 - 45,000
2,970,000 2,970,000 - 45,000
4,000,000 4,000,000 - 50,000
9,975,000 9,975,000 - 75,000
600,000 600,000 -
1,800,000 1,800,000 - 45000
- - -
- - - 400000
- - - 400000
- - - 400,000
- - -
- - -
- - -
- - -
-
 -
- - -
- - -
- - -
- - -
- - -
- - -
1,500,000 1,500,000 - 150,000
300,000 300,000 -
2,000,000 2,000,000 - 50,000
2,500,000 2,500,000 -
750,000 750,000 - 75,000
7,750,000 7,750,000 -
3,400,000 3,400,000 -
1,250,000 1,250,000 - 25,000
8,800,000 8,800,000 - 50,000
- - -
1,650,000 1,650,000 -
1,500,000 1,500,000 -
21,000,000 21,000,000 - 140,000
1,800,000 1,800,000 - 120,000
- - - 120,000
1,500,000 1,500,000 -
1,500,000 1,500,000 -
-
-
4,050,000 3,510,000 (540,000) 120,000
600,000 600,000 -
- - -
350,000 250,000 (100,000) 25,000
18,480,000 13,860,000 (4,620,000) 30,000
45,675,000 45,675,000 - 175,000
- - - 350,000
32,400,000 30,240,000 (2,160,000) 70,000
600,000 500,000 (100,000) 25,000
1,000,000 1,000,000 -
2,817,500 2,817,500 - 57,500
3,500,000 3,500,000 - 100,000
31,950,000 31,950,000 - 75,000
300,000 300,000 -
- - -
- - -
2,400,000 1,800,000 (600,000) 6,000
26,700,000 17,800,000 (8,900,000)
28,450,000 28,450,000 - 50,000
750,000 675,000 (75,000) 22,500
49,300,000 37,700,000 (11,600,000)
500,000 400,000 (100,000) 40,000
975,000 975,000 -
1,200,000 1,200,000 - 30,000
2,000,000 2,000,000 -
600,000 600,000 -
7,200,000 7,200,000 -
1,000,000 1,000,000 -
300,000 300,000 -
1,050,000 1,050,000 - 70000
- - -
450,000 450,000 - 25,000
- - - 5,000
45,030,000 45,030,000 - 95,000
2,250,000 2,250,000 - 7,500
- - - 75,000
1,875,000 1,875,000 -
- - - 70,000
41,800,000 38,000,000 (3,800,000)
44,000,000 40,000,000 (4,000,000)
18,150,000 16,500,000 (1,650,000)
2,750,000 2,500,000 (250,000)
5,250,000 4,875,000 (375,000)
1,750,000 1,625,000 (125,000)
1,750,000 1,750,000 -
42,120,000 42,120,000 -
46,125,000 43,050,000 (3,075,000)
250,000 150,000 (100,000) 15,000
660,000 412,500 (247,500) 12,500
100,000 100,000 - 20,000
- - - 50,000
- - -
- - - 250,000
- - - 250,000
- - - 300,000
- - - 436,000
- - - 250,000
1,950,000 1,950,000 - 75,000
- - - 75,000
12,250,000 12,250,000 - 250,000
650,000 650,000 - 65,000
- - -
- - -
800,000 800,000 -
800,000 800,000 -
 1,600,000 1,600,000 -

870,460,500 813,573,000 (56,887,500) - 7,389,000

100,000,000.00

970,460,500.00
W II TW III TW IV
Total Jumlah satuan RP Total Jumlah
700,000

175,000
8,000
200,000

150,000

200,000

39,000
55,000

100,000
45,000
45,000
50,000
75,000

45000
3
400000

400,000
150,000

50,000

75,000

25,000
50,000

140,000
120,000
120,000

120,000

25,000
30,000
175,000
350,000
70,000
25,000

57,500
100,000
75,000

6,000

50,000
22,500
40,000

30,000

70000

25,000
5,000
95,000
7,500
75,000

70,000

15,000
12,500
20,000
50,000

250,000
250,000
300,000
436,000
250,000
75,000
75,000
250,000
65,000
- 3 6,989,000 - -
 TW IV Anggaran 2013
satuan RP Total
700,000

