RENCANA KEBUTUHAN OBAT COVID

RSUD CILILIN
SAMPAI DESEMBER 2021
Kebutuhan
No Nama Satuan Harga Sampai Nominal Pabrikan Distributor Link e-katalog
1 Acetylsistein Tablet 301 desember
14,100 4,244,100 PT Indofarma PT Indofarma Global Medika https://e-katalog.lkpp.go.id/katalog/produk/detail/1478767?lang=id&type=province&location_id=12
2 Arixtra inj syringe 214,565 300 64,369,500 PT Mitsubishi Tanabe Pharma PT Anugrah Argon Medica https://e-katalog.lkpp.go.id/katalog/produk/detail/1478185?lang=id&type=province&location_id=12
3 Azithromycin 500 mg tab tablet 1,250 6,000 7,500,000 PT Kimia Farma PT Kimia Farma Trading & Distribution https://e-katalog.lkpp.go.id/katalog/produk/detail/1477712?lang=id&type=province&location_id=12
4 Berotec 0,1 mg MDI botol 86,930 96 8,345,280 PT Boehringer PT Anugerah Pharmindo Lestari https://e-katalog.lkpp.go.id/katalog/produk/detail/1294443?lang=id&type=province&location_id=12
5 Ceftriaxone 1 gram Vial 2,745 3,500 9,607,500 PT Hexpharm Jaya PT Enseval Putera M https://e-katalog.lkpp.go.id/katalog/produk/detail/1479126?lang=id&type=province&location_id=12
6 Ciprofloxacin infus botol 7,348 800 5,878,400 PT Dexa Medica PT Anugrah Argon Medica https:e-katalog.lkpp.go.id/katalog/produl/detail/1477416?lang=id&type=province&location_id=12
7 Meprovent Nebu 3,635 1,000 3,635,005 PT Meprofarm PT Kimia Farma Trading & Distribution https://e-katalog.lkpp.go.id/katalog/produk/detail/1487630?lang=id&type=province&location_id=12
8 Gentamisin Inj Ampul 3,355 500 1,677,500 PT Indofarma PT Indofarma Global Medika https://e-katalog.lkpp.go.id/katalog/produk/detail/1360976?lang=id&type=province&location_id=12
9 Heparin 5000 IU Vial 46,635 1,000 46,635,000 PT Pratapa Nirmala PT Parit Padang Global https://e-katalog.lkpp.go.id/katalog/produk/detail/1299173?lang=id&type=province&location_id=12
10 Levofloxacin Infus 500 mg Vial 8,247 200 1,649,400 PT Dexa Medica PT Anugrah Argon Medica https://e-katalog.lkpp.go.id/katalog/produk/detail/1478533?lang=id&type=province&location_id=12
11 Lovenox 60 mg/0,6 ml syringes syringe 125,325 600 75,195,000 PT Aventis Pharma PT Anugerah Pharmindo Lestari https://e-katalog.lkpp.go.id/katalog/produk/detail/1287302?lang=id&type=province&location_id=12
12 Meropenem inj Vial 27,435 2,000 54,870,000 PT Hexpharm Jaya PT Enseval Putera M https://e-katalog.lkpp.go.id/katalog/produk/detail/1479442?lang=id&type=province&location_id=12
13 Omeprazole 40 mg Inj Vial 5,093 700 3,565,100 PT Phapros PT Kimia Farma Trading & Distribution https://e-katalog.lkpp.go.id/katalog/produk/detail/1480614?lang=id&type=province&location_id=12
14 Ondansetron Inj 4 mg/2 ml Ampul 873 7,500 6,547,500 PT Dexa Medica PT Anugrah Argon Medica https://e-katalog.lkpp.go.id/katalog/produk/detail/1479044?lang=id&type=province&location_id=12
15 Symbicort Rapihaler 160/4,5 (120 dosis) tabung 150,704 50 7,535,200 PT AstraZeneca PT Anugerah Pharmindo Lestari https://e-katalog.lkpp.go.id/katalog/produk/detail/1302497?lang=id&type=province&location_id=12
16 Ambroxol tablet Tablet 167 10,000 1,672,000
17 Becom C Tablet 1,733 14,000 24,262,000
18 Favipiravir 200 Tablet 18,260 5,000 91,300,000
19 Intunal Forte Tablet tablet 792 3,000 2,376,000
20 Oseltamivir Tablet 8,943 3,000 26,829,000
21 Remdesivir Ampul 314,400 150 47,160,000
22 Vitamin D 1000 IU Ampul 1,700 3,000 5,100,000

