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DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFEKTIF 1 JANUARI 2005 S/D 31 DESEMBER 2005

No. Urut
1 2 3 4 5 6 7 8 9

Nama Peralatan Kesehatan


Test Gula Darah Urine Analyzer Urine Analyzer Hematology Analyzer Hematology Analyzer Photometer Clinical Chemistry Analyzer Blood Gas Analyzer Electrolyte Analyzer

Model/Tipe
Ascensia Elite Clinitek Status Clinitek 500 Advia 60 Advia 120 RA 50 Express Plus Rapidlab 248 Rapidchem 744

Merk
Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics Bayer Diagnostics

Negara Asal/ Pabrikan


Amerika Serikat Inggris Amerika Serikat Perancis Inggris Irlandia Amerika Serikat Inggris Amerika Serikat

No. Registrasi DepKes RI


AKL 10101303502 AKL 10102403806 AKL 10102400463 AKL 20205300367 AKL 20205300365 AKL 10101303503 AKL 10102301423 AKL 20102303725 AKL 10101400528

Satuan
1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit

HJSA (Rp)
1,100,000 18,000,000 75,000,000 130,000,000 950,000,000 90,000,000 450,000,000 250,000,000 90,000,000

Sole Agent
PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo PT Barito Budi Pharmindo

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : SEPTEMBER 2005 S/D DESEMBER 2006
No (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Nama Barang/Produk (2) COMPUTERIZED DENTAL X-RAY COMPUTERIZED DENTAL X-RAY COMPUTERIZED DENTAL X-RAY COMPUTERIZED DENTAL X-RAY COMPUTERIZED DENTAL X-RAY RADIOVISIOGRAPHY ULTIMATE IMAGING RADIOVISIOGRAPHY ULTIMATE IMAGING Intra Oral Camera PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri PANORAMIC X-RAY UNIT w/o Cephalometri Accessories Accessories Accessories Accessories Manual Panoramic Manual Panoramic with Cephalometri Digital Panoramic Digital Panoramic with Cephalometri Mobile X-Ray Unit 60 mA Mobile X-Ray Unit 100 mA Mobile X-Ray Unit 250 mA Mobile X-Ray Unit 320 mA General purpose x-ray 100 mA General purpose x-ray 200 mA General purpose x-ray 300 mA General purpose x-ray 400 mA HF MODEL/TYPE (3) IRIX WALL MOUNTED STD ARM IRIX WALL MOUNTED SCC ARM IRIX MOBILE STD ARM IRIX MOBILE SCC ARM SPACIX CCX TIMER RVG UI ZISE 1 ( 20 X 30 ) RVG UI USB ZISE 1 ( 20 X 30 ) STOMAVISION - STV KIT Ortho Slice - OS 500 Ortho Slice - OS 500 C Ortho Slice - OS 1000 E Ortho Slice - OS 1000 Ortho Slice - OS 1000 EP Ortho Slice - OS 1000 P Ortho Slice - OS 1000 CE Ortho Slice - OS 1000 C Digipan - DIGIPOS 500 Digipan - DIGIPOS 1000 Tomography KIT - OS 1000 KT Cephalometri - OC 1000 CK Dentorama Plus Floor Mount, 220 V Dentorama Plus CEPH Floor Mount, 220 V Dentorama Digital Dentorama Digital, analog ceph ready 18x24cm OMNIX N 60 OMNIX N 100 HF Motorized MOVIX 16 PRO Motorized MOVIX 20 PRO OMNIX N 100 ST + TFS 3 OMNIX N 200 ST + TPF 1 OMNIX N 300 ST + TPF 1 N 400 HF /RAD ROOM SET NEGARA ASAL/PABRIKAN (4) Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Italy Trovi Rajawali Indonesia / Italy Trovi Rajawali Indonesia / Italy Trovi Rajawali Indonesia / Italy Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Satuan (5) unit unit unit unit unit unit unit set unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit set set set set No.Registrasi (6) KD 1501590001 KD 1501590001 KD 1501590001 KD 1501590001 KD 1501590010 KD 1501590009 KD 1501590009 KD 1501590009 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 KD 1501590005 AKD 20601500119 AKD 20601500119 AKD 20601500119 AKD 20601500119 AKD 21501500210 AKD 21501500210 AKL 21501501824 AKL 21501501824 KD 1501590006 KD 1501590006 KD 1501590006 AKD 21501500213 HJSA SOLE AGENT (7) (8) 93,750,000 PT.Rajawali Nusindo 121,250,000 PT.Rajawali Nusindo 108,750,000 PT.Rajawali Nusindo 127,750,000 PT.Rajawali Nusindo 113,750,000 PT.Rajawali Nusindo 402,062,500 PT.Rajawali Nusindo 410,750,000 PT.Rajawali Nusindo 256,750,000 PT.Rajawali Nusindo 1,109,937,500 PT.Rajawali Nusindo 1,349,500,000 PT.Rajawali Nusindo 1,274,000,000 PT.Rajawali Nusindo 1,354,750,000 PT.Rajawali Nusindo 1,437,187,500 PT.Rajawali Nusindo 1,517,000,000 PT.Rajawali Nusindo 1,549,500,000 PT.Rajawali Nusindo 1,626,625,000 PT.Rajawali Nusindo 795,812,500 PT.Rajawali Nusindo 795,812,500 PT.Rajawali Nusindo 123,812,500 PT.Rajawali Nusindo 288,662,500 PT.Rajawali Nusindo 848,726,750 PT.Rajawali Nusindo 971,391,250 PT.Rajawali Nusindo 2,087,638,000 PT.Rajawali Nusindo 2,130,570,500 PT.Rajawali Nusindo 272,500,000 PT.Rajawali Nusindo 737,879,250 PT.Rajawali Nusindo 1,694,605,500 PT.Rajawali Nusindo 1,931,379,250 PT.Rajawali Nusindo 651,250,000 PT.Rajawali Nusindo 980,250,000 PT.Rajawali Nusindo 1,087,500,000 PT.Rajawali Nusindo 1,548,637,500 PT.Rajawali Nusindo

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : SEPTEMBER 2005 S/D DESEMBER 2006
No (1) 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Nama Barang/Produk (2) General purpose x-ray 500 mA+Tilting Table General purpose x-ray 500 mA+Floating Table General purpose x-ray 500 mA+Tilting Table General purpose x-ray 500 mA+RF Table General purpose x-ray 500 mA + RC Table General purpose x-ray 500 mA + RC Table+I C-Arm Unit C-Arm Unit Mammography CT-Scan MRI CT-Scan Injector TERAPHY UNIT TERAPHY UNIT TERAPHY UNIT RF Table + II 9" + TV Monitor RC/RF Table + II 9" + TV Monitor X-ray Imager Standard Bucky Table Floating Bucky Table Cassette Holder Stand Bucky Automatic Processing Machine Automatic Processing Machine Automatic Processing Machine FILM GREEN SENSITIVE FILM GREEN SENSITIVE FILM GREEN SENSITIVE FILM GREEN SENSITIVE FILM GREEN SENSITIVE Developer liquid Fixer Liquid MODEL/TYPE (3) TRII + TBM N500HF + TPF1S+PM 1 N500HF + TBM 1 N500HF + TBM 5 V2 N500HF + EVOLUTION E+ N500HF + EVOLUTION E+I C-Arm SB C-Arm RB Mammograph CT SCAN ANATOM - ASR 800 MRI ASA-200E CT injector Cobalt - 60 Teletheraphy Unit / Type: GWGP80 A Cobalt - 60 Teletheraphy Unit / Type: GWXJ80 Medical LINAC TBM 5 EVOLUTION NRS CCD TFS 3 TPF 1 PM 3 PM 1 MICROMAC 3300 MICROMAC 3800 MICROMAC 5000 TRIMAX - G / 18 x 24 cm (100) TRIMAX - G / 24 x 30 cm (100) TRIMAX - G / 30 x 40 cm (100) TRIMAX - G / 35 x 35 cm (100) TRIMAX - G / 35 x 43 cm (100) DEVELOPER, 20 Liter (LIQUID) FIXER, 20 Liter (LIQUID) NEGARA ASAL/PABRIKAN (4) Trovi Rajawali Indonesia / Korea Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Perancis Trovi Rajawali Indonesia / Italy Trovi Rajawali Indonesia / Italy Trovi Rajawali Indonesia / Italy Analogic Scientific / USA Analogic Scientific / USA Analogic Scientific / USA Analogic Scientific / USA Analogic Scientific / USA Analogic Scientific / USA Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Satuan (5) set set set set set set unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit unit box box box box box btl btl No.Registrasi (6) dlm proses KD 1501590006 KD 1501590006 KD 1501590006 KD 1501590006 KD 1501590006 Dlm proses Dlm proses AKD 21501500117 Dlm proses Dlm proses Dlm proses Dlm proses Dlm proses Dlm proses KD 1501590006 KD 1501590006 KD 1501590006 KD 1501590006 KD 1501590006 KD 1501590006 KD 1501590006 KD 1501690074 KD 1501690074 KD 1501690074 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 HJSA (7) 1,625,000,000 2,250,000,000 1,875,000,000 3,750,000,000 6,912,500,000 7,800,000,000 3,750,000,000 4,250,000,000 2,250,000,000 8,437,500,000 16,250,000,000 425,000,000 10,000,000,000 11,250,000,000 11,875,000,000 2,302,750,000 6,116,500,000 5,263,750,000 68,000,000 107,375,000 12,375,000 70,750,000 236,500,000 345,500,000 444,250,000 1,187,500 1,962,500 3,207,500 3,385,000 4,082,500 1,487,500 917,500 SOLE AGENT (8) PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : SEPTEMBER 2005 S/D DESEMBER 2006
No (1) 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 100 111 122 133 144 155 Nama Barang/Produk (2) FILM BLUE SENSITIVE FILM BLUE SENSITIVE FILM BLUE SENSITIVE FILM BLUE SENSITIVE FILM BLUE SENSITIVE Developer serbuk Fixer serbuk Cassette with Screen GREEN SENSITIVE Cassette with Screen GREEN SENSITIVE Cassette with Screen GREEN SENSITIVE Cassette with Screen GREEN SENSITIVE Film Dryer - FD 1 Viewer Single Viewer Double Viewer Triple Appron 0,5 mm Pb Lead Marker Safety light Cerobong Film Transfer Box Manual Tank Developer 10 ltr Manual Tank Developer 20 ltr X-Ray Barrier Film Hanger (all size) Lysholm Grid Ratio 8:1 Ukuran : 18x24 cm Ukuran : 24x30 cm Ukuran : 30x40 cm Ukuran : 35x35 cm Gloves, Merk E-Zem USA Pocket Dosimeter Lead Glass 30x30 cm MODEL/TYPE (3) TRIMAX - B / 18 x 24 cm (100) TRIMAX - B / 24 x 30 cm (100) TRIMAX - B / 30 x 40 cm (100) TRIMAX - B / 35 x 35 cm (100) TRIMAX - B / 35 x 43 cm (100) DEVELOPER, (POWDER) FIXER, (POWDER) Ukuran 18 x 24 cm Ukuran 24 x 30 cm (100) Ukuran 30 x 40 cm (100) Ukuran 35 x 35 cm (100) Film Dryer - FD 1 Viewer Single Viewer Double Viewer Triple Appron 0,5 mm Pb Lead Marker Safety light Cerobong Film Transfer Box Manual Tank Developer 10 ltr Manual Tank Developer 20 ltr X-Ray Barrier Film Hanger (all size) Lysholm Grid Ratio 8:1 Ukuran : 18x24 cm Ukuran : 24x30 cm Ukuran : 30x40 cm Ukuran : 35x35 cm Gloves, Merk E-Zem USA Pocket Dosimeter Lead Glass 30x30 cm NEGARA ASAL/PABRIKAN (4) Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Satuan (5) box box box box box dos dos set set set set pc pc pc pc pc pc pc pc pc pc pc pc set pc pc pc pc pc pc pc No.Registrasi (6) KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 KD 1501690089 HJSA (7) 1,187,500 1,962,500 3,207,500 3,385,000 4,082,500 560,000 615,000 4,812,500 6,462,500 9,350,000 9,625,000 18,500,000 3,500,000 5,250,000 5,500,000 8,125,000 5,250,000 2,375,000 2,925,000 10,250,000 7,500,000 8,750,000 87,750,000 3,687,500 24,562,500 28,075,000 31,587,500 35,125,000 32,250,000 58,500,000 47,525,000 SOLE AGENT (8) PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : SEPTEMBER 2005 S/D DESEMBER 2006
No (1) 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 Nama Barang/Produk (2) Lysholm Grid Ratio 6:1 Ukuran : 18x24 cm Ukuran : 24x30 cm Ukuran : 30x40 cm Ukuran : 35x35 cm Portable B/W USG B/W USG B/W USG USG COLLOR USG COLLOR - CD USG COLLOR - 3D USG COLLOR Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer Transducer PATIENT MONITOR ANAESTHESY MACHINE MODEL/TYPE (3) Lysholm Grid Ratio 6:1 Ukuran : 18x24 cm Ukuran : 24x30 cm Ukuran : 30x40 cm Ukuran : 35x35 cm SONEO KUI 110 Light (V5) KUI 110 Master (V5) KUI 330 Master (V5) KUI 330 Expert (V5) KUI 330 Excellence IMAGIG 5000 3.5 MHz CV convex transducer 3.5 MHz MC microconvex transducer 5 MHz LV linear transducer 6.5 MHz MC microconvex transducer 7.5 MHz LV linear transducer (50 mm) 7.5 MHz LVS linear transducer (38 mm) 3.5 MHz GP sector annular transducer 5 MHz GP sector annular transducer 7.5 MHz GP sector annular transducer 14 MHz PV (musculo-skeleton) 6.5 MHz MR endorectal multiplan transducer 6.5 MHz EV endovaginal/endorectal endfire 6.5 MHz VMC endovaginal/endorectal endfire 2 MHz PEN Doppler pencil transducer 4 MHz PEN Doppler pencil transducer 8 MHz PEN Doppler pencil transducer 2 MHz TCD transcranial Doppler pencil transducer BM TRI ORSA 3 NEGARA ASAL/PABRIKAN (4) Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Trovi Rajawali Indonesia Kontron Medical / France Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Medical / France Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Ultrasound Indonesia Kontron Medical / France Kontron Medical / France Satuan (5) pc pc pc pc unit unit unit unit unit unit unit pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc pc unit unit No.Registrasi (6) HJSA (7) 14,050,000 17,550,000 21,075,000 24,575,000 570,000,000 650,000,000 700,000,000 1,180,000,000 1,540,000,000 2,750,000,000 2,375,000,000 187,125,000 292,125,000 365,000,000 354,375,000 187,125,000 280,000,000 280,000,000 280,000,000 280,000,000 305,250,000 377,375,000 272,375,000 272,375,000 52,000,000 52,000,000 52,000,000 60,750,000 137,500,000 975,000,000 SOLE AGENT (8) PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo PT.Rajawali Nusindo

AKL 21501501354 KD 1501690087 KD 1501690087 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKL 21501501355 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 215001500165 AKD 20501400226 AKL 20403400732

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 PATIENT BED FULL ELECTRIC PATIENT BED FULL MANUAL 4 ENGKOL PATIENT BED FULL MANUAL 3 ENGKOL PATIENT BED FULL ELECTRIC PATIENT BED FULL ELECTRIC TRANSPORTATION STRECHER TRANSPORTATION STRECHER TRANSPORTATION STRECHER OVERBED TABLE BED SIDE CABINET NURSING CART NURSING CART EEG WITH BRAIN MAPPING EEG WITH POLYSOMNOGRAPHY EEG (ELECTROENCHEPALOGRAPH) EEG (ELECTROENCHEPALOGRAPH) EEG WITH BRAIN MAPPING AUDIOMETER AUDIOMETER AUDIOMETER AUDIOMETER AUDIOMETER AUDIOMETER AUDIOMETER AUDIOMETER ELECTRO ACOUSTIC EAR SIMULATOR INFUSION PUMP SYRINGE PUMP INFUSION PUMP INFUSION PUMP PCA PUMP POCKET DOPPLER
TRANSCRANIAL DAN VASCULAR DOPPLER TRANSCRANIAL DAN VASCULAR DOPPLER

TIPE PRODUK
HCB-8332H HCB-M0033 HCB-M0032 AMP-240 A AMP-240 C T 10 T 20A T 20B 300 CS CB-204 NC5010 NC5010R Neurotrace-BM Neurotrace-PSG BIO PC-EEG Neurotrace-EEG BIO PC-BM Model 160 PC 850 Model 240 Model 260 Model 270 CA 850 Series 3 Model 116 Model 160 Amplivox ER70 DIGINFUSA 5010 SYRAMED SP 6000 VOLUMED VP 5000 VOLUMED VP 5005 SYRAMED 6000 WAKI 2-TC BASIC TCD WAKI 1-TC MICROFLOW BASIC S WAKI 1- TO WAKI 1-TC-TO WAKI 2-TC-TO WAKI 2-TC-TO EXPRESS PLUS RAPIDLAB 348 RAPIDLAB 248 RAPIDCHEM 744 ADVIA 60 CLINITEX-500 ADVIA 120 Sirius 2000 Sirius 3000 Frontline Focus 8500 Ventilator 6500 Ventilator DM-RFT-5 DMBT-1 DMFT-1 DM-VB-1

MERK
ACARE ACARE ACARE ACARE ACARE ACARE ACARE ACARE ACARE ACARE ACARE ACARE AKONIC SA AKONIC SA AKONIC SA AKONIC SA AKONIC SA AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD AMPLIVOX LTD ARCOMED ARCOMED ARCOMED ARCOMED ARCOMED ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL ATYS MEDICAL BAYER BAYER BAYER BAYER BAYER BAYER BAYER BLEASE BLEASE BLEASE BLEASE BLEASE DONGMUN DONGMUN DONGMUN DONGMUN

NEGARA ASAL
TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN ARGENTINA ARGENTINA ARGENTINA ARGENTINA ARGENTINA ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND SWITZERLAND SWITZERLAND SWITZERLAND SWITZERLAND SWITZERLAND FRANCE FRANCE FRANCE FRANCE FRANCE FRANCE FRANCE FRANCE FRANCE GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND KOREA KOREA KOREA KOREA

NO. REGISTRASI
DEPKES RI AKL 10902304272 DEPKES RI AKL 10902304358 DEPKES RI AKL 10902304357 DEPKES RI AKL 10902500089 DEPKES RI AKL 10902500090 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 21001302215 DEPKES RI AKL 21001302216 DEPKES RI AKL 22001302217 DEPKES RI AKL 21001302214 DEPKES RI AKL 21001302219 DEPKES RI AKL 20701402754 DEPKES RI AKL 20701402755 DEPKES RI AKL 20701402756 DEPKES RI AKL 20701402757 DEPKES RI AKL 20701402758 DEPKES RI AKL 20701402759 DEPKES RI AKL 20701402760 SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 20902200448 DEPKES RI AKL 20902200446 DEPKES RI AKL 20902200447 DEPKES RI AKL 20902200447 SEDANG DALAM PROSES DEPKES RI AKL 20502304269 DEPKES RI AKL 20502304270 DEPKES RI AKL 20502304271 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 10102301423 DEPKES RI AKL 20102303724 DEPKES RI AKL 20102303725 DEPKES RI AKL 10101400528 DEPKES RI AKL 20205300367 DEPKES RI AKL 10102400463 SEDANG DALAM PROSES DEPKES RI AKL 20403402425 DEPKES RI AKL 20403402424 DEPKES RI AKL 20403303178 DEPKES RI AKL 20403303176 DEPKES RI AKL 20403303177 DEPKES RI AKL 21501301948 DEPKES RI AKL 21501301949 DEPKES RI AKL 21501301951 DEPKES RI AKL 21501301951

SATUAN
UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

45,182,000 39,864,000 37,273,000 85,273,000 122,364,000 54,410,000 76,637,000 126,091,000 7,682,000 7,410,000 51,910,000 61,819,000 311,000,000 410,455,000 325,091,000 258,773,000 465,728,000 56,637,000 215,728,000 76,955,000 83,410,000 89,182,000 150,182,000 49,228,000 56,637,000 17,091,000 61,864,000 36,682,000 41,773,000 41,728,000 63,364,000 783,273,000 373,500,000 454,728,000 14,364,000 205,046,000 444,046,000 577,728,000 583,500,000 843,637,000 823,137,000 726,546,000 414,319,000 329,364,000 309,182,000 185,046,000 2,728,864,000 751,591,000 814,546,000 420,864,000 385,455,000 287,500,000 429,682,000 32,455,000 23,819,000 47,591,000

POCKET TCD
TRANSCRANIAL DAN VASCULAR DOPPLER TRANSCRANIAL DAN VASCULAR DOPPLER TRANSCRANIAL DAN VASCULAR DOPPLER
TRANSCRANIAL DAN VASCULAR DOPPLER 1 Ch. TRANSCRANIAL DAN VASCULAR DOPPLER 2 Ch.
CLINICAL CHEMISTRY ANALYZER/DRUG MONITORING

BLOOD GAS ANALYZER & ELECTROLIT ANALYZER

BLOOD GAS ANALYZER ELECTTROLIT ANALYZER HEMATOLOGY ANALYZER URINE ANALYZER HEMATOLOGY ANALYZER ANAESTHESY MACHINE ANAESTHESY MACHINE ANAESTHESY MACHINE VENTILATOR ANAESTHSY VENTILATOR ANAESTHSY TILTING TABLE BUCKY TABLE BUCKY TABLE WALL BUCKY STAND

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT TIPE PRODUK MERK NEGARA ASAL NO. REGISTRASI SATUAN HJSA (RP) SOLE AGENT

57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109

AUTOMATIC FILM PROCESSOR AUTOMATIC FILM PROCESSOR AUTOMATIC FILM PROCESSOR AUTOMATIC FILM PROCESSOR X-RAY SYSTEM, 100 mA X-RAY SYSTEM, 300 mA X-RAY SYSTEM, 500 mA X-RAY UNIT, 100 mA MOBILE X-RAY, 100 mA FLUORISCOPY & X-RAY UNIT, 500 mA X-RAY UNIT, 100 mA MOBILE X-RAY, 300 mA X-RAY UNIT, 100 mA PORTABLE X-RAY ETHYL CHLORIDE ELECTROSURGEY UNIT, 300 W ELECTROSURGEY UNIT, 200 W ELECTROSURGEY UNIT, 80 W ELECTROSURGEY UNIT, 50 W ELECTROSURGEY UNIT, 350 W ARGON PLASMA COAGULATION ERBOKRYO WATER JET SURGERY
ELECTROSURGICAL UNIT WITH LARGE SCREEN ELECTROSURGICAL UNIT WITH LARGE SCREEN ELECTROSURGICAL UNIT WITH LARGE SCREEN

DSP-33SQ DSP-5000 DSP-3800 DSP-3300 X-RAY SYSTEM 100 mA X-RAY SYSTEM 300 mA X-RAY SYSTEM 500 mA DM-300mA DM-100MR DMRFTV 500 DM-500mA DM-3125MR DM-100ST DIG-310 ETHYL CHLORIDE ERBOTOM ICC 300 E and H ERBOTOM ICC 200 ERBOTOM ICC 80 ERBOTOM ICC 50 ERBOTOM ICC 350 APC 300 ERBOKRYO 12 CRYOGUN HELIX HYDRO JET VIO 300D WITH APC VIO 300S WITH APC VIO 200D WITH APC DISCOVERY SPIROVISION 3+ EZ-3 EZ-3 P80 POWER P80 POWER P80 SIX P80 SIX 108 110 DEKO 190 DEKO 25 DEKO 260 DEKO 260 DEKO 2000 DEKO 2000 DEKO 2000 DEKO 2000 DC 2200 DC 2200 923523 922109 922521 922522 921418 921419 921300 921303

DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DONGMUN DR HENNING ERBE ERBE ERBE ERBE ERBE ERBE ERBE ERBE ERBE ERBE ERBE FUTUREMED FUTUREMED FUTUREMED FUTUREMED FUTUREMED FUTUREMED FUTUREMED FUTUREMED FUTUREMED FUTUREMED FRANKE FRANKE FRANKE FRANKE FRANKE FRANKE FRANKE FRANKE FRANKE FRANKE GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS

KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA KOREA GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY USA USA USA USA USA USA USA USA USA USA FINLAND FINLAND FINLAND FINLAND FINLAND FINLAND FINLAND FINLAND FINLAND FINLAND INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA

DEPKES RI AKL 21501301971 DEPKES RI AKL 21501301972 DEPKES RI AKL 21501301973 SEDANG DALAM PROSES 008800.3.226.00001110805 008800.3.226.00001110805 008800.3.226.00001110805 DEPKES RI AKL 21501502527 DEPKES RI AKL 215012526 DEPKES RI AKL 21501502525 DEPKES RI AKL 21501502524 DEPKES RI AKL 21501502522 DEPKES RI AKL 21501502523 DEPKES RI AKL 21501502519 DKI 9458700139A1.DEPKES RI AKL 21603200527 DEPKES RI AKL 21603200531 DEPKES RI AKL 21603200533 DEPKES RI AKL 21603200532 DEPKES RI AKL 21603200528 DEPKES RI AKL 21603200529 DEPKES RI AKL 21603200530 DEPKES RI AKL 21603401162 DEPKES RI AKL 21603401161 DEPKES RI AKL 21603401161 SEDANG DALAM PROSES DEPKES RI AKL 20401402443 DEPKES RI AKL 20401402444 DEPKES RI AKL 20502402439 DEPKES RI AKL 20502402439 DEPKES RI AKL 20502402442 DEPKES RI AKL 20502402442 DEPKES RI AKL 20502402440 DEPKES RI AKL 20502402440 SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 20903500698 DEPKES RI AKL 20903500700 DEPKES RI AKL 20903500697 DEPKES RI AKL 20903500697 DEPKES RI AKL 20903500699 DEPKES RI AKL 20903500699 DEPKES RI AKL 20903500699 DEPKES RI AKL 20903500699 DEPKES RI AKL 20903500696 DEPKES RI AKL 20903500696 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT 1 BTL UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

110,773,000 214,637,000 188,682,000 110,773,000 446,091,000 597,910,000 684,000,000 597,910,000 365,182,000 1,618,273,000 684,000,000 386,091,000 446,091,000 210,728,000 97,500,000 250,728,000 204,364,000 95,455,000 92,046,000 393,319,000 399,046,000 164,455,000 2,233,773,000 1,392,046,000 1,197,228,000 780,864,000 68,319,000 129,591,000 59,455,000 61,864,000 95,637,000 128,591,000 89,591,000 97,637,000 38,864,000 45,410,000 345,500,000 169,364,000 420,273,000 428,955,000 684,455,000 685,137,000 718,137,000 752,591,000 265,364,000 285,000,000 27,137,000 3,046,000 3,273,000 3,319,000 1,819,000 1,910,000 2,864,000 2,910,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

SPIROMETER PORTABLE SPIROMETER COMPUTERIZE ELECTROCARDIOGRAPH 3 CHANNEL ELECTROCARDIOGRAPH 3 CHANNEL


ELECTROCARDIOGRAPH MULTI CHANNEL ELECTROCARDIOGRAPH MULTI CHANNEL ELECTROCARDIOGRAPH MULTI CHANNEL ELECTROCARDIOGRAPH MULTI CHANNEL

ELECTROCARDIOGRAPH 1 CHANNEL ELECTROCARDIOGRAPH 1 CHANNEL WASHER DISINFECTOR WASHER DISINFECTOR WASHER DISINFECTOR WASHER DISINFECTOR WASHER DISINFECTOR WASHER DISINFECTOR WASHER DISINFECTOR WASHER DISINFECTOR
DRYING CABINET FOR WASHER DISINFECTOR DRYING CABINET FOR WASHER DISINFECTOR

Ambulance Stretcher Baby Box (Incl. Matras) Baby Resuscitation Table Baby Resuscitation Table Bed Screen Bed Screen Bedside locker Bedside locker

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
110 Bowl Stand single

TIPE PRODUK
922621

MERK
GRIS

NEGARA ASAL
INDONESIA

NO. REGISTRASI
SERTIFIKASI IJIN PRODUKSI

SATUAN
UNIT Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA

2,637,000

111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163

Bowl Stand Ganda Children bed (incl.matras) Dressing Trolley Dressing Trolley Emergency Stretcher Emergency Trolley Meja Lipat Baja
Emergency Trolley Meja Lipat ST.Steel

922622 922101 922218 922219 921333 921335 922335 921345 922345 922693 921542 921543 921174 922235 922236 922237 921777 921561 922561 921120 921288 921287 921286 921285 921109 921108 921107 921106 921105 921104 921103 921102 921101 921100 921099 921098

GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS

INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA

YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,046,000 8,364,000 4,273,000 4,046,000 8,455,000 5,046,000 8,546,000 4,591,000 8,137,000 3,046,000 4,182,000 3,228,000 6,728,000 12,091,000 30,591,000 30,273,000 6,137,000 6,137,000 9,182,000 6,137,000 6,273,000 6,091,000 5,819,000 4,864,000 8,637,000 7,682,000 6,864,000 5,637,000 10,546,000 9,591,000 8,819,000 7,591,000 12,182,000 11,182,000 10,364,000 9,137,000 6,364,000 37,091,000 32,137,000 48,546,000 118,182,000 149,591,000 5,728,000 1,228,000 1,455,000 4,591,000 5,000,000 10,319,000 10,319,000 5,773,000 5,773,000 12,182,000 12,182,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

Emergency Trolley Biasa Baja Emergency Trolley Biasa St.Steel Examination Lamp Examination Table
Examination Table (Incl.Tangga Pasien)

Folding Stretcher Food Trolley Non Electric Food Trolley Electric Food Trolley Electric Gynaecolog Bed Gynaecolog Bed Baja Gynaecolog Bed St.Steel Hospital Bed gigi balang Hospital Bed 1 crank - Tanpa tiang infus - Tanpa tiang infus dan alingan
- Tanpa tiang infus, alingan dan roda

Hospital Bed 1 crank - Tanpa tiang infus - Tanpa tiang infus dan alingan
- Tanpa tiang infus, alingan dan roda

Hospital Bed 2 Crank - Tanpa tiang infus - Tanpa tiang infus dan alingan
- Tanpa tiang infus, alingan dan roda

Hospital Bed 3 Crank - Tanpa tiang infus - Tanpa tiang infus dan alingan
- Tanpa tiang infus, alingan dan roda

Exercise Stairs Incubator (Digital ) Incubator (manual ) Incubator Transport+Trolley Infant Warmer + Resusitasi (Manual) Infant Warmer + Resusitasi (Servo) Infrared Lamp Infusion Stand 4 kaki Infusion Stand 5 kaki Instrument Cupboard 1 pintu baja Instrument Cupboard 1 pintu baja Instrument Cupboard 1 pintu St.Steel Instrument Cupboard 1 pintu St.Steel Instrument Cupboard 2 pintu baja Instrument Cupboard 2 pintu baja Instrument Cupboard 2 pintu St.Steel Instrument Cupboard 2 pintu St.Steel 920193 920193 920194 920191 920191 922677 922624 922625 921305 921306 922305 922306 921307 921308 922307 922308

GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
164 165 Instrument Table 1/2 laci 1 rak Instrument Table 1/2 laci 2 rak

TIPE PRODUK
922217 922220

MERK
GRIS GRIS

NEGARA ASAL
INDONESIA INDONESIA

NO. REGISTRASI
SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549

SATUAN
UNIT UNIT Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA

3,500,000 3,682,000

166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217

Instrument Table Laci Full 1 Rak Instrument Table Laci Full 2 Rak Instrument Trolley 1 Rak Instrument Trolley 2 Rak Instrument Trolley 2 Rak Instrument Trolley 3 Rak baja Instrument Trolley 3 Rak St.Steel Keranda Laundry Trolley Laundry Trolley Laundry Trolley Carrier Laundry Trolley Kanvas Lockers 8 pintu Mattras Biasa 10cm Mattras Biasa 15cm Mattras Dunlopillo 10cm Mattras Dunlopillo 15cm Medicine Trolley 16 laci Medicine Trolley 24 laci Medicine Trolley 32 laci Medicine Trolley 8 laci Meja Distribusi Meja periksa Bayi Mobile Stretcher (brancard) Mobile Stretcher (brancard) Overbed Table/Mayo Overbed Table/Mayo Paralel Bar Patient Stretcher Phototherapy Rak Pakaian Bersih Rak Susun dengan roda Rak Susun tanpa roda Standard Cassette Stretcher Jenazah Tangga Pasien Baja Trolley Anaesthesi Trolley ECG Trolley NVS Trolley Oksigen 1,5m3 Trolley Oksigen 6m3 UV Sterilizer Wheel Chair Work Table Work Table X-ray film dryer 15 film X-Ray Film Viewer 1 film X-Ray Film Viewer 2 film X-Ray Film Viewer 3 film INFUSION PUMP SYRINGE PUMP SYRINGE PUMP

922222 922221 922216 922214 922215 921240 922240 921473 920271 920272 921201 921271 990721

GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS

INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA INDONESIA ENGLAND ENGLAND ENGLAND

SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI YF.05.02.V.A.SK.549 SERTIFIKASI IJIN PRODUKSI SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,500,000 3,682,000 3,046,000 3,228,000 3,410,000 5,455,000 5,637,000 4,955,000 3,455,000 2,637,000 5,637,000 5,046,000 16,046,000 773,000 910,000 4,000,000 5,410,000 15,546,000 15,864,000 16,137,000 14,773,000 6,319,000 3,319,000 6,046,000 7,682,000 2,682,000 1,319,000 3,773,000 5,591,000 8,000,000 10,819,000 5,091,000 10,000,000 5,137,000 4,955,000 410,000 4,000,000 2,864,000 6,364,000 591,000 1,728,000 8,182,000 2,455,000 5,273,000 5,637,000 9,364,000 1,000,000 1,410,000 2,091,000 55,773,000 44,591,000 55,773,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

922337 922238 922239 922336 922241 920521 921334 922334 923451 923453 922501 921332 921634 922399 924224 924223 923222 921471

GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS GRIS

922634 921251 922740 922741

GRIS GRIS GRIS GRIS GRIS

921631 921632 921633 G 3000 G3100 G3150

GRIS GRIS GRIS GRASEBY GRASEBY GRASEBY

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
218 219 220 SYRINGE PUMP SYRINGE PUMP PCA PUMP

TIPE PRODUK
G3200 OMNIFUSE 4100 G3300

MERK
GRASEBY GRASEBY GRASEBY

NEGARA ASAL
ENGLAND ENGLAND ENGLAND

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
UNIT UNIT UNIT Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

59,455,000 52,046,000 92,910,000

221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271

ANAESTHESY PUMP ANAESTHESY PUMP SYRINGE MOBILE PUMP APNOEA/RESPIRATION MONITOR APNOEA/RESPIRATION MONITOR SYRINGE DRIVER SYRINGE DRIVER SYRINGE DRIVER MICRO HEMATOCRIT CENTRIFUGE MICRO HEMATOCRIT CENTRIFUGE HYPO-HYPERTHERMIA SYSTEM HYPERTHERMIA SYSTEM AIR BED AIR BED HEMOGLOBINOMETER SUCTION PUMP MOBILE SUCTION PUMP MOBILE SUCTION PUMP PORTABLE SUCTION PUMP FOR DRAINAGE NEBULIZER HYCO/HYPERTERMIA SYSTEM HYCO/HYPERTERMIA SYSTEM ANTI DECUBITUS BED HYCO/HYPERTERMIA SYSTEM ANTI DECUBITUS BED ANTI DECUBITUS BED ANTI DECUBITUS BED ANTI DECUBITUS BED ANTI DECUBITUS BED WATER MATRASS WATER MATRASS WATER MATRASS WATER MATRASS PULSE OXYMETER PATIENT MONITOR DEFIBRILLATOR ECG MONITOR PATIENT MONITOR CENTRAL MONITOR VENTILATOR ICU VENTILATOR ICU VENTILATOR ICU VENTILATOR ICU PATIENT MONITOR PATIENT MONITOR PATIENT MONITOR PATIENT MONITOR PATIENT MONITOR PATIENT MONITOR (BASIC) PATIENT MONITOR (UPGRADABLE) CENTRAL MONITOR

G3400 G3500 G9000 MR10 MR10S MS16 MS18 MS26 MHC MARK IV RIPPLE COOL RIPPLE HEAT Mark C 19000-00 39000-00 SAHLI HEMOGLOBINE HicoVac 700 CH / A HicoVac 700 CH / B Hico-Rapidovac 791-16 Hico-Permavac 785 Hico Ultrasonat 810 Hico Aquatherm 660 Hico Variotherm 550 Hico Decubimat 370 Hico Hypotherm 680 Hico Decubimat 380 Hico Decubimat 390 Hico Decubimat 375 Hico Decubimat 367 Hico Decubimat 369 HICO-DECPLOT HICO-SENSIPLOT HICO-SENSIPLOT HICO-AQUALIT LP-5 LP-400 LP-200 LP-10 LP-300 LP-850 INTER NEO INTER 5 PLUS INTER 3 PLUS INTER PLUS VAPS M12 M12 M12 M12 Escort M8 Escort M10 Escort PRISM SE Escort Vision

GRASEBY GRASEBY GRASEBY GRASEBY GRASEBY GRASEBY GRASEBY GRASEBY HAWKSLEY HAWKSLEY HAWKSLEY HAWKSLEY HAWKSLEY HAWKSLEY HAWKSLEY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HIRTZ/GERMANY HME Limited HME Limited HME Limited HME Limited HME Limited HME Limited INTERMED INTERMED INTERMED INTERMED INVIVO-MDE INVIVO-MDE INVIVO-MDE INVIVO-MDE INVIVO-MDE INVIVO-MDE INVIVO-MDE INVIVO-MDE

ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY UK UK UK UK UK UK BRAZIL BRAZIL BRAZIL BRAZIL USA USA USA USA USA USA USA USA

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 10209402373 DEPKES RI AKL 10209402374 DEPKES RI AKL 11403402371 DEPKES RI AKL 11403402372 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 20903402472 DEPKES RI AKL 20903402473 DEPKES RI AKL 20903402885 DEPKES RI AKL 20903402886 DEPKES RI AKL 20403402890 DEPKES RI AKL 20505402892 DEPKES RI AKL 20505402893 DEPKES RI AKL 10903402895 DEPKES RI AKL 20505402894 DEPKES RI AKL 10903402897 DEPKES RI AKL 10903402898 DEPKES RI AKL 10903402899 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 20502303179 DEPKES RI AKL 20502303180 DEPKES RI AKL 20502303186 DEPKES RI AKL 20502303130 SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 20403402162 DEPKES RI AKL 20403402161 DEPKES RI AKL 20403402422 DEPKES RI AKL 20403402423 DEPKES RI AKL 20502302100 DEPKES RI AKL 20502302100 DEPKES RI AKL 20502302100 DEPKES RI AKL 20502302100 DEPKES RI AKL 20502403219 DEPKES RI AKL 20501403451 DEPKES RI AKL 20501403450 DEPKES RI AKL 20502500088

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

52,046,000 81,773,000 70,637,000 26,000,000 59,455,000 26,000,000 26,000,000 26,000,000 56,546,000 78,819,000 531,137,000 211,500,000 8,910,000 14,864,000 3,000,000 85,500,000 74,273,000 18,000,000 20,273,000 49,000,000 51,637,000 213,773,000 36,046,000 168,773,000 74,319,000 105,773,000 59,455,000 7,637,000 8,546,000 5,864,000 9,000,000 11,273,000 4,500,000 27,591,000 492,137,000 202,819,000 71,910,000 212,819,000 483,182,000 371,000,000 406,273,000 333,955,000 459,046,000 232,864,000 242,410,000 306,682,000 297,137,000 149,319,000 272,955,000 280,500,000 1,196,546,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
272 273 274 CENTRAL MONITOR, 2 BED CENTRAL MONITOR, 4 BED CENTRAL MONITOR, 8 BED

TIPE PRODUK
CENTURION CENTURION CENTURION

MERK
INVIVO-MDE INVIVO-MDE INVIVO-MDE

NEGARA ASAL
USA USA USA

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
UNIT UNIT UNIT Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

244,910,000 285,091,000 317,228,000

275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325

OPERATING LAMP OPERATING LAMP OPERATING LAMP OPERATING LAMP EXAMINATION LAMP OPERATING LAMP OPERATING LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SPOT LIGHTS SPOT LIGHTS SPOT LIGHTS SPOT LIGHTS SPOT LIGHTS SPOT LIGHTS SPOT LIGHTS SPOT LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS CEILING TRACKS CEILING TRACKS DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT DIAGNOSTIC UV "WOODS" LIGHT EXAM/ DIAGNOSTIC LIGHTS EXAM/ DIAGNOSTIC LIGHTS EXAM/ DIAGNOSTIC LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS

System One DUO ORBITAL CENTURION 041543B


System One Solo Ceiling CS2230

MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION

USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA

DEPKES RI AKL 21603500695 DEPKES RI AKL 21603500694 DEPKES RI AKL 21603502827 DEPKES RI AKL 21603502811 DEPKES RI AKL 21603502876 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

203,000,000 75,500,000 99,319,000 106,319,000 35,091,000 299,682,000 189,000,000 33,000,000 35,091,000 32,773,000 63,137,000 43,591,000 49,000,000 43,819,000 85,182,000 70,046,000 70,682,000 70,182,000 51,273,000 57,091,000 51,455,000 28,182,000 58,773,000 63,228,000 58,819,000 115,228,000 76,455,000 107,864,000 81,910,000 92,864,000 89,319,000 100,228,000 35,910,000 46,319,000 8,728,000 12,637,000 13,273,000 13,728,000 14,364,000 8,728,000 12,637,000 13,273,000 13,728,000 34,591,000 34,955,000 67,500,000 47,637,000 53,819,000 48,046,000 93,637,000 74,046,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

System One Solo Orbital SS2230

Centry Tradisional 021343 System ONE TRIO ORBITAL


System One DUO TRADITIONAL

CENTRY 021342 CENTRY 021343 CENTRY 021344 CENTRY 021345 CENTURION 021542 CENTURION 021543 CENTURION 021544 CENTURION 021545 CENTURION 021542B CENTURION 021543B CENTURION 021544B CENTURA 022842 CENTURA 022843 CENTURA 022844 CENTURA 022845 CENTURA 022942 CENTURA 022943 CENTURA 022944 CENTURA 022945 CENTRY & CENTURION DUAL CENTURA CENTRY & CENTURA CENTURION & CENTURA CENTRY & CENTURA CENTURION & CENTURA CHUTTLE TRAC CEILING CHUTTLE TRAC CEILING CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTURY DIAGNOSTIC CENTRY 041342 CENTRY 041344 CENTRY 041345 CENTURION 041542 CENTURION 041543 CENTURION 041544 CENTURION 041545 CENTURION 041542B

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
326 327 328 329 SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS

TIPE PRODUK
CENTURION 041543B CENTURION 041544B CENTURA 042842 CENTURA 042843

MERK
MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION

NEGARA ASAL
USA USA USA USA

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
UNIT UNIT UNIT UNIT Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

75,500,000 74,410,000 52,682,000 58,637,000

330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379

SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SURGERY LIGHTS SPOT LIGHTS SPOT LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS COMBINATION CEILLING LIGHTS EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP EXAMINATION LAMP MINI SPOT LIGHTS MINI SPOT LIGHTS MINI SPOT LIGHTS MINI SPOT LIGHTS MAGNIFYING LIGHT MAGNIFYING LIGHT MAGNIFYING LIGHT VENTILATOR EMERGENCY VENTILATOR EMERGENCY VENTILATOR EMERGENCY FOR BABY VENTILATOR EMERGENCY VENTILATOR EMERGENCY VENTILATOR EMERGENCY VENTILATOR EMERGENCY VENTILATOR EMERGENCY SPLINT SET LARYNGOSCOPE LARYNGOSCOPE LARYNGOSCOPE RESPONDER
EMERGENCY VENTILATOR FOR TOXIC AREA

CENTURA 042844 CENTURA 042845 CENTURA 042942 CENTURA 042942 CENTURA 042942 CENTURA 042942 CENTRY & CENTURION DUAL CENTURY CENTRY & CENTURA CENTURION & CENTURA CENTRY & CENTURA CENTURION & CENTURA VERSALITE MED/VED 011641 MED/VED 011642 MED/VED 011646 MED/VED 011647 MED/VED 012641 MED/VED 012642 MED/VED 012646 MED/VED 012647 MEDI.EXAM 011141 MEDI.EXAM 011142 MEDI.EXAM 011146 MEDI.EXAM 011147 MEDI-LITE 011342 MEDI-LITE 011343 MEDI-LITE 011344 MEDI-LITE 011345 MINI-SPOT 012041 MINI-SPOT 012042 MINI-SPOT 012046 MINI-SPOT 012047 MEDI-VUE 045041 MEDI-VUE 045042 MEDI-VUE 045047 transPAC 200D ventiPAC 200D babyPAC 100 transPAC 2D paraPAC 2D paraPAC 200 paraPAC 200D compPAC 200 SAGER Traction Splint LSFM 3 LSCM 3 LSCML 4 RESPONDER 2 R COMPACT (COM 200)

MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION MEDICAL ILLUMINATION PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC PNEUPAC

USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 20403301997 DEPKES RI AKL 20403302001 DEPKES RI AKL 20403301999 DEPKES RI AKL 20403301998 DEPKES RI AKL 20403302205 DEPKES RI AKL 20403302207 DEPKES RI AKL 20403302202 DEPKES RI AKL 20403302206 DEPKES RI AKL 11303303082 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

53,091,000 103,773,000 66,728,000 72,046,000 66,864,000 131,319,000 80,682,000 117,546,000 85,773,000 98,682,000 99,500,000 112,455,000 4,455,000 11,455,000 11,410,000 11,273,000 7,137,000 13,046,000 13,410,000 13,182,000 13,819,000 13,682,000 13,546,000 14,091,000 14,955,000 23,228,000 26,819,000 25,273,000 48,137,000 13,773,000 14,137,000 14,637,000 15,364,000 14,637,000 14,364,000 16,819,000 191,728,000 197,910,000 314,182,000 179,319,000 179,319,000 191,728,000 191,728,000 357,910,000 16,955,000 11,500,000 6,591,000 6,637,000 67,182,000 357,910,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
380 381 382 383 384 PULSE OXYMETER OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE

TIPE PRODUK
PULSE PAC OPX MOBILIS 200 G OPX MOBILIS 300 C OPX MOBILIS 300 C/G OPX MOBILIS 300 CL

MERK
PNEUPAC SCHMITZ SCHMITZ SCHMITZ SCHMITZ

NEGARA ASAL
ENGLAND GERMANY GERMANY GERMANY GERMANY

NO. REGISTRASI
SEDANG DALAM PROSES DEPKES RI AKL 11603300005 DEPKES RI AKL 11603300006 DEPKES RI AKL 11603300007 DEPKES RI AKL 11603300008

SATUAN
UNIT UNIT UNIT UNIT UNIT Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

40,819,000 597,364,000 615,546,000 704,637,000 705,546,000

385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433

OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE INSTRUMENT SERVING TABLE DRESSING & TREATMENT TROLLEY OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE OPERATING TABLE GYNECOLOGY TABLE GYNECOLOGY TABLE GYNECOLOGY TABLE GYNECOLOGY TABLE PATIENT TRANSPORT PATIENT TRANSPORT PATIENT TRANSPORT PATIENT TRANSPORT PATIENT TRANSPORT PATIENT STRETCHER PATIENT STRETCHER USG PORTABLE USG PORTABLE USG PORTABLE USG PORTABLE USG MOBILE USG MOBILE USG COLLOR DOPPLER USG MOBILE USG MOBILE USG COLLOR DOPPLER CRYOSTAT CRYOSTAT ROTARY MICROTOME ROTARY MICROTOME ROTARY MICROTOME ROTARY MICROTOME MICROTOME SHARPENER TISSUE PROCESSOR ELECTRIC DRILL (ORTHOPEDY) ELECTRIC DRILL (ORTHOPEDY) NEBULIZER NEBULIZER

OPX MOBILIS 300 CLE OPX MOBILIS 300 CL/G OPX MOBILIS 300 CLE/G OPX MOBILIS 300 CE OPX MOBILIS 300 CE/G 232.417 265.205 OPX MOBILIS 200 OPX 125.110 OPX 125.111 OPX 125.211 Mobilis RC 40/G OPX MOBILIS RC 30 OPX MOBILIS RC 30/G OPX MOBILIS RC 30/L OPX MOBILIS RC 30L/G MEDIMATIC 115.705 MEDIMATIC 115.715 MEDIMATIC 115.725 MEDIMATIC 115.755 STX 280.202 STX 280.203 STX 280.204 STX 280.206 STX 280.220 STS 282.100 STS 282.200 CTS-200 CTS-285 CTS-385 PLUS CTS-485 CTS-310B CTS-415 APOGEE 800+ CTS 5000 CTS 6000 APOGEE 3500 MEV MNT CUT 4055 CUT 4060 CUT 5062 CUT 6062 MMS S 2052 High Speed System Power System Plus Turboneb Econoneb

SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SCHMITZ SIUI SIUI SIUI SIUI SIUI SIUI SIUI SIUI SIUI SIUI SLEE SLEE SLEE SLEE SLEE SLEE SLEE SLEE SODEM SODEM CLEMENT CLARKE CLEMENT CLARKE

GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY CHINA CHINA CHINA CHINA CHINA CHINA CHINA CHINA CHINA CHINA GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY SWITZERLAND SWITZERLAND UK UK

