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2.รายงานคงคลังเวชภัณฑ์มิใช่ยา และวัสดุทั่
2.รายงานคงคลังเวชภัณฑ์มิใช่ยา และวัสดุทั่
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2 n:rnruf,riraq:tro'acr:rttli (uttrasound !'lu 31 550.00 17,050 00 300 550 165,000 212 550 116,600 119 550 65,450
Thermat Paper )
2.244
3 fl :!fi'rBfrurnBofliriiuttli"mlsat!u'l !unrnu ll'')l.l I 60.00 480.00 40 60 2.440 10 60 500 38 60
5 n:vnruf,rriaan:lrnddrir!rrtrrhf, uor tioil tll 119 1,106.00 131,614.00 300 1,106 331,800 340 i,106 376,440 79 1,106 81,374
\ 2,010 t3 30 390
r n:rnrufiuriuan:rltlog (SEirometer Paper) u'lu 40 30.00 1,200.00 40 30 1,244 67 3A
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n5!!Sn0quTrFtannUa0nl!0 a^vltlxB'1v11 1u1o na0.l 141 310.30 c3,75234 1,800 310 558,540 t,67t 310 518,511 2t'0 310 83,781
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ntvuonioultela-nrjnoo$onoor')lllrlo llu10
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i ndo.t 101 210.00 21,210.00 600 214 126,000 691 214 145,11C 10 210 2,100
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uaootd0 111'lo I0 llEaa9l': na0.i 154 18r.90 28,012.64 8,000 r82 1,455,200 8,154 182 1,483,213 182
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J raaan: nao.! 107.00 9,000 t07 963,000 9,000 107 963,000 107
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t2 n:cuon6ourriarafrnUa0n!ts tulo 5 !aAen: dr 511 181.90 92,950.so 7,OOO r82 r,273,300 7.487 182 1,361,885 24 1a2 4,365
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50 }]aEarl: ndor 45 249.31 11,218.95 6,335 249 1,s19,379 6,371 249 1,589,850 3 249 748
I -- .
14 o:vuondflu1rnlain Eoo,io !lr1tii! lu1o 1 naa.! 2rt.86 9,300 2r2 t,970,298 9,261 212 1962,035 39 2r2 8,263
l5 I -- .
n:vuondoarnnrainUF8rlio !li1!trl !l]lr 50 tigl tu 3 235.40 746.20 180 235 42,312 141 235 33,191 42 235 9,887
t7 r':nn'rnT udluuurilavoo{oir (Nebutizer) .(o 33 600.00 19,800.00 188 600 112,800 221 600 t32,640 600
re rrnfrlfioonimu turnr:rll 325 la6en: (Resplflo t1q - 112.35 40c tt2 44,940 356 112 39,997 44 tt2 q,943
tg rnoirlfioontrur urler!::l 500 ia6an: (Respiflo 110 115 99.51 11,447.65 100 91 100 9,055 24 100
Three-way StopcoclG)
lnhater Connector)
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2q iodosrurldt:-vilum nur, 22 x18 laeuil ol.r 94 35.00 3,290.00 2@ 15 7,000 212 35 -7,420 82 35 2,870
2z rdl]Nrchflllua-.! tu,'l 18 G x 3.5 i? (spinat nrio.r 9 963.00 8,667.00 10 963 9,634 3 963 2,AA9 16 961 15,408
28 rd,lNrchf,.llra-.! 'du1n 20 G x 3.5 il(spinaL naBt 9 909.50 8,185.50 10 914 9,095 7 910 6,367 t2 910 10,914
zq rd:Itrvl.oflundl tuln 22 G x 3.5 dl(spinat ndo.r 14 909.50 12,733.00 80 910 72,764 83 910 75,q9 11 910 10,005
:o r6usr:1.oiurft tur 23 G x 3.5 i? (spinat nao! 12 950.00 11,400.00 950 3 950 2,850 9 950 8,550
It rdrrm;l'onuuaj.! unn 25 G x 3.5 dl (spinat nrior l1 963.00 10,593.00 10 963 9,630 11 963 10,593 10 963 9,630
3z r{lNrvltflwft '4u1, 27 G x 3.5 dl (spinal na0.l 5 1,605.00 8,025.00 80 1,605 128,400 85 1,605 136,425 1,605
el rildaurlaoodo 18Gx1 1/2 (Hypodermic Needte ndo.r 1,000 44.94 44,940.00 11,000 45 494,340 12,000 45 539,280 45
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as rdr6nurrJaoorrdo ztcxt 1/2 (Hypodermic Needle naio.t 370 44.94 16,627.80 8,ooo 45 359,520 1,322 45 329,051 1,048 45 47,491
r ri!6aatlaonrdo zqcx 1(Hypodermic Needle n60! 617 44.94 27,727.98 4,000 45 179,760 4,199 45 188,703 418 45 18,785
24Gx1 in.hes)
ap tdrin0rrlaorrtdo zqcxl 1/2 (Hypodermic Need(e na8't 457 44.94 20,537.58 1,700 45 76398 2.157 45 96.936 45
25Gx1 inches)
qt rdllanurlasqrdo zzcx 1 (Hypodermic Needle naD.t 46.01 1,t27 46 51,853 1,107 46 50,933 2A 46 924
42 rdl]attirl8oordo 27Gx 1/2 (Hypodermic Needte na0.t 154 M.94 6920.76 321 45 t4,426 357 45 t6,044 118 45 5,303
276x1l2 inches)
qr rdrJtnido ruoi zorll2 i: (sca(p vein No.2ox1l2 tu 111 5.50 610.50 5.5 i0 6 55 r01 6 556
lnches)
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1]l./ouflv]u11u1qnflllflu t!u'tu'ta?t'ttYlt'tll'ttufl 't illtfi u raruraitrdvrdrlrqnr: udtn:drlrqnr: tnltun l't!n't:t{![la!uQ!ullJrl.l'11.1
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qq riutnEdo ruoi zrxll2 d1(scatp vein No.21x1l2 i! 8oo 5.50 4,400.00 5.5 700 6 3,850 100 6 550
inches)
qs ril nirdo ruo{ zaxll2 dl (scatp vein No.23x1l2 t't, 630 5.50 3,465.00 r,ooo 6 5,500 734 4,015 900 6 4,950
inches)
qa r{lJonfir{o Noi 27r1l2 dl (scatp vein No.27x1l2 dr,l 3,4,00 5.50 l8,7oo.0o 3,000 6 16,500 3,560 6 19,580 2,840 6 t5,620
inches)
qz r{rdluaa turn 10 (surgicaL Needles size 10) lna 26 450.00 11,700.00 450 1 450 450 25 450 11,250
48 tdutEuula n1' 12 (Surgical Needles Size 12) Iua 4A 450.00 19,800.00 450 8 450 3,600 36 450 16,200
q9 tiut6uuls !11ro 14 (Surgical Needtes Size 14) Iua 450.00 380 450 171,000 326 450 146,700 54 450 24,300
16 (surgicat Needtes Size 16) Ina 450 171,000 351 450 157,950 29 450 13,050
5o rilJdrJgm'duro 450.00 380
st tirr6uum tuu 18 Gurgicat Needtes Size 18) Ina 450.00 400 450 180,000 154 450 159,300 46 450 20,700
450
52 rirdtufla urr 20 (Surgicat Need(es Size 20) Iua 46 450.00 20,700.00 450 13 450 5,850 33 14,850
450
54 ri!16!u&s !!1i 22 (Surgicat Needtes Size 22) Ira 22 450.00 9,900.00 50 450 22,500 48 450 21,600 24 10,E00
56 rildrurn tura 8 (Surgicat Needle5 Size 8) Ln 36 450.00 16,200.00 450 1 450 450 15 450 15,750
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rirurlr rpvtnjru tlulu n'lu.lu {uniti?u Iulu rirurr,r rprAnhu lqu drlru lvrtnjru IutP
58 r{dfilr:nvara wrn 18 Gxl.1/4 i? (htravenous na0.r 453 60 160 454 12,576 't46 454 66,226 t4 454 6,350
sg r{ rftr:avnru tlro 20 Gx1.1/4 i'1 (lntravenous nrio.r 45 45r.54 20,319.30 1,200 452 541,848 951 452 432,t24 288 452 130,044
60 ri fiar:auaru tlro 22 6x1 dl (lntravenous nrior 340 45r.54 153,523.60 2,6a0 452 1,174,004 2,660 452 1,201,096 280 452 126,431
ot ri!1fi6r:ncara rn 24 Gx3l4 d? (lntravenous ndor 269 451.54 121,464.26 1,320 452 596,033 1,409 452 616,220 180 452 81,277
oz nllronrlirlrdrdtrirOdnlrt:anmr:urud (rrc va00 l0 100.00 1,000.00 60 r00 6,000 63 100 6,300 7 100 700
Cream)
at ai:uri'faqtfiuqoor:vrnirfior wm z osui 10 278.20 2.782.00 t2a 218 333A4 ll0 274 30,602 n 278 5.564
20 2,500
o7 rsandodn.linrraoa llr1t 50 ni! {LJoricat'nq Gel 100 20.00 2,000.00 2,400 2a 4E,000 20 47,500
'r800
600 6 600 3,600
oa rrawiodlrhdudnr:trti urn 5 6r: lnaa0l 18 600.00 10,800.00 81 600 48,600 93 55,800
70 vN';iruutn:vlntrdlxildn(5kin
uT
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lal?orra1 -.
u:lrfiln
Traction Kits 1o
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60
norit
t92.60 11,556.00
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lr't.tEultnu mulrm:alJ
193
rt 10
lrlftun Srihird
193 1926 50
lv
urrammirn 11n:
193 9,630
71 ltii;rull?nr!8n'dldltdu{txru (shn T'actio'l Kits 10 120 224.70 26964.00 200 225 44.940 288 225 64,714 32 225 7.190
Adutt)
lz set)
pfl'ruarJaoardo {Sterite oressing ln 1,800 8.50 15,300.00 2r,0q 9 178,840 20,829 9 t77,U7 2,011
..,
1?,094
73 r{tf'ur8l fiUrl (Sterite C,APO Dressing Set) tio 10,500 6.50 68,50.00 23,000 7 149,500 33,()0 7 217,100 r00 T 654
zo plfio1tr,:uuuin:utltvu, (EnteraL Feeding 8ag In 180.00 2,880.00 194 180 34,9N 210 180 3?,800 180
z5 lairsvoowrdulu!;n (Nebu(izer set for chi(d) 10 515 35.00 18,025.00 1,645 35 57,575 1,870 35 65,450 290 35 10,150
z6 lnduavoorardrlfliflur! (Nebutizer set for Adu(t) 10 2,204 35.00 77,000.00 8,351 35 292,285 7,731 270,585 2,820 98,700
80 .{ri1uu1.iiitflrxc:;uuin ulli 14 French (ctosed 10 2r8.75 a,2.1 219 r,7983M 6,721 219 r,470,219 1,500 219 328,125 _
81 lnnru:vvrodldnra-l:!!!$uru1n'ttl'dlJltt2oo'{o 20a 90.00 18,000.00 750 90 6?,500 765 90 68.850 185 9A 16,650
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uonunul fluml:u l't0n1t!'lu 00nF!t no
nltu llui!l0gi
luAniru frrqu
!t!.1'tu
oirulr rp.r.rniru fir1u druru luztnjru lury druru o'ruru luAniru lulu
83 llaru:urrud.:a-nr6r:!utr(tljqJlnin !!m 600 10 2A0 110.00 22,a00.00 1,000 110 110,000 980 110 107,800 220 110 2q,2aa
as ptittr:avaru duil#o.r1ftrr:Jriuuroitrlr Io 3,220 74.90 241,178.00 31,505 75 2,359,725 34,645 15 2,594,911 80 15 5,992
ao pliar:nvaro drllunioifisr:Jriuutniriua qo 1,534 70.00 107,380.00 4,328 70 3A2,960 5,772 7A 404,040 90 70 6,300
(lntravenous set for AduLt) 2,A76 7.20 20,707.20 252,362 7 1,817,006 7 1,818,094 2,725 7 t9,620
ae 1ntfo{rrn6o druiu{lvqi 1o
gz romubJr uurourutrr tura 4 i': , loo urr x?tl 21 430.00 9,030.00 2A a3a 8,600 10 430 4,300 31 430 13,330
gl lororbrl uwtarudr! !u1i 6 fi x loo ulr: u2u 7 660.00 4,620.00 10 660 6,600 9 664 5,940 I 660 5,284
gq mroubfr uwtrruirr ula I dt , too urr riru 11 84O.OO 9,240.00 840 5 840 4,244 6 840 5,040
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lv'
ularti:f,la trp't
ulato-unr rJ:rfilfi u1.ta't1a1u
go to.rorbrir uuvrlt! !!li 2 dlx 2oo urm riru 32 278.2A 8,902.40 20 278 5,564 42 218 11,684 10 218 2.182
qz mroulorlr uuurluri tult 3 d? x 2oo utr: ri:u 26 4173A 10,849.80 50 417 2a,865 65 417 21,125 tt 417 4,590
gg to$ulorllr suurlt u $tro q ir , 2oo ur: ri'lu t7 535.00 9,095.00 90 535 48,150 67 515 35,845 40 535 21,440
gg roroubir uuutluu turo 6 dr r 2oo un: riru 7 791.80 5,542.60 50 792 39,590 44 792 34,839 13 792 10,293
too rouulolrlr uutriu! !u1t 8 dl x 2oo uri: ti':u 12 1,175.00 14,100.00 20 1,t75 23,500 20 1,175 23,500 12 1,115 14,100
101 to'rouufir tuu 10 dl x loo ui: fiyvek Pouch irl 13 3,315.00 43,095.00 80 3,315 265,204 93 3,315 308,295 3,315
to2 rorotufis unrr 12 il x 1oo ui: Cryvek Pouch li'lu 9 3,841.00 34,569.00 60 3,841 230,460 69 3,841 265,O29 3,841
to3 torouufia tur; 1q il x too ur: fivvek Pouch fru 20 5,176.20 103,524.00 80 5,176 414,096 100 5,t76 511,620 5,176
104 rsrouulla trra 3 dr x 1oo ui: Cryvek Pouch 3 ri?tt 64 931.00 59,584.00 40 931 37,240 104 931 96,424 931
6 (T) .'./
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lrlarrn:fira
ur.rarr6'uqr J:ttirfi r]']16U1',:flU X1n:
rfunuriudirurqn:n'utu rurrral.lrindrurgnr:f, utu YrU1U1a1!',tllrtllr'lQnr udtn:{rurqnr: tril,}ltn ! 1u n1l I lu [aJ! ql!UIu, 111l
105 torolufia turqr a ir x 100 un: fiyvek Pouch 4 rir! 33 1,136.00 37,488.00 80 1,136 90,880 t13 1,136 128,364 1,136
toe mrouufia turn 6 dl x 1oo utn: firvek Pouch 6 rirl 13 2,325.0a 30,225.04 12A 2325 219,0AA 126 2,325 292,950 1 2,325 16,215
toz .uorotun'a tlrn 8 dr x 1oo utr: (Tyvek Pouch 8 fT! 24 2,638.Aa 63.312.00 60 2,638 t58 2AA 84 2,638 22t,592 2,638
toa na"utlFrvcrilq:rs !u'to 10 nix (sputum 6'tr 5,840 2.00 11,680.00 29,t87 2 58,374 26,895 2 53,79A 8,132 2 16,264
Container 10 G)
tos d'rdrvrr.lriorirurtit luDi L (Endotracheat rube rdu 40 180.00 7,200.00 BO 180 14,400 112 180 20,160 8 180 |,444
tto r"ldrnr$iotruw,uln tuo{ M (E4oot'acheat Tube dl 25 180.00 4,500.00 l2a 180 21,640 12 180 t2,96A 73 180 13,140
ttt n'ri',r,rrrioiruurula lt.loi s (Endotlacheal -Jbe riu 180.00 40 180 1,204 25 180 4,500 15 180 2,744
t,250
trz irt rfir rufidranr:or-,ir1or.iriou rartocta,e rape) li'tlr 34 250.00 8,500.00 1,100 250 275,440 1,129 250 282,250 254
q97
115 (irumrin uuun8'rain (PGstc
-abtet cup) 1u 138 2.16 298.08 364 2 778 23A 2 268 2 579
lt
a
116 o'irialainfinoiin! lttrnolrl\ 3.2 Anl (Danger 293 53.50 15,675.50 3,314 54 177,299 3,190 170,665 417 54 22,3r0
tte q$iordnun::ri lriiur).r ruo{ 6 (steriLe 6tove 2 695.@ 1,390.00 7n 695 507,350 732 695 548,740 695
rzo q.rior{aun::r lrjiurl{ ruo{ 7 (sterite G(ove 1,600.00 3,450 1,600 5,520,000 3,408 1,600 5,452,800 42 1,600 67,200
tzt q.riorlnun::r tiiutr llJo{ 7.5 (sterite 6tove 685.00 700 685 479,500 591 685 408.945 103 685 70,555
tz q$ofaan::! lriiuit tu05 8 (Sterite GLove d 11 75o.oo 8,2so.oo 110 750 82,500 107 754 E0,50 14 750 10,500
tza qdon:m1:;ri"tU nEi M (Non-sterite ndor 1,619 84.50 138,495.50 20,620 r,74239a 22,259 85 1,880,886 85
rzq orion:rol:avoru ru0i 5 (Non-sterlte Examnation ndo'l 594 84.50 50,193.00 30,460 85 2,5't3,870 31,054 2,620,063 85
Gtove Size s)
tzo qdorir ronr#Tl ruo{ u 7,650 7.60 58,140.00 275N 8 209,000 29,150 8 22tjq 6,000 8 45,600
127
!i!
Q$ronrtinnl:r?tu tuo: ) 5,650 7.60 42,940.t$ 21,500 8 163,400 25,674 8 195,092 1,480 I tt,2q
475 475
tza qlfioluln: ttoi L t!'loul') 9 i1 (Non-Sterite 475.00 118 475 56,050 118 56,050
0'r 0 {, lL"
urratdrnr rJ:v6u6 lrratarufr a:mit l,/116u1:ru rflulrtn:6! ur$tu irBhir.r{ urrarTi:ira trv:
rTununrd{ruqn:f,utt rurvrahdndrurqnr:ri'uu nuTJl6?.dtnnMr!n1: md.un:r'trq;nr: rllrllnrlun1:Nl.rua!ututuout.!1.1
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uDi0nul l'lufl1llu :1UNTl1U u0i6Lllrno
trtltlu
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druru qrA.niru 6u1u l'ruru luzrnirtr rlulu riruru 1u/nri'lu t tP druru vluAnjru durlu
tzt qrioluh: ruoi l,,t urnurr e il(Non-SteriLe naio't 52 475.00 24.700.00 303 475 143,925 352 475 16?,200 3 475 |,425
t:o qrlohbr uoi S rr]Trul2 9 d? (Non-Stelite nriot 220 300.00 66,000.00 300 10E 300 12,400 tt2 )u) 33,600
ttt qrur$i'llrrrioaru sarrr drnfufrru utra 29 0'u 170 70.00 11,900.00 75a 70 52,500 774 7A 53,900 150 70 10,500
tle qrar$filaudoaruissrrz duluftru wra 12 d',t 510 70.00 35.700.00 700 70 49,000 1,110 70 77,7oA 100 10 7,000
t33 quorltiaat:dufu6n (urine 8ag for child) o-tt 850 4.50 3,825.00 1,800 5 8,100 2,050 5 9,225 600 5 2,740
t34 qrorluiaalvdrrfiJtlxd (urine 8ag for Adut0 o'tr |,790 12.50 22,375.00 21,600 t3 295,000 21,975 r1 274.688 3,415 13 42,648
rto quorfuiasturirriofiirlriisllu(urostomvaag) du 720 107.00 77,040.00 500 107 53,500 324 107 34,2N 900 107 96,300
t38ql:orir4om:vnlnirfiol(cotostomyBag) ndo! 293 320.00 93,760.00 840 320 268,800 1,005 324 321,600 128 320 40,960
r3gquoifiiq!!']:lltioui.luiurlu:0r(ostom, ndor 80 1,300.00 104,000.00 524 1,300 676,000 500 1.300 650,000 100 1,300 130,000
roo qr:oriuqnm:vr]riooi'ddliintlut}tnr',,sorso naior 10 550.00 5,500.00 24 550 13,200 34 550 18,700 550
a!' -----4./auti.a
& fi,
urarro-unr rJ:v6ri urstarah !1!6U1:nU LnUitmlau lrdtun Entltf,rw{ u.rarrn:f,m g1n:
r{un unnddrlrrgnrfiutu naruraltrindrrrqnr:fi utu Irulu'lali1ntt, !1Qn'r: udtn:drlrrynr: rtrntinrunr:ttruunvrlrgirJ!uh.nu
142 tio,ri?un1u10[i0!nt!rtlt ruoi 2 (Endolracheal laU 150 rr230 16,845.00 tt2 tt2 150 112 t6,845
tq4 risirufiruh iou:!!rl1! tuoi 3 ( Endotracheat lal.l 19 112.35 2.134.65 160 112 17,976 '!52 1t2 1?,077 27 tl2 3,433
145 ti8iluxrulsriiDrn:vrlrc woi 3.5 I Endotrachea( riu 45 rr2.35 5,055.75 180 tt2 20,221 118 1t2 t3,257 107 112 12,421
tqo riotht rmuhilou:cN1! nJoi 4 (Endot6cheaL 16ll 18 40.00 720.00 60 40 2,400 46 40 1,840 32 40 1,280
148 yiDrhuralulgniollnl.dl! NDi 5 ( Endotracheat KU 177 112.35 19,885.95 r12 51 tt2 5,730 126 112 14,156
149 risfiumularrisltn:url1! rwf 5.5 ( Endotracheat lal.l 30 40.00 1,200.00 65 40 2,600 70 40 2,800 25 40 1,000
150 ri0i!0r,nu1$ri0rnr!lrlrc tuoi 6 ( Endotracheat la! 149 48.15 7,174.35 100 48 4,815 165 48 7,945 84 48 4,A45
t5r iorirumuloniounilr{t No{ 6.5 ( Endotracheat r.{r 265 40.00 10.600.00 200 t!0 8.000 40 10,480 203 40 8,120
tsz riotruurular{ortn:vnjlr tlDi 7 ( E'rdot'acl'ea. du t,142 48.15 64,6\7.3A 6,000 48 288,900 4,985 48 24A,028 2,357 4A 113,490
2.5 (e €ndotracheat liu 78 48.15 36,016.2A 5,200 48 250,380 5,898 64 283,989 50 48 2,448
tsg riorirorrtilonislnrvulrv tuoi
Tube Normat with Cuff No.7.5)
luai 8 (e Endotracheal. teu 26A 48.15 t2.9042A 2,000 4u 96,300 1,911 48 92,At5 357 48 17,190
154 viorhuwrulsriottn:stth!
Tube Normai with Cuff No.8)
26,520 193 85 16,405
t55 riot'lrll8lu (oispos.bLe SativaEjectors) q'! 85.00 4,675.00 450 85 8,250 312
l4 |,596 l4
156 riolionNriurlrul$xliUln !uo{ o (60 !n6un:) du 24 14.00 336.00 90 14 1,264 114
15? rior0in1$fiuxluhnNum rlloi 2 (80 iseuri:) du 46 17.00 782.OO 2,450 17 41,650 2,346 17 39,882 150 17
158 rioNonNrfi! t1nr1.!!1n ruoi 3 (90 ia6uri) o'n 3 17.00 51.00 5,300 17 90,100 5,299 17 90,083 4 t7 68
riErinnllriuxluhnNlm $oi 4 (1oo !naui:) s'u 2 17.00 34.00 700 17 11,900 544 t7 9,248 158 11 2,686
159
(Oropharyngeat Airway No.4 ,100 mm.)
160 visNnrl.lriwlulanr.!!1n tuoi 5 (110 !n6ur:) o'u 160 17.00 2,720.00 150 17 2,554 264 17 4,420 50 17 850
161 ri0:!u'rur:'1.!on nlt;fllEordo tult 24 French Io 50 120.00 6,000.00 100 t2a 12,000 50 124 6,000 100 120 12,000
162 tio:vulunironnmsinlag;tdo 'aurr 28 Frencr' '(o 80 120.00 9,600.00 140 120 16,800 193 124 23,t60 27 r20 3,240
/r,,11
=--4/ d, ,'/
triltirt{
lrll-
urrarrvr:f,la nrln:
uralo-unr rJ::t61f, urgmaralo aurit u1t[u1:n! mu:tLn:6u uu-.aun
to: riu:rr'rt r:r.rgnnarainlnortdo 'oura 32 rrencrr 1o 90 120.00 10,800.00 244 t2a 28,800 210 120 25,2@ 120 120 14,400
tra vio:vurur:Iontalsinlnofid0'dtlltt 36 French !fl 37 120.00 4,440.00 20 t2a 2,444 120 57 120 6,840
165 riox8ot8llioii'[iu t!'u 4 !660l': (siticone 1o 6 535.00 3,210.00 20 535 10,700 19 535 10,165 7 515 3,145
tar riomsrnriaoidlau !!'ri 4.5 i86ui: (Siticone .(n 5 535.00 2,675.00 20 10,700 8 535 4,2A0 17 535 9,095
158 rio$Eoialioi61a! !lr'r, 6 i166ui: (silrcone 10 695.00 6.950.00 30 695 20,850 39 695 27,t05 I 695 695
'{i
Tracheostomy Tube 6 mm.)
ri0lr6ri8lioi6lir nuli lneur: (siticone 72 695.50 50.076.00 200 696 139,100 207 696 t43969 65 696 45,208
170 7.5 !n
Tracheostomy Tuber 7.5 mm.)
172 rioxaoralnolriurna rtoi l urrr 5 !a6ur: 18 550.00 9,900.00 550 7 550 3,850 11 550 6,050
'{n
(Staintess Tracheostomy Tube Size 1,5 mm.)
lJ'l
-tk1) - -
161101101 Ul!lollt
,--4-
tlriarraruh r.lYirir
d,
u116u'ltru mu:nn:6u
v1
!1.t:!ufl aYl6lirlu
{v-
ular':r:fitia g1n:
fiwurvrtfii'rurqn:f,ut rurunl.arin{rurrynr:f, uu namaitriridtrrynr: uritn:drlrrxnr: t$'rfl]ni1un'1:r.!rua Jqnu0un$u
ura 6 iaiuu: 5 550.00 3.300.00 l0 550 5,500 t2 550 6,600 4 550 2,200
173 risrmoanlaoatnlna tuoi z 1''
(Stainle5s Traacheostomy Tube Slz 2,6 mm )
174 riornsoauloarmitaa tuoi 3 tlrn z iaiur: In 10 600.00 6.000.00 20 600 12,AAA 20 600 12,000 10 600 6,000
176 rioraoaauaosrrurna tuoi 5 tvra g lniur: In 20 600.00 12.000.00 100 600 60,000 55 600 33,000 65 600 39,000
1?7 riovaolauo6truraa tuoi 6 tura to ia6urn: t0 600.00 6,000.00 r20 600 72,000 65 600 39,000 65 500 39.000
1'l
(Stainless Tracheostomy Tube Size 6,10 mm.)