TOTAL 499,953,485

Bandung Barat, 23 Juni 2021

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN BHP FARMASI COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Kebutuhan
Kebutuhan
No. Nama Satuan Harga sampai Nominal
per bulan
desember
1 Masker N95 pcs 14,760 700 4,900 72,324,000
2 Sarung tangan non steril ukuran S box 131,400 33 231 30,353,400
3 Sarung tangan non steril ukuran M box 131,400 100 700 91,980,000
4 Sarung tangan non steril ukuran L box 131,400 36 252 33,112,800
5 Masker Bedah box 38,500 160 1,120 43,120,000
6 Alkohol Swab box 12,000 40 280 3,360,000
7 Aniosyme DLT Plus, 5 Ltr galon 669,000 2 14 9,366,000
8 Gown disposible pcs 25,025 50 350 8,758,750
9 Sarung tangan steril no.7,5 pasang 6,600 400 2,800 18,480,000
10 Sarung tangan steril no.7 pasang 6,600 800 5,600 36,960,000
11 Sarung tangan steril no.6,5 pasang 6,600 300 2,100 13,860,000
12 Shoes Cover pasang 5,500 1200 8,400 46,200,000
13 Surgical drape universal set set 448,800 2 14 6,283,200
14 Head cap pcs 358 2000 14,000 5,012,000
15 Apron pcs 3,003 500 3,500 10,510,500
16 Coverall pcs 110,000 50 350 38,500,000
17 NRM dewasa pcs 24,640 70 490 12,073,600
18 NRM anak pcs 24,640 5 35 862,400
19 NRM bayi pcs 24,640 3 21 517,440
20 Nasal canul dewasa pcs 6,600 100 700 4,620,000
21 Nasal canul anak pcs 6,930 4 28 194,040
22 Nasal canul bayi pcs 6,930 15 105 727,650
23 Masker nebulizer dewasa pcs 20,020 26 182 3,643,640
24 Infus set dewasa pcs 3,067 400 2,800 8,587,600
25 Infus set anak pcs 3,067 50 350 1,073,450
26 IV catheter with port no.20 pcs 3,460 400 2,800 9,688,000
27 IV catheter with port no.22 pcs 3,460 50 350 1,211,000
28 IV catheter with port no.24 pcs 3,460 10 70 242,200
29 Spuit 1 cc pcs 880 800 5,600 4,928,000
30 Spuit 3 cc pcs 888 3000 21,000 18,648,000
31 Spuit 5 cc pcs 984 2500 17,500 17,220,000
32 Spuit 10 cc pcs 1,595 2500 17,500 27,912,500
33 Blood/tranfusion set pcs 3,933 70 490 1,927,170
34 Three way stopcock pcs 2,145 20 140 300,300
35 H2O2 3% 100 ml botol 3,360 100 700 2,352,000
36 Aquabidest 1 L botol 14,520 30 210 3,049,200
37 Kasa box steril 16 x 16 box 6,050 100 700 4,235,000
38 Fuji Film CR 26 x 36 Box 4,752,000 2 14 66,528,000
39 Fuji Film CR 20 X 25 Box 3,899,500 2 14 54,593,000
TOTAL 713,314,840

Bandung Barat, 23 Juni 2021

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 PENGAJUAN KEBUTUHAN LABORATORIUM RSUD CILILIN UNTUK PEMERIKSAAN COVID
Reagen Dan BHP Bulan Juli - Desember 2021

