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LPSE Kementrian Kesehatan R.I. - Pengadaan Barang Habis Pakai Medis Non E Katalog Kwartal 1 Kebutuhan RSUP Dr.

Sitanala

a) Jangan mengubah, mengurangi atau menambahkan nama kolom


b) Silakan isi kolom Harga satuan (D), Pajak (E) dan Keterangan (H)
c) Tidak boleh mengubah dan menambah rincian barang/jasa, satuan, dan volume

Jenis barang/jasa Satuan Volume Harga satuan (Rp.) Pajak (%) Pajak (Rp.) Total (Rp.)
Glycolic acid 35 % Botol 2.00 560,650.00 10.00 112,130.00 1,233,430.00
Neutralizer Botol 5.00 244,150.00 10.00 122,075.00 1,342,825.00
Blade Skin Graft DermaPack 1.00 1,752,100.00 10.00 175,210.00 1,927,310.00
Botol plastik 100 cc Buah 200.00 1,260.00 10.00 25,200.00 277,200.00
Botol plastik 500 cc Buah 100.00 6,800.00 10.00 68,000.00 748,000.00
Botol WSD 7.00 22,000.00 10.00 15,400.00 169,400.00
Breathing Circuit - Corr Pcs 2.00 52,800.00 10.00 10,560.00 116,160.00
Breathing Circuit - Corr Buah 1.00 52,800.00 10.00 5,280.00 58,080.00
Breathing Circuit for Anset 3.00 159,750.00 10.00 47,925.00 527,175.00
Breathing Circuit for V set 160.00 598,400.00 10.00 9,574,400.00 105,318,400.00
Breathing Circuit for V Set 3.00 598,400.00 10.00 179,520.00 1,974,720.00
Breathing Circuit for VeSet 3.00 598,400.00 10.00 179,520.00 1,974,720.00
Central Venos CatheterSet 8.00 579,150.00 10.00 463,320.00 5,096,520.00
Central Venos CatheterSet 8.00 579,150.00 10.00 463,320.00 5,096,520.00
Clipper Blade 9660 Box 17.00 65,350.00 10.00 111,095.00 1,222,045.00
Clipper Kit Box 1.00 3,775,200.00 10.00 377,520.00 4,152,720.00
Connection Cable Bipol Pcs 2.00 369,600.00 10.00 73,920.00 813,120.00
Cystofix F10 6 cm Pcs 1.00 4,189,600.00 10.00 418,960.00 4,608,560.00
Cystofix F10 7 cm Pcs 1.00 4,189,600.00 10.00 418,960.00 4,608,560.00
Cystofix F10 8 cm Pcs 1.00 4,189,600.00 10.00 418,960.00 4,608,560.00
Dermaton Blade Buah 1.00 215,600.00 10.00 21,560.00 237,160.00
Elektroda EKG (HR-OPRPcs 1,500.00 7,100.00 10.00 1,065,000.00 11,715,000.00
ELEKTRODA RED DOT 2 Pcs 150.00 2,100.00 10.00 31,500.00 346,500.00
Elektroda uk. Neonatal Pcs 100.00 10,150.00 10.00 101,500.00 1,116,500.00
Epidural Needle No. 16 Buah 30.00 43,600.00 10.00 130,800.00 1,438,800.00
Extension tube for Syr Buah 30.00 6,950.00 10.00 20,850.00 229,350.00
Face Mask No. 1 Buah 30.00 39,600.00 10.00 118,800.00 1,306,800.00
Face Mask No. 2 Buah 30.00 39,600.00 10.00 118,800.00 1,306,800.00
Face Mask No. 3 Buah 30.00 39,600.00 10.00 118,800.00 1,306,800.00
Face Mask No. 4 Buah 30.00 39,600.00 10.00 118,800.00 1,306,800.00
Face Mask No. 5 Buah 30.00 39,600.00 10.00 118,800.00 1,306,800.00
Face Mask No. 6 Buah 30.00 39,600.00 10.00 118,800.00 1,306,800.00
Infuse Set For infuse PuPcs 200.00 18,750.00 10.00 375,000.00 4,125,000.00
Mata pisau No.10 Buah 100.00 450.00 10.00 4,500.00 49,500.00
Mata pisau No.11 Buah 100.00 2,450.00 10.00 24,500.00 269,500.00
Mata pisau No.12 Buah 100.00 2,650.00 10.00 26,500.00 291,500.00
Mata pisau No.15 Buah 100.00 2,450.00 10.00 24,500.00 269,500.00
Mata pisau No.20 Buah 100.00 2,450.00 10.00 24,500.00 269,500.00
MRX Wide Printer PaperRoll 10.00 122,950.00 10.00 122,950.00 1,352,450.00