175,000
8,000
200,000

150,000

200,000

39,000
55,000

100,000
45,000
45,000
50,000
75,000

45000

400000
400000
400,000
150,000

50,000

75,000

25,000
50,000

140,000
120,000
120,000

120,000

25,000
30,000
175,000
350,000
70,000
25,000

57,500
100,000
75,000

6,000

50,000
22,500
40,000

30,000

70000

25,000
5,000
95,000
7,500
75,000

70,000

15,000
12,500
20,000
50,000

250,000
250,000
300,000
436,000
250,000
75,000
75,000
250,000
65,000
7,389,000 - - -
 CONTOH ANGGARAN BIAYA PPI RS.

NO UNIT PEMERIKSAAN / PENYEDIAAN SARANA

1 OK Ruangan
Alat
AC
transport

2 Sterilisasi Alat
transport

3 Bayi Alat
Rectal Swab
transport

4 R. UGD Alat
transport

5 Dapur Saji Alat saji

Bahan makanan
Rectal swab

PERAWATAN & Tempat Sampah Infeksius & Non Infeksius

AREA LINGK. RS Handrub berbasis alkohol
Wastafel
Poster Kebersihan tangan

6 DIKLAT PPI TIM/KOMITE PPI

PPI RS.

JUMLAH BIAYA TOTAL

4 300,000.00 1,200,000.00
4 300,000.00 1,200,000.00
2 300,000.00 600,000.00
2 50,000.00 100,000.00
-
4 300,000.00 1,200,000.00
2 50,000.00 100,000.00
-
2 300,000.00 600,000.00
10 85,000.00 850,000.00
2 50,000.00 100,000.00
-
2 300,000.00 600,000.00
2 50,000.00 100,000.00
-
4 300,000.00 1,200,000.00
6 300,000.00 1,800,000.00
28 100,000.00 2,800,000.00

TOTAL 12,450,000

1 10,000,000.00 10,000,000.00
Counter FO 200,000,000 1
Set Counter F.O Executive 100,000,000 1
Ruang rekam medis 80,000,000 1
Perluasan area kerja 50,000,000 1
200,000,000 200,000,000 -
100,000,000 100,000,000 -
80,000,000 80,000,000 -
50,000,000 50,000,000 -
V GIZI (PRAMUSAJI )
V GIZI (PRAMUSAJI )
Customer care
DEPO FARMASI
GIZI (PRAMUSAJI )
GIZI (PRAMUSAJI )
Customer care
DEPO FARMASI
 CONTOH DIKLAT
TAHUN
NO Nama Diklat RUANGAN Total
Peserta Biaya Total Biaya
KET
1 Management bangsal keperawatan

2 NICU

3 HD
4 Perawat anestesi
5 Perawat endoscopy
6 ICU
7 ICCU dasar
8 PICU
ICCU Advance
9 BTCLS
10 PPGD
11 Management kamar operasi
12 Pelatihan instrument bedah infasive

13 Pelatihan instrument bedah syaraf

14 Pelatihan instrument bedah urologi

15 Pelatihan laparoscopy

16 Pelatihan CSSD
17 IPCN
18 PONEK
19 Konseling menyusui modul 40 jam standar
WHO
20 Konseling menyusui dan IMD (INTERNAL)

21 Resusitasi Neonatus, kangaroo mother

care dan Akselerasi dan induksi
persalinan)
22 modern wound care
23 servis exelent (2 kali setahun)
24 Mutu (K3RS dan PPI)
NO Nama Diklat RUANGAN Total
Peserta Biaya Total Biaya
KET
26 management nyeri (4 kali setahun)

workshop perawat primer ( 4 kali setahun)

27 workshop kepala ruangan

29 Pelatihan EKG dasar

30 Management AGD & management cairan
dan elektrolit

Basic ventilaor

31
pelatihan VCT

32 D III KEP/KEB
33 D IV/ D IV anestesi/D IV Keb
34 SI KEP/Keb
35 S2 KEP
36 Karyawan tetap

37 penambahan tenaga (Nicu, Picu, lantai 3,

Anestesi)