DEPKES RI AKL 11603300009 DEPKES RI AKL 11603300010 DEPKES RI AKL 11603300011 DEPKES RI AKL 11603300012 DEPKES RI AKL 11603300013 DEPKES RI AKL 10903300435 DEPKES RI AKL 10903300434 DEPKES RI AKL 11603300014 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 21501402507 DEPKES RI AKL 21501402508 DEPKES RI AKL 21501402509 DEPKES RI AKL 21501402503 DEPKES RI AKL 21501402505 DEPKES RI AKL 21501402504 DEPKES RI AKL 21501402506 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 10203402644 DEPKES RI AKL 10203402646 DEPKES RI AKL 10203402650 DEPKES RI AKL 10203402651 DEPKES RI AKL 10203402647 DEPKES RI AKL 10203402648 DEPKES RI AKL 10203402643 DEPKES RI AKL 10203402642 DEPKES RI AKL 11603303690 DEPKES RI AKL 11603303267 DEPKES RI AKL 20403500693 DEPKES RI AKL 20403500695

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

822,000,000 794,637,000 911,091,000 732,000,000 821,137,000 60,591,000 54,046,000 508,273,000 388,410,000 438,682,000 506,319,000 1,051,000,000 868,819,000 961,728,000 955,319,000 1,049,046,000 130,046,000 263,319,000 307,728,000 379,591,000 307,364,000 345,728,000 347,046,000 436,955,000 433,864,000 251,273,000 336,046,000 128,591,000 168,773,000 180,819,000 289,319,000 281,273,000 369,682,000 1,647,455,000 562,546,000 1,044,728,000 1,084,910,000 542,364,000 876,000,000 166,910,000 203,046,000 282,319,000 423,273,000 266,819,000 504,819,000 405,773,000 268,864,000 15,637,000 13,410,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
434 435 436 437 438 439 NEBULIZER NEBULIZER NEBULIZER DENTAL UNIT DENTAL UNIT DENTAL UNIT

TIPE PRODUK
World Traveler AC 4000 AC 2000 Evolution Advanced I Excellent I

MERK
CLEMENT CLARKE CLEMENT CLARKE CLEMENT CLARKE MARC BELE MARC BELE MARC BELE

NEGARA ASAL
UK UK UK BRAZIL BRAZIL BRAZIL

NO. REGISTRASI
DEPKES RI AKL 20403500688 DEPKES RI AKL 20403500691 DEPKES RI AKL 20403500694 DEPKES RI AKL 10605501508 DEPKES RI AKL 10605501509 DEPKES RI AKL 10605501510

SATUAN
UNIT UNIT UNIT UNIT UNIT UNIT Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

24,046,000 11,955,000 15,637,000 113,910,000 215,910,000 152,410,000

440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487

DENTAL UNIT DENTAL UNIT OPERATING LAMP MOBILE OPERATING LAMP MOBILE OPERATING LAMP MOBILE
OPERATING LAMP WITH CAMERA SYSTEMS

Excellent II Titanium ET 19 S ET 9 S ET 23 S ET 2323 TV ET 29 ET 23 ET 29 23 ET 29TV 23 ET 2323 ET 2923 TV ET 29 TV ET 23 TV ET19 ET1919 ET9 ET9W VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS

MARC BELE MARC BELE DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI DAI - ICHI SHOMEI RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF

BRAZIL BRAZIL JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN JAPAN GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY

DEPKES RI AKL 10605501511 DEPKES RI AKL 10605501512 DEPKES RI AKL 10903501516 DEPKES RI AKL 10903501519 DEPKES RI AKL 10903501520 DEPKES RI AKL 10903501523 DEPKES RI AKL 21603501657 DEPKES RI AKL 21603501656 DEPKES RI AKL 21603501655 DEPKES RI AKL 21603501654 DEPKES RI AKL 10903501521 DEPKES RI AKL 10903501518 DEPKES RI AKL 21603501653 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES DEPKES RI AKL 11603502636 DEPKES RI AKL 11603502635 DEPKES RI AKL 11303502634 DEPKES RI AKL 10703502633 DEPKES RI AKL 10803502632 DEPKES RI AKL 10703502631 DEPKES RI AKL 11603502630 DEPKES RI AKL 11203502629 DEPKES RI AKL 10803502628 DEPKES RI AKL 11603502627 DEPKES RI AKL 11203502626 DEPKES RI AKL 11603502502 DEPKES RI AKL 10803502503 DEPKES RI AKL 11603502504 DEPKES RI AKL 11603502505 DEPKES RI AKL 11603502506 DEPKES RI AKL 11002502507 DEPKES RI AKL 11104502508 DEPKES RI AKL 1130352509 DEPKES RI AKL 10804502510 DEPKES RI AKL 11203502512 DEPKES RI AKL 11203502513 DEPKES RI AKL 11603502514 DEPKES RI AKL 11104502515 DEPKES RI AKL 10703502585 DEPKES RI AKL 11603502584 DEPKES RI AKL 11104502583 DEPKES RI AKL 11603502582 DEPKES RI AKL 11603502581 DEPKES RI AKL 11603502580

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

175,591,000 285,000,000 123,728,000 49,773,000 188,319,000 594,864,000 297,500,000 194,864,000 443,591,000 710,137,000 337,000,000 692,637,000 570,546,000 457,000,000 143,955,000 253,773,000 70,637,000 56,410,000 189,364,000 19,182,000 131,955,000 113,000,000 10,682,000 53,410,000 25,682,000 8,682,000 73,591,000 10,000,000 52,319,000 87,182,000 128,773,000 79,864,000 63,637,000 17,410,000 116,364,000 290,091,000 268,591,000 60,773,000 124,046,000 24,410,000 59,955,000 6,910,000 25,910,000 149,000,000 25,046,000 60,637,000 109,819,000 231,091,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

OPERATING LAMP CEILING OPERATING LAMP CEILING OPERATING LAMP CEILING


OPERATING LAMP WITH CAMERA SYSTEMS

OPERATING LAMP MOBILE


OPERATING LAMP WITH CAMERA SYSTEMS OPERATING LAMP WITH CAMERA SYSTEMS OPERATING LAMP WITH CAMERA SYSTEMS

OPERATING LAMP CEILING OPERATING LAMP CEILING OPERATING LAMP CEILING OPERATING LAMP CEILING LAPAROTOMY PEDIATRIC INST.SET LARGE INSTRUMENT SET LARGE BONE INSTRUMENT SET Laryngectomy Instrument Set Lumbal Function Instrument Set Labioplasty Instrument Set Incision and Drainage Instrument Set Hordeolum Instrument Set Hernia Instrument Set Hecting Instrument Set Basic Eye Instrument Set Adult Basic Instrument Set Abdominal Urology Instrument Set Amputasi Instrument Set Appendectomy Instrument Set Bandage Instrument Set
Basic Neurosurgery Craniotomy Inst. Set Basic Obgyn Operating Instrument Set

Basic Orthopedy Instrument Set Bladder Instrument Set Catarac Instrument Set Chalazion Instrument Set Child Instrument Set Circumsision Instrument Set Tracheotomy Instrument Set
Sectio Caeserean/Hysterectomy Inst. Set

Partus Instrument Set Minor Basic Instrument Set Mayor Basic Instrument Set Laparotomy Instrument Set

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
488 489 490 491 492 493 494 Vena Sectio Instrument Set Forceps Instrument Set
Excision of Skin Growths Instrument Set
Ear Microsurgery Thympanoplasty & Stapedec Inst. Set

TIPE PRODUK
VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS

MERK
RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF

NEGARA ASAL
GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY

NO. REGISTRASI
DEPKES RI AKL 11603502548 DEPKES RI AKL 11104502547 DEPKES RI AKL 11603502546 DEPKES RI AKL 10703502544 DEPKES RI AKL 10703502543 DEPKES RI AKL 21104502543 DEPKES RI AKL 21104502541

SATUAN
SET SET SET SET SET SET SET Rp Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

25,364,000 130,591,000 40,182,000 227,182,000 144,455,000 41,819,000 44,091,000

Ear Instrument Set


Dilatation & Curret Diagnostic Instrument Set

Dilatation & Curret Abortus Instrument Set

495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541

Basic Cardiovascular Instrument Set Gastrointestinal Instrument Set Hand Instrument Set Maxillo Facial Surgery Instrument Set Mastoidectomy Instrument Set Mastectomy Instrument Set Mandible Bone Instrument Set Laminectomy Instrument Set
Haemorrhoid / Para Anal Fistule Instrument Set

VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS

RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF

GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY

DEPKES RI AKL 10504502539 DEPKES RI AKL 10803502800 DEPKES RI AKL 11603502802 DEPKES RI AKL 10703502803 DEPKES RI AKL 11603502804 DEPKES RI AKL 11603502805 DEPKES RI AKL 11303502806 DEPKES RI AKL 11603502807 DEPKES RI AKL 11603502796 DEPKES RI AKL 11104502797 DEPKES RI AKL 11104502798 DEPKES RI AKL 11203502799 DEPKES RI AKL 10804502879 DEPKES RI AKL 10804502880 DEPKES RI AKL 10804502881 DEPKES RI AKL 10703502883 DEPKES RI AKL 10703502884 DEPKES RI AKL 11603502885 DEPKES RI AKL 11002502882 SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

286,864,000 303,091,000 198,228,000 710,637,000 81,500,000 38,773,000 48,819,000 218,728,000 59,819,000 102,819,000 38,637,000 142,410,000 113,819,000 241,182,000 11,000,000 158,546,000 439,182,000 241,228,000 64,364,000 14,773,000 543,819,000 176,728,000 290,091,000 268,591,000 66,273,000 868,864,000 1,397,455,000 209,591,000 90,273,000 96,319,000 62,410,000 24,637,000 149,546,000 138,910,000 290,273,000 180,228,000 682,000,000 447,591,000 98,546,000 54,773,000 53,182,000 89,410,000 18,591,000 74,364,000 23,500,000 64,046,000 58,410,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

Gynecology Minor Instrument Set


Gynekology Examination Instrument Set

Glaucoma Instrument Set Vaginal Basic Instrument Set Urology Instrument Set Tubectomy Instrument Set Thyroidectomy Instrument Set Thympanoplasty Instrument Set Vascular Instrument Set Trepanasi Instrument Set Anuscopes Arthroscopy Set Basic (ENT) THT Instrument Set Basic Obgyn Operating Set Basic Orthopedic Instrument Set Embriotomy Instrument Set
Functional Ensdoscopy Sinus Surgery (FESS)

Laparoscope Set Mayor Oncology Surgery Inst. Set Micro Surgery Set Micro Gynaecology Set Minor Plastic Surgery Instrument Set Myringotomy Set Nasal Set Neuro Surgery Basic Set Opthalmology Operating Set Oral Surgery set Otopsy Instrument Set Pediatric Instrument Set Plastic Set Plaster of Paris Cast Remove Plaster of Paris Instrument Set Policlinic ENT Instrument Set Polypectomy Set Prostatectomy Set Pterigium Set Rectal Instrument Set Skin Graft Set

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
542 543 544 545 546 547 548 549 Strippening Set Thoracotomy Instrument Set Tonsilectomy/Adenodectomy Set Trepanasi Set
Pediatric Thoracotomy Instrument Set

TIPE PRODUK
VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS

MERK
RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF

NEGARA ASAL
GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
SET SET SET SET SET SET SET SET Rp Rp Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

7,591,000 216,410,000 89,591,000 64,364,000 234,500,000 143,091,000 389,591,000 203,728,000

Tonometers Set Vitreorethinal Surgery Set Nasal-Polyprctomy Set

550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571

Cytoscope Instrument Set Resectoscopy Basic Laparoscopy Basic ThoracoscopyBasic Thoracentesis a paracentesis Chest aspiration Set Trans Urethal Resection (TUR) set Obstetrical Instrument Set Pleural Biopsy Set Labioplasty Instr. Set STRESS TEST ECG SYSTEM STRESS TEST ECG SYSTEM REST ECG (ECG BASED PC) REST ECG (ECG BASED PC) REST ECG (ECG BASED PC) ECG 1 CHANNEL ECG 1 CHANNEL ECG 1 CHANNEL ECG 3 CHANNEL ECG 3 CHANNEL ECG 3 CHANNEL MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR ENT MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR ENT MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR ENT MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR ENT WITH ASSISTANT SCOPE MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR ENT WITH VIDEO CAMERA MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR OPTHALMOLOGY MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR OPTHALMOLOGY MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR OPTHALMOLOGY MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR OPTHALMOLOGY WITH ASSISTANT SCOPE MICROSCOPE OPERASI (SURGICAL MICROSCOPE) FOR OPTHALMOLOGY WITH VIDEO CAMERA SLIT LAMP KERATOMETER HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE

VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS PCE-200 W/TREADMILL PCE-210 PCR 100 PC PCR 100i PC CER-100 K130B K130D W/HR DISPLAY K130D W/HR DISPLAY & INTP K360 B K360D W/HR DISPLAY K 360D W/HR DISPLAY & INTP MC-M1912

RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF RUDOLF WELCH ALLYN WELCH ALLYN WELCH ALLYN WELCH ALLYN WELCH ALLYN CAMINA CAMINA CAMINA CAMINA CAMINA CAMINA DVF

GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY USA USA USA USA USA ITALY ITALY ITALY ITALY ITALY ITALY BRAZIL

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SET SET SET SET SET SET SET SET SET SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

79,455,000 306,637,000 124,137,000 1,586,410,000 9,728,000 27,637,000 154,364,000 111,182,000 8,410,000 53,410,000 585,500,000 607,137,000 155,546,000 177,182,000 129,591,000 45,637,000 53,455,000 58,182,000 64,455,000 71,546,000 72,910,000 136,819,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

572

MC-M900

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

178,546,000

PT. GRAHA ISMAYA

573

MC-M900MF

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

295,137,000

PT. GRAHA ISMAYA

574

MC-M900MF

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

380,910,000

PT. GRAHA ISMAYA

575

MC-M900MF

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

424,137,000

PT. GRAHA ISMAYA

576

MC-M3101XY

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

574,228,000

PT. GRAHA ISMAYA

577

MC-M902

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

178,546,000

PT. GRAHA ISMAYA

578

MC_M902MF

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

295,137,000

PT. GRAHA ISMAYA

579

MC-M3101XY

DVF

BRAZIL

SEDANG DALAM PROSES

UNIT

Rp

660,000,000

PT. GRAHA ISMAYA

580 581 582 583 584 585

MC-M3101XY LF-M4 OF-M2 LM6 LM8 LM11

DVF DVF DVF IMESA IMESA IMESA

BRAZIL BRAZIL BRAZIL ITALY ITALY ITALY

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp

703,228,000 124,819,000 80,137,000 128,591,000 178,864,000 219,000,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
586 587 588 589 590 591 592 593 594 HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE HIGH SPIN WASHING MACHINE LOW SPIN WASHING MACHINE LOW SPIN WASHING MACHINE

TIPE PRODUK
LM18 LM23 LM30 LM40 LM55 LM70 LM 85 RC 8 RC 11

MERK
IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA

NEGARA ASAL
ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT Rp Rp Rp Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

334,000,000 403,091,000 735,773,000 863,455,000 1,077,910,000 1,437,728,000 1,769,000,000 126,773,000 140,182,000

595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639

LOW SPIN WASHING MACHINE LOW SPIN WASHING MACHINE LOW SPIN WASHING MACHINE LOW SPIN WASHING MACHINE LOW SPIN WASHING MACHINE LOW SPIN WASHING MACHINE HYDRO EXTRACTOR HYDRO EXTRACTOR HYDRO EXTRACTOR HYDRO EXTRACTOR HYDRO EXTRACTOR TUMBLE DRYER TUMBLE DRYER TUMBLE DRYER TUMBLE DRYER TUMBLE DRYER TUMBLE DRYER TUMBLE DRYER TUMBLE DRYER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER FLATWORK IRONER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER WET CLEAN WASHER POCKET DOPPLER POCKET DOPPLER POCKET DOPPLER POCKET DOPPLER POCKET DOPPLER POCKET DOPPLER

RC 14 RC 18 RC 23 RC 30 RC 40 RC 55 ZP 400 ZP 450 ZP 635 ZP 730 ZP 900SEL ES 10 ES 14 ES 18 ES 23 ES 34 ES 55 ES 55 1Tilting ES 55 2Tilting M 1000/25 M 1250/25 M 1500/25 M 1500/33 M 1750/33 M 2000/33 PF 1700 PF 2160 PF 2540 PF 2800 ICM 78 ICM 90 ICM 120 ICM 170 ICM 230 ICM 300 ICD 14 ICD 18 ICD 23 ICD 34 PD 1 PD 1+ PD 1 dwr BIDI 1 PD 1 V PD 1 combi

IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA IMESA ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND

ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ITALY ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND ENGLAND

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

199,819,000 224,410,000 272,910,000 411,046,000 507,591,000 629,455,000 149,364,000 188,046,000 307,410,000 491,819,000 1,193,410,000 104,864,000 124,410,000 134,182,000 155,500,000 172,864,000 421,319,000 477,364,000 534,137,000 84,637,000 91,137,000 94,728,000 166,364,000 178,637,000 209,728,000 555,455,000 592,728,000 611,182,000 633,955,000 406,864,000 463,273,000 564,137,000 823,819,000 1,196,273,000 1,406,410,000 187,682,000 198,910,000 260,728,000 279,910,000 9,273,000 13,182,000 15,046,000 45,273,000 12,637,000 12,364,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
640 641 642 643 644 645 646 647 648 649
CARDIOTOCOGRAPH (CTG) / FETAL MONITOR

TIPE PRODUK
PFM 1 EDiT 100 EDiT 400 NEMECTROSON 110 NEMECTROSON 400 NT 250 NT 200 NEM TENS NePTUN SL Ionozon Bath

MERK
ULTRASOUND NEMECTRON NEMECTRON NEMECTRON NEMECTRON NEMECTRON NEMECTRON NEMECTRON NEMECTRON NEMECTRON

NEGARA ASAL
ENGLAND GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

131,500,000 76,100,000 77,300,000 83,950,000 90,000,000 179,650,000 333,900,000 9,350,000 58,650,000 677,150,000

ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ULTRASOUND THERAPY UNIT ULTRASOUND THERAPY UNIT MICROWAVE DIATHERMY SHORTWAVE DIATHERMY SPECIAL THERAPY SPECIAL THERAPY BALNEO THERAPY

650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693

OXYGEN CONCENTRATOR OXYGEN CONCENTRATOR WITH OMS ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ELECTROTHERAPY UNIT ULTRASOUND THERAPY ULTRASOUND THERAPY ULTRASOUND THERAPY ULTRASOUND THERAPY ULTRASOUND THERAPY ULTRASOUND THERAPY LASER THERAPY LASER THERAPY LASER THERAPY LASER THERAPY DERMOTHERAPY VACUUM THERAPY DERMOTHERAPY VACUUM THERAPY STEAM THERAPY BLOOD & INFUSION WARMER BLOOD & INFUSION WARMER BLOOD & INFUSION WARMER BLOOD & INFUSION WARMER HEATED BLANKET HEATED BLANKET HEATED BLANKET ELECTRIC BED SERIES ELECTRIC BED SERIES ELECTRIC BED SERIES ELECTRIC BED SERIES ELECTRIC BED SERIES ELECTRIC BED SERIES ICU BED SERIES ICU BED SERIES ICU BED SERIES MANUAL BED SERIES MANUAL BED SERIES

INTEGRA 10 INTEGRA 10 NEUROVECTOR N48


NEURODYN 10 CHANNELS N49

SEQUAL SEQUAL IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED IBRAMED STIHLER ELECTRONIC STIHLER ELECTRONIC STIHLER ELECTRONIC STIHLER ELECTRONIC STIHLER ELECTRONIC STIHLER ELECTRONIC STIHLER ELECTRONIC MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER

USA USA BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL BRAZIL GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY GERMANY TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

35,750,000 39,000,000 21,400,000 38,550,000 25,500,000 25,250,000 19,950,000 9,850,000 7,150,000 5,700,000 4,950,000 8,950,000 4,700,000 21,400,000 38,542,800 25,500,000 25,250,000 19,950,000 9,850,000 12,150,000 19,250,000 22,050,000 19,250,000 71,350,000 38,550,000 14,100,000 58,550,000 65,450,000 54,550,000 70,450,000 77,000,000 39,250,000 87,250,000 36,950,000 42,100,000 38,000,000 39,650,000 44,800,000 39,650,000 36,950,000 42,100,000 38,000,000 20,600,000 25,500,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

NEURODYN HIGH VOLT N50 NEURODYN ESTHETIC N52 NEURODYN N43


NEURODYN II 4 CHANNELS N53

NEURODYN COMPACT N51 NEORODYN III N45


NEURODYN TENS/FES PORTABLE N46

NEURODYN TENS PORTABLE N47

STRIAT S19 SONOPULSE 1 E 3 MHZ S33 SONOPULSE II 1,0 MHZ S28 SONOPULSE II 3,0 MHZ S30
SONOPULSE III 1,0 e 3,0 MHZ S34
SONOPULSE COMPACT 1,0 MHZ S35 SONOPULSE COMPACT 3,0 MHZ S36

LASERPULSE L42 CANETA 660 nm C660 CANETA 830 nm C830 CANETA 904 nm C904 DERMOTONUS D 90 DERMOTONUS SLIM D91 DERMOSTEAM D90 ASTOTHERM plus 220 ASTOTHERM plus 220S ASTOTHERM plus 260 ASTOTHERM plus 260S ASTOPAS SYSTEM 150 ASTOPAD plus ASTOPAS SYSTEM 180 MEB 703 MEB 803 MEB 203 MEB 213 MEB 223 MEB 243 MEB 704 MEB 804 MEB 223R MMB 302 MEB 312

DAFTAR INFORMASI HARGA PERALATAN & LABORATORIUM EFFECTIVE : OKTOBER 2005 S/D MARET 2006 PT. GRAHA ISMAYA, LTD
NO NAMA PERALATAN KESEHATAN URUT
694 695 696 697 698 699 700 701 702 703 MANUAL BED SERIES MANUAL BED SERIES MANUAL BED SERIES MANUAL BED SERIES MANUAL BED SERIES MANUAL BED SERIES MANUAL BED SERIES MANUAL BED SERIES BEDSIDE CABINET BEDSIDE CABINET

TIPE PRODUK
MEB 303 MEB 313 MEB 202 MEB 212 MEB 203 MEB 213 MEB 223 MEB 243 MBC 101 ABS CABINET MBC 102 (COMB CABINET)

MERK
MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER

NEGARA ASAL
TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN

NO. REGISTRASI
SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

SATUAN
UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

HJSA (RP)

SOLE AGENT
PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

25,800,000 30,650,000 24,150,000 24,700,000 27,400,000 27,950,000 32,850,000 28,500,000 3,050,000 3,550,000

704 705 706 707 708 709 710 711 712 713 714 715 716

BEDSIDE CABINET BEDSIDE CABINET BEDSIDE CABINET EMERGENCY TROLLEY EMERGENCY TROLLEY EMERGENCY TROLLEY EMERGENCY TROLLEY SCRUB SINK SCRUB SINK SCRUB SINK SCRUB SINK SCRUB SINK SCRUB SINK

MBC 102 (COMB CABINET) MBC 102 (COMB CABINET) MBC 102 (COMB CABINET) MET-6600 MET 3100 MET 3200 MET 3300 MS 7100 MS 7200 MS 7300 MS 7400 MS 7500 MS 7600

MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER MEDICAL MASTER

TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN TAIWAN

SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES SEDANG DALAM PROSES

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

3,900,000 3,800,000 4,100,000 106,100,000 23,950,000 28,300,000 31,550,000 195,850,000 274,700,000 315,500,000 168,650,000 247,500,000 273,100,000

PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA PT. GRAHA ISMAYA

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE: 1 Oktober 2005 No. Urut Nama Peralatan Kesehatan Model/Type Merk Negara Asal/Pabrikan No. Registrasi DepKes RI AKL 20701401986 Satuan HJSA Sole Agent

1 Audiology Diagnostic Systems

AuDx (Perform OAE test without computer) Scout Sport ABAER / Scout with DP & TE Navigator Pro Navigator Pro/Scout with DP & TE Navigator Pro / MASTER Navigator Pro / ABAER / Scout with DP & TE UBIS 5000 Weinmann Capnocount mini Antepartum Fetatrack 310-A single fetal monitor Antepartum Fetatrack 310-A twin fetal monitor Cardiotocograph Intrapartum Fetatrack 360-I Antepartum Fetatrack 360-A WD6131-C Option: 1. Curing light 2. Aircompressor WD6323 Option: 1. Curing light 2. Aircompressor WD6131-C+ Option: 1. Curing light 2. Aircompressor

Biologic

USA

USD

17,160 PT. Tiara Kencana

2 Audiology Diagnostic Systems 3 Audiology Diagnostic Systems 4 Audiology Diagnostic Systems 5 Audiology Diagnostic Systems 6 Audiology Diagnostic Systems 7 Audiology Diagnostic Systems

Biologic Biologic Biologic Biologic Biologic Biologic

USA USA USA USA USA USA

Dalam proses Dalam proses AKL 20701401984 Dalam proses Dalam proses Dalam proses

USD USD USD USD USD USD

22,405 PT. Tiara Kencana 41,771 PT. Tiara Kencana 37,156 PT. Tiara Kencana 48,011 PT. Tiara Kencana 68,291 PT. Tiara Kencana 58,931 PT. Tiara Kencana

8 Bone Densitometer 9 Capnometer 10 Cardiotogograph

DMS Weinmann Ultrasound Technologies Ultrasound Technologies Ultrasound Technologies Ultrasound Technologies Medix

France Germany England

AKL 21501401987 Dalam proses Dalam proses

USD EUR GBP

53,876 PT. Tiara Kencana 7,784.40 PT. Tiara Kencana 10,483 PT. Tiara Kencana

11 Cardiotogograph

England

Dalam proses

GBP

12,043 PT. Tiara Kencana

12 Cardiotogograph

England

Dalam proses

GBP

28,482 PT. Tiara Kencana

13 Cardiotogograph 14 Dental Unit

England China

Dalam proses Dalam proses

GBP USD USD USD USD USD USD USD USD USD

20,589 PT. Tiara Kencana 14,197 PT. Tiara Kencana 2,455 PT. Tiara Kencana 1,720 PT. Tiara Kencana 36,909 PT. Tiara Kencana 2,455 PT. Tiara Kencana 1,720 PT. Tiara Kencana 16,573 PT. Tiara Kencana 2,455 PT. Tiara Kencana 1,720 PT. Tiara Kencana

15 Dental Unit

Medix

China

Dalam proses

16 Dental Unit

Medix

China

Dalam proses

No. Urut

Nama Peralatan Kesehatan

Model/Type

Merk Medix

Negara Asal/Pabrikan China

WD6631-F Option: 1. Digital image system for dental 2. Fiber high speed handpiece 3. Ultrasonic scalar 4. Curing light 5. Aircompressor 18 Dental Unit WD6423 Option: 1. Digital image system for dental 2. Fiber high speed handpiece 3. Ultrasonic scalar 4. Curing light 5. Aircompressor 19 Diagnostic Ultrasound Systems CONCEPT / MC tanpa probe & printer 20 Diagnostic Ultrasound Systems Ultrasound scanner LCM2100a + 3,5 MHz tranducer & 6,5 MHz endovaginal tranducer 21 Diagnostic Ultrasound Systems CONCEPT / G tanpa probe & printer 22 Diagnostic Ultrasound Systems Ultrasound scanner PU400 + 3,5 MHz tranducer & 6,5 MHz endovaginal tranducer 23 Digital ECG System 12 Channels ECG with Digital archiving capability PC ECG 1200 S Power ECG + Treadmill Trackmaster standard

17 Dental Unit

No. Registrasi DepKes RI Dalam proses

Satuan USD USD USD USD USD USD USD USD USD USD USD USD GBP

HJSA

Sole Agent

18,929 PT. Tiara Kencana 72,655 PT. Tiara Kencana 2,945 PT. Tiara Kencana 2,455 PT. Tiara Kencana 2,455 PT. Tiara Kencana 1,720 PT. Tiara Kencana 21,769 PT. Tiara Kencana 72,655 PT. Tiara Kencana 2,945 PT. Tiara Kencana 2,455 PT. Tiara Kencana 2,455 PT. Tiara Kencana 1,720 PT. Tiara Kencana 11,700 PT. Tiara Kencana

Medix

China

Dalam proses

Dynamic Imaging Dynamic Imaging

England

AKL 21501401957

England

Dalam proses

USD

36,524 PT. Tiara Kencana

Dynamic Imaging Dynamic Imaging

England England

AKL 21501401959 Dalam proses

GBP USD

15,444 PT. Tiara Kencana 31,025 PT. Tiara Kencana

Power ECG

USA

Dalam proses

USD

15,339 PT. Tiara Kencana

24 Digital ECG System 25 Treadmill

Power ECG Power ECG

USA USA

Dalam proses Dalam proses

USD USD

30,881 PT. Tiara Kencana 12,960 PT. Tiara Kencana

No. Urut

Nama Peralatan Kesehatan

Model/Type

Merk

Negara Asal/Pabrikan USA USA USA USA USA USA Indonesia Germany

26 Treadmill 27 28 29 30 31 32 33

34

35

36

37

38

39

40 41 42 43 44 45 46 47

Trackmaster standard Power ECG + panel Digital EEG Ceegraph Netlink Biologic Digital EEG Ceegraph Traveller Biologic Digital EEG Ceegraph Netlink (40 Biologic channel) Digital EEG + Brain mapping Ceegraph Netlink + Biologic Brain Atlas Digital Epilepsy Monitoring Digital EEG - Epilepsy Biologic Monitoring Kamine Electroconvulsive Therapy (ECT)Stubi Convul-2 Emergency case Weinmann Weinmann Emergency case ULM I Emergency case Weinmann Weinmann Emergency case ULM II Emergency case Weinmann Weinmann Emergency case ULM III Emergency case Weinmann Rescue Weinmann Pack - Rescue pack standard Emergency case Weinmann Rescue Weinmann Pack - Rescue pack I mini (kosong) Emergency case Weinmann Rescue Weinmann Pack - Rescue pack respiration Emergency case Weinmann Rescue Weinmann Pack - Rescue pack I mini respiratory Incinerator Incinerator 0.3 m3 Kamine PWR - INC-KMN 03 Incinerator Incinerator 0.5 m3 Kamine PWR - INC-KMN 05 Incinerator Incinerator 1 m3 Kamine PWR - INC-KMN 10 Incinerator Incinerator 2 m3 Kamine PWR - INC-KMN 20 Sleep apnea diagnostic SOMNOcheck effort Weinmann Oxygen Concentrator OC 6 Rimer Alco Oxygen Concentrator OC 11 Rimer Alco Oxygen Concentrator OC 20 Rimer Alco

No. Registrasi DepKes RI Dalam proses AKL 20701401985 Dalam proses Dalam proses Dalam proses Dalam proses Dalam proses Dalam proses

Satuan USD USD USD USD USD

HJSA

Sole Agent

14,138 PT. Tiara Kencana 47,263 PT. Tiara Kencana PT. Tiara Kencana 47,263 PT. Tiara Kencana 58,183 PT. Tiara Kencana 65,592 PT. Tiara Kencana

Rp 109,090,909 PT. Tiara Kencana EUR 1,207 PT. Tiara Kencana

Germany

Dalam proses

EUR

1,304 PT. Tiara Kencana

Germany

Dalam proses

EUR

1,551 PT. Tiara Kencana

Germany

Dalam proses

EUR

3,987 PT. Tiara Kencana

Germany

Dalam proses

EUR

792 PT. Tiara Kencana

Germany

Dalam proses

EUR

13,831 PT. Tiara Kencana

Germany

Dalam proses

EUR

12,028 PT. Tiara Kencana

Indonesia Indonesia Indonesia Indonesia Germany England England England

Dalam proses Dalam proses Dalam proses Dalam proses AKL 20403501247 KL 0403790444 Dalam proses Dalam proses

Rp Rp Rp Rp EUR GBP GBP GBP

139,636,364 PT. Tiara Kencana 174,545,455 PT. Tiara Kencana 245,142,545 PT. Tiara Kencana 418,909,091 PT. Tiara Kencana 16,829 153,439 156,384 206,292 PT. Tiara Kencana PT. Tiara Kencana PT. Tiara Kencana PT. Tiara Kencana

No. Urut

Nama Peralatan Kesehatan

Model/Type OC 35 Weinmann Mobile Oxygen Therapy Unit OXYFLOW Revy WM 33500 Weinmann Mobile Oxygen Therapy Unit OXYFLOW Basic WM 33200 Weinmann Mobile Oxygen Therapy Unit OXYFLOW Standard WM 33300 Weinmann Mobile Oxygen Therapy Unit OXYFLOW Care WM 33400 Weinmann Transport Oxygen - OXYBAG Hit WM 33100 Weinmann Oxycount mini Fetatrack 120+ Sleepscan Netlink Weinmann Pressure Reducer - OXYWAY fast WM 30800 Weinmann Pressure Reducer - OXYWAY fix WM 30050 Weinmann Pressure Reducer - OXYWAY fine WM 30500 Weinmann Oxycount mini with Multi base 2 Weinmann Combibag - Combibag Standard WM 11000

Merk Rimer Alco Weinmann

Negara Asal/Pabrikan England Germany

48 Oxygen Concentrator 49 Oxygen Therapy Unit

No. Registrasi DepKes RI Dalam proses Dalam proses

Satuan GBP EUR

HJSA

Sole Agent

261,807 PT. Tiara Kencana 4,337 PT. Tiara Kencana

50 Oxygen Therapy Unit

Weinmann

Germany

Dalam proses

EUR

2,031 PT. Tiara Kencana

51 Oxygen Therapy Unit

Weinmann

Germany

Dalam proses

EUR

2,193 PT. Tiara Kencana

52 Oxygen Therapy Unit

Weinmann

Germany

Dalam proses

EUR

3,547 PT. Tiara Kencana

53 Oxygen Therapy Unit

Weinmann

Germany

Dalam proses

EUR

1,070.16 PT. Tiara Kencana

54 Oxygen Therapy Unit 55 Pocket Doppler 56 Polysomnography 57 Pressure reducer

Weinmann Ultrasound Technologies Biologic Weinmann

Germany England USA Germany

Dalam proses Dalam proses AKL 21001401969 Dalam proses

EUR GBP USD EUR

3,088.80 PT. Tiara Kencana 1,154 PT. Tiara Kencana 131,459 PT. Tiara Kencana 567.84 PT. Tiara Kencana

58 Pressure reducer

Weinmann

Germany

Dalam proses

EUR

461.76 PT. Tiara Kencana

59 Pressure reducer

Weinmann

Germany

Dalam proses

EUR

474.24 PT. Tiara Kencana

60 Pulsoximeter

Weinmann

Germany

Dalam proses

EUR

5,272.80 PT. Tiara Kencana

61 Resuscitator

Weinmann

Germany

Dalam proses

EUR

459 PT. Tiara Kencana

No. Urut

Nama Peralatan Kesehatan

Model/Type Weinmann Combibag - Combibag with reservoir WM 11052 Weinmann Manuvac WM 10800 Weinmann Accuvac Basic WM 10700 Weinmann Accuvac Rescue WM 10620 Electronic Traction System for Cervical & Lumbar traction TCD 2 Ch (Desktop) Intraview TCD 4 Ch (Desktop) Fourview TCD 2 Ch (Portable) Smartlite TCD 4 Ch (Portable) Smartlite TCD - Neurovision 500 P (Palm) Weinmann Ventilator Medumat Basic-p WM 22650 Weinmann Ventilator Medumat Standard WM 22500 Weinmann Ventilator Medumat Stabdard-a WM 22800 Weinmann Ventilator Modul Oxygen WM 22200 Weinmann Ventilator Modul Suction WM 22220 Weinmann Ventilator Modul Combi WM 22210

Merk Weinmann

Negara Asal/Pabrikan Germany

62 Resuscitator

No. Registrasi DepKes RI Dalam proses

Satuan EUR

HJSA

Sole Agent 540 PT. Tiara Kencana

63 Suction pump 64 Suction pump 65 Suction pump 66 Traction Unit

Weinmann Weinmann Weinmann Kamine

Germany Germany Germany Indonesia

Dalam proses Dalam proses Dalam proses Dalam proses

EUR EUR EUR Rp

2,805 PT. Tiara Kencana 2,122 PT. Tiara Kencana 2,805 PT. Tiara Kencana 27,272,727 PT. Tiara Kencana

67 Transcranial Doppler 68 Transcranial Doppler 69 Transcranial Doppler 70 Transcranial Doppler 71 Transcranial Doppler 72 Ventilator

Rimed Rimed Rimed Rimed Multigon Weinmann

USA USA USA USA USA Germany

Dalam proses Dalam proses Dalam proses Dalam proses Dalam proses Dalam proses

USD USD USD USD USD EUR

51,985 PT. Tiara Kencana 67,383 PT. Tiara Kencana 54,659 PT. Tiara Kencana 65,891 PT. Tiara Kencana 39,655 PT. Tiara Kencana 7,956 PT. Tiara Kencana

73 Ventilator

Weinmann

Germany

Dalam proses

EUR

9,354 PT. Tiara Kencana

74 Ventilator

Weinmann

Germany

Dalam proses

EUR

11,585 PT. Tiara Kencana

75 Ventilator

Weinmann

Germany

Dalam proses

EUR

1,335 PT. Tiara Kencana

76 Ventilator

Weinmann

Germany

Dalam proses

EUR

1,420 PT. Tiara Kencana

77 Ventilator

Weinmann

Germany

Dalam proses

EUR

2,118 PT. Tiara Kencana

No. Urut

Nama Peralatan Kesehatan

Model/Type Weinmann Ventilator Modul interface WM 22230 Weinmann Ventilator Lifeway with tube Weinmann Ventilator Lifeway with mask Weinmann Life base mini II dengan carrying platform & modul (WM 8120) Weinmann Life base II dengan carrying platform & modul (WM 8100) Weinmann Life base III dengan carrying platform & modul (WM 8215) MEDIX - X-Ray unit F30-IIF 200mA medical diagnostic unit, one-tube onetable MEDIX - X-Ray unit F30-IIG 200mA medical diagnostic unit, two-tube twotable MEDIX - X-Ray unit F78-IIC 300mA medical diagnostic unit, two-tube twotable, micro-processor controlled generator MEDIX - X-Ray unit F78-IIIB 300mA medical diagnostic unit, two-tube twotable

Merk Weinmann

Negara Asal/Pabrikan Germany

78 Ventilator

No. Registrasi DepKes RI Dalam proses

Satuan EUR

HJSA

Sole Agent 1,058 PT. Tiara Kencana

79 Ventilator

Weinmann

Germany

Dalam proses

EUR

63.02 PT. Tiara Kencana

80 Ventilator

Weinmann

Germany

Dalam proses

EUR

49.61 PT. Tiara Kencana

81 Ventilator

Weinmann

Germany

Dalam proses

EUR

12,782.64 PT. Tiara Kencana

82 Ventilator

Weinmann

Germany

Dalam proses

EUR

14,161.68 PT. Tiara Kencana

83 Ventilator

Weinmann

Germany

Dalam proses

EUR

15,366.00 PT. Tiara Kencana

84 X - Ray Unit

Medix

China

Dalam proses

USD

24,447 PT. Tiara Kencana

85 X - Ray Unit

Medix

China

Dalam proses

USD

35,228 PT. Tiara Kencana

86 X - Ray Unit

Medix

China

Dalam proses

USD

53,607 PT. Tiara Kencana

87 X - Ray Unit

Medix

China

Dalam proses

USD

49,778 PT. Tiara Kencana

No. Urut

Nama Peralatan Kesehatan

Model/Type MEDIX - X-Ray unit F78-IIIC 300mA medical diagnostic unit, two-tube twotable, micro-processor controlled generator MEDIX - X-Ray unit F99-IBT 500mA medical diagnostic unit, two-tube twotable MEDIX - X-Ray unit F99-ICT 500mA medical diagnostic unit, two-tube twotable, micro-processor controlled generator Datospir 120 C Datospir 120 D AC-50

Merk Medix

Negara Asal/Pabrikan China

88 X - Ray Unit

No. Registrasi DepKes RI Dalam proses

Satuan USD

HJSA

Sole Agent

60,087 PT. Tiara Kencana

89 X - Ray Unit

Medix

China

Dalam proses

USD

60,676 PT. Tiara Kencana

90 X - Ray Unit

Medix

China

Dalam proses

USD

73,636 PT. Tiara Kencana

91 Spirometer 92 Spirometer 93 Audimometri

Sibelmed Sibelmed Sibelmed

Spain Spain Spain

Dalam proses Dalam proses Dalam proses

EUR EUR EUR

6,744 PT. Tiara Kencana 8,731 PT. Tiara Kencana 6,562 PT. Tiara Kencana

Catatan: Harga sewaktu-waktu dapat berubah tanpa pemberitahuan sebelumnya Harga netto, tidak termasuk pajak Harga franko Jakarta

PT. PANCARAYA KRISNAMANDIRI


DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : 2 JANUARI 2006
No. Urut Nama Peralatan Kesehatan Model/Type Merk Negara Asal / Pabrikan No. Registrasi DepKes RI Satuan HJSA (Rp) Sole Agent

THT
1. ENT Treatment Unit New Model (Include Film Viewer) Optional : - ENT Chair Static Model - Doctor's Stool - Trolly for Observasi Sinuscopy - Light Source - Trolly for Observasi Sinuscopy + Light Source ENT Chair Electric Model ENT Treatment Unit ENT Chair ENT Treatment Unit ENT Chair Doctor's Stool Doctor's Stool HSE-3000M OC-3000 FEU-100 FEC-101 MEDICINDO Indonesia Dalam Proses Unit 35,000,000 PT. Pancaraya Krisnamandiri

101 101

MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO

Indonesia Indonesia Indonesia Indonesia Indonesia

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Buah Buah Unit Unit

11,250,000 1,600,000 3,750,000 6,250,000 10,625,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

2. 3

MEDICINDO HAESUNG HAESUNG FUKUGAWA FUKUGAWA MEDICINDO SHIN-NIPPON

Indoesia Korea Korea Japan Japan Indonesia Japan

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Unit Unit Unit Unit Buah Buah

30,750,000 59,000,000 43,500,000 151,500,000 148,500,000 1,600,000 3,500,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

4.

5.

6.

Instrument Kecil Poli THT, terdiri dari : - Hartman Ear Specula set of 3 pcs

PRECISEMED EA 01 - 41

Germany

Dalam Proses

Set

16,225,000

PT. Pancaraya Krisnamandiri

- Nasal Specula - Vienna Nasal Specula Infant - Vienna Nasal Specula Children - Vienna Nasal Specula Adult - Tieck - Halle Specula - Troltch Nasal Foceps - Lucae Ear Dressing Forceps - Ear Syringe 100cc, Metal Currete - Buck Curette blunt size 0. - Buck Curette blunt size 1. - Buck Curette blunt size 2. - Hartman Ear Polyppus Forceps 8.5cm - Bruening Tongue Depressor - Paracintesis Needle - Handle Laryng Mirror - Laryng Mirror (No. 1-6) - Pocket Otoscope 7. Instrument Kecil Poli THT Terdiri dari - Ear Specula :

NA 04 - 41 NA 04 - 42 NA 04 - 43 NA 03 - 10 NB 13 - 15 EU 04 - 14 EB 10 - 10 EF 04 - 00 EF 04 - 01 EF 04 - 02 EH 85 - 01 NN 14 - 19 ONDEKO ONDEKO ONDEKO WELCH ALLYN HILBRO H 44 - 020 H 44 - 021 H 44 - 022 H 46 - 041 H 46 - 042 H 46 - 043 H 44 - 230 H 44 - 231 H 44 - 232 H 46 - 041 H 44 -370 H 46 -170 H 46 - 180 H 48 - 230 H 44 104 H 44 - 450 H 44 - 460 H 46 - 230 Japan Japan Japan USA Pakistan Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Buah Buah Buah Buah Set 8,500,000 PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

22840

- Nasal Specula :

- Curettes :

- Tieck Halle - Ear Dressing Lucae - Nasal Dressing - Nasal Dressing - Suction Canula 1,5mm; 2mm; 3mm - Bruening Tongue Depressor (5pcs) - Ear Syring - Ear Micro Forceps Straight - Ear Micro Forceps Curved - Nasal Dressing Forceps

- Handle Laryng Mirror - Paracintesis Needle - Larryng Mirror (6pcs) - Pocket Otoscope 8. SET TES PENDENGARAN : - Diagnostic Audiometer - Sound Proof Chamber - Kursi Stainless Steel INSTRUMENT SET THT : - TONSILO ADENOIDECTOMY SET Terdiri dari : - Yankauer 23cm / 9" - Metzembeaum-Nelson 18cm / 7" - Negus Tonsil 19cm / 7 1/2" - Adenoid Curettes - Adenoid Curettes - Adenoid Curettes - Mouth Gags Davis Boyle - Mouth Gags Jenning 13cm / 5" - Mouth Gags Jenning 15cm / 6" - Tobold Tongue Depressor 14cm / 5 1/2" - Abraham Tonsil Knivew 21cm / 8 1/2" - Hurd Tonsil 22,5cm / 9" - Schnidt Tonsil Haemostatic 19cm / 7" - Schnidt Tonsil Haemostatic 19cm / 7" - Schnidt Tonsil Haemostatic - Blohmke 20cm / 8" - Eves Tonsil Snare 28cm / 11"

H 50 - 590 ONDEKO ONDEKO WELCH ALLYN Japan Japan USA Dalam Proses Dalam Proses Dalam Proses Buah Buah Buah PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

22840

AD 226

INTERACOUSTIC MEDICINDO MEDICINDO HILBRO

Denmark Indonesia Indonesia Pakistan

Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Unit Unit Set

40,000,000 28,875,000 3,200,000 8,213,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

9.

