PT.

RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 1 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

01.01.01 PHAPROS ETHICAL COMMODITY

1 20940355 - PHYTOMENADIONE 10 MG TSG|10 BLS X 10`S,- - ALK DOS 30.00 0.00 0.00 655,555.90
01.02.13 SN MEDIKA E-CAT
1 20008098 - PRO CREPE 7,5 CM X 4.55 M - - PCS 112.00 112.00 0.00 2,602,089.58
2 20936962 - PRO-KASA 40Y X 80CM - ROL 129.00 129.00 0.00 16,169,563.05
01.02.32 PT.IPHA - TENDER
1 20971024 - METOCLOPRAMIDE HCL INJ 5 MG 15 X 10 AMP - DUS 60.00 60.00 0.00 844,800.00
01.02.38 PT.LIKUID - TENDER
1 20969494 - BAYMED CHLORHEXIDIN 4% 500 ML - BTL 18.00 18.00 0.00 546,226.62
01.02.43 PT.MERSI FARMA - ECAT
1 20970891 - AMOXICILLIN DRY SYRUP 125 MG/ 5 ML - MS193E BTL 150.00 150.00 0.00 279,600.00
2 20970892 - AMOXICILLIN DRY SYRUP 250 MG/ 5 ML - MS253E BTL 100.00 100.00 0.00 319,100.00
3 20970895 - CALCIUM LACTATE 500 MG - MS194E BOX 135.00 135.00 0.00 681,193.12
4 20970896 - CARBAMAZEPINE 200 MG - MS229E BOX 10.00 10.00 0.00 158,933.50
5 20973926 - ALLOPURINOL 300 MG - BOX 478.00 478.00 0.00 6,453,000.00
6 20973927 - ALLOPURINOL 100 MG - BOX 455.00 455.00 0.00 6,825,000.00
7 20973928 - AMOXICILLIN 500 MG - BOX 475.00 475.00 0.00 16,245,000.00
8 20973930 - SIMVASTATIN 10 MG - BOX 379.00 379.00 0.00 1,705,500.00
9 20973931 - RANITIDINE 150MG - BOX 240.00 240.00 0.00 4,800,000.00
10 20973932 - ASIMAT 500 - BOX 93.00 93.00 0.00 3,255,000.00
11 20973933 - DACIN 150 - BOX 149.00 149.00 0.00 4,470,000.00
12 20973935 - MERSIVAS 10 - BOX 318.00 318.00 0.00 3,816,000.00
13 20973936 - RANCUS 150 - BOX 240.00 240.00 0.00 7,200,000.00
01.03.01 E-CAT PT PHAPROS
1 20000623 - ACYCLOVIR 400MG TAB|5 BLS X 10`S - GKL9619918410B1 DOS 112.00 112.00 0.00 1,926,960.00
2 20000911 - DEXAMETHASONE INJ 5MG/ML@100 - 141040351 DOS 62.00 62.00 0.00 4,843,440.00
3 20000920 - LIDOCAINE 2% INJ|100 AMPX 2 ML - 141040601 DOS 95.00 95.00 0.00 6,802,950.00
4 20000924 - NA. DIKLOFENAK 25 MG 5X10S - 141040631 DOS 170.00 170.00 0.00 965,107.64
5 20000927 - NYSTATIN 100.000 IU TAV|10 BLS X 10`S - 141040701 DOS 28.00 28.00 0.00 1,302,000.00
6 20000928 - NYSTATIN 500.000 IU TSG|10 BLS X 10`S - 141040711 DOS 13.00 13.00 0.00 984,233.23
7 20000932 - PAKET STOP TB OAT ANAK - 141041731 DOS 23.00 23.00 0.00 4,181,820.99
8 20000936 - PHYTOMENADIONE 10 MG TSG|10 BLS X 10`S - 141040862 DOS 109.00 109.00 0.00 6,488,244.58
9 20000937 - PHYTOMENADIONE 10 MG|ML INJ|30 AMP @1ML - 141040852 BOX 148.00 148.00 0.00 13,119,241.14
10 20000972 - PHYTOMENADIONE 2MG|ML INJ|30 AMP @1ML - - DOS 5.00 5.00 0.00 177,335.15
11 20000984 - E-SOME @1 VIAL - - DOS 6.00 6.00 0.00 201,684.00
12 20000993 - TABLET TAMBAH DARAH/30`S - - BOX 257.00 257.00 0.00 2,301,013.52
13 20293076 - LIDOCAIN COMPOSITUM INJ - DOS 4.00 4.00 0.00 378,447.17
14 20969066 - CALCITRIOL 0,5 MCG KAP 30`S - BOX 22.00 22.00 0.00 1,450,790.00
15 20971123 - OMEPRAZOLE SODIUM 40 MG S.INJ/10 VIAL - DOS 414.00 414.00 0.00 17,826,426.00
01.03.02 E-CAT PT AFIFARMA
1 20012635 - POVIDON IODIDA 1000 ML - - BTL 5.00 5.00 0.00 204,750.00
2 20971132 - ANTASIDA DOEN @ 60 ML - BTL 100.00 100.00 0.00 138,900.00
3 20971134 - DOMPERIDON DROPS @ 10 ML - BTL 120.00 120.00 0.00 942,600.00
4 20971135 - DOMPERIDON @ 60 ML - BTL 1,050.00 1,050.00 0.00 1,996,050.00
5 20971136 - IBUPROFEN @ 60 ML - BTL 90.00 90.00 0.00 166,500.00
6 20971137 - PARACETAMOL DROPS @ 15 ML - BTL 30.00 30.00 0.00 123,510.00
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 2 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