No Nama Produk MERK Kemasan Kebutuhan Harga+PPN Total Harga

1 Diluent MINDRAY 20 liter 12 2,151,600 25,819,200
2 Rinse MINDRAY 21 liter 6 2,151,600 12,909,600
3 Lyse MINDRAY 500ml 8 2,838,000 22,704,000
4 Probe Cleanser MINDRAY 17 ml 2 118,800 237,600
5 EZ-Cleanser MINDRAY 100 ml 2 1,034,550 2,069,100
6 Control Hematologi MINDRAY 5 ml 3 825,000 2,475,000
7 Rapid Antigen Rosche Buah 6000 50,000 300,000,000
8 VTM+Flocked Swab buah 2100 40,000 84,000,000
9 Parafilm Roll 3 495,000 1,485,000
10 Thermal Papper 50 mm Roll 30 27,500 825,000
11 Disposible Syringe 3ml* JMI 100 buah 60 85,800 5,148,000
12 Tabung EDTA 3 ml Vaculab box 60 80,850 4,851,000
13 Tabung Merah 3 ml Vaculab box 60 89,100 5,346,000
14 Alkohol swab Onemed box 60 12,100 726,000
15 Plesterin Onemed box 60 35,200 2,112,000
16 Pot Sputum Onemed Buah 300 3,025 907,500
17 Plastik Wraping 45cmx30m 10 31,460 314,600
18 Stiker Label Pak 15 3,300 49,500
19 Cool Box 8 L Onemed Buah 2 1,000,000 2,000,000
Total 473,979,100

Cililin, 24 Juni 2021

Mengetahui, Bendahara Barang
Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN APD COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Keb sampai
No Nama Barang Satuan Harga Desember Total

1 Gaun reuse Pcs 125,000 300 37,500,000

2 Masker bedah Pcs 770 11,400 8,778,000
3 Masker N95 Pcs 14,760 2,460 36,309,600
4 Cover shoes Pasang 10,120 840 8,500,800
5 Nurse cup Pcs 358 2,100 751,800
6 Handscoon non steril S, M, L Pasang 2,628 1,500 3,942,000
7 Handscoon steril no. 7 Pasang 4,862 1,800 8,751,600
8 Handscoon obgyn Pasang 25,000 1,500 37,500,000

Total 142,033,800

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN BHP KEBERSIHAN COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

No Nama Barang Satuan Harga Keb sampai Total

Desember
1 Trashbag hitam sedang Pak 24,000 180 4,320,000
2 Trashbag kuning besar Pak 46,500 150 6,975,000
3 Handsanitizer 500ml Botol 30,000 900 27,000,000
4 Handwash 500ml Botol 30,000 771 23,130,000
5 Tissue Pcs 15,000 720 10,800,000
6 Desinfektan 500ml Botol 87,120 120 10,454,400
7 Wipol Botol 20,400 300 6,120,000
8 Loby duster Pcs 80,000 60 4,800,000
9 Lap pel Pcs 106,591 60 6,395,460
10 Pengki Pcs 28,000 60 1,680,000
11 Sikat toilet Pcs 48,000 60 2,880,000
12 Tong sampah injak 50 L Pcs 200,000 60 12,000,000
13 Mop set merah Pcs 80,000 1 80,000
14 Mop set biru Pcs 80,000 1 80,000
15 Double bucket Pcs 632,500 1 632,500
16 Nylon brom Pcs 25,000 1 25,000
17 Kanebo Pcs 15,000 5 75,000
18 Floor cleaner 5 L Jerigen 62,700 5 313,500
19 Karbol sereh 5 L Jerigen 38,500 5 192,500
20 Pengharum ruangan Kaleng 20,000 18 360,000
21 Gantungan Baju Pcs 38,500 2 77,000
22 Gayung Pcs 11,000 2 22,000
23 Ember Pcs 15,000 2 30,000
24 Ember 80 L Pcs 71,500 2 143,000
25 Sabun mandi 100ml Botol 11,000 100 1,100,000