H 06 - 300 H 10 - 121 H 14 - 771 H 46 -851 H 46 -852 H 46 -853 H 48 - 100 H 48 - 164 H 48 - 166 H 48 - 280 H 50 - 080 H 50 - 130 H 50 -191 H 50 - 201 H 50 - 203 H 50 - 1211 H 50 - 260

10. TONSILECTOMY SET Terdiri dari : - Davis Boyle Mouth Gags Davis Boyle Tongue Depressor Davis Boyle Tongue Depressor Davis Boyle Tongue Depressor

PRECISEMED

Germany

Dalam Proses

Set

49,225,000

PT. Pancaraya Krisnamandiri

NM 01 - 10 NM 01 - 20 NM 01 - 30

Davis Boyle Tongue Depressor Davis Boyle Tongue Depressor Davis Boyle Tongue Depressor - Sluder Balanger - Schnidt Tonsil Haemostatic Forceps - Negus Haemustatic Forceps - Hurd Cleft Palate Needle - Henke Tonsil Elevator - Abraham Tonsil Forceps - Metzembaum Scissors, Cvd - White Tonsil Forceps - Blohmke - Eves Tonsil Snare - Steel Wire 0,3mm Bundle - Tobold Tongue Depressor - Yankeur Tonsil Tube - Hurd Tonsil - Jenning Mouth Gag, 13mm - Jenning Mouth Gags, 15mm - Roeder Tonsil Snare Pilar Retractor for Davis Boyle Mouth Gags Alternatif : - Mclvor Mouth Gag : Tongue Depressor, S Tongue Depressor, M Tongue Depressor, L Handle - Roder Bender

NM 01 - 40 NM 01 - 50 NM 01 - 90 NU 10 - 99 NR 56 - 19 NR 27 - 01 NP 02 - 02 NQ 01 - 23 NP 34 - 21 5473 - 03 NR 20 - 18 NR 55 - 20 NU 02 - 30 NU 05 - 03 NN 20 - 00 NK 05 - 23 NQ 01 - 09 NM 55 - 13 NM 55 - 15 20 - 00 MEDICINDO PRECISEMED NM 02 - 10 NM 02 - 20 NM 02 - 30 NM 02 - 90 MEDICINDO Indonesia Dalam Proses Buah 1,155,000 PT. Pancaraya Krisnamandiri Indonesia Germany Dalam Proses Dalam Proses Set Set 4,750,000 PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

11. POLYPECTOMY Terdiri dari : - Heyman Nasal Scissors 18cm / 7" - Frazier Cannula 6 Fg - Frazier Cannula 8 Fg - Killian Nasal Speculum 35mm - Killian Nasal Speculum 50mm - Killian Nasal Speculum 75mm

HILBRO H 10 - 190 H 30 - 230 H 30 - 232 H 46 - 031 H 46 - 032 H 46 - 033

Pakistan

Dalam Proses

Set

3,250,000

PT. Pancaraya Krisnamandiri

- Krause Nasal Snare - Wire Snare 0,4mm - Troeltsh Dressing Tampon Fcp 18cm / 7" - Gruenwald (Jansen) 20cm / 8" 12. POLYPECTOMY Terdiri dari : - Killian Specula 50mm - Killian Specula 75mm - Gruenwald Dressing Forcep 20cm - Krause Nasal Snare - Bundle Wire 10m x 0,4mm - Frazier Suction Canula Charr 6,17cm - Frazier Suction Canula Charr 8,17cm - Heyman Nasal Scissors 13. MASTOIDECTOMY Terdiri dari : - Scalpel Handle NO. 7 - Weitlaner Blunt 13cm - Bone Chisel 6mm - Bone Chisel 13mm - Collin 30mm - 220mg - Volkman Bone Curette - Troeltsch Ear Dressing 13cm / 5" - Hartman Ear Polypus Frcp 14cm / 5 1/2" - Hartman Ear Polypus Frcp 8,5cm / 3 1/2" - Freer Chesels 4mm - Freer Chesels 4mm 14. MASTOIDECTOMY Terdiri dari : - Scalpel Handle NO. 7 - Hartman Ear Polypus Forceps 8,5cm - Lucae Ear Dressing Forceps - Freer Chisel Straight 4mm - Freer Chisel Curved 4mm - Schede Bone Currette size 000 - Weitland Retractor Blunt - Collin 30mm - 20mmg

H 46 - 120 H 46 - 152 H 46 - 152 H 46 -180 PRECISEMED NA 02 - 50 NA 02 - 75 NB 12 - 20 NU 04 - 26 NU 06 - 40 NK 06 - 06 NK 06 - 08 5306 - 03 HILBRO H 08 - 067 H 18 - 941 H 28 - 230 H 28 - 250 H 28 - 280 H 28 - 388 H 44 - 364 H 44 - 402 H 44 - 450 H 46 - 670 H 46 - 671 PRECISEMED 3525 - 7K EH 85 - 01 EU 04 - 14 NH 01 - 04 NH 02 - 04 BS 38 - 30 GE 94 -13 COLLIN Germany Dalam Proses Set 12,850,000 PT. Pancaraya Krisnamandiri Pakistan Dalam Proses Set 4,550,000 PT. Pancaraya Krisnamandiri Germany Dalam Proses Set 11,825,000 PT. Pancaraya Krisnamandiri

15. SINUS SURGERY Terdiri dari : - Coakley Trocar - Piere Trocar - Collin 30mm - 220mg - Killian Nasal Speculum 50mm - Killian Speculum 75mm - Gruenwald 20cm / 8" - Hartman Dressing Forceps - Takahasi 19cm / 7 1/2" Etmoid & Nasal Cutting - Nasal Cutting Forceps Well Blakeley 19cm / 7 1/2" - Freer Septum Elevator & Respatoris - Ballenger Septum Knives - Freer 16cm / 6 1/2" - Coakley Trocar - Eicken - Killian 3mm

HILBRO H 06 - 180 H 06 - 200 H 28 - 280 H 46 - 032 H 46 - 033 H 46 -180 H 46 - 210 H 46 - 332 H 46 - 351 H 46 - 594 H 46 - 632 H 46 - 671 H 46 - 821 H 46 - 930

Pakistan

Dalam Proses

Set

5,375,000

PT. Pancaraya Krisnamandiri

16. SINUS SURGERY Terdiri dari : - Killian Nasal Speculla 5mm - Killian Nasal Speculla 75mm - Weil-Bakesley Cutting Forceps - Takahasi Nasal Forceps - Freer Elevator Double Ended - Balanger Septum Knife and Gouge - Gruenwald Dressing Forceps - Hartman Polypus Forceps 20mm - Collin 20mmg - 220mg - Piere Trocar

PRECISEMED NA 02 - 50 NA 02 - 75 NC 36 - 01 NC 33 - 02 1926 - 00 NG 20 - 00 NB 12 - 20 NB 50 - 20 COLLIN VT 93 - 30

Germany

Dalam Proses

Set

23,500,000

PT. Pancaraya Krisnamandiri

- Eiken Killian Wash Canulla - Coakley Curette 17. TRACHEOTOMY Terdiri dari : - Trocar 25 G Fig 1 - Trocar - Yankeur Suction Tubes - Scalpel Handle No. 7 - Laborde 14cm - Trachea Retractor - Trachea Tubes 8mm - Trachea Tubes 9mm - Trachea Tubes 10mm 18. TRACHEOTOMY Terdiri dari : - Piere Trocar 3mm - Piere Trocar 4mm - Trocar Standart - Yankauer Suction Tube - Scalpel Handle No. 7 - Trachea Retractor Blunt 2 prong - Chevalier-J Trachea tube Tube, 8mm - Chevalier-J Trachea tube Tube, 9mm - Chevalier-J Trachea tube Tube, 10mm - Laborde Tracheal Dilator - Trousseau Dilator Forceps - Gruenwald Dressing Forceps

NI 93 30 NI 07 -01 HILBRO H 06 - 060 H 06 - 200 H 06 - 300 H 08 - 067 H 32 - 030 H 32 - 060 H 32 - 144 H 32 - 145 H 32 - 146 PRECISEMED VT 32 - 30 VT 32 - 40 VT 05 - 55 NK 05 - 23 3525 - 7K TR 12 - 02 TR 50 - 08 TR 50 - 09 TR 50 - 10 TR 06 - 14 TR 04 - 14 NB 12 - 20 Germany Dalam Proses Set 16,500,000 PT. Pancaraya Krisnamandiri Pakistan Dalam Proses Set 2,750,000 PT. Pancaraya Krisnamandiri

19. TRACHEOTOMY SET Terdiri dari : - Tracheotomy Set, Complete in stainless steel case compressing - Scalpel Stainless, 3cm - Bowlby Tracheal Dilating Forceps - Tracheal Hook, Sharp - Tracheal Hook, Blunt

HILBRO H 32 - 240 H 08 - 003 H 32 - 020 H 32 - 050 H 32 - 060

Pakistan

Dalam Proses

Set

3,575,000

PT. Pancaraya Krisnamandiri

- Fuller Tracheotomy Tiube, 18 - Fuller Tracheotomy Tiube, 22 - Fuller Tracheotomy Tiube, 26 20. C.W.L.. Terdiri dari : - Heyman Nasal Scissors - Retractor Blunt - Bone Chisel and Gouge - Collin Hammer 30mm - 220mg - Frazier Canulla 6Fg - Killian Nasal Specula 50mm - Killian Nasal Specula 75mm - Dressing and Tampon Forceps - Hartman Nasal Polypus and Septum Fcp - Ethmoid Nasal Cutting Forceps - Nasal Cutting Forceps - Hajek Kopler - Ballanger Septum Knives - Ballanger - Feer Chesels 4mm - Freer 16cm / 6 1/2" - Cottle Nasal Rasps - Nasal Rasps - Nasal Rasps - Cottle Walsam Septum Straightening Fcp - Asch Septum Forceps - Eicken Killian Antrum Cannula - Antrum Spoon 19cm - Blakesley-Wilde Nasal Fcp Str size 0=3.0mm - Blakesley-Wilde Nasal Fcp up curved 45 size 0=3.5mm, 110mm working length. - Sinuscope Trocar Beak shaped with obturator 5,5mm fitting to 70 scope with 4mm - Freer Double Elevator 20cm - Syringe 21. C.W.L.

H 32 - 212 H 32 - 213 H 32 - 214 HILBRO H 10 - 190 H 18 - 172 H 28 - 124 H 28 - 280 H 30 - 230 H 46 - 032 H 46 - 033 H 46 - 180 H 46 - 230 H 46 - 291 H 46 - 396 H 46 - 462 H 46 - 632 H 46 - 640 H 46 - 670 H 46 - 671 H 46 - 700 H 46 - 722 H 46 - 730 H 46- 830 H 46 - 840 H 46 - 930 4,300,307 420.0441.0 420.0442.0 4,100,502 Pakistan Dalam Proses Set 19,250,000 PT. Pancaraya Krisnamandiri

FIEGERT FIEGERT FIEGERT FIEGERT

Germany Germany Germany Germany

Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Buah Buah Buah Buah

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

4,300,311

FIEGERT

Germany

Dalam Proses

Buah

PT. Pancaraya Krisnamandiri

PRECISEMED

Germany

Dalam Proses

Set

55,000,000

PT. Pancaraya Krisnamandiri

Terdiri dari : - Heyman Nasal Scissor - Tracheal Retractor 2 prong Blunt - Lacrymal sac chisel west - Collin Hammer 30mg - 220mg - Frazier Suction Cannulla Charr 6,17cm - Frazier Suction Cannulla Charr 8,17cm - Killian Speculla 50mm - Killian Speculla 75mm - Killian Speculla 90mm - Gruenwald Nasal Forceps 20cm Bayo - Hajek Nasal Cutting Forceps - Freer Moscous Knife - Freer Moscous Chesel Straight Knife 4mm - Freer Moscous Chesel Straight Knife 5mm - Cottle Nasal Rasp - Wiener Nasal Rasp - Aufright Nasal Rasp - Cottle Walsam Septum Forceps - Ash Septum Forceps - Eiken-Killian Wash Canulla - Luc Etmoid Forceps - Takahashi Nasal Forceps - Weil-Blakesley cutting Forceps 3,4mm - Coakley Curette 22. SET OBSERVASI SINUSCOPY Terdiri dari : - Visual System Light Source (250W Halogen Lamp) with freezing - CCD Camera (1/3 "410.000 Pixel, - Adaptor C-Mount - Monitor 14" (480 line) - Light Cable (11,5 , 2M) - Sinuscope (0 / 4,0 175mm) - Sinuscope (30 / 4,0 175mm) - Sinuscope (70 / 4,0 175mm) Optional :

5306 - 03 TR 12 - 02 1946 - 50 COLLIN NK 06 - 06 NK 06 - 08 NA 02 - 50 NA 02 - 75 NA 02 - 90 NB 12 - 20 NC 39 - 34 NG 01 - 15 NH 01 - 04 NH 02 - 04 NH 70 - 00 NH 72 - 00 NH 73 - 01 NI 21 - 00 NI 24 - 00 NI 93 - 30 NC 05 - 01 NC 33 - 02 NC 36 - 01 NI 07 - 01 MEGA MEDICAL Korea Dalam Proses Set 93,750,000 PT. Pancaraya Krisnamandiri

Hand Gun

Glass Fiber

- Trolly - Trolly Original - Computer System Pentium IV complete for CCD Camera 23. SET OBSERVASI SINUSCOPY ALTERNATIF I Terdiri dari : - Fiber Optic light cable 180c 4,8mm Resistant to crushing and bending, with pull relief sterilizable at 134C adapters light-source and instrument - Antroscope/Sinuscope, autoclavable 4mm Direction view 0, ring-shapped array of light guide for excelent illumination with protection sheath. - Antroscope/Sinuscope, autoclavable 4mm Direction view 30, ring-shapped array of light guide for excelent illumination with protection sheath. - Antroscope/Sinuscope, autoclavable 4mm Direction view 70, ring-shapped array of light guide for excelent illumination with protection sheath. - C-Mount TV Adapter Length 40mm for standartd eye piece without TV Monitor. - CCD Color Camera - Halogen Cold Light Proyector 24V - Troly - TV Monitor 14" Optional : - Computer System Pentium IV complete for CCD Camera 24. SET OBSERVASI SINUSCOPY ALTERNATIVE II Terdiri dari : - Halogen Cold Light Proyektor 24V 250W

MEDICINDO MEGA MEDICAL

Indonesia Korea

Dalam Proses Dalam Proses

Unit Unit

4,375,000 9,350,000 12,500,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

FIEGERT

Germany

Dalam Proses

Set

177,500,000

PT. Pancaraya Krisnamandiri

1100148

500.0400A

500.0430A

500.0470A

1800028 WAT-202D MEDICINDO MEDICINDO SONY Indonesia Indonesia Dalam Proses Dalam Proses PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

12,500,000

PT. Pancaraya Krisnamandiri

FIEGERT

Germany

Dalam Proses

Set

233,750,000

PT. Pancaraya Krisnamandiri

100.0250-2

2 light outlet storz continous light adjusment - Fiber optic light cable 180cm 4,78mm Resistant to crushing and bending, with pull relief sterilizable at 134C / 73F without endoscope with adapters light-source and Instruments Storz - Antroscope/Sinuscope, autoclavable 4mm Direction view 0, ring-shapped array of light guide for excelent illumination with protection sheath. - Antroscope/Sinuscope, autoclavable 4mm Direction view 30, ring-shapped array of light guide for excelent - Antroscope/Sinuscope, autoclavable 4mm Direction view 70, ring-shapped array of light guide for excelent illumination with protection sheath. - Tele-Laryngopharingoscope - C-Mount TV Adapter Length 40mm for standard Eye Piece without TV Monitor. - CCD Camera ECOCAM V-F (PAL) Freez Function single-CCD / C-mount Camera Head - TV Monitor 14" - Trolly Optional : - Computer system Pentium IV Complete for CCD Camera 25. SINUSCOPE SURGERY - Freer Double Elevator 20cm - Irrigation tube long curved acc to Eicken Killian 2,5mm - Hajek-Koppler Punch,cutting up ward 90 - Sinuscope Trocar beak shaped with obturator 5,5mm fitting to 70 scope with 4mm - Nasal Scissors 13cm straight

110.0148

500.0400A

500.0430A

500.0470A

401.1100 180.0028 840191 ILO Germany Dalam Proses Buah PT. Pancaraya Krisnamandiri

SONY

12,500,000

FIEGERT 430.0311 440.0325 420.0431 410.0502

Germany

Dalam Proses

Set

33,000,000

PT. Pancaraya Krisnamandiri

420.0461

- Antrum Punch Backward cutting upward 3.0mm rigid - Antrum currette small 19cm - Blakesley-Wilde Nasal Forceps straight size 0=3.0mm - Blakesley-Wilde Nasal Forceps forceps up curved 45, size 0=3,5mm 110mm working length. - Antrum spoon 19cm - Sickle knife 19cm - Suction tube Fergusson frazier 9 charr 120mm - Nasal Specull Killian 55mm - Nasal Specula Killian 70mm - Heymann Nasal Scissors 26. FLEXIBEL NASOPHARYNGOSCOPE A. - Rhino-Pharyngo-Laryngo-Fiberskop Flexible. Diameter : 3,4mm Model : Silver Angulation : up 120 / down 100 Direct of view : 0 Field of view : 95 Depth of field : 1 - 50mm Working length : 300mm - Halogen Cold Light Proyektor 24V 250W 2 light outlet storz continous light adjusment. - Fiber Optic light cable 180cm 4,8mm Resistant to crushing and bending, with pull relief sterilizable at 134 C / 273 F without endoscope with adapters light source and Instruments Storz. B. Terdiri dari : - Flexible Bronchofiberscope, fully immersible, with 2-way angulation,

420.0422 430.0325 420.0441.0 420.04420

430.0307 430.0301 440.0301-09 470.1012 470.1013 5304-03

PRECISEMED FIEGERT

Germany Germany Dalam Proses Set 143,000,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

800.3800

100.0250-2

110.0148

FIEGERT 801.3700

Germany

Dalam Proses

Set

198,000,000

PT. Pancaraya Krisnamandiri

one-hand operation Field of view : 95 Depth of field : 5mm - 50mm Working Length : 600mm Diameter : 3,9mm Angulation : up 160 / down 100 Working channel : 1,4mm Accessories include : - Flexible biopsy forceps - Flexible claening brush - Leakage tester - ETO valve - Cleaning tube - Leakage cap - Silicon Oil - Instruction Manual - Transport suitcase - Halogen Cold Light Proyector 24V 250W 2 light outlet storz continous light adjusment - Fiber Optic light cable 180cm 4,8mm Resistance to crushing and bending, with pull relief sterilazable at 134 C / 273 F without endoscope with adapters light-source and Instrument Storz 27. SET TYMPANOPLASTY (THT) : Ear Micro Surgery Set Terdiri dari : - Rosen Knife - Rosen Knife - Rosen Exploreing Needle - Exploring Needle Curved - Rosen Suction Tube 2 pcs - Vynil Tube w/conector - Rosen ear Speculum S.M.L. - Shea Knife Small - Shea Knife lncision - Shea Pick Sharp Pointed

100.0250-2

110.0148

ONDEKO

Japan

Dalam Proses

Set

80,850,000

PT. Pancaraya Krisnamandiri

5001 - 1 5001 - 2 5001 - 5 5001 - 6 5001 - 14 5001 - 16 5001 - 17 5002 - 1 5002 - 2 5002 - 3

- Shea Hook Penestra 45 - Shea Currette - Shea Elevator Left - Shea Elevator Right - Circular Punch straight Micro Model - Grasping Forceps Extra small curved - Kazama up cupper - Scissors, up turned - Gouge - Aspiration Tubes for ear, with thumb plate and cut of (set of 5 pcs) - Medium Chesels - Medium Gouges - Weitlaner Blunt Retractor 13cm - Collin 30m - 220mg Operating Microscoe for ENT F=250mm Hand Drill New Hand Engine (2 curved & 1 straight hand piece) Mata Burr : - Cutting Burr, 1.0 mm - Cutting Burr, 1.8 mm - Cutting Burr, 2.7 mm - Cutting Burr, 4.0 mm - Cutting Burr, 5.0 mm - Polishing Burr, 1.0 mm - Polishing Burr, 1.8 mm - Polishing Burr, 2.7 mm - Polishing Burr, 4.0 mm - Polishing Burr, 5.0 mm - Diamond Burr, 1.0 mm - Diamond Burr, 1.8 mm - Diamond Burr, 2.7 mm - Diamond Burr, 4.0 mm - Diamond Burr, 5.0 mm 28. ENDOSCOPE SET

5002 - 5 5002 - 9 5002 - 10 5002 - 11 5007 - 2 5007 - 6 5007 - 10 5007 - 11 5005 - 4mm 5006 5010 5010 GE 94 - 13 H 28 - 280 OP-2 ROYAL FX-30

HILBRO SHIN-NIPPON ONDEKO

Pakistan Japan Japan

Dalam Proses AKL 21201502593 Dalam Proses

Buah Unit Unit 108,750,000 92,500,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

ONDEKO 70 - 103 71 - 105 72 - 107 73 - 110 74 - 112 75 - 123 76 - 125 77 - 127 78 - 130 79 - 132 80 - 143 81 - 145 82 - 147 83 - 150 84 - 152 ONDEKO

Japan

Dalam Proses

Buah 330,000 330,000 385,000 687,500 1,075,000 330,000 330,000 550,000 750,000 1,100,000 1,750,000 2,175,000 2,175,000 2,500,000 2,900,000

PT. Pancaraya Krisnamandiri

Japan

Dalam Proses

Set

189,750,000

PT. Pancaraya Krisnamandiri

Terdiri dari : - Jackson's Bronchoscope, 0.8 x 40 cm (with fiber light guide) - Jackson's Bronchoscope, 0.5 x 40 cm (with fiber light guide) - Ono's Esophageal speculum for adult - Ono's Esophageal speculum for child (with fiber light guide) - Protect mask - Jackson's Esophagoscope, 0.8 x 45 cm (with fiber light guide) - Jackson's Esophagoscope, 0.5 x 35 cm (with fiber light guide) - Robert Endoscope forceps, 28 cm long - Robert Endoscope forceps, 48 cm long - Robert Forceps, tip only, Alligator Jaws - Jackson Endoscope Forcep, handle only - Jackson Tip only (12 kinds) No. A - L - Jackson tube only (30, 35, 40, 45, 50cm) (5 kinds) - Loupe only - Suction Tubes (Metal characters) (wide, narrow, long, short) (4 kinds) - Sponge carrier long & short (2kinds0 - Bite Block (metal made) (2 pcs / 1 set) - Bite Block (hard rubber made) (2 pcs / 1 set) - Fiber cable for Bronchoscope, esophagoscope, laryngoscope and esophageal, speculum. - Fiber light source, Model : TL-90 with above scope connector. - AC : 220V 50 / 60 HZ 28. Screening Audiometer with RS232C and printer interface and with UPS400 Medical CE approved external power cable. Included Part : - Audiometric Headset with 0250 Peltor AS 216 INTERACOUSTIC Denmark Dalam Proses Unit 35,475,000 PT. Pancaraya Krisnamandiri

TDH39PA

noise Exclosure - Bone Conductor - Medical CE Approved Switch Mode Power Cable - Power Cable - Patient Response Switch - Audiogram Chart Pen Set - Dust Cover - Carrying Case 30. Diagnostic Audiometer, AC, BC masking and RS232C and Printer Interface Included Parts : - Audiometric Headset - Bone Conductor - Patien Response Switch - Medical CE Approved Switch Mode Power Cable - Power Cable - Audiogram Charts - Pen Set - Dust Cover - Printing Adapter - Carrying Case 31. Diagnostic Audiometer with AC BC with masking two speech Input FF, ABLB, stenger, Bekesy, SISI, MHA and with RS232C Interface and printer interface. Included Parts : - Audiometric Headset - Bone Conductor - Patien Response Switch - Medical CE Approved Switch Mode Power Cable - Power Cable - Audiogram Charts - Pen Set - Dust Cover

B71 UPS400

APS2 2X100 AF12 PCR-AS216 ACC26 AD 226 INTERACOUSTIC Denmark Dalam Proses Unit 40,000,000 PT. Pancaraya Krisnamandiri

TDH39 B71 APS2 UPS400

2X100 AF12 PCR-AD226 IPA-26 ACC26 AD 229e INTERACOUSTIC Denmark Dalam Proses Unit 60,775,000 PT. Pancaraya Krisnamandiri

TDH39 B71 APS2 UPS400

2X100 AF12 PCR-AD229

- Printing Adapter - Carrying Case

IPA-26 ACC25

32. Diagnostic Audiometer with AC BC with masking two speech Input FF, ABLB, stenger, Bekesy, SISI, MHA and with RS232C Interface and printer interface. - 2X12watt External Power Amplifier - Free Field Loud Speaker - Carrying case - Wall Talk Back Microphone 33. Clinical Audiometer with two Independent Channels Bekesy, MLD, ABLB, Loudness Scaling and high frequency Include Parts : - Audiometric Headset - Bone Conductor - High Frequency Heeadset - 2 units of APS2 - Power Cable - Audiogram Charts - Pen Set - Dust Cover - Built in Thermal printer incl 5 roll of paper Optional Accessories : - Electret Microphone for Talk Back - Monitor Headset - Monitor Headset with boom microphone 34. Audiometri and Impedance Include : Bone Conductor Audiometric Headset Patien Signal

AD 229e

INTERACOUSTIC

Denmark

Dalam Proses

Unit

61,000,000

PT. Pancaraya Krisnamandiri

AP-12 ALS 7 ACC25 EM-400 AC 40 INTERACOUSTIC Denmark Dalam Proses Unit 124,875,000 PT. Pancaraya Krisnamandiri

TDH39 B71 R-80

2X100 AF12 PCR-AC40 AC40-PRT

EM400 MTH400 MTH400M AA 222/AA220 B71 TDH39 APS2 INTERACOUSTIC Denmark Dalam Proses Unit

1,100,000 1,100,000 3,850,000 106,700,000 PT. Pancaraya Krisnamandiri

35. Clinical Impedance Audiometer Include Parts : - Universal Probe system with shoulder strap, wrist strap - Single Earphone HBZ35 w/headband for contralateral stimulus. - 3 rolls of recording paper - Power Cable - Box of 65 Assorted Eartips - Dust Cover - Patient Respone switch - Calibration unit 0.2-0.5-1-2-3-4 and 5ml 36. Automatic Middle Ear Analyzer Include Parts : - Universal Probe system with shoulder strap, wrist strap - Single Earphone HBZ35 w/headband for contralateral stimulus. - External Switch Mode Power Cable - Power Cable - Box of 65 Assorted Eartips - 3 Rolls of Recording Paper - Dust Cover - Patient Respone switch - Calibration unit 0.2-0.5-1-2-3-4 and 5ml - Carrying Case Optional Parts Audiometric Head set Bone Conductor 37. OAE Screening Precision OTO READ Clinical Included parts Otoread - Handle unit ( Otoread ) including probe cord ceadle - Printer including power supply and power

AZ 26 ATP-AZ26 TDH39z TPR26 BET 50 PCR-AZ26 APS2 CAT40 AT 235 ATP-AT235u TDH39z UPS400 BET 50 TPR26 PCR-AT235 APS2 CAT 227 ACC25 TDH39z B71

INTERACOUSTIC

Denmark

Dalam Proses

Unit

98,750,000

PT. Pancaraya Krisnamandiri

INTERACOUSTIC

Denmark

Dalam Proses

Unit

92,000,000

PT. Pancaraya Krisnamandiri

5,500,000 4,250,000 INTERACOUSTIC Denmark Dalam Proses Unit 118,250,000 PT. Pancaraya Krisnamandiri

cable - Printer cable - Probe Cord Foe Extensions ( 100 cm / 39 inches ) - 2 Thermal Printer paper roll - Box Ear Tips 146 Ear tips ( 12 Size ) - 4 Probe Tips - 4 AA / UW 3 / R6 Alkaline Batteries - Operation / service / CE Manual 38. ABR BERA Eclipse with EP 25 EP 25 Black box version wit USB Cable Excl. PC included parts : - Ia Base Software - Installation Software - Pre amplifer - ABR Insert Earphones - Electrode Cable Standard with buttons - Electrode Cable Universal - Electrode Cable with Re-usable electrodes - Tip Trode Electrode Cable Set with buttons - Tip Trode Electrode Cable Set Universal - Pre-gelled Electrode Pads ( 25 pieces ) - Skin Preperation Gel - 10 pcs of Tip Trodes electrodes for ECOCHG - Power Cable - Operation / Service / Multilingual CE Manuals - Bone Conductor - Audiometric Headset ( Shielded ) 39. Head Lamp 40. Portable Head Light w/ headhand w/charger 41. Procedure Head light w/battery pack 46072 49022 INTERACOUSTIC Denmark Dalam Proses Unit 325,000,000 PT. Pancaraya Krisnamandiri

EP25 EPA25 EAR-Tone ETB15 ETU15 ETR15 TEB25 TU25 PEG15 SPG15 TTE25

B71 TDH 39 MEDICINDO WELCH ALLYN WELCH ALLYN Indonesia U.S.A U.S.A Dalam Proses Dalam Proses Dalam Proses Set Set Set 1,650,000 4,500,000 14,500,000 PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

42. Head Lamp system Binner 3.5mm x 2200mm. Fiber Focus Adjustable 43. Laryngoscope with 4 balde 44. Pocket Otoscope with 4 reusable specule w/o spare lamp 45. 3.5V Diagnostic Otoscope with throat illuminator and specule, with regular battrey handle. 46. 3.5V Macro View Otoscope with Lithium handle. 47. COMPACT Video Otoscope with LithiumIon handle PAL System w/spare Lamp Diagnostic Basic Set 48. Pocket Junior Otoscope Ophthalmoscope & Soft case 49. Diagnostic Set, consist of : - Ophthalmoscope Head - Otoscope Head - Convertible Handle - Hard Case - 3.5V Hologen Lamp for 11710 - 3.5V Hologen Lamp for 25020

820029

ILO

Germany

Dalam Proses

Set

17,000,000

PT. Pancaraya Krisnamandiri

MEDICAL DEVICES 22840 WELCH ALLYN

Pakistan U.S.A

Dalam Proses Dalam Proses

Buah Buah

1,950,000 770,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

20000

WELCH ALLYN

U.S.A

Dalam Proses

Buah

3,300,000

PT. Pancaraya Krisnamandiri

23810

WELCH ALLYN

U.S.A

Dalam Proses

Buah

5,650,000

PT. Pancaraya Krisnamandiri

23105-SM-P

WELCH ALLYN

U.S.A

Dalam Proses

Buah

17,350,000

PT. Pancaraya Krisnamandiri

95001

WELCH ALLYN

U.S.A

Dalam Proses

Buah

1,950,000

PT. Pancaraya Krisnamandiri

97150BI 11710 25020 71020B 05251 03000 03100

WELCH ALLYN

U.S.A

Dalam Proses

Buah

3,990,000

PT. Pancaraya Krisnamandiri

50. Diagnostic Set : - Coaxial Ophthalmoscope Head - Streak Retinoscope Head

18320 11720 18200

WELCH ALLYN

U.S.A

Dalam Proses

Buah

9,650,000

PT. Pancaraya Krisnamandiri

- Ni-Cad Rechargeable Heandle & Charger Hard Case - 3.5V Hologen Lamp - Hologen HPX Lamp 51. Tycos Elite Stetoscope,25" ( Balack ) 52. Profesional Adu;t Double Head Stetoscope 28" ( Balck ) 53. Profesional Pediatric Double Head stetos cope 28" ( Balck ) 54. LS-150 w/ floor stand 55. Lumiview Portable Binocular Head Mount 10/ Direct power Source 56. Tycos 767-Series wall Aneroid 57. TR-1 DS 66 Integrated Aneroid Sphyg with adult cuff. 58. Integrate Aneriod Sphynomanomater Adult w/case 59. Braun themo Scan 60. Suretemp plus Thermometer 61. Ear wash system-english-PAL 62. Machintosh Fiber Optic Laryngoscope ( 5 blades, 2 handles ) in case 63. Miller Fiber Optic Laryngoscope ( 5 blades, 2 handles ) in case 64. ENT Microscope OP-C12 Floor Stand EP 5

71062 04900 08200 5079-125 5079-135 WELCH ALLYN WELCH ALLYN U.S.A U.S.A Dalam Proses Dalam Proses Buah Buah 2,200,000 850,000 PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

5079-145

WELCH ALLYN

U.S.A

Dalam Proses

Buah

850,000

PT. Pancaraya Krisnamandiri

44505 205124

WELCH ALLYN WELCH ALLYN

U.S.A U.S.A

Dalam Proses Dalam Proses

Buah Buah

6,250,000 10,000,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

7670-01 5098-27

WELCH ALLYN WELCH ALLYN

U.S.A U.S.A

Dalam Proses Dalam Proses

Buah Buah

2,200,000 2,300,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

D545-11C

WELCH ALLYN

U.S.A

Dalam Proses

Buah

1,100,000

PT. Pancaraya Krisnamandiri

04000-200 01690-410 29350EI 69696

WELCH ALLYN WELCH ALLYN WELCH ALLYN WELCH ALLYN

U.S.A U.S.A U.S.A U.S.A

Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Buah Buah Buah Buah

2,100,000 4,400,000 5,775,000 9,800,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

68696

WELCH ALLYN

U.S.A

Dalam Proses

Buah

11,350,000

PT. Pancaraya Krisnamandiri

OP-C12-220V

OPTOMIC

Spanyol

Dalam Proses

Unit

78,750,000

PT. Pancaraya Krisnamandiri

Optional PAL Complete Op- TV6 consist of beam splitter and camera system 65. ENT Treatment Unit 66. Autoclave Horizontal 67. Autoclave Table Top 68. Autoclave Table Top 69. Autoclave Vertical Type 70. Operating Lamp 5 Lamp Ceilling Mounted Type 71. Operating Lamp 8 Lamp Ceilling Mounted Type 72. ENT Treatment Unit New Model 73. ENT Chair 74. Operating table for Ophthalmology 75. Multi purpose Operating table 76. Sound Proof Chamber 77. Gynecologycal Examination Table 78. Treatment Obgyn 79. Doctor's Stool tanpa sandaran 80. Doctor's Stool pakai sandaran

OP-TV-5-220

OPTOMIC

Spanyol

Dalam Proses

Buah

38,000,000

PT. Pancaraya Krisnamandiri

TG-910 TA-610 TA-640 EA-652 TA-630 TLD-500H

EVELIGHT EVELIGHT EVELIGHT EVELIGHT EVELIGHT EVELIGHT

Taiwan Taiwan Taiwan Taiwan Taiwan Taiwan

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Unit Unit Unit Unit Unit

36,750,000 83,600,000 10,000,000 21,000,000 60,500,000 45,650,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

TLD-800H

EVELIGHT

Taiwan

Dalam Proses

Unit

54,450,000

PT. Pancaraya Krisnamandiri

MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO

Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Unit Unit Unit Unit Unit Unit Buah Buah

35,000,000 30,750,000 30,650,000 41,250,000 28,875,000 36,850,000 34,000,000 1,600,000 2,200,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

81. Lampu Sorot 82. Trolly Sinuscope 83. UV-Room Sterilizer 84. Optotype Snellen Electric 85. Light Source 86. Suction Pump 87. Dermatology/ Ophthalmological and Operating table 88. Dermatology Examination Table, static 89. Head Lamp 90. Doctor's Stool for surgery 91. Wood Lamp 92. Magnifyng Lamp with stand

MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO

Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Buah Unit Unit Unit Buah Unit Unit

2,475,000 4,375,000 9,500,000 2,250,000 8,000,000 17,000,000 30,750,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

MEDICINDO MEDICINDO MEDICINDO MEDICINDO MEDICINDO

Indonesia Indonesia Indonesia Indonesia Indonesia

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Buah Unit Unit Unit

4,950,000 1,600,000 22,500,000 775,000 2,400,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

No. Urut

Nama Peralatan Kesehatan

Model/Type

Merk

Negara Asal / Pabrikan

No. Registrasi DepKes RI

Satuan

HJSA (Rp)

Sole Agent

KULIT
1 2 Tray Unit, with Lamp 120V 50 Watt Tray Unit MD-10 MD-11 MEDICINDO MEDICINDO Indonesia Indonesia Dalam Proses Dalam Proses Unit Unit 4,500,000 3,500,000 PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

3 4 5

Doctor's Stool Model ceiling 30 W Dermatology / Opthalmological and Operating Table Dermatology Examination Table, Static Light w/arm Luminaire and transformer w/ mobile stand Electro Surgical Coutery Monopolar Electro Surgical Coutery Monopolar & Bipolar Premier 200 I e electro Surgery unit ( 220V ) Included : 5 1/2" straight bipolar coagulating fcp Standard Bipolar Adapter Cord, reusable ( Not Shown ) Hand Control Pencil, reusable, one each Dual-Foot Controller Reausable Poly Plate tm, Single cell

MD-12 TL UV

MEDICINDO MEDICINDO MEDICINDO

Indonesia Indonesia Indonesia

Dalam Proses Dalam Proses Dalam Proses

Buah Buah Unit

1,600,000 550,000 30,750,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

6 7

MEDICINDO LS 200 WELCH ALLYN

Indonesia U.S.A

Dalam Proses Dalam Proses

Unit Unit

4,950,000 17,875,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

8 9

HFS 45 HFS 100

LIARRE LIARRE

Italy Italy

Dalam Proses Dalam Proses

Unit Unit

10,900,000 28,600,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

10

9006601 9006308 9006313 9006515 9006525 9006545

PRIMIER PRIMIER PRIMIER PRIMIER PRIMIER PRIMIER

U.S.A U.S.A U.S.A U.S.A U.S.A U.S.A

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Unit Buah Buah Buah Buah Buah

55,600,000

PT. Pancaraya Krisnamandiri

11

Electro Surgical Unit 200 W ( included Bipolar forceps 18cm blunt and cable ) Evacuator / Air Filtration System, USA Doctor's Stool Stainless Steel ( pakai sandaran ) Loupe Optivisor

SM2000F

SM MEDICAL

Korea

Dalam Proses

Unit

23,950,000

PT. Pancaraya Krisnamandiri

12 13

PREMIER MEDICINDO

U.S.A Indonesia

Dalam Proses Dalam Proses

Unit Unit

23,950,000 2,250,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

14

DA.3

DONEGAN

U.S.A

Dalam Proses

Buah

650,000

PT. Pancaraya Krisnamandiri

15 16

Sterile Glass 160 Watt Instrument Dermatology Terdiri dari : - Dermatology/ Ophthalmological and Operating Table - Table Top Autoclave - Electro Surgery Coutery Monopolar & Bipolar - Tray Unit with lamp 12V 50Watt - Instrument Tray 10 Inst - Eye Scissors, cvd.Blunt.9cm - Strabismus Scissors 10.5cm, str - Eye Scissors, str.Pointed.9cm - Eye Scissors, cvd.Pointed.9cm - Hartman Mosquito forceps, str - Hartman Mosquito forceps, cvd - Backhaus Towel Clamp - Chiruugische Pinset - Anaomische pinset - Adson Chirurgies - Adson Anatomische - Comedo Extractor - Meyhoefer Chalazion Curette size 4 - Schamberg Comedo Extractor - Skin Hook - Schede Bone Curette - Schede Bone Curette - Comedo Extractor Set Dermatology Terdiri dari : - Meja Periksa Static ( Dermatology ) - Examination Lamp 12V 50 W - Electro Surgery Coutery Monopolar - Table Top Autoclave - Tray unit - Magnifying lamp - Wood Lamp besar

LIARREY

italy

Dalam Proses Dalam Proses

Buah Set Unit Unit Unit Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah

2,700,000 88,000,000

PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

MEDICINDO TA-640 HFS 95 MD-10 4705-03 4628-03 4704-01 4705-01 2272-10 2273-10 2265-95 2400-07 2410-07 2420-10 2422-10 1033100 AA 1879 H 40-090 H 40-052 H 28-388 H 28-389 H 40-062 EVERLIGHT LIARRE MEDICINDO PST PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PREMIER APPASAMY HILBRO HILBRO HILBRO HILBRO HILBRO

Indonesia Taiwan Italy Indonesia U.S.A German German German German German German German German German German German U.S.A India Pakistan Pakistan Pakistan Pakistan Pakistan Dalam Proses

17

Set Unit Unit Unit Unit Buah Buah Buah

49,500,000

PT. Pancaraya Krisnamandiri

HFS 45 TA-640 MD-11

MEDICINDO MEDICINDO LIARRE EVERLIGHT MEDICINDO MEDICINDO MEDICINDO

Indonesia Indonesia Taiwan Italy Indonesia Indonesia Indonesia

- Instrument Tray for 10 inst - Eye Scissors.cvd.Blunt, 9cm - Strabismus Scissors 10.5cm,str - Eye Scissors.str.Pointed, 9cm - Eye Scissors.cvd.Pointed, 9cm - Hartman Mosquito forceps, str - Hartman Mosquito forceps, cvd - Backhaus Towel camp - Chirurgische Pinset - Anatomische Pinset - Adson Chiruigies - Adson Anatomische - Comedo Extractor - Meyhoefer Chalazion Curette size 4 - schamberg Comedo extractor - Skin Hook - Schede Bone Curette - Schede Bone Curette - Comedo Extractor 18 19 20 Captain 25 Laser Digital CO2/25W Captain 25 Laser Digital CO2/ W Cryogenic system, terdiri dari : - Liquid Nitrogen storage 10 lt - With drawal Tube - Cryo AC-3 Cryotote model # 601 1.5 in x 16g Straight spray needle 1.5 in x 20g Straight spray 1cm flat Probe 2cm flat Probe 3cm Flat Probe Dermabrasi Terdiri dari : - Micromotor 220V - 32000 RPM - Regular dermabrader Pear

4705-03 4628-03 4704-01 4705-01 2272-10 2273-10 2265-95 2400-07 2410-07 2420-10 2422-10 1033100 AA 1879 H 40-090 H 40-052 H 28-388 H 28-389 H 40-062

PST PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PREMIER APPSAMY HILBRO HILBRO HILBRO HILBRO HILBRO SM MEDICAL SM MEDICAL BRYMILL

U.S.A German German German German German German German German German German German U.S.A India Pakistan Pakistan Pakistan Pakistan Pakistan Korea Korea U.S.A Dalam Proses Dalam Proses Dalam proses

Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Unit unit Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Set Buah Buah 118,250,000 144,000,000 42,350,000 PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri PT. Pancaraya Krisnamandiri

B 501-10 B-503 B-800 B 107-16 B 107-20 205-1 205-2 205-3 Dalam Proses HNSY PREMIER Japan U.S.A

21

14,600,000

PT. Pancaraya Krisnamandiri

2026159

- Regular Dermabrader cone - Regular Dermabrader Dome - Regular 17 x 6 22 Minor Kulit - Scalpel Handle - Adson Dressing Forceps - Adson Tissue Forceps - Backhaus Towel Camp - Needle holder without serrated - Bandage Scissors - Sonde kuku - Hartman Mosquito Forceps str - Hartman Mosquito Forceps cvd - Strabismus scissors str - Eye Scissors, str, pointed - Eye Scissors, cvd, pointed - Instrument Tray for 10 inst

2026150 2026180 2026121

PREMIER PREMIER PREMIER

U.S.A U.S.A U.S.A Dalam Proses

Buah Buah Buah Set Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah 6,000,000 PT. Pancaraya Krisnamandiri

H 08-067 H 12-090 H 12-320 H 14-940 H 22-030

HILBRO HILBRO HILBRO HILBRO HILBRO

Pakistan Pakistan Pakistan Pakistan Pakistan

2272-10 2273-10 4628-03 4704-01 4705-01

PRECISEMED PRECISEMED PRECISEMED PRECISEMED PRECISEMED PST

German German German German German U.S.A

23

Lippo Suction Set Terdiri dari : - Syringes Toomey Bell 60cc - Horseshoe lock 60cc - BACKER Round Dissecting Cannula 3mmx 23cm on a 60 cc Toomey Bell Base - BACKER Round Dissecting Cnnula 4mm x 23cm - COBRA Aggressive Cannula 3mm x 23cm - COBRA Aggressive Cannula 4mm x 23cm on a 60cc Toomey Bell - Two Hole Standard 4mm x 23cm on a 60cc Toomey bell - Three Hole Standard 3mm x 17cm - Cannula Dual Port 3mm x 23cm spatula - Cannula Multi Infusion 3mm x 23 cm - Cannula Two Port Radial 2mm x 17 cm

WELL'S JOHNSON

U.S.A

Dalam Proses

Set Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah Buah

54,750,000

PT. Pancaraya Krisnamandiri

20-1709-02 20-1228-00 20-1228-00 20-1209-00 20-1209-00 20-1201-00 20-1202-00 20-1216-00 20-1218-00 20-1204-00

- Cannula Multi Plate Infusion 2mm x 17 cm - Three hole Standard 2mm x 17 cm - Cannula Dual Port spatula 2mm x 17 cm

20-1218-00 20-1202-00 20-1202-00

Buah Buah Buah

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : .. S/D . No. Urut 1 2 3 4 5 6 7 8 9 10 11 12 13 Nama Peralatan Kesehatan Operative Laparoscopy Laparoscopy Sederhana Diagnostic Laparoscopy Hysteroscopy System Fetal Doppler Fetal Doppler Fetal Monitor Fetal Monitor Fetal Monitor Gynecology Chair Gynecology Chair Operating Table Operating Table Model/Type Various Various Various Various SonicaidOne 421 Team Standard Team Duo Team IP 400330 400308 500020 500120 Negara Asal/Pabrikan Wisap GmbH-Germany Wisap GmbH-Germany Wisap GmbH-Germany Wisap GmbH-Germany Oxford-England Oxford-England Oxford-England Oxford-England Oxford-England Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany No. Registrasi Depkes RI Depkes RI AKL 20802402933 Depkes RI AKL 20802402933 Depkes RI AKL 20802402933 Depkes RI AKL 20802403270 Depkes RI AKL 21101403280 Depkes RI AKL 21101403279 Depkes RI AKL 21102403283 Depkes RI AKL 21102403283 Depkes RI AKL 21102403283 Depkes RI AKL 11603403276 Depkes RI AKL 11603403276 Depkes RI AKL 1160403275 Depkes RI AKL 1160403275 Satuan 1 Set 1 Set 1 Set 1 Set 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit HJSA Sole Agent (Rp) 1,342,104,000 BETA MEDICAL 1,085,232,000 BETA MEDICAL 599,448,000 BETA MEDICAL 583,008,000 BETA MEDICAL 14,000,000 BETA MEDICAL 40,000,000 BETA MEDICAL 161,280,000 BETA MEDICAL 191,520,000 BETA MEDICAL 200,000,000 BETA MEDICAL 216,000,000 BETA MEDICAL 144,000,000 BETA MEDICAL 378,000,000 BETA MEDICAL 438,000,000 BETA MEDICAL

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Operating Table Operating Table Operating Table Operating Table Operating Table Operating Table Operating Table Operating Table Operating Table Tracheotomy Set Bandage Instrument Set Orthopedic Set Appendectomy Set Basic Instrument Set Mayor Surgical Set Minor Surgical Set

503020 503120 504020 504120 600200 600500 600510 600700 600710 Various Various Various Various Various Various Various

Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany Medifa-Germany SHM-Germany SHM-Germany SHM-Germany SHM-Germany SHM-Germany SHM-Germany SHM-Germany

Depkes RI AKL 1160403275 Depkes RI AKL 1160403275 Depkes RI AKL 1160403275 Depkes RI AKL 1160403275 Depkes RI AKL 11603403274 Depkes RI AKL 11603403274 Depkes RI AKL 11603403274 Depkes RI AKL 11603403274 Depkes RI AKL 11603403274 Depkes RI AKL 11603403485 Depkes RI AKL 11603403478 Depkes RI AKL 11303403476 Depkes RI AKL 11603403482 Depkes RI AKL 11603403483 Depkes RI AKL 11603403475 Depkes RI AKL

1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set

439,200,000 BETA MEDICAL 486,000,000 BETA MEDICAL 572,400,000 BETA MEDICAL 586,800,000 BETA MEDICAL 917,760,000 BETA MEDICAL 1,165,920,000 BETA MEDICAL 1,265,520,000 BETA MEDICAL 1,472,400,000 BETA MEDICAL 1,572,000,000 BETA MEDICAL 9,772,000 BETA MEDICAL 4,566,500 BETA MEDICAL 181,146,000 BETA MEDICAL 51,195,000 BETA MEDICAL 5,314,500 BETA MEDICAL 87,377,000 BETA MEDICAL 11,353,000 BETA MEDICAL

30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

Partus Instrument Set Embriotomy Set Vena Sectio Set Sectio Caicerian Set Kat Bedah Dasar Heacting Set Surgical & Diagnostic Microscope Surgical & Diagnostic Microscope Surgical & Diagnostic Microscope Surgical & Diagnostic Microscope Surgical & Diagnostic Microscope Colposcope Mini Colposcope Diagnostic Scanner Diagnostic Scanner

Various Various Various Various Various Various SOM12 SOM62/Manual-3Fold SOM62/Manual-8Fold

SHM-Germany SHM-Germany SHM-Germany SHM-Germany SHM-Germany SHM-Germany Karl Kaps-Germany Karl Kaps-Germany Karl Kaps-Germany

SOM62/Motorized-3Fold Karl Kaps-Germany SOM62/Motorized-8Fold Karl Kaps-Germany SOM52 KP3000 HS-2000 HS-4000 Karl Kaps-Germany Karl Kaps-Germany Honda-Japan Honda-Japan

11603403475 Depkes RI AKL 11104403480 Depkes RI AKL 11104403479 Depkes RI AKL 11603403486 Depkes RI AKL 11104403481 Depkes RI AKL 11603403488 Depkes RI AKL 11603403477 Depkes RI AKL 11603403282 Depkes RI AKL 11603403282 Depkes RI AKL 11603403282 Depkes RI AKL 11603403282 Depkes RI AKL 11603403282 Depkes RI AKL 21101403281 Depkes RI AKL 21101403281 Depkes RI AKL 21102402931 Depkes RI AKL 21102402932

1 Set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit 1 Unit

8,560,000 BETA MEDICAL 17,604,500 BETA MEDICAL 11,930,000 BETA MEDICAL 108,199,000 BETA MEDICAL 77,761,000 BETA MEDICAL 4,242,500 BETA MEDICAL 1,677,600,000 BETA MEDICAL 352,344,000 BETA MEDICAL 407,208,000 BETA MEDICAL 580,896,000 BETA MEDICAL 631,440,000 BETA MEDICAL 384,000,000 BETA MEDICAL 264,000,000 BETA MEDICAL 250,000,000 BETA MEDICAL 420,000,000 BETA MEDICAL

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN EFECTIVE : TAHUN 2005


NO. URUT MODEL/ TYPE NEGARA ASAL / PABRIKAN NO. REGISTRASI SATUAN DEPKES RI HJSA ( Rp. )

NAMA PERALATAN KESEHATAN

MERK

SOLE AGENT

I. 1 2 3 4

PERALATAN BEDAH OPERATIVE LAPARASCOPY FOR SURGERY ELECTRONIC CO2 ENDOFLATOR HIGH FLOW INSUFFLATION 20 L/MIN. LAPAROMAT SUCTION & IRRIGATION UNIT FOR LAPARASCOPY AUTOCON KARL STORZ KARL STORZ KARL STORZ KARL STORZ JERMAN JERMAN JERMAN JERMAN TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR 1 SET 1 SET 1 SET 1 SET Rp Rp Rp Rp 859,280,000.00 PT. MASTER DUTA 189,760,000.00 PT. MASTER DUTA 182,753,000.00 PT. MASTER DUTA 412,800,000.00 PT. MASTER DUTA

II. 1 2

PERALATAN KEBIDANAN OPERATIVE LAPARASCOPY FOR SURGERY & GYNAECOLOGY THERMOFLATOR WITH HIGH FLOW INSUFFLATION 30 L/MIN GAS PREHEATED 37C HAMOU ENDOMAT SUCTION & IRRIGATION UNIT FOR LAPARASCOPY & HYSTEROSCOPY ELECTROMECHANIC MORCELATOR & UNIDRIVE MOTOR SYSTEM FOR MYOMA HYSTEROSCOPY SET FOR DIAGNOSTIC & OPERATIVE WITH INTRA UTERINE RESECTION AUTOCON KARL STORZ KARL STORZ JERMAN JERMAN TERDAFTAR TERDAFTAR 1 SET 1 SET Rp Rp 880,900,000.00 PT. MASTER DUTA 241,161,000.00 PT. MASTER DUTA