01.03.02 E-CAT PT AFIFARMA

7 20971138 - SALEP 2 - 4 @ 15 GR - POT 200.00 200.00 0.00 233,200.00
01.03.04 E-CAT PT NOVAPHARIN
1 20942876 - VITAMIN B KOMPLEKS 100`S - NOVAPHARIN BOX 95.00 95.00 0.00 452,890.65
2 20971130 - CEFADROXIL MONOHYDRATE SYR KERING 125MG/5ML - BTL 25.00 25.00 0.00 79,454.50
3 20971131 - IBUPROFEN 200MG SUSPENSI - BTL 36.00 36.00 0.00 96,348.96
4 20972214 - ASAM FOLAT 1MG TAB - DUS 20.00 20.00 0.00 93,672.80
5 20972218 - VITAMIN B12 50MCG TAB - DUS 60.00 60.00 0.00 215,776.80
01.03.06 E-CAT PT WIDATRA BHAKTI
1 20937940 - RINGER LAKTAT 500ML - BTL 4,160.00 2,060.00 0.00 25,679,846.13
2 20949904 - WIDA RL 1000ML - BTL 2,000.00 2,000.00 0.00 22,808,920.00
01.03.07 E-CAT PT YARINDO FARMATAMA
1 20010599 - ISOSORBID DINITRAT TABLET - 31232 BOX 36.00 36.00 0.00 264,960.00
01.03.08 E-CAT PT RAMA EMERALD
1 20007857 - IBUPROFEN SUSP 60ML - - BTL 242.00 242.00 0.00 513,441.58
2 20945654 - CEFOTAXIME SODIUM 1GR,- - RAMA EMERALD VIAL 5,830.00 5,830.00 0.00 21,490,477.25
3 20945663 - ERYTHROMYCIN STEARAT 500MG 10 STR @10 KAPLET.- - DUS 126.00 126.00 0.00 7,938,000.00
4 20945681 - CEFTRIAXONE SODIUM 1GR,- - RAMA EMERALD VIAL 210.00 210.00 0.00 841,890.00
5 20969461 - RAMVIT C 500 KAPLET SALUT SELAPUT - DUS 150.00 150.00 0.00 2,761,363.50
01.03.10 HDPI : E-CAT
1 20935210 - HARUM PLATE NON CABLE MONO ADULT. - GP202DZ-AE PCS 36.00 36.00 0.00 765,000.00
2 20935213 - HARUM PEN. - XY-P401-2E PCS 892.00 892.00 0.00 24,419,747.71
01.03.13 MARIN LIZA : E-CAT
1 20940530 - HYDROCORTISONE KRIM 1% @5G - GKL9514101229A1 TUBE 48.00 48.00 0.00 113,207.53
2 20941324 - VITAMIN B KOMPLEKS TAB - MARIN BOX 4,492.00 4,492.00 0.00 11,941,892.16
3 20951732 - AMINOFILIN TABLET 200 MG 100`S - BTL 105.00 105.00 0.00 788,970.00
01.03.15 LUCAS DJAJA : E-CAT
1 20940877 - ANTASIDA SUSPENSI, KOMBINASI @60ML - GBL9413604433A1 BTL 500.00 500.00 0.00 795,469.95
2 20940878 - CYANOCOBALAMIN INJ 500MCG @100 AMP - GKL7813601043B BOX 21.00 21.00 0.00 1,896,867.00
3 20940881 - LIDOCAIN INJ 2% @100 AMP - LUCAS BOX 1.00 1.00 0.00 96,570.00
4 20940884 - PHENOL GLYCEROL TETES TELINGA 10% - GBL9413604148A1 BTL 102.00 102.00 0.00 267,750.00
01.03.19 OTSUKA E-CAT
1 20970074 - OTSU - MGSO4 20 (20% MGSO4 INJ) 25 ML. - AMP 250.00 250.00 0.00 752,718.79
2 20970076 - OTSU - NS (0.9% SODIUM CHLORIDE INJ.) 25 ML. - AMP 1,000.00 1,000.00 0.00 3,952,525.00
3 20970077 - OTSU - NS (0.9% SODIUM CHLORIDE INJ.) 10 ML. - AMP 60.00 60.00 0.00 165,500.88
4 20970078 - OTSU - KCL 7.46 (7.46% KCL INJ) 25ML - AMP 740.00 740.00 0.00 2,005,585.00
5 20970081 - KA-EN 1B INJECTION 500 ML. - BTL 300.00 300.00 0.00 2,610,997.40
6 20970082 - KA-EN 3A INJECTION 500 ML. - BTL 400.00 400.00 0.00 3,711,525.00
7 20970087 - ASERING (SOFTBAG) 500 ML. - BTL 2,200.00 2,200.00 0.00 16,280,000.00
8 20970090 - AMIPAREN INJ 500 ML. - BTL 10.00 10.00 0.00 812,742.00
9 20970092 - AMINOLEBAN INJ 500 ML. - BTL 20.00 20.00 0.00 1,224,366.80
10 20970096 - OB-1 BLOOD TRANFUSION SET. - PCS 500.00 500.00 0.00 7,397,687.00
11 20970097 - INFUSION SET OI-24. - PCS 100.00 100.00 0.00 587,190.00
12 20970100 - INFUSION SET OI-34. - PCS 300.00 300.00 0.00 2,316,015.00
02.01.02 BENANG BEDAH SMI E-CAT
1 20008427 - SILK BLACK 4/0 HR 20 MM - 8150120.00 BOX 2.00 2.00 0.00 276,460.53
2 20008430 - SILK BLACK 3|0 HR 26 MM - 820 0126 BOX 8.32 8.32 0.00 1,164,034.42
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 3 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

