DINKES TANA TORAJA

TAHUN ANGGARAN 2O21

Rincian Harga Penerimaan

Harga
No. Nama Alat No. Id Paket Distributor Harga Ongkos Total Harga Jumlah Jumlah Jumlah Ket
Jlh Sat Satuan Tgl diterima Tgl diterima Tgl diterima
Tayang Kirim diterima diterima diterima
A SET PEMERIKSAAN UMUM
1 Corong Telinga / Speculum Telinga 3 Unit PT. Ridho Agung IDR 954,800 IDR 100,000 IDR 1,054,800 IDR 3,164,400

2 Handle Kaca Laryng 3 Unit PT. Ridho Agung IDR 306,900 IDR 100,000 IDR 406,900 IDR 1,220,700

3 Kaca Laryng Ukuran 2,4,5,6 3 Set PT. Ridho Agung IDR 834,900 IDR 100,000 IDR 934,900 IDR 2,804,700

4 Palu Reflex 3 Unit PT. Ridho Agung IDR 299,750 IDR 100,000 IDR 399,750 IDR 1,199,250

5 Spekulum Hidung 3 Unit PT. Ridho Agung IDR 5,827,800 IDR 100,000 IDR 5,927,800 IDR 17,783,400

6 Lampu Kepala / Head Lamp 3 Unit PT. Ridho Agung IDR 1,147,000 IDR 140,000 IDR 1,287,000 IDR 3,861,000

7 Stethoscope Dewasa 3 Unit PT. Rajawali Nusindo IDR 820,000 IDR 30,000 IDR 850,000 IDR 2,550,000

8 Thermometer 3 Unit PT. Ridho Agung IDR 1,804,000 IDR 300 IDR 1,804,300 IDR 5,412,900

9 Otoscope 3 Unit PT. Ridho Agung IDR 3,146,000 IDR 157,500 IDR 3,303,500 IDR 9,910,500

10 Alat Pengukur Tekanan Darah / Tensimeter 3 Unit PT. Rajawali Nusindo IDR 3,131,700 IDR 313,170 IDR 3,444,870 IDR 10,334,610

11 Tempat Tidur Periksa 3 Unit PT. Ridho Agung IDR 5,060,000 IDR 1,000,000 IDR 6,060,000 IDR 18,180,000

IDR 76,421,460

B SET KESEHATAN GIGI & MULUT

1 Atraumatic Restorative Treatment (ART) Set 5 Set PT. Ridho Agung IDR 4,147,000 IDR 280,000 IDR 4,427,000 IDR 22,135,000

2 Set Tang Pencabutan Gigi Dewasa 5 Set PT. Cobra Dental Indonesia IDR 15,350,000 IDR 300,000 IDR 15,650,000 IDR 78,250,000

3 Set Tang Pencabutan Gigi Anak 5 Set PT. Cobra Dental Indonesia IDR 8,200,000 IDR 164,000 IDR 8,364,000 IDR 41,820,000

IDR 142,205,000

C LANSIA KIT
1 Alat Pengukur Tekanan Darah / Tensimeter 13 Unit PT. Rajawali Nusindo IDR 3,131,700 IDR 313,170 IDR 3,444,870 IDR 44,783,310

2 Thermometer 13 Unit PT. Rajawali Nusindo IDR 502,700 IDR 3,500 IDR 506,200 IDR 6,580,600

PT. Mitra Bahagia Citra

3 Alat Test Hb Darah 13 Unit
Medika
IDR 840,899 IDR 20,000 IDR 860,899 IDR 11,191,687

Alat Test Darah Portable (Gula, Asam Urat,

4 Kolesterol) 13 Unit PT. Ridho Agung IDR 220,000 IDR 22,000 IDR 242,000 IDR 3,146,000

IDR 65,701,597

D POSYANDU KIT
1 Timbangan Bayi 17 Unit PT. Ridho Agung IDR 2,904,000 IDR 294,118 IDR 3,198,118 IDR 54,368,000

2 Timbangan Dewasa 17 Unit PT. Ridho Agung IDR 1,100,000 IDR 110,000 IDR 1,210,000 IDR 20,570,000

3 Timbangan Dacin 17 Unit IDR 1,321,640 IDR - IDR 1,321,640 IDR 22,467,880
 Rincian Harga Penerimaan
No. Nama Alat No. Id Paket Distributor Harga Total Harga Ket
Harga Ongkos Satuan Jumlah Jumlah Jumlah
Jlh Sat Tayang Kirim Tgl diterima diterima Tgl diterima diterima Tgl diterima diterima
IDR 97,405,880

E BIDAN KIT
1 Doppler 30 Unit PT. Ridho Agung IDR 3,993,000 IDR 366,667 IDR 4,359,667 IDR 130,790,000