179 violaonaraoatnltaa tuoi 8 turn 1z laf,un: 1o 19 600.00 11.400.00 2A 600 12,000 13 600 7,800 26 600 15,600
tal urjfruirulatinrdon:lrlu 1/2 il url 10 xE1 nrior 177 246.10 43,559.7a 160 246 39,176 269 246 66,201 68 246 16,735
li-'T & {v
urratdunr rJ:v6trf, ulta't')a ruh
nrnrit ullElrlrrli loutinl6u urritun irGtthr+{ lr.tatri:fila 11n:
11un!loui
01 q61au 2564 fu go n-uurau
ltlr?u
zses
uoiun!1 flunlllu t'Iufl1:11u uoii.$.t|nD
,irurv rlurrnhu lrtp o'tru rpfrnieu lrt!, 'l'rurv prnniru lr"l, 'l'rurv r1u/rniru *rtlu
teq ulart{na:rtr6oo'dii6rill (Surgicat lnstruments 110 8 749.00 5,992.00 7A 149 52,430 60 749 44,940 1A 749 t3,482
Spray)
t- . a (Surface
m6aor 22 2,210.00 49,940.00 20 2,270 45,400 22 2,270 49,940 20 2,270
tes drartiri:rua:ornft ualtr!6'r:v'l61trtio
0isinfedant)
r ae rlrtrrr'raradlr:"r-rurir'rarordolunrioteio.rr:rurultr 0l 18 155.00 2,790.00 1,215 155 18tsj25 1,233 155 191,115 155
187 r]-1u1rfn1uay01,ria0.llJo glf,llloultrun!61: mn60r 33 2,900.00 95,700.00 32A 2,900 928,000 323 2,900 936,700 30 2,900 87,000
188 Jrtndru'rnlrsvo'riioflalnffotgni;u (skin n8a0r 23 1,550.00 35.650.00 30 1,550 46,500 23 r,550 35,650 30 1,550 46,500
189 Jlu',r'l"m,a"o.nu9rs tulou::l 350 laGar: nm 27 535.00 14.445.00 120 535 64,204 92 535 49,220 55 535 29,425
k
trz rJ:ondrdu{nqcuq!fi0.t fihermometer) du 19 300.00 5,700.00 300
ocf)
.?'
d, t::
urriwn ir6ltfi:d urwnr:ira
urutdunr rJ:rtfuif, u1t61?41!ih a.rrrit !1.r6!ltru mgtrm:a! trqr:
rlururird{ruqn:f,utt rulul8l.dtniTrlf unl:ru! ru1Um?.d1 rnlu1tln1: udtn:druqnr: r{r;rinuunr:riuunvt'qirJfiiinl
{:!mun:fln,l: n::!n1: n::!n1: n:t!n1t n:::rn1:
ffi" :r{6.f,iult:
w
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rlallua1lrluiu - iiru iaqnr:uwrdaa\rinqnarl
doXa:vn'irliud 01 qaln{ 2564 6{ 30 ,iut ltu
:'tunitoui .t'tu
2565
uoounul 't1unl:lu :lumtiilu uon6llua0
a1qr.l
r'rrru rluAriro Cup drurv pnniru tri4r druru rluAnjru fil4r {ruru rluAniru Clrlv
(Medicai oxygen Alr Pump) t0 2,650.00 31,800.00 2,650 26,504 9 2,650 21,850 13 2,650 34,450
198 iuogniNumrnriulixd 10
200 tlu{oiofiuilJtl r! (ldentiflcation Lebet for Adult) rir 5,300 2.44 12,724.44 48,000 2 115,200 52,200 2 125,284 1,100 2 2,644
zoz utufi oqr:aliuqnm:yvirrior wro to160 na0t 1,177.00 40 1,t77 47,080 1A |,177 t1.,170 30 1,111 T,314
zoq firfioadoriodr6ml'u0ar.laoordo tlro z.s , s i'r rio 29 1,650.00 47,850.00 1,650 580,800 331 1,650 546,150 50 1,650 82,500
205 ,i1n'oalioriodlinlrtisrUasotdo aurq o xe il') rio 10.00 20,555 10 205,550 18,615 10 186,150 1,940 i0 19,400
zoo firfioariun-niu.l0nr.Jatot{o u:1 a {trdotor {D! 2,164 4.90 r0,603.60 13,005 5 63,725 t3,169 5 64,528 2,000 9,800
zoz rhn'oar-ltior]nonrdo tlm t*t i. u:'t1 lo itt t0! 260 11.50 2,990.00 20,900 l2 240354 14,220 12 209,530 2,944 l2 33,810
zoa firfioarir-utio nondo trlrn a iir , q d? , e drr n0.! 6.90 152,r05 7 t,049,525 137,t95 7 946,646 14,9t0 1 142,479
zos lirfion{utioinsnrdD trro : i'r xq dr, a {u s0.r r,390 2.80 3,892.00 6,000 3 16,800 5,110 3 14,308 2,280 3 6,384
(d.n) (!-) (
d{ d"/'. | ('l/' )
urrato'unr i:vtiuo' lrrar':arah nur0l u1rDu1rol./ rn!:ulutau !1nt1!fl AvlEltcr'lwl umrri:ftra Xp:
r'unumddrurrxn:finu noruraitrivrtturrgnr:fi mu YlU1U16?11!tlt'.tUlqn'.]l matn:!'Ltlqnt: r6'rnrin.rrunr:riluaviryi! fr r"i.rrl
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A :Hi.qhfi{
w
aliu
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ioXa::n'hd# ot ?arau
tluErtout
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2564 6l :o
xulu
duuruu zses
u0tt!rnlr1 IlUM::U :1Unltolu uori.!tllno
iiruru runrirs lur.ru ,l"ruru qunnhu lurp ,l'ruru rpani, u firtl, 'l'ruru luhnizu lulv
zto,irfroar'unirllaondo tl,n a ir, q fr, a fir loi 7,000 3.75 26,250.00 125,000 468,750 123,160 4 461.850 8,840 4 33,150
211 irfioaritrt0oasorn turn I i"r, c dr , a il u::1 no.! 151 45.00 33,795 a0 14,120 45 635,400 14.369 45 646,605 542 45 22,594
ztz irfionrinr.linacorq 'iurn 36 i'r xloo ffir riru 32 72o.oa 8,040.00 80 720 57,600 62 720 q4,640 50 724 36,000
zt o irfioadl.riuniunh{lri Jriouarndqvaoardo l.ro 35.00 t4,140 35 515.900 12,410 35 434,350 233A J5 81,550
zt7 firmriruaquHa rtoi 2 xul 9 iaaui: ttl'l 25 nds.r t2 2o1.oo 2,436.@ 30 203 6,090 13 203 2,639 29 203 5,887
218 iilrlilunqruxE ruoi 3 la1l,l 9 inAurrt ul1 25 ndor 5 267.50 1,337.50 3A 268 I,O25 23 268 6,151 12 268 3,210
2t9 firnri'ruaqrum Noi 4 ml 9 l86uir 012 25 nrio.r 11 321.00 3,531.00 30 321 9,630 2A 321 6,420 21 121 6,741
zzo d'rmiraaquum ruoi 5 xrtr 9 ia6urr: u11 25 naDr 9 321.00 2,889.00 30 121 9,630 t5 321 4.815 24 321 7,744
(o.,,) dt tfiz-t
urmrot4r !:vtfu6 urlatarulo nrrli.d urlmriri fitr:fln:iu ur$tun En6ltf,lr{ urarl:f,m trqa:
rlvruvrrddruqn:i-utu rurura?.arin{ruqnr:f, uu naruraltridrurqnr: urd.un:{rlrqnr: rirnrinnunr:riuunrriqir.Jfi tiluu
rl:!flvn::1]nl: n::un1: n::rn1: n::!n1r n:Iltn1:
fh i.q3uni
fluwtoui tau,)u
zses
u0iun!1 :lUnlttu :1Um:11U uoi6{tllno
a'1fiJ
o'rllrl luAriru lulu l'ruru lulr,niru lrt!, l'rurr lulrniru Cup l'ruru lunnilu lulu
2zt eirnriroaquuea ruoi 6 x!'l 9 ia6urn u'r'l 25 ndor 11 642 00 7,062.00 30 602 t9,264 10 642 6.420 31 642 t9,942
zzz irfionrllrJaratnoi luto 3 d? x 3 xBr (Extra Fast ll't1l 886 18.00 15,948.00 22 396 189 18 14,202 119 2,t42
223 fiTOon!!!ni6rt0i utra q dr x 3 nnr (Extra rast rir! 92 20.00 1,840.00 1,512 20 3A,240 1,509 2A 30,180 95 2A 1,944
224 lh0onluun'tartoi llrr 6 i'1 x 3ual (Extra Fa5t rirl E2 28.00 7,056.00 1,200 28 33,600 r,426 28 39.928 26 28 728
zzs irriuuen tu1i g firo ml (Non'sterite Gauze 3' x 6 iru 140 53.00 7,420.00 446 2t,5r8 531 53 24,461 9 477
,'td.)
226 {rfirua rur o fir6 xn1 (Non-Stelite Gauze4' x 6 ri':u 6 68.00 408.00 661 68 44,948 661 68 45,356 68
vtd.)
222 irrYuuea ulu o #rx6 v61 (Non-sterite Gau2e 6' x 6 ir! 148 102.00 15.096.00 63 102 6,426 r42 102 14,484 69 1A2 7,438
yld.)
228 fir ur8niiiidt;2lDr n{11 10 tu. u11 4 un: iru 22a 67.q1 14,830.20 1,000 67 67,410 1,200 61 80,892 2A 67 1,348
230 fiiuurffittits'ti2to.r nfu 4 rnr. url 4 ur: irll 373 36.38 13,569.74 3,000 36 109,140 3,119 36 113,469 254 36 9,241
zlt irrfirurintininEairo.l ni't{ 6 tlr. 0't1 4 ui: fru 153 40.66 6,220.98 1,800 41 73,1E8 1,825 41 74,2a5 128 41 5,2A4
r/
(ELastic Cohesive Retaention Eandage 6 cms x 4 m)
110n!lout yl!'lu
2565
!lonunu'l :'tunltl'll tlun']l!1u uDtit(uao
l:ru'll luAniru lulu ohuru rprrniru tutl, ,l'ruru lurrniru lulu riruru qunniro lutlu
232 fiinriutrlri tli1n 2 i-1(Etastic Bandage 2 inches) rl ll.l 15 13.91 222.56 436 l4 6,065 2)6 14 3.283 2t6 14 3,005
233 iTdnrhrurl8 lum 3 d1(Etastic Eandage 3 inches) u?l.J 2,500 19.26 48,150.00 3,900 19 75,114 4,696 19 90,445 1,704 t9 32,819
234 ildtfir-uuxs 1u't0 4 d1(Etastic Eandage 4 inches) !?u 24.6t t2,200 25 100,242 12,120 29A,273 80 t,969
236 udun:srolnroqnririrh (Electrostatic Fi(ter) iu 1,386 24.61 v,109.46 34,2@ 841,662 u,134 25 618,548 10,452 25 251,224
237 uriuNsJ:!n!iou/!6! (ReusabLe coid Hot Pack) 0! 88 100.00 8,800.00 300 100 30,000 245 100 24,500 143 100 14,300
240 utiutilxE tiirh! tult 10 !:1. u'11 10 u]i: (Rott naE.i 933 133.75 124,7EA.l5 4,000 134 535,000 4,244 134 572,985 649 114 86,804
201 udullunnnt'uar:frr al l1n lox1o tr!. nao.l 7 t,21334 8,913.10 la |,273 12,733 11 1,273 14,006 6 1,273 7,640
242 uritriruHEblo:noEasudllnonldo ttrrn qrq dr f aB.l 9 642.00 5,778.00 20 642 12,840 16 642 t0,272 t3 642 4,346
Dressing-sacraL Design)
zqq urhiduln0iuxnn-uJrrjnsntdo 'ouu rortz ttt. ndor 5 1,605.00 8,025.00 120 1,605 192,600 66 1,605 105,930 59 r,645 94.695
(t"n)(.--7) -
d, e^/. t
,/)
llv )
zqs ulilidril6tounn-l['1r..lasntdo urn tor25 ot. neio.t 6 1.284.00 7,704.00 55 r,284 70.620 46 |,284 59,064 15 1,284 t9,264
zqo udufdda0rruran-uurrUnootdo 'olrn 4r4 ot. ndol 9 909.50 8,185.50 199 914 180,991 t9t 910 179,172 11 914 10,005
zou uriuirfulainumriurlrrlnoardo u'u exz or ndor 98 849.50 83.251.00 130 850 110,435 2t5 850 t82,643 13 850 11,044
zqa uduidlladlrluiruus !!]i 7 x 8.5 t . (Dressing nai0l 4 5,136.00 20,544.00 10 5,136 51,360 1 5,136 5,116 t1 5,136 66,168
zas uduidtiadrviui;urE u,t1'l 8.5 x 11.5'du. ndo't 4 5,243.00 20972.00 10 5,243 52,q30 to 5,243 52,434 4 5,243 2a,972
250 urfuIilriaulEn'uh nonrdo turr qxq dr (sterite ndo.t 12 1,498.00 17,976.@ 10 1,498 14,980 9 1,498 13,482 13 1,498 t9,o14
251 u3hrlilr]d fuiruranar{u turn 15x15 w. (lonic ndo.t 6 7,789.6a 46,737.64 3a 7,'190 n3,68A - 5 7,790 38,948 4t 1,794 319,374
252 lui!6tailn:nirrrlradulrlirftlltlrlriurfin (cnita utia 55 476.15 26.t88.25 130 476 61,900 150 076 7r,423 35 476 r6,665
253 uriu6naln:aimtraiublf,rfthrluiuflrqj urla 68 476.15 32,378.20 1,040 416 495,196 868 476 4t3,298 240 476 t14,276
254 60n{!{stltiol tll10 3 d? (Ptaster Stab 3 inches) ndol 4 980.00 3,920.00 20 980 19,600 12 980 11,760 t2 980 11,760
255 lionlrilEltlrisi nu1i 4 d? (Ptaster stab 4 inches) ndol 36 1,700.00 61,200.00 70 1,700 119,000 94 1,700 159,800 12 1,700 20,400
256 don{uJEttro{ lul'l 6 dl (Ptaster stab 6 inches) ntiol 20 2,100.00 42,000.00 80 2,100 168,000 95 2,100 199,500 2,100 10,500
q'\./ (,
( ,!i.7'l ) ) (
& ) ( (
w
u.ia1?o'u!1 !t!r6uq' u'I6',tla1uilo nurit u1rsu15$u tnfi50l[n5iu ul!5nun drit Lttgtl ia !1ia't'tY1:fl!a !!n:
rilo urir tidrrrry n:itnu IltJ'ru'ra2l1trtT u'rqJn1: liB rirrrraitrirdruqnr: nfltn:riruqnr: r6'rririnlunr: tiu uavrirxirJil?.rrl
U:vi1!,r':!n1t ,.1:::.Jn1: ullul't't: flfillnTt nlltlfl'l:
rt{6.qirlxi
:1u.rru6l :'luiu - iiru iaqnrtunntiadrfraqnar.t
ioXa:wirriu# 01 inla! 2s64 6r eo riusruu zsos
uoiun!1 llunlt:u flUN1:A1U rr0ii$rao
tlun!toui y11',lu
iirurv rur'rni, fiq" ciruru
U q/nriru thq. 'l'Tnu tyzniru lulu 'l'tr'u rp,tniru lrtlu
t.,- 85,600 876
257 riararroitnsrsuvunr-ulil !!'ln6n (-ranspa'a'rt rriot 147 107.00 15,729.00 800 107 107 93,732 7t 107
waterproof Permeab[e)
zsa rnrauoirir nlrl 1 il (Zinc Oxide Tapr 1 inches) ndo.t 23 299.60 6,890.80 30 300 8,988 34 300 10,186 19 300 5,692
259 nnrauoiri] oirl l/2 fi 0'n 10 xE1 (zinc oxide ndsl 2l 299.60 6,291.60 2A 300 5,992 22 300 6,591 19 300 5,692
zro nnr ro{rir nit 12 dl 011 5 m (zinc oxide nriol 43 214.00 9,202.00 100 214 2r,404 123 214 26,322 2A 2r4 4,280
z6t rarauoiir nirl 4 d1 01? 10 s1 einc oxide naiol 64 299.60 19.174.40 2A 300 5,992 77 n0 23,069 7 300 2,097
262 mrnrnoflg tlra t/2 dt firansparent Pore ndgl 145 224.70 32.581.50 1,400 225 314,580 1,395 U5 313,457 150 225 33,705
263 nnruoila !u'],l 4 dl firansparent Pore Surgicat naio! 7 224.70 1,572.90 700 225 t57,294 453 n5 101,789 254 225 57,0't4
Tape 4 inches)
zoq uitlrj:vfitrha ur-ruotltiu! G(uminium chan) uil 7 384.00 2,688.00 2to 384 80,640 177 384 67,964 40 384 15,360
zaz n:vtotdulnrmrvd.ti:'ll (urine Container) 0u 8,632 1.75 15,106.00 21,000 2 36,750 27,512 2 48,146 2,t20 2 3,710
269 lir:'lnriolnsor Eonrdo (SteriLe wooden Pap 0! 5,500 1.45 7,975.00 3,000 1 4,350 7,400 1 10,730 1,100 1 1,595
270 l${ud166ru!ii ao {o !,I o i"r (steite cotton Stick tBn 12,000 2.40 28,800.00 116,000 2 278,4n 128,000 307,2UJ 2
) (
d, ) ( L
( lI-' )
-r'Tr - -
!1!a126ta1 U:rurli uriamarah a.urir u1!6lJ1tt! mu:rm:a!l ln'rftln Ev6hi:l{ ursr:r:f,la 1qn:
llrrorurinddrlrqn:firnt riulu mlt rirl'luTunl:Yllru rurtrai.lrindrurqnr: ufltn:drlrqnti t!T li!n l1!n1:$ruE!lJqrnu4ur.l_1u
!:!n1uur:!n1t n::!n1: nl:!n'l', n::un1l nlfltfl1:
f fl.6:'ull:
rlu'nun1hlrJiu - riru iaqn'r:unltiaa\inqnar.r
- . .,J
!otal!$?MuI 01 nBli! 2564 6l ao riuuruu zses
uorun!'') tlunlltu :1Unl:n1U u0in.!tuao
11tinvloui L1l2u
<iruru rprniru lrr4, oirulr rplrnizu lrur1u ,iruru rpnniru lurp o'ruru rpzrniru iurlv
zzt Lhhrd, 6riwia]ao*do rh!6n (sterite smatt cotton nrio.t t31 116.00 15,892.00 461 116 53,476 464 116 53.824 134 116 15,544
272 lfifufi6firunirrloli u'r? 6 i? (Non-steite cotton rio 2,065 11.50 21,741.50 11,600 12 133,400 9,231 t2 106,157 2,369 1? 27,244
275 !\N!,1!ui.! !u1t 45 i!66t1 luo{ 2 (Syring Eatl 45 mt.) 8n 20 60.00 1,200.00 700 60 42,000 643 60 38,580 71 60 4,620
2?7 ioiuu1lua{ !u1t 90 lnean: ltloi 4 (Syring Batt 90 mt ) 8n 22 68.00 1,496.00 t2 68 816 19 68 |,292 t5 68 1,020
zz8 nti:dudouirnil ur:uf,dtl (No sting Earrier Fum !1er 642.00 105 642 67,410 85 642 54,510 20 642 12,840
zzg ni{uhrdsuurirlwlr*d?u!!fiJnil (c'emicidat r:srls. 82 125.N 10,250.00 380 125 47,500 431 125 53,875 31 125 3,875
zao alr{iuiJntoG2xtrllnnltiixd'! sitesse sting Free xaon 25 642.00 16,050.00 642 16,050 642 16,050 u 642 16,050
r ,{"rr
t,
!1)al)a n] u:llolto
,1.,n nnrddlu',qnrfi r.nt
) (
ruruailrindurrgnr:iuu
n.u'tlttr
CI
it
rlun'r:r.uuac!qJflJn!n!1l']
:JE'.tUft:!n1l nl:!fl1t fl:t!n1t nllllnl: fl:t!n't:
:n6.qflm:
:1u{ludfljzluiJ - riru inlnrtunntiadlvt-aqnarI
, t va
tr0{8:!r.r?1.r?u 01 i8liu 2564 6{ 30 duulu! 2565
uooun!1 tlunltlu 11Ufl1:NlU uoin{un0
l,lUN!loU' ll1.1?U
o'ruru rlvznhu lu4r riruru qrizvriru dutp riruru 1v/rniro lvlu l'ruru lpnnilu ftr1u
287 alUqoltllw n'2111u11 10 French (suction catheter tnrl 600 2.38 1,428.00 9,000 2 21,420 7,080 2 16,850 2,520 2 5,998
10 French)
288 s1u?nr6!x! trr!u]'l 12 French (Suction catheter tau 5,300 23A 12,614.00 3,000 2 7,140 6,450 2 15,351 1,850 2 a,q03
12 French)
289 ut lllllx! ln1!u'n 14 French (Suction Catheter t6u 23,&0 2.)8 56,168.00 114,000 2 271,320 137,600 2 127,488 2
14 French)
290 61u!i$uv! irulu'll 16 French (suction catheter rdl 17,500 2.37 41,475.00 120,000 2 284,40A 116,100 2 275,157 21,400 2 50,718
16 French)
291 61uQirll!$r i211lu116 French (Suction catheter 6 t6u 1,000 2.18 2,380.00 8,000 2 19,040 5,953 2 14,168 3,047 2 7,252
French)
292 a!'ru!tra!x! tnu0.rl 8 French (Sudion Catheter E ta! 1,450 2.v 3,451.@ 3,000 2 7,140 3,550 2 a,449 900 2 2,102
French)
ze: arudaprlfiar:rhnioliodoinurddriiril n6B.t 16 1,171.65 18,746.q 9,075 r,172 10,632,724 9,067 1,172 10,623,351 24 1'172 2a,t20
zgq aradrornridr$iutiooonilnu ( oxygen suppl.y r{r 250 11.00 2,750.00 9,000 11 99,000 7,800 11 85,800 1,450 11 15,950
295 ituursr.til rnuur 1oo rl, (corrugate Tube lJ'lll 5 800.00 4,000.00 800 800 5 800 4,000
296 araurlidltu tllrn 7 x 11 la6ui: (siticone irl - 1,100.00 70 1,100 77,000 65 1,100 71,500 1,100 5,500
1E inches)
zle artror.rioplfisr:Jr wra 36 i'? (b(ension Tube la11 200 4.50 900.00 1.000 5 4,500 1,200 5 5,400 5
36 inches)
roo aruurrdolobiar:Jr urro 42 !1(Ertens'or -uoe r,iu 800 4.50 3,600.00 2,744 5 12,150 3,500 5 15,750 5
42 inches)
3ot aruurslini ruoi 2oo'd!'li 4.8 in6ui', rirl 32 230.00 7,360.00 20 2n 4,600 44 210 10,120 8 230 1,840
302 aruurslin{ tusi 201 'd!li 7.9 iE6ui: (Naturat f?! 5 360.00 1.800.00 10 360 3,600 10 360 3,600 5 360 1,800
303 araarrarrin{ Ns{ 202 nuli 9.5 iEeuli: (Naturat ri'lu 600.00 295 600 177,000 285 600 171,000 10 600 6,000
3oq aruurmrrin{ ruoi 203'du'li 9.5 lE6ui: (Natura( f?! 440.00 50 440 22,OOO 30 440 13,2@ 20 440 8,800
309 61uu'r r6?u!aa'r1wi'l 2 n1l tuoi l0 ffwo way t61l 140 28.00 3,924.44 100 28 2,800 182 28 5,096 58 28 1,624
310 nrour$luiasrtctii 2 n1.! !tJ0i 12 fiwo way t6r.l 140 20.@ 2,800.00 200 20 4,000 24t) 20 4.800 100 20 2,000
311 4r001{6?ui6611wii 2 v1'l tu0i 14 fiwo way t61J 2,225 16.00 35,600.00 2,000 16 32,000 1,410 16 22s60 2,815 16 45,040
3t2 arauNaruiaar:ltii 2 n'N msi 16 fiwo way la1.1 2,920 16.00 46,720.@ 10,000 16 160,000 9,240 r6 148,4t]0 720 16 tl,520
313 aruurisrltaarrcni, 2 nN tuoi 18 fiwo way laU 380 16.00 6,080.00 1,200 16 19,200 t,575 16 25,200 5 16 BO
3tq maaruruinar:;til 2 r1'r ruof 20 crwo way laU 16.00 1,200.00 16 1,440 117 16 t,a72 48 16 768
"l)
Fo(ey Catheter No.20)
315 aruurm1rtaarrwii 2 u1.! tuoi 22 ctwo way tftr 60 16.00 960.00 100 1,600 142 16 1,632 58 16 928
3t6 draur$tlisarrctii 2 n1! Noi 24 fiwo way Kl.l 40 28.00 1,120.00 160 4,480 14 28 2,0?2 126 28 3,524
317 moor.wruiaat:tia 2 tr tuoi 8 {t*o way dl 40 3o.oo 1,200.00 200 30 6.000 190 30 5,700 50 30 1,500
318 lrumwrtaarrrtio 3 rrr tuoi 20 fin'ee way #u 1oo 2o.oo 2,000.00 63 20 t,260 37 20 740
319 ar0ur$lriaarttii 3 tt$ ruoi 22 fihree wav du E0 4ooo 3,200.00 60 40 2.444 17 40 3,080 63 4t) 2520
320 nruuraruiaamwin 3 n'N rus{ 24 (-ihree way ril 60 4o.oo 2,400.00 100 40 4,000 105 40 4,200 55 40 2,204
32t aruuritiorvr:rr.ln: ritv0lm: tuoi 10 o'n 7.50 650 B 4,A15 375 8 2,813 275 2.463
322 rn uritiislrrrrn:vrrrrorrr: wo{ 12 D'u 61 7.50 457.50 200 B 1,500 86 8 645 175 a 1,313
323 araar{iiour:rrrn:;mtcotrr: tuo{ 14 0-u 2,025 7 50 15,187.50 3,000 8 22,504 4,662 8 34,965 163 8
32q sruurflfidrlr:rrn:vtmcsrxr llloi 16 d'u 1,262 7.50 9,465.00 12,000 I 90,000 11,803 a8,523 1,459 8 10,943
u5 aruu1ifrrm:rxn:clrttcottt1: tuoi 18 du 208 7.50 1,560.00 3,500 8 26,250 2,473 8 2r,548 835 8 6,261
326 nruuriiorn:rr.rn: yrrrorrar: tuo{ 5 u1,) loo o'l 1oo 7 50 750.00 200 8 1,500 105 8 788 195 1,463
gzz muor{frrnrntn:vtircgl$T tuoi 5 urt so tl. du 170 8.00 1,360.00 50 I 400 170 8 1,360 50 I 400
(A\,f)(-Z)
-- u.tartaraln a':trit
dl {v
uumdunr rJ:;fiui Ltl:6u'llou rnu:Itl'll6u !'t lltun avEllo1r !1!altntr!a uJrll
ilnurirridrlrqn:f,utu raruralriridrurqnr:fiuu 'tltJ'tu1a't!1ttl11u'tqJn1: uratn:furqnr: ri'rrIn !1un1l r ruunY!QnuIU0l'l!
329 arour.rLiolrr:vrn:lrt1!0rx'r: Nof 6 u'rl 50 !! 0u 300 7.50 2,250.00 1,700 8 12.750 1,345 i0,088 655 8 4,913
330 araur{fiotr:nr.rn:crmvorn: tuo{ 8 ott 1oo EU 450 7.50 3,315.UJ 900 8 6,750 900 6 6,750 450 e 3,375
33t 6ruur.i1!iorrar:rrn:cui1!o1n'r: luDi 8 u'l? 50 !! 0ll 50 7.50 375.00 1,400 8 10,500 1,150 8 8,625 300 8 2,254
332 aruaruiaatc 'dialriiiuostlr moi 10 (urethrat K! 14.00 300 t4 4,200 180 14 2,520 120 l4 1,680
333 61u6?ui66'r1r liitltitrto8nu NBi 12 {u'ethral t61l 14.00 300 14 4,200 115 t4 1,610 185 14 2,590
33q aroaliaarrv .uirliir]oni! tuoi 14 (urethra( laU 14.00 400 l4 5,600 250 14 3,500 150 14 2,100
335 arualuiaarrv tiabjiuo8q! Noi 16 (urethrat tau 14.00 100 l4 1,400 14 100 14 1,400
Catheter No.12)
l3z arusruiaatcliltiroslu ruoS t4 {reman t6l./
Catheter No.14)
338 sratrriaamvtiniuonqr tuoi 16 cne-an laU
Catheter No.16)
{6{l)
!1raT0u01 u:!t :ri lrrarlarah nvirit
& u:rnl6!l
trllEu'Dnl.l tfl m$.aun Sntltir+l
() \w')urmtn:f,rn 1p:
n!runnat'11/lqln:iuu narrrairriri{trrxnr:f, utu r0 ru1a':i'rurlll], qJn1: urlin:{rurgnr: r{rrin.rlrnr:rlluauiqfi Jlriinu
:r8tun::!n1: n:lun'll n::!nT't n::!n't: n::!n1:
:ri.q3unj
rlo.rlu6 l:1si1J - ri, u inlnrtunvrtiafru[nqnnr.r
Catheter No.20)
3q2arumuvaonGoln'rdlunnr.nOnaolrrfiwo ler 40 690.15 27,606.00 190 694 131,129 196 694 115,269 34 690 23,465
3a3 aruarunsonGom'rd nEllfiiallxx.r.l Ohre€ 1o 20 671.96 13,439.20 1,160 672 779,474 1,180 672 792,913 612
3qq sruoanirrurarainuuu6ut-rtqn drniurlnh riu 100 14.98 1,498.00 1,000 15 14,980 855 15 12,808 245 15 3,670
345aruooninwrarainuuvtiuutqn dlrlurtrnrSn r.{l 35 95.00 3.325.00 1.060 95 100,700 761 95 72,295 334 95 31,734
306 tl1u00nirauin16in uwduu!{n dlxluttxq 16! 1,5?0 10.50 16,485.00 29,000 11 304,500 27,640 11 290,220 2,930 1t 30,765
3a7 fifidollnii sofido 10 ni! GteriLe cotton Eatt 10 rio 0 5.60 62,800 6 351,680 56,750 6 317,800 5,050 6 33,880
348 rh6riou.diiavoli 0.35 nlr (cotton Ealt 0.35 g) rio 597 96.00 57,312.$ 400 96 38,400 692 96 66,432 305 96 29,280
349 rhifiourt 6!o1i 1.4 nfi (cotton Batt 1.4 g) ris 424 90.00 38,160.00 860 90 71,4N l,189 90 107,010 95 90 8,550
350 d16dru (cotton 8uo, U, 260 8.50 2,210.@ 500 9 4,250 682 9 5,797 78 9 663
*zn \tV/)
ur.ratiralo ;wrrit
(
&
nutln:au
(
u$tvn ivrBltf,r+{
| {v-
urratvi:fila trrp:
)
w rru{r61l:1uirJ
toXa:;uirriud
tlua!t00t
- rira iaqnr:uvrntiad.rfraqnarl
llvlu
uonun!1 lt0nttSu :1Un1:nlu uoii.rlllno
,l'rulr luAnilu lurp 'l'rvzu rluaniru lqu ,iruru rpaniru lrtt, dtlu rp/rniru lrutlu
:sr rh6{udoultooor{o !!1i 0.35 nftr !:r1 lo iluiio {oi 21,040 3.00 63,120.00 148,000 3 444,000 153,720 3 061.16A t5,120 3 45,964
353 d16ri1! I r.l0!t{ !ul, 450 ni! (Absorbent Cofton riru 600 115.00 69.000.00 1,230 115 141,450 1,580 115 18r,?00 25u 115 28,754
Pound 450 G)
35g dra:olfion unnnili 3 d? (cotton Undercast riru 288 26.66 7.678.08 1.340 27 15,724 1,064 27 28,366 564 27 15,036
Padding 3 lnches)
355 sh6:o!fiEn 1onfi! 4 dl (cotton undercast x11.J 35.00 2,496 35 87,360 2,496 35 87,360 35
Padding 4 lnches)
356 rh6:0!(A0n ttlunirr 6 dr (cotton undercast rirr 942 51.66 4,663.72 1,200 52 61,992 1,950 52 100.737 t92 52 9,919
Paddiry 6 lnches)
357 dlEuosnosoti !::\ 8-10 tlJdols.t (sterite Alcohot f 0l.J 0 0.55 1,121,O00 616,550 1,117,700 1 614,735 3,300 1,815
:54 r{onrr{rnrainfiuir uuulriiutl (oisposaute i'2 31,200 2.50 78,000.00 90,000 3 225,000 115,100 3 287,750 6,100 3 15,254
Ptastic Apron)
(surgicat Mask 3 pty) nfr0r 42.00 436,506.00 824,000 42 34,608,000 832,755 34,975,710 1,638 42 68,796
361 xri1fl1nsu!-a tl$t! 10,393
(oun)
{on*,
) (
d, ) (
s.z ) r {lz'
ururrn:f,m
t
urrarrdu4r rJ:vfi:ri --'';.0i* !116U11n1J tno:nm:au 111ll!!n a Ellnlin trqn:
rYunururidrurqn:fiMt ru1u1F1t1tlrtMflJn1:tlnB ru''rJ'lnltltrtlulqJn1l odtn:drurqnr: rilTil.n !1vn1: r.!!uffuJtlJtu0U n fl!