02.01.02 BENANG BEDAH SMI E-CAT

3 20008433 - SILK BLACK 1 HR 37 MM - BOX 5.00 5.00 0.00 768,051.87
4 20008434 - SILK BLACK 4/0 DS 19 MM - 8151519.00 BOX 2.00 2.00 0.00 315,866.18
5 20008435 - SILK BLACK 3/0 DS 24 MM - BOX 14.00 14.00 0.00 2,222,550.01
6 20008436 - SILK BLACK 2|0 DS 24 MM - 830 1524 BOX 3.75 3.75 0.00 810,206.25
7 20008438 - CATGUT CHROMIC 3|0 HR 26 MM - 230 0126 BOX 5.00 5.00 0.00 1,159,508.20
8 20008439 - CATGUT CHROMIC 2/0 HR 26 MM - 2350126.00 BOX 7.33 7.33 0.00 1,695,023.59
9 20008440 - CATGUT CHROMIC 2|0 HR 37MM - 235 0137 BOX 3.00 3.00 0.00 695,704.92
10 20008445 - CATGUT CHROMIC 2|0 DS 24 MM - BOX 9.00 9.00 0.00 3,354,876.00
11 20008450 - CATGUT PLAIN 0 HR 37 MM - 140 0137 BOX 1.00 1.00 0.00 124,031.00
12 20008451 - CATGUT PLAIN 1 HR 37 MM - 150 0137 BOX 2.00 2.00 0.00 543,771.28
13 20008456 - SURGICRYL 910 5/0 HR 17 MM - 1510 0117 BOX 3.00 3.00 0.00 2,117,187.00
14 20008457 - SURGICRYL 910 4/0 HR 17 MM - 1515 0117 BOX 1.00 1.00 0.00 705,729.00
15 20008461 - SURGICRYL 910 3/0 HR 22 MM - 15200122 BOX 8.50 8.50 0.00 4,133,798.35
16 20008462 - SURGICRYL 910 2/0 HR 22 MM - 1530 0122 BOX 2.00 2.00 0.00 1,372,326.00
17 20008465 - SURGICRYL 910 2|0 HR 26 MM - BOX 6.00 6.00 0.00 3,155,415.00
18 20008482 - SURGICRYL 910 1 HR 48 MM - 1540 0148 BOX 0.75 0.75 0.00 530,784.82
19 20008490 - SURGICRYL 910 2|0 DS 24 MM - 1530 1524 BOX 1.00 1.00 0.00 851,440.35
20 20008491 - SURGICRYL 910 3/0 DS 26 MM - 1520 1526 BOX 1.00 1.00 0.00 609,756.00
21 20008500 - SURGICRYL PGA 8/0 - BOX 1.25 1.25 0.00 4,831,916.78
22 20008545 - CATGUT PLAIN 4/0 HR 20 MM - 120 0120 BOX 1.00 1.00 0.00 291,433.00
23 20008547 - CATGUT PLAIN 2/0 HR 20 MM - 135 0120 BOX 0.66 0.66 0.00 218,728.80
24 20008550 - CATGUT PLAIN 3/0 HR 37 MM - BOX 3.00 3.00 0.00 735,294.07
25 20008565 - CATGUT CHROMIC 4/0 HR 15 MM - BOX 1.00 1.00 0.00 292,647.27
26 20008567 - CATGUT CHROMIC 4/0 HR 20 MM - BOX 13.00 13.00 0.00 3,291,635.30
27 20008576 - CATGUT CHROMIC 3/0 HR 30 MM - BOX 180.85 180.85 0.00 41,939,433.99
28 20008577 - CATGUT CHROMIC 2/0 HR 30 - 235 0130 BOX 41.00 41.00 0.00 9,507,967.24
29 20008581 - CATGUT CHROMIC 3/0 HR 37 MM - 230 0137 BOX 0.75 0.75 0.00 173,954.68
30 20008619 - POLYPROPYLENE 4|0 DS 19 MM - 515 1519 BOX 1.00 1.00 0.00 374,552.66
31 20008621 - POLYPROPYLENE 2/0 DS 19 MM - 530 1519 BOX 1.00 1.00 0.00 569,520.00
32 20008634 - NYLON DACLON 6/0 DS 12 MM - 907 1512 BOX 1.50 1.50 0.00 430,801.59
33 20008636 - DACLON 4/0 DS 12 MM - BOX 2.00 2.00 0.00 401,508.00
34 20008638 - DACLON 4/0 DS 19 MM - BOX 11.00 11.00 0.00 1,671,372.01
35 20008640 - DACLON 2/0 DS 19 MM - BOX 3.00 3.00 0.00 602,263.65
36 20008641 - DACLON 3|0 DS 24 MM - BOX 5.00 5.00 0.00 739,685.45
37 20008645 - DACLON 2/0 DS 30 MM - BOX 7.00 7.00 0.00 1,063,600.37
38 20008647 - DACLON NYLON BLACK 2X6.4MM-220 - ON 105 BOX 2.50 2.50 0.00 4,547,670.00
39 20008648 - SILK BLACK 4/0 HR 16 MM - BOX 5.66 5.66 0.00 1,065,960.11
40 20008654 - SILK BLACK 3/0 HR 30 MM - 820 0130 BOX 108.33 108.33 0.00 15,160,278.85
41 20008655 - SILK BLACK 2|0 HR 30 MM - 830 0130 BOX 6.00 6.00 0.00 1,154,844.00
42 20008657 - SILK BLACK 1 HR 30 MM - BOX 10.00 10.00 0.00 1,459,434.50
43 20008666 - SILK BLACK 4/0 DS 16 MM - BOX 3.00 3.00 0.00 653,170.94
44 20008667 - SILK BLACK 3/0 DS 16 MM - 820 1516 BOX 1.25 1.25 0.00 266,498.75
45 20008670 - SILK BLACK 2/0 DS 19 MM - 830 1519 BOX 1.00 1.00 0.00 224,956.36
46 20008672 - SILK BLACK 3|0 DS 30 MM - BOX 12.75 12.75 0.00 2,023,479.08
47 20008678 - POLYPROPYLENE 2/0 HR 25 MM - 530 0125 BOX 5.00 5.00 0.00 1,253,210.00
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 4 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