KARL STORZ

JERMAN

TERDAFTAR

1 SET

Rp

258,000,000.00 PT. MASTER DUTA

4 5

KARL STORZ KARL STORZ

JERMAN JERMAN

TERDAFTAR TERDAFTAR

1 SET 1 SET

Rp Rp

201,680,000.00 PT. MASTER DUTA 384,440,000.00 PT. MASTER DUTA

KARL STORZ

JERMAN

TERDAFTAR

1 SET

Rp

412,800,000.00 PT. MASTER DUTA

III. 1 2 3 4 5 6 7

PERALATAN UROLOGY UROLOGY SET CYSTOSCOPY SET TUR U R S WITH LIHTOTRIPSY PERCUTANEOUS NEPROSTOMY WITH ULTRASONIC GENERATOR PEDIATRIC UROLOGY AUTOCON KARL STORZ KARL STORZ KARL STORZ KARL STORZ KARL STORZ KARL STORZ KARL STORZ JERMAN JERMAN JERMAN JERMAN JERMAN JERMAN JERMAN TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR 1 SET 1 SET 1 SET 1 SET 1 SET 1 SET 1 SET Rp Rp Rp Rp Rp Rp Rp 620,940,000.00 221,260,000.00 190,410,000.00 492,360,000.00 518,170,000.00 PT. MASTER DUTA PT. MASTER DUTA PT. MASTER DUTA PT. MASTER DUTA PT. MASTER DUTA

335,330,000.00 PT. MASTER DUTA 412,800,000.00 PT. MASTER DUTA

IV. 1 2 3 4 5 6 7

PERALATAN THT FUNCTIONAL ENDOSCOPIC SINUS SURGERY BRONCHOSCOPE FOR ADULT & PEDIATRIC ESOPHAGOSCOPE FOR ADULT & PEDIATRIC MICROSURGERY - KLEINSASER LARYNGOSCOPE FOR ADULT & PEDIATRIC ENT ENDOSCOPY FOR POLICLINIC WITH DX CAM ( NOSE, EAR & LARYNGOSCOPE ) ENT ENDOSCOPY FOR POLICLINIC WITH MEDIPACK FLEXIBLE NASO LARYNGO-PHARYNGOSCOPE KARL STORZ KARL STORZ KARL STORZ KARL STORZ KARL STORZ KARL STORZ KARL STORZ JERMAN JERMAN JERMAN JERMAN JERMAN JERMAN JERMAN TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR TERDAFTAR 1 SET 1 SET 1 SET 1 SET 1 SET 1 SET 1 SET Rp Rp Rp Rp Rp Rp Rp 427,000,000.00 472,280,000.00 455,170,000.00 338,650,000.00 PT. MASTER DUTA PT. MASTER DUTA PT. MASTER DUTA PT. MASTER DUTA

480,070,000.00 PT. MASTER DUTA 636,780,000.00 PT. MASTER DUTA 665,800,000.00 PT. MASTER DUTA

IV. 1 2

PERALATAN NEUROLOGY ENDOSCOPY FOR NEUROLOGY ENDOSPINE SET FOR THE ENDOSCOPICALLY ASSISTED TREATMENT OF LUMBAR DISK KARL STORZ KARL STORZ JERMAN JERMAN TERDAFTAR TERDAFTAR 1 SET 1 SET Rp Rp 769,040,000.00 PT. MASTER DUTA 743,400,000.00 PT. MASTER DUTA

V. 1 2 3

PERALATAN ORTHOPAEDIC ARTHROSCOPY SET SHOULDER ARTHROSCOPY ANTERIOR CRUCIATE LIGAMENT (ACL) KARL STORZ KARL STORZ KARL STORZ JERMAN JERMAN JERMAN TERDAFTAR TERDAFTAR TERDAFTAR 1 SET 1 SET 1 SET Rp 1,485,550,000.00 PT. MASTER DUTA Rp 353,241,000.00 PT. MASTER DUTA Rp 382,980,000.00 PT. MASTER DUTA

Jakarta, 26 September 2005 PT. MASTER DUTA

Dra. Surjany Kurniawan Direktris

Daftar Keagenan PT Andiarta Matra Utama

No

Nama Alat

Merk / Negara Asal

Type

No. Registrasi

Harga Sole Agent 51,144,000 106,575,000 199,247,000 205,402,000

1 Biphasic Defibrillator 2 DC Shock Monitor + printer 3 DC Shock (Monitor + printer + ECG + SPO2 + Pacemaker) 4 DC Shock (Manual + Biphasic) (monitor + Recorder + SPO 2 + ECG+ Pacemaker) 5 ECT Monitor + printer (4 variabel) 6 ECT Monitor + printer (1 variabel) 7 ECT (4 variabel) 8 Dental unit + Chair 9 Laparoscope 10 11 12 13 Patient monitor (ECG, SPO2, NIBP, Temp, HR, Printer) Pulse Oximetry Central Monitor

Reanibex-Spain Reanibex-Spain Reanibex-Spain Reanibex-Spain

Reanibex-1 Reanibex 5 Reanibex 5 Reanibex 700

Dalam Proses Dalam Proses Dalam Proses Dalam Proses

MECTA - USA MECTA - USA MECTA - USA Mediprogress-Slovakia ILO Elektronik -GMBH Digicare - USA Digicare - USA Digicare - USA Danatech - USA Danatech - USA Hersill - Spain Hersill - Spain Hersill - Spain Hersill - Spain Hersill - Spain Nikisso-Japan Nikisso-Japan Accutronic-Swiss Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA

Model 5000Q Model 5000M Model 4000Q Chiradent Various LW 6000 PO 930 DS 820 DMS 100 SE 501E Regina Regina Eurovac H 40 Eurovac L 10i Oxyvac R 3000 PFA 06 PSK 01 Fabian Various Various Various Various Various Various Various Various Various Various

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

294,000,000 245,000,000 159,250,000 152,268,000 444,063,000 134,750,000 33,075,000 242,550,000 137,690,000 68,600,000 338,713,000 491,838,000 27,563,000 19,110,000 41,206,000 42,875,000 38,710,000 441,459,000 20,419,000 9,398,000 50,860,000 62,777,000 78,409,000 39,681,000 35,288,000 11,364,000 27,242,000 42,581,000

14 USG Portable + Probe connector + Printer 15 Electro Counter 300 Watt 16 Anaesthesia Machine 2 Vaporizer+ Ventilator 17 Anaesthesia Machine 2 Vaporizer+ Ventilator Electronic 18 Suction Pump 2 Bottle 19 Thorax Pump 20 Emergency Kit 21 Infusion Pump 22 Syringe Pump 23 ICU Ventilator for Pediatric 24 25 26 27 28 29 30 31 32 33 Appendictomy Set Bandage Set Basic Eye Set Basic Obgyn Set Cataract Set Circumsisi Set Dillatation & Curretage Set Sectio Caesarean Hysterectomy Set Embryotomy Set

Page 1

No

Nama Alat

Merk / Negara Asal

Type

No. Registrasi

Harga Sole Agent 70,209,000 31,941,000 95,012,000 2,879,000 32,698,000 16,053,000 3,559,000 63,700,000 29,400,000 58,800,000 24,500,000 30,625,000 51,450,000 56,350,000

34 35 36 37 38 39 40 41 42 43 44 45 46 47

Mayor Basic Instrument Set Minor Basic Instrument Set Nasal Set Partus Set Tonsilectomy Set Tracheotomy Set Vena Sectio Set Basic Orthopedic Set Laparotomy Set Nephrectomy Set Herniotomy Set Infant laparotomy Set Gynecology Surgery Set Mastectomy Set

Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA Sklar/USA

Various Various Various Various Various Various Various Various Various Various Various Various Various Various

Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses Dalam Proses

Page 2

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 NAMA BARANG / PRODUK USG FOR GENERAL ABDOMINAL & OBSGYN, PORTABLE USG FOR GENERAL ABDOMINAL & OBSGYN W/ STAND, PORTABLE USG FOR UROLOGY (PROSTATE) WITH STAND, PORTABLE Transd 5.5/7.0/8.0 Mhz for Pediatric, Small Part, Intraoperative Transd Endovaginal 5.0/6.5/7.5 MHz for Transvaginal TRANDUSCER 6.0 / 8.0 / 10.0 MHz FOR ENDO RECTAL USG CONSOLE ONLY ( WITHOUT TRANSDUCER ) USG CONSOLE FOR GENERAL ABDOMINAL & OBSGYN USG CONSOLE FOR UROLOGY ( PROSTATE ) USG CONSOLE FOR CARDIAC USG CONSOLE FOR INTRAOPERATIVE USG CONSOLE ONLY (WITHOUT TRANSDUCER), COLOR USG CONSOLE FOR GENERAL ABDOMINAL & OBSGYN, COLOR USG CONSOLE FOR UROLOGY (PROSTATE), COLOR USG CONSOLE FOR CARDIAC, COLOR USG CONSOLE FOR INTRAOPERATIVE, COLOR USG CONSOLE ONLY (WITHOUT TRANSDUCER), COLOR USG CONSOLE FOR GENERAL ABDOMINAL & OBSGYN, COLOR USG CONSOLE FOR UROLOGY ( PROSTATE ) COLOR USG CONSOLE FOR CARDIAC, COLOR USG CONSOLE FOR INTRAOPERATIVE, COLOR Transd. Endo, MFI 6/7.5/10MHz, Transd Transrectal Multiplane, MFI 6/7.5/10 MHz Transd. Laparoscopic , MFI 5/6.5/7.5 MHz Transd. Transrectal Biplane , MFI 5/6.5/7.5 MHz TRAND. INTRAOPERATIVE T-PROBE, MFI 5/6.5/7.5 MHz TRAND END-FIRE VAGINAL, MFI 5/6.5/7.5 MHz TRAND NEURO SURGICAL, MFI 5/6.5/8 MHz TRAND. BURR HOLE, MFI 5/6.5/7.5 MHz TRANDUSCER CONVEX, MFI 2.7 / 3.5 / 5 MHz TRAND OBSTETRIC 3RD TRIMESTER CONVEX, MFI 2.5/3.5/5 MHz TRAND FETAL CONVEX, MFI 4.3/5/6 MHz TRAND INTERCOSTAL CONVEX, MFI 3.5/4.3/5.0 MHz TRAND LINEAR SMALL PART, BREAST & VASCULAR, MFI 5/6.5/8 MHz SMALL PART, BREAST & VASCULAR LINEAR TRANSD., MFI 8/10/12 MHZ CONVEX CARDIAC TRANSD., MFI L3DI-2100 COLOR WITH MOVER CONTROL CYTOLOGICAL NEEDLE KIT FOR 8566/8666 TRANDUSCER MERK & NEGARA ASAL BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK TYPE MERLIN 1101-1 MERLIN 1101-1 MERLIN 1101-1 8560 8561 8567 FALCON 2101-1 EXL FALCON 2101-1 EXL FALCON 2101-1 EXL FALCON 2101-1 EXL FALCON 2101-1 EXL HAWK 2102 - 6 EXL HAWK 2102 - 6 EXL HAWK 2102 - 6 EXL HAWK 2102 - 6 EXL HAWK 2102 - 6 EXL HAWK 2102-7 EXL HAWK 2102-7 EXL HAWK 2102-7 EXL HAWK 2102-7 EXL HAWK 2102-7 EXL 8538 8551 8655 8658 8659 8661 8662 8663 8665 8801 8802 8803 8804 8805 8807 6502-C2 UA0033 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 21501303138 AKL 21501303138 AKL 21501303138 AKL 21501303138 AKL 21501303138 AKL 21501303137 AKL 21501303137 AKL 21501303137 AKL 21501303137 AKL 21501303137 AKL 21501303137 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501200621 AKL 21501200621 AKL 21501200621 AKL 21501200621 AKL 21501200621 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 579,425,000.00 596,209,000.00 662,862,000.00 289,802,000.00 212,895,000.00 289,802,000.00 743,480,000.00 956,375,000.00 1,033,282,000.00 1,033,282,000.00 1,033,282,000.00 1,771,727,000.00 1,984,622,000.00 2,061,530,000.00 2,061,530,000.00 2,061,530,000.00 2,069,239,000.00 2,282,134,000.00 2,359,041,000.00 2,359,041,000.00 2,359,041,000.00 212,885,000.00 212,885,000.00 630,858,000.00 630,858,000.00 289,788,000.00 212,885,000.00 289,788,000.00 289,788,000.00 212,885,000.00 289,788,000.00 289,788,000.00 289,788,000.00 289,788,000.00 325,284,000.00 289,788,000.00 1,512,118,000.00 28,191,000.00

DOC/PT. PPH/200905

Page 1 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 NAMA BARANG / PRODUK HISTOLOGICAL BIOPSY NEEDLE KIT, 19 GAUGE HISTOLOGICAL BIOPSY NEEDLE KIT 20 GAUGE ENDO CAVITY ROTATIONAL MOVER (ECRM) PUNCTURE ATTACHMENT FOR 8537/8538 PUNCTURE ATTACHMENT PUNCTURE ATTACHMENT, DIAM. 0.6 - 2.0 MM. LIGHTPEN KIT FOR SYSTEM SERIES 2100 PUNCTURE ATTACHMENT DIAM 1.2 - 3.6 MM. PUNCTURE ATTACHMENT FOR 8557/8657 TRANDUSCER PUNCTURE GUIDE FOR 8560/8660 TRANDUSCER PUNCTURE ATTACHMENT FOR 8561/8661 TRANDUSCER PUNCTURE ATTACHMENT FOR 8562/8662 TRANDUSCER PUNCTURE ATTACHMENTFOR 8563/8663 TRANDUSCER PUNCTURE ATTACHMENT FOR 8802/8803 TRANDUSCER PUNCTURE ATTACHMENT FOR 8804/8805 TRANDUSCER PUNCTURE ATTACHMENTFOR. 8567/8667 TRANDUSCER PUNCTURE ATTACHMENT 22,0 mm. FOR 85/8808 TRANDUSCER NEEDLE GUIDE ATTACHMENT EEG 32 CHANNELS LAPTOP MODEL EEG 32 CHANNELS CONSOLE MODEL EEG 32 CHANNELS WITH SLEEP ANALYSIS BRAINMAPPING AMBULATORY EEG EMG W/ EVOKED POTENTIAL (EP) 2 CH., CONSOLE MODEL EMG W/ EVOKED POTENTIAL (EP) 2 CH., LAPTOP MODEL EMG W/ EVOKED POTENTIAL (EP) 4 CH., CONSOLE MODEL EMG W/ EVOKED POTENTIAL (EP) 4 CH., LAPTOP MODEL ECG SINGLE CHANNEL W/ INTERPRETIVE ECG SINGLE CHANNEL W/ INTERPRETIVE FOR PEDIATRIC ECG 3/6 CHANNELS STD. MODEL ECG 3/6 CHANNELS STD. MODEL FOR PEDIATRIC ECG 3/6 CHANNELS W/ INTERPRETIVE ECG 3/6 CHANNELS W/ INTERPRETIVE FOR PEDIATRIC ECG 6 CH. FULL ALPHANUMERIC KEYBOARD ECG 6 CH. FULL ALPHANUMERIC KEYBOARD FOR PEDIATRIC ECG 6 CH. FULL ALPHANUMERIC KEYBOARD W/ INTERPRETIVE ECG 6 CH. FULL ALPHANUMERIC KEYBOARD W/ INTERPRETIVE FOR PEDIATRIC AgCl LIMB ELECTRODE WITHOUT STRAP (MIN. ORDER 4 PCS) MERK & NEGARA ASAL BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK BK MEDICAL - DENMARK CADWELL - USA CADWELL - USA CADWELL - USA CADWELL - USA CADWELL - USA CADWELL - USA CADWELL - USA CADWELL - USA CADWELL - USA CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY TYPE UA0034 UA0035 UA0550 UA0875 UA0935 UA0940 UA1209 UA1217 UA1231 UA1239 UA1242 UA1243 UA1244 UA1250 UA1251 UA1256 UA1257 UC5299 EASY II LT EASY II CONSOLE EASY II SLEEP EASY II + SPIKE + MAPPING EASY AMBULATORY SIERRA II CONSOLE SIERRA II WEDGE SIERRA II CONSOLE SIERRA II WEDGE DELTA 1 PLUS I DELTA 1 PLUS I DELTA 3/6 PLUS DELTA 3/6 PLUS DELTA 3/6 PLUS I DELTA 3/6 PLUS I DELTA 60 PLUS DELTA 60 PLUS DELTA 60 PLUS I DELTA 60 PLUS I 873 - 3405 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT PC NO. REGISTRASI AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21501303136 AKL 21001300222 AKL 21001300222 AKL 21001300222 AKL 21001300222 DALAM PROSES AKL 21401300152 AKL 21401300152 AKL 21401300152 AKL 21401300152 AKL 20502300577 AKL 20502300577 AKL 20502300578 AKL 20502300578 AKL 20502300578 AKL 20502300578 AKL 20502300579 AKL 20502300579 AKL 20502300579 AKL 20502300579 DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 59,143,000.00 59,143,000.00 111,493,000.00 24,887,000.00 29,690,000.00 39,626,000.00 29,867,000.00 40,217,000.00 64,372,000.00 59,144,000.00 70,381,000.00 70,381,000.00 70,381,000.00 65,058,000.00 82,802,000.00 34,304,000.00 8,753,000.00 2,153,000.00 899,678,000.00 835,938,000.00 1,057,383,000.00 1,120,225,000.00 763,387,000.00 1,232,504,000.00 1,149,013,000.00 1,391,106,000.00 1,269,611,000.00 77,360,000.00 77,360,000.00 80,096,000.00 80,096,000.00 93,776,000.00 93,776,000.00 131,260,000.00 131,260,000.00 144,940,000.00 144,940,000.00 205,000.00

DOC/PT. PPH/200905

Page 2 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 NAMA BARANG / PRODUK AgCl SUCTION ELECTRODE ( MINIMUM ORDER 6 PCS ) ROLL OF THERMAL BLACK PAPER 60 x 30 ROLL OF THERMAL BLACK PAPER 210 x 30 Z-FOLD PACK OF THERMAL BLACK PAPER 60 X 300 / 1 Z-FOLD PACK OF THERMAL BLACK PAPER110 x 300 / 1 Z-FOLD PACK OF THERMAL BLACK PAPER 210 x 200 / 1 DELTAVIS-THREE CHANNELS ECG LCD MONITOR INTERFACE BOARD A/D ECT STRESS TEST SYSTEM WITH TREADMILL ELECTROCARDIOGRAPH 12 CHANNELS WITH 6 CHS LCD DISPLAY ECG 12 CH W/ INTERPRETIVE & 6 CHS LCD DISPLAY HOLTER SYSTEM W/ ARRYTHMIA, ST HRV IN TIME HOLTER SYSTEM W/ ARRYTHMIA, ST HRV IN TIME AND FREQ. TREADMILL CARDIOTREAD COMBINED HOLTER AND STRESS TESTING SYSTEM STEAM STERILIZER, DUAL TEMPERATURE 12 L STEAM STERILIZER, DUAL TEMPERATURE 18 L STEAM STERILIZER, MULTICONTROL 12 L STEAM STERILIZER, MULTICONTROL 18 L COMPUTERIZED SPIROMETER COMPUTERIZED SPIROMETRTY WITH RESIDUAL CAPACITY TESTING WITH O2 PARAMAGNETIC COMPUTERIZED SPIROMETRY WITH LUNG DIFUSSING CAPACITY TESTING COMPUTERIZED SPIROMETRY WITH RESIDUAL CAPACITY AND DIFUSSING CAPACITY WITH O2 PARAMAGNETIC CARDIOPULMONARY STRESS TEST WITH ERGOMETER CARDIOPULMONARY STRESS TEST W/ O2 PARAMAGNETIC & ERGOMETER CARDIOPULMONARY STRESS TEST W/ TREADMILL & TELEMETRI ECG CARDIOPULMONARY STRESS TEST WITH TREADMILL PORTABLE SPIROMETER MOBILE EXAMINATION LAMP, FIXFOCUS, RA=96 MOBILE EXAMINATION LAMP, FOCUSABLE, RA=93 MOBILE OPERATING LAMP 3 LAMP FOCUSABLE, BATTERY & CHARGER MOBILE OPERATING LAMP 3 LAMP DUA FOCUS, BATTERY & CHARGER OPERATING LAMP 3 FOCUSABLE OPERATING LAMP 3 LAMP DUO FOCUS SYSTEM OPERATING LAMP 4 LAMP FOCUSABLE OPERATING LAMP 4 LAMP DUO FOCUS SYSTEM MERK & NEGARA ASAL CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CARDIOLINE - ITALY CERTOCLAV - AUSTRIA CERTOCLAV - AUSTRIA CERTOCLAV - AUSTRIA CERTOCLAV - AUSTRIA COSMED - ITALY COSMED - ITALY COSMED - ITALY COSMED - ITALY COSMED - ITALY COSMED - ITALY COSMED - ITALY COSMED - ITALY COSMED - ITALY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY TYPE 873 - 3406 874 - 3560 874 - 3556 874 - 5558 874 - 5554 874 - 5556 888 - 0409 888 - 9304 PRIMA STRESS TEST ELAN ELAN CP/I PRIMA HOLTER PRIMA HOLTER TOP CARDIOTREAD COMBINE SYSTEM CV-EL 12L GS CV-EL 18L GS MULTICONTROL 12 L MULTICONTROL 18 L QUARK PFT 1 INT QUARK PFT 2 QUARK PFT 3 QUARK PFT 4 QUARK C 12 QUARK C 12 QUARK b2 INT QUARK b2 INT PONY FX MACH 115WSF MACH 120 F M3F M3DF MACH M3F MACH M3DF MACH 400F MACH 400DF SATUAN PC PACKAGE PACKAGE PACKAGE PACKAGE PACKAGE UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 20502300556 DALAM PROSES DALAM PROSES AKL 20903300581 AKL 20903300581 AKL 20903300582 AKL 20903300582 AKL 20401200618 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 20502304339 AKL 20502304339 DALAM PROSES AKL 10903300160 AKL 10903300160 AKL 21603300157 AKL 21603300157 AKL 21603300157 AKL 21603300157 AKL 21603300153 AKL 21603300153 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 356,000.00 96,000.00 342,000.00 123,000.00 233,000.00 739,000.00 23,256,000.00 4,104,000.00 895,000,000.00 189,550,000.00 206,650,000.00 697,680,000.00 875,520,000.00 349,866,000.00 684,000,000.00 49,445,000.00 68,816,000.00 100,006,000.00 113,221,000.00 357,718,000.00 893,000,000.00

Rp. 819,634,000.00 Rp. 1,235,971,000.00 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. 1,341,057,000.00 1,494,957,000.00 2,309,789,000.00 1,806,502,000.00 166,554,000.00 28,536,000.00 49,316,000.00 337,027,000.00 358,047,000.00 250,258,000.00 271,325,000.00 332,085,000.00 363,015,000.00

DOC/PT. PPH/200905

Page 3 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 NAMA BARANG / PRODUK OPERATING LAMP 4 LAMP AUTO FOCUS SYSTEM OPERATING LAMP 5 LAMP FOCUSABLE OPERATING LAMP 5 LAMP DUO FOCUS SYSTEM OPERATING LAMP 5 LAMP AUTO FOCUS SYSTEM OPERATING LAMP 7 LAMP FOCUSABLE OPERATING LAMP 7 LAMP DUO FOCUS SYSTEM OPERATING LAMP 7 LAMP AUTO FOCUS SYSTEM OPERATING LAMP 7 DUO FOCUS LAMP - 5 FOCUS LAMP OPERATING LAMP 7 DUO FOCUS LAMP - 4 FOCUS LAMP OPERATING LAMP 7 DUO FOCUS LAMP - 3 FOCUS LAMP OPERATING LAMP 5 DUO FOCUS LAMP - 5 FOCUS LAMP OPERATING LAMP 5 DUO FOCUS LAMP - 4 FOCUS LAMP OPERATING LAMP 5 DUO FOCUS LAMP - 3 FOCUS LAMP OPERATING LAMP 4 DUO FOCUS LAMP - 4 FOCUS LAMP OPERATING LAMP 4 DUO FOCUS LAMP - 3 FOCUS LAMP OPERATING LAMP 3 DUO FOCUS LAMP -3 FOCUS LAMP OPERATING LAMP 3 DUO FOCUS LAMP - 1 FOCUS LAMP ABDOMINAL GYNECOLOGICAL SURGERY SET ABDOMINAL HYSTERECTOMY INSTRUMENT SET ABDOMINAL SURGERY INSTURMENT SET ABDOMINOPERINEAL RESECTION SET ADENOIDECTOMY INSTRUMENT SET AMPUTATION SET AMPUTATION SET, DIGITAL ANALPLASTY SET ANESTOPHON STETHOSCOPE ANTERIOR & POSTERIOR COLPORRHAPHY SET APPENDECTOMY INSTRUMENT SET ARCH BAR APPLICATION SET ARTHROSCOPIE-INSTRUM. SET ARTHROTOMY - MENISCOTOMY SET AURAL POLYPECTOMY SET BABY DUPLEX STETHOSCOPE BABY LAMINECTOMY INSTRUMENT SET BANDAGE INSTRUMENT SET BARTHOLIN CYST EXCISION SET BLEPHAROPLASTY SET, BASIC BLOOD EXCHANGE TRAY MERK & NEGARA ASAL DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY DR. MACH - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY TYPE MACH 400AF MACH 500F MACH 500DF MACH 500AF MACH 700F MACH 700DF MACH 700AF MACH-700 DF + MACH 500F MACH-700 DF + MACH 400F MACH-700 DF + MACH 380F MACH-500 DF + MACH 500F MACH-500 DF + MACH 400 F MACH-500 DF + MACH 380 F MACH 400 DF + MACH 400 F MACH 400 DF + MACH 380 F MACH 380 DF + MACH 380 F MACH 380 DF + MACH 130 F 598-5030 592-302 590-740 598-1130 593-702 598-4070 598-4120 598-2070 511-4173 598-5260 590-780 598-6540 598-4042 598-4040 593-150 511-4126 598-3512 155-170 598-5180 598-7010 598-1190 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300153 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 HARGA Rp. 438,139,000.00 Rp. 367,995,000.00 Rp. 410,847,000.00 Rp. 485,971,000.00 Rp. 604,570,000.00 Rp. 656,855,000.00 Rp. 728,675,000.00 Rp. 1,080,294,000.00 Rp. 1,039,357,000.00 Rp. 996,552,000.00 Rp. 856,742,000.00 Rp. 815,805,000.00 Rp. 773,000,000.00 Rp. 767,686,000.00 Rp. 724,881,000.00 Rp. 674,894,000.00 Rp. 529,626,000.00 Rp. 32,969,000.00 Rp. 51,344,000.00 Rp. 92,496,000.00 Rp. 29,549,000.00 Rp. 89,558,000.00 Rp. 9,952,000.00 Rp. 26,266,000.00 Rp. 34,097,000.00 Rp. 854,000.00 Rp. 59,782,000.00 Rp. 37,639,000.00 Rp. 8,140,000.00 Rp. 80,746,000.00 Rp. 38,270,000.00 Rp. 6,858,000.00 Rp. 1,339,000.00 Rp. 42,305,000.00 Rp. 3,721,000.00 Rp. 19,186,000.00 Rp. 18,536,000.00 Rp. 4,446,000.00

DOC/PT. PPH/200905

Page 4 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 NAMA BARANG / PRODUK BONE MARROW INSTRUMENT SET CALDWELL CLINIC INSTRUMENT SET CARDIOVASCULAR BABY SET CARDIOVASCULAR INSTRUMENT SET BASIC CATARACT INSTRUMENT SET CERVICAL BIOPSY SET CERVIX CAUTERIZATION SET CHALAZION INSTRUMENT SET CIRCUMCISSION SET - NEWBORN CIRCUMCISSION, INFANT CIRCUMCISSION-ADULTS INSTRUMENT SET CLEFT PALATE REPAIR SET COLPOTOMY SET COMEDO EXTRACTOR SET CORNEAL TRANSPLANT SET CRANIOTOMY INSTRUMENT SET CUT DOWN SET CYSTECTOMY SET CYSTOLITHOTOMY SET CYSTOTOMY AND CYSTOSTOMY SET DCR (DACRYOCYSTORHINOSTOMY) SET DILATATION AND CURETTAGE INSTRUMENT SET DRESSING INSTRUMENT SET DUPLEX STETHOSCOPE EAR FOREIGN BODY REMOVAL SET EAR SURGERY INSTRUMENT SET ELECTRIC HAND MOTOR 220 V W QUICK COUPL EMBRIOTOMY INSTRUMENT SET EMERGENCY SURGERY INSTRUMENT SET EMERGENCY TRACHEOSTOMY INSTRUMENT SET ENT BASIC INSTRUMENT SET ENT DIAGNOSTIC FIRST TREATMENT SET ENT EXAMINATION SET ENT SURGICAL INSTRUMENT SET ENUCLEATION (EVISCERATION) SET EPISIOTOMY & LACERATION REPAIR SET EPISPADIAS REPAIR SET EXCISION OF SKIN GROWTH SET MERK & NEGARA ASAL ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY TYPE 598-234 593-310 598-3010 590-450 596-240 598-5160 598-5170 596-140 598-2580 590-992 590-996 593-380 598-5280 592-920 598-7070 598-3520 598-100 598-2350 598-2370 598-2360 598-7150 592-210 590-290 511-4106 598-6040 593-102 593-102 592-070 598-1030 593-802 593-002 593-010 598-6010 598-6000 598-7120 598-5420 598-2590 598-1070 SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 20,075,000.00 43,918,000.00 78,831,000.00 287,357,000.00 76,068,000.00 11,183,000.00 8,242,000.00 93,339,000.00 21,614,000.00 7,445,000.00 11,399,000.00 36,183,000.00 16,177,000.00 4,529,000.00 86,902,000.00 162,484,000.00 6,700,000.00 66,998,000.00 8,755,000.00 27,941,000.00 81,430,000.00 21,033,000.00 4,898,000.00 1,482,000.00 3,796,000.00 176,257,000.00 170,998,000.00 15,368,000.00 17,408,000.00 34,357,000.00 77,824,000.00 42,172,000.00 11,662,000.00 176,540,000.00 28,283,000.00 15,835,000.00 25,650,000.00 19,904,000.00

DOC/PT. PPH/200905

Page 5 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 NAMA BARANG / PRODUK EXCISION SET EXPLORATION SET EYE SURGERY SET, BASIC EYELIDS & CONJUNCTIVA SET EYE-MUSCLE SET FINE NEEDLES BIOPSY SET FISTULECTOMY SET FORCEPS DELIVERY SET FOREIGN BODY REMOVAL SET FUNCTIONAL ENDOSCOPY SINUS SURGERY GALL BLADDER & BILE DUCT SET GALL BLADDER INSTRUMENT SET GASTRO-INTESTINAL INSTRUMENT SET GLAUCOMA INSTRUMENT SET GROIN LYMPHADENECTOMY SET GYNAECOLOGICAL WARD TREATMENT SET GYNAECOLOGY EXAMINATION SET GYNECOLOGY / OBSTETRICS SET HAEMORROID INSTRUMENT SET HAND SURGERY INSTRUMENT SET HAND TENDON REPAIR SET HEAD LAMP HEMORRHOIDECTOMY SET HERNIA SET, CHILD HERNIA SET, INFANT HERNIOTOMY INSTRUMENT SET HUDSON HAND DRILL 25.5 CM WITH SCREW HYDROCEPHALUS SHUNT OPERATIONS SET HYMENECTOMY SET HYSTERECTOMY INSTRUMENT SET INCISION & DRAINAGE SET INCISION AND DRAINAGE OF ABSCESS SET INSTRUMENT SET IN CASE BASIC INSTRUMENT SET, PEDIATRIC BASIC GENERAL PAEDIATRIC SURGERY INSTRUMENT SET INSTRUMENT SPLINTER SET INTESTINAL INSTRUMENT SET INTRA-CAPSULAR SET, BASIC MERK & NEGARA ASAL ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY TYPE 598-140 598-400E 598-7000 598-7020 598-7110 VARIOUS 598-2050 VARIOUS 598-1080 441-650 598-1140 590-802 590-700 596-250 598-5150 598-5020 592-602 598-5050 591-030 595-102 598-4130 100-420 598-2040 590-792 590-794 590-790 340-505 598-3570 598-5080 592-302 598-1180 598-1060 155-100 590-300 590-302 598-400B 590-730 598-7060 SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 4,036,000.00 4,754,000.00 32,524,000.00 79,139,000.00 33,619,000.00 7,562,000.00 6,703,000.00 57,100,000.00 35,739,000.00 363,029,000.00 36,799,000.00 47,243,000.00 250,680,000.00 40,840,000.00 29,515,000.00 18,468,000.00 6,230,000.00 90,117,000.00 43,395,000.00 106,062,000.00 63,680,000.00 12,415,000.00 26,231,000.00 35,574,000.00 39,298,000.00 43,417,000.00 6,019,000.00 68,126,000.00 10,363,000.00 45,851,000.00 16,690,000.00 8,447,000.00 6,704,000.00 184,895,000.00 41,585,000.00 787,000.00 74,698,000.00 60,876,000.00

DOC/PT. PPH/200905

Page 6 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 NAMA BARANG / PRODUK IRIDECTOMY INSTRUMENT SET IRIDECTOMY SET, BASIC ISCHIORECTAL ABCESS SET KERATOPLASTY INSTRUMENT SET KIDNEY INSTRUMENT SET BASIC KIDNEY TRANSPLANT SET FOR THE DONOR PROCEDURE KIDNEY TRANSPLANT SET FOR THE RECIPIENT PROCEDURE KUENTSCHER NAIL SET LACERATION SET LACRIMAL SET LAMINECTOMY INSTRUMENT SET LAPARATOMY INSTRUMENT SET FOR ADULT LAPARATOMY INSTRUMENT SET FOR CHILD LAPARATOMY INSTRUMENT SET FOR INFANT LAPARATOMY OBS/GYN INSTRUMENT SET LARGE BONE SET LARGE SUTURE INSTRUMENT SET LARYNGECTOMY SET LARYNGOFISSURE SET LIVER PUNCTURE SET LIVER/PLEURAL BIOPSY SET LUMBAL PUNCTION INSTRUMENT SET MAJOR BASIC SURGICAL INSTRUMENT SET MAJOR RECTAL INSTRUMENT SET MAJOR VAGINAL REPAIR SET MANDIBLE OSTECTOMY SET MASTOIDECTOMY INSTRUMENT SET MEATOTOMY SET MICRO CURETTAGE MICROSURGERY INSTRUMENT SET MINOR BASIC INSTRUMENT SET MINOR EAR SET MISCELLANEOUS ORTHOPAEDIC SET MYRINGOTOMY FOREIGN BODIES SET NASAL SEPTUM (NASAL MAXILARY) INSTRUMENT SET NEONATAL CHEST TUBE SET NEPHRECTOMY/UROLOGY INSTRUMENT SET NEPHRO, NEPHROS, NEPHROLITHO PYELO & PYELOS TOMY SET MERK & NEGARA ASAL ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY TYPE 596-100 598-7050 598-2060 596-300 590-904 598-2320 598-2330 598-4160 598-6560 598-7040 597-000 VARIOUS VARIOUS 590-754 590-766 598-4010 155-134 598-6120 598-6130 VARIOUS VARIOUS 597-092 590-110 598-2000 598-5190 598-6530 593-122 598-2540 VARIOUS 590-496 590-210A 593-104 598-4080 598-6020 598-6052 598-3030 590-900 598-2310 SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 79,295,000.00 60,739,000.00 7,114,000.00 82,365,000.00 53,198,000.00 39,467,000.00 93,845,000.00 169,666,000.00 3,181,000.00 28,420,000.00 272,139,000.00 66,855,000.00 52,111,000.00 40,844,000.00 63,378,000.00 107,422,000.00 8,363,000.00 68,605,000.00 7,627,000.00 48,308,000.00 37,496,000.00 2,483,000.00 55,900,000.00 37,586,000.00 20,144,000.00 18,913,000.00 79,171,000.00 19,528,000.00 8,186,000.00 86,361,000.00 18,261,000.00 24,290,000.00 27,428,000.00 6,156,000.00 95,280,000.00 3,249,000.00 152,677,000.00 12,107,000.00

DOC/PT. PPH/200905

Page 7 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 NAMA BARANG / PRODUK NEUROSURGICAL INSTRUMENT SET BASIC NEUROSURGICAL INSTRUMENT SET BASIC, BABY NEW BORN WARD INSTRUMENT SET NORMAL DELIVERY SET OBSTETRIC DIAGNOSTIC KIT OBSTETRICAL INSTRUMENT SET OOPHORECTOMY & OOPHOROCYSTECTOMY SET OPTHALMIC INSTRUMENT SET BASIC ORCHIECTOMY SET ORTHOPAEDIC INSTRUMENT SET BASIC OSCILLATING ELECTRIC SAW 220 V OVARIAN CYSTOTECTOMY INSTRUMENT SET PALATOPLASTY (CLEFT PALATE) SET PANCREATECTOMY & SPLENECTOMY SET PANCREATODUODENECTOMY SET PARAMETRIAL FIXATION SET PARTUS INSTRUMENT SET PELVIC SET PERINEAL PLASTIC SET PERINEAL PROSTATECTOMY SET PILONIDAL CYST EXCISION SET PINARD STETHOSCOPE (MADE OF ALUMINIUM), 15 cm PINARD-WINTER STETHOSCOPE (MADE OF WOOD), 18 cm PLASTER CAST REMOVAL SET PLASTIC RECONSTRUCTION SET PLASTIC REPAIR INSTRUMENT SET PLASTIC SURGERY INSTRUMENT SET PLEURAL PUNCTURE SET POLYCLINIC INSTRUMENT SET POLYPECTOMY SET POSTERIOR PROCTOTOMY INSTRUMENT SET PTERIGIUM INSTRUMENT SET PYELOPLASTY, URETEROPLASTY SET RADICAL MASTECTOMY SET RADICAL VULVECTOMY SET RANEY CLIP APPLYING FORCEPS 16 CM RECTAL INSTRUMENT SET BASIC RECTAL SPECULA SET MERK & NEGARA ASAL ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY TYPE 597-004 598-3502 592-092 598-5410 591-020 598-5400 598-5040 596-020 598-2550 594-100 400-450 592-660 592-660 598-1150 598-1160 598-5270 592-042 598-5250 598-5090 598-2530 598-2020 100-200 100-206 594-000 598-6510 598-1040 VARIOUS 591-910 155-180 593-312 598-2074 596-390 598-2340 598-1210 598-5140 341-300 591-010 598-2080 SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 302,864,000.00 183,483,000.00 9,623,000.00 35,636,000.00 2,276,000.00 40,424,000.00 10,363,000.00 41,243,000.00 4,720,000.00 124,214,000.00 31,526,000.00 38,030,000.00 33,824,000.00 51,745,000.00 81,738,000.00 23,701,000.00 7,325,000.00 46,273,000.00 22,504,000.00 47,196,000.00 4,138,000.00 245,000.00 297,000.00 33,802,000.00 31,361,000.00 32,866,000.00 72,514,000.00 24,453,000.00 4,341,000.00 14,010,000.00 20,965,000.00 30,047,000.00 19,426,000.00 49,522,000.00 26,710,000.00 2,257,000.00 38,916,000.00 28,010,000.00

DOC/PT. PPH/200905

Page 8 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 NAMA BARANG / PRODUK RETINAL DETACHMENT SET RHINOPLASTY INSTRUMENT SET SALPINGOSTOMY SET (FOR VAGINAL & ABDOMINAL PROCEDURES) SECTIO ALTA SECTIO CAESAREAN INSTRUMENT SET SELF RETAINING RETRACTOR SIMPLE MASTECTOMY SET SIMPLE VULVECTOMY SET SKIN GRAFT SET SKULL TRACTION SET SMALL BONE SET SMALL DRESSING SET SMALL INSTRUMENT INCISION SET SOFT TISSUE DISSECTING SET BASIC SOFT TISSUE INSTRUMENT SET FOR ORTHOPAEDIC SURGERY STANDARD BONE FORCEPS SET STEINMANN & KIRSCHNER PIN SET STEINMANN PINS & INTRAMEDULLARY PINS STOMACH OPERATION SET STRABISMUS INSTRUMENT SET SUBMUCOUS RESECTION SET SUPPLEMENTAL ORTHOPAEDIC INSTRUMENT SET SUPRA + RETROPUBIC PROSTATECTOMY INSTRUMET SET SUTURE REMOVAL SET SUTURING SET SYMPATHECTOMY SET TAYLOR REFLEX HAMMER, 20 cm TETRALOGY OF FALLOT SET THORACOTOMY INSTRUMENT SET THORACOTOMY SET - ADULT THORACOTOMY SET - PEDIATRIC THYROIDECTOMY MINOR DISSECTING SET TONSILECTOMY INSTRUMENT SET TRACHEOSTOMY SET FOR ADULTS TRACHEOSTOMY SET FOR CHILDREN TREPANATION INSTRUMENT SET TUBAL PLASTY SET TUNING FORK SET MERK & NEGARA ASAL ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON ELCON - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY - GERMANY TYPE 598-7090 593-340 598-5060 VARIOUS 592-100 VARIOUS 598-1200 598-5130 598-6550 598-3550 598-4020 598-400F 598-400D 594-130 598-4050 421-9840 598-4140 598-4150 598-1090 596-160 598-6060 598-4030 590-920 598-400A 598-120 598-3540 100-111 598-3020 590-412 598-3040 598-3000 598-1300 593-704 598-6141 598-6140 598-3530 598-5200 430-121 SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 44,631,000.00 69,849,000.00 13,030,000.00 50,132,000.00 31,183,000.00 31,349,000.00 41,895,000.00 47,606,000.00 43,879,000.00 17,989,000.00 96,649,000.00 10,226,000.00 3,078,000.00 23,603,000.00 54,139,000.00 29,246,000.00 44,768,000.00 98,120,000.00 42,818,000.00 39,554,000.00 38,099,000.00 52,565,000.00 61,618,000.00 9,815,000.00 3,112,000.00 41,382,000.00 271,000.00 65,014,000.00 153,670,000.00 86,116,000.00 121,478,000.00 201,506,000.00 136,068,000.00 27,497,000.00 27,292,000.00 80,458,000.00 16,484,000.00 12,889,000.00

DOC/PT. PPH/200905

Page 9 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 NAMA BARANG / PRODUK TYMPANOPLASTY INSTRUMENT SET URETEROLITHOTOMY SET URETEROTOMY AND URETEROSTOMY SET URETHRAL DILATION AND INTERNAL URETHROTOMY SET UROLOGY ADDITIONAL SET - STONES UTERINE EVACUATION SET VAGINAL CLOSURE SET VAGINAL CONSTRUCTION SET #1 (FOR SKIN GRAFT) VAGINAL CONSTRUCTION SET #II (FOR VAGINAL CONSTRUCTION) VAGINAL HYSTERECTOMY INSTRUMENT SET VAGINAL INSTRUMENT SET, BASIC VAGINAL SPECULA SET VAGINAL TOILET ( GYNAECOLOGICAL EXAMINATION ) SET VAGOTOMY SET VARICES OPERATING SET VASCULAR FORCEPS SET VASECTOMY SET VENA SECTIO SET IN METAL CASE VENTRICULOGRAPHY SET VESICOVAGINAL FISTULA REPAIR SET VITRECTOMY SET WIRE EXTENSION SET WIRE INSTRUMENT SET LABIOPLASTY INSTRUMENT SET ELECTRO THERAPY SYSTEM ULTRASOUND MEDI-LINK DUAL FREQUENCY ULTRASOUND MEDI-LINK DUAL FREQUENCY ULTRASOUND (MODULE ONLY) ULTRASOUND SOLO 1 MHZ., AC ULTRASOUND SOLO 1 MHZ., AC & BATTERY ULTRASOUND SOLO 3 MHZ., AC ULTRASOUND SOLO 3 MHZ., AC & BATTERY ULTRASOUND SOLO 1 & 3 MHZ., AC ULTRASOUND SOLO 1 & 3 MHZ., AC & BATTERY INTERFERENTIAL THERAPY UNIT MEDILINK INTERFERENTIAL THERAPY MEDILINK INTERFERENTIAL THERAPY (MODULE ONLY) INTERFERENTIAL THERAPY UNIT SOLO INTERFERENTIAL THERAPY UNIT SOLO MERK & NEGARA ASAL ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY ELCON - GERMANY EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND TYPE 593-140 598-2390 598-2380 598-2560 598-2500 598-5440 598-5120 598-5230 598-5240 592-402 598-5010 598-5300 598-5000 598-2030 598-4060 598-3120 598-2510 155-140 598-3560 598-5210 598-7140 598-400G 421-9810 VARIOUS THERASONIC 350-EMS-3501 ML 9110 ML 9110 (M) SOLO THERASONIC 3551 SOLO THERASONIC 3551 B SOLO THERASONIC 3553 SOLO THERASONIC 3553 B SOLO THERASONIC 455 SOLO THERASONIC 455 B EMS 950 ML-9410 ML-9410 (M) EMS 965 EMS 955 SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21603300363 AKL 21403300221 AKL 21403300221 AKL 21403300221 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 21403300221 AKL 21403300221 AKL 21403300221 DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 87,433,000.00 18,263,000.00 10,055,000.00 15,253,000.00 47,093,000.00 12,654,000.00 22,298,000.00 15,595,000.00 20,041,000.00 39,670,000.00 27,121,000.00 10,773,000.00 26,357,000.00 14,090,000.00 25,684,000.00 135,056,000.00 7,079,000.00 12,603,000.00 80,986,000.00 7,729,000.00 134,611,000.00 68,674,000.00 78,125,000.00 101,383,000.00 36,708,000.00 102,830,000.00 61,334,000.00 39,648,000.00 43,008,000.00 39,648,000.00 43,008,000.00 60,144,000.00 63,504,000.00 71,820,000.00 105,017,000.00 63,521,000.00 77,280,000.00 57,120,000.00

DOC/PT. PPH/200905

Page 10 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 NAMA BARANG / PRODUK SUCTION UNIT LASER UNIT MEDI-LINK LASER UNIT MEDI-LINK LASER UNIT (MODULE ONLY) MEDI-LINK STIMULATION THERAPY MEDI-LINK STIMULATION THERAPY (MODULE ONLY) MEDI-LINK MEDIWAVE STIMULATION MEDI-LINK MEDIWAVE STIMULATION (MODULE ONLY) STIMULATOR SINGLE CHANNEL STIMULATOR SINGLE CHANNEL WITH VAGINAL PROBE TENS UNIT DUAL-CHANNEL MEDI-LINK PULSED SHORTWAVE THERAPY MEDI-LINK PULSED SHORTWAVE THERAPY (MODULE ONLY) SHORTWAVE THERAPY CONTINUOUS AND PULSED SHORTWAVE THERAPY PULSED BIOFEEDBACK SYSTEM 1 CHANNEL EMG BIOFEEDBACK SYSTEM 1 CHANNEL EMG EMG BIOFEEDBACK DUAL-CHANNEL EMG BIOFEEDBACK DUAL-CHANNEL (MODULE ONLY) MEDI-LINK COMMUNICATION (MODULE ONLY) VARITHERM WAX BATH MARK III W/ALUMINIUM DUSTCOVER WAX PURIFICATION UNIT 200/240 VAC INFRARED LAMP SUPER 2 EMS HYDROPAK HEATER REUSABLE HOT / COLD PACK EASY ICE CUBER ICE MACHINE AUTOMATIC CUBE MARKER ICE MAGIC FLAKED ICE MACHINE TREATMENT TABLE 2SECTION HYDRAULIC MODEL, TREATMENT TABLE 2SECTION ELECTRIC W/ BREATHING SLOT TREATMENT TABLE 3SECTION ELECTRIC W/ BREATHING SLOT NEUROLOGY FROM TREATMENT TABLE VARIABLE HEIGHT TILT TABLE TRACTION TABLE - ELECTRIC AND TRACTION MACHINE TRACTION TABLE - HYDRAULIC AND TRACTION MACHINE AEROBIC EXERCISE POWER STEPPER MERK & NEGARA ASAL EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND TYPE ML-9500 EMS 750 ML9810 ML9810 (M) ML 9310 ML 9310 (M) MEDIWAVE-ML 9320 ML 9320 (M) BIOSTIM EMS 5200 BIOSTIM EMS 5100 TENS 2000 ML 9610 ML 9610 (M) EMS 205 EMS 702 BIOTRAC-EMS 5000 BIOTRAC 2 -EMS 5300 ML 9710 ML 9710 (M) ML 9030 LNC 884 LNC 886 NC 616 LNC 400 VARIOUS ACM 25AE AF 10-AS IM 20-AS AF 85 RH 075A RH 076B RH 079B RH 081 RH 083 RH 085 + RH 087 RH 084 + RH 087 RH 108 TUNTURI C500 RH 301 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403300221 Rp. AKL 21403500724 Rp. AKL 21403500724 Rp. AKL 21403500724 Rp. AKL 21403500818 Rp. AKL 21403500818 Rp. 03500500 + AKL 2140Rp. DALAM PROSES Rp. DALAM PROSES Rp. DALAM PROSES Rp. HARGA 77,933,000.00 134,383,000.00 165,346,000.00 123,850,000.00 111,369,000.00 69,873,000.00 96,625,000.00 55,129,000.00 29,686,000.00 30,324,000.00 9,462,000.00 182,953,000.00 120,338,000.00 308,986,000.00 210,353,000.00 23,940,000.00 22,982,000.00 102,709,000.00 61,213,000.00 139,417,000.00 75,970,000.00 34,793,000.00 37,825,000.00 40,191,000.00 6,189,000.00 61,864,000.00 218,880,000.00 60,648,000.00 155,040,000.00 49,248,000.00 55,632,000.00 54,720,000.00 69,255,000.00 90,288,000.00 239,999,000.00 236,208,000.00 22,800,000.00 27,269,000.00