Dry Film DI-HL 26x36 Box 17.00 2,716,200.00 10.00 4,617,540.00 50,792,940.00
Dry Film DI-HL 35x43 Box 7.00 2,834,300.00 10.00 1,984,010.00 21,824,110.00
Film CT Scan Drystar DTBox 4.00 3,395,260.00 10.00 1,358,104.00 14,939,144.00
Kertas Film USG 110 m Roll 22.00 236,500.00 10.00 520,300.00 5,723,300.00
Konektor Syringe InjektPcs 7.00 118,800.00 10.00 83,160.00 914,760.00
Omnipaque 350 mg\/50botol 40.00 228,700.00 10.00 914,800.00 10,062,800.00
Syringe Injektor ( Kit D Set 20.00 418,000.00 10.00 836,000.00 9,196,000.00
Visipaque 320 mgl\/50 Botol 20.00 450,650.00 10.00 901,300.00 9,914,300.00
Guttappercha Protaper pack 7.00 31,150.00 10.00 21,805.00 239,855.00
Guttapercha Protaper Npack 7.00 31,150.00 10.00 21,805.00 239,855.00
Guttapercha Protaper Npack 3.00 31,150.00 10.00 9,345.00 102,795.00
Guttapercha Protaper Npack 3.00 31,150.00 10.00 9,345.00 102,795.00
Diamond Rounds Bur 80set 3.00 31,950.00 10.00 9,585.00 105,435.00
Diamond Rounds Bur 80set 3.00 38,750.00 10.00 11,625.00 127,875.00
Diamond Rounds Bur 80set 3.00 41,650.00 10.00 12,495.00 137,445.00
Diamond Rounds Bur 80set 3.00 29,100.00 10.00 8,730.00 96,030.00
Tumpatan Sementara pak 6.00 153,950.00 10.00 92,370.00 1,016,070.00
Seluloid Strip box 1.00 169,400.00 10.00 16,940.00 186,340.00
Wedges Dentamerica Sbox 1.00 72,600.00 10.00 7,260.00 79,860.00
Wedges Dentamerica box 1.00 72,600.00 10.00 7,260.00 79,860.00
Wedges Dentamerica L box 1.00 72,600.00 10.00 7,260.00 79,860.00
Scothbond Universal Etpcs 4.00 569,200.00 10.00 227,680.00 2,504,480.00
Single Bond Universal botol 4.00 934,150.00 10.00 373,660.00 4,110,260.00
Dentin Conditioner botol 1.00 131,700.00 10.00 13,170.00 144,870.00
Filtek Z350 XT A2 pcs 2.00 514,000.00 10.00 102,800.00 1,130,800.00
Filtek Z350 XT A3 pcs 7.00 514,000.00 10.00 359,800.00 3,957,800.00
Filtek Z350 XT A3,5 pcs 2.00 514,000.00 10.00 102,800.00 1,130,800.00
Filtek Z350 XT A2 flowapcs 3.00 550,800.00 10.00 165,240.00 1,817,640.00
Filtek Z350 XT A3 flowapcs 1.00 550,800.00 10.00 55,080.00 605,880.00
Fuji 1\/ Gold Label 1 Mipak 1.00 348,500.00 10.00 34,850.00 383,350.00
Fuji 9 GP\/ Gold Label 9pak 2.00 799,600.00 10.00 159,920.00 1,759,120.00
Cocoa Butter pak 1.00 117,200.00 10.00 11,720.00 128,920.00
Soflex Mini Kit pak 1.00 55,200.00 10.00 5,520.00 60,720.00
Pulp X pak 1.00 222,700.00 10.00 22,270.00 244,970.00
Endoseal powder 20 g, lpak 1.00 179,100.00 10.00 17,910.00 197,010.00
Elite Cement Mini Pack box 1.00 175,300.00 10.00 17,530.00 192,830.00
Rootdent root canal repbox 1.00 755,100.00 10.00 75,510.00 830,610.00
Astringent Retraction Pbox 1.00 662,200.00 10.00 66,220.00 728,420.00
Saliva ejector pak 40.00 88,000.00 10.00 352,000.00 3,872,000.00
Gelas kumur pak 40.00 48,400.00 10.00 193,600.00 2,129,600.00
Polibip pak 7.00 51,400.00 10.00 35,980.00 395,780.00
Disposable Threeway sydus 4.00 319,500.00 10.00 127,800.00 1,405,800.00
Gutta percha Solvent botol 1.00 42,600.00 10.00 4,260.00 46,860.00
Articulating paper full pak 1.00 164,600.00 10.00 16,460.00 181,060.00
Eugenol pak 1.00 38,750.00 10.00 3,875.00 42,625.00
CHKM pak 1.00 58,100.00 10.00 5,810.00 63,910.00