02.01.02 BENANG BEDAH SMI E-CAT

48 20008681 - CATGUT PLAIN 3-0 100M - 1030 ROL 6.00 6.00 0.00 8,478,518.16
49 20008686 - CATGUT CHROMIC 4-0 100M - 2020 BOX 1.00 1.00 0.00 1,373,368.18
50 20008696 - SILK 0 100M - ROL 2.00 2.00 0.00 1,152,800.90
51 20008698 - SILK 2 100M - 8050 ROL 3.00 3.00 0.00 2,235,445.91
52 20026918 - SILK BLACK 3/0 HR 26 MM - 8200126.00 BOX 0.08 0.08 0.00 10,100.56
53 20940773 - SILK 2/0 WITHOUT NEEDLE - 830 0015 BOX 5.00 5.00 0.00 727,909.10
54 20940777 - SILK BLACK W/O 1 - 840 0015 BOX 5.00 5.00 0.00 774,000.00
55 20941241 - CATGUT PLAIN 1 WITHOUT NEEDLE - 150 0015 BOX 5.00 5.00 0.00 1,112,725.00
02.01.04 ECOLAB E-CAT
1 20002596 - AQUAGEL (150`S G) SACHET - SCH 620.00 620.00 0.00 1,026,100.00
02.01.06 IDEALCARE - E.CAT (SURGERRY)
1 20002767 - ETT REG HVLP CUFFED, 6 MM - IC61110060 PCS 40.00 40.00 0.00 691,745.60
2 20002771 - ETT REG HVLP CUFFED, 8 MM - IC61110080 PCS 10.00 10.00 0.00 172,936.38
3 20002772 - ETT WIRE REINFORCED CUFFED 6.0MM - IC61214060 PCS 71.00 71.00 0.00 10,125,097.00
4 20002780 - ETT REG PLAIN UNCUFF, 3.5 MM - IC61130035 PCS 79.00 79.00 0.00 1,141,085.10
5 20002781 - ETT REG PLAIN UNCUFF, 4 MM - IC61130040 PCS 10.00 10.00 0.00 124,718.20
6 20002782 - ETT Reg PLAIN UNCUFF, 4.5 M - IC61130045 PCS 24.00 24.00 0.00 300,237.41
7 20002783 - ETT REG PLAIN UNCUFF, 5 MM - IC61130050 PCS 9.00 9.00 0.00 112,246.38
8 20002784 - ENDOTRACHEAL TUBE REG PLAIN UNCUFF 7.0MM - IC61130070 PCS 5.00 5.00 0.00 62,359.10
9 20002785 - ENDOTRACHEAL TUBE REG PLAIN UNCUFF 7.5MM - IC61130075 PCS 5.00 5.00 0.00 63,583.07
10 20002787 - 2WAY PAED FOLEY CATH 8 - IC23120805 PCS 30.00 30.00 0.00 349,860.00
11 20002788 - FOLEY CATH IC 2WAY PAED 10FR 3-5CC - IC23121005 PCS 56.00 56.00 0.00 647,951.80
12 20002790 - FOLEY CATH IC 2WAY 14FR 30-45CC - IC21111430 PCS 8.00 8.00 0.00 114,056.00
13 20002792 - 2WAY STD FOLEY CATH 18 - IC21121830 PCS 181.00 181.00 0.00 2,580,484.42
14 20002793 - FOLEY CATH IC 2WAY 20FR 30-45CC - IC21112030 PCS 40.00 40.00 0.00 570,272.80
15 20002797 - FOLEY CATH IC 2WAY PAED SILC 6FR 1-5CC - IC43150603 PCS 20.00 20.00 0.00 997,445.40
16 20002798 - FOLEY CATH IC 2WAY PAED SILC 8FR 3-5CC - IC43150803 PCS 65.00 65.00 0.00 4,377,006.53
17 20002802 - 2WAY STD ALL SLC FOLEY CATH 16 - IC41151630 PCS 30.00 30.00 0.00 1,460,540.77
18 20002805 - 2WAY STANDARD ALL SILICONE FOL - IC41152230 PCS 10.00 10.00 0.00 445,631.80
19 20002814 - SUCTION CATHETER IC WITH FTC 14FR - IC2030-14 PCS 290.00 290.00 0.00 929,977.80
20 20002816 - BLOOD ADMINISTRATION SET WI - IC3052 PCS 717.00 617.00 0.00 4,542,915.27
21 20002817 - INTRAVENOUS ADMIN SET W/ AIRVE - IC3053A-21 PCS 1,382.00 382.00 0.00 7,827,758.18
22 20933359 - 2WAY STD FOLEY CATHETER SILICONE STERILE 24 FR - IC21121 PCS 20.00 20.00 0.00 285,136.40
23 20941196 - ENDOTRACHEAL TUBE REG HVLP CUFFED 3 - IC61110030 PCS 12.00 12.00 0.00 172,488.73
24 20941197 - ENDOTRACHEAL TUBE REG HVLP CUFFED 3.5 - IC61110035 PCS 5.00 5.00 0.00 73,409.10
25 20941198 - ENDOTRACHEAL TUBE REG HVLP CUFFED 4 - IC61110040 PCS 3.00 3.00 0.00 53,550.00
26 20941199 - ENDOTRACHEAL TUBE REG HVLP CUFFED 4.5 - IC61110045 PCS 9.00 9.00 0.00 171,658.93
27 20941200 - ENDOTRACHEAL TUBE REG HVLP CUFFED 5 - IC61110050 PCS 20.00 20.00 0.00 364,230.56
28 20941212 - ENDOTRACHEAL TUBE WIRE REINFORCED CUFF 5.0MM - IC6121 PCS 8.00 8.00 0.00 965,600.00
29 20941213 - ETT. WIRE REINFORCED CUFF 5.5MM - IC61214055 PCS 37.00 37.00 0.00 4,465,900.00
30 20941223 - FOLEY CATH IC 3WAY 22FR - IC25122230 PCS 28.00 28.00 0.00 380,800.00
02.01.11 ANSELL & JMS E-CAT
1 20013677 - WRP FOLEYCATH 2 WAY FR 16 - FC-216 PCS 280.00 280.00 0.00 4,453,721.30
02.01.13 MAESINDO E-CAT
1 20969023 - M-I KIT CAESAREAN - KITCSR001 SET 48.00 48.00 0.00 19,544,160.00
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 5 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