DOC/PT. PPH/200905

Page 11 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 NAMA BARANG / PRODUK ERGOMETER MARATHON POWER DRIVEN TREADMILL W/ COMPUTER CONTROL TELETRIMETER VIBRATOR COMPLETE WITH SPONGE RUBBER APPLICATOR WALL BARS - SINGLE SECTION WALL BARS - DOUBLE SECTION WALL BARS - TRIPLE SECTION METAL PARALLEL BAR BALANCE BENCH ( 267 CM ) BALANCE BENCH ( 335 CM ) MOBILE POSTURE MIRROR CONVENTIONAL WOODEN STEP WITH FIXED HEIGHT HAND RAIL CORNER STEP, ADJUSTABLE HAND RAIL CORNER STEP, FIXED HEIGHT HAND RAIL WOBBLE BOARD ROCKER BOARD BODY BALL 650 MM DIAMETER BLUE BODY BALL 750 MM DIAMETER YELLOW BODY BALL 850 MM DIAMETER RED BODY BALL 950 MM DIAMETER BLUE ICU & OPERATING ROOM SYRINGE PUMP ICU & ICCU SYRINGE PUMP ICU & ICCU SYRINGE PUMP WITH STAND ANAESTHESIA SYRINGE PUMP DOUBLE CHANNEL SYRINGE PUMP SYRINGE & INFUSION DATA MANAGEMENT SYRINGE PUMP WITH MANAGEMENT SYRINGE PUMP MODULE INFUSION PUMP MODULE INFUSION PUMP MODULE VOLUMETRIC INFUSION PUMP VOLUMETRIC INFUSION PUMP WITH STAND TARGET CONTROLLED INFUSION PUMP ( TCI ) FOR ANAESTHESI PATIENT CONTROLLED ANALGESIA SYSTEM INFUSION & SYRINGE PUMP INTEGRATED SYSTEM FULLY INFUSION & SYRINGE PUMP INTEGRATED SYSTEM EXTRACTING FORCEPS FOR ADULT INSTRUMENT SET EXTRACTING FORCEPS FOR CHILD INSTRUMENT SET MERK & NEGARA ASAL EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND EMS - ENGLAND FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE FRESENIUS VIAL - FRANCE KARL REICHLE - GERMANY KARL REICHLE - GERMANY TYPE RH 325 AX1 MARATHON - RH 213 RH - 300 M9 RH - 012 RH - 013 RH - 014 RH - 063 RH - 016 RH - 015 RH - 066 RH - 017 RH - 020 RH - 019 RH - 030 RH - 031 RH 288 RH 289 RH 290 RH 291 PILOT C PILOT DELTA PILOT DELTA PILOT ANAESTHESIA PROGRAM 2 BASE A BASE INTENSIVE MODULE DPS MODULE MVP+ MS MODULE MVP+ PT OPTIMA ST OPTIMA ST TCI PACK MASTER PCA PACK MIX MIX VARIOUS VARIOUS SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 11402304336 AKL 11402304338 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 20902300224 AKL 20902300224 AKL 20902300224 AKL 20902300224 DALAM PROSES AKL 20902300574 AKL 20902300575 AKL 20902300223 AKL 20902300161 AKL 20902300161 AKL 20902300161 AKL 20902300161 AKL 20902300226 AKL 20902300225 AKL 20902300575 AKL 20902300575 DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 39,125,000.00 186,048,000.00 2,280,000.00 12,130,000.00 17,237,000.00 26,904,000.00 41,861,000.00 20,520,000.00 16,781,000.00 23,803,000.00 15,504,000.00 66,120,000.00 58,186,000.00 45,509,000.00 4,332,000.00 4,332,000.00 1,309,000.00 1,573,000.00 2,216,000.00 2,658,000.00 50,616,000.00 57,456,000.00 69,426,000.00 58,140,000.00 95,760,000.00 23,940,000.00 173,736,000.00 57,456,000.00 71,820,000.00 71,820,000.00 71,136,000.00 83,106,000.00 120,042,000.00 97,812,000.00 370,044,000.00 700,211,000.00 47,917,000.00 20,015,000.00

DOC/PT. PPH/200905

Page 12 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 NAMA BARANG / PRODUK DENTAL SET SMALL OPERATION INSTRUMENT SET MOUTH MIRROR COLPOSCOPE W/ 15X MAGNIFICATION , TILT-O-MATIC STAND COLPOSCOPE W/ 15X MAGNIFICATION , SWING-O-MATIC MOUNT COLPOSCOPE W/ 7.5/15/30X MAG., , TILT-O-MATIC STAND COLPOSCOPE W/ 7.5/15/30X MAG., BALANCE-O-MATIC MOUNT COLPOSCOPE W/ 3.75/7.5/15X MAG., TILT-O-MATIC STAND COLPOSCOPE W/ 3.75/7.5/15X MAG., BALANCE-O-MATIC MOUNT COLPOSCOPE MINI W/ 10X FIXED MAG., UPRIGHT STAND VIDEO COLPOSCOPE LASIK SET CATARACT, EXTRACAPSULAR, LENS IMPLATATION, PHACO SET CHALAZION SET CORNEAL FOREIGN BODY EXTRACTION SET RETINAL DETACHEMENT SET STITCHS REMOVAL SET ENUCLEATION, EVISCERATION SET GLAUCOMA TRABECULECTOMY SET KERAPTOPLASTY SET PTERYGION SET LIDS, TRICHIASIS AND PTOSIS SET STRABISMUS SET LACHRYMAL DUCTS INTUBATION SET ANTEPARTUM TWIN FETAL MONITOR (CTG) FETAL DOPPLER W/ ALKALINE BATTERY, 2 MHZ FETAL DOPPLER W/ ALKALINE BATTERY, 3 MHZ FETAL DOPPLER W/ ALKALINE BATTERY, 2&3 MHZ DIGITAL FETAL DOPPLER W/ ALKALINE BATTERY, 2&3 MHZ DIGITAL FETAL DOPPLER W/ RECHARGEABLE BATTERY, 2&3 MHZ FETAL DOPPLER W/ RECHARGEABLE BATTERY, 2&3 MHZ FETAL DOPPLER W/ RECHARGEABLE BATTERY, 2&3 MHZ VASCULAR DOPPLER W/ ALKALINE BATTERY, 5&8 MHZ VASCULAR DOPPLER W/ RECHARGEABLE BATTERY, 5&8 MHZ DIGITAL VASCULAR DOPPLER W/ ALKALINE BATTERY, 5&8 MHZ DIGITAL VASCULAR DOPPLER W/ RECHARGEABLE BATTERY, 5&8 MHZ VASCULAR DOPPLER W/ RECHARGEABLE BATTERY, 5&8 MHZ VASCULAR DOPPLER W/ RECHARGEABLE BATTERY, 5&8 MHZ MERK & NEGARA ASAL KARL REICHLE - GERMANY KARL REICHLE - GERMANY KARL REICHLE - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY LEISEGANG - GERMANY MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE MORIA - FRANCE NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA TYPE VARIOUS VARIOUS VARIOUS 1-TI 1-SW 1D - TI 1D - BA 1DS - TI 1DS-BA 4 - UP 3 MLF-BA #346 #400 #401 #402 #403 #404 #405 #406 #407 #408 #409 #410 #411 VERSALAB APM2 ELITE 100 ELITE 100 ELITE 100 ELITE 200 ELITE 200 R IMEXDOP CT+ FREEDOP ELITE 100 ELITE 100 R ELITE 200 ELITE 200 R POCKET-DOP II IMEXDOP CT+ SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES AKL 21101300563 AKL 21101300563 AKL 21101300563 AKL 21101300563 AKL 21101300563 AKL 21101300563 AKL 21101300563 DALAM PROSES AKL 11203400101 AKL 11203400092 AKL 11203400102 AKL 11203400093 AKL 11203400094 AKL 11203400095 AKL 11203400096 AKL 11203400097 AKL 11203400098 AKL 11203400099 AKL 11203400100 AKL 11203400104 AKL 11203400103 AKL 21501302174 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 21501302171 AKL 21501302173 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 21501302171 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 37,819,000.00 48,383,000.00 698,000.00 164,160,000.00 203,832,000.00 228,456,000.00 324,490,000.00 228,456,000.00 324,490,000.00 79,344,000.00 959,655,000.00 39,074,000.00 210,913,000.00 36,977,000.00 10,314,000.00 118,311,000.00 28,127,000.00 73,848,000.00 133,879,000.00 139,821,000.00 54,064,000.00 52,680,000.00 119,542,000.00 33,775,000.00 204,545,000.00 16,929,000.00 16,929,000.00 23,769,000.00 31,635,000.00 34,029,000.00 45,999,000.00 68,229,000.00 23,769,000.00 27,873,000.00 31,635,000.00 34,029,000.00 31,977,000.00 45,999,000.00

DOC/PT. PPH/200905

Page 13 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 NAMA BARANG / PRODUK VASCULAR DOPPLER W/ RECHARGEABLE BATTERY, 5&8 MHZ VASCULAR DOPPLER W/ RECHARGEABLE BATTERY, 5&8 MHZ STETHOSCOPE DOPPLER STETHOSCOPE DOPPLER WITH CARDIOLOGY STYLE ULTRASONIC NEBULIZER ULTRASONIC NEBULIZER MOBILE STANDARD SUCTION PUMP WITH 1.5 LT. BOTTLE SUCTION UNIVERSAL PUMP SUCTION DRAINAGE PUMP FOR CONTINUOUS & THORAX DRAINAGE SUCTION VACUM EXTRACTOR PUMP SUCTION CURETTAGE PUMP SUCTION LIPOSUCTION PUMP LIPO VIBRATION SYSTEM SUCTION PUMP SUCTION SURGERY PUMP PANORAMIC DENTAL X-RAY UNIT PANORAMIC / CEPHALOMETRIC DENTAL X-RAY UNIT ANAESTHESIA MACHINE ONE VAPORIZER, BASIC ANAESTHESIA MACHINE ONE VAPORIZER WITH MAHD, BASIC ANAESTHESIA MACHINE TWO VAPORIZER W/ MAHD, ADDITIONAL SHELF ANAESTHESIA MACH. W/ MAHD, BASIC, TOUCHSCREEN VENTILATOR ANAESTHESIA MACH W/ MAHD, TOUCHSCREEN VENT. O2 MON, SPIROMETRY ANAESTHESIA MACH 2 VAP. W/ MAHD, ADD SHELF, TOUCHSCREEN VENT, ANAESTHESIA DRAW OVER SYSTEM HOSPITAL UNIT ANAESTHESIA TRI SERVICE APARATUS ANAESTHETIC GAS SCAVENGING SYSTEM ( AGSS ) ANAESTHESIA VENT. W/ TOUCHSCREEN TECH. BASIC MODEL ANAESTHESIA VENT. W/ TOUCHSCREEN , SPIROMETRY & O2 MONITOR ANAESTHESIA VENTILATOR ANAESTHESIA VENTILATOR CIRCLE SYSTEM MODE ANAESTHESIA VENT. MULTIVENT ETHER COMP. E E MODEL ANAESTHESIA VENT. MULTIVENT NON-ETHER COMP. E MODEL JACKSON REESE CARDIFF INFANT RESUSCITATION W/ METAL LARYNGOSCOPE INFANT MC COY FIBERLIGHT LARYNGOSCOPE PEDIATRIC MC COY FIBRELIGHT LARYNGOSCOPE ADULT MC COY FIBRELIGHT LARYNGOSCOPE ADULT FIBERLIGHT LARYNGOSCOPE MACINTOSH PEDIATRIC FIBERLIGHT LARYNGOSCOPE MACINTOSH MERK & NEGARA ASAL NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NICOLET VASCULAR - USA NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS NOUVAG - SWISS PANORAMIC - USA PANORAMIC - USA PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND PENLON - ENGLAND TYPE CAREDOP FREEDOP STETHODOP SD50 STETHODOP SD52 PICO ULTRASONIC 2000-3204 VACUSON 18/1.5 (4041) VACUSON 40U VACUSON 40 D VACUSON 40E VACUSON 40CU VACUSON 60L VACUSON 60LP VACUSON 60C PC - 1000 PC - 1000 / LASER 1000 PRIMA SP 101 PRIMA SP 102 + MAHD PRIMA SP 102 + MAHD PRIMA SP 101 + MAHD + AV-900 PRIMA SP 102 + MAHD+AV-900 PRIMA SP 102 + MAHD+AV-900 EMO 51024 TRI SERVICE AGSS AV 900 ( AV9ZZ ESU ) AV 900 ( AV9SM ESU ) NUFFIELD 200 NUFFIELD 200 CSM MANLEY MULTIVENT MANLEY MULTIVENT 51543 50442 MC COY (50465) MC COY (50467) MC COY (50469) MACINTOSH MACINTOSH SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 21501302172 AKL 21501302173 AKL 2051500816 AKL 2051500816 AKL 20403300328 AKL 20403301775 AKL 21603304173 AKL 21603304160 DALAM PROSES DALAM PROSES DALAM PROSES AKL 21603400928 DALAM PROSES AKL 21603301980 DALAM PROSES DALAM PROSES AKL 20403300219 AKL 20403300219 AKL 20403300219 AKL 20403300219 AKL 20403300219 AKL 20403300219 AKL 20403302118 DALAM PROSES DALAM PROSES AKL 20403300154 AKL 20403300154 AKL 20403300155 AKL 20403300155 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES HARGA Rp. 32,490,000.00 Rp. 68,229,000.00 Rp. 13,509,000.00 Rp. 15,219,000.00 Rp. 28,970,000.00 Rp. 59,928,000.00 Rp. 23,669,000.00 Rp. 77,607,000.00 Rp. 95,604,000.00 Rp. 87,228,000.00 Rp. 87,228,000.00 Rp. 85,638,000.00 Rp. 379,684,000.00 Rp. 92,237,000.00 Rp. 448,875,000.00 Rp. 628,425,000.00 Rp. 494,254,000.00 Rp. 623,767,000.00 Rp. 763,412,000.00 Rp. 915,096,000.00 Rp. 981,157,000.00 Rp. 1,120,802,000.00 Rp. 225,857,000.00 Rp. 218,654,000.00 Rp. 139,348,000.00 Rp. 315,757,000.00 Rp. 357,390,000.00 Rp. 163,276,000.00 Rp. 215,342,000.00 Rp. 288,931,000.00 Rp. 288,931,000.00 Rp. 12,212,000.00 Rp. 32,011,000.00 Rp. 27,862,000.00 Rp. 27,862,000.00 Rp. 27,862,000.00 Rp. 26,557,000.00 Rp. 19,918,000.00

DOC/PT. PPH/200905

Page 14 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 NAMA BARANG / PRODUK INFANT FIBRELIGHT LARYNGOSCOPE MILLER THORACOSCOPE THORACOSCOPE WITH VIDEO CAMERA ARTHROSCOPE ARTHROSCOPE WITH VIDEO CAMERA VIDEO SYSTEM FOR GENERAL ENDOSCOPE LAPAROSCOPIC OPERATION & SURGERY INST. SET, BASIC LAPAROSCOPIC OPERATION & SURGERY INST. SET W/ VIDEO, BASIC LAPAROSCOPIC SURGERY INST. SET BASIC W/ FLEXIBLE FIBRE CHOLED. LAPAROSCOPIC SURG INST SET BASIC, FLEX FIBRE CHOLED &VIDEO CAM LAPAROSCOPIC SURG INST SET BASIC 2 FLEX FIBRE CHOLED. LAPAROSCOPIC SURG INST SET 2 FLEX FIBRE CHOLED & VIDEO CAM EXTENSION OF INST. SET FOR PEDIATRIC LAPAROSCOPIC SURGERY EXTENSION OF INST. SET FOR GYNAEC. LAPAROSCOPIC SURGERY URETHROTOME URETHROTOME WITH VIDEO CAMERA RESECTOSCOPE RESECTOSCOPE WITH VIDEO CAMERA TUR T U R WITH VIDEO CAMERA CYSTOSCOPE / CYSTO-URETHROSCOPE CYSTOSCOPE / CYSTO-URETHROSCOPE WITH VIDEO CAMERA FLEXIBLE FIBERSCOPE FOR CYSTO-URETHROSCOPY FLEXIBLE FIBERSCOPE F. CYSTO-URETHROSCOPY W/ VIDEO CAMERA VIDEO SYSTEM FOR UROLOGY ENDOSCOPE DIAGNOSTICAL CYSTO-URETHROSCOPE, ADULT DIAGNOSTICAL CYSTO-URETHROSCOPE, ADULT W/ VIDEO SYSTEM CYSTO-URETHROSCOPE, ADULT, OPERATION CYSTO-URETHROSCOPE, ADULT WITH VIDEO SYSTEM, OPERATION CYSTO-URETHROSCOPE W/ TRANSURETHRAL INCONTINENCE CYSTO-URETHROSCOPE W/ TRANSURETHRAL INCONTINENCE VIDEO DIAGNOSTICAL CYSTO-URETHROSCOPE, PEDIATRIC CYSTO-URETHROSCOPE, PED. W/ VIDEO SYSTEM, DIAGNOSTIC CYSTO-URETHROSCOPE, PEDIATRIC, OPERATION CYSTO-URETHROSCOPE, PED. W/ VIDEO SYSTEM, OPERATION CYSTO-URETHROSCOPE, PED, INF. & NEONATE, OPERATION CYSTO-URETHROSCOPE, PED. INF. & NEONATE W/ VIDEO, OPERATION CYSTO-URETHROSCOPE, PEDIATRIC, INFANT & NEONATE MERK & NEGARA ASAL PENLON - ENGLAND RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY TYPE MILLER VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS SATUAN UNIT SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI DALAM PROSES AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 19,918,000.00 988,318,000.00 1,455,764,000.00 1,468,555,000.00 1,936,000,000.00 467,446,000.00 2,135,633,000.00 2,603,078,000.00 2,399,178,000.00 2,866,623,000.00 2,728,866,000.00 3,196,311,000.00 1,044,653,000.00 3,935,832,000.00 286,596,000.00 754,042,000.00 299,312,000.00 766,757,000.00 370,926,000.00 838,372,000.00 869,022,000.00 1,336,468,000.00 429,484,000.00 896,929,000.00 467,446,000.00 214,024,000.00 681,469,000.00 1,017,929,000.00 1,532,570,000.00 1,212,390,000.00 1,727,032,000.00 257,800,000.00 725,245,000.00 704,978,000.00 1,172,424,000.00 841,915,000.00 1,309,361,000.00 1,024,201,000.00

DOC/PT. PPH/200905

Page 15 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 NAMA BARANG / PRODUK CYSTO-URETHROSCOPE, PEDIATRIC, INFANT & NEONATE W/ VIDEO VIDEO CAMERA SYSTEM FLEXIBLE FIBRE-CYSTOSCOPE FLEXIBLE FIBRE-CYSTOSCOPE WITH VIDEO SYSTEM FLEXIBLE MINIATURE FIBRE-CYSTO-URETHROSCOPE FOR PEDIATRIC FLEXIBLE MINIATURE FIBRE-CYSTO-URETHROSCOPE F. PED. W/ VIDEO VIDEO CAMERA RESECTOSCOPE SET RESECTOSCOPE SET WITH VIDEO CAMERA RESECTOSCOPE SET WITH SUPRAPUBIC ASPIRATION SET RESECTOSCOPE SET W/ SUPRAPUBIC ASPIRATION SET & VIDEO CAMERA RESECTOSCOPE PEDIATRIC SET WITH 9 FR. SHEATH RESECTOSCOPE PEDIATRIC SET WITH 11.5 FR. SHEATH RESECTOSCOPE PEDIATRIC SET W/ 9 FR. SHEATH & CAMERA VIDEO RESECTOSCOPE PEDIATRIC SET W/ 11.5 FR. SHEATH & CAMERA VIDEO URETHROTOME SET URETHROTOME SET WITH ADD. HOLLOW STRICTURE SCALPEL URETHROTOME SET WITH VIDEO CAMERA URETHROTOME SET W/ ADD. HOLLOW STRICTURE SCALPEL W/ VIDEO CAMERA URETHROTOME FOR NEONATE, INFANT, CHILD URETHROTOME FOR NEONATE, INFANT, CHILD W/ VIDEO PERCUTANEOUS UNIVERSAL NEPHROSCOPE SET 1 PERCUTANEOUS UNIVERSAL NEPHROSCOPE SET 2 PERCUTANEOUS UNIVERSAL NEPHROSCOPE SET 2 W/ VIDEO CAMERA PERCUTANEOUS UNIVERSAL NEPHROSCOPE SET PERCUTANEOUS UNIVERSAL NEPHROSCOPE SET W/ VIDEO URETERO - RENOSCOPE SET 1 URETERO - RENOSCOPE SET 2 URETERO - RENOSCOPE SET 1 W/ VIDEO CAMERA URETERO - RENOSCOPE SET 2 W/ VIDEO CAMERA COMPACT NEEDLE FIBRE URETERO-RENOSCOPE FOR CHILD COMPACT NEEDLE FIBRE URETERO-RENOSCOPE FOR CHILD W/ VIDEO LITHOCLAST BASIC UNIT WITH STANDARD HANDLE LITHOCLAST BASIC UNIT WITH MASTER HANDLE LITHOCLAST BASIC UNIT WITH STANDARD HANDLE & OPTION 1 LITHOCLAST BASIC UNIT WITH STANDARD HANDLE, OPTION 1 & 2 LITHOCLAST BASIC UNIT WITH STANDARD HANDLE, COMPLETE LAPAROSCOPE / PELVISCOPE MERK & NEGARA ASAL RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY TYPE VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 1,491,647,000.00 467,446,000.00 429,484,000.00 896,929,000.00 359,032,000.00 826,477,000.00 467,446,000.00 859,986,000.00 1,327,432,000.00 897,470,000.00 1,364,915,000.00 260,529,000.00 240,016,000.00 727,974,000.00 707,461,000.00 286,596,000.00 305,064,000.00 754,042,000.00 772,510,000.00 267,786,000.00 735,232,000.00 312,998,000.00 329,620,000.00 797,065,000.00 512,932,000.00 980,377,000.00 449,593,000.00 348,498,000.00 917,039,000.00 815,944,000.00 236,322,000.00 703,768,000.00 1,381,680,000.00 1,409,998,000.00 1,413,281,000.00 1,605,006,000.00 1,680,236,000.00 2,362,173,000.00

DOC/PT. PPH/200905

Page 16 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 NAMA BARANG / PRODUK LAPAROSCOPE / PELVISCOPE WITH VIDEO CAMERA LAPAROSCOPE/PELVISCOPE W/ OPERATING TELESCOPE LAPAROSCOPE/PELVISCOPE W/ OP. TELESCOPE W/ VIDEO CAMERA VIDEO SYSTEM FOR GYNAECOLOGY ENDOSCOPE HYSTEROSCOPE HYSTEROSCOPE WITH VIDEO CAMERA GASTROSCOPE GASTROSCOPE WITH VIDEO CAMERA LAPAROSCOPE LAPAROSCOPE WITH VIDEO CAMERA COLONOSCOPE COLONOSCOPE WITH VIDEO CAMERA RECTOSCOPE RECTOSCOPE WITH VIDEO CAMERA VIDEO SYSTEM FOR GASTROENTEROLOGY ENDOSCOPE EAR ENDOSCOPE EAR ENDOSCOPE WITH VIDEO CAMERA SINUSCOPE SINUSCOPE WITH VIDEO CAMERA FLEXIBLE NASO-PHARYNGO-LARYNGOSCOPE FLEXIBLE NASO-PHARYNGO-LARYNGOSCOPE WITH VIDEO CAMERA FUNCTIONAL ENDOSCOPY SINUS SURGERY ( FESS ) FUNCTIONAL ENDOSCOPY SINUS SURGERY (FESS) W/ VIDEO CAMERA VIDEO SYSTEM FOR O.R.L (THT) ENDOSCOPE BRONCHOSCOPE RIGID BRONCHOSCOPE RIGID WITH VIDEO CAMERA BRONCHOSCOPE FLEXIBLE BRONCHOSCOPE FLEXIBLE WITH VIDEO CAMERA LARYNGOSCOPE, RIGID LARYNGOSCOPE, RIGID W/ VIDEO CAMERA LARYNGOSCOPE, FLEXIBLE LARYNGOSCOPE, FLEXIBLE W/ VIDEO CAMERA OESOPHAGOSCOPE OESOPHAGOSCOPE W/ VIDEO CAMERA ESWL SET, COMPLETE SET ESWL SET, COMPLETE SET ESWL SET, COMPLETE SET LITHOTRIPTOR SET MERK & NEGARA ASAL RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY RICHARD WOLF - GERMANY TYPE VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS VARIOUS SATUAN SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET NO. REGISTRASI AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 AKL 11603300213 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 2,829,619,000.00 2,510,943,000.00 2,978,389,000.00 467,446,000.00 1,099,263,000.00 1,566,709,000.00 1,255,208,000.00 1,722,654,000.00 2,173,595,000.00 1,722,654,000.00 781,060,000.00 1,248,505,000.00 483,540,000.00 950,986,000.00 467,446,000.00 159,242,000.00 626,688,000.00 359,681,000.00 827,127,000.00 461,358,000.00 928,804,000.00 784,828,000.00 1,252,274,000.00 467,446,000.00 388,580,000.00 856,026,000.00 608,281,000.00 1,075,727,000.00 221,247,000.00 688,692,000.00 519,977,000.00 987,422,000.00 431,467,000.00 898,913,000.00 12,386,385,000.00 13,315,770,000.00 13,898,595,000.00 6,609,150,000.00

DOC/PT. PPH/200905

Page 17 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 NAMA BARANG / PRODUK COLOR MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP COLOR MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP WITH PRINTER COLOR MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP WITH PRINTER FOR PEDIATRIC COLOR MONITOR ECG / RESP / NIBP / SPO2 FOR NEONATE WITH 2TEMP & PRINTER COLOR MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP WITH ETCO2 ANDPRINTER COLOR MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP COLOR MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP WITH PRINTER COLOR MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP WITH PRINTER FOR PEDIATRIC COLOR MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 FOR NEONATE WITH 2TEMP AND PRINTER COLOR MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP WITH ETCO2 AND PRINTER COLOR MONITOR ECG / RESP / NIBP / 2 IBP / SPO2 / 2TEMP COLOR MONITOR ECG / RESP / NIBP / 2 IBP / SPO2 / 2TEMP WITH PRINTER COLOR MONITOR FOR ICU/ICCU ECG / RESP / NIBP / 2 IBP / SPO2 / 2TEMP WITH ETCO2 AND PRINTE MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP WITH PRINTER MONITOR ECG / RESP / NIBP / SPO2 / 2TEMP WITH ETCO2 AND PRINTER MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP WITH PRINTER MONITOR ECG / RESP / NIBP / 1 IBP / SPO2 / 2TEMP WITH ETCO2 AND PRINTER MONITOR ECG / RESP / NIBP / 2 IBP / SPO2 / 2TEMP MONITOR ECG / RESP / NIBP / 2 IBP / SPO2 / 2TEMP WITH PRINTER MONITOR ECG / RESP / NIBP / 2 IBP / SPO2 / 2TEMP WITH ETCO2 AND PRINTER CENTRAL STATION FOR PROPAQ AMBULATORY ECG MONITORING AMBULATORY ECG AND SPO2 MONITORING SPOT VITAL SIGN (NIBP / SPO2) WITH MOBILE STAND SPOT VITAL SIGN (NIBP / SPO2 / TEMP) WITH MOBILE STAND VITAL SIGN (NIBP) WITH MOBILE STAND VITAL SIGN (NIBP) WITH PRINTER AND MOBILE STAND VITAL SIGN (NIBP & TEMP) WITH MOBILE STAND VITAL SIGN (NIBP & TEMP) WITH PRINTER AND MOBILE STAND VITAL SIGN (NIBP & SPO2) WITH MOBILE STAND VITAL SIGN (NIBP & SPO2) WITH PRINTER AND MOBILE STAND VITAL SIGN (NIBP, SPO2, TEMP) WITH MOBILE STAND VITAL SIGN (NIBP, SPO2, TEMP) WITH PRINTER AND MOBILE STAND BEDSIDE MONITOR ECG / SPO2 / NIBP WITH MOBILE STAND BEDSIDE MONITOR ECG / SPO2 / NIBP WITH PRINTER & MOBILE STAND BEDSIDE MONITOR ECG / SPO2 / NIBP / TEMP / RESP / BATTERY / RS232 WITH MOBILE STAND MERK & NEGARA ASAL WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA TYPE PROPAQ-CS 242 PROPAQ-CS 242 PROPAQ-CS 242 PROPAQ-CS 242 PROPAQ-CS 242 PROPAQ-CS 244 PROPAQ-CS 244 PROPAQ-CS 244 PROPAQ-CS 244 PROPAQ-CS 244 PROPAQ-CS 246 PROPAQ-CS 246 PROPAQ-CS 246 PROPAQ ENCORE 202-EL PROPAQ ENCORE 202-EL PROPAQ ENCORE 202-EL PROPAQ ENCORE 204-EL PROPAQ ENCORE 204-EL PROPAQ ENCORE 204-EL PROPAQ ENCORE 206-EL PROPAQ ENCORE 206-EL PROPAQ ENCORE 206-EL ACUITY LT MICROPAQ 402 MICROPAC 404 42N0B-E2-M 42NTB-E2-M 5200O-E2 5200P-E2 520T0-E2 520TP-E2 52N0O-E2 52N0P-E2 52NTO-E2 52NTP-E2 ATLAS 621S0 ATLAS 621SP ATLAS 622N0 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20502200619 AKL 20501300220 AKL 20501300220 AKL 20501300220 AKL 20501300220 AKL 20501300220 AKL 20501300220 AKL 20501300220 AKL 20501300220 AKL 20501300220 DALAM PROSES DALAM PROSES DALAM PROSES AKL 20501300218 AKL 20501300218 AKL 20501300217 AKL 20501300217 AKL 20501300217 AKL 20501300217 AKL 20501300217 AKL 20501300217 AKL 20501300217 AKL 20501300217 AKL 20501300216 AKL 20501300216 AKL 20501300216 HARGA Rp. 359,707,000.00 Rp. 420,457,000.00 Rp. 422,493,000.00 Rp. 429,174,000.00 Rp. 567,355,000.00 Rp. 429,838,000.00 Rp. 490,588,000.00 Rp. 495,057,000.00 Rp. 501,738,000.00 Rp. 636,645,000.00 Rp. 470,476,000.00 Rp. 529,171,000.00 Rp. 673,453,000.00 Rp. 322,280,000.00 Rp. 383,030,000.00 Rp. 532,361,000.00 Rp. 394,844,000.00 Rp. 455,594,000.00 Rp. 604,925,000.00 Rp. 451,700,000.00 Rp. 512,450,000.00 Rp. 638,552,000.00 Rp. ############## Rp. 130,526,000.00 Rp. 203,090,000.00 Rp. 74,924,000.00 Rp. 91,671,000.00 Rp. 64,081,000.00 Rp. 83,219,000.00 Rp. 81,962,000.00 Rp. 101,098,000.00 Rp. 128,038,000.00 Rp. 147,176,000.00 Rp. 145,919,000.00 Rp. 165,054,000.00 Rp. 199,143,000.00 Rp. 223,480,000.00 Rp. 240,092,000.00

DOC/PT. PPH/200905

Page 18 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 NAMA BARANG / PRODUK BEDSIDE MONITOR ECG / SPO2 / NIBP / TEMP / RESP / BATTERY / RS232 WITH PRINTER & MOBILE STAND INTEGRATED DIAGNOSTIC SYSTEM W/ ELECTRONIC THERMOMETERAND SPHYGMOMANOMETER INTEGRATED DIAGNOSTIC SYSTEM W/ ELECTRONIC THERMOMETERAND SPHYGMOMANOMETER, PEDIATRIC INTEGRATED DIAGNOSTIC SYSTEM W/ ELECTRONIC THERMOMETERAND SPHYGMOMANOMETER, INFANT INTEGRATED DIAGNOSTIC SYSTEM INTEGRATED DIAGNOSTIC SYSTEM, PEDIATRIC INTEGRATED DIAGNOSTIC SYSTEM, INFANT DIAGNOSTIC SET (RECHARGEABLE BATTERY) DIAGNOSTIC SET ( AA BATTERY) HALOGEN PENLITE MOBILE ANEROID SPHYGMOMANOMETER MOBILE ANEROID SPHYGMOMANOMETER, PEDIATRIC MOBILE ANEROID SPHYGMOMANOMETER, INFANT MOBILE ANEROID SPHYGMOMANOMETER WITH ELECTRONICTHERMOMETER WALL ANEROID SPHYGMOMANOMETER WALL ANEROID SPHYGMOMANOMETER, PEDIATRIC WALL ANEROID SPHYGMOMANOMETER, INFANT DIGITAL BLOOD PRESSURE SYSTEM, MANUAL INFLATION DIGITAL BLOOD PRESSURE SYSTEM, AUTO INFLATION ANEROID SPHYGMOMANOMETER PEDIATRIC ANEROID SPHYGMOMANOMETER INFANT, NEWBORN ANEROID SPHYGMOMANOMETER, ADULT CARDIOLOGY TRIPLE HEAD STETHOSCOPE ELECTRONIC STETHOSCOPE PEDIATRIC STETHOSCOPE INFANT STETHOSCOPE ANESTHESIOLOGY STETHOSCOPE SINGLE HEAD PEDIATRIC ANESTHESIOLOGY STETHOSCOPE SINGLE HEAD STETHOSCOPE DOUBLE HEAD ELECTRONIC THERMOMETER RECTAL ELECTRONIC THERMOMETER ORAL PROBE ELECTRONIC THERMOMETER WALL HOLDER, ORAL PROBE RECTAL PROBE 1.2 M (FOR MODEL 679) MODEL 600, 675, 678, 679 & 986 DISPOSABLE PROBE COVER - BOX OF 1,000 MERK & NEGARA ASAL WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA TYPE ATLAS 622NP 76791-2 76791-2 + 5082-204-2 76791-2 + 5082-202-2 76792-2 76792-2 + 5082-204-2 76792-2 + 5082-202-2 97201 98502 76600 7670-04* 7670-04* + 5082-204-2 7670-04* + 5082-202-2 7670-04T9 7670-01 7670-01 + 5082-204-2 7670-01 + 5082-202-2 ARDEN 7052-33 + 37 ARDEN 7052-34 + 37 5098-72 5098-72+5082-07 5098-70 HARVEY DLX 5079-324 MEDITRON 5079-400 PROFESIONAL 5079-287 PROFESIONAL 5079-227 PROFESIONAL 5079-230 5079-231 5079-76 SURE TEMP (01986-500) SURE TEMP (01679-500) SURE TEMP (01679-410) 02679-000 05031-101 SATUAN UNIT SET SET SET SET SET SET SET SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT PC PC NO. REGISTRASI AKL 20501300216 Rp. DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 10703303617 DALAM PROSES DALAM PROSES AKL 20501400178 AKL 20501400178 AKL 20501400178 AKL 20501400178 AKL 20501400178 AKL 20501400178 AKL 20501400178 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 20901304161 AKL 20901304161 AKL 20901304161 AKL 20901304161 AKL 20901304161 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 264,428,000.00 42,486,000.00 43,197,000.00 43,141,000.00 32,864,000.00 33,574,000.00 33,519,000.00 17,925,000.00 13,169,000.00 1,429,000.00 8,738,000.00 9,449,000.00 9,393,000.00 15,218,000.00 4,871,000.00 5,581,000.00 5,526,000.00 2,209,000.00 3,858,000.00 2,390,000.00 3,015,000.00 2,390,000.00 5,771,000.00 18,300,000.00 2,012,000.00 2,308,000.00 2,071,000.00 2,106,000.00 774,000.00 5,656,000.00 11,096,000.00 11,921,000.00 2,638,000.00 1,204,000.00

DOC/PT. PPH/200905

Page 19 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 717 718 719 720 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 NAMA BARANG / PRODUK MODEL 986 DISPOSABLE PROBE COVERS - BOX OF 250 PANOPTIC OPTHALMOSCOPE, BLUE FILTER AND LENS OPHTHALMOSCOPE COAXIAL OPHTHALMOSCOPE OPHTHALMOSCOPE BINOCULAR INDIRECT OPHTHALMOSCOPE POCKET OPHTHALMIC POCKETSCOPE SET STRABISMOSCOPE SET AUTOREFRACTOR WITH PRINTER POCKET TRANSILLUMINATOR POCKET RETINOSCOPE OPHTALMIC DIAGNOSTIC SET 3.5V STRABISMOSCOPE SET W/ LITHIUM ION RECHARGEABLE HANDLE 3.5V STREAK RETINOSCOPE W/ LITHIUM ION RECHARGEABLE HANDLE 2.5V STREAK RETINOSCOPE 3.5V DIAGNOSTIC OTOSCOPE /THROAT ILLUMINATOR WITH INSUFFLATOR BULB AND LITHIUM ION RECHARGEABLE HANDLE 3.5V HALOGEN DIAGNOSTIC OTOSCOPE WITH SPECULAWITH INSUFFLATOR AND LITHIUM ION RECHARGEABLE HANDLE PORTABLE BINOCULAR MICROSCOPE LUMIVIEW HEADMOUNT WITH PORTABLE POWER SOURCE 3.5V OPERATING OTOSCOPE WITH SPECULA AND LITHIUM ION RECHARGEABLE HANDLE POCKETSCOPE OTOSCOPE WITH PEN TORCH/THROAT ILLUM., "AA" HANDLE WITH BATTERIES AND SOFT CASE COMPAC VIDEO OTOSCOPE COMPLETE WITH NICAD HANDLE, NTSC 3.5V BIVALVE NASAL SPECULUM WITH THROAT ILLUMINATOR (23557) AND LITHIUM ION RECHARGEABLE HANDLE AUDIOSCOPE 3 SET INCLUDING CHARGING STAND MANUAL AUDIOMETER, WITH AC AND RECHARGEABLE BATTERY MICROTYMP 2 SET WITH CHARGING STAND AND PRINTER TM262 AUTO TYMP WITH IPSI REFLEX, AUDIOMETER (VERSION 4) EAR WASH SYSTEM-ENGLISH (ASIA/JAPAN) (INCLUDES NTSC VIDEO) EARTIPS (CASE OF 4 BOXES OF 25 EA.= 100) FOR EAR WASH DIRECT FOCUSING HEADLIGHT COMPLETE MFI HEADLIGHT WITH TURRET FOR WOLF, ACMI, STORZ, OLYMPUS MFI FIBER OPTIC HEADLIGHT, COMPLETE SYSTEM 3.5V EPISCOPE SET (SKIN SURFACE MICROSCOPE) FIBEROPTIC EXAMINATION LIGHT MOBILE PROCEDURE LIGHT MERK & NEGARA ASAL WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA TYPE 20500-250 11820 11720 11710 12500-DY 12821 94820 12452-C 14012 14220 16221 18375 SM 12452 18200 17341 20001 25021 20502H 21700 22821 23102 26030 92682 23212 93692 26232 29350E-ID 29360 46022 49522TW 49522 47351 EXAM III LS 200 SATUAN PC UNIT UNIT UNIT UNIT UNIT SET UNIT UNIT UNIT UNIT SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET SET UNIT UNIT NO. REGISTRASI AKL 20901304161 AKL 212021304163 AKL 21201403354 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 11201304164 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 10703403353 DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 535,000.00 26,015,000.00 15,280,000.00 14,689,000.00 45,997,000.00 6,188,000.00 17,289,000.00 9,490,000.00 228,729,000.00 3,909,000.00 9,462,000.00 30,942,000.00 16,658,000.00 17,455,000.00 12,047,000.00 12,429,000.00 12,095,000.00 25,389,000.00 12,461,000.00 5,033,000.00 36,105,000.00 11,047,000.00 20,680,000.00 34,404,000.00 108,149,000.00 129,914,000.00 12,780,000.00 4,231,000.00 9,282,000.00 105,511,000.00 92,386,000.00 15,623,000.00 58,593,000.00 37,602,000.00

DALAM PROSES Rp. AKL 10703303618 Rp. DALAM PROSES Rp. DALAM PROSES DALAM PROSES DALAM PROSES AKL 20701304294 DALAM PROSES DALAM PROSES AKL 10704304295 AKL 10704304295 AKL 21203304292 DALAM PROSES DALAM PROSES AKL 10903304174 AKL 10704304171 DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

DOC/PT. PPH/200905

Page 20 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 NAMA BARANG / PRODUK WALL PROCEDURE LIGHT FIBER OPTIC SIGMOIDOSCOPE / ANOSCOPE SET SIGMOIDOSCOPE, ADULT DISPOSABLE SIGMOIDOSCOPE DISPOSABLE ANOSCOPE DEFIBRILLATOR STANDARD MANUAL-BIPHASIC W/ ECG DEFIBRILLATOR MANUAL-BIPHASIC W/ ECG AND SPO2 DEFIBRILLATOR MANUAL-BIPHASIC W/ ECG, SPO2 AND NIBP DEFIBRILLATOR MANUAL-BIPHASIC W/ ECG, SPO2, ETCO2, & NIBP DEFIBRILLATOR MANUAL-BIPHASIC W/ ECG AND PACING DEFIBRILLATOR MANUAL-BIPHASIC W/ 12 LEAD ECG DEFIBRILLATOR MANUAL-BIPHASIC W/ 12 LEAD ECG AND SPO2 DEFIBRILLATOR MANUAL-BIPHASIC W/ 12 LEAD ECG, SPO2, NIBP DEFIBRILLATOR MANUAL-BIPHASIC W/ 12 LEAD ECG AND PACING DEFIBRILLATOR MAN-BIPHASIC W/12 LEAD ECG,SPO2, EtCO2,NIBP&PACING DEFIBRILLATOR ADVISORY-BIPHASIC W/ ECG MONITOR DEFIBRILLATOR ADVISORY-BIPHASIC W/ ECG AND SPO2 DEFIBRILLATOR ADVISORY-BIPHASIC W/ ECG, SPO2 AND NIBP DEFIBRILLATOR ADVISORY-BIPHASIC W/ ECG, SPO2, EtCO2, NIBP DEFIBRILLATOR ADVISORY-BIPHASIC W/ ECG AND PACING DEFIBRILLATOR ADVISORY-BIPHASIC W/ 12 LEAD ECG DEFIBRILLATOR ADVISORY-BIPHASIC W/ 12 LEAD ECG & PACING DEFIB. ADV-BIPHASIC W/12 LEAD ECG,PACING,SPO2,EtCO2,NIBP DEFIBRILLATOR AED BIPHASIC WITH ECG DEFIBRILLATOR AED BIPHASIC W/ ECG AND SPO2 DEFIBRILLATOR AED BIPHASIC W/ ECG, SPO2, AND NIBP DEFIBRILLATOR AED BIPHASIC W/ ECG, SPO2, EtCO2, NIBP DEFIBRILLATOR AED BIPHASIC W/ ECG MONITOR AND PACING DEFIBRILLATOR AED BIPHASIC W/ 12 LEAD ECG. DEFIBRILLATOR AED BIPHASIC W/ 12 LEAD ECG, SPO2 & NIBP DEFIBRILLATOR AED BIPHASIC 12 LEAD,PACING,SPO2,EtCO2 & NIBP DEFIBRILLATOR BIPHASIC CCT W/ ECG,SPO2 MONITOR DEFIBRILLATOR BIPHASIC CCT W/ ECG,SPO2,ETCO2 MONITOR DEFIBRILLATOR BIPHASIC CCT W/ ECG,SPO2,NIBP MONITOR DEFIBRILLATOR BIPHASIC CCT W/ ECG,SPO2,ETCO2,NIBP DEFIBRILLATOR BIPHASIC CCT W/ ECG,SPO2 & PACING DEFIBRILLATOR BIPHASIC CCT W/ ECG,SPO2,ETCO2,NIBP&PACING DEFIBRILLATOR BIPHASIC CCT W/ 12 LEAD ECG AND SPO2 MERK & NEGARA ASAL WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA WELCH ALLYN - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA TYPE LS 200 35323 32862 VARIOUS VARIOUS M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M - SERIES M-SERIES CCT M-SERIES CCT M-SERIES CCT M-SERIES CCT M-SERIES CCT M-SERIES CCT M-SERIES CCT SATUAN UNIT SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300558 AKL 20505300558 AKL 20505300558 AKL 20505300558 AKL 20505300558 AKL 20505300558 AKL 20505300558 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 34,135,000.00 59,036,000.00 20,924,000.00 21,551,000.00 17,114,000.00 257,412,000.00 305,862,000.00 405,612,000.00 539,562,000.00 312,246,000.00 413,524,000.00 461,974,000.00 561,724,000.00 468,358,000.00 750,508,000.00 269,496,000.00 317,946,000.00 417,696,000.00 551,646,000.00 312,246,000.00 425,608,000.00 468,358,000.00 750,508,000.00 289,446,000.00 337,896,000.00 437,646,000.00 571,596,000.00 332,196,000.00 445,558,000.00 593,758,000.00 670,708,000.00 369,178,000.00 563,251,000.00 477,728,000.00 671,802,000.00 424,012,000.00 720,936,000.00 497,428,000.00

DOC/PT. PPH/200905

Page 21 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 NAMA BARANG / PRODUK DEFIB. BIPHASIC CCT W/ 12 LEAD ECG,SPO2,ETCO2,NIBP&PACING STANDARD M-SERIES BATTERY AC POWER CHARGER 220 V PRIMARY CARRY CASE, BLUE CANVAS XTREME PACK I CARRY CASE FOR USE WITH HANDSFREE XTREME PACK I CARRY CASE FOR USE WITH PADDLES RECORDER PAPER 80 MM FAN FOLD, 10 PACKAGES 4 MEG PCMCIA DATA CARD ( 2 PER PACK ) 16 MEG PCMCIA DATA CARD ( 2 PER PACK ) ZOLL DATA CONTROL FOR WINDOWS STAND-ALONE XTREME PACK II CARRY CASE, MOLDED RUBBER CASE W/ REAR POUCH STAT-PADZ ADULT MFE WITH PRE-CONNECT, 12 PAIR/PER CASE AUTOMATIC EXTERNAL DEFIBRILLATOR WITH CPR AUTOMATIC EXTERNAL DEFIBRILLATOR WITH CPR & VOICE RECORDING OPERATING MICROSCOPE (3 STEP MAGNIFICATION), MOBILE OPERATING MICROSCOPE (3 STEP MAGNIFICATION ), CEILING ELECTRO SURGICAL UNIT MAJOR, USE MAX. POWER 280 W RMS, ELECTRO SURGICAL UNIT MAJOR, USE MAX. POWER 380 W RMS ELECTRO SURGICAL UNIT MAJOR, USE MAX. POWER 400 W RMS, ELECTRO SURGICAL UNIT MAJOR, USE B610/A MAX.280 W ELECTRO SURGICAL UNIT MAJOR, USE B600/A MAX. 280 W ELECTRO SURGICAL UNIT MAJOR, USE B610/A MAX 400 W ELECTRO SURGICAL UNIT MAJOR, USE B600/A MAX 400 W ELECTRO SURGICAL UNIT MEDIUM, USE MAX. 150 W RMS. ELECTRO SURG UNIT MEDIUM, MAX 150 W RMS W/ MICROPROCESSOR TROLLEY FOR ELECTRO SURGICAL UNIT ELECTRO SURGICAL UNIT MINOR, USE MAX. POWER 50 W RMS ELECTRO SURGICAL UNIT MINOR, USE MAX POWER 120 W RMS AUTOCLAVE, STERILIZING & WARMING, 46 LTR. AUTOCLAVE, STERILIZING & CIRCULATING DRYING, 82 LTR. AUTOCLAVE, STERILIZING & CIRCULATING DRYING, 46 LTR. HOT AIR STERILIZER, 32 LTR HOT AIR STERILIZER, MICROCOMPUTED CONTROLLER, 480 LTR HOT AIR STERILIZER, 72 LTR ( HOT AIR CIRCULATING DRYING ) HOT AIR STERILIZER, 150 LTR ( HOT AIR CIRCULATING DRYING ) OVEN VERTICAL 270 L, W/ OBSERVATION WINDOW, 0.6 KW OVEN VERTICAL 720 LTR, W/ OBSERVATION WINDOW, 1.8 KW OVEN VERTICAL 480 LTR, W/ OBSERVATION WINDOW, 1.2 KW MERK & NEGARA ASAL ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ZOLL MEDICAL - USA ALBERT WETZLAR - GERMANY ALBERT WETZLAR - GERMANY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALSA - ITALY ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN TYPE M-SERIES CCT 8000-0299-01 8040-0040 8000-0056-01 8000-0593-01 8000-0594-01 8000-0302 8000-1607 8000-0167 8000-0601-01 8000-0592-01 8900 - 4003 AED PLUS AED PLUS OSMI 311 OSMI 355 EXCELL-250 MCD EXCELL-350 MCD EXCELL-400 MCD EXCELL-200 MCDS EXCELL-250 MCDS EXCELL-350 MCDS EXCELL-400 MCDS MB-1/MC MB-1-A/MC H 10 SU-50MB SU-100M MC-30L MC-40DP MC-30LDP CS-35H KMD-120HL CS-45H CS-60H RT-120HS RT-120HG RT-120HL SATUAN UNIT PC PC PC PC PC PACKAGE PACKAGE PACKAGE UNIT PC PACKAGE UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI AKL 20505300558 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300559 AKL 20505300561 AKL 20505300561 AKL.11603300335 AKL.11603300335 AKL 21603300586 AKL 21603300585 AKL 21603300584 AKL 21603300583 AKL 21603300583 AKL 21603300583 AKL 21603300583 DALAM PROSES AKL 21603304298 DALAM PROSES AKL 21603300588 AKL 21603300587 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 837,102,000.00 3,466,000.00 34,200,000.00 5,472,000.00 8,208,000.00 11,856,000.00 1,322,000.00 10,944,000.00 20,064,000.00 90,972,000.00 10,032,000.00 12,084,000.00 100,178,000.00 108,728,000.00 306,384,000.00 314,715,000.00 154,960,000.00 162,689,000.00 197,779,000.00 154,892,000.00 170,932,000.00 167,272,000.00 213,271,000.00 45,315,000.00 49,829,000.00 4,908,000.00 23,974,000.00 24,453,000.00 265,050,000.00 572,508,000.00 339,264,000.00 95,418,000.00 375,841,000.00 113,972,000.00 145,778,000.00 265,050,000.00 490,343,000.00 384,323,000.00