{:!61!m:!n1: nll}tn't: n::!u1t n:fltn']l n::!n1l
rri.qillxi
r1u.r1!r6lU:'luiu - iilu i6tln1luY{wiia-{ri6qn81.l
rioqs::n'jrliud 01 qnli! 2564 6r ao riutrrtru zses
00nun!1 ITUfl']::IJ :'l0mtolu uDii$L60
alru flUN!lDUi
olruru tu^niru luqu o'ru'u 4rzrnjru lql ,irmu 1u/nhu lrt olruru rpu'nriru ttqrr
363 nri1r11fl00n!t!!n:0!q!6! 61r:u$n l9./y8en o'r 600 45.00 27,000.00 45 165 45 7,425 435 45 19,575
364 xuln'rnD80irsl]rii8lJqrE! d1$lu{lnru (o/ygen o-u 700 36.00 2s,200.00 9.800 36 352,800 9,742 16 35A,7t2 758 36 21,288
365 uurnaq:ruloftn:tf (Non woven cap) h 2,800 1.00 2,800.00 310,000 310,000 312,80t) 312,800
350
369 lxllduurE nuli zo trlluull 1oo x8r ra0a 13 350.00 4,550.00 40 350 14,000 53 350 18,550
azo lvultruaa unn glo i11!u11 loo ilE'l xa0n 43 267.50 11,502.50 268 t2 28 3,210 31 264 8,293
lutldljura w1i 4/0 n?'utu'tl loo rn00 350.00 10,150.00 60 350 21,000 39 350 13,650 50 350 17,500
371 116']
372 lvudulHa nulo 5/o n1 01? 1oo nn1 tlA0n 69 267.50 18,457.50 268 13 268 3,478 56 268 14,980
gze lnlrduuflauuvinti:rUaort{o tura c/ourr 75 tl. ou 62 410.00 25,420.00 420 410 172,244 135 410 55,350 347 410 t42,270
3zq lna:arudrumtirunsatdo tuof zo (ct,o.ic Ina 163 418.00 68,134.00 418 r39 418 58,102 24 418 10,432
catgut No.zo)
375 qlnt0irhualulunllQtt6lx! 'w1t I il? (Finger o'u 3OO 21.00 6,300.00 2,000 21 42,000 1,800 37,800 500 21 10,500
lrP I rncnesJ
376 qun:0fuqiun! rJo{ L (Arm SLing Size L) dn 3 25.00 8,125.00 350 25 8,750 550 25 13,750 125 25 3,125
t 6'l:A ) 3---' )
& t) t(Y')
urratdunr U::6ufi ---' llta'nalul! fliltllJi 1r'r!6tt1tnu nutnlnla! !1!t1!n ar6ttnlin lrsr:ri:fila n1n:
riuumtidrurqn:finu riurrraitrirdrlrqnr:fi tnu tulula].tfiil!1qJIf i mdtn:drurrgnr': tol un lTlfll:tlumvuQn!0!tMl]
t!61!n::In'l: fll:!n']l ntl!n1l n:t!rn1: nfi!n1l
ffi :ri.q3wi
flunvtoui
01 qalirr 2s64 6.r oo riuuruu
l.tlr?u
zses
uoaunul :1Un1t:U flumti'lu g0nn{Mno
410!J
riruru lulnrjru trqu iiruru rpAniru lrtl, drulr luA.njru {uqr o'ru'lu rprnni'lu lutt,
:uz M)
qrJn:oinqru.ol uoJ M (Arm Slin3 Size du 25o 25.00 6,250.00 350 8,750 475 25 11,875 t25 25 3.125
:za qin:oinq.ruu ruoi s {Arm s(ing size 5) o'u 50 25.00 1,250.00 100 25 2,5@ 100 2,5ut) 50 1.250
379 q{n:siirllu nioi xL Grm Sting Size xD 0-u 50 25.00 1,50.00 |,475 75 25 1,875 50 |,250
383 qlnrliliqruxqiiNn! u!uili06 (Digitat dl 54 7oo.oo 37,800.00 500 700 350,000 484 700 338,800 70 700 49,000
384 ar.awrlfuuwdruildri:2! :cuuli (Sputum t'u 9oo 47.99 43,191,00 12,000 48 575,880 11,000 48 527,8N 1,900 48 91,181
387 HME fi(ter tlnqi o-! 1,605 85.60 137,388.00 1,000 86 85,600 2,468 86 2rr,261 137 86 11,727
388 p:o.u-ummv turi!:!i 2 6i: i, 231 63.00 14,553.00 11,500 63 724,500 11,679 63 735,777 52 63 3,216
aas ilurviarurds:vfruqr tural:::1 s nfl n0{ 1,150 l23o 14,145.00 1,300 15,990 |933 t2 23,776 517 t2 6,359
390 xdlnlnn:o.roln1i(N 95) d! 96 5992 87,500 60 5,243,000 86,156 60 5,162,468 1,440 60 86,285
lgt ulurlrarurvornit{o r:ctls. 3a 246.10 9,351.80 1,400 246 344,5q 1,348 246 131,743 90 246 22,t49
:q: Nairdourdriis.rlfilr u::l l,2oo iEeilrr nra lo3 8so.oo 87,550.00 300 850 255,000 380 850 323,W 23 850 19,550
395 $rloin-ui'ir0i cover alt fi'2 350 143.00 50,050.00 23,600 143 3,374,800 20,300 t43 2,902,900 3,650 r43 521,950
(67,n)(e-)
tl a t) tut')n --
rl:vtiri
lr.rarro-u6r'
-/ Ggrraralo alnrit lJlt[1]1:ru mU:ltfll6l1 u'tlrtun av6rlotllll ur.rarrri:ira n1n':
rirnuruJdrurqn:f,ut riutrai'arildtrqnr:f,rtu Iru1u16li',lilit1lr1qrn'l: udtn:{rurqnr: !01ruf l'tunlluuunvuflJtu4u9 !1u
rj:![1!n::!n']: nlfln1' n1:!n1: fl:i!n1: n::!n1l
r}16.qillrli
:1u.r1uiTJ:1uitJ - riru iaqnr:unndairri'ar1nar.r
ioXa::u'Jrriud 01 lslau 2564 6.r go n'uuruu zsos
uDounlrl :'tun']l:u lTUnltnlu uorilliano
nln! fiun!ta0i UIJ?U
drulr rv/rniru lup ir'ruru rp/niru lulu rirlru 1u/nrhu frtp dru'lu quAni'lu firvu
nirnrnritrntdu race shle(d disposabte 0lr 12.00 74,607 L2 a95,284 72,817 12 873,804 1,790 t2 21,480
3q8
aoo narainfri:o rfir i 6,500 9.oo 58,5oo.oo 6,500 9 58,500 5,850 9 52,650 18,850 9 169,650
406 uoun'r,ll Lactate Strep fl60.! 1,875.00 150 1,875 281,250 r20 1,875 225,0N 30 1,875 56,250
(Externat pacing)
4t3 un1Jrnoi6a1,lcod1.l8rl6at urine Strip 2T 110 107 67.90 7,265.30 68 97 68 6,586 l0 68 679
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rio ga::n'hriud ot qnrr u 2564 61 30 fiuu1uu 2565
:1U6!lOUi ltu'tu
uaiunlrl t'lun1:lu
rp,,rniru
tlum:o1u
qunniru furp
uor6tlt.laa
f,unt
,iruru r,,nr^dru luql ,l'ruru ;t".tu 'iruru 'l'rurl qrAnieu
qra liooriurfioolrdriulfir (tube (ithl\rm heparin) raoo 2.00 - 290,000 2 580,000 267,800 535,600 22.204 2 44,400
at5 moruiuGsnCriul.tiu (serum c{ot Activator vacr-rrjm ndol 1.90 - 295,300 2 561,070 282,100 2 535,990 13,200 2 25,080
otg monrirGonirh{u Crub€ sodium citrate) nao.t 2.r0 - 89,800 2 188,580 75,200 2 t57,920 14,600 2 30,660
,\,
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rt
rrfiun ivSltir.rt{
urf,tn:{rurqnr:
r{vt
tilYiun
ulatn:ira
l't1.lf 1:
X1n:
Mru6!! rltu4r.l9Ml.l
rtrrumtidrlrqn:f ult
n:l!n1.: n:t!r'11: n::!n1r n':':!n1r
il:!61un::rn1:
rri.qiuui
:1u.rlu6ld:1uiu - riru iaqnr:unuridri'a
togo::n'jrriud ol lara ! 2564 6.! 30 fiuo1ort 2565
S0nunJll :1Uml:! 11Um:nl0 uDni.lt ao
l'.tun:t0ui
luztniru lu4r
T1JlU
a'riu
1lu',Ll lunnjru lurlv riruru rpAniru frrry iiruru o:ruru luAniru furp
1 lnuiuunb)a:arwie igaon z0 c-17 39 mm ull 75 cm lva 93 619.00 57,56?.00 30 6i8.q6 1E,553.80 r23 618.46 76,070.58 0 618.46
2 lnuriuuaalriararuttr lMon 3/o c-13 19 mm utl 45 cm bn 9 619.00 5,571.00 30 618.46 18,553.80 39 618.46 24,rr9.94 0 618.46
618.46 40,818.36
lroruiuualriruorutia ltlon 3/o C 14 24 mm ull 75 cm Ina 236 619.00 146,084.00 72 618.46 44,529.'t2 242 618.46 149,667.32 66
3
0 618.46
lrcrdruolia:arwir t'lyon 3/o c'16 30 mm t 11 75 cm Ina 6r8.46
326.35 1,631.75 150 618.46 92,769.@ 155 95,861.30
4
979.05
lwl6uulalria:orwir t'tylon 3/o c'17 39 mm u11 75 cm Ina 0 326.35 90 326.35 29,371.50 87 326.35 2A392.45 3 326.35
5
0 417.30
tuuiuucnh)o:arwfur Nyton o/o c-11 19 mm u12 45 cm lna 0 417.30 120 4t7.30 50,076.00 r20 417.30 50,076.00
6
93 61E.46 57,516.78
lrlJrduurlalriacnruttr Nyton 5/o c-l 12mm u11 45 tre.oo
lua t26 616.32 77,656.32 60 37,r07.60 93 618.46 57,516.78
7
114 834.60 95,t44.40
8 \,rudvumlriavnratin lty(on 6/0 c-l 12mm u1': 45 Im t02 834.60 85,r29.24 45 E34.60 37,557.00 33 E34.60 27,541.80
481.50 2t,667.s0
9 b dlJuaalrjaco1olir potyamide 5/o o 16 mm u1] 75 cm lxa 114 481.50 54,891.00 0 481.50 69 481.50 33,223.50 45
25,439.25 0 1,695.95
Protene 2/O MH 1 30 rlrn u'l? 75 cm ine 15 1,695.95 25,439.25 0 r,695.95 15 1,695.95
10
2 6,A22.32 t7,644.64
Protene 5/0 R8'2 doubie 13 mm u1'l 75 cm Inn 2 6,E22.32 t1,6M.64 0 6,822.32 0 6,822.32
11
0 2,r82.80 t5 2,t82.40 32,742.00
Prolene 5/0 c - 1 ld! 13 mm u]? 75 crn lm 15 2,ta2.80 32,742.00 0 2,182.80
46,462.26
lrud,luealrincnrulia sitk No.l lriirl{rl !u]i 13 x 60 cm lm r,254.04 23,826.76 60 1,191.34 71,480.40 40 t,191.34 47,653.60 39 1,191.34
19
lvuduurabin:oro'aio sitk No.zo Liirl6! luli 13 x 60 cm lxa 0 969.74 100 969.74 96,974.00 6l 969.74 59,151.14 39 969.74 37,819.86
14
797.36 8,1't0.96
lwrtruu&nlJacnru'rin sl(k zo @ 25 mm ul? 75 cm Ina 0 797.36 160 797.36 r27,577.60 t49 797.36 118,806.64 11
1$!6!unlrin!nu!iit sitk No.4/o lril.d! 'dtjl. 13 r 60 cln t4 814.22 11,399.08 14 814.22 11,399.08 0 814.22
l8 Ina 0 8t4.22
2,514.50 40,232.04
2t h r6uuln.uioacnru (Gtyconade No.l/o oRN 64 mm) lm 42 2,514.50 105,609.00 0 2,5t4.50 26 2,5t4.50 65,377.00 16
Li!6!u!s!0iE:a1u (Glyconade No 4/0 @ 17 mm u1'2 45 lna 33 1,712.00 56,496.04 0 |,712.00 0 1,712.00 13 1,712.00 56,496.00
(Gtvconade 5/o o l1 mm tl'll 45 cm) Iva 0 2,889.00 5 2,889.00 r4,445.00 -1 2,889.00 - 2,889.00 6 2,889.00 17,334.00
24 lrlduuflnlian!01u
Potydioxanone No. 1 @ 40 mm. U1,) 150 cm Loop Iva 4 3,215.47 12,861.88 30 6,250.94 187,528.20 10 6,250.94 62,509.40 24 6,250.94 150,022.56
25
1r!6uueabi0s610!0. sitk No. 0 Liitldtl !!1rt 5 x 60 cm Im 220 32t.00 70,620.00 100 299.60 29,960.00 237 321.00 76,077.00 83 321.00 26,643.00
26
lnurirualriatarut0r sitk No z0 Lrilt!i! !!1i 5 x 60 cm Ina m 278.20 5,564.00 100 299.60 29,964.00 80 299.60 23,968.ty) 40 299.60 11,984.00
21
lrldluralrifil8iulii sitt vo lrilrtdr unr 5 , oo c' lva 57 321.00 18,297.00 30 299.62 8,9EE.60 2t 299.62 6,292.02 66 299.62 19,77q.92
28
lva 46,545.00 50 749.00 37,450.00 108 749.00 80,892.00 0 749.00
29 lndtucJaLiavnratii s(k z0 o 26 mm u'l, 75 cm 58 802.50
z0 o 26 mm u1] 75 cm lna 40 535.00 21,400.00 50 535.00 26,750.00 60 535.00 32,100.00 30 535.00 16,050.00
30 lnl]rEl]uqnlriayarutia Silk
lnudr:urnolorutor eotygtactin No 0 Ptus O 36 mm ul? lna 18 1,368.53 24,633.54 15 1,368.53 20,527.95 27 1,368.53 36,950.31 6 1,368.53 8,21r.18
31
90 cm
totyg(actin No.l P(us @ 40 mm 012 Iva o 1,605.00 420 1,605.00 674,100.00 402 1,605 oO 645,210.00 18 1,605.00 28 890 00
32 lnduuaas:nrotilt
90 cm
75 cm
potygtadin 3/0 Ptus @ 22 mm lna 90 1,433.80 12g,042.u) 30 1,433.80 43,0r4'OO 24 1'43380 14'4lr'20 96 1'433 80 137 64/A0
35 brt6uu4nn:arutil
u'rl 70 cm
lmrduulna*rwilr Potvqbctin 3/0 P(us O 26 mm Inn 132 1,423.10 187,849.20 120 1'42310 t7o'772(n 231 1,42310 328'736'10 21 1'423'10 29'88510
u11 70 cm
Pac" 77 ol 111
ttr6.q:ux1
@ :luvlui1Jtlsiu
, . - .,J
- riru inqnr:utudairi'r
r0u6t3u?1{?ux 01 e!81au 2564 6.1 30 liuuluu 2565
!.loiBfllt1 :1Un1tlu llunltnlu uori.rl.llaa
tlunv€0i tlu2U
rlunnho
a1ilJ
riruru rluAnjru ulu l'rvrv r1u/rniru fotp l'ruru rlu.rnjro ilu1u o'ruru drt!,
38 lnduu¬arwir eotyghctn 4/o o 13 mr. ull 60 cm Iva 17 2,557.30 43,414.t0 2,557.30 81,833.60 39 2,551.n 99,734.70 t0 2,557.n 25,573.u0
39 lnduumnvnrwon potygtactin 4/0 P(L,s @ 17 mm lva 42 1,947.40 81,790.80 51 1,947.40 99,1r7.40 75 1,94't.40 146,055.00 18 1,947.40 35,053.20
u1? 70 cm
40 lxlJd.l]smnvarulin potyqtactin 4/0 Plus o 19 mm Im 0 1,797.60 249 t]9760 447,602.40 2or 1,797.60 361,317.60 48 1,797 60 86,284.80
u1? 70 cm
41 1r!6u[r88!sltJv0i Po(ygtactin 5/o O 17 mm t/ll 75 cm ba 0 2,247.00 10 2,247.U) 22,470.0O 5 2,247.0/) 11,235.00 5 2,241AA I1,235.00
42 lnaduumncnrotin potygtactin 5/o Ptus o 13 mm lvn t2 2,070.4s 24,845.40 15 2,070.45 31,A56.75 t5 2,070.45 31,056.75 t2 2,474.45 24,8/5.40
ur 45 cm
4,3t2.fi 4,312.10 4,312.10 0 4,312.t0
43 \adluianvaratin po(ygtactin No.6/0 o l1 mm Iva 1 4,312.10 4,3t2.10 0 1
51 rio:wru.aortrattil Penrose drain !u1t 18 x 3/4 ' nao.t 0 1,100.00 0 1,100.00 0 1,100.00 0 1,100.00
iu1t3.5 mm x 3.5 mm
53
tt. -
!tlllll[E00
,-
tBone war) Im 0 1,551.50 50 1,551.50 77,575.00 49 1,551.50 76,4n.50 1 1,551.50 1,551.50
54 ilfiiElt (swab)'du1i 15 x 15 x 12 PIY l.l0 1475 150.00 221,250.@ 7 156 140.00 1m1.840.008631 140.00 1,208,340.00 0 140.00
55 udllnwrirlriir{llrdia'tu uuu ouat pLate uflu 400 267.50 107,000.00 500 267.50 133,750.00 900 267.50 240,750.00 0 261.50
d,$ )
() d rr.$tu
L
) (v
utarTo'uqr rJ:;61fi rtarraralo nqrit u1![u1tou tnulnm:a! Er6lsdr.rd lrrar':ri:f,ua Xqn:
rfunururidrurqn:fitnu roruraitrirdrurxnr:fi utu fl ulu1azt1tttl lllTxn'E udtn:drrrqnr: t$1fl !n.l'lL/nllMJurirljflJ!!nun l1u
57 uduidlaqdrmr-rriourlrii tult 40 , 42 m n80,t 54 2,39?.87 129,@.98 40 2,397.87 95,914.80 l4 2,397.87 33,570.18 80 2397.47 191,829.60
Marker, sterite)
71 iresurl, util{odrriuriarfi nluvoralufi o.tdrr'r n:crloi 45 250.00 l1,250.00 100 250.00 25,000.00 109 250.00 27,250.00 36 250.00 9,000.00
72 iaqrirrrSortianariuilnl! (spongostan) tll1i 7x 5 na0.r 5,564.00 27,820.00 70 5,564.00 389,480.00 54 5,554.00 300,456.00 21 5,564.00 116,844.00
xlcms
73 laqfr lGoruirnnriuiitrfl (spongostan) ti, na0.i 10 9,523.00 95,230.00 30 9,523.@ 285,690.00 '14 9,523.00 1t3,322.N 26 9,523.@ 241,598.N
74 isqrirrGontft ra:rvrititralsdd (surgiceu 1o x 20 f30.t 0 6,599.00 90 6,599.00 593,910.00 90 6,599.00 593,910.00 0 6,599.00
75 laqfu6ortfturrufu0rE!.dftsurgice0 !u'li 5 x 7 cms na0.t 0 11,770.00 69 11,770.00 812,130.00 69 11,770.00 812,130.00 0 11,770.00
{51 n )lap(e ,5 wloe) .dtl 0 200.00 1384 190.00 262,960.00 r3r2 190.00 249,280.00 72 190.00 13,680.00
76 Itrtoltuulr't'nrl
! -." vi,- (6owr -- sposaote) 400 107.00 42,800.00 400 107.00 42,800.00 0 107.00
77 riontdrn'nniuirtioliu5lfr I o 9',) 0 107.00
58 800.00 46,400.00
81 yiollu'tuultiuBllEoo'dllrl (l-| ubel No.) iu 65 800.00 52,000.00 0 800.00 7 800.00 5,600.00
, t-
?in*tr1u'ti1om!m00 ro ( l-1uoe, No.6 tu 80.00 4,960.00 0 800.00 12 800.00 9,600.00 50 800.00 40,000.00
84
32,100.00 1,605.00 28,890.00 16 1,605.00 25,680.00
85 6rur0 rao[6oruacdr{rfi0u60. (Fogaty cathter) No.2 16! l4 1,605.00 22,470.00 20 1,605.00 18
86 n1uronrnorGoruntrirfifiornio, (Fogav Cathter) No.3 ril 0 1,605.00 20 1,605.00 32,100.00 15 1.605.00 24,075.00 5 1,605.00 8,025.00
(Fogary cathter) No.5 34 1,605.00 54,570.00 20 1,605.00 32,100.00 10 1,605.00 16,050.00 M 1,605.00 70,620.00
E8 srurtrnaor6onunvni{rd0u6ott L61l
90 luirdrulurtrirnrltorf ilrith (Dematome Homaca D80) na0.t 4 5,800.00 21,2aa.OO 10 5,800.00 58,000.00 6 5,800.00 34,800.00 8 5,800.00 46,400.00
91 luiadrrlui'air*til (oermatome) na0.i 31 5,350.00 165,850.00 0 5,350.00 4 5,350.00 21,400.00 27 5,350.00 144,450.00
92 n:vrion6iu1rh68i !u1i 3 cc. na0.r 0 t2a.40 128.40 642.00 2 128.40 256.N 3 128.41) 385.20
91 n::uondaarrhfioa tura 5 cc. fl40.i 0 r44.45 5 144.45 722.25 2 144.45 288.90 3 144.45 413.35
94 n:Yron6rurih6oa tura to cc. nao.t 0 208.65 15 208.65 3,t29.75 5 208.65 r,043.25 10 208.65 2,086.50
95 n:!!0nonurf,lE0i nlJ.]i zu cc. na0.t 2 197.95 395.90 15 208.65 3,129.75 4 197.95 791.80 13 r97.95 2,573.35
go araa'rrmon6oolulr:nu:nfialrlaruavio (tJmbilicat rfir 40 461.10 18,444.00 0 461.10 10 461.10 4.611.00 30 461.10 13,833.00
Catheter) No. 5
ss uiurrinntauaa,l'rrJr Leukomed T Ptus !u1iG0 7.2 x 5 cm 0 1,002.59 20 1,002.59 20,051.80 2 1,002.59 2,005.18 18 1,002.59 t8,046.62
']40.t
too uiulrrrjlatrueoivri Leukomed T Ptur w1ilnqi 8 x 10 cm na0.i 0 |,741.96 5 1,741.96 E,709.80 0 1,741.96 5 1,741.96 8,709.80
tot ara::urutorGulun:lmtiftal'2! (Four wings) No. 12 la11 0 380 00 5 380.00 1,9@.00 0 380.00 5 380.00 1,900.00
tOO ara:;uruto.t6uhn:!! 1!tsl611! (Four Wngs) No. 22 t61.1 0 380.00 380.00 1,900.00 0 380.00 5 380.00 1,900.00
112 ara::urutrarrcoonn'1n1n (Nephrostomy Cath) no. 12 du 2,300.00 27,600.00 0 2,300.00 5 2,300.00 11,500.00 7 2,300.00 16,100.00
113 iro:wrutaatloonqrflli (Nephrostomy cath) no. 14 laU 35 2,500.00 87,500.00 0 2,500.00 35 2,500.00 87,500.00 0 2,500.00
114 n1u:!u1utna1?!tiii6'liu (silicone Fotev' s cath) No. 14 16! 40 350.00 14,000.00 20 350.00 7,000.00 29 350.00 10,150.00 31 350.00 10,850.00
dn ) ) d{ ) (
0v
lrlarrdun r r.J:crfitti !'NA',na1U u1!61/'Hn! tnu:ltnl6! urritln 8r3ltirr+{ urrarT nifira 1qn:
fiinurr tidrlrryn:i utu liu1lr'laMrntlt)Jn'l:1llnu YrUlUlA?l1nlinMqJn',r: urdtn:drlrrgnr: rs'lll1rnl'l!n1:lrrrual!Q!!n!q l1u
ltcn1lrn: rn1.' flt:!n1.i fl:'r!n1t nl:!n1: fl::!tm:
Paoe 41 of 1i3
A
w
:Yri.d?uxi
:lu.rludTjrluiu - rilu ialn1:uylxlirhii
!0u n:! 'i1.riu# 01 Qnlir 2564 6r go n'uurtru zsos
00n0fl!T flunl::lJ fi8n1to1u uDofl.itrao
flunJt0ut pztnira
F']'iU ll1t',',tu
'l'rurv qunniz0 lur.tu o:ruru qrlnniru lrr,l, ,i'uru rluaniru lurp ,iruru lu4u
lrtiiialiu catr) No I6 40 350.00 14,000.00 t2 350.00 4,200.00 31 350.00 11,550.00
115 n1u:!uluil66l 's'rlco'e Forer s tau 5 350,00 1,750.00
t17 nru:urruiafirtlitihli! Isrll(one Fotey s cath) No. 20 t6l./ 10 350.00 3,500.00 20 350.00 7,000.00 l5 350.00 5,250.00 15 350.00 5,250.00
119 arur:uruualrrfdmAblJ (siticone Fotev'5 cath) No. 24 la! r55 350.00 54,250.00 () 350.00 14,000.00 50 350.00 17,500.00 145 350.00 50,750.00
(Treman catheter) No. 24 l9 2,090.00 0 110.00 -20 110.00 , 2,200.00 39 110.00 4,290.00
126 i!1ur!!1uinfi1w0ilrii!.lo&i! G1.r 110.00
No. 3 rlnto,
a
128 nra:curuf,aattl'lnYiob (lnternat Ureterai catheter) la1.r 0 0 0
No. 4 rl8tritr
(lnternat Ureterat Catheter) 0 0
129 aru::uruiaarttinioli talJ 0 0
42,300.509,202.00402,300.0092,000.00342,300.0078,20000102,300.0023.000.00
rt
13t aru:w1uialll2:llnri0lt (lnternaL Uretera( Catheter) riu
No. 6 ilE'lslt,
.rt'l
rJ:vfli
) r-4,/t
-iramarah nurri'u
d,
uwurfiri rn'u:iln:il rrritrn dvBlthr.td
t lit",-.
urrarrr:ira 1qr:
)
ur.ratdunr
rlururutidrurrun:fi utu rurrral'arirdrurqnr:iuu naruraltriridrurq;nr: udrn:drlrrynr: t$1ruf tlur't1:MIua!!qJllJluq l1!
Paec 42 of 133
dfr
qv
i?ri.qiux:
:1u.r1!6TJ:1sir, - rils iirlnltu xtirilitr
01 nalix 2564 61 30 riuarsu
! i v.J
llflua::ll2'l{1uyl zs0s
ariun!1 tlun'tl:u :1Un1ti1U uoii.!t$n0
alfu :1Un!t0ui uu'tu
r'rrrr 1u/njro lrqu o:ru'tv rpr/nriltl fiu1l iiruru rpunrho ltrlu rirurrl 4rnniro ftqu
132 nlflhnlt (GLride wrie) ttrtfruGoatil niwire Uretera( riu 0 1,700.00 60 1,700.00 102,000.00 60 1,700.00 102,000.00 0 1,700.00
tlc r{l$rcur6ufiliodri:1i (Needte Eiopsy) !!li 16 G x iu 14 1,177.00 16,478.00 15 1,100.00 16,500.00 t4 r,100.00 15,400.00 l5 1.100.00 16,500.00
rs riuNrczriufiNrodtrt?a (Needte Biopsv) n'uln 1E G x i, 0 1,100.00 30 1,100.00 33,000.00 15 1,100.00 16,500.00 l5 1,100.00 16,500.00
t36 r{rnrvr::ltilaourr.rliudrii'r (oisposabte two part t'r, 0 535.00 40 535.00 21,400.00 20 535.00 10,7@.00 m 535.00 10,700.00
kocar need(e)
0 0
13? tJ6onrlndo'ldoli:miolint!(NavigationUreterat rin 0 0
tle iaqfilrt6oalulm!!{n (Nasal Packins) nun 45 mm na0.t 9 2,350.00 21,150.00 10 2,996.00 29,960.00 5 2,996.00 14,980.00 l4 2,996.00 41,944.00
tco r-aqfi1l6on1uln:.lntn (Nasal Packns) !u10 80 mm na0.l 8 3,2r0.00 25,680.00 20 3,2t0.00 64,200.00 -5 3,210.00 16,050.00 31 3,210.00 105,930.00
tct 6lruoiunularuqlnio'r:r z.o iu 20 214.00 4,280.00 20 214.04 4,280.00 20 214.00 4,280.00 20 214.00 4,280.00
142 0!rrB:llnu!E',]UCtE!0r:1 /.) tu 2A 214.00 4,280.00 20 214.00 4,280.00 20 214.00 4,280.00 20 214.00 4,280.00
tqa udrdr6turnr6ndrxiltllaoo (Mottanoid) No. M na0.t 7 1,000.00 7,000.00 0 1,000.00 7 1,000.00 7,000.00 0 1,000.00
tqq ududriturqt6ndrw'ufii6oi (l4ottanoid) No. L na0.r 3 1,200.00 3,600.00 0 1,200.00 3 1,200.00 3,600.00 0 1,200.00
tqs urivdr6tlro6ndr$fi.ri!60n (Mottanoid) No. ss u60l 4 1,100.00 4,400.00 0 1,100.00 4 1,100.00 4,400.00 0 1,100.00
too udrdrf,.ouror6ndrxiufiJ!60, (Mottanoid) No. S na0i 8 1,100.00 8,800.00 0 1,100.00 8 1,100.00 8,800.00 0 1,r00.00
taz yio:vu.uJrh1n:rauotuutnrrrtin{fi-rrnui' d il 0 0- 0
rt
0
Programab(e VP Shunt
| ;\-{) ) (
-_s.2.,..