02.01.13 MAESINDO E-CAT

2 20969024 - M-I FACE MASK - EARLOOP - MKNW0013 BOX 207.00 207.00 0.00 5,625,225.00
3 20969026 - M-I SURG. FACE MASK - HEADLOOP - MKNW-HL-001 BOX 357.00 357.00 0.00 14,606,984.91
4 20969039 - M-I GOWN (KIT GOWN PERIKSA PPPE) - KGP-001 SET 20.00 20.00 0.00 490,900.00
5 20969042 - M-I COVERALL MICROPOROUS - CVSFMIC001-MI PCS 231.00 231.00 0.00 20,903,421.00
6 20969043 - M-I KIT STERIL (KIT GOWN BEDAH SMSS) - KITS113 SET 70.00 70.00 0.00 3,207,260.00
7 20970198 - [SOLIDA] KIT 3A - SET 50.00 50.00 0.00 5,023,650.00
8 20974942 - MI KN95 RESPIRATOR MASK - BOX 59.00 59.00 0.00 3,904,856.00
02.01.15 ABN ANTISEPTIC
1 20933726 - ABN HAND RUB 500ML - BTL 1.00 1.00 0.00 60,125.07
02.01.17 MMP E-CAT
1 20941282 - PROTOS EXAM. GLOVES POWDER FREE XS - BOX 20.00 20.00 0.00 1,995,000.00
2 20941283 - PROTOS EXAM. GLOVES POWDER FREE S - BOX 47.00 44.00 0.00 4,441,509.29
3 20941284 - PROTOS EXAM. GLOVES POWDER FREE M - BOX 118.00 104.00 0.00 11,151,059.13
4 20941285 - PROTOS EXAM. GLOVES POWDER FREE L - BOX 9.00 9.00 0.00 852,713.65
5 20941292 - PROTOS SURGICAL GLOVES POWDER FREE NO 6.5 - PSG 200.00 50.00 0.00 1,080,000.00
6 20941293 - PROTOS SURGICAL GLOVES POWDER FREE NO 7 - PSG 400.00 0.00 0.00 2,160,038.55
7 20941294 - PROTOS SURGICAL GLOVES POWDER FREE NO 7.5 - PSG 550.00 450.00 0.00 2,978,918.54
02.01.23 PT.ABN ANTISEPTIC - TENDER
1 20962599 - HAND RUB 500 ML - FB-104 BTL 644.00 644.00 0.00 36,334,480.00
2 20962600 - HAND RUB 5 L - FB-102 GLN 63.00 63.00 0.00 28,779,660.00
3 20962602 - HAND SCRUB 500 ML - FB-204 GLN 1.00 1.00 0.00 630,874.00
02.02.02 SMITHS VASCULAR ACCES (I.V) E-CAT
1 20008789 - LOGICATH SET 3 12F 20CM - - PCS 5.00 5.00 0.00 2,989,680.00
2 20008790 - LOGICATH SET 2 12F 20CM - MXA232X20X12 PCS 2.00 2.00 0.00 1,054,000.00
3 20939846 - OPTIVA I.V CATH W/ NEEDDLE 18G - 5065-MOD AI/18 PCS 50.00 50.00 0.00 466,363.50
4 20939847 - OPTIVA I.V CATH W/ NEEDDLE 20G - 5066-MOD AI/20 PCS 50.00 50.00 0.00 466,363.50
5 20939848 - OPTIVA I.V CATH W/ NEEDDLE 22G - 5060-MOD AI/22 PCS 50.00 50.00 0.00 466,363.50
02.02.03 SMITHS JELCO E- CAT
1 20008781 - JELCO 18 RO - - PCS 460.00 460.00 0.00 3,065,711.47
2 20008782 - JELCO 20 RO - - PCS 50.00 50.00 0.00 250,087.80
3 20008783 - JELCO 22 RO - 4030 PCS 60.00 60.00 0.00 300,479.93
4 20008784 - JELCO 24 RO - - PCS 4,190.00 4,190.00 0.00 20,941,620.00
5 20008786 - JELCO 2 20 RO - MR20 PCS 100.00 100.00 0.00 1,240,000.00
6 20008787 - JELCO 2 22 RO - MR22 PCS 250.00 250.00 0.00 3,100,000.00
7 20008798 - JELCO 16 - - PCS 50.00 50.00 0.00 335,000.00
02.02.08 ABN STETOSKOP/TENSIMETER E-CAT
1 20001396 - ABN PALM SPHYG BLACK ADULT - E-AS-071 UNT 1.00 1.00 0.00 235,441.82
2 20001428 - ABN NYLON CUFF, BLACK, ADULT - E-265122021 UNT 9.00 9.00 0.00 360,765.00
3 20001442 - ABN LATEX BULB STANDARD VALVE - E-300221021 UNT 50.00 50.00 0.00 889,235.50
4 20001443 - ABN LATEX BULB DELUXE VALVE - E-300251021 PCS 4.00 4.00 0.00 121,488.00
5 20001463 - CARDIOLOGY STETH, BLACK ADULT - E-SS-011-BK UNT 1.00 1.00 0.00 270,612.00
6 20001532 - ABN ACURA 815 FIX. VOL 100 - E8150100 UNT 1.00 1.00 0.00 108,674.18
7 20942026 - HUBDIC NON CONTACT INFRARED THERMOMETER FS 700 - FS-7 UNT 3.00 3.00 0.00 1,263,672.15
8 20971332 - ABN REGAL PLUS DESK CLOCK ANEROID - AS-081RP-D UNIT 4.00 4.00 0.00 4,557,280.00
9 20971636 - ABN REGAL PLUS MOBILE CLOCK ANEROID SPHYG - AS-081RP-M UNIT 3.00 3.00 0.00 6,683,040.00
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 6 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