Total 119,685,360

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN BHP NON MEDIS COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Keb sampai
No Nama Barang Satuan Harga Total
Desember
1 Tempat Makan Disposable Buah 2,000 18,000 36,000,000
2 Sendok Makan Plastik Buah 500 18,000 9,000,000
3 Garpu Plastik Buah 500 18,000 9,000,000
4 Gelas Disposable Renceng 15,000 180 2,700,000
5 Sprei Pcs 125,000 40 5,000,000
6 Sarung Bantal Pcs 25,000 40 1,000,000
7 Selimut Pcs 150,000 40 6,000,000
8 Bantal Pcs 89,000 40 3,560,000
9 Perlak Pcs 105,000 40 4,200,000
10 Laken Pcs 105,000 40 4,200,000
11 Baju OK S Pcs 137,500 10 1,375,000
12 Baju OK M Pcs 137,500 10 1,375,000
13 Baju OK L Pcs 137,500 10 1,375,000
14 Baju OK XL Pcs 137,500 10 1,375,000
15 Waslap Pcs 10,000 40 400,000
16 Handuk Pcs 25,000 40 1,000,000
17 Pispot laki-laki Pcs 22,000 5 110,000
18 Pispot perempuan Pcs 31,000 5 155,000

Total 87,825,000

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN ALKES COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Keb sampai
No Nama Barang Satuan Harga Desember Total

1 Oksigen central Unit 75,000,000 1 75,000,000

2 Oksigen tabung Unit 1,760,000 25 44,000,000
3 Regulator tabung oksigen Pcs 330,000 30 9,900,000
4 Oksigen Tabung Mobile unit 1,905,000 30 57,150,000
5 Intubasi set unit 5,553,900 1 5,553,900
6 Ambubag dewasa unit 4,960,000 3 14,880,000
7 Ambubag anak unit 4,960,000 3 14,880,000
8 Papan RJP unit 1,386,000 1 1,386,000
9 Hepafilter unit 150,000,000 3 450,000,000
10 Air Purifire unit 1,637,900 8 13,103,200
11 Infus pump unit 11,000,000 2 22,000,000
12 Mesin EKG unit 10,745,900 1 10,745,900
13 Alat pemeriksaan gula darah stick unit 385,660 1 385,660
14 Thermogun unit 176,000 6 1,056,000
15 Bedside cabinet unit 4,290,000 7 30,030,000
16 Bedside monitor unit 23,650,000 2 47,300,000
17 Matrass unit 1,500,000 20 30,000,000
18 Trolley tindakan unit 1,705,000 5 8,525,000
19 Nebulizer unit 1,200,000 2 2,400,000
20 HFNC unit 120,000,000 10 1,200,000,000
21 Ventilator unit 892,105,700 2 1,784,211,400

Total 3,822,507,060

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN MEBEULAIR COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Keb sampai
No Nama Barang Satuan Harga Desember Total

1 Meja Nurse Station unit 8,915,907 1 8,915,907

2 Kursi staff unit 330,000 5 1,650,000
3 Kursi tunggu unit 1,353,000 1 1,353,000
4 Loker perawat 12 pintu unit 2,750,000 1 2,750,000
5 Meja staff unit 2,200,000 2 4,400,000
6 Lemari APD unit 5,000,000 2 10,000,000

Total 29,068,907

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN LAIN-LAIN COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Keb sampai
No Nama Barang Satuan Harga Desember Total

1 Paket CCTV paket 26,000,000 1 26,000,000

2 PC unit unit 7,700,000 1 7,700,000
3 Printer buah 2,750,000 1 2,750,000
4 Router Wifi buah 500,000 1 500,000
5 Pesawat telepon buah 200,000 1 200,000
6 Water heater buah 1,320,000 1 1,320,000
7 Nurse call buah 360,000 1 360,000
8 Bell pasien buah 385,000 30 11,550,000
9 Penutup pintu otomatis buah 159,500 25 3,987,500
10 Set peti mati set 1,800,000 50 90,000,000

Total 144,367,500

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001
 RENCANA KEBUTUHAN GAS MEDIS COVID
RSUD CILILIN
SAMPAI DESEMBER 2021

Keb sampai
No Nama Barang Satuan Harga Total
Desember
1 Tabung 6 m3 71,500 28,000 2,002,000,000
2 Tabung 1 m3 33,000 300 9,900,000
3 VGL 1,644,500 360 592,020,000

Total 2,603,920,000

Mengetahui, Bendahara Barang

Plt. Direktur RSUD Cililin RSUD Cililin

dr. Evi Apriana Yulita Kartika Sari, S.KM

NIP. 197004182002122004 NIP. 199107072019032001