) U
A- (0v')
ularro'u4r :vt6lfi lirrarrmali n.rnrit 'r11 rElt',tlnU nUlolr'l:61./ u1fit1/n 6Yt0ttn?{n ur.ralri:fra n1n:
rfurunnddrlrqr:f,uu rururnltrin{rurrxn't:f, utu llU11.J1A?!1lrtllr1qJn1l u{.un:drurqnr: t$1run lTll']']:NlJ[a!!qlu0lJ, !llJ
Paee 43 of ljj
a
up
: i.qilltti
rlsrludTllluiu
iognuthriu#
- riru iaqnr:unntieiri'a
tq8 rio:curuJrlull:raro,rurlunt?rtia Meduim pressure {u 10 7,2OO.OO 72,000.00 0 7,200.00 10 7.200.00 72.000.00 0 7,200.00
1qg rio:curui{uh:raroruuunrr:tin Hlgtr pressure (v-P iu 5 7,490.00 37,450.00 0 7,490.00 5 7.490.00 37,450.00 0 7,490.00
tso rio:vuruulrlultt:.:a!Bull'tnm:!itl Low pressureN-P tu 3 7,490.00 22,410.40 0 7,490.00 0 7,490.00 3 7,490.00 22,470.00
Shunt,Contour,Small)
tst rio:curuJrluln:rauoluur:nrr:'ria Hign pressure (v-P iu 5 7,490.00 37,450.00 0 7,490.00 0 7,490.00 5 7,490.00 37,450.00
Shunt.Contour,5matt)
tsz rio:curuJrlulr:$s!u0rut.:r,'tnrl:t0t Meduim pressure iu 13 7,490.00 97,370.00 0 7,490.00 3 7,490.00 22,470.00 10 7,490.00 74,900.00
(V-P ShLrnt,ContoLlr,Sma(t)
t:g vio:wrarlrluh:raloi[uuo1?:tin Low pressure (v-P tu 0 7,490.00 0 7,490.00 7 7,490.00 - 52,430.00 7 7,490.00 52,430.00
t54 rio:;urulrrhlmra!0rutl!nm:tin High pressure (v'P 1! 1 7,490.00 7,490.00 0 7,490.00 0 7,490.00 I 7,490.00 7,490.00
tss rio:curuulrhli:ra!0n[uuo12:tin Medium pressure il l0 7,490.00 74,900.00 0 7,490.00 7 7,490.00 52,430.00 3 7,490.@ 22,470.@
tse a.urrr1utLltilurn'r (EV-Drain set) naD.t 2 1,718.32 7,476.64 80 4.OOO.OO 320,000.00 26 4,000.00 104,000.00 56 4,000.00 224,000.00
0 0 0
157 J1u'rrlTnulEolla:todo eun"rpt"y 1r10 0
120 75.00 9,000.00
158 qnurrunul:urrrtdo tu 0 75.00 200 75.00 15,000.00 80 75.00 6,000.00
6,206.00 68,266.@
tSe laryiu(uriordoctaw forceps (Endoctint) iu 0 6,206.00 r5 6,206.N 93,090.00 4 6,206.@ 24,824.00 11
rt
51,360.00
160 rilltn'1Ud$l1n'din Uttra veress lntrasLrfflation (Needte iu 0 1,712.00 30 t,7r2.g) 51,360.00 0 1,?12.00 30 1,712.00
r' o"r1
t, )
il) 0/ ( [v' )
tot rnio.rioJl'qrriodrldo' mm
ll'iturn 60 iu 0 8,560.00 5 8,560.00 42,800.00 0 8,560.00 8,560.00 42,800.00
toz riio$sn'qdodrli0' rrii'oulo 1oo mm d, 7 8,560.00 59,920.00 5 8,560.00 42,800.00 0 8,560.00 12 8,560.00 102,720.00
rol nio{ior-ndotirlio-rluii tuu 80 mm iu 14 8,560.00 119,840.00 18 8,560.00 154,080.00 19 8,560.00 162.640.00 t3 8,560.00 111,280.00
roq rnio.rioiodrl{uuu1i.! (cuNed cutter stapter) t'u 6 14,980.00 89,880.00 10 14,980.00 149,800.00 5 14,980.00 74,900.00 11 14,980.00 164,?80.00
ros nioliorioa'rlio'alru?uuu:mnl 25 mm t', 4 10,700.00 42,800.00 10 10,646.50 106,465.00 10 10,646.50 106,465.00 4 10,646.50 42,586.00
roo raioliodotirl{o'rltuiuul:t'tnau 28 mm t't, 10,700.00 406,600.@ 50 10,593.00 529,650.00 10,593.00 561,429.00 10,593.00 370,755.00
toz rnioriodorirl{6'rlliiuuurrnal 29 mm t'u 46 10,700.00 492,200.00 50 10,645.50 532,275.00 70 10,646.50 745,255.00 26 10,646.50 276,809.00
toa qrdlr:-ttlqlli tremove gait btadder) iu 100 300.00 30,000.00 150 300.00 45.000.00 r00 300.00 30,000.00 150 300.00 45,000.00
tos qrJn:nldru:-rivt'umrttdotdotiocurvedEndo it 29 6,527.00 189,283,00 20 6,527.04 130,540.00 29 6,527.00 189,283.00 20 6,521.00 130,540.00
tzt --- I )
-
qrln:nilir-uriotdotir G,asper'o'ceps tu 6,206.00 422,008.00 0 6,206.00 - 41 6,206.00 254,446.OO 27 6,206.00 '167,562.0A
tuz qUn:nftlrrirmrvrtitnirri'ooinl{udrdr(olsposaole t't 165 3,638.00 600,270.00 15 4,066.00 60,990.00 99 4,066.00 402,534.00 81 4,066.00 329,346.OO
173 qJn:nid'rrirmlvrrirurirrioruialtudrfi"l (oisposaute t'l 58 3,638.00 2rl,OO4.OO 60 4,066.00 243,960.00 73 4,066.00 296,818.00 45 4,066.00 182'97000
Trocarriuli 5 mm)
:
t! 60 6,079.00 364,740.00 47 6,079.00 285,713.00 54 6,0?9.00 328,266.00
tzo qr.Jn:oidrnluyrirrfuGoirii Endo LiSactip, Medium - 41 6,099.00 250,059.00
tzs qrJn:oiahniuXnn"ndl6ontin Endo Ligactip, Large il 6,848.00 26A,224.00 40 6,828.00 273,120.00 20 6,828.00 136,560.00 58 6,828.00 396,024.00
(.ql) ( [V'
N
"1
)
ltarro'u4r rJ:vt6l6 't!aTa't! n{Y!'ll.tt !1!61r1:fl 1.t mU:qtf :au u'u5run iMnttolln rrarti:ira trqn:
fiununvddrlrqn:fiuu narural.ariridrurrynr:i utu lru1u'tn?ilt'tl l./'lqrn'll undtn:drlrqnr: r!lrun!1rn1:ruua!uqJtu!urr1u
Jlcilun::!n1: fl::!n1: ft:ulr'l: nl:!n1: n:.r!n1.'
6r :
w
f,.q:ux:
:rumunlJ:ruiu - iiro r-a1nr:unltiairde
touE:!x?1'rTJu 01 iala! 2564 6.r go fi'uuruu zsos
. , e)
1Eo Q{n:aitl iJlisutirEoitiottii Lrgasure smaLL JAw tu 0 19,260.00 2 19,260.00 38,520.00 0 19,260.00 2 19,260.00 38,520.00
tat aarjnitHur6ontio Endo 5 mm Apptier tu 5 10,700.00 53,500.00 10 10,700.00 107,000.00 10 10,700.00 107,000.00 5 10,700.00 53,500.00
tez ai!fiuriu!6ondt Hemo tock ctips Oio(et) na0l 0 19,600.00 l0 21,000.00 210,000.00 6 21,000.00 126,000.00 4 21,000.00 84,000.00
183 na{xilJriu!60ntit Hemo{ock ctiPs (Go(d) na01 0 19,600.00 l0 21,000.00 210,000.00 21,000.00 63,000.00 7 21,000.00 147,000.00
187 qinroi&niJtitlorriJueadllili. sML wound protector ir 5 2,675.40 13,375.00 0 2,675.U) 0 2,675.u0 5 2,675.$ 13,375.00
2.5'6 cn
188 qun:0jfirrfiitillo!fuul6.i'liitilt MEo wound protector ttr 5 3.210.00 16,050.00 0 3,210.00 0 3,210.00 5 3,210.00 16,050.00
5-9 cm.
tae q{n:oftlrnir:namlMnrli ( surglwand ll) tu 40 4,601.00 184,040.00 60 4,601.00 276,060.00 64 4,601.00 294,464.00 36 4,601.00 165,636.00
teo qrJn:nirhriusrvrrirrtrfiol'riarJnrtr{ uur.rioiuoaql tu 0 4,500.00 20 4,500.00 90,000.00 I 4,500.00 36,000.00 12 4,500.00 54,000.00
t91 rd'ul:lnrodtusci'aur0dotin$lr turn qs tttl. tu 0 7,915.00 84 7,915.00 664,860.00 60 7,915.00 474,900.00 24 7,915.00 189,960.00
192 ndur:nnrnduun;ftrriodotiaulr urn oo ur. iu 0 7,915.00 84 7,915.00 664,860.00 60 7,915.00 474,900.00 24 7 '915.U) 189,960.00
( .ctfl
.,u l
) d{ tw') urrarti:fim Xqr:
u1ra1'r0ts01 u:llollo ur.ramaroh nurit !1l6lr1tnu tnu:om:au lrf.urn ivBItfrxd
n-unurirtidrurxn:f,uu rimuraltrindrurrXnr:fi utu lr ulrJ'ta lililri1lr1qJ n1l nitn:{rlrqnr: r{rnfn.rrunr:riuunuiqirl!uiuu
!:![1unll!n']: n::!n1: n:llrn'l: nl:!nll n:ll1n1:
Paec 46 of 173
A
w
t 6.q x:
:'lu{1uf, 1rJtluiu - riru iaqnr:uvrutiriri'n
{oXa:vnir riui ot qamu 2564 61 30 fiuuluu 2565
uo9luflu1 :1Un'.ll:u tlun'tta'tu uonfr{!{no
:10n!toui rir')u
a1r'rJ
o'ruru qlnnhu ht!, o1u?! $rztnjru lur!, riruru rluAnjru lvlu livlr lgzrnjru lurp
0
1lc n6'ur::larntiuuarl'atfordo'aiovurft rnu llrln 60 rlrt. !l.l 0 0 0
tg5 arguoanuifrtult 15 r1rl. (Eattoor enractol 15'nm) t! 0 4,280.00 0 4,280.00 0 4,280.00 0 4,280.00
t99
, t-
- - , . ,
artrt-roaqvrurwiorjrf,nloriorYuoouairun6ortulo 15-18 iu 3 7,450.00 22,350.00 0 7,450.00 0 7,450.00 3 7,450.00 2235a.AO
zot url:rduttariturioJliutlUfiarlil (cltoLogv brush) iu 0 3,959.00 17 3,959.00 67,303.00 3,959.@ 47,508.00 5 3,959.00 19,795.00
zoq rio:ruruiutiou tinlr8lnin (Pancreatic stent) 5 Fr 3 iu 0 1,890.00 5 1,890.00 9,450.00 0 1,890.00 5 1,890.00 9,450.00
205 rio:clrul'utjou 'diin8lfiin (Pancreatic stenu 5 Fr 5 nv 0 1,890.00 1,890.00 9.450.00 0 1,890.00 5 1,890.00 9,450.00
zoe rio:wrur'utiou 'liin8lain (Pancreatic sten0 5 Fr 7 !l.r 0 1,890.00 5 1,890.00 9,450.00 0 1,E90.00 5 1,890.00 9,450.00
zoz r{lrsrrqnriotdodrlndortlou:m'aino'nr:rmrd (eus iu 5 8,560.00 42,800.00 4 8,560.00 34,244.44 0 8,560.00 9 8,550.00 77,040.00
dr t(V')
{ c'r-7'l
ur.ramdunr J:lrhufr
I
'
- r<7,.-
lrsmatsh n.ttrit
)
rrl.riu'lln! rnu:rtn:611
"y'/
ur.rirrn ?rBItfi'r.rr{ urrarrmfim 1qn:
llr.taurrtrilulqn:.lllnU rimural.arin{rurrxnr:iuu rururaitririrlrqnr: urirn:{rurqnr: t$'lrun!lrJn1:Nuu,6rlrtlJ'd!0!ri 1u
208 tt!tal!!nri10o0B't!n60llto.tr:'ls!ui0nrl.|u, !1.r 5 10,700.00 53,500.00 3 10,700.00 32,100.00 0 10,700.00 8 10,700.00 85,600.00
zt I rdlrsrvqorurordodrun6o$o.tn:*uioo'nr:trrd (rus il C 0 0 0
ztq Jlurirdondolttolrnnti, oPA una0u 302 1,800'oo 543'600.00 1oo 1,795,00 179,500.00 36 1,795,00 64,620,00 366 1,795.00 656,970.00
(Ortho-Phthabtdehyde Solution)
zls qrqrln:niihurHoa (HEMOSPRAY) 1o 18 18,750.00 337,500.00 11 r8,750.00 318,750.00 7 18,750.00 131,250.00 28 18,750.00 525,000.00
3,800.00 22,800.00
zto rnio$orir.rturuurnuri 14.1 cm x 14.1 cm fir 9 3,800.00 34,200.00 0 3,800.00 3 3,800.00 11,400.00 6
zzo unttrumnuofl:ti Sterile tip nlr1' 13 x 102 mm na0t 0 1,17?.00 3 1,177.00 3,531.00 I 1,177.00 1,177.00 2 1,177.00 2,354.00
((v')
222 Eco Foam PLus Specifcattion 30x30x2.5
, "*_fr.
l]1{almbo1 u:!lal]t! --,
t-
urlarrariq a.urit
0,
r.r1!6u1:911./ rn!50rnlau
e/.
ul:iun irt'lthr.rd uramri:f,ra X1n:
rorrrai.orirrdrurq; nr:fi rru llU',tU',tA',)tlirt1u'ltul1: urirnrdtrrynr: r,t1 !nfl!n11r.!![av!qJ!!0u. llu
rlur uwr ddrurqn:iutu
n::!f1: n:l!n'll nt5llnl5 n::rn1l
rJ:!61!n::rn1:
ffi r 6.qiuxi
:1ul1uf, Tltluiu - dra iaqnrtuvrntieiria
WY toXa:su'Jr dud ot qnrau 2564 6{ 30 niuoluu 2s65
u0ii,llrao
u0iun!1 :lUNTIU :lUnllilu
v!?u
n'lou :1UO!lOUtt
l:rvrr lunnjru lurlu ii'ttrl 1u/nilu ury dru'u rp/n'iru dvqr riruru ryAni'lu durlu
224 Mi.topote 1/2'\1 nrio.r 0 545.70 2 545.70 1,091.40 I 545.7A 545.10 545.70 545.70
22? lmrEuurs'diqalaru t!o{ zo iatdl]nalJlllrn 26 !!. lna 520 588.50 306,024.44 200 588.50 117,700.00 295 588.50 173,607.50 425 588.50 25A,112.50
0 0 0
22g lnuluuntira:aro (catgut No. z0 o 40 mm u'l? 75 cm.) 1m 0
(catgut No.3/o o 26 mm. u1? 75 cm '[na 0 0 0 0
23o 1u1!6!urnriin!n1u )
231 lx!6uur6!0t6t8'lu (catgut No 4/0 @ 17 mm tm 75 cm) Ina 2a 642.00 12,840.00 19 642.00 12,198.00 17 642.00 10,914.00 22 642.00 14,124.00
70 642.00 44,940.00 73 0
232 llardt,lleEloinlll1u wof o hiiitiu atru1? r5o !trr {Ptain ) Ina 3 642.00 1,926.00
233 hruiuulalimcnru Noi z0 ii(i!n6! 48 ro. u1l 75 r!l. Ina 101 556.40 56,196.40 50 556.40 21,820.00 45 556.40 5,038.00 106 556.q 58,978.40
(Ptain )
234 lxrl6rJlrEtirnlnvaru ruoi 3/o fiot{lr:ttirtndul tr.ra 12 1.444.5A 1o4,OO4.OO 30 1,444.50 43,335.00 3 1,M450 4,333.50 99 1,444.50 143,005.50
235 1x!6us!6!!iEvacara tl]oi 1 iadrlna! 40 !u arr! lva 93 963.00 89.559.00 148 963.00 142'524.00 24't 0
rzi"r
236 lfil}hlrGonnirslsruld tllra t f a0.t 0 11,770.00 7 11,770.00 82,390.00 4 11,770.00 47,080.00 3 11,770.00 35,310.00
237 {6qfi l6ornirEraruli'lYrn z, q dr ndo.r a 22,474.44 12 22,470.00 269,644.aa 9 22,470.00 202,230.00 3 22.470.00 67,410.00
23g Inlll,l.lnlriavaru (NyLon 10/0 c - 3 Doubte 6 mm. ( lva 30 4,387.00 131,610.00 30 4,387.00 131,610.00 60 4,387.00 263,220.00 0 4,387.00
m ) url 30 cm)
239 1rr:rd.lln:tri!0rlrinvaruuuuullriu:woi tozo tiud fua o 8,560.00 3 8,560.00 25,680.00 0 8,560.00 3 8,560.00 25,680.00
trdun:r+r{ulft)
urralo-unr rJ:rthrfi .-{aaall'l aru(s autri.a llrlourlnti m'o:n.h:i! urritun SvSItf,lr{ lrlamnrf,ra trp:
r'wunvJdrlrq;niitnu riarrraitrindtrqnr:fi ut nurrrafuin{trqnr: uitnidtrqnr: tnlrun l,rvnltrl!mluq!!n!ir1./
Paoe 49 of 1il
:fl6.qi! i
:1uir1u6lj:1uiu - iiru inqnr:unrdriria
doXa:vu'jr.t 'liui ot rlaral 2564 6{ 30 tiuu'tttu zsos
uaounl]1 t1ufr1::u fiUfl1:N1U u0ni.llrao
llun!lDUi lt1.r1u
rirvru rp.llniru lurlu l:ruru pznriru lulu oirutu rlunnjru turlu iiruru lumiru tulu
0
240 1x!16!'oiihi8EFlti uulttlrd.tJoi 8/0 r8l0 Nvlon (au Ira 0 0 0
241 lxlr6uumina:ara t5l0 Protygta.un s 24 8.0 mm 1/4c (il) Ina 9 5,007.60 45,068.40 I 5,007.60 40,060.80 3 5,007.60 15,022.84 14 5,007.60 70,106.40
242 lrl rdlurttiihlnt 6./0 Prolygtactin 5 24 I0 mm 1/4c (il) lna 7 5,510.50 38,573.50 5 5,510.50 27,552.50 3 5,510.50 16,531.50 9 5,510.50 49,594.50
zo3 lxr]dvu&atiaacalo 8/o Protygtactin TG 140-8 6 5 tna l8 5,896.77 106,141.86 I 5,A96.77 47,t74.16 11 5,896.77 64,864.47 5,896.77 88,451.55
zqc lrur6uurn.uiolriacara tuo{ 6/o (sltk 6/0) Ln 0 4,332.43 1 4,332.43 4,332.43 0 4,332.43 1 4,332.43 4,332.43
245 1x!r6!uxatiofi!418 5/o surgidac u'l? 45 cm Ina 0 4,280.00 2 4,280.00 8,560.00 0 4,280.00 2 4,280.00 8,560.00
246 lvlfllli:llriliilin:aruuuvduldortuoi lo/o risln{l.t im 0 5,350.00 2 5,350.00 10,700.00 0 5,350.00 2 5,350.00 10,700.00
z+z udrimirqrfirwiriolrjd'i tuli 15 x 28 cm ndol 774.68 9.296.16 0 774.68 12 774.68 9,296.16 0 774.68
0 0 0
249 luinridnllJoi 12 (Btade No. 12) na0.! 0
25r in$r;1nm u.rn 15 oitll (stit knife 15') ndo.r 0 1,284.00 60 1,284.4) 77,040.00 l0 1,284.00 12,840.00 50 1,284.00 64,200.00
0 10,700.00
zse pqr.ln:oiirriiuSnrrdlnn't turn 23 tnl arutitttt l4 10,700.00 149,800.00 35 10,700.00 374,500.00 49 10,700.00 524,300.00
zsz pqlln:ni;'arlriulnrrd'lunal tlra z5 tns ntutl'trl't 15 10.7oO.OO 160,500.00 35 1o,7oO.OO 374,500.00 32 10,700 00 342,400.00 18 10,700.00 192,600.00
( ,&Yt ) | ':2- )
& J^Z ((V)
-U'
1./',r!6'r10tso1 U:V$r]o urlarlaroh n'trri.u !1lElr1:nu tnutnm:A! Ulrlrun avlEliql.!tl urlamr:f,ra 1qn:
fiunuuti{rurqn:fiuu riaruraltririf iurrxnr:fi utu rulu'ralt'rtlinlu1t!nT urdtn:drurqnr: t!lll1]n !lunlllluual!qJ!u0lJu !1!
Paoc 50 of 13i
ffi
qp
: i.qhlxi
:1u.r'lunTJtluir - riru ialnrr uxltdairi'a
rioXa: cuirriud 01 qalau 2564 6l :o filuruu zsos
i1ufrl::u tlumtl'lu uoiiillllao
uoiunl]'l
alru :'luEvloul III,J?U
l:rmr rg/nrjra dulu riruru rpAniru fut!, oirllzu luzuiru lup l'rurr 4rznjru {v1u
0
zsa rnuriurirmrfi utLtinudr n'vlJld' t0otrinrdi;drv'ir.: iu a 0 0
Pieces IOL)
(lrree il 0 4 2,500.00 10,000.00 4 2,500.00 10,000.00 0 2,500.00
266 ralrduirnrfirntirfiif drril*nu1oddi r Piecet loL) 2,500.00
Piece IOL)
136,500.00 0 390.00
zoq rnrdutYrmtfi ul'aioudl riulild (unfotoaote tot) iu 0 390.00 350 390.00 136,500.00 350 390.00
0 700.00 0 700.00
265 rs!dudlr']liu]r'dior$irild(dlnlux'1 5F loL) in 0 700.00 0 700.00
40 48,000.00 0 1,200.00
271 riraQueirr-ri'uniorrtr?lil (Knee Adhroscope with Pouch) il 0 950.00 40 1,200.00 48,000.00 1,200.00
$llit!r: (Stocklnate 70 !r') t!u 200.00 2oo 2oo.oo 4o,ooo.0o 1oo 200 00 20,000 00 100 200.00 20.000.00
277 qrlriloglr'l,lo 70
t'llol /.)
7 2,615.00 18,725.00 0 7 2.675.@ 16,725.00
zat q.rfio'uinlrJiiurlldlriur:drr'aiaun::un:vnnuavio ndo.r 0 2,675.00
2,675.00
iuoi g
0 0
0
zaz aruf,dilrLl ttritiilii0 (Hand switches ) t6l.l 0
150 120.00 18,000.00 600 120.00 72,000.00
(Foot switches) ?50 120.00 90,000.00 0 120.00
283 dluijlylfl{ d?id1nioldlfi1 tn1./
( ;\xl )
: urrarmrult nrntit
&
ursurlqd tfio:filn:?tr lrrltln"r'1
?nB1tirr+{
t\Lr)
ursrer:f,la trqn:
mmr:o'u6r :uiud
raruraitriridrlrrgnr: nd'an:drlrqnr: r{rnrin.trlnr:riuuawiqirJfi uilru
riunurrtidrrrrgn:f, tlu narrraitrtrdrlrqnr:iru
n::!n1: nl:!n']l n5r!n1t
rl:!61r./n::!nl: n:t!n1:
Paee 52 ol 133
A
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:Yr6.6:!ll:
:1u{1uf,TJ:1uiu - rjlu i6qn1twr tiiili'tr
toXar:n'irliui 01 r!616! 2564 6{ 30 riuuruu 2565
:lUn'.lllu 51Um:01U uo9fflluaa
uoruolll
n1i1J fluniloui rru"lu
o'ruzr luzrnjru lury ,itru lurniro frt!, ,l'rutu qunniru frrt, iiruru lunnirtr lrt!,
a 3 1,601.62 10,804.86
zsq lv!drrn:rvfn0tiriacaruuul KUtnul tllo i 4/o !i!nn! Ina 3 3,601.62 10,804.86 0 3'601'62 3,60r.62
rl u. u1,) zs tl tdrlrdur
":l1
!1!aI0'ts01 !.ll!lolln l.t'1,:a1?a'l sln nltlrOt
d,
rr'r rinri tfiareln:8!
*a
!115n!rn aY6lill'1ln
\fv)
urlarrri:f,le 11n:
naruraitrirdrurqnr: u{tn:drurqnr: r{rn{nurnr:tiuuaw'qirJlt}lrl
n'unurirtiirlrqn:f,ut riuru'ni'urint'rurq;nr:f, utu
n:1llfl1l fl:ul't']l n::!rl1:
rl:vdrlrnt:l]nr nl:!n'll
Paee 53 of 133
r i.qiuni
:rulrualJ:ruiu - rira ialnr:uwttidrir
toXa:;n'jr.riud ot
uoiunul :,IUM::U ."rmtdlu uolaqrf,o
---- lrtlu r'ru'u rluA.niru lurP
:1Un!routl
n:1uu tlu/xrjlu dulu drurl
!.t11?u
luAniru fily
f,1nu
luAniru
'l'ruru
t2 6,500.00 78,000.00 6,s00.00 78,000.00 0 6,500.00
os qrJn:oirfiufuriurdl6ot Slze S (Hemostauc ctip Size ndor 0 6,500.00
(Hemoiatic cl.lp naior 0 6,500.00 26 6,500.00 169,000.00 16 6,500.00 104,000.00 10 6,500.00 65,000.00
aoo qrJn:oirhultliuufuGon Size M Size
2.500 mt)
0 0
(uni- 0
309 enoi!6oolfiu!u!!li!t:!!ll1i 26 !rl.x30 nrl tatu 0
itt 100 1,475.00 147,500.00 20 1,475.00 29,500.00 100 1,475.00 147,500.00 20 1,475.00 29,500.00
313 qin:0in:s.!il0no1n u'lllAu (Arteria( Filter 125 m0
50 11,666.67 75 90 10,713.33 965,999.70 35 10,713.33 375,666.55
314 Uo fiullliiuunJau (Membrane orygenator with iu 583,333.50 t0,733.33 804,999.75
resetuoh)
50 3.210.00 160,500.00 20 2,9oO.OO 58,OOO.OO 70 2,9oO OO 203',000',00 0 2',900 00
315 6'lt urd:lnoulr:clunr:lu8tluulnfirnr0uonj, lnro $
dlxlutlxa! fiubing Pack Adu(t)
40 3,600.00 144,OOO.OO m 3,300.00 66,000.00 52 3,3oO OO 17l',6ooo0 I 3',300 00 26'400 00
316 pbi6't:s!s1t uslrioariolnurrltnrnntlllriortrlo 1i
tinr.Jiuqruqili (etood cardioptegia set)
' g',uom 50 2',46100 rz'05000
irt 1o 2,461.00 24,610.00 20 2,461.00 4g2200O '20 2'461@
317 l'?n:0r60iU:!ArGnrri6'linrol{tqi
318 riodlnl:Fca1u'diorlrs:lo'u (Pressure Tubing 24'760 naior 0 1,700.00 12 1,7@.00 2o,40o.oo 12 1,700.00 20,400.00 0 1,700.00
cm (Mate Mate) )
320 qUn:0ilnu:.li'u (Pressure gauge) iu 0 8,000.00 2 8,000.00 16,000.00 2 8,000.00 16,000.00 0 8,000.00
321 rlorliotiudlriJnmhiivnoi6oili nqjluuulul nao,r 0 29,960.00 4 29,960.00 119,840.00 4 29,960.00 119,840.00 0 29,960.00
(Ante flo)
323 n::1n:irlnarusm 13 nlJ.lrlJli:lu8ltfluunlrj8lu t'll 30 827 .80 24,E34.00 30 827.80 24,834.00 60 30 00 1 ,800 00 30.00
324 n::In:n' r,na,21lu1l 14.5 nu.uuui:rlalulruualil81u i! 0 827.80 s0 827.80 41.390.00 50 20.00 1,000.00 20.00
328 Reusable distaL attachment ( obLique) nR0.t 5 5,890.00 29,450.00 0 5,890.00 0 5,890.00 5 5,890.00 29,450.00
329 Reusabte dlstat attachment (wide oblique) nao.t 0 5,890.00 0 5,890.00 -5 5,890.00 29,454.40 5 5,890.00 29,450.00
330 Reusabte distat af(achment (straight) na0.t 3 6,200.00 18,600.00 0 6,200.00 0 6,200.00 3 6,200.00 18,600.00
331 Singte u5e dista( aftachment { soft wide obtique with .im) na0.i 5 4,750.00 23,150.00 0 4,750.00 3 4,750.00 14,250.00 2 4,750.00 9,500.00
d
0 18,000.00
{t
'-Y 18,000.00
(v
0 18,000.00
("rl) ( ..: )
(
334 Medium ctips (30 Pc5 / box nn0r 2 7,000.00 14,000.00 0 7,000.00 0 7,000.00 2 7,000.00 14,000.00
335 Smatt / lvledium cllps (30 pcs / box) na0t 5 6,800.00 34,000.00 0 6,800.00 0 6,800.00 5 6,800.00 34,000.00
330 udutnflaioumn'url'l Oagaderm+Pad) tu1o 5 x 7 cm na0.! 1 1,305.40 1,305.40 0 1,305.40 1 1,305.40 1,305.40 0 1,305.40
337 uliunliJtllosHnn'uJl (Tagaderm+Pad) tu1, 6 x 10 cm nff0.! 4 1,744.10 6,976.44 0 1,744.10 4 1,744.10 6,976.40 0 1,744.10
338 SiLicone Loop t. mm, qs cm (ilrttr) na0t 2 2,56A.9) 5,r36.00 0 2,568.00 0 2,568.00 2 2,568.00 5,136.00
339 Siticone Loop 1. mm,45 cm (x6s'!) nao.t 2 2,568.@ 5,136.00 0 2,568.00 0 2,568.00 2 2,568.00 5,136.00
340 si(icone Loop 1. mm,45 cm (ut'!) nnB.t 2 256&N 5,136.00 0 2,568.00 0 2,568.00 2 2,568.00 5,136.00
34t ar:n;arurn6oalqnltllgnm'uiamnufir ( 85S 5oo m0 mn 90 823.01 74,070.90 0 823.01 60 E2.01 49,380.60 30 E23.01 24,690.30
gaz durmrittrfi urd0dotian'.rd'nlurii tlr 33 1,515.00 49,995.00 36 1,515.00 54,540.00 0 1,515.00 69 1,515.00 10rr,535.00
343 Eactigras 15 x 20 cm. odor E0 319.93 25,594.40 0 319.93 5 119.93 |,599.65 75 319.93 23,994.75
(Hip Drape with pouch) ulind itr 32 t,444.50 46,224.00 36 |,444.50 52,002.00 64 1,444.50 92,448.00 4 1,444.50 5,778.00
:ca rirrqtlrirr'atoa:Inn
rs lrirnrntorn'urdol:aurunqufl:wticin'nalriiom:ol 1o 0 43,335.00 5 43,335.00 216,675.00 5 43,335.00 216,675.44 0 43,335.00
OlnTt (PAPR)
-/^
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d/ {,, ( (V' )
z ri}rrcr!1nfluu& Spinat needLe No.27G x d, 10 1,862.80 18,628.00 0 2,354.00 0.00 0 2,354.00 0.00 10 2,354.00 23,540.00
set No.18G
5 qrnrialnu r:uror zan: Siticone Rebreathing lu 9 1,500.00 13,500.00 20 1,500.00 30,000.00 0 1,500.00 0.00 29 1,500.00 43,500.00
bag 2.0 tt
6 Yioiluul Tube lnhater d, 0 -00- 0.00 0 0.00
7 urirnrnriruurolwiorllalru1n 5 lnflatabte d, 20 135.00 2,700.00 10 135.00 1,350.00 0 135.00 0.00 30 135.00 4,050,00
e viorirourtrhsildl ldx1{aln r;ura 6.5 RAE riu 1 361.30 2,529.t0 20 631.30 12,626.00 17 631.30 10,732.10 10 631.30 6,313.00
ro riorj:uurtrls3rfiHr ldvl,{!{n tru1fl 7.0 RAE Lliu 20 361.30 7,226.00 30 361.30 10,839.00 30 631.30 18,939.00 20 631.30 12,626.00
rt rioi, uuruhsr.llil ldnrrsqn wrn 2.5 Rrc liu 5 651.30 3,2s6.50 30 651.30 19,539.00 20 651.30 13,026.00 15 651.30 9.76950
t: vioiruuruhttnviodn nu1i 4.0 MLT. size 4.0 tiu 15 363.80 5,457.00 0 363.80 0.00 0 363.80 0.00 15 363.80 5,457.00
clTl
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Page 57 of 133
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ts riariruur utinlrilq$! wln 5.5 Elu 5 112.35 561.75 o t12.35 0.00 s 112.35 561.75 0 112.35 0.00
Endotracheal tube uncuffed size 5.5
to !