02.02.08 ABN STETOSKOP/TENSIMETER E-CAT

10 20972016 - CLASSIC-S STETHOSCOPE BK ADULT - E-SS-021S-BK UNIT 3.00 3.00 0.00 1,523,340.00
11 20972647 - ABN DM500-P MOBILE DIGITAL SPHYGMOMANOMETER - E-DM-50 UNIT 2.00 2.00 0.00 5,181,540.00
12 20972935 - ABN FETAL STETHOSCOPE - E-FS-181-BK UNIT 20.00 20.00 0.00 2,748,200.00
13 20972936 - ABN TOONSCOPE SINGLE HEAD STETHOSCOPE - 181(ADT),185 ( UNIT 2.00 2.00 0.00 612,182.00
14 20972939 - ABN CALIBRA PLUS ANEROID SPHYGMOMANOMETER - AS-031P UNIT 5.00 5.00 0.00 1,342,250.00
02.02.09 IDEALCARE - E.CAT (RM)
1 20939736 - ADULT URINE COLLECT BAG 2000ML - IC1064(A) PCS 15.00 15.00 0.00 157,500.00
2 20939739 - NASAL OXY 7FT PAEDIAT - IC2016P PCS 10.00 10.00 0.00 49,500.00
3 20939743 - NEBULIZER ELONG MASK 7FT ADULT - IC1120 PCS 10.00 10.00 0.00 115,200.00
4 20939755 - RYLE`S TUBE STOMACH TUBE 18FG-105CM - IC4032-18 PCS 6.00 6.00 0.00 28,080.00
02.02.13 SNA MEDICA E-CAT
1 20008055 - POLICREPE 7,5CM X 4,55M - 83120326 ROL 60.00 60.00 0.00 1,439,400.00
2 20008057 - POLICREPE 15CM X 4,55M - 83120328 ROL 9.00 9.00 0.00 326,853.00
3 20008058 - FM CREPE 7,5CM X 4,55M - 83120321 ROL 34.00 34.00 0.00 1,063,214.00
4 20008062 - POLIGYP 7.5CM X 2.7 M - 83120301 ROL 50.00 50.00 0.00 637,000.00
5 20008064 - POLIGYP 15CM X 2.7 M - 83120303 ROL 9.00 9.00 0.00 215,172.00
6 20008066 - POLIBAN 7.5CM X 2.7 M - 83120311 ROL 20.00 20.00 0.00 193,580.00
7 20008067 - POLIBAN 10CM X 2.7 M - 83120312 ROL 2.00 2.00 0.00 24,984.00
8 20008077 - NEW DRC T 40 Y X 80 CM PLAIN - 83120791 ROL 18.00 18.00 0.00 2,331,900.00
9 20008080 - POLI AID 5 LITER LA - 83120201 GLN 8.00 8.00 0.00 3,937,816.00
10 20008081 - POLI AID 1 LITER LA - 83120202 BTL 1.00 1.00 0.00 107,049.00
11 20008082 - POLIWASH 5 LITER - 83120208 GLN 2.00 2.00 0.00 984,124.00
12 20008083 - POLIWASH 500 ML - 83120207 BTL 240.00 240.00 0.00 11,575,200.00
13 20969133 - HOS-PAK GAUZE SWAB 5 CM X 5 CM X 16 PLY (100 PCS) - PACK 8.00 8.00 0.00 648,581.84
14 20969178 - HOS-PAK ECO KASA SNA STERIL 16 CM X 16 CM (16 PCS) - BOX 200.00 200.00 0.00 2,481,818.00
02.02.15 ASIS E-CAT
1 20934708 - SIGMA FLAT 150 MM x 200 M - E-SFRB 150 ROLL 2.00 2.00 0.00 618,564.00
02.02.18 E-CAT : ENDO INDONESIA
1 20941465 - ENDO ECG ROLL 80X20M VARIOUS 3CH - - ROL 5.00 5.00 0.00 352,227.25
2 20941480 - ENDO ECG ROLL 215X25M BIONET CARDIOCARE - - ROL 5.00 5.00 0.00 425,000.00
3 20941506 - ENDO CTG NST 152X90X150 COROMETRICS AAO4305 - - PAK 2.00 2.00 0.00 186,872.72
4 20942753 - ENDO ULTRASOUND GEL 250 ML - ENDO Gel 250ml BTL 11.00 11.00 0.00 135,787.57
5 20942755 - ROMSONS AEROMIST ®, NEBULIZER MASK - GS-2074 PCS 10.00 10.00 0.00 194,835.50
6 20942759 - ROMSONS GUEDEL AIRWAYS, OROPHARYNGEAL AIRWAYS - GS- PCS 30.00 30.00 0.00 281,158.01
7 20942771 - ROMSONS ROMOLENE ®, FEEDING TUBE - GS-4032 PCS 100.00 100.00 0.00 667,828.67
8 20942773 - ROMSONS THORACIC / CHEST TROCAR CATHETER - GS-5030 PCS 31.00 31.00 0.00 3,049,772.47
9 20943808 - ENDO MEDICAL CHART PAPER 210MM X 30M 12 CHANNEL - ROLL 12.00 12.00 0.00 1,281,272.64
10 20973909 - ROMSON KLIK CLAMP - GS-5084 PCS 300.00 300.00 0.00 596,400.00
02.02.27 PT.ENDO - REG
1 20942764 - ROMSONS OXY SET ®, NASAL OXYGEN CANNULA ADULT - GS-20 PCS 70.00 70.00 0.00 744,800.00
2 20942765 - ROMSONS OXY SET ®, NASAL OXYGEN CANNULA CHILD - GS-20 PCS 20.00 20.00 0.00 212,800.00
3 20942766 - ROMSONS PEDIA DRIP ®, INFUSION SET - SS-3057 PCS 50.00 50.00 0.00 1,546,335.00
02.03.02 IMT MEDICA E-CAT
1 20002930 - HUMID. CHAMBER AUTO-FILL REUSABLE - UNT 1.00 1.00 0.00 5,581,400.00
02.03.23 AMBU ( MULYA HUSADA JAYA )
1 20942237 - AMBU SPUR II ADULT BAG RES. EU - 325002000 PCS 10.00 10.00 0.00 5,121,820.00
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 7 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