DOC/PT. PPH/200905

Page 22 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 864 NAMA BARANG / PRODUK INCUBATOR ITD SERIES, 150 LTR INCUBATOR ITD SERIES, 22.5 LTR INCUBATOR ITD SERIES, 72 LTR INCUBATOR VERTICAL, 360 LTR, VERTICAL FLOW INCUBATOR VERTICAL , 480 LTR, HORIZONTAL FLOW INCUBATOR VERTICAL, 480 LTR, VERTICAL FLOW FIVE INFANT MANIKINS W/ 100 DISPOSABLE LUNG & 5 ADAPTER CAPS SIX CHANNEL ECG / ARRHYTHMIA / PRESSURE PATIENT SIMULATOR DEFIB &CPR MANIKIN W/ IV TRAINING ARM,AIRWAY MANAG & SIMULATOR INFANT CRISIS MANIKIN WITH ECG CHEST COVER LARRY HEAD WITH MOUNTING BOARD (INTUBATION TRAINER) INFANT AIRWAY MANAGEMENT TRAINER ARTERIAL PUNCTURE ARM, ADULT IV ARM, ADULT PNEUMOTHORAX SIMULATOR SUTURE PRACTICE ARM SURGICAL BANDAGING SIMULATOR GERIATRIC AND NURSING MANIKIN OBSTETRIC MANIKIN FORCEPS OBSTETRIC DELIVERY MANIKIN CPR &AED TRAINING 5 PACK W/ NYLON BACKPACK &50 LUNG/MOUTHSHIELD LUNG/MOUTHSHIELD 50 PCS/PKG FOR CPR/AED TRAINING CRISIS RESUS. SYS MANIKIN UPDATE PACKAGE+OPTIONAL CHILD CRISIS MANIKIN + OPTIONAL HARD CASE I.V. ARM, + REPALCEMENT SKIN AND VEIN KIT PATIENT EDUCATION TRACHEOTOMY CARE SET TERRY TRAUMA ADULT AND CPR MANIKIN DELUXE O.B. MANIKIN FEMALE CATHETER SIMULATOR IN CARRYING CASE + LUBRICANT, 6/PKG MALE CATHETHER SIMULTAN SIMULATOR ACTAR D-FIB 10 PACK WITH CARRY BAG ACTAR 911 SQUADRON PLUS ACTAR 911 INFANTRY 10 PACK INFANTRY LUNGS, 100 / PKG INFANTRY ADAPTER CAPS, 10 / PKG ACTAR 911 INFANTRY CHEST PLATE CPR MANIKIN WITH ELECTRONIC SYSTEM EMERGENCY CART MERK & NEGARA ASAL ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ALP - JAPAN ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA TYPE ITD-60K ITD-30K ITD-45K IF-120HM IFY-120HL IF-120HL AA-1855 AA-820 AA-6000 AB-1930 AB-1875 AB-2000 AB-1005 AB-1000 AA-9500 AB-1075 AB-1130 AB-2425 AA-9505 AA-9550 ACTAR D-FIB AA-1305 ACTAR D-FIB AA-1312 AB-1705 + AB-1701 AB-1950 + AB-1950C AB-10001 + AB -1003 AB-1136 AA - 7200 AA - 9505 B AB-1045+LF-985 UA AB-1050+LF-985 UA AA-1310 AA-1845 AA-1860 AA-1862 AA-1865 AA-1871 AA-5885 APE 2 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET SET UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 108,671,000.00 82,166,000.00 87,467,000.00 280,423,000.00 402,346,000.00 343,505,000.00 13,538,000.00 290,703,000.00 174,523,000.00 62,843,000.00 33,935,000.00 24,886,000.00 23,180,000.00 22,097,000.00 21,187,000.00 5,135,000.00 29,913,000.00 100,297,000.00 25,137,000.00 30,272,000.00 17,973,000.00 934,000.00 103,888,000.00 150,463,000.00 22,097,000.00 31,421,000.00 57,456,000.00 25,137,000.00 19,493,000.00 19,493,000.00 32,445,000.00 37,113,000.00 25,442,000.00 1,167,000.00 563,000.00 503,000.00 23,270,000.00 80,127,000.00

DOC/PT. PPH/200905

Page 23 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 865 866 867 868 869 870 871 872 873 874 875 876 877 878 879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894 895 896 897 898 899 900 901 902 NAMA BARANG / PRODUK EMERGENCY / ANESTHESI CART MEDICATION CART ENT UNIT SET (COMPLETE) ENT UNIT SET (SUPER COMPLETE) VARIOTHERM PLUS MODULE, DIGITAL CCD COLOUR VIDEO CAMERA WITH IMAGE MEMORY DIGITAL CCD CAMERA W/ IMAGE MEMORY+HALOGEN LIGHT SOURCE TFT LCD VIDEO MONITOR 15 INCH. SONY VIDEO MONITOR 14 INCH. TRINITRON LARYNGOSCOPE 70 DEGREE WITH LIGHT GUIDE LARYNGOSCOPE 90 DEGREE WITH LIGHT GUIDE NASOPHARYNGOSCOPE WITH FIXED LIGHT GUIDE CABLE NASOPHARYNGOSCOPE WITH REMOVABLE LIGHT GUIDE CABLE ENT MICROSCOPE ENT INSTRUMENT SET ULTRASOUND UNIT FOR DIAGNOSTICS OF PARANASAL SINUS DISEASE ULTRASOUND UNIT FOR DIAGNOSTICS OF PARANASAL SINUS DISEASE RHINOMANOMETRY IRRIGATION UNIT W/ THERMAL PROCES F REDUCING BACTERIAL COUNT THERMIC STIMULATION UNIT W/ THERMAL PROCESS VARIOAIR, ELECTRONICALLY CONTROLLED AIR CATALISATOR ENDO STROBOSCOPE ENDO STROBOSCOPE AND HALOGEN LIGHT SOURCE CAMERA SUPPORT WITH INTEGRATED SWITCHING OF THE LIGHT SOURCE. ENDO STROBOSCOPE L MEDIA STROBOSCOPE ADAPTER ( f = 16 mm ) FOR LARYNGO-PHARUNGOSCOPE FOCUSING ADAPTER (f = 25mm) F RIGID & FLEXIBLE ENDOSCOPE VOICE & SPEECH ANALYSIS SOFT. WinSAL - V (F WIN 95/NT) CONNECTION CABLE FROM MEDIASTROBOSCOPE TO ENDOSTROBOSCOPE 4 IOMEGA DISKETTE 2 GB FOE JAZ DRIVE PC WORKING TABLE CHIP CARD READER DVD RAM DRIVE FOR ARCHIVING DISK DVD RAM ( 5.2 GB, REWRITABLE ) SMOKE EVACUATION (SURGICAL) AUTOMATIC WASHING MACHINE AUTOMATIC WASHING MACHINE MERK & NEGARA ASAL ARMSTRONG MEDICAL - USA ARMSTRONG MEDICAL - USA ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY ATMOS - GERMANY BELIMED - SWISS BELIMED - SWISS TYPE PAPE-1 PAMS 100 ATMOS C 31 ATMOS C 31 506.6002.0 CH - 01 D LCH - 01 D 507.3008.0 SONY 950.0150.0 950.0163.0 950.0162.0 950.0162.0 510.0634.0 507.0403.0 SINUSCOPE 4 D SINUSCOPE 4 PD RHINOMANOMETER 300 HYGROTHERM PLUS VARIOTHERM PLUS 502.1100.0 ENDOSTROB ENDOSTROB 950.0168.0 ENDOSTROB L MEDIA STROBOSCOPE 507.1871.5* 507.1873.5* 700.0001.B* 507.3024.0 507.3063.0* 507.3010.0* 507.3013.0 507.3004.0* 507.3066.0* ATMOSAFE LA 110 WD 130 SATUAN UNIT UNIT SET SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES HARGA Rp. 83,269,000.00 Rp. 64,417,000.00 Rp. 1,164,520,000.00 Rp. 1,787,412,000.00 Rp. 201,545,000.00 Rp. 501,483,000.00 Rp. 535,598,000.00 Rp. 442,232,000.00 Rp. 522,895,000.00 Rp. 295,809,000.00 Rp. 295,809,000.00 Rp. 491,518,000.00 Rp. 720,893,000.00 Rp. 604,500,000.00 Rp. 59,584,000.00 Rp. 457,404,000.00 Rp. 547,684,000.00 Rp. 393,765,000.00 Rp. 222,328,000.00 Rp. 312,552,000.00 Rp. 237,599,000.00 Rp. 867,227,000.00 Rp. 860,942,000.00 Rp. 22,623,000.00 Rp. 383,160,000.00 Rp. 1,398,246,000.00 Rp. 35,910,000.00 Rp. 49,376,000.00 Rp. 26,035,000.00 Rp. 8,439,000.00 Rp. 8,888,000.00 Rp. 35,461,000.00 Rp. 14,813,000.00 Rp. 20,648,000.00 Rp. 4,219,000.00 Rp. 178,114,000.00 Rp. 275,938,000.00 Rp. 494,331,000.00

DOC/PT. PPH/200905

Page 24 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 903 904 905 906 907 908 909 910 911 912 913 914 915 916 917 918 919 920 921 922 923 924 925 926 927 928 929 930 931 932 933 934 935 936 937 938 939 940 NAMA BARANG / PRODUK AUTOMATIC WASHING MACHINE WITH TWO HINGED DOOR AUTOMATIC WASHING MACHINE WITH TWO FRONT BED PAN CLEANING MACHINE WASHING & DISINFECTING MACHINE FOR FLEXIBLE ENDOSCOPE ULTRASONIC CLEANER 28 LITERS STERILIZER 6-6-6 VS2, 300 L STERILIZER 6-6-6 VS1, 300 L STERILIZER AUTOMATIC FILM PROCESSOR MICRO FLOW CELL PHOTOMETER PARTICLE ( BLOOD CELL ) COUNTER 18 PARAMETER FULL AUTOMATIC PARTICLE COUNTER DIGITAL HEMOGLOBINMETER BILIRUBIN METER PHOTOELECTRIC COLORIMETER DIGITAL PHOTOELECTRIC COLORIMETER PRECISSION ROTARY MICROTOME LARGE ROTARY MICROTOME SMALL ROTARY MICROTOME FREEZING MICROTOME ABBE REFRACTOMETER BINOCULAR MICROSCOPE BINOCULAR MICROSCOPE TRINOCULAR MICROSCOPE BLOOD CELL CALCULATOR HAND PROTEIN REFRACTOMETER DIGITAL CLINICAL REFRACTOMETER PARTICLE COUNTER POLARIMETER OPERATING TABLE ELECTRICAL W/ BATTERY SUPPLYING, 5 SECTION OPERATING TABLE ORTHOPEDIC ELECTRICAL 5 SECTION OPERATING TABLE HYDRAULIC 5 SECTION OPERATING TABLE ORTHOPEDIC, HYDRAULIC , 4 SECTION LARGE CASTOR FOR SU-02 OPERATING TABLE, UNIVERSAL HYDRAULIC, CHROMIUM ACC. HYDRAULIC ORTHOPEDIC OPERATING TABLE MOBILE OPERATING TABLE MOBILE ORTHOPEDIC OPERATING TABLE MERK & NEGARA ASAL BELIMED - SWISS BELIMED - SWISS BELIMED - SWISS BELIMED - SWISS BELIMED - SWISS BELIMED - SWISS BELIMED - SWISS BELIMED - SWISS ELK - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN ERMA - JAPAN FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND TYPE WD 220 WD 250 WD 550 WD 420 DL 1028 P MSTV 6-6-6 VS2 MSTV 6-6-6 VS1 MST-S, 010461 CP-345 AE-600 PCE-170 PCE-210 HB-20 B - 105 AE-15F AE-30F ERM-200P ERM-230L ERM-260S 08-300-0 ER - 1 ERMAX - I ERMAX - II ERMAX - III F 410 N MODEL D SU-202 PA-2000 12-150-0 SU - 04 SU - 04 SU - 02 SU - 02 SJ - 21 SJ-21 SO-10 SO-10 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 1010230339 AKL 20205303135 AKL 20205500274 AKL 20207300330 AKL 10207300331 DALAM PROSES AKL 10102500273 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 10203300555 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 11603300576 AKL 11603300576 AKL 10903300359 AKL 10903300359 DALAM PROSES AKL 10903300358 AKL 10903300358 AKL 10903300360 AKL 10903300360 Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 1,226,925,000.00 1,597,653,000.00 306,133,000.00 980,044,000.00 182,521,000.00 3,094,544,000.00 2,944,492,000.00 1,245,671,000.00 280,529,000.00 148,428,000.00 262,930,000.00 466,488,000.00 26,293,000.00 84,816,000.00 19,508,000.00 25,445,000.00 205,255,000.00 102,627,000.00 81,932,000.00 83,120,000.00 67,853,000.00 64,460,000.00 67,683,000.00 90,075,000.00 2,837,000.00 3,393,000.00 23,324,000.00 551,304,000.00 72,093,000.00 823,126,000.00 955,776,000.00 414,094,000.00 452,352,000.00 34,200,000.00 253,764,000.00 332,424,000.00 183,540,000.00 254,448,000.00

DOC/PT. PPH/200905

Page 25 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 941 942 943 944 945 946 947 948 949 950 951 952 953 954 955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976 977 978 NAMA BARANG / PRODUK DRIP BOTTLE HOLDER + CLAMP MECHANISM /1 SET/ SCHANK RESTS + CLAMP MECHANISMS / 2 SET/ ARM SUPPORT + MULTIPOSITION CLAMP MECHANISMS /1 SET/ ANGLE ARM REST + CLAMP MECHANISM /1 SET/ TROLLEY F ACC /1 PCE/, FOR SJ-21 & SO-10 (F LACQUIRED VERSION) HOLDER F ANESTHESI TUBE+CLAMP MECH/1/ F SJ-21 &SO-10 TRAY F INST + CLAMP MECH. /1 SET/ FOR SJ-21 & SO-10 TRAY FOR X-RAY PLATE I /1 PCE/ FOR SJ-21 TRAY FOR X-RAY PLATE III /1 PCE/ FOR SO-10 GRIP F X-RAY PLATE FOR BACK SECTION /SET/ FOR SO-10 LARYNGOLOGY-OPTHALMIC HEADREST /1 PCE/ F SJ-21&SO-10 HAND SUPPORT F OPERATOR /1/+ MULTIPOS. CLAMP MECH./2/ BODY STRAP L = 1650 mm LENGTH KIDNEY SUPPORT / 1 PCE / FOR SJ-21 GYNAECOLOGICAL ATTACH. /1 PCE/ FOR SJ-21 UROLOGICAL ATTACHMENT /1 PCE / FOR SJ-21 UROLOGICAL ATTACH. /1 PCE / FOR SJ-21 & SO-10 PROCTOLOGICAL ATTACH. /1/ + CLAMP MECH. /2/ F SJ-21&SO-10 CLAMP MECHANISM / 1 SET/ FOR SJ-21 AND SO-10 MULTIPOSITION CLAMP MECH. /1 SET/ FOR SJ-21 & SO-10 DRIP BOTTLE HOLDER WITH CLAMP MECHANISM (1 SET) SCHANK REST WITH CLAMP MECHANISM (2 SET) ANGLE ARM REST WITH CLAMP MECHANISM (1 SET) TROLLEY FOR ACCESSORIES ANAESTHETIC FRAME W/ WIDTH REGULATION & CLAMP MECH. (1) HOLDER FOR ANAESTHESION TUBES WITH CLAMP MECHANISM (1) TRAY FOR INSTRUMENT WITH CLAMP MECHANISM TRAY FOR X-RAY PLATE FOR SU-04 / SU-03 / SU-02 X-RAY TRAY FOR SU-04 / SU-03 / SU-02 LARYNGOLOGY-OPHTHALMIC HEADREST HAND SUPPORT FOR OPERATOR BODY STRAP 1650 MM LENGTH ABDOMINAL STRAP PATIENT LEG STRAP HAND REST (HANGED ON ANESTHETIC FRAME) HOLDER FOR THIGH GYNAECOLOGICAL ATTACHMENT FOR SU-04 / SU-03 / SU-02 UROLOGICAL BOWL FOR SU-04 / SU-03 / SU-02 MERK & NEGARA ASAL FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND TYPE WK-01.0 WS-04.0 PR-01.0 WS-07.0 WS-13.0 WS-14.0 WS-15.0 WS-09.0 WS-11.0 WS-12.0 WS-21.0 WS-22.0 WS-23.0 WS-24.0 WS-25.0 WS-26.0 WS-29.0 WS-30.0 WS-16.0 WS-17.0 WK-01.5 WS-04.5 WS-07.5 WS-13.5 WS-01.6 WS-14.5 WS-15.5 WS-11.5 WS-19.6 WS-21.5 WS-22.5 WS-23.0 WS-41.0 WS-42.0 WS-43.0 WS-44.0 WS-28.5 WS-29.5 SATUAN PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 1,824,000.00 6,156,000.00 4,697,000.00 5,609,000.00 19,243,000.00 2,554,000.00 5,746,000.00 1,231,000.00 1,231,000.00 3,420,000.00 14,957,000.00 8,664,000.00 456,000.00 8,162,000.00 5,746,000.00 6,475,000.00 6,430,000.00 10,260,000.00 1,003,000.00 2,098,000.00 3,466,000.00 10,807,000.00 11,537,000.00 26,858,000.00 11,309,000.00 5,381,000.00 7,250,000.00 2,827,000.00 3,101,000.00 22,891,000.00 16,553,000.00 456,000.00 2,006,000.00 2,873,000.00 2,052,000.00 1,733,000.00 5,335,000.00 5,791,000.00

DOC/PT. PPH/200905

Page 26 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 979 980 981 982 983 984 985 986 987 988 989 990 991 992 993 994 995 996 997 998 999 1000 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1015 1016 NAMA BARANG / PRODUK PROCTOLOGICAL ATTACHMENT FOR SU-04 / SU-03 / SU-02 HANDRAlLS FOR SJ-21 / SO-10 WRIST GRIP HAND WIRED CONTROLLER FOOT WIRED CONTROLLER WIRELESS HAND CONTROLLER ATTACHMENT FOR ARTHROSCOPIC TREATMENT ATTACHMENT FOR MENISCUS TREATMENT LARYNGOLIC-OPHTHALMIC NARROW HEAD REST LARYNGOLIC-OPHTHALMIC WIDE HEAD REST HAND TRACTION DEVICE HAND OPERATING TABLE PUBIC REST+MULTIPOSITION CLAMP MECHANISM 2/SET SIDE REST + CLAMP MECHANISM 2/SET HIP REST + CLAMP MECHANISM CHEST SUPPORT + CLAMP MECHANLSM ATTACHMENT FOR SIDE RAlL HIP SUPPORT LITHOTOMIC STIRRUPS + MULTI POSITION CLAMP MECHANISM. SPINAL MATTRESS HALF ROLL FlLLlNG MATTRESS ROLL UNDER NECK WIDE HEAD REST HEAD REST ORTHOPEDIC ATTACHMENT FOR SU-04 ORTHOPEDIC ATTACHMENT FOR SU-02 ORTHOPEDIC ATTACHMENT FOR SU-02 ORTHOPEDIC ATTACHMENT FOR SJ-21 ORTHOPEDIC ATTACHMENT FOR SO-10 Knee Operation Attachment for SU-02 / SJ-21 / SO-10 Knee Support for SU-02 / SJ-21 / SO-10 Knee Support for SU-02 / SU-03 / SU-04 Hip Support for SU-02 / SU-03 / SU-04 / SJ-21 / SO-10 MODULAR TROLLEY FOR OPERATING THEATRES ( SS ) EXAMINATION TABLE GYNAECOLOGICAL CHAIR W/ ANGLE ARM REST+CLAMP MECHANISM GYNAECOLOGICAL CHAIR, ELECTRIC MERK & NEGARA ASAL FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND TYPE WS-30.5 WS-32.5 WS-34.5 WS-35.0 WS-36.0 WS-37.0 WS-39.5 WS-40.5 WS-45.5 WS-46.5 WS-47.5 WS-48.5 WS-49.5 WS-50.5 WS-51.5 WS-52.5 WS-53.0 WS-60.5 WS-64.5 WS-65.0 WS-66.0 WS-67.0 WS-68.0 SG-01.1 WS-69.0 SO-11.0 SO-09.0 SO-08.3 SO-08.2 SO-07.2 WS-79.5 WS-78.5 WS-75.5 WS-60.5 SM-01.0 SZ-02.0 FG-1 FG-04.0 SATUAN PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 10903300361 DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 17,100,000.00 16,690,000.00 4,058,000.00 9,804,000.00 23,940,000.00 13,589,000.00 12,038,000.00 14,090,000.00 13,726,000.00 14,501,000.00 17,419,000.00 12,449,000.00 16,690,000.00 7,843,000.00 2,234,000.00 4,195,000.00 7,296,000.00 9,850,000.00 17,374,000.00 4,925,000.00 1,186,000.00 2,508,000.00 1,778,000.00 15,094,000.00 1,596,000.00 215,688,000.00 225,264,000.00 134,976,000.00 125,856,000.00 118,104,000.00 6,202,000.00 5,472,000.00 5,563,000.00 9,850,000.00 12,859,000.00 77,566,000.00 44,221,000.00 178,678,000.00

DOC/PT. PPH/200905

Page 27 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 1035 1036 1037 1038 1039 1040 1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 1054 NAMA BARANG / PRODUK GYNAECOLOGICAL CHAIR, ELECTRIC GYNAECOLOGICAL CHAIR GYNAECOLOGICAL CHAIR W/ SEAT HEIGHT ADJUSTMENT FOOT STOOL - TWO STEP OPTHALMIC AND LARYNGOLOGY CHAIR CHAIR FOR BLOOD DONORS WITH ARM SUPPORT DENTAL UNIT - ELECTRIC DENTAL UNIT - PNEUMATIC DENTAL UNIT - ELECTRIC DENTAL SWIVEL STOOL DENTAL SWIVEL STOOL INSTRUMENT TROLLEY (STAINLESS STEEL) SWIVEL STOOL EXAMINATION COUCH EXAMINATION COUCH WITH LOCKER EXAMINATION COUCH SCREEN SWADDLING TABLE BABY CRIB TROLLEY PATIENT W/ DRIP BOTTLE HOLDER TROLLEY PATIENT W/ DRIP BOTTLE HOLDER, HYD HEIGHT REGULATION TROLLEY PATIENT W/ DRIP BOTTLE HOLDER DELIVERY BED W/ FOOT REST, KNEE CRUTCHES, HAND GRIP REHABILITATION BED . REHABILITATION BED, TOPS FILLED WITH CHIPBOARD, HOSPITAL BED, ADJUSTABLE THREE SECTIONAL & HEIGHT REHAB. BED W/ ELECTRIC DRIVE/WOODEN-TOPS & LOWERING SIDE RAIL REHAB. BED W/ ELECT. DRIVE, CENTRAL WHEEL BLOCKADE REHAB. BED W/ ELECT. DRIVE CENTRAL WHEEL BLOCKADE, SS REHAB. BED W/ ELECT. DRIVE, CENTRAL CONTROL PANEL REHAB BED W/ ELECT. DRIVE, CENTRAL CONTROL PANEL, SS REHABILITATION BED W/ ELECTRIC DRIVE, CHROMIUM REHABILITATION BED W/ ELECTRIC DRIVE, STAINLESS MULTIPOSITION HOSPITAL BED FOR DIALYSIS MULTIPOSITION BED W/ FOLDING SIDE RAIL CHROMIUM PLATE REHABILITATION BED W/ HYDRAULIC HEIGHT ADJ. HOSPITAL CHILDREN BED WITH DRIP BOTTLE HOLDER BEDSIDE LOCKER MERK & NEGARA ASAL FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND TYPE FG-04.0 ERATO FG-06.0 FG-05.0 WF-03.1 SM-14 A SM-14 K PEGAZ EG PEGAZ PD (US-02.3) FENIKS EG (US-03) FO-30 FO-40 ZG-2 ZG-3 KL-2 KL-4 WG-05.7 PF-1 ARTICLE NO. WG-22.0 LN-09.0 WP-02.0 WP-03.1 WP-05.0 LM-01.3 X-40 DA X-46 D LW-01.11 LR-03.7 LE-02.0 LE-02.5 LE-03 LE-03 LE-04 LE-04 LE-01.1 LR-07.0 LR-10.0 LD-31 SP-1 SATUAN PC PC PC PC PC PC UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES AKL 211404400185 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 21104300571 AKL 10902300354 AKL 10902300353 DALAM PROSES AKL 10902300356 AKL 209023000338 AKL 209023000338 AKL 20905300156 AKL 20905300156 AKL 20905300156 AKL 20905300156 DALAM PROSES DALAM PROSES AKL 10902300355 DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 184,372,000.00 80,644,000.00 107,730,000.00 3,283,000.00 54,019,000.00 60,175,000.00 415,992,000.00 277,225,000.00 502,176,000.00 12,261,000.00 9,901,000.00 13,492,000.00 5,335,000.00 8,259,000.00 15,134,000.00 20,623,000.00 3,335,000.00 10,260,000.00 16,467,000.00 86,954,000.00 48,479,000.00 210,587,000.00 330,629,000.00 21,341,000.00 32,986,000.00 58,226,000.00 66,639,000.00 136,304,000.00 244,906,000.00 433,485,000.00 474,525,000.00 310,365,000.00 351,405,000.00 61,406,000.00 92,443,000.00 129,379,000.00 46,580,000.00 7,131,000.00

DOC/PT. PPH/200905

Page 28 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065 1066 1067 1068 1069 1070 1071 1072 1073 1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088 1089 1090 1091 1092 NAMA BARANG / PRODUK BEDSIDE LOCKER WOODEN BEDSIDE LOCKER WITH OVERBED TABLE BEDSIDE TABLE (OVERBED) STAND INFUSION HOLDER (MOVABLE) WITH BASKET TRANSPORT TROLLEY FOR DIRTY CLOTHES AND LINEN WATER BATH, CONTENTS 14 LITRES, MICROPROCESSOR CONTROL WATER BATH, CONTENTS 40 LITRES, MICROPROCESSOR CONTROL MULTIPLE WATERBATH WITH 6 OPENINGS OF 130 MM EACH SHAKING WATER BATH, WITH ORBITAL MOTION QUADROTHERMAL SHAKING WATER BATH WATER STILLS WITH 16 L STORAGE TANK, CAPACITY 8 L/H BI DISTILLER, CAPACITY 8 L/H SHAKER, RECIPROCATING MOTION, LOAD 8 KG SHAKING INCUBATOR W/ MICROPROC. CONTROL 45 L TEST TUBE ROTATOR CHEST FREEZER, - 50 C TO -85C, CAPACITY 70 L CHEST FREEZER, - 50 C TO -85C, CAPACITY 30 L CHEST FREEZER, - 50 C TO -85C, CAPACITY 500 L OVEN BENCH TOP 5.1 CU.FT. 40 - 350 C W/ DIGITAL CONTROL. OVEN FLOOR 9.5 CU.FT SINGLE DOOR W/ DIGITAL CONTROL. GLASSWARE DRYER 41 CU. FT., 35 - 180 C OVEN, SAFETY . 33 CU.FT., 35 - 120 C OVEN, VACUUM 2,3 CU. FT., 40 - 280 C INCUBATOR DRYWALL CO2 10 CU. FT. BENCH TOP, 5 - 60 C, INCUBATOR DRYWALL CO2 33 CU. FT. FLOOR MODEL, 0 - 60 C INCUBATOR SINGLE DOOR 22 CU.FT. 2 TO 55 C LIGHT CHAMBER 19 CU. FT., -20 TO 50 C, BENCH TOP HUMIDITY CHAMBER 9,7 CU. FT. 10" CHART RECORDER, 2 PEN CIRC. SIDE MOUNTED OR PLUG IN 10" CHART RECORDER, 2 PEN CIRC. TOP MOUNTED MICROPROCESSOR PROGRAMMER FOR REFRIGERATED MODEL CONDENSATE PUMP INTERNAL VAPOOR-PROOF DUPLEX RECEPTACLE FOR 33 CU. FT. INTERNAL VAPOOR PROOF LIGHT, OPERABLE FROM EXTERNAL SWC. DEIONIZED ( DI ) WALL MOUNTED INCLUDES 3 RESIN PACK. ACCESS PORT 1" OUTSIDE DIAMETER ACCESS PORT 2" OUTSIDE DIAMETER ACCESS PORT 3" OUTSIDE DIAMETER MERK & NEGARA ASAL FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND FAMED - POLAND GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY GFL - GERMANY HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA TYPE SP-2.2 PW-13 SP-04.0 SK-2 PW-12 1003 1005 1042 1092 1070 2008 2108 3006 3032 3025 6380 6381 6385 213024 212034 206260 217602 273800 351921 317563 305110 352642 435304 890017 890018 890014 103463 890009 890000 485025 890004 890005 890006 SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT PC PC PC NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 12,825,000.00 17,647,000.00 6,361,000.00 3,540,000.00 8,105,000.00 32,832,000.00 41,450,000.00 39,398,000.00 152,156,000.00 178,083,000.00 78,489,000.00 220,334,000.00 42,887,000.00 317,444,000.00 37,603,000.00 321,152,000.00 312,834,000.00 416,364,000.00 294,462,000.00 714,449,000.00 368,676,000.00 881,710,000.00 259,270,000.00 664,295,000.00 869,700,000.00 337,754,000.00 351,519,000.00 548,306,000.00 73,695,000.00 89,296,000.00 186,812,000.00 14,005,000.00 14,204,000.00 20,469,000.00 47,401,000.00 19,591,000.00 19,591,000.00 19,591,000.00

DOC/PT. PPH/200905

Page 29 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1093 1094 1095 1096 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 NAMA BARANG / PRODUK BIOLOGICAL SAFETY CABINET 4 FT. WIDE FLOOR MODEL REFRIGERATOR FLOOR MODEL 19 CU FT FREEZER FLOOR MODEL 19 CU FT FREEZER FLOOR MODEL 22 CU FT BLOOD STORAGE REFRIGERATOR 27 CU. FT BLOOD STORAGE REFRIGERATOR, 49 CU FT STERILIZER, SINGLE VERTICAL SLIDING DOOR, ELECTRIC,113 L STERILIZER, SINGLE VERTICAL SLIDING DOOR, ELECTRIC, 250 L STERILIZER, STEAM POWER, 432 L. (REQUIRED STEAM BOILER) STERILIZER, STEAM POWER, 598 L. (REQUIRED STEAM BOILER) STERILIZER, STEAM POWER, 920 L. (REQUIRED STEAM BOILER) PROTECTIVE GLOVE, 0.35 MMPB PROTECTIVE GLOVE, 0,42 MMPB PROTECTIVE GLOVE, 0,50 MMPB SAFE LIGHT, ONE SIDE SAFE LIGHT, THREE SIDE SAFETY LIGHT/DARK ROOM LAMP, ONE FACE LEAD APRON, 0.25 MMPB, SIZE S LEAD APRON, 0.25 MMPB, SIZE M LEAD APRON, 0.25 MMPB, SIZE L LEAD APRON, 0.35 MMPB, SIZE S LEAD APRON, 0.35 MMPB, SIZE M LEAD APRON, 0.35 MMPB, SIZE L LEAD APRON, 0.50 MMPB, SIZE S LEAD APRON, 0.50 MMPB, SIZE M LEAD APRON, 0.50 MMPB, SIZE L INTENSIFYING SCREEN, BLUE SENSITIVE 18 X 24 CM INTENSIFYING SCREEN, BLUE SENSITIVE 24 X 30 CM INTENSIFYING SCREEN, BLUE SENSITIVE 30 X 40 CM INTENSIFYING SCREEN, BLUE SENSITIVE 35 X 35 CM INTENSIFYING SCREEN, BLUE SENSITIVE 35 X 43 CM INTENSIFYING SCREEN, BUT GREEN SENSITIVE 18 X 24 CM INTENSIFYING SCREEN, BUT GREEN SENSITIVE 24 X 30 CM INTENSIFYING SCREEN, BUT GREEN SENSITIVE 30 X 40 CM INTENSIFYING SCREEN, BUT GREEN SENSITIVE 35 X 35 CM INTENSIFYING SCREEN, BUT GREEN SENSITIVE 35 X 43 CM FILM CASSETTE 18 X 24 CM FILM CASSETTE 24 X 30 CM MERK & NEGARA ASAL HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA HOTPACK - USA NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN TYPE CLASS II TYPE A/B3 852600 952600 901100 827170 849170 HL 161626 - SCE HL 202038 - SCE HL 262639 - DRS HL 263639 - DRS HL 263660 - DRS G-1 G-1 G-1 N1602 N1602 NH-30 SA 1B SA 1B SA 1B SA 1B SA 1B SA 1B SA 1B SA 1B SA 1B DMS (N1210) DMS (N1210) DMS (N1210) DMS (N1210) DMS (N1210) LUS (1210) LUS (1210) LUS (1210) LUS (1210) LUS (1210) PL-B (N1203) PL-B (N1203) SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 484,147,000.00 94,962,000.00 108,129,000.00 203,809,000.00 406,701,000.00 523,209,000.00 2,175,787,000.00 2,393,681,000.00 4,006,239,000.00 4,327,793,000.00 4,834,922,000.00 13,120,000.00 13,878,000.00 17,202,000.00 3,207,000.00 8,863,000.00 2,969,000.00 15,452,000.00 16,910,000.00 17,493,000.00 17,143,000.00 20,409,000.00 21,692,000.00 20,001,000.00 21,284,000.00 21,808,000.00 1,808,000.00 2,857,000.00 4,723,000.00 4,723,000.00 8,047,000.00 4,432,000.00 6,881,000.00 11,487,000.00 11,487,000.00 23,674,000.00 4,607,000.00 5,207,000.00

DOC/PT. PPH/200905

Page 30 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1131 1132 1133 1134 1135 1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 1146 1147 1148 1149 1150 1151 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 NAMA BARANG / PRODUK FILM CASSETTE 30 X 40 CM FILM CASSETTE 35 X 35 CM FILM CASSETTE 35 X 43 CM FILM HANGER (ANY SIZE) X-RAY FILM DRYER 16 FILMS X-RAY FILM DRYER 24 FILMS FILM MARKER SET, ALPHA NUMBER FILM VIEWER ID PRINTER TYPE A2 X RAY GRID, 34 LINES SIZE 18 X 24 CM X RAY GRID, 34 LINES SIZE 24 X 30 CM X RAY GRID, 34 LINES SIZE 35 X 35 CM X RAY GRID, 34 LINES SIZE 30 X 40 CM X RAY GRID, 34 LINES SIZE 35 X 43 CM DRESSING STERILIZING CASE DRESSING STERILIZING CASE LENSMETER, OCULAR TYPE SLIT LAMP ( Mag 33 X Without Motorized Table ) SLIT LAMP ( Mag 33 X Without Motorized Table ) ASPHERICAL LENS IN CASE ASPHERICAL LENS IN CASE ASPHERICAL LENS IN CASE AUTOREFRACTO-KERATOMETER Without Motorized Table SNELLEN CHART ELECTRIC, STAND TYPE SNELLEN CHART ELECTRIC, WALL TYPE MOTORIZED INSTRUMENT TABLE RESPIRATORY POLIGRAPH WITH ANALYSIS SOFTWARE MECHANICAL SCALE FOR MEDICAL USE MECHANICAL SCALE FOR MEDICAL USE WITH HEIGHT ROD MECHANICAL SCALE WITH TILTABLE HEADSTOCK ELECTRONIC PERSONAL SCALE BABY SCALES MICROPACH PACHYMETER SCAN SYSTEM SCAN SYSTEM PORTABLE PACHYMETER, WITHOUT PRINTER PRINTER SCAN ULTRASOUND MERK & NEGARA ASAL NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NANKAI - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN NIKON - JAPAN SIBELMED - SPAIN SIBELMED - SPAIN SIBELMED - SPAIN SIBELMED - SPAIN SIBELMED - SPAIN SIBELMED - SPAIN SONOMED - USA SONOMED - USA SONOMED - USA SONOMED - USA SONOMED - USA SONOMED - USA TYPE PL-B (N1203) PL-B (N1203) PL-B (N1203) N1506 FD-16 (N1517) FD-24 (N1518) N1462 LH-2K 28 1301 1301 1301 1301 1301 B-1 B-2 OL-7 NS-1V FS-3V 20D 28D 90D SPEEDY K CLEMENT CLARKE - UK CLEMENT CLARKE - UK SIBELHOME-300 MB201 MB201T (403-100-00T) MB301 (403-200-000) MB401 (403-300-000) BASIC SP2 SONOMED 200 P A-1500 A B-1500 B MICROPACH 2 A - 5500 A SATUAN PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 6,706,000.00 6,706,000.00 7,872,000.00 1,050,000.00 128,284,000.00 157,440,000.00 5,714,000.00 30,216,000.00 137,031,000.00 8,164,000.00 9,446,000.00 21,284,000.00 13,586,000.00 23,674,000.00 4,347,000.00 4,750,000.00 68,092,000.00 250,098,000.00 382,262,000.00 7,975,000.00 9,330,000.00 12,979,000.00 518,109,000.00 59,252,000.00 49,197,000.00 24,453,000.00 313,380,000.00 12,398,000.00 33,891,000.00 10,784,000.00 42,454,000.00 22,176,000.00 293,531,000.00 343,441,000.00 676,546,000.00 238,033,000.00 38,706,000.00 409,042,000.00

DOC/PT. PPH/200905

Page 31 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1169 1170 1171 1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 1189 1190 1191 1192 1193 1194 1195 1196 1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 NAMA BARANG / PRODUK SCAN ULTRASOUND SCAN SYSTEM PACHYMETER EMERGENCY VENTILATOR ELECTRONIC, NO OVERPRESSURE ALARM EMERGENCY VENTILATOR ELECTRONIC, 55 CM H20 ELECTRO.OVERPRESS ALRM EMERGENCY VENTILATOR ELECTRONIC, NO OVERPRESSURE ALARM, WITH OXYGEN TANK, FACEM SILICON MANUAL RESUSCITATOR WITH OVERPRESSURE VALVE AND RESERVOIR, TWO MASK, AD SILICON MANUAL RESUSCITATOR WITH OVERPRESSURE VALVE AND RESERVOIR, TWO MASK, PE SILICON MANUAL RESUSCITATOR WITH OVERPRESSURE VALVE AND RESERVOIR, TWO MASK, NE INTUBATION KIT COMPLETE WITH FIBER OPTIC LARYNGOSCOPE EMERGENCY MEDICAL SET, ADULT (0,5 L OXYGEN TANK) EMERGENCY MEDICAL SET, PEDIATRIC (0,5 L OXYGEN TANK) EMERGENCY MEDICAL SET, ADULT (2 L OXYGEN TANK) EMERGENCY MEDICAL SET, PEDIATRIC (2 L OXYGEN TANK) TONGUE SEIZING FORCEPS-STAINESS STEEL, COLLIN TONGUE FORCEPS STAINLESS STEEL YOUNG MAGILL FORCEPS ADULT MAGILL FORCEPS PEDIATRIC EMRGENCY ORAL AIRWAY SET EMRGENCY ORAL AIRWAY SET MOUTHWEDGE JAW SPREADER EMERGENCY BOARD (RESCUE BOARD) ROLL-IN-COT STRETCHER ROLL-IN-COT STRETCHER VARIABLE HEIGHT WITH FOWLER ROLL-ON ROLL-OFF STRETCHER EMERGENCY EASY-FOLDING STRETCHER, WITH ADJUSTABLE BACKREST SCOOP STRETCHER FOLDING ORANGE, AND CARRYING CASE BASKET STRETCHER TWIN SHELL, AND CARRYING CASE SPINE BOARD SPENCER ROCK, ORANGE FOLDING ALUMINIUM SPINE BOARD, PORTA-LOC SPINE BOARD ABS TECH, BLUE IMMOBILIZER UNIVERSAL HEAD, SPENCER CONTOUR IMMOBOLIZER SYSTEM PAEDIATRIC, PEDI-LOC EXTRICATION COLLAR SET OF 3 SIZE, WITH BAG EXTRICATION COLLAR SET OF 5 SIZE, WITH BAG EMERGENCY VACUUM COLLAR (RESCUE CERVI) EXTRICATION SPINE SPLINT MERK & NEGARA ASAL SONOMED - USA SONOMED - USA SONOMED - USA SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY TYPE A - 5500 B A/B - 5500 A/B SONOMED 300 P SPENCER 170 SPENCER 190 KOMPAK 170 BG-04010 A B-LIFE BG-04020 A B-LIFE BG-04040 A B-LIFE SPENCER DG-80014 E ALERT CB-06020 A ALERT CB-06025 A LIENZ CB-06022 A LIENZ CB-06029 A RM-30300 A RM-30400 A FG-00605 A FG-00607 A BERMAN RM-10210 A GUEDEL RM-10310 A FG-08810 A RM-30700 A RB-70000 A ST-40010 A + 40300 A ST-40020 A + 40400 A 510-506 ST30310A ST05100A ST04020A ST02030A ST02000B ST02072C SH00200A ST02600C QC22500A QC22506A QC22150A SR00170A SATUAN UNIT UNIT UNIT UNIT UNIT UNIT SET SET SET SET SET SET SET SET PC PC PC PC SET SET PC PC UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET SET PC PC NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL 20403403352 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES HARGA Rp. 794,593,000.00 Rp. 1,088,808,000.00 Rp. 235,503,000.00 Rp. 76,334,000.00 Rp. 113,270,000.00 Rp. 102,805,000.00 Rp. 9,911,000.00 Rp. 9,911,000.00 Rp. 9,911,000.00 Rp. 26,594,000.00 Rp. 31,396,000.00 Rp. 31,519,000.00 Rp. 38,413,000.00 Rp. 38,229,000.00 Rp. 394,000.00 Rp. 431,000.00 Rp. 369,000.00 Rp. 369,000.00 Rp. 259,000.00 Rp. 374,000.00 Rp. 123,000.00 Rp. 203,000.00 Rp. 1,954,000.00 Rp. 89,156,000.00 Rp. 104,099,000.00 Rp. 113,917,000.00 Rp. 16,867,000.00 Rp. 18,468,000.00 Rp. 26,101,000.00 Rp. 7,449,000.00 Rp. 16,437,000.00 Rp. 11,450,000.00 Rp. 4,494,000.00 Rp. 10,342,000.00 Rp. 2,278,000.00 Rp. 3,817,000.00 Rp. 1,416,000.00 Rp. 7,510,000.00

DOC/PT. PPH/200905

Page 32 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1207 1208 1209 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 1221 1222 1223 1224 1225 1226 1227 1228 1229 1230 1231 1232 1233 1234 1235 1236 1237 1238 1239 1240 1241 1242 1243 1244 NAMA BARANG / PRODUK EXTRICATION DEVICE, SED TRAUMA AIR PANTS, ADULT TRAUMA AIR PANTS, CHILD AIR/PNEUMATIC SPLINT SET OF 6 SIZE WITH BAG, ECO SPLINT 2 SIZES WITH BAG (FRACTUR KIT) ADULT TRACTION SPLINT PEDIATRIC TRACTION SPLINT VACUUM RESCUE SPLINT VACUUM MATTRESS VACUUM MATTRESS WITH POHRETEX VACUUM MATTRESS POLYSTIRENE BURN KIT FIRST AID KIT AUTOMATIC TOURNIQUET INSTRUMENT TRAY W/COVER, 325 L X 265 X 640 MM INSTRUMENT TRAY W/COVER, 530 L X 162 X 64 MM INSTRUMENT TRAY W/COVER, 325 L X 265 X 102 MM INSTRUMENT TRAY W/COVER, 530 L X 162 X 102 MM THERMOMETER JAR, 28 MM DIA. X 93 MM H BASIN KIDNEY, 254 MM L X 115 MM W X 52 MM H CATHETER TRAY 217 L X 80 W X 386 MM DRESSING JAR 2,2L CAP 124 MM DIA. X 175 MM H BOWL SPONGE 0,9 L 149 MM DIA. X 64 MM H FORCEPS JAR, 964 DIA X 187 MM H MALE URINALS 1.5 LT FEMALE URINALS 1.2 LT FEMALE URINALS 1.1 LT FEMALE URINALS 1.7 LT BED PANS 356 X 289 X 104 MM BED PANS CHILD 311 X 241 X 91 MM FRACTURE BED PANS BED PANS WITH HANDLE ADULT 356 X 289 X 104 MM ROUND BED PANS W/ COVER OUTSIDE TOP DIA. 309 MM FRACTURE BED PANS WITH COVER BED PANS WITH HANDLE ADULT 356 X 289 X 104 MM DRESSING DRUM, 270 MM DIA X 180 MM (MEDIUM) DRESSING DRUM, 90 MM DIA X 75 MM (SMALL) DRESSING DRUM, 390 MM DIA X 250 MM (LARGE) MERK & NEGARA ASAL SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SPENCER - ITALY SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN TYPE SR00111B AK01000A AK01011A QS24200A QC70090A SR-01010 A SR-02020D QM-22500 A QM-22206 A RES-Q-MATT QM-22100 A RES-Q-MATT PLUS QM-22101 A RES-Q-MATT PLUS BS-05000 D MX-03005 G IF - 00100 C SH 1502/1500 SH 1502L/1500L SH 1504/1500 SH 1504L/1500L SH 504 SH 505 SH 508 SH 514 SH 519 SH 532 SH 550 SH 550 E SH 550 F SH 550 U SH 600 SH 600 C SH 600 F SH 600 H SH 600 R SH 600 WF SH 600 WH SH 6014 B SH 6014 C SH 6014 K SATUAN PC PC PC SET SET PC PC PC PC PC PC SET SET SET PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC PC NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 5,171,000.00 26,286,000.00 26,286,000.00 3,644,000.00 4,248,000.00 8,988,000.00 8,557,000.00 10,356,000.00 7,530,000.00 14,159,000.00 11,635,000.00 3,971,000.00 9,049,000.00 419,000.00 1,696,000.00 1,961,000.00 2,067,000.00 2,385,000.00 387,000.00 429,000.00 742,000.00 1,219,000.00 403,000.00 1,166,000.00 1,971,000.00 1,854,000.00 1,854,000.00 1,714,000.00 2,741,000.00 2,309,000.00 1,353,000.00 2,916,000.00 2,099,000.00 1,825,000.00 3,073,000.00 3,650,000.00 1,510,000.00 13,586,000.00

DOC/PT. PPH/200905

Page 33 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1245 1246 1247 1248 1249 1250 1251 1252 1253 1254 1255 1256 1257 1258 1259 1260 1261 1262 1263 1264 1265 1266 1267 1268 1269 1270 1271 1272 1273 1274 1275 1276 1277 1278 1279 1280 1281 1282 NAMA BARANG / PRODUK INSTRUMENT CASE BOXES, 240 MM L X 180 MM W X 70 MM D INSTRUMENT CASE BOXES, 270 MM L X 210 MM W X 70 MM D DRESSING STERILIZING CASES, 300 MM L X 240 MM W X 75 H DRESSING STERILIZING CASES, 360 MM L X 300 MM W X 75 H DRESSING JAR W/ COVER CAPACITY 235 CC DRESSING JAR W/ COVER CAPACITY 530 CC STAINLESS STEEL WARE SET (8 ITEM) CHART PROJECTOR, TABLE TYPE W/ R. CONTROL & SCREEN BOARD OPERATING MICROSCOPE WALL TYPE OPERATING MICROSCOPE FLOOR STAND ENT TYPE OPERATING MICROSCOPE FLOOR STAND TYPE OPERATING MICROSCOPE FLOOR STAND TYPE LENSMETER, OCULAR TYPE PHOROPTER SLIT LAMP, WITHOUT MOTORIZED TABLE TRIAL FRAME, UNIVERSAL TRIAL LENS SET TRIAL FRAME MORTUARY REFRIGERATION UNIT DISSECTING TABLE HEIGHT ADJ. & REVOLVING W/ COLOMN DISSECTING TABLE FIXED TYPE WITHOUT SINK DISSECTING TABLE W/ INSTAL. COLUMN DISS PLATE &MOVEABLE RACK UNIVERSAL-HYDRAULIC-TRANSPORTER ORGAN TABLE, STAINLESS STEEL NECK SUPPORT, STAINLESS STEEL BODY SUPPORT, PVC CLEAN CUT W/ EXTRACTOR SYSTEM COMPLETE & 5 KIND OF BLADE CLEAN CUT W/ EXTRACTOR SYSTEM COMPLETE & 1 KIND OF BLADE DEPTH GUAGE DIAM 63,5 MM HEXAGON WRENCH FOR CLADE CLAMPING BLOOD BANK REFRIGERATOR, SS. W/ 2 DRAWERS BLOOD BANK REFRIGERATOR, SS. W/ 5 DRAWERS REFRIGERATOR, MEDICAL SS. W/ 4 STANDARD GRIDS FREEZER, LABORATORY DEEP SS. W/ 4 STANDARD GRIDS MOBILE OPERATING TABLE MOBILE OPERATING TABLE MOBILE OPERATING TABLE MOBILE OPERATING TABLE MERK & NEGARA ASAL SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN SUGICO - JAPAN TAKAGI - JAPAN TAKAGI - JAPAN TAKAGI - JAPAN TAKAGI - JAPAN TAKAGI - JAPAN TMI - JAPAN TMI - JAPAN TMI - JAPAN TMI - JAPAN TMI - JAPAN TMI - JAPAN UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY UFSK - GERMANY TYPE SH 6015 A SH 6015 B SH 6115 SH 6117 SH 621 SH 622 VARIOUS CP-30B OM-5 W OM-5 S - ENT OM-5 S OM-10 LMCT ST-VX SL-7X # 26 # 94 UNIVERSAL LKZ HS 4D ST HS 1 ST HS 6 ST 8043 HT 2000 Organ Table Neck Support Body Support CNS3A-230 EU CNS3A-230 EU 27272 204903 TC 501-1 C TC 504-1 C TC 105-1 C TC 211-1 C 600 XLE BL-400 BL-400 XL BL-400XLE SATUAN PC PC PC PC PC PC PC UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 2,916,000.00 3,044,000.00 4,566,000.00 5,633,000.00 846,000.00 933,000.00 9,844,000.00 93,143,000.00 282,025,000.00 311,705,000.00 298,920,000.00 438,677,000.00 36,628,000.00 156,927,000.00 148,955,000.00 7,469,000.00 59,539,000.00 7,900,000.00 375,516,000.00 432,288,000.00 55,404,000.00 263,340,000.00 122,436,000.00 34,884,000.00 3,762,000.00 6,156,000.00 269,154,000.00 245,556,000.00 6,498,000.00 2,736,000.00 261,288,000.00 409,716,000.00 270,180,000.00 327,636,000.00 759,620,000.00 393,851,000.00 464,645,000.00 626,055,000.00