Semen fletcher pcs 1.00 67,800.00 10.00 6,780.00 74,580.00
HYPOSOL (NaOCL 3%) botol 4.00 77,500.00 10.00 31,000.00 341,000.00
Mersilk 3-0 Atraumatic p1ak 4.00 10,650.00 10.00 4,260.00 46,860.00
Mersilk 6-0 Atraumatic pak 4.00 63,400.00 10.00 25,360.00 278,960.00
Bisturi surgical blades pak 1.00 55,800.00 10.00 5,580.00 61,380.00
Pinset Dental 1024 Pcs 7.00 145,200.00 10.00 101,640.00 1,118,040.00
Gunting 3512 pcs 2.00 300,550.00 10.00 60,110.00 661,210.00
Gunting 3510 pcs 1.00 464,650.00 10.00 46,465.00 511,115.00
Gunting 3511 pcs 1.00 36,800.00 10.00 3,680.00 40,480.00
Kaca Mulut 4903\/4 pcs 7.00 36,800.00 10.00 25,760.00 283,360.00
Handle Kaca Mulut 490pcs 7.00 77,500.00 10.00 54,250.00 596,750.00
Raspatorium 880 pcs 2.00 367,900.00 10.00 73,580.00 809,380.00
Knable Tang 3801 pcs 1.00 1,150.00 10.00 115.00 1,265.00
Benang Nylon 10\/0 (Eth Box 50.00 20,900.00 10.00 104,500.00 1,149,500.00
Carbachol Box 50.00 58,550.00 10.00 292,750.00 3,220,250.00
Clear Corneal Slit Knif Box 85.00 105,600.00 10.00 897,600.00 9,873,600.00
Crescent Knife Bevel UpBox 85.00 201,400.00 10.00 1,711,900.00 18,830,900.00
Eye Drape Plane Box 85.00 52,800.00 10.00 448,800.00 4,936,800.00
Optem ( Kauter ) Set 85.00 215,600.00 10.00 1,832,600.00 20,158,600.00
Spon MQA Set 30.00 30,800.00 10.00 92,400.00 1,016,400.00
Stab Knife Straight 15 *Set 85.00 105,600.00 10.00 897,600.00 9,873,600.00
Trypan Blue Set 85.00 58,600.00 10.00 498,100.00 5,479,100.00
Viscoelastic HPMC 2 % (Set 170.00 105,600.00 10.00 1,795,200.00 19,747,200.00
IOL Foldable berbagai Pcs 85.00 387,200.00 10.00 3,291,200.00 36,203,200.00
Basic Vacuum Phaco PaSet 3.00 1,452,000.00 10.00 435,600.00 4,791,600.00
Phaco Tip Set 2.00 3,388,000.00 10.00 677,600.00 7,453,600.00
Jetflow HDC Kit 2L 14,5 Set 3.00 2,345,500.00 10.00 703,650.00 7,740,150.00
Baihe HDC Kit 2L 12 FR Set 2.00 52,800.00 10.00 10,560.00 116,160.00
Baihe HDC Kit 2L 12 FR Set 10.00 496,400.00 10.00 496,400.00 5,460,400.00
Fogarty Embolectomy CPcs 2.00 1,645,600.00 10.00 329,120.00 3,620,320.00
Fogarty Embolectomy CPcs 2.00 1,645,600.00 10.00 329,120.00 3,620,320.00
Fogarty Embolectomy CPcs 2.00 1,645,600.00 10.00 329,120.00 3,620,320.00
Chest Drain Sinapi 1000Pcs 2.00 740,550.00 10.00 148,110.00 1,629,210.00
Acid Citric Pot 100.00 61,600.00 10.00 616,000.00 6,776,000.00
BIBAG 5008 FMBSB8 (F Pak 650.00 73,300.00 10.00 4,764,500.00 52,409,500.00
BLOODLINE FMBLJS (FRPak 600.00 88,600.00 10.00 5,316,000.00 58,476,000.00
Diacan Aeterial G16 3 Unit 3,200.00 7,950.00 10.00 2,544,000.00 27,984,000.00
Dialog Bloodline A&V AeUnit 1,200.00 94,600.00 10.00 ### 124,872,000.00
DIALYSER FMLFH8 (FREPcs 170.00 177,200.00 10.00 3,012,400.00 33,136,400.00
FISTULA NEEDLE 16 GA Pcs 550.00 10,300.00 10.00 566,500.00 6,231,500.00
FISTULA NEEDLE 16 GV Pcs 550.00 10,300.00 10.00 566,500.00 6,231,500.00
HD SOLUTION PART A FPcs 500.00 83,750.00 10.00 4,187,500.00 46,062,500.00
Renalin Galon 8.00 3,455,800.00 10.00 2,764,640.00 30,411,040.00
Sol Cart Unit 950.00 91,550.00 10.00 8,697,250.00 95,669,750.00
tuhan RSUP Dr. Sitanala T

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