uriun:otdouuafiriuuarlrfa drulurdnln nu 0 0 0.00 0 0.00 0 0.00
Bacteria Fitter pediatrac
20 I'ltr!olaaudlufutl d Anenhetic set adutt ffr 40 350.00 14,000.00 0 350.00 0.00 0 350.00 0.00 40 350.00 14,000.00
24 uoun:mlnalurr{rg'u!0.:dldna0ulu6on tu 200 25.00 5,000.00 1900 25.00 47,500.00 1100 25.00 27,500.00 looo 25.00 25,OOO.OO
Hemogtobin measurement
zs uriun:':lnduh{f rr{rhtinlvlr {, 360 481.50 173,340.00 1o2o 418.50 426,870.00 960 481.50 462,240.00 q2o 481.50 202,230.00
EKG.Etectrode foam aduLt
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Pale 58 of 133
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43 alui0ur{ilua?1!u11 36 d? riodoua1oaron-r{ riu 80 85.00 6,800.00 140 85.00 11,900.00 80 85.00 6,800.00 140 85.00 11,900.00
45 aroaruuaoardoar'r tian'u:-.rfr wrr t6 x 1.25i'l d, 4 850.00 3,400.00 0 850.00 0 850.00 0.00 4 850.00 3,400.00
lV catheter radiopague size 16 X 1.25'(32 mm)
46 mustuaonGoodr tiniuf.rd.ourn 18 x 1.25d1 {u 4 850.00 3,400.00 0 850.00 0 850.00 0.00 4 850.00 3,400.00
lV catheter radiopague size 18 X 1.25' (32 mm)
47 61r,62uxnonr6ond1 a!firft, tu1n 14 x 50 ii, I 850.00 850.00 2 850.00 1,700.00 I 850.00 850.00 2 850.00 1,700.00
mm lV catheter size 14 X 50 mm
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Page 60 of 133
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48 aruarumoorGonn'r nrf,uu turn 16 x 50 du 22 850.00 18,7oo.oo 2s 850.00 2t,2so.oo 2 850.00 1,700.00 45 850.00 38,250.00
mm lV catheter size 16 X 50 mm
49 61ufl?uxaon6oai'1 n!f,Gr, !u'rn 18 x 45 iu 9 850.00 7,650.00 34 850.00 28,900.00 6 850.00 5,100.00 37 850.00 31,450.00
mm lV catheter size 18 X 45 mm
I 0.00 40 850.00
50 araaruuaoaGoan'1 n!firfi, win 20 x 32 nu 11 850.00 9,350.00 29 850.00 24,650.00 0 850.00 34,000.00
mm lV catheter size 20 X 32 mm
5t aruaruuaooGoni'1 nuf,riu lu1ff 22 X 25 iu 1 850.00 850.00 0 850.00 0.00 -9 850.00 - 7,650.00 10 850.00 8,500.00
mm lV catheter size 22 X 25 mm
53 !o81af1 tu1,0.018' Spring-wi.e Guide size rfru 0 0.00 0 0.00 0 0,00 0 0.00
0.018'
5c tanrarir wrn 0.032' Spring-Wire Guide size rdu 0 0.00 0 0.00 0 0.00 0 0.00
0.032'
ss vioriruurtrloaonsirunaonaodruaonaulud fiu 0 2,602.24 0.00 25 2,602.24 65,056.00 15 2,602.24 39,033.60 t0 2,602.24 26,022.40
so viorirtnmalmoodruuaonno6luaooa nqj Liu 0 2,602.24 0.00 25 2,602.24 65,056.00 12 2,602.24 31,226.88 t3 2,602.24 33,829.t2
5z lnmua1vihlsdru!,)l !u1tr Fr 7.5 x 110 nll. 1o 2 5,500.00 11,000.00 30 5,500.00 165,000.00 8 5,500.00 44,000.00 24 5,500.00 132,000.00
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Page 61 of 133
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togn::nir.riui 01 l6mu 2564 6! 30 riuuluu 2565
62 rri?':u'l'! s'u 16 50.00 800.00 4 50.00 200.00 14 50.00 700.00 6 50.00 300.00
63 Endobroncheat Tube 37 Lt. rf,u 8 2,602.24 20,8t7.92 5 2,602.24 13,011.20 10 2,602.24 26,022.40 3 2,602.24 7,806.72
6q araulr:rsin:rcliufid (sampting tine Set) rfiu 18 3,210.00 57,780.00 0 3,210.00 0.00 18 3,210.00 57,780.00 0 3,210.00 0.00
- .i _-
65 alutnsi8n'rlur61:n-nudt(Suctionconnecring du 600 35.00 21,000.00 600 35.00 21,000.00 600 35.00 21,000.00 600 35.00 21,000.00
tube)i11lJu1218our.
66 aroqaionrturar:di di (Suction connecting rfru 150 55.00 8,250.00 150 55.00 8,250.00 150 55.00 8,250.00 150 55.00 8,250.00
tube) i?1!Ju11 230 {U.
ou visi?t,rfluhtinl,f,iutjna?n ruln 3.5 Ftexibte ra'u 10 909.50 9,095.00 0 909.50 0.00 0 909.50 0.00 10 909.50 9,095.00
Tube (Reinforce ) No. 3.5
oa riorirurruhtianiu$n'u !u'li 4.0 Ftexibte rdu 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00
Tube (Reinforce ) No. 4.0
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Page 62 of 733
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zo riorironrahtinmirlia?a nulo 5.0 FLexibte rHu 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00
Tube (Reinforce ) No. 5.0
u t vioiruuruls.dinGilunm nu1n 5.5 Ftexibte rdu 2 909.50 1,819.00 0 909.50 0.00 2 909.50 1,819.00 0 909.50 0.00
Tube (Reinforce ) No. 5.5
zz vioiruuruh.uinn3ln0arn !u'ln 6.5 Ftexibte rdu 0 909.50 0.00 10 909.50 9,095.00 0 909.50 0.00 10 909.50 9,095.00
Tube (Reinforce ) No. 6.5
zg rioironrtrlrrinnilrna2rr rula 7.0 Ftexibte rd! l0 909.50 9,095.00 0 909.50 0.00 10 909.50 9,095.00 0 909.50 0.00
Tube (Reinforce ) No. 7.0
zq oirmrulotiorflilr,o8?o !u1o 7.5 Ftexibte d 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00
Tube (Reinforce ) No. 7.5
zs rioirtrurahdnraiuraati !u1n 8.0 Ftexibte rdu 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00
Tube (Reinforce ) No. 8.0
lo rlorirauruhtin6illr8?r rulq 6.0 Ftexib(e rdu 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00 0 909.50 0.00
Tube (Reinforce ) No. 6.0
zz yiohiornrl No.6.5
Nasat Airway {, 20 160.50 3,210.00 0 160.50 0.00 0 160.50 0.00 20 160.50 3,210.00
78 oLiornu t'tasa( Airway No.7.o i'u 40 160.50 6,420.00 0 160.50 0.00 l0 160.50 1,605.00 30 160.50 4,815.00
7g ioliornrl t,tasat Airway No.7.5 ii, 40 160.50 6,420.00 0 160.50 0.00 0 160.50 0.00 40 160.50 6,420.00
80 tirr JeLco No.24 i'u 6 850.00 5,100.00 0 850,00 0.00 1 850.00 850.00 5 850.00 4,250.00
at vioi, umulntinviorin lurn 6.0 MLT. Tube liu 3 363.80 1,091.40 0 363.80 0.00 363.80 1,091.40 0 363.80 0.00
No.6.0
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Page 63 of 133
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83 q! ielfiu nuli 1.5 ei: Si(icone Rebreathing 1r 0 1,500.00 0.00 0 1,500.00 0.00 0 1,500.00 0.00 0 1,500.00 0.00
baq 1.5 Lt
84 Slticone Rebreathing bag 0.5 tt. L1l 20 1,500.00 30,000.00 0 1,500.00 0.00 20 1,500.00 30,000.00 0 1,500.00 0.00
85 Silicone face Mask No 00 tu 18 270.00 4,860.00 20 270.00 5,400.00 18 270.00 4,860.00 20 270.00 5,400.00
f
86 Silicone face Mask No 0 tll 10 350.00 3,500.00 10 350.00 3,500.00 10 350.00 3,500.00 l0 350.00 3,500.00
87 Siticone face Mask No 1 nu l6 350.00 5,600.00 10 350.00 3,500.00 l0 350.00 3,500.00 t6 350.00 5,600.00
88 SiLicone face No 4 tu 0 550.00 0.00 0 550.00 0.00 0 550.00 0.00 0 550.00 0.00
89 si(icone face Mask No 5 ir 10 650.00 6,500.00 0 650,00 0.00 0 650.00 0.00 10 650.00 6,500.00
90 Si(icone face Mask No 2 iu 1,700.00 8,500.00 0 1,700.00 0.00 0 1,700.00 0.00 1,700.00 8,500.00
91 ME ( Orat ) Tube No. 6.0 laU 2 361,.30 722.60 10 361.30 3,513.00 2 361.30 722.60 10 361.30 3,613.00
92 RAE ( Orat ) Tube No. 6.5 lal,J 2 361.30 722.60 10 360.30 3,603.00 2 361.30 722.60 10 361.30 3,613.00
93 Endobroncheat tube No.28 Lt. 6u 2 2,602.24 5,204.48 0 2,602.24 0.00 2 2,602.24 5,204.48 0 2,602.24 0.00
94 RAE ( Orat ) Tube No.5.0 cuffed l'at/ 0 361.30 0.00 0 361.30 0.00 0 361.30 0.00 0 361.30 0.00
95 ME ( Oral. ) Tube No. 5.0 uncuffed t6u t3 361.n 4,696.90 20 361.30 7,226.00 3 36t.30 1,083.90 30 361.30 10,839.00
96 RAE ( OraL ) Tube No. 5.5 rflu 22 361.30 7,948.60 0 361.30 0.00 2 361.30 722.60 20 361.30 7,226.@
97 Water tap dtrfit#ouluranu tu 96 400.00 38,400.00 0 400.00 0.00 24 400.00 9600.00 7' 400.00 28,800.00
98 Stethoscope fluqj iu 6 2,782.00 16,692.00 0 2,182.00 0.00 5 2,782.00 13,910.00 1 2,782.00 2,782.00
99 Stethoscope dn iu 2,976.00 8,928.00 0 2,976.00 0.00 2 2,976.00 5952.00 1 2,976.00 2,976.N
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Page 64 of 133
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101 RAE ( OraL ) Tube No. 4.0 du 20 214.00 4,280.00 0 214.00 0.00 10 214.00 2,140.00 10 2t4.00 2,140.00
102 RAE ( Orat ) Tube No.4.5 LaU 10 214.00 2,140.00 0 214.00 0.00 0 214.00 0.00 10 214.00 2,140.00
103 lnflatabte face mask No. 3 tll 20 150.00 3,000.00 0 150.00 0.00 0 150.00 0.00 20 150.00 3,000.00
104 lnflatabLe face mask No.4 iu 50 150.00 9,000.00 0 150.00 0.00 0 150.00 0.00 60 150.00 9,000.00
105 Meconeum Aspirator iu a? 95.00 3,040.00 0 95.00 0.00 0 95.00 0.00 95.00 3,040.00
106 ioio Y Pieces tu 27 0.00 0 0.00 0 0.00 27 0.00
107 RAE ( Orat ) Tube No. 3.0 tfiJ 20 256.80 5,136.00 0 256.80 0.00 10 256.80 2,568.00 10 256.80 2,568.00
108 RAE (OraL ) Tube No, 3.5 l'aU 10 256.80 2,568,00 0 256.80 0.00 0 256.80 0.00 10 256.80 2,568,00
to9 ilorhuxluhlirriodn nnn 5.0 MLT. Tube t,to.s.o KU 20 363.80 7,276.00 0 363.80 0.00 0 363.80 0.00 20 363.80 7,276.00
110 Endobroncheat tube No.37 Rt. la',lJ I 2,602.24 2,602.24 0 2,602.24 0.00 1 2,602.24 2,602.24 0 2,602.24
111 Endobroncheat tube No.39 Lt. L6U 3 2,602.24 7,806.72 0 2,602.24 0.00 0 2,602.24 0.00 3 2,602.24 7,806.72
112 Humid vent ( Newborn. ) {lJ 2 96.30 192.60 0 96.30 0.00 -23 96.30 - 2,214.90 25 96.30 2,401.50
113 Supragtoftic Airway No.4 t'u 17 1,500.00 25,500.00 0 1,500.00 0.00 0 1,500.00 0.00 17 1,500.00 25,500.00
114 Larygeat mask Airway No. 3.0 iu 963.00 26,001.00 0 963.00 0.00 l7 963.00 16,371.00 10 963.00 9,630.00
115 Larygeat mask Airway No. 4.0 tu 18 963.00 17,334.00 10 963.00 9,630.00 18 963.00 17,334.00 10 963.00 9,630.00
116 RAE ( OraL ) Tube No. 7.0 tf,u 40 299.60 11,984.00 10 299.60 2,996.00 30 299.60 8,988.00 20 299.60 5,992.00
117 Upper body adult ( lo/case ) bLanket iu 25 3,210.00 80,250.00 0 3,210.00 0.00 -15 3,210.00, 48,r50.00 40 3,210.00 128,400.00
118 muLti position upperbody (1o/case) bLanket tu 38 2,835.50 107,749.00 0 2,835.50 0.00 0 2,835.50 0.00 38 2,835.50 107,749.00
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Page 65 of 133
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fl t{luaTJrluir - dru isqnrruwrdli{qq'
toXn::v,jr.riud 01 qnlilr 2564 6{ 30 riuoluu 2565
120 Micro Extension Tube (t200) rhuil HU 2200 38.00 83,600.00 0 38.00 0.00 200 38.00 7,600.00 2400 38.00 91,200.00
121 Ftex Tube iu 60 195.00 11,700.00 0 195.00 0,00 0 195.00 0.00 60 195.00 11,700,00
122 Straight Connector 01./ 69 60.00 4,140.00 0 60.00 0.00 0 60.00 0.00 69 60.00 4,140.00
123 Nerve StimuLator Needte 50 mm. 1n 7 500.00 3,500.00 0 500.00 0.00 0 500.00 0.00 7 500.00 3,500.00
124 Nerve Stimutator Needte 100 mm. 1n 4 500.00 2,000.00 0 500.00 0.00 0 500.00 0.00 4 500.00 2,000.00
125 Nerve Stimutator NeedLe 110 mm. tu 10 500.00 5,000.00 0 500.00 0.00 0 500.00 0.00 10 500.00 5,000.00
126 Supraglottic Airway No.3 iu 29 1,500.00 43,500.00 0 1,500.00 0.00 2 1,500.00 3,000.00 27 1,500.00 40,500.00
127 RAE ( Oral. ) Tube No. 7.5 laTJ 10 299.60 2,996.00 0 299.60 0.00 0 299.60 0.00 10 299.60 2,996.00
128 RAE ( Orat ) Tube No. 8.0 laU l5 299.60 4,494.u0 0 299.60 0.00 0 299.60 0.00 15 299.60 4,494.00
130 E(bows connectors (e!yt1) iu 24 345.00 8,280.00 0 345.00 0.00 0 345.00 0.00 24 345.00 8,280.00
132 Etbows Connectors (io.toriur) tll 25 345.00 8,625.00 0 345.00 0.00 0 345.00 0.00 25 345.00 8,625.00
133 EKc.Electrode newborn uria 0 79.90 0.00 0 79.90 0.00 0 79.90 0.00 0 79.90 0.00
.4,
' j''f, --.a-, ) U (
O\/,/ a_ (dV')
u'Nal2oun1 u:!M!n --' ' -ur.rarraruh aurir urrrur:-nri uiu:e'tn:?u ur.ritun tvrilrfir.rd ur.:arrn:f,la Xrln:
rYunurir ti{rurry n:f, uu xururaitrirdrurrynr:n'ru rurrraitrindrurqn'r: urdtn:f,rurqnr.i rn'r11un{'r'unl iuuua!!qtulun r1!
U':!5,lun::!n1: n::lJn1: n::!n1l nttrfl''t: n::!fl't:
Page 66 of 133
i.qiuxi
tlullunlrJtluil - riru inqnr:unnds:uridr
{oXarvn'irdli ol lsli! 2564 d.r 3o niuuruu zsos
uoaun!'l :1Un1t:U l'lun1tn1u u0ttiltrno
:1Un!tDui !tu?u
rirurv luAniru lrtp o'ruir nulrriru {lqu olru:u vluAniru lulu o1!ru rrunnirs dulu
1 iodo 3 n1.r ( Manifold Ihree port ) tDn 813 280.00 227,640.00 560 280.00 156,800.00 795 7.50 5,962.50 578 280.00 161,840.00
2 rilluxi!frIf,on ( Ne€dte puncture 18 G) !0t 375 406.00 152,250.u1) 750 406.00 304,500.00 875 8.50 7,437.50 250 406.00 t0l,500.00
pacemaked
4 !rqUnr0in:ri!f,[s0']'r:u!utaor-u? ( S'rgie naio.r 9 42,ooo.oo 378,ooo.oo 30 42,ooo.oo 1,260,000.00 21 10.50 220.50 18 42,000.00 756,000.00
peamacker)
6 .Oq!n:ni[UE.drgr1rruu:ra'urilflqqrrulrtir nrio.r ll8 600.00 7o,80o.oo 120 600.00 192,000.00 298 12.50 3,125.00 140 600.00 84,000.00
(Pressure monitoring dome)
z pqtJn:ninotoalu ( lndeflator lnflation ndo.r 40 3,o5o.oo 122,ooo.oo 150 3,o5o.oo 457,500.00 170 13.50 2,295.00 20 3,050.00 61,000.00
device )
a pqrJn:nlaruhhliudrdr(engiographyset) na0.i 1,200.00 250 1,200.00 300,000.00 180 14.50 2,610.00 70 1,200.00 84,000.00
e pqrJn:nlarurhhldurihir ( nngiograpny set) n].i 80 2,700.00 216,000.00 100 2,700.00 270,000.00 162 15.50 2,511.00 18 2,7@.00 4E,600.00
uuua:u Set
11 risfia']lalE lutirtl uu:{t!'u Pressure Tubing na0.i t27 85.00 10,795.00 300 85.00 25.500.@ 211 17.50 4,847.50 150 85.00 12,750.00
t2'lwP)
12 riorjlf,'r:sr81uninruu:.li"u Pressure Tubing naio'r 710 85.00 60,350.00 780 85.00 66,300.00 1,490 18.50 27,565.00 85.00
48"(M,/P)
, ;\t, )
d, ./ ( ,:r1
uP- - )
u1ra11d'u01 J:!!iu6 u1.!41't6'l alo nrririt lrwur:-nJ rfr o'i6'tn:?u urritun ?uEItixC urarti:f,ra nqr:
r-unuruti{rurrgn'ti utu tlulu'ta?!'ttYrt'tuliJnl:ttflu rorurailrirdrurqnlr nf,rn:{rlrrxrr: rn'11i!n.!tuf 'r:NuuavuflJrllr!nn1u
!rc6iuflfil]n1: f:t!n1: nt:!tn1: u:'5!n1: f fi!n't:
Paqe 67 of 133
:r6.qiu i
rlu!1ui r18il - riru inlnr:urutin,:urirlo
doXa::n'jrliud 01 r!em! 2564 6.r ao i'usrou zsos
uonun!1 :1Un'l:tu llum:\nu uora{t$n0
nltu flunltout ltlt'tu
fiuru rnrnnira lurp ,l'ruzu rlrurrjzo furp dr2u qr/xti2u &q, rirvzu Irr,rrnjiu lurlu
t3 rsrainaarornduirf, 1 18,900.00 18,900.00 I 18,900.00 18,900.00 19.50 2 18,900.00 37,800.00
16 aro#om:rilri:htiadlarl? ( Bipor.ar) na0! 10 3,300.00 33,000.00 25 3,300.00 82,500.00 34 22.50 765.00 1 3,300.00 3,300.00
t7 nruvrlo.rn:r{urhlouuunr:( Lead pacemaker) na0.t 48 12,000.00 576,000.00 110 12,000.00 1,320,000.00 102 23.50 2,397.00 56 12,000.00 672,000.00
18 nruiomumurhhriofualdrli,rnruluriorrhlq r6u 14,400.00 110 14,400.00 1,584,000.00 110 24.50 2,695,00 14,400.00
connecting cabte mutti e(ec0ode catheter)
19 6lUlrrlrJ10nflr:'Un5or Auto PJlse (Life band) nn0.t 6,960.00 10 6,960.00 69,600.00 25.54 10 6,960.00 69,600.00
20 a'run?tfi 61ua1u (Guidewire) n0.r 606 342.40 N7,494.q 700 y2.q 239,680.00 924 26.50 24,4E6.00 3E2 342.4t) r30,796.80
23 aronrrnharunlrion'urorunaorGorlrl:uri ndol 30 2,700.00 81,000.00 200 2,700.00 540,0@.oo 2to 29.9 6,195.00 20 2,7oO.OO 54,OOO.OO
(PTCA 6'rilewirehr0i Hydrophitic Coating
25 6lun dolii?1ui'lmulur.rnoa6orlal:lrl ( rra ) nrio.r 9 27,000.00 243,000.00 19 27,000.00 513,000.00 31.50 882.00 27,000.00
z6 trusrudrtirmon68n ( tntruducer Sheath ) ndo.r 24A 560.00 134,400.@ 1,000 560.00 560,000.00 785 32.50 25,512.50 455 560.00 254,800.00
( 6r.fl )
a
I
ult
,/
\ llfw- )
rr.rarro-unr !:vrfiud !1t412 n! |1'lulj ur.rourinri ria:filn:?u lrritln ivr6kfrrld l]1.larllirfilla n\o:
fuorurntidrurryn:fi vtu lilr1ulalt1llli11.]']qJn1lfl l'la rartraltrir{rlrqnr: uitn:drurqnli t!lYrur't i1l]lt1:u1Jl.ra!ulJtull]n l1u
!tr61ln::!n1: n:ttn1l n:l!nt: n::un1: ntl!u1:
PaSe 68 of 133
'l.qiuxi
llu.tluslUlluiu - riru iaqn.rtunrtin.ru,firh
doXn:nr'lrriu$ 01 l6mr 2564 6{ 30 n-uu1uu 2565
u0iun!1 :1UN1::U :10nl:ilu uoaaqn6o
nliu llun!t0ui lt1.t?u
rirur! ltl nirs fru1u l',tu,lu yunniru lrr1u druru ru4njru {u1u rirulr 1u/tnjtu duyu
27 moalnhrdrnaorGoitriiul? ( Fast cath Sheath ) nno.r 33.50
za aruaruf1ti'MnorGoiriou1t 25 cm (Long f a0.i 34.50
lntruducer sheath )
29 61un1!!1t[1t!E0i!60r.diou1')Nlrfr!n ( Long ndor 7 4,2oo.oo 29,4oo.oo 20 4,2oo.oo 84.000.00 27 35.5A 958.50 4,200.00
lntruducer Sheath )
35 aruarurionr:toruynon6saur.rl :uridlu fl40.t 6,300.00 450 6,100.00 2,745,000.00 429 41.50 17,E03.50 21 6,100.00 128,100.00
uonnu tii comptiance
36 stiu61ttriDn1:lulunaot6onui$il:urlftu 5,000.00 298 4,700.00 1,400,600.00 260 42j0 11,050.00 38 4,7oO.OO 178,600.00
loniu tii non comptiance
( dr'rn )
d, ,/ t[V)
_tl
!1ra],]0b41 -_
!t!u!o
-----) ,
lrrarraru*-6lririr lr',NtlJltnu mu:rtn:Au ull.aun intltir.rd ur!.t1?mf,lla 1qn:
riununwi{rurqn:f,rru rultrlalnlnttMqJn1:nl'lu rorlraitrirdrurqnr: nfr.un:{rurqnr: tq'rrunl,)lln'fit runluqiuolr,lu
J:J611./flrr!n1t n::!n''l: n::!f,t: flfi1Jfl1: n::!n1:
Page 69 of 133
i.qtuxi
r1u!1u6lU:1!,iu - riru ialnr:umrtiszui'ato
dogar:r,r'irri# or iam! 2564 go niuuruu zges
tionun!1 :runr:rirtr uoon$uno
olru :1Un!toui l.tu'lu
oiru'u rlulrniru lrtp oluzr lunnjeu lury rluAnhurl'ruru fiu-ru iiruu lunnjrr lulu
l/ a1u61l.ltl0n1:.dUlul,nDittioouotlitlu dru na'o.r 6,400.00 32 6,400.00 204,800.00 16 43.50 696.00 16 6,400.00 102,400.00
uonqr tin cto Battoon
39 rnanruu'rtirraon6om'Nunu Crransradiat nn8.l 1,712.00 500 t,?12.@ 856,000.00 250 45.50 11,375.00 250 |,712.00 428,000.00
lntroducer Sheath)
M aromurhlorflo:'nrrnr:riuiairwrytiam:ur( ndo.r 20 24,0@.00 480,000.00 35 24,000.00 840,000.00 43 50.50 2,1?1.50 t2 24,000.00 288,000.00
Defl ectabte abation catheter)
45 srutnlrhhrdoitar;rlrdulr{f, rnrulufiorrhls naB.! 93 14,000.00 1,302,000.00 66 14,000.00 924,000.00 ll8 51.50 6,077.00 4l 14,000.00 574,000.00
(mutipotar etetrode catheted
( /aan
'u1la1lDlrrl rlScr.o!o
)
Page 70 of 133
i.qiuxi
isqnr:unrdarurirlo
rru.!'luf, TJrruiu - rjru
50 qln:oiftrJr6orullzoio ( TF Band ) fra0.t 35 535.00 18,725.00 50 535.00 26,750.@ 65 56.50 3,672.50 2a 535.00 10,700.00
st uriuu anironrioirn:untlirlunr:n:v{vfi1r 1n 1,800.00 204 1,800.00 360,000.00 187 57.50 10,752.50 11 1,800.00 23,400.00
(Extema( pacing)
5z aruionrunarPrlqColtidd fiTlu1vfr.!ft1e( riu 16 4,400.00 7o,4oo.oo 180 4,4oo.oo 792,OOO.OO 167 58.50 9,769.50 29 4,4IO.OO 127,600.00
coonecting cab(e mu(ti etectrode catheter)
54 n:won6im (syring) ftm6ur to ml no0t I 267.50 2,140.40 30 267.50 8,025.00 26 60.50 1,573.00 t2 267.50 3,210.00
55 n:cuoniim (Syring) rhm6ur a mt na0t 1 192.00 192.00 200 192.00 38,400.00 176 61.50 10,824.00 192.00 4,800.00
56 riof'x1:s!61ulinnru:,rd'!Highpressure !ari 39 280.00 10,920.00 280.00 15 62.50 937.50 24 280.00 6,720.44
Tubing lo'(l,l/P)
57 aruaruunot6oliryuionrrurunnordo rl:ur t61.1 5 2,499.52 12,497.60 45 2,499.52 112,478.40 50 63.50 3,175.00 2,499.52
i
58 mualomrGoerhruConrrturunaoa6orlalln riiu 33 2,5oo.oo 82,5oo.oo 850 2,5oo.oo 2,125,0@.oo 4r9 64.50 27,o25.so 464 2,5oo.oo 1,160,000.00
i
59 n:Vuonailtr?utilorlnjecter !l.t 475.00 25,175.00 475.00 9 65.50 589.50 44 475.00 20,900.00
60 n:vuoniru (syring) rhmdu.l 5 mt na0.l 5 300.00 1,500.00 300.00 21 66.54 1,396.50 26 300.00 7,800.00
.'r-(l ( ,-'= -- )
d/ ) t[P-)
ut.!41?o"t r'rl r!r6rio' ----=,.--
u't.t6't261uti nltTrn 'lr116u1tnu !nutfl U']l5! u'1.!l!!n ar6lrril!tl urrarrri:fila Xqn:
YL/nlt ltUt1u1tuntfl (llll rimrrai.urtridrurqnrrf, nu rioruraitrindrurqnr: urdrn:drlrrgnr: ts']lun r1r']nllr.aruatuqJ$JIU,l l,]u
Ul!E't!n:t!n1l n::!n1l n::!n,t: n::!nT n5t!nli
Page 71 of 133
:r6.qt!fi{
:'la{1u6TJ:1u:-u - iiru inqnr:uvrndntn::1fi uvl
)-01 qBlitl
{oga::u'jrliufi 2564 6{ 30 riuulrju 2565
( a,h1^
-u !:!lo!n
!l.ia1,)0rrn'r
) |
---4-- -
ls rnlun
----1.11 lf, 't1a'tu
)
&
lr{olriqf rf'u:Aln:ttt
ttV')
n 1.t1ltl!f 6yrstrnl!fl urrarrr:ira
Xqn:
r{ununrtiriurqn:f,rnu tla1ttm2t111r11U1tlJl',t1t,lutu riarrrai.arindrurqnr: ur{tn:drurq;nr: r!Tiun !1!nlrNuuavuqrlur!ln !1!