DOC/PT. PPH/200905

Page 34 of 35

DAFTAR HARGA & KEAGENAN ALAT-ALAT MEDIS PT PUTRIA PRATAMA HAYU


Kondisi harga : - Kurs US $ = Rp 9.500,- Franko lokasi - Sudah termasuk PPN 10% - Sudah termasuk biaya instalasi, uji coba, uji fungsi, training operator dan training teknisi - Garansi 2 (dua) tahun dan layanan after sales service 8 (delapan) tahun - Preventive maintenance 4 (empat) kali kunjungan per tahun selama 2 (dua) tahun dan 2 (dua) kali kunjungan per tahun selama 8 (delapan) tahun NO. 1283 1284 1285 1286 1287 1288 1289 1290 1291 1292 NAMA BARANG / PRODUK MOBILE STRETCHER MOBILE STRETCHER TWO STATION SCRUB SINK MOUNTING CARRIER (ACCESSORIES FOR TWO SCRUB) PEDESTAL BASE (ACCESSORIES FOR TWO SCRUB) SOAP DISPENSER (ACCESSORIES FOR TWO SCRUB) ONE STATION SCRUB SINK MOUNTING CARRIER (ACCESSORIES) PEDESTAL BASE (ACCESSORIES) SOAP DISPENSER (ACCESSORIES) MERK & NEGARA ASAL UFSK - GERMANY UFSK - GERMANY WHITE HALL - USA WHITE HALL - USA WHITE HALL - USA WHITE HALL - USA WHITE HALL - USA WHITE HALL - USA WHITE HALL - USA WHITE HALL - USA TYPE STRETCHER XLE BL-2002 4102 MC PB PDM 4101 MC PB PDM SATUAN UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT NO. REGISTRASI DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. HARGA 365,061,000.00 336,272,000.00 328,491,000.00 21,147,000.00 27,645,000.00 28,785,000.00 267,045,000.00 19,380,000.00 20,406,000.00 14,421,000.00

DOC/PT. PPH/200905

Page 35 of 35

PRICE LIST SCHMIDT BIOMEDTECH INDONESIA SURGICAL, CRITICAL CARE, DIAGNOSTIG IMAGING AND AGFA
NO MERK/PABRIK TYPE COUNTRY REGISTRASI SATUAN CURRENCY HJSA SOLE AGENT

CRITICAL CARE
1 VERSAMED VENTILATOR 2 ANALOGIC PATIENT MONITOR LIGFEGARD FETALGARD (CTG) Ivent 201 IC/AB AN4000C AN4000CP AP1S AP1T HCS HCT AN 4320 AN4320 AN321P AN4322P AN4322P 2 GAS 3 GAS G180 01.63.3040 01 73 6020 01 33 6050 01 23 3810 nebulizer Pulse Oxymeter resuscitator-175 USA USA USA USA USA USA USA USA USA USA USA USA Germany Germany USA USA USA USA USA USA USA USA AKL20403500096 AKL20502500171 AKL20502500171 AKL 20902500173 AKL 20902500173 AKL 20902500173 AKL 20902500173 AKL 20502500172 AKL 20502500172 AKL 20502500172 AKL 20502500172 AKL 20502500172 AKL 20403500268 AKL 20403500268 Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Unit unit unit unit unit unit unit unit unit unit unit unit 1 unit-set 1 unit-set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set 1 Set US$ US$ US$ US$ US$ US$ US$ US$ US$ US$ US$ US$ Euro Euro US$ US$ US$ US$ US$ US$ US$ US$ 37,000 Schmidt Biomedtech Indonesia 9,000 11,250 7,600 8,850 6,225 7,876 11,714 14,857 18,570 40,290 50,000 48,000 50,400 1,700 2,800 3,400 3,500 6,700 2,000 2,500 2,200 Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia

LIFEGARD II LIFEGARD II +PRINTER LIFEGARD II+CO2 LIFEGARD II+ICG LIFEGARD II_CO2+ICG 3 HEYER ANASTHESIA MACHINE 4 GOMCO SUCTION Allied Health care

SURGICAL-EQUIPMENT AND CONSUMABLE


5 CONMED ELECTROCAUTERY Sabre 180 System 2500 Sytem 5000 Mach 380F+380F Mach 500F+380F Mach M3DF Double Mach M3F + M2 USA USA USA Germany Germany Germany Germany Process registration Process registration Process registration Process registration Process registration Process registration Process registration US$ US$ US$ Euro Euro Euro Euro Schmidt Biomedtech Indonesia 16,240 Schmidt Biomedtech Indonesia 22,000 Schmidt Biomedtech Indonesia 26,000 Schmidt Biomedtech Indonesia 25,299 25,900 26,870 24,147 Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia

6 OT LIGHT DR MACH

Mach 500 F Mach 380 F M2 Ceiling M3 F Ceiling Traiflex Macrolux Mach 115 Mach 120 Mach 130 7 OT TABLE 8 MULLER INSTRUMENT 9 BIOPSY SYSTEM-BARD Technomed Muller

Germany Germany Germany Germany Germany Germany Germany Germany Spanyol Germany

Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process Registration Process Registration

Euro Euro Euro Euro Euro Euro Euro Euro Euro Euro

15,196 12,066 6,582 10,607 8,097 600 920 1,200 1,800

Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia

8,000 Schmidt Biomedtech Indonesia

As Per Price List Attached Schmidt Biomedtech Indonesia

GRAFT

Mesh

VACORA USA MAGNUM USA maxcore USA Felt and fabrics USA Uncoated Graft USA Peripheral vascular Graf USA Venflo vascular graft USA Impra carboflo periphera USA bard Flat Mesh USA Bard perfix USA bard 3D max USA Bard Composive USA

Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration Process registration

PCS

US$ US$ US$ US$ US$ US$ US$ US$ US$ US$ US$ US$

25000 3000 1000 120 300 1300 800 1500 200 200 1200 1400

Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia Schmidt Biomedtech Indonesia

DIAGNOSTIK IMAGING
No Urut 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Merk/Pabrik Sonosite Sonosite Hologic Hologic Hologic Hologic Hologic Hologic Hologic Hologic Ultrasonix Ultrasonix Ultrasonix Medicanvas Medicanvas Medicanvas Medicanvas Type Titan 180 Discovery C Discovery W Discovery SL Discovery A Discovery Ci Discovery Wi Explorer Sahara SP for 3D/4D OP with Color OP B/W HSVB-1L (1 bank) HSVB-2L (2 banks) HSVB-3L (3 banks) HSVB-4L (4 banks) Contry of Origin USA USA USA USA USA USA USA USA USA USA CANADA CANADA CANADA Korea Korea Korea Korea Registrasi AKL 21501502730 AKL 21501502737 On Process On Process On Process On Process On Process On Process On Process On Process On Process On Process On Process On Process On Process On Process On Process Satuan 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Currency USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD HJSA 56,250.00 50,250.00 169,500.00 178,500.00 250,500.00 268,500.00 154,500.00 163,500.00 106,500.00 24,750.00 139,875.00 72,375.00 66,375.00 1,305.00 2,055.00 3,075.00 3,525.00 Sole Agent SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia SCHMIDT BioMedtech Indonesia

AGFA
No.Urut Merk / Pabrik 1 CR 25.0 2 CR 75.0 3 Dry Printer 4 Dry Printer 5 Dicom coverter 6 Dicom coverter 14 Drystar DT 2B Film 15 Drystar DT 2B Film 16 Drystar DT 2B Film 17 CR Cassette 18 CR Cassette 19 CR Cassette 20 CR Cassette 21 CR Cassette Type CR 25.0 CR 75.0 Drystar 5300 Drystar 5500 Paxport Digital Paxport Analog 35 X 43 24 X 30 18 X 24 35 X 43 35 X 35 24 X 30 18 X 24 15 X 30 COUNTRY Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Belgium Registrasi On the process On the process On the process On the process On the process On the process On the process On the process On the process On the process On the process On the process On the process On the process Satuan Unit Unit Unit Unit Unit Unit Box Box Box Pcs Pcs Pcs Pcs Pcs Currency US $ US $ US $ US $ US $ US $ US $ US $ US $ US $ US $ US $ US $ US $ HJSA 112,500.00 247,500.00 38,250.00 56,250.00 22,500.00 22,500.00 421.43 289.71 145.62 1,120.50 1,179.90 726.30 502.20 572.40 Sole Agent PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech PT.SCHMIDT BioMedTech Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia Indonesia

PT. DIPA PHARMALAB INTERSAINS


Jl. Kebon Jeruk Raya No. 66, Jakarta Barat 11530 Telp. 021-5350535 (Hunting), Fax. 021-5481322

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : 1 SEPTEMBER S/D 31 DESEMBER 2005
No. Urut Nama Peralatan Kesehatan Model/Type Merk Negara Asal/ Pabrikan No. Registrasi Dep.Kes RI Satuan HJSA Rp. Sole Agent

a. Ultrasound Bone Densitometry b. Mammography

Sahara Affinity Series : 1. Small Liear (SLI) 2. Dual Linear (DLI) 3. Small HTC (SHI) 4. Small HTC Large Linear 5. Dual HTC M-IV Series : 1. Small Liear 2. Dual Linear 3. Small HTC 4. Small HTC Large Linear 5. Dual HTC

HOLOGIC, INC. LORAD HOLOGIC, INC.

USA USA

AKL 21501402761

Unit

189,420,000

AKL 21501301135 AKL 21501301136 Dalam proses Dalam proses Dalam proses AKL 21501301142 AKL 21501301141 Dalam proses Dalam proses Dalam proses MEDISPEC, LTD. USA KL 0804100089

Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit

817,845,000 938,070,000 986,160,000 1,034,250,000 1,130,535,000 1,010,205,000 1,130,535,000 1,202,670,000 1,250,760,000 1,388,730,000 3,205,755,000

a. Extracorporeal Shock Wave Lithotripsy (ESWL)

1. Econolith 2000 * Shock Wave Generator W 7 * U-Arm Monitor 17" (Zoom 9"/6"/4") * TT-3 Axis Multipurpose Urology * Computerized Console * USG GE 200 Alpha 2. Econolith 3000 * Shock Wave Generator W 6 * TT-3 Axis Multipurpose Urology * U-Arm Monitor 17" (Zoom 9"/6"/4") * Computerized Console * USG GE 200 Alpha

AKL 20804502775

Unit

3,522,960,000

b. Extracorporeal Shock Wave Therapy (ESWT) c. Intracorporeal Lithotripsy System d. Uroflowmetry

Orthospec Lithospec Urospec

AKL 21301502726 Dalam proses Dalam proses

Unit Unit Unit

1,542,240,000 144,690,000 58,590,000

e. BPH Thermotherapy

Thermaspec

Dalam proses

Unit

1,423,590,000

No. Urut

Nama Peralatan Kesehatan

Model/Type

Merk

Negara Asal/ Pabrikan

No. Registrasi Dep.Kes RI

Satuan

HJSA Rp.

Sole Agent

Radiographic Imaging : I. Q-RAD, CS SYSTEM (Ceiling Types)


1. Q-Rad CS-1-65-150 kVp; mA range 25-800 - Digital Imaging - ODESSEY HF 2. Q-Rad CS-2-50-125 kVp; mA range 25-650 - Digital Imaging - ODESSEY HF

QUANTUM MEDICAL IMAGING, LLC.

USA Dalam proses Dalam proses


Unit

1,594,845,000 1,249,920,000

Unit

II. Q-RAD, DS SYSTEM (Floor Mounted)


3. Q-Rad DS-3; 50-125 kVp; mA range 25-650 - ODESSEY HF 4. Q-Rad DS-4; 32-125 kVp; mA range 25-500 - ODESSEY HF

AKL 21501502264 AKL 21501502265

Unit

813,225,000 659,610,000

Unit

III. Q-RAD, TS SYSTEM (Ceiling & Tomo Types)


5. Q-Rad TS-1 Ceiling Mounted/Tomography System - kVp 65-150; mA range 25-800 6. Q-Rad TS-2 7. Q-Rad TS-3 Ceiling Mounted/Tomography System - kVp 50-125; mA range 25-650

Dalam proses Dalam proses Dalam proses

Unit

2,294,145,000 2,412,795,000 1,289,505,000

Unit Unit

IV. RAD-X SYSTEM


8. Rad X Es-6-Tube Stand - QUEST HF; kVp 25-125; mA range 25-400 9. QV-800 UNIVERSAL (QV-R1) - Manual Collimator; kVp 65-150; mA range 25-800 10. QV-800 UNIVERSAL (QV-R2) Universal Structure & Manual Collimator 11. CH-1 CHESTRADIOGRAPHIC SYSTEM Tube Stand & Manual Collimator; kVp 50-125; mA 25-650 12. COSMOS VS-1 SYSTEM - Universal Stand & Collimator; kVp 50-125; mA 25-650 13. COSMOS VS-2 SYSTEM - Universal Stand Collimator; kVp 32-125; mA 25-500 14. CHIRO-X 14' x 17' SYSTEM - Tubestand; Vertical Wall Frame & Collimator 15. CHIRO-X 14' x 36' SYSTEM; kVp 25-125; mA 25-400

Dalam proses Dalam proses Dalam proses Dalam proses

Unit

442,995,000 1,582,140,000 1,347,990,000 569,625,000

Unit

Unit

Unit

Dalam proses Dalam proses Dalam proses Dalam proses

Unit

917,700,000 810,075,000 367,080,000 382,935,000

Unit

Unit

Unit

No. Urut

Nama Peralatan Kesehatan

Model/Type

Merk

Negara Asal/ Pabrikan

No. Registrasi Dep.Kes RI

Satuan Unit

HJSA Rp.

Sole Agent

4 5 6

Body Composition Analyzer Pediatric Bone Densitometry Automatic cleaning and disinfecting appliances

InBody 3.0 Omnisense KD 20.2 AP/A-Thermal

BIOSPACE CO., LTd. SUNLIGHT MEIKO

Korea Hongkong Germany

KL 0901100370 Dalam proses Dalam proses

183,540,000 241,290,000 136,125,000

Unit

Unit

Catatan :

1. Harga Franco Jakarta 2. Harga belum termasuk PPN 10% 3. Harga sudah termasuk : a. Biaya pemasangan dan training untuk user b. Garansi 1 (satu) tahun sejak unit siap dioperasikan 4. Harga sewaktu-waktu dapat berubah tanpa pemberitahuan terlebih dahulu dan disesuaikan dengan nilai tukar Rupiah

CV. PANCA FARMA JAYA Kav. Polri Blok C No.751 Jelambar, Grogol Petamburan Jakarta Barat Phone / Fax No. : 021-5671672
Date : 15 September, 2005 Our Ref.: 002/PFJ/IX/2005

Kepada Yth Gakeslab Indonesia Gedung Wisma Tiara Lt.111 Jalan Raya Pasar Minggu No.17 Jakarta Selatan U.p.: Bagian Sekretariat Gakeslab Indonesia. HP.0818120373 / Fax 8631235 Hal : Informasi Harga Alat Alat Kesehatan Dan Laboratorium. Dengan hormat, Sesuai dengan permintaan Bapak bersama ini kami sampaikan daftar harga untuk Alat Kesehatan Dan Laboratorium dari Alat Uji / Tes Kehamilan Merk Super Biolab adalah sebagai berikut :

DAFTAR HARGA No. (1) 1. Nama Barang/Produk (2) Alat Uji / Tes Kehamilan Super Biolab hCG Pregnancy Test Strip - Type 5050S Cara pakai : Alat Uji / Tes dicelupkan kedalam air seni (urine) 2 garis merah adalah positip 1 garis merah adalah negatip Merk & Negara Asal (3) Super Biolab Hcg Pregnancy Test Strip - Type 5050S Negara Asal : Asli di Import dari USA Satuan (4) buah No. Registrasi (5) AKL 20101200605 Harga (6) Rupiah 6,500.00

Sensitivity & Standardization : 25 mlU/ml or Greater WHO 3rd IS 75/537 Accuracy : 99.999%

2.

Alat Uji / Tes Kehamilan Super Biolab hCG Pregnancy Test Device - Type 5050D Cara pakai : air seni (urine) diteteskan kedalam wadah yang telah tersedia dalam setiap bungkusan. 2 garis merah adalah positip 1 garis merah adalah negatip

Super Biolab Hcg Pregnancy Test Device - Type 5050D Negara Asal : Asli di Import dari USA

buah

AKL 20101200604

11,250.00

Sensitivity & Standardization : 25 mlU/ml or Greater WHO 3rd IS 75/537 Accuracy : 99.999%

Catatan : - Harga tersebut diatas belum termasuk PPN Tax 10% - Harga tersebut diatas adalah Harga Jual Sole Agent (HJSA) - Sampai saat ini belum ada penunjukan Distributor Daerah - Harga tersebut diatas se-waktu2 biasa berubah Demikian informasi Harga Alat-Alat Kesehatan Dan Laboratorium kami sampaikan kepada Bapak semoga dapat dipakai dimana seperlunya. Atas perhatian serta kerja sama yang Bapak berikan, terlebih dahulu kami ucapkan terima kasih.

Hormat Kami,

Subagdja P. Pimpinan

HARGA JUAL SOLE AGENT (HJSA) No. (1) EVIS EXERA BRONCHOVIDEOSCOPE EVIS EXERA BRONCHOVIDEOSCOPE EVIS EXERA BRONCHOVIDEOSCOPE EVIS EXERA BRONCHOVIDEOSCOPE EVIS EXERA BRONCHOVIDEOSCOPE EVIS EXERA BRONCHOFIBERVIDEOSCOPE EVIS EXERA BRONCHOFIBERVIDEOSCOPE Nama Peralatan Kesehatan (2) BF-160 BF-1T160 BF-3C160 BF-P160 BF-XT160 BF-XP160F BF-MP160F Merk & Negara Asal (3) OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN Satuan (4) UNIT UNIT UNIT UNIT UNIT UNIT UNIT No Registrasi (5) DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp Rp Rp Rp Rp Rp Rp HJSA (6) 775,690,000 775,690,000 775,690,000 775,690,000 814,670,000 775,690,000 775,690,000 Sole Agent PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd.

EVIS EXERA VIDEO SYSTEM CENTRE EVIS EXERA UNIVERSAL LIGHT SOURCE EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS EXERA COLONOVIDEOSCOPE EVIS EXERA COLONOVIDEOSCOPE EVIS DUODENOVIDEOSCOPE STANDARD SET EVIS DUODENOVIDEOSCOPE STANDARD SET EVIS VIDEO SYSTEM CENTER EVIS EXERA HALOGEN LIGHT SOURCE EVIS COLONOVIDEOSCOPE STANDARD SET EVIS COLONOVIDEOSCOPE STANDARD SET EVIS GASTROINTESTINAL VIDEOSCOPE STANDARD SET EVIS DUODENOVIDEOSCOPE STANDARD SET

CV-160 CLV-160 CF-2T160I CF-2T160L CF-Q160AI CF-Q160AL CF-Q160DI CF-Q160DL CF-Q160I CF-Q160L CF-Q160S CF-Q160ZI CF-Q160ZL GIF-160 GIF-2T160 GIF-Q160 GIF-1TQ160 GIF-Q160Z GIF-XP160 GIF-XTQ160 PCF-160AI PCF-160AL TJF-160R TJF-160VR CV-145 CLE-145 CF-Q145I CF-Q145L GIF-Q145 TJF-145

OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

706,790,000 395,550,000 1,036,510,000 1,100,210,000 1,149,170,000 1,206,420,000 1,239,530,000 1,320,550,000 1,094,010,000 1,149,170,000 880,620,000 1,049,250,000 1,124,190,000 917,340,000 938,810,000 983,290,000 1,006,690,000 1,081,470,000 894,110,000 1,086,720,000 1,129,400,000 1,186,650,000 1,094,010,000 1,094,010,000 590,580,000 227,090,000 676,770,000 721,730,000 652,780,000 791,210,000

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HARGA JUAL SOLE AGENT (HJSA) No. (1) SUCTION PUMP 220V / K7501890 SUCTION PUMP 220V ENDOSONIC CLEANER ( 220-240V ) ENDOSCOPIC WASHER ENDOSCOPIC REPROCESSOR MANUAL DISINFECTOR ELECTRO SURGICAL UNIT ELECTRO SURGICAL UNIT OES BRONCHOFIBERSCOPE STANDARD SET OES BRONCHOFIBERSCOPE STANDARD SET OES BRONCHOFIBERSCOPE STANDARD SET OES BRONCHOFIBERSCOPE STANDARD SET OES BRONCHOFIBERSCOPE STANDARD SET OES BRONCHOFIBERSCOPE STANDARD SET OES BRONCHOFIBERSCOPE STANDARD SET OES COLONOFIBERSCOPE STANDARD SET OES COLONOFIBERSCOPE STANDARD SET OES GASTROINTESTINAL FIBERSCOPE STANDARD SET OES GASTROINTESTINAL FIBERSCOPE STANDARD SET OES DUODENOFIBERSCOPE STANDARD SET COLONOFIBERSCOPE STANDARD SET COLONOFIBERSCOPE STANDARD SET GASTROINTESTINAL FIBERSCOPE STANDARD SET DUODENOFIBERSCOPE STANDARD SET SIGMOIDOFIBERSCOPE STANDARD SET Nama Peralatan Kesehatan (2) KV-5 SSU-2 7500620S EW-30 OER A TD-20 PSD-60 PSD-30 BF-1T60 BF-3C40 BF-40 BF-P60 BF-MP60 BF-XP60 BF-XT40 CF-40I CF-40L GIF-Q40 GIF-XQ40 JF-1T40 CF-EI CF-EL GIF-E3 JF-E OSF-3 Merk & Negara Asal (3) OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN Satuan (4) UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT No Registrasi (5) DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp HJSA (6) 120,920,000 47,870,000 160,710,000 1,187,150,000 1,092,960,000 133,520,000 249,570,000 592,080,000 646,790,000 592,080,000 592,080,000 592,080,000 674,520,000 658,030,000 764,450,000 914,340,000 704,500,000 697,000,000 899,350,000 494,650,000 592,080,000 449,680,000 584,580,000 383,430,000 Sole Agent PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd.

ULTRASONIC BRONCHOFIBERSCOPE ULTRASONIC COLONOFIBERSCOPE ENDOSCOPIC ULTRASOUND CENTER ENDOSCOPIC ULTRASOUND CENTER ENDOSCOPIC ULTRASOUND CENTER ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE

BF-UM40 CF-UM20 EU-C60 EU-M30S EU-M60 GF-UC140P-AL5 GF-UC160P-OL5 GF-UC2000P-OL5 GF-UC240P-AL5 GF-UCT140-AL5 GF-UCT160-OL5 GF-UCT2000-OL5

OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN

UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT

DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES

Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp

1,498,920,000 2,847,950,000 1,483,930,000 966,810,000 1,896,130,000 3,222,680,000 3,222,680,000 3,597,400,000 3,597,400,000 3,383,810,000 3,383,810,000 3,777,270,000

PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. 2

HARGA JUAL SOLE AGENT (HJSA) No. (1) ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROFIBERSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROFIBERSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASONIC GASTROVIDEOSCOPE ULTRASOUND GASTROVIDEOSCOPE ULTRASONIC DUODENOFIBERSCOPE ULTRASONIC PROBE SET ULTRASONIC PROBE FOR ESOPHAGUS ULTRASONIC PROBE (12 MHz) ULTRASONIC PROBE (7.5 MHz) ULTRASONIC PROBE (2.4MM/12MHz) ULTRASONIC PROBE (2.4MM/20MHz) ULTRASONIC PROBE ULTRASONIC PROBE ULTRASONIC PROBE ULTRASONIC PROBE ULTRASONIC PROBE ULTRASONIC PROBE ULTRASONIC PROBE ULTRASONIC PROBE COLPOSCOPY LAPAROSCOPE OPERATIP SET FOR SURGERY DIGITAL HIGH FLOW INSUFLATOR CO2 SURGIPUMP FOR SUCTION IRRIGATION SURG MASTER ELECTRO COUTER LAPAROSCOPY OPERATIP FOR GYNAECOLOGY &DIAGNOSTIC HYSTEROSCOPY OPERATIVE & DIAGNOSTIC TCRIS ENDO - UROLOGY DOWN TRACT CYSTOSCOPY SET TUR/TURIS URS & LITHOTRIPTOR NEPROSCOPY SET Nama Peralatan Kesehatan (2) GF-UCT240-AL5 GF-UM130 GF-UM160 GF-UM20 GF-UM240 GF-UM30P GF-UMD140P GF-UMD240P GF-UMQ130 GF-UMQ240 JF-UM20 MH-247-2 MH-908 RU-12M-R1 RU-75M-R1 UM-2R UM-3R UM-BS20-26R UM-DP12-25R UM-DP20-25R UM-G20-29R UM-S20-20R UM-S20-20R-3 UM-S30-20R UM-S30-25R OCS OES UHI3 SURGIPUMP UES 40 OES OES OES OES OES OES OES OES Merk & Negara Asal (3) OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN OLYMPUS - GERMANY OLYMPUS - JAPAN OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY Satuan (4) UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET SET SET SET SET SET SET SET SET SET SET SET SET No Registrasi (5) DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES KL1101291247 KL1101291251 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp HJSA (6) 3,777,270,000 3,222,680,000 3,642,370,000 2,847,950,000 3,597,400,000 2,847,950,000 3,222,680,000 3,597,400,000 3,222,680,000 3,597,400,000 2,847,950,000 868,250,000 1,292,820,000 367,240,000 367,240,000 194,860,000 194,860,000 232,340,000 233,800,000 233,800,000 179,870,000 146,150,000 104,930,000 194,860,000 194,860,000 657,000,000 1,250,000,000 278,450,000 268,500,000 358,400,000 1,350,000,000 486,500,000 653,600,000 1,956,000,000 228,000,000 465,000,000 647,805,000 765,400,000 Sole Agent PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. 3

HARGA JUAL SOLE AGENT (HJSA) No. (1) PEDIATRIC UROOLOGY FESS ( FUCTIONAL ENDOSCOPY SINUS SURGERY) RHINOSCOPY/RHINOLARYNGOSCOPE( OFFICE ENT) CELON (RFITT) ARTHROSCOPY THORAXOSCOPY ULTRASOUND COUTERY ULTRASOUND ASPIRATION 25 LTR. HICLAVE WITH 2 PCS. SS. WIRE BASKETS 50 LTR. HICLAVE WITH 3 PCS. SS. WIRE BASKETS 85 LTR. HICLAVE WITH 2 PCS. SS. WIRE BASKETS 110 LTR. HICLAVE WITH 2 PCS. SS. WIRE BASKETS 50 LTR. HICLAVE WITH 3 PCS. SS. WIRE BASKETS 50 LTR. HICLAVE WITH VACUM PUMP FOR DRYING 85 LTR. HICLAVE WITH COOLING FAN & 2 PCS. SS.WIRE BASKETS 110 LTR. HICLAVE WITH COOLING FAN & 2 PCS. SS.WIRE BASKETS 50 LTR. HICLAVE WITH 3 PCS. SS. WIRE BASKETS 85 LTR. HICLAVE WITH 2 PCS. SS.WIRE BASKETS 63 LTR. HICLAVE WITH 3 PCS. SS WIRE BASKETS 6 LTR. HANDY AUTOCLAVE 20 LTR. AUTOCLAVE WITH 2 PCS. SS WIRE BASKETS 47 LTR. AUTOCLAVE WITH 3 PCS. SS WIRE BASKETS 47 LTR. AUTOCLAVE WITH DRYING 47 LTR. AUTOCLAVE WITH VACUM PUMP & DRYING 16 LTR. BENCH TOP AUTOCLAVE WITH DRYING 16 LTR. BENCH TOP AUTOCLAVE WITH AIR PUMP 110 LTR. HORIZONTAL AUTOCLAVE WITH STANDAR SET 61 LTR. AUTOCLAVE WITH 2 PCS. SS WIRE BASKETS 61 LTR. AUTOCLAVE WITH DRYING + STANDARD SET 83 LTR. AUTOCLAVE WITH 2 PCS. SS WIRE BASKETS 83 LTR. AUTOCLAVE WITH DRYING + STANDARD SET MULTI-PURPOSE HEADFRAME SET RADIOLUCENT MULTI-PURPOSE HEADFRAME SET TRANSPHENOIDAL-HYPOPHYSECTOMY INSTRUMENT SET HV-25 HV-50 HV-85 HV-110 HVE-50 HVP-50 HVA-85 HVA-110 HVN-50 HVN-85 HLM-36 HP-16 HA-240MIV HA-300MIV HA-300MD HA-300P HRM-242II HRM-242IIP HRH-110 HL-36AE HL-36ADY HL-42AE HL-42ADY Nama Peralatan Kesehatan (2) OES OES OES OES Merk & Negara Asal (3) OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN/GERMANY OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN OLYMPUS - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN HIRAYAMA - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN Satuan (4) SET SET SET SET SET SET SET SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET SET SET No Registrasi (5) DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL20903502990 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp HJSA (6) 567,400,000 598,400,000 657,400,000 800,400,000 2,700,000,000 1,200,000,000 800,000,000 1,100,000,000 201,874,200 238,646,000 323,629,800 384,822,800 213,229,700 462,418,200 290,194,200 346,971,400 294,610,200 426,459,400 984,768,000 85,165,700 177,901,700 211,337,100 280,100,500 472,512,000 252,342,800 296,502,800 999,908,500 223,954,200 293,979,400 345,709,700 398,701,700 648,521,100 1,312,182,800 854,937,600 Sole Agent PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. 4

HARGA JUAL SOLE AGENT (HJSA) No. (1) KOMAI'S STEREOTACTIC APPARATUS SUGITA TITANIUM CLIP SET SUGITA TITANIUM APPLIER SET SUGITA TITANIUM CLIP APPLIER SET SUGITA ELGILOY CLIP C SET SUGITA ELGILOY CLIP D SET MIZUHO SUCTION PUMP MIZUHO SUCTION PUMP MIZUHO SUCTION PUMP MIZUHO CONTINUOS SUCTION PUMP MIZUHO SUCTION PUMP MIZUHO SUCTION PUMP MIZUHO SUCTION PUMP ULTRASOUND 1 & 3 MHZ ULTRASOUND 1 MHZ MICROWAVE DIATHERMY 2 CH MICROWAVE DIATHERMY 1 CH SHORTWAVE DIATHERMY SHORTWAVE DIATHERMY SHORTWAVE DIATHERMY INTERFERENTIAL CURRENT NEURO MUSCULAR STIMULATOR TENS LASER ACUPUNCTURE STIMULATOR POWERED TRACTION COMPRESSION VIBRATOR STRESS MANAGEMENT INFRARED LAMP DESKTOP INFRARED LAMP STAND ALONE ULTRAVIOLET LAMP COMBINED ULTRAVIOLET & INFRARED LAMP LOW FREQUENCY STIMULATION CURRENT TENS PROGRAMMABLE ELECTRIC LOW & MEDIUM FREQUENCY STIMULATOR CURRENT EEG 32 CH EEG 40 CH MSP-205A MSP-205B MSP-103B MSP-210 MSP-207 MSP-207M MSP-212 US 700 US 7P PM 800W PM 800S SW 400S SW 180 SW 101 IF 7P CS 210 240Z LP 5F1 TM300 MEDOMER VITER VR 7N ZEN TRAINER T 300 S 300 SH 30 SB 40 ES 420 ES 320 ES 520 E SERIES SCAN LT Nama Peralatan Kesehatan (2) Merk & Negara Asal (3) MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN MIZUHO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN ITO. CO - JAPAN NEUROSCAN - AUSTRALIA COMPUMEDICS - AUSTRALIA Satuan (4) SET SET SET SET SET SET UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT No Registrasi (5) DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES KL1603291334 DALAM PROSES DALAM PROSES KL1603291335 KL1603291333 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp HJSA (6) 1,175,539,200 787,057,300 221,367,700 335,035,600 554,737,900 1,005,939,500 179,037,200 246,034,200 132,732,300 55,830,800 33,877,000 50,720,900 134,688,000 1,390,902,800 78,857,100 321,737,100 150,774,800 403,748,500 205,028,500 182,948,500 78,857,100 102,514,200 9,084,300 9,462,800 258,020,500 43,371,400 11,986,200 56,777,100 59,300,500 63,085,700 166,546,200 195,565,700 44,412,300 7,633,300 132,480,000 1,135,542,800 1,135,542,800 Sole Agent PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd.

HARGA JUAL SOLE AGENT (HJSA) No. (1) EMG 2 CH EMG 5 CH EMG 10 CH AMBULATORY HOLTER ECG MONITORING VITAL SIGN MONITOR SPO2 & HR MONITOR MINI SPO2 NIBP MONITOR EKG MONITOR DEFIBRILATOR DC SHOCK SPIROMETER BIOLOGICAL MICROSCOPE BINOCULAR PERALATAN RADIOLOGY PERALATAN RADIOLOGY COBALT SOURCE COMPLETE SET KETERANGAN : - HARGA SEWAKTU-WAKTU DAPAT BERUBAH - HARGA JUAL SOLE AGENT ( HJSA ) - BELUM TERMASUK PPN - LAYANAN GARANSI PURNA JUAL 1 ( SATU) TAHUN DILUAR SPAREPART - BIAYA TRAINING DARI PERUSAHAAN OLEH TEHNISI DI DALAM NEGERI Jakarta, Sept'05 Nama Peralatan Kesehatan (2) T2 CH T5 CH T10 CH MEDILOG POET PLUS 8100 504 DX 503 DX 506 N2 SERIES SCHOLAR III POWERHEART AEDG SPIROLAB II SZM 45-ST3T OMNISENSE 7000 S Merk & Negara Asal (3) VIASYS - ENGLAND VIASYS - ENGLAND VIASYS - ENGLAND VIASYS - ENGLAND CRITICARE - USA CRITICARE - USA CRITICARE - USA CRITICARE - USA CRITICARE - USA CRITICARE - USA MIR - ITALY SCICHEMCO - USA SUNLIGHT - HONGKONG MDS NORDION CANADA Satuan (4) UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT UNIT SET No Registrasi (5) DALAM PROSES AKL21401301970 DALAM PROSES AKL21001301978 DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES DALAM PROSES AKL10203502972 AKL21501200013 AKL11502300956 Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp Rp HJSA (6) 2,372,285,700 2,809,285,700 3,620,857,100 249,714,200 394,285,700 138,000,000 98,571,400 126,171,400 335,142,800 177,428,500 197,142,800 39,400,000 750,000,000 11,500,000,000 Sole Agent PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd. PT.Setio Harto Ltd.

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM


No.Registrasi DepKes RI HJSA (Rp)

No. Urut

Nama Peralatan Kesehatan

Model/Type

Merk

Negara Asal/Pabrikan

Satuan unit unit unit unit unit unit unit unit unit unit unit unit

Sole Agent

1 Electrocardiograph 2 Electrocardiograph 3 Electrocardiograph 4 Electrocardiograph 5 Multi Function Monitor 6 Press Mate 7 BP Monitor 8 Microtizer 9 11

Traction Prestige Washbasin

10 Superkine 12 Vertical Sterilizer

C120 C110 C 300 BX C 300 BM BP-8800 BP-203 RV II MT-SDi TC-MI SK-3 ALB1002, ALB 1001 -

FUKUDA M.E. KOGYO FUKUDA M.E. KOGYO FUKUDA M.E. KOGYO FUKUDA M.E. KOGYO COLIN COLIN COLIN MINATO MEDICAL SCIENCE MINATO MEDICAL SCIENCE MINATO MEDICAL SCIENCE SUBTIL SUBTIL

Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan France France

AKL 20502502729 AKL 20502502728 AKL 20502502170 AKL 20502502158 KL 0501290965 KL 0501290964 AKL 20501400925 KL 1403291060 KL 1403290960 KL 1403291062 KL 0903690018 KL 0903590557

Rp 33.898.500,Rp 22.100.000,Rp 81.600.000,Rp 79.100.000,Rp 74.382.000,Rp 41.358.600,Rp 48.251.700,Rp 28.473.000,Rp 105.202.000,Rp 178.193.000,Rp 91.854.000,Rp 279.216.000,-

PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron PT. Karindo Alkestron

Ket:
*Harga belum termasuk PPN 10% *Harga tersebut di atas tidak terikat dan sewaktu-waktu bisa berubah

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : September 2005 S/D Maret 2006
No Urut
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54

Nama Peralatan Kesehatan


Patient Monitor Patient Monitor Patient Monitor Patient Monitor Patient Monitor Transport Monitor Central Station Telemetry System NIBP Monitor NIBP Monitor Fetal Monitor Fetal Monitor Pulse Oximeter Pulse Oximeter Resting ECG Resting ECG Resting ECG Stress Test System Stress Test System Stress Test System Holter System Defibrillator Defibrillator Defibrillator Defibrillator Defibrillator Defibrillator ABP Monitor Ventilator Ventilator Ventilator Ventilator Ventilator Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights

Model/Type
Dinamap Pro 1000 Dash 2000 Dash 3000 Dash 4000 Solar 8000M Dash Transport Pro CIC Central Station Telemetry Dinamap Pro Care 100 Dinamap Pro Care 300 Corometrics 170 Series Corometrics 120 Series TuffSat Trusat Mac 500 Mac 1200ST Mac 5000 Case CardioSoft CardioSoft + e-Bike Mars PC Cardioserv Std Cardioserv S Cardioserv P Cardioser PS Responder AED Responder AED Pro Tonoport V Galileo Gold Galileo Classic Raphael Basic Raphael Color Ventilair II Hanaulux Blue 30 Stand Hanaulux Blue 30S Stand Hanaulux Blue 30S Hospital Hanaulux Blue 80 Stand Hanaulux Blue 80 Hospital Hanaulux Blue 30 Wall Hanaulux Blue 30S Wall Hanaulux Blue 80 Wall Hanaulux Blue 30 Single Ceiling Hanaulux Blue 30S Single Ceiling Hanaulux Blue 80 Single Ceiling Hanaulux Blue 90 Single Ceiling Hanaulux Blue 130 Single Ceiling Hanaulux Blue 30S/30S Duo Ceiling Hanaulux Blue 80/30S Duo Ceiling Hanaulux Blue 80/80 Duo Ceiling Hanaulux Blue 90/90 Duo Ceiling Hanaulux Blue 130/90 Duo Ceiling Hanaulux Blue 130/130 Duo Ceiling Hanaulux Blue 130TV/90 Duo Ceiling Hanaulux Blue 130TV/130 Duo Ceiling

Merk
GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems GE Medical Systems Hamilton Medical Hamilton Medical Hamilton Medical Hamilton Medical Hamilton Medical Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet

Negara Asal/Pabrikan
USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA Switzerland Switzerland Switzerland Switzerland Switzerland Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany

No.Registrasi DepKes RI
AKL 20502400188 AKL 20502301010 AKL 20502300899 AKL 20502300898 Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar AKL 20502301016 AKL 20502301030 Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar AKL 20502300858 AKL 20502300859 AKL 20502300857 AKL 20502300855 Dalam proses daftar Dalam proses daftar Dalam proses daftar AKL 20505300856 AKL 20505300856 AKL 20505301048 AKL 20505301049 Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar KL 0403100332 KL 0403100333 Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar

H J S A (Rp.)

Sole Agent

79,200,000 PT.Fondaco Mitratama 99,000,000 PT.Fondaco Mitratama 118,800,000 PT.Fondaco Mitratama 139,920,000 PT.Fondaco Mitratama 264,000,000 PT.Fondaco Mitratama 198,000,000 PT.Fondaco Mitratama 198,000,000 PT.Fondaco Mitratama 541,200,000 PT.Fondaco Mitratama 26,400,000 PT.Fondaco Mitratama 39,600,000 PT.Fondaco Mitratama 85,800,000 PT.Fondaco Mitratama 198,000,000 PT.Fondaco Mitratama 11,880,000 PT.Fondaco Mitratama 26,400,000 PT.Fondaco Mitratama 26,400,000 PT.Fondaco Mitratama 79,200,000 PT.Fondaco Mitratama 250,800,000 PT.Fondaco Mitratama 396,000,000 PT.Fondaco Mitratama 277,200,000 PT.Fondaco Mitratama 184,800,000 PT.Fondaco Mitratama 237,600,000 PT.Fondaco Mitratama 81,840,000 PT.Fondaco Mitratama 102,960,000 PT.Fondaco Mitratama 97,680,000 PT.Fondaco Mitratama 118,800,000 PT.Fondaco Mitratama 52,800,000 PT.Fondaco Mitratama 73,920,000 PT.Fondaco Mitratama 21,120,000 PT.Fondaco Mitratama 594,000,000 PT.Fondaco Mitratama 528,000,000 PT.Fondaco Mitratama 290,400,000 PT.Fondaco Mitratama 343,200,000 PT.Fondaco Mitratama 56,760,000 PT.Fondaco Mitratama 30,360,000 PT.Fondaco Mitratama 35,640,000 PT.Fondaco Mitratama 74,580,000 PT.Fondaco Mitratama 81,840,000 PT.Fondaco Mitratama 134,640,000 PT.Fondaco Mitratama 46,200,000 PT.Fondaco Mitratama 51,480,000 PT.Fondaco Mitratama 88,440,000 PT.Fondaco Mitratama 57,420,000 PT.Fondaco Mitratama 71,940,000 PT.Fondaco Mitratama 123,420,000 PT.Fondaco Mitratama 194,040,000 PT.Fondaco Mitratama 226,380,000 PT.Fondaco Mitratama 118,800,000 PT.Fondaco Mitratama 170,280,000 PT.Fondaco Mitratama 220,440,000 PT.Fondaco Mitratama 342,540,000 PT.Fondaco Mitratama 380,160,000 PT.Fondaco Mitratama 421,080,000 PT.Fondaco Mitratama 710,820,000 PT.Fondaco Mitratama 743,160,000 PT.Fondaco Mitratama

Page 1 of 2

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM EFFECTIVE : September 2005 S/D Maret 2006
No Urut
55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 92 93 94 95 96 97 98 99 100 101

Nama Peralatan Kesehatan


Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Lights Operating Table Operating Table Operating Table Operating Table Operating Table Surgeon's Head Lamp Surgeon's Head Lamp Surgeon's Head Lamp Blood Gas Analyzer Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Suction Machine Adult Oxygenator (Coated) Adult Oxygenator (Non-Coated) Pediatric/Infant Oxygenator Heart Stabilizer Heart Positioner Tissue Valve PTCA Balloon PTCA Guidewire PTCA Catheter PTCA Guiding Catheter PTCA Guiding Catheter PTCA Stent PTCA Balloon PTCA Wire PTCA Wire Drug Eluting Stent

Model/Type
Hanaulux Blue 130/130/90 Triple Ceiling Hanaulux Blue 130/90/90 Triple Ceiling Hanaulux G-8 Single Hanaulux G-8 Single Low Ceiling Height Hanaulux G-8 Duo Hanaulux G-8 Duo Low Ceiling Height Hanaulux G-8 Duo TV Hanaulux G-8 TV Low Ceiling Height Delta Classic 1115 Standard Beta Classic 1118.01 Alpha Classic 1118.03 Alpha Star 1132 Beta Star 9300XDP 300W 9100 Xenon 100W LX300 i-Stat Twista SP 1070 Bora UP 2080 Universal Bora UP 2080 Surgical Bora UP 2080 OP Universal Bora UP 2080 OP Surgical Ambulance Suction P 7020 Septic Fluid Suction Pump P 7030 Septic Fluid Suction Pump P 7050 Drainage Suction Pump P 4020 Ambulance Drainage Suction Pump P 4030 Venta MC 16 without battery Venta CC 16 with battery Venta MC 26 without battery Trillium Affinity Oxygenator (Coated) Affinity Oxygenator ( Non Coated) Minimax Oxygenator (Pediatric Infant) Octopus 4 Starfish 2 Hancock II Tissue Valve Ma'sla Just PTCA Balloon ASAHI WIRE TORNUS CATHETER ASAHI INTECC ANGIOGRAPHIC CATHETERS PTCA Guiding catheters GAZELLE Coronory Stent Power Line PTCA Balloon Asahi Neo PTCA Wire Asahi Miracle PTCA Wire Excel Drug Stent

Merk
Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Luxtec Luxtec Luxtec Abbott Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Maquet Medtronic Medtronic Medtronic Medtronic Medtronic Medtronic Asahi Intecc Asahi Intecc Asahi Intecc Asahi Intecc Asahi Intecc Biosensors Biosensors Biosensors Biosensors Biosensors

Negara Asal/Pabrikan
Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany USA USA USA USA Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany USA USA USA USA USA USA Japan Japan Japan Japan Japan Singapore Singapore Singapore Singapore Singapore

No.Registrasi DepKes RI
Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar Dalam proses daftar

H J S A (Rp.)