2 Timbangan Bayi 30 Unit PT. Ridho Agung IDR 2,904,000 IDR 290,400 IDR 3,194,400 IDR 95,832,000

3 Palu Reflex 30 Unit PT. Ridho Agung IDR 299,750 IDR 43,333 IDR 343,083 IDR 10,292,500

4 Stethoscope Dewasa 30 Unit PT. Rajawali Nusindo IDR 820,000 IDR 30,000 IDR 850,000 IDR 25,500,000

5 Thermometer 30 Unit PT. Ridho Agung IDR 502,700 IDR 3,500 IDR 506,200 IDR 15,186,000

6 Manual Resusitator & Sungkup Bayi 30 Set PT. Ridho Agung IDR 2,123,000 IDR 83,333 IDR 2,206,333 IDR 66,190,000

PT. Mitra Bahagia Citra

7 Alat Test Hb Darah 30 Unit
Medika
IDR 840,899 IDR 20,000 IDR 860,899 IDR 25,826,970

8 Tensimeter Dewasa 30 Unit PT. Rajawali Nusindo IDR 3,131,700 IDR 313,170 IDR 3,444,870 IDR 103,346,100

9 Tromol Kasa 30 Unit PT. Ridho Agung IDR 660,000 IDR 50,000 IDR 710,000 IDR 21,300,000

IDR 494,263,570

F KIT UKS
1 Corong Telinga / Speculum Telinga 4 Unit PT. Ridho Agung IDR 954,800 IDR 100,000 IDR 1,054,800 IDR 4,219,200

2 Spekulum Hidung 4 Unit PT. Ridho Agung IDR 5,827,800 IDR 100,000 IDR 5,927,800 IDR 23,711,200

3 Otoscope 4 Unit PT. Ridho Agung IDR 2,013,000 IDR 100,000 IDR 2,113,000 IDR 8,452,000

4 Garpu Tala 4 Set PT. Ridho Agung IDR 1,039,800 IDR 165,000 IDR 1,204,800 IDR 4,819,200

IDR 41,201,600

G KIT UKGS

1 Atraumatic Restorative Treatment (ART) Set 3 Set PT. Ridho Agung IDR 4,147,000 IDR 300,000 IDR 4,447,000 IDR 13,341,000

2 Set Tang Pencabutan Gigi Anak 3 Set PT. Cobra Dental Indonesia IDR 8,200,000 IDR 266,667 IDR 8,466,667 IDR 25,400,000

IDR 38,741,000

H KIT KEPERAWATAN
Alat Test Darah Portable (Gula, Asam Urat,
1 Kolesterol) 5 Unit PT. Ridho Agung IDR 220,000 IDR 22,000 IDR 242,000 IDR 1,210,000

2 Stethoscope 5 Unit PT. Rajawali Nusindo IDR 820,000 IDR 30,000 IDR 850,000 IDR 4,250,000

3 Thermometer 5 Unit PT. Rajawali Nusindo IDR 502,700 IDR 3,500 IDR 506,200 IDR 2,531,000

PT. Mitra Bahagia Citra

4 Alat Test Hb Darah 5 Unit
Medika
IDR 840,899 IDR 40,000 IDR 880,899 IDR 4,404,495

5 Palu Reflex 5 Unit PT. Ridho Agung IDR 299,750 IDR 40,000 IDR 339,750 IDR 1,698,750

6 Timbangan Dewasa 5 Unit PT. Ridho Agung IDR 671,000 IDR 90,000 IDR 761,000 IDR 3,805,000

IDR 17,899,245
 Rincian Harga Penerimaan
No. Nama Alat No. Id Paket Distributor Harga Total Harga Ket
Harga Ongkos Satuan Jumlah Jumlah Jumlah
Jlh Sat Tayang Kirim Tgl diterima diterima Tgl diterima diterima Tgl diterima diterima

GRAND TOTAL IDR 973,839,352

 DAFTAR PENERIMAAN OBAT DAN BAHAN HABIS PAKAI (BHP) COVID-19
TAHUN ANGGARAN 2O21
DINAS KESEHATAN KABUPATEN TANA TORAJA

Rincian Harga Penerimaan

Harga
No. Nama Alat No. Id Paket Distributor Harga Ongkos Total Harga Jumlah Jumlah Jumlah Ket
Jlh Sat Satuan Tgl diterima Tgl diterima Tgl diterima
Tayang Kirim diterima diterima diterima
DAU Refocusing
A APD VAKSINASI ( DAU )
MI Face Mask - Ear Loop (Masker
1 Bedah) 6346 Box AK1-P2107-4129415 PT. Rajawali Nusindo IDR 34,900 IDR 1,500 IDR 36,400 IDR 230,994,400