!:!o'Itn:flln't: r]::un1: n,t:!n1: ni:!n,t: n: n1:
Page 72 of 133
iflfi.qiuxf
:1u!1ud1J:1uiu - iiru iaqnr:unvrdr':tn::ufi u{
{ogn:w'jrliud 01 ,!E1nu 2564 6.r :o riuurou zsos
u0n!lnu1 :lUnlllu :1Un1:n1U uoin,!tl.n0
61iU t'tua!l0ui !/t1J?U
l:ruru r1tllnhu Cunu olvru tp/rni.ru lulu oiruru rlunjru dv4r riru,ll t4uurnjeu {u1u
20 :o.r lrilturnr] 43 0 1,280.00 0 1,280.00 0 r,2E0.00 0.00 0 1,280.00 0.00
23 qrJn iniriqrf,!rlhunuril1lfi rtao t o) 0 1,070.00 30 1,070.00 32,100.00 30 1,070.00 32,100.00 0 1,070.00 0.00
24 Tripod cane 0u 200 321.00 64,200.00 0 321.00 170 321.00 54,570.00 32t.4) 9,630.00
25 Jewett Brace (S) 0u 2 1,000.00 2,0@.00 l6 r,000.00 16,000.00 l8 1,000.00 r8,000.00 0 1,000.00 0.00
26 Jewett Brace (M) ou l0 1,000.00 10,000.00 l5 1,000.00 15,000.00 22 1,000.00 22,000.00 1,000.00 3,000.00
27 Jewett Brace (L) ou 40 1,000.00 40,000.00 0 1,000.00 10 r,000.00 10,000.00 30 1,000.00 30,000.00
28 Knight brace (S) 0! 0 550.00 14 600.00 8,400.00 11 600.00 6,600.00 3 600.00 1,800.00
29 Knight brace (M) 0! t2 550.00 6,600.00 0 600.00 0 600.00 0.00 12 600.00 ?,200.00
30 Knight brace (L) EU 10 550.00 5,500.00 0 600.00 5 600.00 3,000.00 600.00 3,000.00
3l Knight tator brace(S) 011 5 700.00 3,500.00 20 700.00 14,000.00 700.00 16,100.00 2 700.00 1,400.00
32 KniBht tator brace(M) 0lr 10 700.00 7,000.00 l0 700.00 7,000.00 20 700.00 14,000.00 0 700.00 0.00
33 Knight tator brace(L) ou 18 700.00 12,600.00 7 700.00 4,900.00 700.00 17,500.00 0 700.00 0.00
34 Knee support (uuu811) S DU 8 110.00 880.00 10 110.00 1,100.00 t3 110.00 1,430.00 5 110.00 550.00
35 Knee support (uuug't't) M 0u 20 110.00 2,204.44 l5 110.00 1,650.00 110.00 3,850.00 0 110.00 0.00
36 Knee support (uuuu'n) L 0u 5 110.00 550.00 40 110.00 4,400.00 45 110.00 4,950.00 0 110.00 0.00
37 Knee support ([uuBT) xL 0u 0 110.00 35 110.00 3,850.00 35 0.00 3,850.00 0 110.00 0.00
38 L-S support(s) 0u 10 255.00 2,550.00 255.00 6,375.00 255.00 8,925.00 0 255.00 0.00
( 6,tr1
ulra11ou01 u:ltrun
)
!'t.la
)
lr$urinI
&
fiu:Aln:?u
*1
u'tit:llrl't li
6Yt6 ttn2
(TV)
ltalrr:ira 1r1n:
x!, l.r?il] utll.lltllf l:TiMU Ylu'Ir1a2!'t!llt1u1qJnltfi li8 roruraltrirdrlrqnr: uttn:{trrgnr: r! lrun rlun1:uuu6!!qiu!!n l1u
{t!6'ttn::!n1: nfi!n1: n::!n1: n:l!n1l nt:!n1.'
Page 73 of 133
t 6.qiuui
r1lrludlutluiu - iiro r-nqnr:urudr,:tn::ufiu4
{'oXa::'n'jr.riufi 01 qnlist 2564 6.1 30 riuuluu 2565
urrllfllrl :'lun'll:u tlum:!1U
n'tiu :104!toui ll1J2u
riruru tlunrdiu lulu olruru qlnnieu lurJu l'ruru qumiru lurlu lirur
39
{!,/xi2r, firrp
L-S suppor(M) ol,l 80 255.00 20,400.00 150 255.00 38,250.00 230 255.N 58,650.00 0 255.00 0.00
40 L-S suppor(L) 0u 125 255.00 31,875.00 225 255.40 57,375.0A 350 255.00 89,250.00 0 255.00 0.00
41 L-5 support(xl) 0lJ 60 255.00 15,300.00 125 255.00 31,875.00 185 255.00 47,175.00 0 255.00 0.00
42 L-S supportoo(L) 0lJ 40 255.00 10,200.00 50 255.00 12,7s0.00 75 255.01) 19,125.00 15 255.00 3,82s.00
43 Soft colta(s) ou 10 120.00 1,200.00 30 120.00 3,600.00 40 120.00 4E00.00 0 120.00 0.00
44 Soft co(ta(M) ol.l 120.00 600.00 11 120.00 1,320.00 11 120.00 1,320.00 5 120.00 600.00
45 Soft coLLa(L) ou 10 120.00 1,200.00 0 120.00 0 120.00 0.00 10 120.00 r,200.00
46 SOMI brace(S) 0u 0 1,150.00 5 1,150.00 s,750.00 1,150.00 3,450.00 2 1,150.00 2,300.00
47 SOM| brace(lv1) 0tr 0 1,150.00 5 1,150.00 5,750.00 3 1,150.00 3,450.00 2 1,150.00 2,300.00
48 SOM| brace(L) ou 0 1,150.00 5 1,150.00 5,750.00 3 1,150.00 3,450.00 2 1,150.00 2,300.00
49 One Point Cane 011 150 120.00 1E,000.00 150 120.00 18,000.00 150 120.00 18,000.00 150 120.00 18,000.00
50 Ta(or brace (5) ol.r 7 650.00 4,550.00 15 650.00 9,750.00 650.00 3,250.N t7 650.00 11,050.00
51 Tator brace (M) 0u 0 650.00 20 650.00 i3,000.00 10 650.00 6,500.00 10 650.00 6,500.00
52 Tator brace (L) 0u 0 650.00 8 650.00 5,200.00 8 650.00 5,200,00 0 650.00 0.00
53 Tennis elbow support(S) o'l 6 120.00 720.00 0 120.00 0 120.00 0.00 6 120.00 720.00
54 Tennis etbow support(M) 0u 15 120.00 1,800.00 10 120.00 1,200.00 20 120.00 2,400.00 5 120.00 600.00
55 Tennis etbow support(L) 0l.r 8 120.00 960.00 0 120.00 5 120.00 600.00 3 120.00 360.00
56 Tennis etbow support(Xl) 0u 6 120.00 720.00 0 120.00 0 120.00 0.00 6 120.00 720.N
57 Thumb support(S) 0 120.00
,a
01./ 30 120.00 3,600.00 120.00 3,000.00 120.00 600.00
( .oitr] ) (
k ( [h,' )
utrarro'tnr rJ:cr6!o' !1ta'l n n.iyillJt lrrslrind rn'o:filn:81 rrr:'trrn iy6ll6rrrl lrratri:firia 1qo.i
,lr,nnlr Jir',ryn:f, r,ru lrlrMa?!1!lr.d'tult!n1t{tau tartraitririfiurrgnr: udtn:drurqnr: rdrru'n runr:rilua;riqil!fi .trl
rJ:!['11']n::!nll n::!n1l fll:!n1: n1:!n1: nt:lJu't.t
Page 74 of 133
rrfi.qiuni
:1u.r'luf,TJ:'luiu - rjra r-aqnr:ulrntintn::ufiu{
rioXarntjr.riud 01 e616sl 2564 o'.1 30 i'uu1uu 2565
( /i{n ) (-,q---' )
& ((V')
lr.talo-unr :vthl6 ' lr.tarrartlo awrr0.a u'l lt'1.11:911./ rfl tlto lnsdu ult:tun aytEtJn?lPt urrarrri:fila g1o.l
n'rounltidrurqn:firnu rrrrraltrimlrlrqnr.ifi uru riururairirdrurqnr: udtn:drlrrXnr: tdtiu-nrrllnr:riu ua:rirytrJilh.rru
!t!61uf:t!n1l n::lln1.' nt:!n1: n::!n1t n:l!n1:
Page 75 of I33
:?ri.liuui
rlu{lu6TJlluiJ - riro Saaorruxutirrtn::uduv{
{oXa:zu,jr.riu# 01 e!E,n! 2564 6{ :o duuruu zges
uoiuntn 11un1:tu :1Um:{1U uoia.lltlno
a1i! :1Un!$Ut ll1J2U
o'rurr rlvzrniro rlulu n'ruru runniru lqr oiruru qvnniru lurlu o\uru ruAniru ftr1u
17 Hinge knee ulullf,uo\fir fir ruoi r dtr 20 750.00 15,000.00 0 750.00 20 750.00 15,000.00 0 750.00 0.00
78 Hinge knee uuudfi.to.trtr iu ruo{ xr 0u 2 750.00 1,500.00 0 750.00 2 750.00 1,500.00 0 750.00 0.00
79 Knee support [uuign,u !,uoi S a! 0 250.00 0 250.00 0 250.00 0.00 0 250.00 0.00
80 Knee suppoa. ulliunu luoi M du 0 250.00 0 250.00 0 250.00 0.00 0 250.00 0.00
81 Knee support lru!]iiunu ruoi L OU 4 250.00 1,000.00 0 250.00 0 250.00 0.00 4 250.00 1,000.00
82 Knee supportuuuiunu ruoi XL dtr 0 250.00 0 250.00 0 250.00 0.00 0 250.00 0.00
83 0! 0 13,900.00 2 13,900.00 27,800.00 2 13,900.00 27,800.00 0 13,900.00 0.00
84 uiuf,lsf smm uril 0 750.00 10 750.00 7,500.00 10 750.00 7,500.00 0 750.00 0.00
85 nmorr niulsi n:vrloi 0 350.00 10 350.00 3,500.00 10 350.00 3,500.00 0 350.00 0.00
86 1aurfruu:vi'uuriorrir vr 0 14,700.00 L6 14,700.00 235,200.00 16 14,700.00 235,200.00 0 14,700.00 0.00
87 !t!1(llUr.l1!iU$tt',runul! 1'r 0 5,000.00 5,000.00 175,000.00 35 5,000.00 175,000.00 0 5,000.00 0.00
88 1ntlfi ul:vnittra o rirrifi nalnrlo.rn-ur:riu 1o 0 76,000.00 76,000.00 1 76,000.00 1 76,000.00 76,000.00 0 ?6,000.00 0.00
ua;aru:ndoniorrjrtioqlwirurdrnlduav rfir
uruiu:iafi
ae .qn.orriuu::n'ulirdr:ruuundlunvrrirrfiul 0
1o 49,000.00 1 49,000.00 49,000.00 1 49,000.00 49,000.00 o 49.OOO.OO 0.00
uutiu:.rd.r
90 :nd.nlf,nr:uuur-uradouira:yutrlir.u0n 0 75,000.00 I 75,000.00 75,000.00 1 75,000.00 75,000.00 o 75.0oo.oo 0.00
u:!lrutn
91 iu6ortu!fion ndor o 700.00 1 700.00 700.00 700.00 700.00 0 700.00 0.00
92 ilfrunmul 0 3,900.00 4 3,900.00 15,600.00 4 3,9@.00 15,600.00 0 3,900.00 0.00
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Page 76 of 133
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aliu :1UnCoUO tll!1u
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93 ilr'ir Amul nn. 0 9E0.00 5 980.00 4,900.00 5 980.00 4,900.00 0 980.00 0.00
94 uof,uoul]lIflaulr60i o! 0 80.00 100 80.00 8,000.00 100 80.00 8,000.00 0 80.00 0.00
95 {u arauoi zs fiIanir n:!60r 0 350.00 10 350.00 3,500.00 10 350.00 3,500.00 0 350.00 0.00
96 6ruriun'rBxrl d'r.r 0 200.00 30 200.00 6,000.00 30 200.00 6,000.00 0 200.00 0.00
97 arardu!'agrtru a1! 0 200.00 20 200.00 4,000.00 20 200.00 4,000.00 0 200.00 0.00
98 nuil!]llluu 160' 0 420.00 30 420.00 12,600.00 30 420.00 12,600.00 0 420.00 0.00
99 $i1!fiar 11.! 0 1,450.00 75 1,450.00 108,750.00 75 1,450.00 108,750.00 0 1,450.00 0.00
- .l-r
10{J runu'rx'2 tii:Dtrrlt -rlulu(i'l txrll) 1n 0 750.00 2 750.00 1,500.00 2 750.00 1,500.00 0 750.00 0.00
tot urhinmuriuda dtr 0 60.00 100 60.00 6,000.00 100 60.00 6,000.00 0 60.00 0.00
102 q{fi:1u !!1n 0.5 k3 ulu 0 250.00 4 250.00 1,000.00 4 250.00 1,000.00 0 250.00 0.00
103 qrn:ldsand ba3) 1.0 k9 urir 0 280.00 4 280.00 1,r20.00 4 280.00 1,120.00 0 280.00 0.00
104 uliurl:vauruiou(Hot paco neck size ul.i! 0 1,100.00 9 1,100.00 9,900.00 9 1,100.00 9,900.00 0 1,100.00 0.00
105 uriurllliui? urlo(Hot pack) over size(30'45cm) ulil 0 1,350.00 t2 1,350.00 16,200.00 t2 1,350.00 16,200.00 0 1,350.00 0.00
106 urhd:rnun? iou(Hot pack) standard size uurl 0 900.00 4 900.00 3,600,00 4 900.00 3,600.00 900.00
0 0.00
(25*?,ocm)
lO7 lrlilltlllttldu (co(d pack) llu].J 0 260.00 9 260.00 2,340.00 9 260.00 2,340.00 0 260.00 0.00
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A,,lembrane Synthetic
tr fi'rn:or6on{rJru Chronic HD ; High Fr.ux 5A du 106 900.00 95,400.00 80 900.00 72,000.00 r22 900.00 109,800.00 64 9oo.O0 57,600.00
1.8 m2
12 ftnm{6oi{'lhu chronic HD ; High FLux SA oll 750.00 0.00 90 750.00 67,500.00 72 75o.OO 54,OOO.OO 18 75o.OO 13,5oO.OO
1.9 m2
t3 rlrurour#o.rhur'uu citosterit 5 ar: [naaD! 1,800.00 0.00 90 1,800.00 162,000.00 78 1,800.00 140,400.00 t2 1,800.00 21,600.00
14 drurguitn:o.r Peracetic 4 - 5% (5 6i:) gnaa0! 25 800.00 20,000.00 60 800.00 48,000.00 45 800.00 36,000.00 40 800.00 32,000.00
15 Jrurhariuoiun a (s.s 6r:) gnaB0u 9,039 68.00 614,652.00 2,670 68.00 181,560.00 1.1,3?3 68.00 773,364.00 336 68.00 22,A48.00
16 rfiurluariuofnr a (o ir:) unaa0u 9,584 44.00 42r,696.00 2,9@ 130,240.00 12,184 44.00 536,096.00 360 44.00 15,840.00
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Page 78 of 133
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17 tt'ltlTenckhoff ; Adutt Coited 2 cuff, cm57 Set 2,675.00 0.00 50 2,675.00 133,750.00 2A 2,675.00 53,500.00 30 2,675.04 80.250.00
t8 iluTenckhoff ;Paeditic Coaled , 1 Cuff 40.25 cm Set 4,000.00 0.00 ? 4,000.00 28,000.00 4,000.00 7 4,000.00 28,000.00
19 fitTenckhoff ;Paeditic Straight 32.25 cm Set 3,300.00 0.00 7 3,300.00 23,100.00 3,300.00 ? 3,300.00 23,100.00
20 aroarurnoa6o*Inh 9 FF x 12 cm. set 3,700.00 0.00 l7 3,700.00 62,900.00 8 3,700.00 29,600.00 9 3,700.00 33,300.00
2l araalurnoaGorrdnh 11.5 FR x t5 cm. set 1 2,700.00 2,700.00 l5 2,700.00 40,500.00 2,700.00 l6 2,700.00 43,200.00
nruarumoar6o;41nqj t1.5 FR x 20 cm. set 60 1,500.00 90,0@.00 955 1,500.00 1,432,500.00 665 1,500.00 997,500.00 350 1,500.00 525,000.00
araa'unnonrHorflrqj 11.5 FR x 12 cm. set 103 3,050.00 314,150.00 320 3,010.00 963,200.00 423 3,010.00 1 ,277 ,350.0u 3,010.00 0.00
24 aruarunaoor6oa{lur! 11.5 FR x 15 cm. set 20 3,050.00 61,000.00 45 3,010.00 135,450.00 41 3,010.00 t24,210.00 24 3,010.00 72,2q.00
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25 llllr!1$1-00nti:0 rlrllluu lO 29,193.50 0.00 I 29,191.50 29,193.50 1 29,191.50 29,t93.50 29,t93.50 0.00
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Page 79 of 133
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ts riu6an'r1f,1nr! do s nsLe use na0.t
tiruru luanjzu tql
30 3,250.00 97,500.00 4A 3,2s0.00 130,000.00 2A 3,250.00 65,000.00 50 3,250.00 162,500.00
16 naDi6rulris,tainnirrrhrniurdoa tlrn 50 cc ( nao.l 3 321.00 963.00 0 321.00 0 321.00 3 321.00 963.00
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l8 traDr6nuldlxi!a?udlu1.rf!01xl: nno.l 3 0
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Page 81 of 133
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{oga::u,ir.rr-ud 01 lhlmr 2564 6{ 30 n-uursu 2565
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1 8UR HP C^RB|DE CUTTIR (n:ofiujEo rqj) 520.00 l0 520.00 5,200.00 520.00 10 520.00 5,200.00
2 8UR CA ROUND CARBIDE LONGSHANK 012 ,l"l 70 80.00 5,600.00 10 80.00 800.00 30 80.00 2,400.00 50 80.00 4,000.00
3 8U CA ROUND CARBIDE LONGSHANK 014 50 80.00 4,000.00 10 80.00 E00.00 20 80.00 1,600.00 40 80.00 3,200.00
4 BUR CA ROUND CARBIDE LONGSHANK 016 o2 70 80.00 5,600.00 l0 80.00 800.00 30 80.00 2,400.00 50 80.00 4,000.00
5 BUR CA ROUNO CAREIDE LONGSHANK 018 o? 40 80.00 3,200.00 10 80.00 800.00 20 80.00 1,600.00 30 80.00 2,400.00
6 BUR CA FLAME GREEN STONE Ira 80.00 13 80.00 1,040.00 80.00 13 80.00 1,040.00
7 8UR FG ROUND CAREIDE 012 o'l 65.00 16 65.00 1,040.00 65.00 l6 65.00 1,040.00
8 BUR FG ROUND CARSIOE 016
65.00 16 65.00 1,040.00 65.00 16 65.00 1,040.00
9 8UR FG ROUND CAFBIDE 018 o? 65.00 8 65.00 520.00 65.00 8 65.00 520.00
ro BUR AsrRopol FLAME #n REFTLL f,rn.r,rrr 145.00 30 145.00 4,350.00 15 145.00 2,175.UJ 15 145.00 2,t75.00
11 8UR FG DIAMOMD FINISH COMPOSHAP q1 60.00 20 60.00 1,200.00 14 60.00 840.00 6 60.00 360.00
12 Diamond rugby composhape bur size 018 llli $1 60.00 20 60.00 1,200.00 14 60.00 840.00 6 60.00 360.00
13 Diamond composhape bur (n:06,)) rlaluunn! ,l'l 60.00 20 60.00 1,200.00 19 60.00 1,140.00 60.00
1 60.00
14 Oiamond composhape bur (fl:otl?) n:tAun0 o2 60.00 20 60.00 1,200.00 60.00 20 60.00 1,200.00
15 BUR FG DIAMOND FISSUE OO8 fr? 40.00 20 40.00 800.00 40.00 20 40.00 800.00
16 8UR FG OIAMOND FIssUE O1O 40.00 32 40.00 1,280.00 40.00 160.00 28 40.00 1,120.00
17 BUR FG DIAI,4OND FISSUE 012 n? 40.00 40.00 2,960.00 4 40.00 160.00 70 40.00 2,800.00
18 8UF F6 DIAMOND FISSUE 014 o") 40.00 50 40.00 2,000.00 20 40.00 800.00 30 40.00 1,200.00
19 8UR FG DIAMOND FIssUE 016 n'l 40.00 42 40.00 1,680.00 10 40.00 400.00 32 40.00 1,280.00
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21 diamond rugby size 021 nufull fr') 60.00 20 60.00 1,200.00 15 60.00 9@.@ 5 60.00 300.00
22 BUR FG OIAMOND ROUNOOO6 ,'t 40.00 47 40.00 1,880.00 10 40.00 400.00 37 40.00 1,480.00
23 8UR FG OIAMOND ROUNDOOs 9? 50 40.00 2,000.00 47 40.00 1,880.00 24 40.00 960.00 73 40.00 2,924.00
24 BI-,]R FG DIAi,4OND ROUNDO12 n? 38 40.00 1,520.00 54 40.00 2,160.00 40.00 1,280.00 60 40.00 2,400.00
25 8UR FG OIAMOND ROUNDOI4 n'l 40.00 M 40.00 1,760.00 10 40.00 400.00 34 40.00 1,360.00
26 BUR FG OIAMOND ROUNOO16 n') 40.00 1,400.00 M 40.00 1,760.00 t9 40.00 760.00 60 40.00 2,400.00
27 8UR FG OIAMONO ROUNDO1S n2 35 40.00 1,400.00 44 40.00 1,760.00 40.00 200.00 74 40.00 2,960.00
28 BUR FG OIAMONO ROUNDO21 t1 50 40.00 2,000.00 20 40.00 800.00 4 40.00 160.00 40.00 2,640.00
29 BUR CA FLAME GREEN STONE ,2 37.00 13 37.00 4ti1.00 37.00 t3 37.00 481.00
30 BUR FG FLAME CREEN STONE n2 37.00 16 37.00 592.00 37.00 37.00 592.00
31 8UR FG Round GREEN STONE q1 37.00 10 37.00 370.00 37.00 10 37.00 370.00
32 BUF FG ROUND WHITE STONE 11 45.00 40 45.00 1,800.00 45.00 40 45.00 1,800.00
33 8UR FG FLAME WHITE STONE ht 45.00 96 45.00 4,320.00 45.00 96 45.00 4,320.00
34 MENDREL POP ON (Mendret for potishing disc) a2 866.70 6 866.70 5,200.20 3 866.70 2,600.10 866.70 2,600.10
35 Potishing disc for compotte .e5in POP-ca{ OSc t/2 C on 342.q 1,712.00 4 v2,@ 1,369.60 7 342.40 2,396.80 2 342.q 6E4.80
35 Potishing disc fo. comporit€ resin POPOII OISC l/2 F q.l 5 342.4!) 1,712.00 4 342.q 1,369.60 6 342.40 2,054.40 3 342.40 1,027.20
37 Pothhin! disc for composite rcsin PoP€it otsc 1/2 M q.r 6 342.40 2,054.40 6 142.40 2,054.4A 342.&
3E Potishing disc for composite resin POPON otSC 3/8 C q.r t2 142.40 4,108.80 13 342.40 4,45t.20 23 342.44 7,875.20 2 342.40 684.80
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Page 83 of 133
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39 Potishing disc for composite €5in POPOT{ Ot5C 3/6 F o.t l5 342.40 5,136.00 E 342.r0 2,736.80 18 342.t0 6,157.80 5 342.10 1,710.50
40 Polishing dhc for composite resin POP.ON O|SC yB M 0! 342.40 4,45t.20 6 342.41J 2,054.4u t2 342.40 4,108.80 7 142.40 2,396.80
4l Potishiry dasc for composite resin POPON D|SC y8 ot 15 y2.40 5,136.00 12 342.t0 4,105.20 22 342.40 7,532.80 5 342.4u t,7 t2.u)
42 CALCIUM HYDROXIDE (lrlJ!6i ) vff0fl 850.00 8 E50,00 6,800.00 4 650.00 3,400.00 4 850.00 3,400.00
43 MTAPEX (optionat) na0.t 10 2,500.00 25,000.00 I 2,5@.00 2,500.00 5 2,500.00 12,500.00 6 2,500.00 15,000.00
44 RC PREP (9 g) (EDTA creamx2xnoihaior) ta00 9E0.00 5 980.00 4,900.00 980.00 980.00 4,900.00
45 EDTA so(ution 17% n10 t7 290.00 4,930.00 4 290.00 1,160.00 11 290.00 3,190.00 10 290.00 2,900.00
47 GUTTAPERCHA PROTAPER NEXT f a0.i 695.50 10 695.50 6,955.00 695.50 t0 695.50 6,955.00
48 GUTTA PENCHA NON STANOARO MF na0,! 5 1E3.00 915.00 7 183.@ 1,261.00 163.00 183.00 2,196.U)
51 PAPER POINT L na0l 10 45.00 450.00 20 45.00 900.00 10 45.00 450.00 20 45.00 900.00
52 PAPER POINT M na0.t 14 45.00 630.00 26 45.00 1,170.00 6 45.00 270.00 34 45.00 1,530.00
54 PAPER POINT SS na0.i 10 45.00 450.00 20 45.00 900.00 45.00 30 45.00 1,350.00
55 AH ptus REsIN MSEo SEALER (Root canat na0,t 2,310.95 I z1fi.95 18,647.60 4 23n.95 9,323.80 4 2,330.95 9,323.80
56 RUBBER DAM SHEET 5X5 fl40.r 10 240.00 2,400.00 5 240,00 1,200.00 24u.00 15 240.00 3,600.00
57 RUBEER DAM SHEET 6X5 nao.! 2A 240.00 4,800.00 5 240.00 r,200.00 5 240.00 1,200.00 20 240.00 4,800.00
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58 €ndodontic spreader OIITS n1 790.00 I 790.00 790.00 790.00 I 790.00 790.00
59 ENDO BAY 0 420.00 3 420,00 1,260.00 420.00 3 420.00 1,260.00
60 RUBBER OAM CLAMP NO O n't 420.00 420.00 420.00 420.00
1
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61 RUEBER OAM CLAMP NO 1 rt 420.00 1 420.00 420.00 420.00 1 420.00 420.00
62 RUBBER DAM CLAMP NO 2 n'l 420.00 1 420.00 420.00 420.00 1 420.40 420.00
63 RUBBER DAA4 CLAMP NO 7 i') 420.00 420.00 420.00
1 420.00 I 420.00 420.00
64 RUBBER OAM CLAMP NO 8 n1 420.00 I 420.00 420.00 420.00 1 420.00 420.00
65 RUBSER OAM CI.AMP NO 9 c.) 420.00 420.00 420.00 420.00
1
I 420.00 420.00
66 RU88ER DAM CLAMP NO I2A i2 420.00 420.00 2,100.00 420.00 5 420.00 2,100.00
67 RUEBER DAM CLAMP NO 13A fl'2 420.00 I 420.00 420.00 420.00 1 420.00 420.@
68 RUBEER OAM CI.AMP NO 14 t1 420.00 I 420.00 420.00 420.00 1 420.00 420.00
69 RUBBER OA[4 CLAMP NO 14A 11 420.00 I 420.00 420.00 420.00 1 420.00 420.00
ro subEer dam lrame Hltltll du 350.00 15 350.00 5,2s0.00 350.00 15 350.00 5,250.00
?1 Rubber dam frame fin ou 350.00 t2 350.00 4,200.00 350.00 12 350.00 4,200.00
72 Endo-obturation tip nrio.r 3,103,00 2 3,103.00 6,206.00 3,103.00
1 3,103.00 1 3,103.00 3,103.00
73 FLUORIDE GEL 60 SECON 450mt nEot 650.00 l8 650.00 11,700.00 10 650.00 6,500.00 E 650.00 5,200.00
74 MERON (Gt cement 6n ssc/band) '(, 1,600.00 1,600.00 4,800.00 1,600.00
1 1,600.00 2 1,500.00 3,200.00
75 Seatant syringe 1.2 mt 6 642.@ 3,E52.00 6 642.00 3,852.00 642.@
76 Anicutatihg paper !r! arch (<lOO micron) ntio'r 10 340.00 3,400.00 I 340.00 340.00 2 340.00 680.00 9 340.00 3,060.00
( o
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r'uo uri rd{rlrqn:fturu u1u1a2111rt',Lt1Qn1tritfl u rorrrairtrdrurrynr: mdtn:drlrqnr: r{rru-nuln uriluavfryirJfi0fu 1
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Page 85 of 133
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77 Articutating paper ttir arch(<loo micron) na0,! 10
riruru luzniru lrr1u
340.00 3,400.00 1 340.00 340.00 340.00 340.00 10 340.00 3,400.00
78 AUTO MtX TtP (t1n1a1 1,472.32) uf,a 4 |,472.32 5,889.28 1 1,472.32 1,472.32 3 1,472.32 4,4t6.96 I,472.32 2,944.64
79 COMPOSIT CORE EUIL UP n80.: 4,270.00 2 4,270.00 8,540.00 4,270.00 2 4,270.00 8,540.00
80 RETFACTION CORD NO OO fra0t 5 485.00 2,425.UJ 2 485.00 970.@ 2 485.00 970.00 5 485.00 2,425.00
81 RETRACTION CORO NO OOO n30.t 4 485.00 1,940.00 3 485.00 1,455.00 3 485,00 1,455.00 4 485.00 1,940.00
82 RETfiACTTON CORD ]riiurfiur6oa NO r fl40.t 485.00 3 485.00 1,455.00 485.00 485.00 2 €5.00 970.00
83 GREEN STICX COMPOUNO na0.i 721.62 6 721.62 4,329.72 2 721.62 1,443.24 4 2,886.48
84 INTRA ORAL np 0fiiofiu mixinq tip; uvi'a 3r9.93 8 3t9.93 2,559.44 1t9.93 8 3r9.93 2,559.44
85 PIP n:!!n 1,300.00 6,500.00 1,300.00 6,500.00 1,300.00
86 POLYSULFINE LIGHT BOOY na0.l 1,070.00 10 1,070.00 10,700.00 1,070.00 5,3s0.00 5 1,070.00 5,350.00
8? PREFABBRICATED FIBER POST #0.5 na0.r 2A 2,045.00 40,900.00 5 2,045.00 10,225.00 10 2,045.00 20,450.00 15 2,045.00 30,675.00
88 PREFABBRICATED FIBEF POST #1 nn0.! 10 2,045.00 20,450.00 2,045.00 r0,225.00 2,045.00 14,225.0A 10 2,045.00 20,450.00
89 bite registration StLtcoNE GuToMtx) (:1nl a!: na0,r 1,250.00 4 1,50.00 5,000.00 2 r,50.00 2,s00.00 2 1,250.00 2,500.00
90 SILICONE IMPRESSON CONDEN LIGHT (SPEEOEX) na0.l 600.00 9 600.00 5,400.00 600.00 9 600.00 5,400.00
91 Additionat siticone lt4PRlNT 4 liqht fl80.! 2,199.92 5 2,t99.92 10,999.60 3 2,199.92 6,599.76 2 2,199.92 4,399.84
(4CART.5TIP,5SYR/BOX)
92 S|I-ICONE IMPRESSON AoITOl\rAL PUTry (Sitagum) na0r 7 1,990.00 13,930.00 1 1,990.00 13,930.00 1,990.00