Sole Agent

545,160,000 PT.Fondaco Mitratama 512,820,000 PT.Fondaco Mitratama 306,900,000 PT.Fondaco Mitratama 309,870,000 PT.Fondaco Mitratama 543,180,000 PT.Fondaco Mitratama 557,700,000 PT.Fondaco Mitratama 997,920,000 PT.Fondaco Mitratama 1,012,440,000 PT.Fondaco Mitratama 336,600,000 PT.Fondaco Mitratama 455,400,000 PT.Fondaco Mitratama 587,400,000 PT.Fondaco Mitratama 699,600,000 PT.Fondaco Mitratama 699,600,000 PT.Fondaco Mitratama 277,200,000 PT.Fondaco Mitratama 132,000,000 PT.Fondaco Mitratama 178,200,000 PT.Fondaco Mitratama 198,000,000 PT.Fondaco Mitratama 123,552,000 PT.Fondaco Mitratama 102,960,000 PT.Fondaco Mitratama 106,128,000 PT.Fondaco Mitratama 102,960,000 PT.Fondaco Mitratama 109,296,000 PT.Fondaco Mitratama 63,360,000 PT.Fondaco Mitratama 71,280,000 PT.Fondaco Mitratama 39,600,000 PT.Fondaco Mitratama 72,864,000 PT.Fondaco Mitratama 74,448,000 PT.Fondaco Mitratama 20,592,000 PT.Fondaco Mitratama 38,016,000 PT.Fondaco Mitratama 28,512,000 PT.Fondaco Mitratama 8,316,000 PT.Fondaco Mitratama 7,260,000 PT.Fondaco Mitratama 7,524,000 PT.Fondaco Mitratama 19,800,000 PT.Fondaco Mitratama 15,840,000 PT.Fondaco Mitratama 19,800,000 PT.Fondaco Mitratama 4,620,000 PT.Fondaco Mitratama 1,452,000 PT.Fondaco Mitratama 5,940,000 PT.Fondaco Mitratama 237,600 PT.Fondaco Mitratama 1,320,000 PT.Fondaco Mitratama 7,524,000 PT.Fondaco Mitratama 5,544,000 PT.Fondaco Mitratama 1,452,000 PT.Fondaco Mitratama 2,640,000 PT.Fondaco Mitratama 27,720,000 PT.Fondaco Mitratama

Page 2 of 2

DAFTAR HARGA ALAT-ALAT KESEHATAN DAN LABORATORIUM PT. ABADINUSA USAHASEMESTA

Product Socorex - Switzerland

No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Cat. 815 0001 815 0005 815 0010 815 0015 815 0020 815 0025 815 0030 815 0040 815 0050 815 0060 815 0070 815 0075 815 0080 815 0090 815 0100 815 0120 815 0150 815 0200 815 0250 815 0300 815 0400 815 0500 815 0600 815 0700 815 0750 815 0800 815 0900 815 1000 835 F02 835 F02.5 835 F05 835 F10 825 0002 825 0010 825 0010Y 825 0020 825 0050 825 0100 825 0200 825 1000

Description Acura fix micropipette vol. 1 ul Acura fix micropipette vol. 5 ul Acura fix micropipette vol. 10 ul Acura fix micropipette vol. 15 ul Acura fix micropipette vol. 20 ul Acura fix micropipette vol. 25 ul Acura fix micropipette vol. 30 ul Acura fix micropipette vol. 40 ul Acura fix micropipette vol. 50 ul Acura fix micropipette vol. 60 ul Acura fix micropipette vol. 70 ul Acura fix micropipette vol. 75 ul Acura fix micropepette vol. 80 ul Acura fix micropipette vol. 90 ul Acura fix micropipette vol. 100 ul Acura fix micropipette vol. 120 ul Acura fix micropipette vol. 150 ul Acura fix micropipette vol. 200 ul Acura fix micropipette vol. 250 ul Acura fix micropipette vol. 300 ul Acura fix micropipette vol. 400 ul Acura fix micropipette vol. 500 ul Acura fix micropipette vol. 600 ul Acura fix micropipette vol. 700 ul Acura fix micropipette vol. 750 ul Acura fix micropipette vol. 800 ul Acura fix micropipette vol. 900 ul Acura fix micropipette vol. 1000 ul Acura fix macropipette vol. 2 ml Acura fix macropipette vol. 2.5 ml Acura fix macropipette vol. 5 ml Acura fix macropipette vol. 10 ml Acura digital micropipette vol. 0.1 - 2 ul Acura digital micropipette vol. 0.5 - 10 ul Acura digital micropipette vol. 1 - 10 ul Acura digital micropipette vol. 2 - 20 ul Acura digital micropipette vol. 5 - 50 ul Acura digital micropipette vol. 10 - 100 ul Acura digital micropipette vol. 20 - 200 ul Acura digital micropipette vol. 100 - 1000 ul

Registrasi Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

Harga 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 2,700,000.00 3,235,000.00 3,235,000.00 3,235,000.00 3,235,000.00 4,200,000.00 4,200,000.00 3,873,000.00 3,873,000.00 3,873,000.00 3,873,000.00 3,873,000.00 3,873,000.00

No 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87

Cat. 835 05 835 10 822 0002 822 0010 822 0020 822 0100 822 0200 822 1000 832.02 832.10 855.08.010 855.08.050 855.08.350 855.12.010 855.12.050 855.12.350 852.08.010 852.08.100 852.08.200 852.12.100 852.12.200 520.02 520.05 520.10 521.020 521.050 521.100 411.5000 435 312.02 312.05 312.1 308.0200B 309.0010B 320.337 320.340 328.0200B 319.1000B 302.0020B 307.0200B 307.1000B 309.0010R 328.0200R 319.1000R 925.001 925.0050 925.02

Description Acura digital macropipette vol. 0.5 - 5 ml Acura digital macropipette vol. 1 - 10 ml Calibra pipette vol. 0.2 - 2 ul Calibra pipette vol. 1 - 10 ul Calibra pipette vol. 2 - 20 ul Calibra pipette vol. 10 - 100 ul Calibra pipette vol. 20 - 200 ul Calibra pipette vol. 100 - 1000 ul Cal. Digital macro pipette vol. 0,2 - 2 ml Cal. Digital macro pipette vol. 1 - 10 ml Acura Digital multi 8 channel vol. 0,5-10 ul Acura Digital multi 8 channel vol. 5-50 ul Acura Digital multi 8 channel vol. 40-350 ul Acura Digital multi 12 channel vol. 0,5-10 ul Acura Digital multi 12 channel vol. 5-50 ul Acura Digital multi 12 channel vol. 40-350 ul Cal. Digital multi 8 channel, 1 - 10 ul Cal. Digital multi 8 channel, 10 - 100 ul Cal. Digital multi 8 channel, 20 - 200 ul Cal. Digital multi 12 channel, 10 - 100 ul Cal. Digital multi 12 channel, 20 - 200 ul Calibrex digital top dispenser 0,25 - 2 ml Calibrex digital top dispenser 1 - 5 ml Calibrex digital top dispenser 1 - 10 ml Calibrex digital top dispenser 2 - 20 ml Calibrex digital top dispenser 10 - 50 ml Calibrex digital top dispenser 10 - 100 ml Stepper Profiller Macro tips 2 ml for 832.02 bag of 2x250 Macro tips 5 ml for 835.05, bag of 2x250 Macro tips 10 ml for 832.10&835.10, bag of 3x100 Natural tips 200 ul, 1000/pack Natural ultra micro tips 10 ul, 1000/pack Work station F / 7 pipette Work station F / 3 pipette Yellow tips, bags of 2x500 Pcs Blue tips, bag of 4x250 Pcs Microtips natural 20 ul, bag of 1000 Pcs Natural universal tips, bag of 2x500 Pcs Natural universal tips, bag of 4x250 Pcs Natural Ultra Microtip, 96 pcs/Rack Yellow Tips, 96 pcs/Rack Blue Tips, 60 pcs/Rack Acura Electro 925 micropipette Volume 0.5-10 ul Volume 2.5-50 ul Volume 10-200 ul

Registrasi Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

Harga 4,315,000.00 4,315,000.00 4,865,000.00 4,865,000.00 4,600,000.00 4,600,000.00 4,600,000.00 4,600,000.00 5,100,000.00 5,100,000.00 11,200,000.00 10,600,000.00 10,600,000.00 12,900,000.00 12,080,000.00 12,080,000.00 13,400,000.00 12,600,000.00 12,600,000.00 14,450,000.00 14,450,000.00 5,000,000.00 5,000,000.00 5,000,000.00 8,550,000.00 9,400,000.00 11,400,000.00 5,050,000.00 1,580,000.00 1,412,000.00 1,412,000.00 1,600,000.00 1,040,000.00 736,000.00 1,785,000.00 1,785,000.00 620,000.00 630,000.00 716,000.00 620,000.00 808,000.00 160,000.00 123,000.00 126,500.00 9,706,000.00 9,706,000.00 9,706,000.00

No 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132

Cat. 925.1000 935.05X 935.10X 955.08.010X 955.08.050X 955.08.350X 925.0010X 925.0050X 925.0200X 925.1000X 935.05X 935.10X 955.08.010X 955.08.050X 955.08.350X 955.12.010X 955.12.050X 955.12.350X 155.0301 155.0305 155.0310 155.032 155.0501 155.0502 155.0505 155.051 155.0520 155.0550 162.0501 162.0502 162.0505 163.05003 163.05005 163.0501 163.0502 164.0501 164.0502 164.0505 164.051 172.0501 172.0502 172.0505 172.051

Description Volume 50-1000 ul Acura Electro 935 macropipette Volume 0.25- 5 ml Volume 0.5-10 ml Acura Electro 955 micropipette Volume 0.5- 10 ul Volume 2.5-50 ul Volume 20- 350 ul Acura Electro 925 micropipette Basic Package Volume 0.5-10 ul Volume 2.5-50 ul Volume 10-200 ul Volume 50-1000 ul Acura Electro 935 macropipette Basic Package Volume 0.25- 5 ml Volume 0.5-10 ml Acura Electro 955 micropipette Basic Package Volume 0.5- 10 ul Volume 2.5-50 ul Volume 20- 350 ul Volume 0.5- 10 ul Volume 2.5-50 ul Volume 20- 350 ul Dosys luer nozzle 0.1 - 1 ml Dosys luer nozzle 0.2 - 5 ml Dosys luer nozzle 1 - 10 ml Dosys luer nozzle 1 - 20 ml Dosys luer lock metal 0.1 - 1 ml Dosys luer lock metal 0.5 - 2 ml Dosys luer lock metal 0.2 - 5 ml Dosys luer lock metal 1 - 10 ml Dosys luer lock metal 1 - 20 ml Dosys luer lock metal 1 - 50 ml Dosys basic automatic syringe 0.1 - 1 ml Dosys basic automatic syringe 0.3 - 2 ml Dosys basic automatic syringe 0.5 - 5 ml Dosys classic automatic syringe 0.025 - 0.3 ml Dosys classic automatic syringe 0.01 - 0.5 ml Dosys classic automatic syringe 0.1 - 1 ml Dosys classic automatic syringe 0.3 - 2 ml Dosys premium automatic syringe 0.1 - 1 ml Dosys premium automatic syringe 0.3 - 2 ml Dosys premium automatic syringe 0.5 - 5 ml Dosys premium automatic syringe 1 - 10 ml Dosys basic automatic syringe 0.1 - 1 ml Dosys basic automatic syringe 0.3 - 2 ml Dosys basic automatic syringe 0.5 - 5 ml Dosys basic automatic syringe 1 - 10 ml

Registrasi Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

Harga 9,706,000.00 10,042,000.00 10,042,000.00 16,750,000.00 16,100,000.00 16,100,000.00 13,160,000.00 13,160,000.00 13,160,000.00 13,160,000.00 13,512,000.00 13,512,000.00 19,412,000.00 18,924,000.00 18,924,000.00 21,000,000.00 19,700,000.00 19,700,000.00 346,000.00 230,000.00 346,000.00 346,000.00 412,000.00 412,000.00 445,000.00 530,000.00 530,000.00 570,000.00 1,745,000.00 1,745,000.00 1,903,000.00 2,042,000.00 2,042,000.00 1,805,000.00 1,805,000.00 3,100,000.00 3,100,000.00 3,315,000.00 3,690,000.00 1,765,000.00 1,765,000.00 1,942,000.00 2,235,000.00

No

Cat.

Description Dosys classic automatic syringe 0.025 - 0.3 ml Dosys classic automatic syringe 0.01 - 0.5 ml Dosys classic automatic syringe 0.1 - 1 ml Dosys classic automatic syringe 0.3 - 2 ml Dosys classic automatic syringe 0.3 - 2 ml Dosys classic automatic syringe 1 - 10 ml Dosys classic automatic syringe 5 - 20 ml Dosys premium automatic syringe 0.1 - 1 ml Dosys premium automatic syringe 0.3 - 2 ml Dosys premium automatic syringe 0.5 - 5 ml Dosys premium automatic syringe 1 - 10 ml Bevelled Needle, 12 pcs/pack Sterile ultra microtip Sterile microtip Autoclavable microtip, non sterile Autoclavable microtip, non sterile Sterile Gel loading tip Sterile tip Single wrapped Autoclavable tip, non sterile Sterile Gel loading tip Sterile tip Autoclavable tip, non sterile Autoclavable tip, non sterile Sterile Gel loading tip Sterile extended tip Single wrapped Sterile, natural tip Autoclavable tip, non sterile Autoclavable tip, non sterile Sterile, natural tip Single wrapped Autoclavable tip, non sterile

Registrasi Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp. Rp.

Harga 2,079,000.00 2,040,000.00 1,864,000.00 1,864,000.00 2,040,000.00 2,315,000.00 4,000,000.00 3,285,000.00 3,285,000.00 3,490,000.00 3,903,000.00 294,000.00 4,832,000.00 4,832,000.00 4,077,000.00 2,735,000.00 1,765,000.00 4,832,000.00 3,234,000.00 4,077,000.00 4,832,000.00 4,832,000.00 4,077,000.00 2,735,000.00 3,200,000.00 8,773,000.00 3,490,000.00 4,800,000.00 4,100,000.00 2,735,000.00 5,250,000.00 3,390,000.00 2,735,000.00

133 173.05003 134 173.05005 135 173.0501 136 173.0502 137 173.0505 138 173.051 139 173.0520 140 174.0501 141 174.0502 142 174.0505 143 174.0510 144 371.081 145 309.0010 FR 146 302.0010 FR 147 302.0010 AFR 148 302.0010 AFB 149 302.0010 GR 150 308.0020 FR 151 308.0020 FS 152 308.0020 AFR 153 308.0020 GFR 154 308.0100 FR 155 308.0100 AFR 156 308.0100 AFB 157 308.0100 GFR 158 308.0200 LFR 159 308.0200 LFS 160 308.0300 FR 161 308.0300 AFR 162 308.0300 AFB 163 309.1000 FR 164 309.1000 FS 165 309.1000 AFB

DAFTAR HARGA ALAT-ALAT KESEHATAN DAN LABORATORIUM PT. ABADINUSA USAHASEMESTA

Product Thermo Jouan - France

No 1 2 3 4 5 6 7 8 9 10 11 12 13 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Cat. 11174540 11174542 11174544 11174300 11174510 11175770 11175774 11175670 11175674 11174729 11175318 11175336 11175330 11176913 11176917 11174650 11178066 11178160 11177390 52210001 52210003 42723000 42713000 42724000 42714000 42725000 42715000 42726000 42716000 42733000 42734000 42735000 42736000 461151202 46161202

Description Microtubes Bench Top Ventilated Centrifuge A.12 Microtubes Bench Top Ventilated Centrifuge A.14 Microhaematocrit Centrifuge A.13 Universal Small Centrifuge Type : BBVV Bench Top ventilated Cnetrifuge B.311 C3i Multi Function Ventilated Bench Top Centrifuge CR 3i Multi-Function Refrigerated Bench Top Centrifuge B4i Multi Function Bench Top Centrifuge BR 4i Multi Function Refrigerated Bench Top Centrifuge MR 23i Multi Function Refrigerated High Speed Centrifuge with Auto-Lock C 4.22 Programmable Bench Top Ventilated Centrifuge 4 x 750 ml, 148 x 5 ml Bench Top Centrifuge Refrigerated Programmable Bench Top Centrifuge Refrigerated 4 x 750 ml, 148 x 5 ml Floor Standing Centrifuge Refrigerated 4 x 750 ml, 148 x 5 ml Programmable Floor Standing Centrifuge Refrigerated 4 x 750 ml, 148 x 5 ml High Speed Floor Standing Refrigerate Centrifuge KR 422 Floor Standing Refrigerated Centrifuge 6 x 1000 ml, 12 blood bags KR 4i Refrigerated Centrifuges 6 x 1000 ml KR25i High Speed Floor Standing Refrigerated IG 650 CO2 Incubator With RH Control IG 750 3 GAS / RH / CO2 Incubator Innovens EU2-77 Innovens EU1-77 Innovens EU2-118 Innovens EU1-118 Innovens EU2-162 Innovens EU1-162 Innovens EU2-234 Innovens EU1-234 Innovens EU3-77 Innovens EU3-118 Innovens EU3-162 Innovens EU3-234 Oven Type EU-500 Oven Type EU-720

Registrasi EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR

Harga 3,927.00 4,446.00 4,090.00 3,386.00 6,636.00 10,255.00 15,200.00 7,636.00 12,309.00 20,527.00 15,690.00 16,490.00 22,610.00 18,182.00 24,364.00 24,364.00 33,218.00 58,909.00 55,636.00 54,000.00 29,455.00 35,364.00 5,073.00 4,709.00 5,618.00 4,890.00 7,200.00 5,982.00 8,818.00 8,255.00 7,018.00 7,928.00 9,073.00 11,527.00 14,727.00 17,255.00

No 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71

Cat. 42752000 42742000 42753000 42743000 42763000 42754000 42744000 42764000 42755000 42745000 42765000 42756000 42746000 42766000 41353000 41363000 41373000 41093014 41093015 41093016 52070000 52010000 11326301 11326351 51500724 51500728 51500732 51500712 51500716 11176780 11176720 11176713 51890078

Description InnovensTM EB2-55 TM Innovens EB1-55 Innovens TM EB2-77 TM Innovens EB1-77 TM Innovens EB3-77 TM Innovens EB2-118 TM Innovens EB1-118 TM Innovens EB3-118 TM Innovens EB2-162 TM Innovens EB3-162 TM Innovens EB3-162 TM Innovens EB2-234 TM Innovens EB1-234 TM Innovens EB3-234 Incubator Type EB-500 Incubator Type EB-720 Incubator Type EB-950 Waterbath Type J-12 Waterbath Type J-18 Waterbath Type J-30 MSC.9 Microbiological Safety Cabinet MSC.12 Microbiological Safety Cabinet Mini Artic Cooled Incubator Maxi Artic Cooled Incubator Power Freeze Deep Freezer VX-380S Power Freeze Deep Freezer VX490S Powerfreeze Deep Freezer Model VX570S Deep Freezer VXE 380 Deep Freezer VXE 490 RC 10.09 Centrifugal Evaporator RC 10.10 Centrifugal Evaporator RC 10.22 Centrifugal Evaporator Decontakit (Microbiological Decontamination)

Registrasi EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR EUR

Harga 3,946.00 3,500.00 4,673.00 4,346.00 6,527.00 5,400.00 4,855.00 7,364.00 7,437.00 5,946.00 9,746.00 9,709.00 7,436.00 11,800.00 12,890.00 14,527.00 18,509.00 2,527.00 2,890.00 3,236.00 18,490.00 19,818.00 9,073.00 11,618.00 29,964.00 32,546.00 35,636.00 26,182.00 28,346.00 7,436.00 10,890.00 18,395.00 5,690.00

DAFTAR HARGA PT. TRIASTRI MEDITAMA

No

Nama Peralatan Kesehatan

Model / Type

Merk

Negara Asal / Pabrikan

No. Registrasi DepKes RI

Satuan

HJSA (Rp)

Sole Agent

1.

Slit lamp 900 BQ for video & photo 900 BQ Slit lamp BP 900 for video & photo BP 900 Slit lamp BD 900 for video BD 900 Slit lamp 900 BM 900 BM Slit lamp BX 900 for photo BX 900 Ophthalmometer OM900 OM 900 Keratograph CTK 922 CTK 922 Goldmann Perimeter 940-K7 940-K7 Goldmann Perimeter 940-ST 940-ST Lotmar Visometer/Retinometer LOTMAR Applanation Tonometer AT 900 Lensa Gonioscopy 902 one mirror 902 Lensa Gonioscopy 905 two mirror 905 Lensa Gonioscopy 903 three mirror 903 Lensa three mirror 906 906 Lensa three mirror 907 11mm 907 Lensa four mirror 908 908 Laser contact glass Retina 145 145 Laser Three mirror contact glass 903L903L Laser Three mirror contact glass 630L630L Laser Three mirror contact glass 906L906L Laser Three mirror contact glass 907L907L Laser contact glass CGIL CGIL Laser contact glass CGAL CGAL Laser contact glass CGPL CGPL Laser contact glass CGRL CGRL Laser contact glass CGVL CGVL

HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland HAAG STREIT Switzerland

HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit

180,378,000 148,555,000 122,045,000 140,338,000 450,692,000 119,988,000 333,905,000 302,984,000 362,648,000 64,779,000 17,754,000 3,289,000 3,795,000 5,368,000 6,347,000 4,895,000 6,732,000 9,647,000 5,445,000 4,532,000 5,863,000 5,863,000 6,974,000 20,284,000 5,863,000 7,480,000 12,265,000

TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

2.

Cataract Set Hordeolum & Pterygium set Strabismus Set

JOHNWEISS England JOHNWEISS England JOHNWEISS England

HK.01.02.SK.I.82set HK.01.02.SK.I.82set HK.01.02.SK.I.82set

90,387,000 TRIASTRI MEDITAMA 30,855,000 TRIASTRI MEDITAMA 37,928,000 TRIASTRI MEDITAMA

DAFTAR HARGA PT. TRIASTRI MEDITAMA

Minor set Cataract & Phaco set 3. Fundus Camera RC-XV3 RC-XV3 Fundus Camera Myd & Non Myd VX- VX-10 Fundus Camera VX-10i with ICG Ang VX-10i Fundus Camera Non myd D NON MYD D Handheld Fundus Camera GENESIS GENESIS Digital Imaging System VK-2 VK-2 Auto Refractometer KA-1000 KA-1000 Auto Refracto-Keratometer KW-2000 KW-2000 Non Contact Tonometer KT-500 KT-500 Automatic Perimeter AP-5000C AP-5000C Handheld Slit lamp SL-15 SL-15 Digital Lensmeter LK-1 LK-1 Laser Flare meter FM-500 FM-500 Laser Flare meter FC-2000 RC-2000 Operation Microscope KOM-300S KOM-300S Operation Microscope KOM-300X KOM-300X Operation Microscope KOM-300CA-E KOM-300CA-E Portable Operation Microscope POM- POM-50 II Non contact specular microsope SP-9SP-9000 Non contact specular microsope CC-7CC-7000 Refracting Unit DUET Chart projector L-29 Auto Lensmeter L-50 Javal Schiot JVL 1 Keratometer Hand Held Auto Keratometer Hand Held Auto Keratometer K+2 L-2 Pair of Retinoscopy racks

JOHNWEISS England JOHNWEISS England KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KOWA KONAN KONAN KONAN KONAN KONAN KONAN Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan Japan France France France France France France France

HK.01.02.SK.I.82set HK.01.02.SK.I.82set HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82pair HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit

41,107,000 TRIASTRI MEDITAMA 103,503,000 TRIASTRI MEDITAMA 323,554,000 430,518,000 520,058,000 485,408,000 259,666,000 433,378,000 115,434,000 143,264,000 178,838,000 250,668,000 92,928,000 29,766,000 707,608,000 ########## 145,442,000 224,818,000 145,442,000 61,468,000 605,000,000 532,400,000 262,746,000 45,342,000 106,975,000 46,618,000 213,466,000 265,672,000 2,585,000 TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

4.

5.

DUET LUNEAU L-29 LUNEAU L-50 LUNEAU JAVAL SCHIOT J LUNEAU LUNEAU LUNEAU L-29 LUNEAU

6. Synoptophore 2001 2001 Perkins MK2 Handheld Applanation T PERKINS MK2 TNO Stereotest with red/green spectaTNO

CLEMENT CLAEngland CLEMENT CLAEngland CLEMENT CLAEngland

178,805,000 TRIASTRI MEDITAMA 29,315,000 TRIASTRI MEDITAMA 4,730,000 TRIASTRI MEDITAMA

DAFTAR HARGA PT. TRIASTRI MEDITAMA

Cambridge low contrast gratings CAMBRIDGE CLEMENT CLAEngland Pelli robson contrast sensitifity test PELLI ROBSON CLEMENT CLAEngland Electric Hess screen ELECTRIC HESS CLEMENT CLAEngland Grey hess screen MANUAL HESS SCLEMENT CLAEngland 7. A Scan Biometry A-100 A-100 SONOMED USA A Scan Biometry A-300 A-300 SONOMED USA A Scan Biometry A-5500 A-5500 SONOMED USA B Scan Ultrasonography B-5500 B-5500 SONOMED USA Digital E-Z Scan B Scan USG B-5500 B-5500+ SONOMED USA A/B Scan Biometry & Ultrasoraphy A/ A/B 5500 SONOMED USA E-Z A/B Scan Digital Biometry & USG A/B 5500+ SONOMED USA Pachymeter 300P 300P SONOMED USA A Scan + Pachymeter 300AP 300AP SONOMED USA 8. Vision Testing system Day/night & Gla 6500P Vision Testing system 5500P 5500P Vision Testing system 5000P 5000P Stereotest Stereo fly SO-001 SO-001 Stereotest Randot SO-002 SO-002 Stereotest Random Dot E SO-003 SO-003 Stereotest Reindeer SO-004 SO-004 Stereotest Butterfly SO-005 SO-005 9. Operation Microscope YZ20P5 Slit lamp YZ5E Slit lamp YZ5F Slit lamp YZ5F-1 for video 10. 532nm Green Laser INTEGRE 532nm Green Laser SOLITAIRE Nd: Yag Laser SUPER -Q Nd: Yag Laser & SLT TANGO Ophthalmic SLT Laser system SOLO Laser Indirect Ophthalmoscope YZ20P5 YZ5E YZ5F YZ5F-1 INTEGRE SOLITAIRE SUPER-Q TANGO SOLO LIO STEREO OPTI USA STEREO OPTI USA STEREO OPTI USA STEREO OPTI USA STEREO OPTI USA STEREO OPTI USA STEREO OPTI USA STEREO OPTI USA CRANE CRANE CRANE CRANE LASEREX LASEREX LASEREX LASEREX LASEREX LASEREX RRC RRC RRC RRC Australia Australia Australia Australia Australia Australia Germany Germany

HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit HK.01.02.SK.I.82unit unit YF-05.03.V.A.965 YF-05.03.V.A.965 unit

2,508,000 6,600,000 40,920,000 7,788,000 60,500,000 84,700,000 105,270,000 205,700,000 314,600,000 311,212,000 399,300,000 67,760,000 134,310,000 123,783,000 46,310,000 39,633,000 2,673,000 2,673,000 2,046,000 2,123,000 2,673,000 45,980,000 32,329,000 37,950,000 46,398,000 809,490,000 385,000,000 535,062,000 ########## ########## 166,980,000

TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

11. Automatic Perimeter EASYFIELD EASYFILED OCULUS Automatic Perimeter CENTERFIELD CENTERFIELD II OCULUS

137,016,000 TRIASTRI MEDITAMA 225,764,000 TRIASTRI MEDITAMA

DAFTAR HARGA PT. TRIASTRI MEDITAMA

Automatic Perimeter TWINFIELD TWINFIELD OCULUS Topograph-Keratograph KERATOGRAPH OCULUS Topograph-Easygraph with pupillome EASYGRAPH OCULUS Tophography-Pachymeter PENTACA PENTACAM E OCULUS Binoptometer 3 BINOPTOMETEROCULUS Vision tester apparatus MESOTEST I MESOTEST II OCULUS Vision tester apparatus BINOTEST BINOTEST OCULUS Heidelberger Multi Color anomaloskop ANOMALOSKOP OCULUS Vitreo Retinal Surgery BIOM 3 Electric BIOM3 e OCULUS Vitreo Retinal Surgery BIOM 3 ManuaBIOM3 m OCULUS 12. Phacoemulsification PULSAR PULSAR OPTIKON Phacoemulsification PULSAR II PULSAR II OPTIKON Phacoemulsification ANTARES 2000 ANTARES 2000 OPTIKON ASSISTANT OPTIKON Phacoemulsification + Vitrectomy ASS Cryo line CRYO LINE OPTIKON Keratron Corneal Topography KERATRON/KER OPTIKON Full A/B Scan Ultrasound diagnostic HHISCAN OPTIKON IO 13. Indirect Ophthalmoscope IO Direct Ophthalmoscope BX 13 BX 13 Streak Retinscope with rechargeable RX-2 Streak Retinscope with battery handleRX-3 Indirect Ophthalmoscope with Video oIO TV Cataract screener CT-S CT-S Slit lamp SL-H1 SL-H1 Slit lamp SL-H2 SL-H2 Low vision reading Aid VS-5 NEITZ NEITZ K NEITZ NEITZ NEITZ NEITZ NEITZ NEITZ

Germany Germany Germany Germany Germany Germany Germany Germany Germany Germany Italy Italy Italy Italy Italy Italy Italy Japan Japan Japan Japan Japan Japan Japan Japan Italy Italy Italy Italy Italy Italy Italy

YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit YF-05.03.V.A.965 unit Diproses unit unit unit unit unit unit unit

365,717,000 260,249,000 194,876,000 654,621,000 100,265,000 213,785,000 50,776,000 124,542,000 355,058,000 290,950,000 344,377,000 441,793,000 521,895,000 661,122,000 194,865,000 250,250,000 445,808,000

TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

20,273,000 TRIASTRI MEDITAMA 3,729,000 TRIASTRI MEDITAMA 4,719,000 106,480,000 58,806,000 72,600,000 88,330,000 29,040,000 144,320,000 170,973,000 221,485,000 109,340,000 66,715,000 22,550,000 14,740,000 TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

14. Polyvisus Universal with chair 88-AD UNIVERSAL FRASTEMA Polyvisus New Three Stars 2 with Cha NEW THREE STAFRASTEMA Polyvisus Master with chair 88-AD MASTER FRASTEMA Polyvisus New Omega with chair 88-ANEW OMEGA FRASTEMA Polyvisus Simplex 2 with chair 88-AD SIMPLEX 2 FRASTEMA ABS briefcase complete with a set of ABS 232 FRASTEMA ABS briefcase complete with a set of ABS 160 FRASTEMA

DAFTAR HARGA PT. TRIASTRI MEDITAMA

15. Auto Refracto-Keratometer REKTO O REKTO ORK-II Auto Refracto-Keratometer VITZRO KVITZRO K-7100 Lensmeter Internal Reading LM-9 LM-9 Auto Chart Projector CP-1000 CP-1000 16. Operation Microscope with Zoom SM2 SM2002Z Nd: Yag Laser ADVANT ADVANT Perimeter AP-100 with computer AP-100 Laser Photocoagulator console TRIPLE T

DONGYANG DONGYANG DONGYANG DONGYANG OPTO OPTO OPTO OPTO

Korea Korea Korea Korea Brazil /Australia Brazil /Australia Brazil /Australia Brazil /Australia

Diproses

unit unit unit unit unit unit unit unit

95,348,000 95,348,000 16,456,000 19,118,000 283,140,000 326,700,000 158,708,000 266,200,000

TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

Diproses

17. Aspheric Lens 20D (V20LC) V20V Aspheric Lens 28D (V28LC) V28C Aspheric Lens 90D (V90C) V90C Aspheric Lens 78D (V78C) V78C Pan Retinal Lens 2.2 (VPRC) VPRC SuperPupil Lens XL (VSPXL) VSPXL Digital 1.0X Image Lens (VDGTL1) VDGTL1 Volk Iridectomy Lens (VIRID) VIRID Volk Fundus Lens (VFUNDUS) VFUNDUS Volk Capsulotomy Lens ( VCAPS) CVAPS Cental Retinal Lens SSV (VCRLVITS CVRLVITSSV Mini Quad XL VIT SSV Lens (VMQXL VMQXLVITSSV Zeiss+ Volk Rols unit (Vrols-Z) VROLS-Z 18. Photo Screener

VOLK VOLK VOLK VOLK VOLK VOLK VOLK VOLK VOLK VOLK VOLK VOLK VOLK

USA USA USA USA USA USA USA USA USA USA USA USA USA USA

Diproses

unit unit unit unit unit unit unit unit unit unit unit unit unit unit

2,618,000 2,618,000 3,102,000 3,102,000 2,618,000 4,477,000 4,477,000 6,655,000 3,509,000 6,655,000 10,769,000 10,769,000 64,130,000

TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA TRIASTRI MEDITAMA

PHOTO SCREENMTI

Diproses

88,000,000 TRIASTRI MEDITAMA

DAFTAR INFORMASI HARGA PERALATAN KESEHATAN & LABORATORIUM

No Urut 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

Nama Peralatan Kesehatan Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair Dental Unit & Chair X-Ray Dental Unit X-Ray Panoramic X-Ray Panoramic Dental Light Dental Light Mini Jet Two Handpiece Manual Control System Portable Dental Unit System Compressor Compressor Compressor Operating Stool Operating Stool Extracting Forceps Extracting Forceps Extracing Forceps

Model / No. Code Clesta Clesta II SP-Cleo Cp-One Rapport S2302 S2315 Quality Turim Taurus Z Taurus F/S A3 AL-398AA Phot II Caliber EX-2000 Caliber EX-1000 048 IQ 5000 ADU-04 ADU-02 Task Force Airmed 1 HP Airmed 1,5 HP Airmed 2 HP Ergonomic Chair 0100-1, 2, 7, 13, 17, 18, 19, 22, 29 0100-151,30,51 1/2,75, 151 1/2, 87 0100-22 L/R Set

Merk Belmont Belmont Belmont Belmont Belmont Northwest Northwest Olsen Olsen Shinhung Shinhung Anthos Foshan Belmont Belmont Belmont Belmont Belmont Aseptico Aseptico Fiac Fiac Fiac Belmont Support Stool Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Japan KL. 0605290916 Japan AKL 20601400830 Japan KL. 0605690259 Japan KL. 0605200165 Japan KL. 0605200164 RRC AKL. 10605303907 RRC AKL. 10605303906 Brazil KL. 0605200232 Brazil KL. 0605200231 Korea Dalam Proses Korea Dalam Proses Italy Dalam Proses RRC Dalam Proses Japan Dalam Proses Japan AKL 20601400831 Japan Dalam Proses Japan KL. 0903292332 Japan KL. 0603290912 USA AKL. 10603303826 USA Italy Italy Italy Japan Swedent Italy Italy Italy AKL. 10603301429 AKL. 10603301429 AKL. 10603303827

Satu an Set Set Set Set Set Set Set Set Set Set Set Set Set Set Set Set Pc Pc Set Set Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 165,000,000 240,000,000 240,000,000 365,000,000 450,000,000 50,000,000 66,000,000 45,000,000 50,000,000 125,000,000 200,000,000 250,000,000 35,000,000 42,000,000 332,000,000 285,000,000 14,000,000 15,000,000 20,000,000 35,000,000 6,000,000 8,500,000 12,000,000 6,000,000 11,000,000 454,800 506,400 2,268,000

Sole Agent s/d 5-Jul-2007 5-Jul-2007 5-Jul-2007 5-Jul-2007 5-Jul-2007 8-Jun-2008 8-Jun-2008 1-Feb-2007 1-Feb-2007 28-Jun-2010 28-Jun-2010 18-Nov-2007 5-Jul-2007 5-Jul-2007 5-Jul-2007 5-Jul-2007 5-Jul-2007 30-Jun-2008 30-Jun-2008 1-Nov-2008 1-Nov-2008 1-Nov-2008 5-Jul-2007 6-Jun-2005 6-Jun-2005 6-Jun-2005

Dalam Proses Dalam Proses AKL. 10603301429

No Nama Peralatan Kesehatan Urut 29 Extracting Forceps 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 Extracting Forceps Extracting Forceps Pliers For Orthodontics Bone Rongerous Extracing Forceps for Children Root Elevators Bein Root Elevators R/L Inox Root Elevator Winter Root Elevators Seldin Bradley Root Elevators Root Elevators Root Elevators Root Elevators Root Elevator R/L Root Elevator Gunting Iris Gum Scissors/Gunting Iris Gum Scissors/Gunting Iris Gum Scissors/Gunting Gunting Gunting Gum Scissors Kelly Gum Scissors Kelly Spencer Gim Scissors/Gunting Spencer Gim Scissors/Gunting Scalpel Handles No. 3 Needle Holder Baumbartner Needle Holder Crile Wood Needle Holder Baumbartner Needle Holder Mathieu Needle Holders Needle Holders Needle Holders

Model / No. Code 0100-33, 33L, 51, 51A, 67A, 74, 79, 51, 67, 73 0100-4,45,86C,89,90,145 0101-1,2(503,504) 0103-20,30 0103-50 0112-1,2,3,4,5,6,7 0200-6 0202-320/321, 322/323 0204-11L/R 0208-2S, 3S 0213-12 0232-1 0234-1,2,3,4 0240-1,2,3,4,5,6 0241-1,2,3 / 0242-1,2,3 0243-7,8 0300 - 1,2 0305-1 0305-2 0305-3 0308-1 0308-2 0309-1 0309-2 0320-1 0320-2 0350-3 0404-14 0410-15 0414-16 0430-14 0430-17 0431-14 0431-17

Merk Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Italy AKL. 10603301429 Italy AKL. 10603301429 Italy AKL. 10603301429 Italy Italy Italy AKL. 10603301427 Italy AKL. 10603301428 Italy Italy Italy Italy Italy AKL. 10603301428 Italy AKL. 10603301428 Italy AKL. 10603301428 Italy AKL. 10603301428 Italy AKL. 10603301428 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy AKL. 20603301430 Italy Italy AKL. 10603301426 Italy AKL. 10603301426 Italy AKL. 10603301426 Italy AKL. 10603301426 Italy AKL. 10603301426 Italy AKL. 10603301426 Italy AKL. 10603301426

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 454,800 454,800 498,000 656,000 744,000 496,000 236,000 619,200 619,200 320,000 248,000 268,000 236,000 236,000 236,000 236,000 120,000 248,000 248,000 248,000 260,000 260,000 248,000 248,000 188,000 188,000 64,000 364,000 348,000 388,000 508,000 508,000 508,000 508,000

Sole Agent s/d 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005

No Nama Peralatan Kesehatan Urut 63 Haemostatic Forceps Halstead Mosqito 64 Haemostatic Forceps Halstead Mosqito 65 Haemostatic Forceps Halstead Mosqito 66 Haemostatic Forceps Halstead Mosqito 67 Haemostatic Forceps 68 Haemostatic Forceps 69 Haemostatic Forceps Kocher 70 Haemostatic Forceps Kocher 71 Haemostatic Forceps 72 Haemostatic Forceps 73 Towel Clamps 8 cm 74 Towel Clamps 11 cm 75 Towel Clamps 13 cm 76 Dressing Forceps (straight) 77 Dressing Forceps (curved) 78 Cotton Plier / Pinset 79 Dissecting Forceps 80 Cotton Plier / Pinset 81 Cotton Plier / Pinset 82 Cotton Plier / Pinset 83 Cotton Plier / Pinset 84 Tissue Pliers 85 Tissue Pliers 86 Tissue Pliers 87 Pinset 88 Explorers/Sonde Half Moon 89 Explorers Sonde 90 Periodontal Pocket Probes S/E 91 Pocket Probes 92 Double Ended Expl. Probes D/E 93 Sonde P/E

Model / No. Code 0500-1 0500-2 0505-1 0505-2 0510-1 0510-2 0530-1 0530-2 0540-1 0540-2 0550-1 0550-2 0550-3 0557-1 0557-2 0601-1,2,3,4,5 0602-1,2 0620-1 / 0621-1 0622-1 0623-1 0630-1,2 / 0631-1,2 0635-1 0635-2 0635-3 0650 - 1,2 0700-6,8,9,11,23 0701-6, 8, 9, 12, 16, 23 0702-12S,C 0703-1,4,6 0707L-GFW 0710-6 D1,2,3

Merk Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 148,000 148,000 168,000 168,000 176,000 176,000 212,000 212,000 176,000 176,000 156,000 156,000 156,000 288,000 288,000 72,000 157,200 112,000 193,600 193,600 104,000 108,000 108,000 108,000 142,400 44,000 48,000 108,000 84,000 104,000 73,600

Sole Agent s/d 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005

No Urut 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125

Nama Peralatan Kesehatan Endodontic Instrument/Spreader Endodontic Instrument Cement Spatulas Amalgam Caries D/E Italy (Small)

Model / No. Code 0800-1,2,3,4,5,6,7 0801-1, 2, 3, 4 0903-1,2,3 1015-1

Merk Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 73,600 52,000 84,000 248,000 248,000 248,000 248,000 48,000 136,000 76,000 80,000 84,000 76,800 76,800 76,800 76,800 76,800 76,800 80,400 80,000 76,800 100,000 40,000 80,000 80,000 100,000 116,000 100,000 92,000 123,600 123,600 123,600

Sole Agent s/d 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005

Amalgam Caries D/E Italy (Large) 1015-2 Amalgam Caries D/E Italy (Jumbo) 1015-3 Amalgam Pistol Metal Tip Amalgam Well Plastic Filling Instrument D/E Plastic Filling Instrument D/E Plastic Filling Instrument D/E Burnisher D/E Amalgam Stopper Amalgam Stopper Cement Stopper Filling Instrument Cement Stopper Filling Instrument Filling Instrument Filling Instrument Filling Instrument/Burnisher Applicator S/E Placement Instruments Amalgam Instruments Amalgam Carvers D/E Amalgam Carver Frahm Periodental - Gracey D/E Excavators Periodontia Instrument S/E Periodontia Instrument S/E Periodontia Instrument S/E 1020-1,2,3 1020-2P 1030-1,2,3 1100-1,2,3 1101-1,2,3 1102-1,2,3 1200,1,2,3,4,5 1201-1,2,3 1202-1,2,3,5,6,7 1203-1,2,3 1204-1,2 1205-1,2 1208-1,2,3 1210-1,2,3 1211-OT 1215-29 1300 1301/1302 1400-1,2,3,4 1500-2, 3, 3S 1502-1 1600-1,2,3,4 1700-0,1,2,3,4 1801-1,2 1801-D 1803-1,2

No Nama Peralatan Kesehatan Urut 126 Periodontia Double End 127 Periodontia Instrument D/E 128 Periodontia Instrument D/E 129 Periodontia Instrument 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 Currettes Surfing Chisel Crane-Caplan Wax Spatula & Carvers Raspatorium Periodontia Instrument/ Raspatorium Periodontia Instrument/ Raspatorium Scallers Scallers Bone Currets Bone Currets Bone Files Bone Files Bone Files Bone Files Bone Currets Fig. 2cm 17 Handles For Mouth Mirror Handles For Mouth Mirror Mirror Handles : White/Black Mouth Mirrors Crown Removers Crown Removers Crown Spreader & Remover Crown Instrument/Band Plaster Iwanson Demical Caliper Tongue Depressors Retractors Finger Protectors

Model / No. Code 1803-15/16 1803-D/1804-D 1806 - 2, 2RL, 4RL, 14, 412, 414 1807-02, 04, 06, 08, 10, 12, 14 1820-Z 1829-CK6 MV1850-M9 1855-22,23 1857-1 1857-2 1900-1L/R, 2L/R 1900-1,1L, 2L,R 2000-1,2,3,4 2001-85,86,87,88 MV 2002-1,2 2003-1 2004-33 2005-64, 2006-10 2014-2 2100 CS 2101 CS 2103-B/N 2200-4,5,6 2300-Double 2300-Single 2320 2410 2550-1,2 2605, 2606, 2607, 2608 2618 - 13, 23, 33 2645 - 1,2

Merk Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 156,000 156,000 115,200 112,000 92,000 202,000 332,000 168,000 172,000 172,000 168,000 82,400 120,000 128,000 448,000 312,000 312,000 312,000 352,800 48,000 42,400 24,000 20,400 295,200 268,000 668,000 292,000 180,000 96,000 269,600 276,000

Sole Agent s/d 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005

No Urut 157 158 159 160 161 162 163 164 165 166 167 168

Nama Peralatan Kesehatan Sendok Cetak Almunium Sendok Cetak Almunium 12'S Sendok Cetak St.Steel Sendok Cetak St.Steel 12'S Impression Trays Stainles Sendok Cetak Refill Sendok Cetak Universal 12'S Sendok Cetak St.Steel Refill Sendok Cetak Anatomi 8'S Sendok Cetak Full Refill Sendok Cetak Full Stainless 8'S Sendok Cetak Free and St.Steel 6'S

Model / No. Code 2800 -1,2,3,4,5,6 U/L 2800-12 2801 -1,2,3,4,5,6 U/L 2801-12, 12A 2803-3, 4 2804 -4,5,6 U/L 2804A-12S 2804-4A, 5A, 6A 2804A-8 2806 2806-8'S 2809-6 ART S 2900-TCS15, VT15, BBS15 2905 - AD 2905 - 155 3032 3033 3070-5,6,7 3082-5,6,7 3101 5000 5000-1M + 5000-25 + 5011 5000-1M 5000-25 5011 5103/5109/5110 5106/5107 5112-3 5200-1 5200-2 5201-1

Merk Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 50,400 273,600 104,000 546,400 172,800 172,800 1,036,800 172,800 691,200 248,000 979,200 720,000 36,000 14,400 161,600 652,000 652,000 152,000 46,400 181,600 590,400 1,212,800 144,800 12,000 1,056,000 84,800 82,800 70,800 44,800 44,800 48,000

Sole Agent s/d 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005

169 Saliva Ejector Biru 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 Adaptor White Aspirator Tips Rubber Dum Instrument Rubber Dum Instrument Ivory & Matrix Retainer Matrix band Alcohol Burner Articulators Articulators Magnetic Mounting Plate 10 Cast Fastening Washer Articulators Asa Warna Kuning Wax and Modelling Carver/Inst Wax and Modelling Carver/Lecron P.K. Thomas Instruments Wax Knives Wax Knives Wax Knives

No Urut 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221

Nama Peralatan Kesehatan Wax Knives Wax Knives Plaster Knives Plaster Knives Spatulas For Plaster Spatulas For Plaster Mixing Bowls For Plaster Mixing Bowls For Plaster Mixing Bowls For Plaster Mixing Bowls Mixing Bowls Mixing Bowls Crown Scissors Foil-Wire-Plate Scissors/Gunting Klammer Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Pliers For Orthodontics Plaster Cutting Filters Plastic Box For Protesa Excavators Set of 5 Gracey Instr. Set of 7 Periodontal Instrument Set of Endodontic Instrument Endodontic Instrument

Model / No. Code 5202-1 5202-2 5300-1 5300-2 5400-3,4,7,8 5400-9 5500-12 5500-14 5500-16 5501-12 5501-14 5501-16 5600-1,2 5700 5801 5802 5803 5806-2 5812 5832 5863 5866 5867-1 5869-2 5870 5871 5880-1,2 5900 6900 - C, B, R S1700 S1807 S1899 AL2746-1 AL2746-2

Merk Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa Asa

Negara Asal No. Registrasi Depkes RI Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy Italy

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 61,200 61,200 67,200 67,200 85,600 85,600 32,000 32,000 57,600 32,000 40,000 57,600 92,000 182,400 432,000 432,000 424,000 440,000 492,000 725,600 444,800 340,000 420,000 420,000 427,600 376,000 512,000 316,000 8,400 422,400 744,000 1,940,000 128,000 128,000

Sole Agent s/d 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005 6-Jun-2005

No Urut 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246

Nama Peralatan Kesehatan Prichard Lecron Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Extract. Forceps Engl. Pattern Felsch Extracting Forceps Routorier Forceps Extract. Forceps Engl. Pattern

Model / No. Code MV 1851-PR LS 5109 3600/1, 2, 7, 17, 18 3600/3 3600/4 3600/13, 22, 33, 51, 79 3600/18A 3600/19, 23, 24, 33 1/2, 55, 56, 65L, 65R 3600/29 3600/30, 31 3600/41 3600/44, 45, 51 1/2 3600/46LX 3600/51LX 3600/67 3600/73 s 3600/74 3600/74M 3600/75 3600/86C 3600/87 3600/89, 90, 99 3600/121 3614/22 1/2 L & R 3620 semua ukuran 1, 2, 7, 17, 18, 13, 22, 23, 33A 3700/13S, 22S, 33S, 38, 40, 51S 3700/29S, 30S, 37, 39,391/2, 39L, 39R 3700/161,162 3710/1,2,3,4,5,6,7 3711/1,2,3,4,5,6,7 3750

Merk Asa Asa Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf

247 Forceps Children's 248 Forceps Children's 249 250 251 252 Forceps Children's Klein Children Forceps Klein Children Forceps Pinset Smooth

Negara Asal No. Registrasi Depkes RI Italy Italy Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 400,000 64,000 763,500 1,080,000 930,000 825,600 1,080,000 1,080,000 763,500 930,000 930,000 930,000 1,080,000 1,080,000 825,600 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,080,000 1,320,000 3,660,000 1,056,000 1,041,600 1,041,600 1,041,600 914,500 963,600 468,000

Sole Agent s/d 6-Jun-2005 6-Jun-2005 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007

No Urut 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275

Nama Peralatan Kesehatan Witzel Root Fragment Forceps Witzel Root Fragment Forceps Root Fragments Forceps Root Fragments Forceps Extracting Forceps Extracting Forceps Bone Ronger 17 cm Bone Ronger 1/4 cm Bone Ronger Buyer Bone Cutting Forceps Root Elevator " Bein " Seldin / Berten Elevator Bein Root Elevator 2,5 mm / 4 mm Seldin / Berten Elevator Root Elevator Root Elevator Root Elevator Root Elevator Root Elevator Root Elevator Root Elevator " Bein " Root Elevator Root Elevator (T) "Winter/Cryer"

Model / No. Code 3751, 3753 3754 3755 3759 3805/17 3805/210 3880 3887 3920 3945 3963/16, 19 3965, 3966, 3968/1 3969/1,2,3,4,5,6 3970/1,2,3,4 3971/1,2,3,4 3978/1,2,3,4 4066 4066/1,2,3 4052/1 4063/2,3 4068/1,2, 3,5,8,9 4075 L& R 1,2,3,4 4086/11L / R 4091/,2,3,4,5 4093/1 4107 4153 4165/3,4,5,10,11,12, 4135 4188, 4189 4202 4204 4208

Merk Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf

276 Root Elevator / R. Tip Pick ( Set ) 277 278 279 280 281 282 283 284 Root Teaser Only Gum Guillotine Forceps Lecron Handle + Blade Gum Scissors Gum Scissors Std. Cvd.-10,5 cm. Gum Scissors Std.Cvd.-10,5 cm. Gum Scissors Cvd. - 11 cm.

Negara Asal No. Registrasi Depkes RI Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 960,000 1,260,000 852,000 852,000 990,000 990,000 1,260,000 1,260,000 3,180,000 1,453,500 377,000 410,000 344,500 410,000 504,000 504,000 379,500 402,000 402,000 402,000 372,000 810,000 930,000 349,500 307,500 2,868,000 180,000 264,000 216,000 300,000 300,000 336,000

Sole Agent s/d 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007

No Urut 285 286 287 288 289 290 291 292 293 294 295 296

Nama Peralatan Kesehatan Gum Scissors Cvd. - 11 cm. Gum Scissors Gebogen Gum Scissor Gum Scissors Gum Scissors Gum Scissors Gum Scissors Gebogen Gum Scissor Gum Scissors Cvd. - 12 cm. Gum Scissors Cvd. - 12 cm. Gum Scissors Joseph Gum Scissors 4210 4212 4217 4218 4219 4226 4230 4232 4236 4238 4242 4266

Model / No. Code

Merk Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf Ernst. Krauskopf

Negara Asal No. Registrasi Depkes RI Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052 Germany KL. 0603690052

Satu an Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc

HJSA (Rp.) 336,000 498,000 450,000 390,000 390,000 624,000 312,000 336,000 392,500 392,500 366,000 492,000

Sole Agent s/d 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007 21-Aug-2007

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