02.03.23 AMBU ( MULYA HUSADA JAYA )

2 20942238 - AMBU SPUR II PEDIATRIC BAG RES. EU - 330004000 PCS 11.00 11.00 0.00 5,450,477.00
02.03.26 AMBU E-CAT
1 20942233 - MARK IV BABY, OPEN RES, MASK 0A - 299001000 PCS 1.00 1.00 0.00 5,288,509.00
2 20942234 - OVAL SILICONE RESUS. ADULT - 470002000 PCS 1.00 1.00 0.00 2,110,222.84
3 20942239 - AMBU SPUR II INFANT OPEN RES. EU - 335002000 PCS 10.00 10.00 0.00 5,121,820.00
4 20942244 - AURA-I SIZE 3 - 329300000 PCS 4.00 4.00 0.00 1,782,000.00
02.04.18 MICROLIT PIPETTE E-CAT
1 20025634 - FV-RBO-F SERIES 100UL - UNT 1.00 1.00 0.00 446,100.00
2 20025652 - TIPS FOR MICROPIPETTES MT - PAK 4.00 4.00 0.00 575,016.00
3 20025675 - MTSP-UP TO 10UL - BOX 13.00 13.00 0.00 933,872.68
02.04.23 HUMASENS INSTRUMENT E-CAT
1 20933214 - HUMASENS 2.0 PLUS ST - 17561 UNT 0.00 3.00 0.00 0.00
02.04.25 HUMASENS REAGEN E-CAT
1 20031728 - URIC ACID TEST STR HUMASENS - UNT 7.00 7.00 0.00 3,052,700.00
2 20934581 - HUMASENS 2.0 PLUS CHOLESTROL TEST - 17567 KIT 90.00 90.00 0.00 38,795,113.80
02.04.27 ROCHE ALKES INSTRUMENT E-CAT
1 20942972 - COMBUR 10 TEST UX - 11544373173 TUB 4.00 4.00 0.00 1,474,980.00
2 20942973 - COMBUR 10 TEST M - 11379208191 TUB 4.00 2.00 0.00 720,324.00
02.04.44 GREINER - E.CAT
1 20972272 - GLUCOSE-GOD PAP (4X100) - 139200 - ECAT KIT 1.00 1.00 0.00 217,196.00
2 20972275 - CHOLESTEROL - 118001 - ECAT KIT 3.00 3.00 0.00 1,382,820.00
3 20972282 - TRIGLYCERIDES - 183001 - ECAT KIT 1.00 1.00 0.00 921,880.00
4 20972287 - URIC ACID - 146101 - ECAT KIT 4.00 4.00 0.00 1,319,272.00
5 20972288 - UNITROL I (CONTROL SERUM NORM) - 200000 - ECAT KIT 1.00 0.80 0.20 1,234,603.00
02.05.01 SPAREPART LAB DIAGNOSTIC
1 20938984 - HALOGEN LAMP 12V/20W - 0554871001 PCS 22.00 22.00 0.00 7,898,000.00
02.05.02 SPAREPART MEDICA
1 20001576 - GLASS F HEAT ABSORTION 5010027 - 5010027 PCS 1.00 1.00 0.00 168,750.00
2 20001622 - PUMP TUB WITH JOINTS V5 - 5010-050 UNT 8.00 8.00 0.00 2,808,000.00
3 20948682 - INTERFERENCE FILTER 546NM, Ø 10 MM - 5010-546 PCS 1.00 1.00 0.00 1,296,000.00
4 20948728 - PUMP TUBE WITH JOINTS 5010-013 - 5010-013 PCS 4.00 4.00 0.00 1,909,440.00
5 20948729 - PUMP TUBE WITH JOINTS 5010-050 - 5010-050 PCS 15.00 15.00 0.00 7,160,400.00
02.99.99 LAIN-LAIN MARKETING
1 20952656 - BAJU APD ( COVER ALL ) - PCS 6.00 6.00 0.00 1,363,640.90
07.01.02 RAJAWALI DISPOSIBLE E-CAT
1 20007758 - SKIFA INFUSION SET DEWASA - SI102 SET 372.00 372.00 0.00 969,843.10
2 20939364 - ASSP RD 10ML. - SR-105 BOX 19.00 19.00 0.00 1,715,130.00
3 20939366 - ASSP RD 3ML. - SR-103 BOX 15.00 15.00 0.00 1,047,600.00
4 20939827 - ASSP RD 2,5ML - SR-102 BOX 27.00 27.00 0.00 1,885,680.00
07.01.04 ASSP SKIFA ADS E-CAT
1 20007764 - SKIFA ADS 0,5 ML - SAD103 BOX 1.00 1.00 0.00 119,250.00
07.01.15 GC DENTAL
1 20025411 - GC FUJI IX ART 1-1 (UNIVE - 0130F129 SET 19.00 19.00 0.00 7,292,200.00
2 20025418 - CAVITON 30G, WHITE - 0030 BOX 9.00 9.00 0.00 1,020,600.00
3 20025421 - DENTIN CONDITIONER 25GR - - BTL 1.00 1.00 0.00 197,900.00
4 20025427 - AROMA FINE PLUS NORMAL ( 500GR ) - - BOX 23.00 23.00 0.00 1,829,224.00
 PT. RAJAWALI NUSINDO
CABANG CIREBON