93 SILICONE IMPRESSION CONOEN PUTTY ( SPEEDEX) na0.l 1,400.00 3 1,400.00 4,200.00 1,400.00 1,400.00 2 1,400.00 2,800.00
94 SILICONE IMPR€SSION CONOEN ACTVAT (SPEEOEX) nn0.! 800.00 6 800.00 4,800.00 800.00 800.00 5 800.00 4,000.00
(av) ;r) d I
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Page 86 of 133
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95 IMPRINT 4 PENTA HEA\'/ na0.t 5 4,922.00 24,610.00 3 4,922.00 t4J66.o0
4,922.00 2 4,922.00 9,844.00
(base3oomUcaratyst6omU ralo ua:ro-rlufi
96 TIMPBONo NE Oemporary bonding) nnot r,070.00 2 1,070.00 2,140.@ 1,070.00 2 1,070.00 2,140.00
97 SILICONE ADHESIVET Cfray adhesive for siticone) !?i 1,200.00 7 1,200.00 8,400.00 1,200.00 6,000.00 2 1,200.00 2,400.00
es ln& nrio.r 185.00 1 185.00 555.00 185.00 3 185.00 555.00
99 mixing tip for composite core build up ort 2,547.00 2 2,547.00 5,094.00 2,547.00 2 2,547.00 5,094.00
100 (Excite dsc) Adhesive Bonding Oual cure for na0.t 8,025.00 8,025.00 8,025.00 8,025.00 1 8,025.00 8,025.00
post & core
101 OCCLUSAL WAX (Atuwax) na0.t 480.00 2,400.00 2 480.00 960.00 480.00 7 4ti0.00 3,360.00
102 porcetain adjust kit ( Shofu) 790.00 790.00 2,3?0.00 790.00 790.00 2 790.00 1,580.00
f
103 ALGINATE SPATULA iu 90.00 10 90.00 900.00 90.00 l0 90.00 900.00
IO4 WAX SPATULAR tr 130.00 5 130.00 650.00 130.00 r 30.00 650.00
105 PINK BAsE PLATE WAX (Pink wax) na0t 220.00 t3 220.00 2,860.00 6 220.@ 1,320.00 7 220.00 1,540.00
106 Orthodontic stone na0r 80.00 8 80.00 640.00 80.00 I 80.00 640.00
107 Sticky wax fiR0.t 350.00 3 350.00 1,050.00 350.00 350.00 2 350.00 700.00
toe ldr llrd furr n0u r85.00 3 185.00 555.00 185.00 3 185.00 555.00
109 luMulJtJ: PLaster (n: fiIEE!45) n:va0! 185.00 370.00 185.00 6 185.00 - 1,110.00 8 185.00 1,480.00
110 rJulE16[rDi type 2 (AIss!55) ni!a0l,] 12 185.00 2,220.00 185.00 185.00 185.00 2,220,00
1 SToNE (!!0r, riu: type I {n-lnav os) fl40.1 7 1,200.00 8,400.00 1,200.00 1 1,200.00 - 8,400.00 l4 1,200.00 16,800.00
&etmix type 4) (fi16n!r67)
;4-
112 olE STONE n60.t 1 690.00 690.00 690.00 690.00 690.00 I 690.00 690.00
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Page 87 of 133
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Page 88 of 133
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132 Ronseur forceps ,12 2,600.00 1 2,600.00 2,600.00 2,600.00 2,600.00
1 2,600.00
133 Root tip pick (doubte end) At1 1,530.00 r,530.00 3 1,530.00 4,590.00 3 1,530.00 4,590.00
134 OENTAL SYRINGE o'') 642.00 642.00 15 642.00 9,630.00 15 642.00 9,630.00
135 EICBING Get ra0n 290.00 54 290.00 15,660.00 16 290.00 4,640.00 38 290.00 11,020.00
136 Acid etching Liquid (:n 8i) t10 10 490.00 4,900.00 490.00 2 490.00 980.00 8 490.00 3,920.04
137 MATRIX BAND NO 12 Ina ll 105.00 1,155.00 105.00 2 105.00 210.00 9 105.00 945.00
I38 MATRIX EAND NO 13 1m 10 r05.00 1,050.00 10 105.00 1,050.00 5 105.00 525.00 15 105.00 1,575.00
r39 MATRTX BAND No 15 MoLAR du Ina 17 105.00 1,785.00 105.00 105.00 105.00
1 16 r05.00 1,680.00
I4O MATRIX EAND T. MNO M Lm I 150.00 1,200.00 4 150.00 600.00 1 150.00 150.00 11 150.00 1,650.00
141 MATRIX MND T- BANO 5 Ira l0 150.00 1,500.00 t4 150.00 2, r00.00 t2 150.00 1,800.00 150.00 1,800.00
142 EAND SECTIONAL MATFIX sYSIEM REFILL nriol 1,799.74 7 1,799.74 12,598.18 3 1,799.74 5,399.22 4 1,799.74 7,t98.96
143 CELLULOIO STRIP ndor 13 280.00 3,640.00 280.00 5 280.00 1,400.00 8 280.00 2,240.00
144 COMPOSIT FLOW (Composite resin F(owabte nrior 535.00 2A s35.00 10,700.00 4 535.00 2,140.00 t6 535.00 8,560.00
145 COMPOSIT FLOW (Composite resin Ftowabte ndor 6 535.00 3,214.44 5 535.00 2,675.00 10 535.00 5,350.00 1 535.00 535.00
(Regutar)) (:ri 6i)
146 RESIN COMPOSIT NANO FILL A2 tm00 10 799.29 7,992.90 t2 799.29 9,591.48 2A 799.29 15,985.80 2 799.29 1,598.58
I47 RESIN COMPOSIT NANO HYBRIO A2 ]t60'l 20 535.00 10,700.00 10 535.00 5,350.00 5 535.00 2,675.00 25 535.00 13,375.00
1€ RESIN COMPOSIT NANO HYBRID A3 (:n ni) ra0n 6l 535.00 32,635.00 10 535.00 5,350.00 59 535.00 31,565.00 12 535.00 6,420.00
149 Gl fi((ingr se(f cure Capsute Fljll lX set 10 3,700.00 37,000.00 3,700.00 5 3,700.00 18,500.00 5 3,700.00 18,500.00
Page 89 of 133
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150 SANO PAPER STRIP TDV nsior 2 650.00 1,300.00 8 650.00 5,200.00 650.00 650.00 9 650.00 5,850.00
I51 WEOGE L o,r 5 60.00 300.00 5 60.00 300.00 8 60.00 480.00 2 60.00 120.00
152 anatomic wedg€ patodent V3 nao.t 1,605.00 3 1,605.00 4,E15.00 1,605.00 1,605.00 2 1,605.00 3,210.00
153 McEsryplNE HEMosrelc drur*r:t6oa) !1'l r34O.@ 5 1,340.00 6,700.00 1,340.00 5 1,340.00 6,700.00
154 CAVITY CONDITIONER !1n r,070.00 2 1,070.00 2,r40.00 1,070.00 2 1,070.00 2,140.00
155 3 SITPS TOTAL ETCH {Optibond FL ) '('l 2 2
156 TotaL etc (2 steps) 1:'l 1,498.00 20 1,498.00 29,960.00 l7 1,498.00 25,466.00 1,498.00 4,494.00
157 Amatgam wetL (:.|l 6n) B1.l 280.00 5 280.00 1,400.00 1 280.00 280.00 4 280.00 1,120.00
158 Cement spatuta metat ou 120.00 10 120.00 1,200.00 120.00 10 120.00 1,200.00
159 Cement spatuta metat (:ri 6r) dtr 120.00 120.00 120.00
1 120.00 I 120.00 120.00
160 GLASS LAB (:i 6r) B! 150.00 6 150.00 900.00 150.00 6 150.00 900.00
161 INTERPROXTMAL CAVER HU-FR|EOY (;1tllxqJ) du 1,130.00 5 r30.00 5,650.00
1, 1,130.00 5 1,130.00 5,650.00
162 stong Nl-fi-rinS patodent V3 ndol 4,815.00 6 4,815.00 2E,890.00 4 4,815.00 19,260.00 2 4.815.00 9,630.00
163 MATRIX HOLOER TUFFLEMIRE ou l4 590.00 8,260.00 590.00 2,950.00 l4 590.00 8260.00 5 590.00 2,950.00
164 Spoon excavator ol,r 10 r80.00 1,800.00 2 180.00 360.00 180.00 t2 180.00 2,160.00
165 Spoon excavator (:t nr) dl 1E0.00 5 180.00 900.00 2 180.00 360.00 180.00 540.00
166 SPRAY HANDPIECE n:vto.r 30 380.00 11,400.00 8 380.00 3,040.00 20 380.00 7,600.00 18 380.00 6,840.00
167 PUMTCE # 3 (500n:-&) (:ri nr) fl:!!n 100.00 7 100.00 700.00 100.00 7 100.00 700.00
168 DEVELOPER ( 5 E,: ) unaa0! 415.00 415.00 1,245.00 415.00 3 415.00 1,245.00
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Page 90 of 133
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169 FIXER ( 5 efi: ) unaao! 415.00 3 415.00 |,245.44 415.00 3 415.00 1,245.00
170 MICRO BRUSH X na0.t 90.00 10 90.00 900.00 5 90.00 450.00 m.00 450.00
I71 MICROBRUSH FINE nao.t l6 70.00 1,120.00 25 70.00 1,750.00 l6 70.00 1,120.@ 70.00 1,750.00
172 MICROERUSH SUPPERFINE n60.i 60 70.00 4,200.00 70.00 20 70.00 1,400.00 40 70.00 2,800.00
173 in'wr fluoride (:n 6n) nE0.l 75.00 4 75.00 300.00 75.00 4 75.00 300.00
174 Paper MIXING PAOGn nao.! 280.00 6 280.00 1,680.00 2 280.00 560 00 4 280.00 1,120.00
175 Paper mixing pad lxqi nao! 280.00 6 280.00 1,680.00 280.00 6 280.00 1,680.00
176 IRRIGATION NEEDLE SAFE TIP na0.t 4,488.65 2 4,488.65 8,977.30 4,€8.65
1 4,488.65 1 4,488.65 4,488.65
, .Jl !!t-
rrr easy prep (suctron 10,700.00 1 10,700.00 10,700.00 10,700.00 I 10,700.00 10,700.00
'lnuuflual]u)
178 easy prep dental operative unit 2,675.00 2 2,675.00
1'r 5,350.00 2,675.00 2 2,675.00 5,350.00
179 q.lio.fih-ur:ml:i No xs tv 50 179.00 8,950.00 179.00 179.00 50 179.00 8,950.00
180 COTTON PLIERS (:Tt 6,) n? 150.00 r50.00
1 150.00 150.00 I 150.00 150.00
181 Mouth mirror with handle du 100.00 23 100.00 2,300.00 t2 100.00 1,200.00 11 100.00 1,100.00
182 i/outh mirror with handle (:n nr) du 100.00 10 100.00 1,000.00 5 100.00 600.00 4 100.00 400.00
183 ufr?Jl 5 oo!{ (:fl 6i) 0u 100.00 7 100.00 700.00 2 100.00 200.00 5 100.00 500.00
taq ud'rir z ooui (:r m) 0l.J r20.00 2 120.00 240.00 120.00 2 120.00 2().00
185 lrun:ofvrlr-airoter non,LED l0 3,400.00 34,000.00 10 3,400.00 34,000.00 3,400.00
186 tirnrtinn-lua.r (:r lr) DIJ 120.00 15 120.00 1,800.00 120.00 600.00 10 120.00 1,200.00
ozn t) ( a--
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Page 91 of 133
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!?u 3,787.50 5,000 12.50 62,500.00 5,243 12.50 65,537.50 60 t2_50 750.00
1 n:vatumtdu 303 12.50
2 n::mwruio! (lrniuoo) 57 mm x 50 mm x 1cm. lr2l,/ 683 27.@ 18,441.00 3,000 27.U) 81,000.00 3,274 27.N 88,398.00 409 21_OO r1,043.00
3 n:vmuariuouiJrriu urll too uhrndor ,r1!i1 nn0.! 40 120.00 4,800.00 50 120.00 6,000.00 55 r20.00 6,600.00 35 120.00 4,200.00
4 n::e, drorontr: ,q5 l! 844 45.00 38,160.00 6,000 45.00 270,000.00 5,008 45.00 270,360.00 840 45.00 37,800.00
5 n:crl!(ilutontlir F4 (3oo u!iu) t!r 21 145.00 3,915.00 200 145.00 29,000.00 r82 145.00 26,390.@ 45 145.00 6,525.00
6 nr!i1!dlu!ontt1! A4 80 un:ru:ll 5OO u!iu4! lu 349 74.00 25,826-0o 10,000 74.00 740,000.00 10,200 74.00 754,800.m t49 74.00 11,026.00
7 n:cmurlrUn rurr ,Aq iriur !u 111 74.00 8,214.00 300 74.00 22,200.00 31e 74.00 27,9f 2ffi 11 74.00 2,442.OO
8 n:cm!nr'r{n lurr eq ltlntr I! t42 74.00 10,508.00 300 74.00 22,2@_W 424 74.00 31,376.00 t8 74.00 1,332.00
9 nrlrtrhUn wlr A4 A l 3r 97 74.00 7,178.00 300 74.00 22,2tn.00 397 74.00 29,378.00 74.00 0.00
l0 n:cerurir n tura A4 irx6o! !l 66 74.00 4,884.00 300 74.00 22,2tfi.(n 311 74.fi 23,458.00 n9 74.@ 3,626.00
1l nft ilulil.!15 uliulrir.r. 228 10.00 2,240.00 800 10.00 8,000.00 1,028 10.00 10,280.00 10.00 0.00
t2 n1,) 2 xih url 50 tor. nirr zo m. scolcn. !lllJ 183 19.00 3,q77 _@ 1,200 19.00 22.800.00 1,3r1 19.00 24,909.m 72 19.00 r,368.00
l3 nr?uti! !lr1a 22 nltr Scotch. vB00 143 20.00 2,860.00 477 20.00 9,540.00 535 20.00 10,700.00 85 20.00 1,700.00
15 i6! (6ia!aut]nr!ilu) ndor 2,497 4.00 8,388.00 6,000 4.00 24,000.00 8,097 4.00 12,388.O0 4.00 0.00
l6 airjdrturrir uo.rtz roro 12 du/ffio.!. otio.r 311 9.00 2,799.6 600 9.00 5,400.00 9ll 9.00 8,199.00 9.00 0.00
l7 ftAirilllJrr#n No.110 12 d'u./otio!. n30.! 14 15.00 1,110.00 900 15.00 13,500.00 684 15.00 10,260.00 290 15.00 4,3s0.00
l8 iar]rilltl1ilxq,i No.1o8 Etphen 12 du/nrior. nlio.l 153 35.m 5,355.00 300 35.00 r0,500.00 294 35.00 10,430.00 r55 35.00 5,425.U)
20 nioliun:snruuof :5 ulx. 0ll q9 265.00 12,985.00 400 265.00 106,0t)0.00 414 265.00 109,?10.00 15 265.@ 9,275.$)
2t rlvutm:t!llJi11ulan iNnNn l6tlm wu $lr 110 30.00 3,300.00 200 30.00 6,000.00 310 30.00 9,300.00 30.00 0.00
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48 uurrl::rirurrsqtnrnrlrjruu:nrirl: uururaq'tri l. rir 49 27.00 1,323.@ 500 27 _OO 13,500.00 433 2t.N 11,691.00 ll6 27.00 3,132_OO
49 [uUrltvuiurl ]!i!n1nuq-t!r lifinul n:! l. rir 107 27.00 2,889.00 21_OO 0.00 30 27co 810.00 t7 2t.N 2,019.OO
50 lrlllrutruJ!]l1?! ilt1rxq ri rifinu:nl!l 2 uir 123 27.N 3,32r.N 27.@ 0.00 32 27.00 864.00 91 21.00 2,451_O0
51 lluurjtuJu{r11!ilnTtrqJ rr ril:nu:nlu r. rai! 117 27.@ 3,159.00 21_@ 0.00 30 27.00 810.00 87 27 _U) 2,349.Ot)
52 ur.,rruilrilru:lown1:nu:nfi a. la!l 7l 27.00 1,9r7.00 2t.N 0.00 15 27_@ 405.00 56 21_N 1,512.00
53 lu Neuotogicat Ftow Sh€et. uir 99 27.U) 2,673.@ 100 27_@ 2,700.00 113 27_fi 3,051.00 86 21_N 2,322_N
54 lu Nu6ing lntervention Sheet. rir 18 24.75 445.50 3,000 24_15 74,250.00 2,977 24.75 73,680.75 4l 24.15 1,014.75
55 lu Nursing Summary Discharge. !!i! 222 25.00 5,550.00 200 25.00 5,000.00 375 25.00 9,375.00 47 25.00 1,175.00
56 1u pHystcAL EXAMTNATToN 5HEET: suRtN HosprAL lall 110 27 _00 2,9lO.ty) 21.00 0.00 27 _00 675.00 85 27_@ 2,295.N
fu Surin Hospitat Admission Sheet rhlU($h xF'r). 16ll 145 29.00 4,205.00 2(n 29.m 5,800.00 282 29.@ 8,178.00 63 29.00 1,827.00
58 1! Surin Hospitat Ph)sica( Examination sheet 2. Ei! 205 27.@ 5,535.00 27.U) 0.00 1(8 27.@ 3,996.00 57 27.@ 1,539.00
59 fuarifin rhwu lt 25,Atfi 0.35 8,890.00 40,000 0.35 14,000.00 52,7@ 0.35 18,445.00 t2,7@ 0.35 4,M5.0t)
60 fuaridn drurir. |lr 25,904 035 9,065.00 40,000 0.35 14,000.00 62,6@ 0.35 21,910.00 3,300 0.35 1,155.00
61 fuaridniul. t1J 0.25 0.00 150,000 0.25 37,500.00 139,000 0.25 34,750.00 11,000 0.25 2,750.00
62 fuufinr:ltu'r. rtir 245 30.00 7,350.00 900 30.00 27,000.00 t,ttl 30 00 33,510.00 2g 30.00 840.00
61 huftrir. rir tt7 27_N 3,159.00 27 _00 0.00 49 27.0 t,323_@ 68 27.@ 1,836.00
& furelurd, l'r. uir 68 25.00 r,700.00 100 25.N 2,500.00 t46 25.@ 3.650.00 22 25.00 550.00
65 hrhd$ri! lBilixuliAin (f, .1). ru 86 25.00 2,150.00 100 25.00 2,500.00 105 25.00 2,625_OO 81 25.00 2,025.00
66 uir 110 14.50 1,595.00 14.50 0.00 14.50 0.00 110 14.50 1,595.00
61 \:rirdw6nurntjurur:m::rlur! lall 27.00 3,591.00 4 27.00 108.00 37 27.00 999.00 100 27.00 2,700.00
68 luhdlGurrw'jr.rn{rou. 16lJ tt2 22.75 2,548.00 1m 22.15 2,275.@ 149 3,389.75 63 22.15 1,411.25
69 lrlriJi^nrrir"i (uw1n). d! 70 27.@ 1,890.00 50 21.@ r,350.00 103 27.N 2,781.00 t7 21.N 459.00
Page 94 af 133
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72 luirtntlionllurwihn::urururatrlurll:t t. lnlr t29 30.00 3,870.00 30.00 0.m 30.00 0.00 129 30.00 3,870.00
zl luririnrlronrrun:ir^! nu1llsiivfn!2. laU 127 30.00 3,810.00 30.00 0.00 30.00 0.00 r27 30.00 3,810.00
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75 fu!'!fintii0nrusliln:rdfiunrr! 2. uil 9A 27.00 2,546.@ 27.N 0.00 1 27.N 27.@ 91 27.@ 2,619.00
76 fulon-lud!f,!. tEll 130 22_75 2,957.50 22.15 0.00 60 22.15 1,365.00 70 22_75 1,592.50
77 fultn.i1. 16lr 67 2?.A) 1,809.00 200 27.00 5,400.00 191 27.@ 5,r57.00 76 27.OO 2,052.@
za lurtn-uanqrJnroj {nqrltl.r). uir r76 12.00 2,112.@ 400 12.00 4,800.00 506 t2_@ 6,072.$ 10 12.00 840.00
79 futrlJurloi|]imlll Lab. uitr 64 27.N 1,728 00 1,200 27.OO 32,400.00 1,081 27.00 29,187.00 183 27_@ 4,941.00
80 lrJilJrorur inrdidru. lnIJ r34 27.U) 3,618.00 100 21.@ 2,700.00 165 27.@ 4,455.00 69 27.U) 1,863.00
8t hnunrrirun:i:irdu:'n. lall 61 26.00 1.585.00 2U 26_@ 5,30,1.00 26.@ 5,798.00 42 26.00 1,092.00
82 fu.i.r X'RAY. uir 89 29.@ 2,581.00 400 29.@ r 1,600.00 445 29.00 13,485.00 24 3.00 696.00
et lurirrjruurgnicuis. lau 240 15.00 3,600.00 600 15.00 9,000.00 759 15.00 11,385.00 8t 15.00 1,215.00
eo ludlarfuu1 (rriir, rdrur{lliu, t. lalJ 17.00 0.00 1,300 17.00 22,100.00 t,299 17.00 22,0$.@ 1 17.00 17.00
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86 rhnnruildr r:rri, irr t3 10.00 130.00 800 10.00 8,000.00 708 10.00 7,080.00 105 10.00 1,050.00
87 mnluidurr i:rri'I. ilr 93 10.00 930.00 900 10.00 9,000.00 833 10.00 8,330.00 160 10.00 1,600.m
66 U',nn,lrnli! l(tl,/ i't1!r1. irr 115 10.00 1,150.00 2,000 10.00 20,000.00 2,t'j,5 10.00 21,150.00 10.00 0.00
89 !1nn' Tilo{iii'l Prlor. lr T 17.00 u9.00 400 17.00 6,800.00 145 17.00 2,465.00 262 17.00 4,454.00
90 Unn ?fiJoi.euir PtLor. du 348 17.00 5,916.m 17.00 0.00 l7_00 3,774.N 126 17.00 2,t42.@
91 {lnnlhiuoiiifii! PrLor. fiu 519 17.00 8,823.00 800 17.00 13,500.00 1,t92 17.00 20,264.U) 127 17.00 2,159.00
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co troxrir6oririorud. 1u 25,U)0 o.l2 3,000.00 0.t2 0.00 4,200 a.t2 504.00 20,800 0.12 2,496.d)
ss trunirfiudrtordou. uriu 7,500 0.09 675.00 0.09 0.00 5,100 0.09 459.00 z4@ 0.09 2t6_O0
96 lllUltuluulitllll ueir 9,200 o_20 1,840.00 10,000 0.20 2,000.00 12,000 0.20 2,400.00 7,2oO 0.20 1,440.00
sr iru$rirriuiiuar. rdu 23,3@ 0.12 2,196_OO 0.12 0.00 4,000 a_r2 440.00 19,300 0-12 23t6.A)
vu ulutitllrrul!tn1. uir 8,600 0.09 774.00 0.09 0.00 5,2@ 0.09 468.00 3,400 0.09 306.00
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too r}unhrio$rinrn. riu 17,200 0.09 1,548.00 0.09 0.00 6,7@ 0.09 603.00 10,500 0.09 945.00
tot tTurnhfioliv,udu. udtr 26,W 0.12 3,180.00 0.12 0.00 4,000 0_12 480.00 22,5N 0-12 2,700.00
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tol trunirrir.rflirrtri. lu 9,500 0.09 841.00 0.09 0.00 4,500 0.09 405.00 5,100 0.09 459.00
l04 ilwrir;lrdi2.r. ur.iu 14,500 o.t2 1.740.00 0.t2 0.00 3,300 0.t2 3 .00 11,200 0.12 1,344.00
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r06 rhur{hfiuref;!. ud! 9,700 0.12 1,164.00 0-12 0.00 7,100 0.12 852.00 2,6U) 0.12 312.N
toz r}unirriurifudou. ril 4,700 0.12 564.00 0.t2 0.00 300 o.t2 36.00 4,400 0.r2 528.00
t08 tlurrlilriu!flrx6or. ulr 16,100 0.09 1,449.00 0.09 0.00 4,900 0.09 441.00 11,200 0.09 1,008.00
109 uUrlnunllr1lJ. 0u 52 10.00 520.00 50 10.00 500.00 75 10.00 750.00 27 10.00 270.00
110 u{!r!1!6n 210F. rin 39 45.00 1,755.00 100 45.00 4,500.00 119 45.00 5,355.00 20 45.00 900.00
111 ufiu!1ixr! 120F. riu 55 50.00 2,750.00 800 50.00 40,000.00 729 50.00 36,450.00 126 50.00 6,300.00
ttz uf,luulriu#n sgor SoLUNA. riu 102 53.00 5,406.00 53.00 0.00 53.00 r,643.00 71 53.00 3,763.00
113 lfunfir 12 t1s8c. 011 87 9.00 783.00 100 9.00 900.00 183 9.00 1,647.00 4 9.00 36.00
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117 flJ.l n.ol rutuu{t2urron. rir 75 53.00 3,975.00 53.00 0.00 4 53.00 212.U) 71 53.00 3,763.00
118 lu.2 r 0((rlJuh llrr/501u) Docter Order. rir 1,318 50.00 65,900.00 5,500 50.00 275,000.00 6,294 50.00 314,700.00 524 50.00 26,200.00
119 :ri 33 (n!r0u!n!1tl!). rir 74 52.00 3,848.00 52.00 0.00 52.00 r,924.@ 31 52.04 1,924.00
120:n.4. rir l4 34.00 476.00 1,000 34.00 34,000.00 950 34.m 32,300.00 64 34.00 2,176.ffi
121 flumri{irjrlor{rhtldli!ifi diln). lalJ r65 27.00 4,455.m 400 27_6 10,800.00 514 27.ty) 14.418.00 21.00 837.00
t22 inuii rilof 10 MAx. niior 58 5.00 290.00 5,000 5.00 2s,000.00 4,603 5.00 23,015.00 455 5.00 2,275.00
123 inurii !]oi 35 [.,tAx. nrio.r 9.00 0.00 7,000 9.00 63,000.00 4,672 9.00 42,04{).00 2,32a 9.00 20,952.00
124 6qirtnrinQmruindmluiidNri. ml 165 18.00 2,988.00 100 18_00 1,800.00 125 18.00 2,250_@ 141 18.00 2.538.00
tzs aqnlnuil ruoi r !!'li 55 un:! 60. lri! 81 43.00 3,443.00 400 43.00 17,200.00 413 43.00 18,619.00 48 43.00 2,064.00
tzo arprJnui.r ruoi 2 tuli 55 mfl 60 uiu rir 223 24.00 5,352_OO 400 24.00 9,600.00 491 24_@ 11,784.00 t32 24.OO 3,168.00
127 nU nudr ruoi 3 165x245 cm 100 u!iu61ulnu. ri! 15.00 2,655.00 400 15.00 6,000.00 552 15.00 8,430.00 15 15.00 225.O0
128 qiluioiiult6troo i'fin1:la!1io). Liu 86 54.00 4,644.U) 100 54.00 5,400.00 132 54.00 7,128.00 54 54.00 2.916.m
129 n{is.!nE1{Aflfl !^1r. ri! 4 40.00 160.00 600 40.00 24,000.00 539 40.00 21,s60.00 65 40.00 2,600.00
130 flqilai:on (TPR). riu 81 40.00 3,320.00 200 40.00 8,000.00 193 40.00 7,720.N 90 40.00 3,600.00
rt rqnduo.rd.r. Ei! 91 20.00 1,820.00 213 20.00 4,260_00 182 20.00 3,640.00 122 20.00 2,440.00
132 aqiorrulln'oulolo! lall 92 35.00 3,220.00 400 35.00 14,000.00 256 35.00 8,960.00 2 35.00 8,250.00
133 6:.o31uiluf, nltuelruin. la! 20 30.00 600.00 600 30.m 18,000_00 565 30.00 16,950.m 55 30.00 1,550.m
tl4 xri.!flr$rrornlli10n i65/!d!). ta!r 135 65.00 8,775.00 65.00 0.00 a3 65.00 2,195_N 92 65.00 5,980.00
ln! 80 40.00 3,200.00 200 40.00 8,000.00 t45 40.00 5,800.00 135 40.00 5,400.00
tr mi.rfl ouaaurt0losrlunr:lntvrhon'r:. $ll 102 30.00 3,050.00 600 30.00 18,000.00 503 30.00 15,090.00 199 30.00 5,970.00
137 rU{eous'rd,liou6rllroi:inu1. riu 130 24_75 3,217 -fi 24.15 0.00 52 24.75 1,287.00 18 24.75 1,930.50
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140 Surin Ane(hesia Record (tni1't!n"i). lau 99 29_00 2,87t.04 200 29.O0 5,800.00 199 29_04 5,711.OO 100 29.00 2,900.00
141 Surin Hospitat Physicat Examination Sheet !o.lil. rir 103 27.00 2,78t.04 27.O0 0.00 3l 27.00 837.00 72 27.00 1,944.00
142 Surin Hospital Physicat Eramination Sheet u8".unot1. rlr 102 21_00 2,154.00 27.04 0.00 40 27.00 1,080.00 62 27.00 1,674 00
144 h Record lntahe - Qutplt. rir 143 27.44 3,861.00 400 21.tX 10,800.00 537 27.O0 14,499.00 6 27_6 162.00
145 iinmDi[ ril (65 iivuriu) urlu 43,450 3.00 130,350.00 120,000 3.00 360,000.00 155,150 3.00 465,450.00 8,300 3.00 24,900.00
tq6 uirtauordu rir 120.00 0.00 250 120.00 30,000.00 250 120.00 30,000.00 120.00 0.00
147 1u6o EKG ril 51 42.00 2,r42.00 42_O0 0.00 4 42.A0 168.00 47 42_O0 1,974.00
rqa o:'ruriitli 01.1 289 28.00 8,092.00 28_OO 0.00 57 28.00 1,596.00 232 28.00 6,496.00
rcg luehn':rortrtaraoriirm6oi rir 3q3 30.00 10,290.00 30.00 30.00 20 30.00 600.00 324 30.00 9,720.00
Page 98 of 133
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4 n::mYtlt:c u,Iu 1,339 4.00 5,356.00 39,0@ 4.m 156,000.@ (o339 4.00 161,356.00 0 4.00 0.00
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6 n:wonbloru z du dforrurltirr fl:!!0n 90.00 4,680.00 0 90.@ 0.00 37 90.m 3,330.00 l5 90.00 1,350.00
8 rdltiou aruliqj Ina l4 12.00 168.00 80 12.00 960.00 59 12.00 708.00 35 l2.m 420.00
9 po'rmuarruttnndrnit{rlru 1t 1,450 (6.00 66,700.@ 2,500 45.m r 15,000.00 3,700 46.00 170,200.00 250 46.00 11,500.00
10 rtoflrl.lirhtlllrqJ irri.l'{ !JIT A 45.00 180.00 500 45.00 22,500.00 u6 45.00 20,070.00 58 45.m 2,6r0.00
ll rirlLlorunat c rurhtuun noir 202 20.00 4,040.00 600 20.@ 12,000.00 681 20.00 13,620.m t2t 20.00 2,420.N