38 modern wound care untuk dokter

Pelaksanaan
Pelaksanaan
DIKLAT SH HOSPITAL
TAHUN 2012

RUANGAN

Dapur
Lt 2 Admin saji Tehnis Total
NO Nama Diklat Manaj Radiol Farma opear Bell Biaya Total Biaya
Lt 4 Lt 3 eksek Poli VK R Bayi UGD OK HD ICU Lab FO CS RM Keu + +Pera PPI K3 Peserta
emen ogi si ator boy i
utif Kasir mu
saji

1
Pelatihan Apoteker (1 orang) + AA (1 orang)
"HANDLING SITOSTATIKA, PENCAMPURAN IV
ADMIXTURE DAN TEKNIK ASEPTIK"
(PERSYARATAN AKREDITASI JCI)

2
Pelatihan Apoteker "FARMASI KLINIS"

3
Pelatihan Apoteker AA (2 orang) mengenai
asuhan kefarmasian dan pengelolaan
perbekalan farmasi

4
Penyegaran staff Asisten Apoteker per-bulan

Training Service Exellence

3 Pelatihan Disaster
4 Pelatihan pencegahan & pengendalian
kebakaran
5 Pelatihan K3 di Disnaker
Pelatihan teknisi perawatan alkes
7 Pelatihan assessor , kendali mutu
keperawatan dan CI internal.
8 Pelatihan management complain dan
management resiko, aplikasi psikographi klien
dalam pelayanan keperawatan .

9 PERSI Jakarta
10 Table maner
11 Biaya Pelatihan ASDI ( Asosiasi Dietision Indonesia )
12 Pelatihan Rekam medis
13 Bench Marking
14 DIKLAT PPI
15 Anggaran seminar dokter radiologi
16 Anggaran seminar radiografer ( PARI )
17 Anggaran pelatihan radioterapi
18 Biaya Seminar Laboratorium ( PME )
19 Pelatihan Konselor HIV ( Lab )

TOTAL
 CONTOH PERENCANAAN PENGELUARAN BANTEN TAHUN

No Nama Jumlah setahun

1 Pengeluaran bulanan 4,000,000 48,000,000
2 Pengeluaran hari raya
Sugian bali 500,000 1,000,000
Galungan 750,000 1,500,000
kuningan 750,000 1,500,000
Nyepi 3,000,000 3,000,000
Pagerwesi 500,000 1,000,000
Tumpek Landep 6,000,000 12,000,000
banten Odalan + sesari dan perlengk 19,000,000 38,000,000
106,000,000
Pengeluaran lain lain perbulan setahun
1 Dupa ,minyak ,dll 350,000 4,200,000
2 Korek 5,000 60,000
3 arak berem 10,000 120,000
4 permen 25,000 300,000
5 rokok 55,000 660,000
6 kopi 9,000 108,000
7 gula 10,000 120,000
8 selendang 100,000 200,000
9 Wastre 5,000,000 10,000,000
10 tedung 2,000,000 4,000,000
 PE
Aktivitas PIC (Sponsor)

Merchandise untuk pasien loyal Kabag CS dan FO

Merchandise untuk psikografi pasien Kabag CS dan FO

Parcel buah untuk key person Kabag CS dan FO

Karangan bunga duka untuk pasien Kabag CS dan FO

Kue ulang tahun dokter spesialis Kabag CS dan FO

Kartu ucapan ulang tahun dokter spesialis Kabag CS dan FO

Kartu ucapan hari raya dokter spesialis dan pasien loyal Kabag CS dan FO

Suka duka dokter spesialis (parcel buah, kue, karangan

Kabag CS dan FO
bunga duka)

Kabag CS dan FO
Promosi (koord dg marketing),
dan accounting

Kabag CS dan FO (koord

Brosur dg marketing)
 Aktivitas PIC (Sponsor)

kue ultah dr spesialis tetap SEKRETARIS

GATHERING DR. SPESIALIS kue ultah dr. Spesialis tetap

 PEMASARAN
Anggaran
Anggaran
Ops / Invest
Ops / Invest
NO Unit NAMA JABATAN
1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25
26

27

28

29

30
SIP STR