DAFTAR PERSEDIAAN BARANG (TENDER)

PERIODE : 09-DESEMBER-2021 TGL. CETAK : 09-12-2021
Halaman : 8 Dari 8

NO. NAMA BARANG SATUAN KW. PHISIK KW. TEKNIS KW. PINJAM NILAI

07.01.15 GC DENTAL
5 20028993 - CAVITON 30G, PINK - BOX 6.00 6.00 0.00 730,572.83
6 20293218 - AROMA FINE PLUS FAST (500GR) - 0130F077-0020 BOX 9.00 9.00 0.00 736,362.00
7 20937619 - ELITE 100 125G POWDE - 0101A061 PCS 3.00 3.00 0.00 673,800.00
8 20937687 - ELITE 100 100G LIQUI - 0101B062 PCS 3.00 3.00 0.00 623,700.00
9 90055819 - SOLARE X 2ML SYRINGE X-AO2 - 0050 PCS 1.00 1.00 0.00 226,800.00
07.02.01 TENDER ALKES CABANG
1 20936613 - PRO KASA 40Y X 80CM X-RAY - 41101 ROL 15.00 15.00 0.00 3,139,365.00
2 20941660 - PRO-KASA 10CM X 4M - ROL 772.00 772.00 0.00 1,705,348.00
3 20974948 - JARUM CITOJECT - PAK 7.00 7.00 0.00 186,200.00
07.02.02 TENDER OBAT CABANG
1 20938360 - ERPHAPILIN TAB - TENDER BOX 8.00 8.00 0.00 111,576.00
2 20974290 - PARACETAMOL 500 MG - BOX 15,000.00 0.00 0.00 197,727,300.00
07.02.03 TENDER ALKES PUSAT
1 20940024 - 2WAY PAEDIATRIC 10FR 3-5CC - IC43151003 PCS 50.00 50.00 0.00 712,800.00
2 20952166 - LAKELAND" CHEMMAXX 1 TYPE CT1SCF428 - CT1SCF428 PCS 3.00 3.00 0.00 1,606,500.00
3 20952167 - "ALLSAFE" RB-001 - RB-001 PSG 24.00 24.00 0.00 6,156,000.00
4 20952168 - ALLSAFE" BROMO SAFETY GOGGLES WITH SHIELD - ALS-SG101V PCS 19.00 19.00 0.00 5,044,500.00
5 20952169 - "MAPA" ULTRANITRILE 492 HAND GLOVES GREEN COLOR - 492 PSG 24.00 24.00 0.00 1,134,000.00
6 20952170 - "MAPA" NITRILE 977 HAND GLOVES GREEN COLOR - 977 PSG 24.00 24.00 0.00 129,600.00
7 20952181 - "DUPONT" # TYVEK 400 - TYVEK 400 EA 30.00 30.00 0.00 8,545,500.00
07.02.04 TENDER PUSAT PHAPROS
1 20000966 - OAT FDC KAT II - - PAK 3.00 3.00 0.00 5,156,437.03
07.02.05 TENDER OBAT PUSAT
1 20000722 - GLIBENCLAMIDE 5 MG TAB| 10 BLS X 10`S - - DOS 90.00 90.00 0.00 631,530.00
07.02.98 INSTITUSI LAIN-LAIN TENDER
1 20969582 - GE-NOSE C19 - UNT 1.00 1.00 0.00 54,250,000.00
2 20969583 - KANTUNG UDARA NAFAS. - PCS 1,008.00 908.00 100.00 8,805,743.00
3 20969584 - HEPA-FILTER - PCS 544.00 444.00 100.00 8,649,600.00