2 Handscoen 944 Box AK1-P2107-4133141 PT. Rajawali Nusindo IDR 115,500 IDR 7,000 IDR 122,500 IDR 115,640,000

Latex Examination Gloves Powder 144 Box AK1-P2107-4133141 PT. Rajawali Nusindo IDR 115,500 IDR 7,000 IDR 122,500
Free, Size S
Latex Examination Gloves Powder 500 Box AK1-P2107-4133141 PT. Rajawali Nusindo IDR 115,500 IDR 7,000 IDR 122,500
Free, Size M
Latex Examination Gloves Powder 300 Box AK1-P2107-4133141 PT. Rajawali Nusindo IDR 115,500 IDR 7,000 IDR 122,500
Free, Size L
3 MI Mob Cap ( Nurse Cup ) 372 Box AK1-P2107-4127969 PT. Rajawali Nusindo IDR 39,000 IDR 1,882 IDR 40,882 IDR 15,208,000

MI Face Mask - Ear Loop (Masker

4 Bedah) 377 Unit PT. Rajawali Nusindo IDR 34,900 IDR 1,500 IDR 36,400 IDR 13,722,800

5 VTM 4600 Tube IDR 33,418 IDR 500 IDR 33,918 IDR 156,022,800

IDR 531,588,000

B HANDSANITIZER
Fresco Plus Antiseptik Hand Rub
1 1073 Btl AK1-P2107-4120481 IDR 12,100 IDR 652 IDR 12,752 IDR 13,683,300
50 mL
Fresco Plus Antiseptik Hand Rub
2 150 Btl AK1-P2107-4120481 IDR 552,200 IDR 30,000 IDR 582,200 IDR 87,330,000
5000 mL
Fresco Plus Antiseptik Hand Rub
3 340 Btl IDR 12,100 IDR 652 IDR 12,752 IDR 4,334,000
50 mL
IDR 105,347,300

C RDT
1 Certest Sars-CoV-2 Ag test 325 Box AK1-P2107-4124861 PT. Ridho Agung Utama IDR 1,440,000 IDR 98,462 IDR 1,538,462 IDR 500,000,000

2 Certest Sars-CoV-2 Ag test 6 Box AK1-P2108-4164693 PT. Ridho Agung Utama IDR 1,440,000 IDR 98,462 IDR 1,538,462 IDR 9,230,769

IDR 509,230,769

D OBAT
1. Azithromycin 40700 Tablet PT. Kimia Farma IDR 1,400 IDR - IDR 1,400 IDR 56,980,000
 Rincian Harga Penerimaan
Harga
No. Nama Alat No. Id Paket Distributor Harga Ongkos Total Harga Jumlah Jumlah Jumlah Ket
Jlh Sat Satuan Tgl diterima Tgl diterima Tgl diterima
Tayang Kirim diterima diterima diterima
2. Multivitamin 67000 Tablet PT. Kimia Farma IDR 985 IDR - IDR 985 IDR 65,961,500

3. Oseltamivir 9200 kapsul PT. Indofarma IDR 14,300 IDR - IDR 14,300 IDR 131,560,000

IDR 254,501,500

BOK
A APD COVID ( BOK )
MI Face Mask - Ear Loop (Masker
1 Bedah) 1000 Box AK1-P2107-4120492 IDR 34,900 IDR 1,500 IDR 36,400 IDR 36,400,000

2 Handscoen 200 Box AK1-P2107-4120430 IDR 115,500 IDR 7,000 IDR 122,500 IDR 24,500,000

Latex Examination Gloves Powder 50 Box AK1-P2107-4120430 IDR 115,500 IDR 7,000 IDR 122,500
Free, Size S
Latex Examination Gloves Powder 100 Box AK1-P2107-4120430 IDR 115,500 IDR 7,000 IDR 122,500
Free, Size M
Latex Examination Gloves Powder 50 Box AK1-P2107-4120430 IDR 115,500 IDR 7,000 IDR 122,500
Free, Size L

3 M-i Coverall Microporus (Hasmad) 425 Pcs AK1-P2107-4120492 IDR 110,600 IDR 4,706 IDR 115,306 IDR 49,005,000

4 MI MOB CAP ( Nurse Cup ) 206 Box AK1-P2107-4120492 IDR 39,000 IDR 1,942 IDR 40,942 IDR 8,434,000

Fresco Plus Antiseptik Hand Rub

5 1865 Btl AK1-P2107-4120499 IDR 68,200 IDR 4,021 IDR 72,221 IDR 134,693,000
500 mL
6 Masker N95 4629 Pcs AK1-P2108-4171929 IDR 17,500 IDR 972 IDR 18,472 IDR 85,507,500

IDR 338,539,500

Gran Total IDR 1,739,207,069

Tim Penerima Barang,

1. Antonius Pirrin (……………………………………) PPK,

2. Marzul Sakke Pabisa (……………………………………..)

3. Febrianti G. Rissing (…………………………………..)

Yosefina Rombetasik, S.Si., Apt
NIP. 19730629 2006042011