t2 cirulrtorulnqj o urfiruun nou 226 13.00 2,9)8.N 100 13.00 1,300.00 23t 13.00 3,003.00 95 13.m 1,235.00
l3 Q.ldulor] nul. 9xl4 ioo!5 nlt io 106 36.00 3,816.00 300 36.00 10,8@.00 383 36.00 13,788.00 23 36.m 828.00
l4 qriulou turr 24x36 io6Y 5 nir lt0 100 44.00 4,4()0.00 2N 44.00 8.800.00 221 44.00 9,988.00 73 44.00 3,2t2.6
15 qrrlulou trm toxts ionr s nil TO 250 36.00 9,000.00 2@ 36.00 7,2m.9) 296 36.00 10,555.00 154 36.00 5,544.00
16 qrlfirlou !rn, 12118 ion! 5 nit l,t0 '16 36.00 2,736_@ 300 36.00 10,800.00 2AA 36.00 10,368.00 88 36.m 3,168.00
t7 qrrlutou tul axs ioar s ntr llO 77 17.00 1,309.00 0 17.00 0.m 39 17.00 663.00 38 17.00 646.00
18 qrrfulou tum c.sxz rioa: 5 nltr lt0 0 36.00 0.00 400 36.m 14,400.00 400 36.00 14,4013.00 0 36.00 0.m
19 qldviol rurr sxa rioar s n$r llo 202 36.00 7,272.U) 600 36.00 21,600.00 802 36.00 24,812.N 0 36.00 0.00
20 qrrlviou tuu er ioar s nlu llO 92 36.00 3,3r2.00 400 36.00 14,400.00 414 36.00 14,900.00 78 36.m 2,808.00
27 qr,lvlo! nvli 8x12 io6!5 nil tlo 36.00 180.00 300 35.00 10,800.00 255 35.00 9,180.00 50 36.00 1,800.00
Page 99 of 133
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23 q.ldu{ouuJli 14x20 ioEc5 nl! 'vt0 28 36.00 1,008.00 300 36.00 10,800.00 2't5 36.00 9,900.00 53 36.00 1,908.00
24 qlfiJfowrl1i 18x26 riosc5 nlu $0 82 36.00 2,952.00 200 36.00 7,200.00 246 36.N 8,856.00 36 36.00 1,296.00
qrpfi um rxta ful u':r1 aoo nlu io 2,000 28.00 55,000.00 8,000 28.00 224,000.00 9,t47 28.00 256,116.00 853 28.00 23,884.00
26 qrioii! ruol 8 Anset( ri 340 24_N 8,160.00 1,200 24.00 28,800.00 930 24-(n 22,320.6 610 24.00 14,640.00
21 qlioitfir r!o{ 9 Anse(t 323 24_OO 7,752.N 1,200 24.00 28,800.00 1,047 24.@ 25,128.00 476 24.@ 11,424.00
29 ulrurdrn'ru rurr, 38oo un 55 102.00 5,610.m 1,000 102.00 r02,000.00 964 102.00 98,128.00 91 102.00 9,282.00
30 Jrurr{r.rmwirtrr zso uo.la{oursrl 43 .@ 1,544.00 3,900 36.00 140,400.00 3,672 36.00 132,192.@ 271 36.@ 9,756.N
3l urr6mldn urrn rzz nn. z q.r q! 51 65.00 3.315.00 2N 65.00 13,000.00 25t 65.m 16,315.00 0 65.00 0.00
32 nrdmdnqj ture t/z nn.l qr n.t 58 65.00 3,770.00 200 65.00 13,000.00 247 65.00 16,055.00 ll 65.00 715.00
31 qfiorlu:ri tur loox150 mm. 3 15! 138 9.00 t,242N 2,500 9.00 22,5@.N 2,44t 9.00 22329.@ 157 9.00 1,413.00
14 nfiorlurr{irrlo.rfi wrn 75x150 mm. 3 !6! 7 9.00 63.00 2,500 9.00 22,500.00 2,349 9.00 21,141.00 158 9.00 r,422.00
15 qjrmrd, do w1r looo mt. nto 504 131.50 66,216_@ 1,6N 131.50 473,400.00 3,916 131.50 514,954.00 188 131.50 24,722_00
36 rv0onJriann LrJ 28 56.00 1,568.00 180 56.00 10,080.00 t63 56.00 9,128.00 45 56.00 2,520.00
37 rddov aruGn Ivn 47 12.00 564.00 80 12.00 960.00 56 12.00 672_@ 7t 12.00 852.00
38 mr;inlrrlaorur: tura3o !rl.x36 !u $!1 gblirurrr l]lll 373 20.00 7,460.00 250 20.00 5,000.00 373 20.00 7,460.00 250 20.00 s,000.00
39 dr{aolruuuir alJ 212 19.00 5,168.00 0 19.00 0.00 243 19.00 4,617.00 29 19.00 551.00
40 Jru'rdrntr 69 120.00 8,280.00 400 120.00 48,000.00 445 120.00 53,400.00 24 120.00 2,880.00
4l Jrutirn:rm 125 120.00 15,000.m 0 120.00 0.00 66 120.00 7,920.00 59 120.m 7,080.00
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44 Jrurnonulmi n.a, 89 144.00 13,172.00 100 1€.00 14,800.00 188 148.00 27,824.U) I 144.00 148.m
45 riqnu5n,idun6ouur n.n. t35 255.00 34,425.00 200 255.@ 51,000.00 246 255.@ 72,930.00 49 255.U) 12,495.00
46 url! NitioluluulJutlu!u dlr r99 18.00 3,582.00 100 18.00 1,800.00 202 r8.00 3,636.00 97 18.00 1,746.00
47 tinlunnrnin trlu 26 78.00 16,068.00 0 78.00 0.00 159 78.m 12,402.00 47 78.00 3,666.00
48 Lin'rutjoumnrdr dru 8 26.00 208.00 550 26.00 14,300.00 558 26.6 14,508.00 0 26_00 0.00
49 q.nord, zozo fi 36 35.00 13,510.00 6,500 35.00 221,5@.@ 6,886 35.00 241,010.00 0 35.00 0.00
50 qwr:ld, :t t: fi t,925 35.00 6t,175.@ 7,500 35.00 262,5@.N 8,969 35.00 313,915.00 456 35.00 15,960.00
51 q.l!0!ur.! 2oro i? (iltilnldtilrltum.r) 1,353 50.00 67,650.00 5,000 50.00 250,000.00 6,@3 50.00 300,150.00 350 50.00 17,500.00
52 qlt0!ual 33x33 i?(ililtldil!thBmi) 258 50.00 r2,900.00 9,000 50.00 450,000.00 8.990 50.00 449,500.00 268 50.00 13,400.00
qwotdur:ro irm zozo {ilriloLfiurl:cnrr) 0 70.00 0.00 300 70.00 21,000.00 214 70.00 14,980.00 86 70.00 6,020.00
54 " . ,. . ,, 24 ul:
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56 i.isufir tu'u to dr 53 35.00 1,855.00 250 35.00 8,750.00 211 35.00 8,085.00 12 35.00 2,520.@
51 rldmlon drn! 25 nn. n.n 529 25.00 13,225.@ 5,000 25.00 125,000.00 5,459 25.00 136,475.00 70 25.00 1,750.00
58 udut'ravdon ulra ta fi uri! 0 240.00 0.00 40 240.00 9,600.00 40 240.00 9,600.00 0 240.00 0.00
59 udldrruT ! rurn ta di dd', uriu 0 240.00 0.00 30 240.00 7,200.00 30 240.m 7,200.00 0 240.00 0.00
60 urirfidl wTr fi :o ulrtu 0 270.00 0.00 20 270.00 5,400.00 20 2t0.@ 5,400.00 0 270.00 0.00
61 Liildu rluir z'2a fi a! 38 280.00 10,640.00 60 280.00 16,800.00 51 280.@ 14,280.00 47 280.00 13,160.00
62 Limrlrraru tlu 60.00 300.00 r00 60.00 6,000.00 29 60.00 1,740.00 76 60.00 4,560.00
61 n:!!onaivr du 2@ 20.00 4,000.00 200 20.00 4,000.00 20.00 5,41().00 128 20.00 2,560.00
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68 bil'urlnurr zo iru 70 200.00 r4,000.00 100 200.00 20,000.00 96 200.00 19,200.00 74 200.00 14,800.00
69 lltnnuuttlltllJ 6-u 166 35.00 5,8r0.00 0 35.00 0.00 68 35.00 2,380.00 98 35.00 3,430.00
l0 rotrhrlrurur:r ruoi to.5 30 139.00 4,170.00 50 139.00 6,950.00 22 139.00 3,058.00 58 139.00 8,062.00
lt rotrhrlrurrnr:r ooi t t.5 30 139.00 4,170.00 50 139.00 6,950.00 56 r39.00 7,784.00 24 139.00 3,136_OO
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143 qirnuln6o1ju{,rNl 0
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151 tninrEltlind{am h 0 0 0 0 0 0 0 0 0 0 0 0
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171 doxlrtrorJiiulrri^au utun6ur lrirurr rurn z dr i? 20 54 10E0 100 65 6500 120 65 7800 0 0 0
172 doldui ir 0 0 0 0 0 0 0 0 0 0 0 0
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:
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192 lTrnlfiiirru{riimiar turn :zo dr ou 0 0 0 0 0 0 0 0 0
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195 mudifi:luuulrnrothr; 0 0 0 0 0 0 0 0 0 0
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203 61UqTi-U 2 4lJ',) vr 0 0 0 0
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204 tlullrutllltGD t un6B! 0 0 0 0 0 0 0 0 0 0 0 0
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213 MrjrittnEiu, ullrtxQt 8u'ri !'lu 195 19 3705 0 0 0 t74 19 33c6 2t 19 399
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u'nruninnr: umttidruqnr: roruraitrirdrurrgnr: t.r!ulntu0unrlu
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zzo unnmoidrurrli ron lrn6n0! 2 r85 370 0 0 0 2 185 370 0 0 0
zrt ldao-nutru{:vq llirr trr; c5 nn. '(i 0 0 0 15 1100 16500 4 1100 4400 11 1100 12100
237 lriurri1r12l.!1 ou 0 0 0 0 0 0 0 0 0 0 0 0
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uro'rlri rfirn urrara$ nv6n-a uuc,inf rmroaro
l-nurainnr:uruddmqnr: rultlBlt,lnnn, ulr!n,I, Iaunn:rlltiur
:r51Unl:rnT flt:!Jfl'tl ft:!n't:
z orrr:riu.rrdouurtf rltrtia Btood agar 1,700.00 1,700.00 42,500.00 20 1,700.00 34,000.00 5 1,700.00 8,500.00
r our:u{u.rr{ourairlolin TcBs agar (Eiken) 10 3,500.00 35,000.00 20 3,500.00 70,000.00 28 3,500.00 98,000.00 2 3,500.00 7,000.00
!l
4 01r]:$ult!0u!nylt:tlil.t'l rrypticsoy 1,250.00 10 1,250.00 12,500.00 8 1,250.00 10,000.00 2 1,250.00 2,500.00
broth (500 gram)
I I . .
)- o1tnt$u -- i'lllelurrur
ttoulrirr:t - Mul(er 110.00 2,500 110.00 275,000.00 2,5@ 110.00 275,OOO.OO 110.00
hinton aqar ptate
6 rt
[tlrxi60unl1!l?.00ll.d0uuillt:ux061:r']u 88.00 20t) 88.00 17,600.00 150 88.00 13.2oo.oo 50 88.00 4,400.00
/ rt
uHunr60r.ril1ut1!0rGBuuint:ur0fi1tr1! 2s 88.00 2.200.@ 75 88.00 6.600.00 25 88.00 2,2@.00 75 88.00 6,600.00
inirTi, Fosfomycetin (50 DISC)
rf
6 tatluIifloui')'Dlt'2t0lln0uli,lt:tlro61:i1u 100 100 88.00 8,800.00 180 88.00 15,840.00 20 88.00 1,760.00
v .t
uulrni60ui11trt"!o.!r!0ulart:uio61:rl! 88.00 100 88.00 8.800.00 80 8a.00 7.040.00 20 88.00 1,760.00
(50 otsc)
lariirrir,tmipenamoenam)
rt
r0 uHunraouill!]l1!0[i0uuint:ui0nltrlu 50 88.00 4,400.00 200 88.00 17,600.00 220 88.00 19.360.00 30 88.00 2,640.00
lsiilioceft azidime (50 D|SC)
rl
rlllunrao!i?'r!]l1i0rfiouuin$uiofiTilu 88.00 150 88.00 13,200.00 14ti 88.00 13.024.00 2 88.00 176.00
,(&**
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, ,J-
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\nittirEMhromycin 60 DISC)
I -- ,
l4 lurlrnri0ui?1!Lmo$t0tl!iIrlur0nl:i1u 88.00 20u 88.00 17,600.00 180 88.00 15,840.00 20 88.00 1,760.00
lEititiiMeropenem 60 DISC)
t5 uriuxifiEuarr rtolrdouurirlurioar:irr 88.00 r00 88.00 8,800.00 90 88.00 7,920.00 r0 88.00 880.00
18 StainLess rackl3xloo, 12x6 {O{ (l du) 50 260.00 13,000.00 3,260.00 41 250.00 11,750.00 3 260.00 780.00
19 Thermat paper For Read strip (1 :i?u) 180 40.00 7,200.00 40.00 45 40.00 1,E00.00 r35 40.00 5,400.00
20 Transport Tube 40 ml. Sterile I W (1OOO lU) 3 3,000.00 9,000.00 3,000.00 2 3,000.00 6,000.00 1 3,000.00 3,000.00
21 n;lon Microscopic Stide fi'l 693 32.00 22,176.00 1,100 32.00 35,200.00 1,t34 32.00 36,288.00 659 32.00 21,088.00
zz lnanroriuordodanBrnln (pepti disk ptastic) 20 1,250.00 25,0@.00 10 1,250.00 12,500.00 2A I,250.00 35,000.00 2 1,250,00 2,500.00
23 u{lnr{uns,(i'rta!) xa'ro Function (1 o-u) 1,400.00 7,000.00 1,400.00 I 1,400.00 1,400.00 4 1,400.00 5,600.00
24 n1nur Septic Ne€dte Containner 400 40.00 16,000.00 600 40.00 24,0@.00 250 40.00 10,000.00 750 40.00 30,000.00
25 nmJcfi'ufi2otilwit Vaccuum tut€ 6 100 250,00 2,5@ 2.50 6,250.00 2,600 2.50 6,500.00 2.50
mI.K3EDTA rhrur
26 tl1:li! lmmersion oiL, telerk 2,000.00 8 2,000.00 r6,000.00 5 2,000.00 10,000.00 2,000.00 6,000.00
27 rinsini0orTii Test Tube 12x75mm,Ps 503 600.00 30r,800.00 600.00 600.00 503 600.00 301,800.00
u]!6',ttlu.l1 na1
) (
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lrrvidra rydru::ur
) e'r{n,,f
u'ri61'r't:anu0./ tluurlJrlJ'l
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29 pdrurnua:v;aorntllrsr:ftupin 4,000 325.44 1,300,000.00 6,000 325.00 1,950,000.00 9,000 325.00 2,925,000.00 1,000 325.00 325,000.00
0rLu!t
go ornr:rfluldsuurfilsliaiornr:ooninu 450 99.43 44,923.50 99.83 320 99.83 31,945.60 130 99.83 12,977.90
flflhlt
3t $rn*lan:0ff:minttrunrusluhdu 980.00 50 980.00 49,000.00 980.00 50 980.00 49,000.00
lvifftrrc
32 r{t'U1u1r:?n Urine Pregnancy Test 40 125.00 5,000.00 r20 125.00 15,000.00 160 250.00 40,000.00 250.00
lr prlluft otir.rltlqrjtir cary-otiar 1,200.00 30 1,200.00 36,000.00 25 1,200.00 30,000.00 5 1,200.00 6,000.00
rc prfiur?rothGoa vacuum blood 7,500 2.80 21,000.00 20,000 2.80 56,000.00 16,900 2.80 47,320.00 10,600 2.N 29,680.00
cot(ection needte
:s nrtucrfiuilodrfioi serum clot Activator t.95 44,000 1.95 85,800.00 30,800 1.95 60,060.00 13,200 1.95 25,740.00
36 unu:mi;snvodrmrEoa urine strip 2r 107 67.90 1 ,265.30 67.90 97 67.90 6,586.30 10 67.90 679.00
37 396 01 Cetts,o2 Cetts 20 70.00 1,400.00 70.00 15 70.00 1,050.00 5 70.00 350.00
38 80% Cu5O4 (450 m0 6 100.00 600.00 10 100.00 1,000.00 14 100.00 1,400.00 2 100.00 200.00
40 Anti-A (10 m0 200 80.00 16,000.00 750 80.00 60,000.00 790 80.00 fi,2$.00 160 80.00 12,800.00
41 Anti-AB (10 mt) 100 80.00 8,000.00 550 80.00 44,000.00 330 80.00 26,M.00 320 80.00 25,600.00
42 Anti-B (10 m0 200 80.00 16,000.00 730 80.00 58,400.00 700 80.00 56,000.00 234 80.00 18,400.00
44 Anti-D (10 m0 150 200.00 30,000.00 600 200.00 120,000.00 500 200.00 100,000.00 250 200.00 50,000.00
,m n31 'FJJ
urryiulyt
q-
rudru::ryr
""6h*l'f
lrrarm :a'nuoi ltuUrgq2r
riuruaitrirdurrynr:fi rau roruraitriridrurrynr: l-nlaulnr:
rl:Yn'r!nl:ur't': ntt!nll n':t!n1:
47 Anti-H (10 mt) 200.00 2 200.00 400.00 1 200.00 200.00 1 200.00 200.00
48 Anti-Human gtobutin (10 m0 2A 100.00 2,000.00 10 100.00 1,000.00 4 100.00 400.00 26 100.00 2,600.00
49 AntiM (10 mt) 6 100.@ 600.00 10 100.00 1,000.00 t2 100.00 1,200.00 4 100.00 400.00
50 Ant-Mia (10 mt) 6 500.00 3,000.00 20 500.00 10,000.00 24 500.00 12,000.00 2 500.00 1,000.00
51 Ant N (10 mt) 6 100.00 600.00 9 100.00 900.00 13 100.00 1,300.00 2 100.00 200.00
52 Ant Pl (Hu fvloAb) 5 mL 6 2,000.00 12,000.00 10 2,000.00 20,000.00 15 2,000.00 30,000.00 1 2,000.00 2,000.00
58 LISS reagent for enhance Antibody (10 mL) 5 100.00 500.00 12 100.00 1,200.00 t4 100.00 1,400.00 3 100.00 300.00
59 Screening cett OZO| (10 m0 44 70.00 3,080.00 115 ?0.00 8,050.00 154 70.00 10,780.00 5 70.00 350.@
60 Transfer bag (1 ql) 47.44 1,000 47.08 47,080.00 500 47.08 23,540.00 500 47.08 23,540.00
61 !ni:':niTluttlrnl0u]lnaull!0 $Ex, (5u 10.43 37,000 10,43 385,910.00 10.43 37,000 10.43 385,910.00
62 qdluGoruru : q(fiq.rn"nrifuftod, r) firipte 1,680 194.74 327,163.20 864 194.74 168,255.36 432 194.74 8q,127.68 2,976 194.74 579,546.24
btood bag4somt.with diversion pouch ) (1 qr)
63 qlrfiurEoauw c ql (Ouadruple b(ood bag) 384.13 1,280 384.t3 491,686.40 680 38/.t3 - 26t,208.40 1,960 384.13 752,894.80
(t !i)
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,
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i:c6iun::!n't: n::rJn1.' n.t:!n1:
dlversion po
as q tulnfuuw z qr ruri 450 mt.(iq$lnufu 114.82 t3q.82 3,600 134.82 485,352.44 384 134.82 51,770.88
66 Urine Pregnancy Test (50 test) 250.00 50 250.@ 12,500.00 14 250.00 12,500.00 36 250.00 9,000.00
a
@ urrqr::rur 6ar
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, "JJdhr.El
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I di-sodium hydrogen phosphate 110 6 599.20 3,595.24 47 599.20 28,162.40 29 599.24 t7,376.84 24 559.24 13,420.80
2 Ethanot absolute 5 L. 1191 16 950.00 15,200.00 2A2 950.00 191,900.00 110 950.00 104,500.00 108 950.00 102,600.00
3 Forma(dehyde 37- 40% llnan0L 11 775.00 10,075.00 6 775.00 4,650.00 10 775.00 7,750.00 9 775.00 6,975.00
4 Sodium dihydrogen phosphate 2- 110 11 420.00 4,620.00 23 420.00 9,660.00 420.00 9,660.00 11 420.00 4,620.00
hydrate (NaH2PO42H20)
5 Xyfene !'to 1,070.00 77,040.00 70 1,070.00 74,900.00 96 1,070.00 102,720.OO 46 1,070.00 49,224.00
6 EA -50 2.5 L ! tqr 3 4,000.00 12,000.00 6 4,000.00 24,000.00 7 4,000.00 28,000.00 2 4,000.00 8,000.00
? C.t-6 2.5 L 1?9r 1 3,600.00 3,600.00 3,600.00 18,000.00 5 3,600.00 18,000.00 1 3,600.00 3,600.00
8 rfiau:rruavlnurantsad nl0 1,160 240.OO 278,400.00 1,320 240.00 316,800.00 1,560 240.00 374,400.00 924 240.00 220,800.00
9 Papanicotaou Hematox/tin 2.5 L 11tr 3 4,922.00 14,766.00 4,922.00 2 4,922.00 9,844.00 1 4,922.00 4,922.00
10 n:vsn [4icroscopic Stide fl1 na0.t 32.00 600 32.00 19,200.00 100 32.00 3,200.00 500 32.00 16,000.00
11 Paraptast ( me(ting point 56 c) o.t 32 230.00 7,360.00 328 230.00 75,440.00 240 230.00 55,200.00 120 230.00 27,600.00
12 Casette white irl1ill 8! 12,000 1.40 16,800.00 8,000 1.40 11,200.00 12,000 1.40 16,800.00 8,000 1.40 11,200.00
13 casette id1 nEYd 01.1 13,000 1.40 18,200.00 27,000 1.40 37,800.00 30,000 1.40 42,000.00 10,000 1.40 r4,000.00
14 Eosin Y t2ql 8 1,000.00 8,000.00 \12 1,000.00 112,000.00 52 1,000.00 52,000.00 68 1,000.00 68,000.00
15 n:ctlo.irsraintrrq 60 mL rio!rl') 011 5,000 1.90 9,500.00 6,400 1.90 12,160.00 8,400 1.90 15,960.00 3,000 1.90 5,700.00
- . -.,! ,
rnnn1(!tlutt rLaltllttuo)
16 n:vrlouarrf,nwrn 120 m( riol]d'r 0u 5,254 3.45 18,112.50 1,000 3.45 3,450.00 4,450 3.45 15j52j0 1,800 3.45 6,210.00
- _. -..-" ,
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18 Cover glass 24x60mm na0.t 50 800.00 40,000.00 100 800.00 80,000.00 150 800.00 120,000.00 800.00
19 Bond Potymer Detedion System 30 1r?o 4 30,980.00 123,920.44 39 30,980.00 1 ,208,220.04 41 30,980.00 1,270,180.00 2 30,980.00 61,960.00
mt
20 Bond Wash Reagent 10x concentrate 1110 8 9,000.00 72,000.00 18 9,000.00 162,000.00 20 9,000.00 180,000.00 6 9,000.00 54,000.00
1 err
21 Eond Dewax sotution 1eo: 1?rl 4 3,200.00 12,800.00 23 3,200.00 73,600.00 23 3,200.00 73,600.00 4 3,200.00 12,800.00
22 Bond Epitope Retrievat Sol.ution (1) 110 6 5,350.00 32,100.00 20 5,3s0.00 107,000.00 2l 5,350.00 112,350.00 5 5,350.00 26,75A.00
23 Bond Epitope Rekievat So(ution e) 1191 5 5,350.00 26,750.00 34 5,350.00 181,900.00 32 5,350.00 171,200.00 7 5,350.00 37,450.00
24 Bond Antibody DiLuent 500 mt lJ]0 10,300.00 4 10,300.00 41,200.00 3 10,300.00 30,900.00 1 10,300.00 10,300.00
25 Potassium Permanganate 5OOn l 1?fi 890.00 11 890.00 9,790.00 8 890.00 7,124.40 3 890.00 2,670.00
26 Sutfuric acld 1?O 680.00 7 680.00 4,760.00 5 680.00 3,400.00 2 680.00 1,360.00
27 10% buffer formalin 500.00 44 500.00 22,000.00 20 500.00 10,000.00 24 500.00 12,000.00
1n
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nistQllU l!l,l I nlan:! 4 250.00 1,000.00 4 250.00 1,000.00 6 250.00 1,500.00 2 250.00 500.00
n:vritnno.r nlnn:! 0 62.00 0.00 192 62.00 11,904.00 180 62.00 11,160.00 t2 62.00 744.00
4 n:! n:vrlo'r 0 65.00 0.00 588 65.00 38,220.@ 480 65.00 31,200.00 108 65.00 7,020.00
flnulllou'lro nlnfl:ll 0 650.00 0.00 310 650.00 201,500.00 260 650.00 169,000.00 50 650.00 32,500,00
6 !u!tllui:ntfl0l ll0 0 5E.00 0.00 524 58.00 n,624.N 492 58.00 28,536.00 36 58.00 2,088.00
7 $tnEB.! nno\ 0 90.00 0.00 t,920 90.00 172,800.00 1,776 90.00 159,840.00 1M 90.00 12,960.00
9 !0nul!:60u1!i !')i 0 26.00 0.00 0 26.@ 0.00 0 26.@ 0.00 252 26.00 6,552.00
12 !E6V0UV1r:ll unaaou 72 230.@ 16,560.00 0 2n.u) 0.00 0 230.00 0.00 72 230.00 16,560.00
13 io2!'l') .,?, € 25.00 1,200.00 4,0m 25.00 100,500.00 3,732 25.00 93,300.00 336 25.00 8,400.00
l4 -!.
to?r1 n{ 3 300.00 900.00 0 300.00 0.00 0 300.00 0.00 3 300.00 900.00
15 rontfiu ntan:! 0 200.00 0.00 45 200.00 9,000.00 200.00 8,400.00 3 200.00 600.00
t7 dirin.r ntnn:! 2 85.00 170.00 84 85.00 7,140.00 82 85.00 6,970.00 4 85.00 340.00
18 o':tnu1 o.! 0 30.00 0.00 160 30.00 4,800.00 160 30.00 4,800.00 0 30.00 0.00
v,y
(u.raruir nr6rin) (u1tu'u:ru lrl! l?u) (ulaa5r1 iltnnctYrttl
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rururai.lrin{rurrxnr: riaruraitriridrutqnlt rinunianr:urwJ firJinr:
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{o1a:vn'irriu# 01 lsliu 2564 ft go fiuuruu zses
UDiUN!'] :'lunlfiU t1un110'lu uoi'l. $ao
nlru :'tunlloui
runniru lup fiuru
!t1.1?u
liruru qrAniru luqu o'tutu rprzrniru Culu o:ruru lunnilu Cuuv
39 rftl'nnrnmru q.r 20 35.00 700.00 80 35.00 2,800.00 100 35.00 3,500.00 0 35.00 0.00
40 rnBo lE t00l.l q.r 0 15.00 0.00 600 15.00 9,000.00 540 15.00 8,100.00 60 15.00 900.00
4t rfinaruufil rio 6 r55.00 930.00 9 155.00 1,395.00 14 155.00 2,170.00 1 155.00 1s5.00
42 MiO riunoilnuni!0En q.r 0 91.00 0.00 1,800 91.00 163,800.00 1,680 91.00 152,880.00 120 91.00 10,920.00
q1 ntoltl!tn qi 0 5.00 0.00 1,620 5.00 8,100.00 1,500 5.00 7,500.00 120 5.00 600.00
44 ri']l!u?(rt z n.t 0 350.00 0.00 39 350.00 13,650.00 36 350.00 12,600.00 3 350.00 1,050.00
45 rulraoinri q'r 96 630.23 60,502.0E 1,440 $A.23 907,531.20 1,328 630.23 836,945.44 208 630.23 131,087.84
47 16trvr io 0 150.00 0.00 114 150.00 17,100.00 108 150.00 16,200.00 6 150.00 900.00
48 rlnno:r nlan:! 0 400.00 0.00 135 400.00 54,000.00 129 400.00 51,600.00 6 400.00 2,400.00
49 rloprXm ntnn:! 2 360.00 720.00 18 360.00 6,480.00 19 360.00 6,840.00 I 360.00 360.00
50 rdaXrljufi.r Nt6N'I 0 240.00 0.00 52 240.00 12,480.00 49 240.00 11,760.00 3 240.00 720.00
51 url$rdm q.r 4 55.00 220.U) 17 55.00 935.00 19 55.00 r,045.00 2 55.00 110.00
ut.rrenn:ou q'r 0 18.00 0.00 660 18.00 11,880.00 624 18.00 11,232.00 36 18.00 64ti.00
53 utol-u o.! 20 22.@ t140.00 140 22.@ 3,080.00 r60 22.00 3,520.00 0 22.@ 0.00
54 [u !rn6oll]llu.l nlffft:! 2 70.00 140.00 31 70,00 2,170,00 22 ?0.00 1,540.00 11 70.00 770.00
55 !r U.H.T iiniD\rllJruu n.l 1t1,0 374.00 52,360.N 1,020 374.00 381,'180.00 1,150 374.00 430,100.00 10 374.00 3,740.00
56 mdrlnnnrir q.r 0 102.00 0.00 1,108 102.00 113,016.00 1,012 102.00 103,224.00 96 102.00 9,792.00
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59 riuflolr rN 16 r,423.10 22,769.64 112 |,423.t0 159,387.20 t12 1,423.r0 159,187.20 16 1,423.10 22,169.64
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63 l{l no.l 0 33.00 0.00 150 33.00 4,950.00 100 3,300.00
n0{ 300 490.00 147,000.00 0 490.00 0.00 100 490.00 49,000.00 2@ 490.00 98,000.00
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66 ooiniuura nds.r 280 670.00 187,600.00 0 6?0.00 0.00 tt2 670.00 75,040.00 168 670.00 112,560.00
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