No

Kode
Rekening

Jenis / Nama Barang

Jumlah
Barang

Harga
Satuan (Rp)

Medical Wall
Cladding Panel
System
HPL Laminate Wall
Cladding Panel With
Supporting Basic
Accessories (Integral
Cove Profile, Internal
Corner, High
performance Thermal
Insulation and Noise
Insulation, 45C
corner module) and
include Accessories
Wall Subtructure
Suspendid Ceiling In
Painted Steel
Hermatic Automatic
Door and Hinged
Door
Hepafulter Clean
Room
Vinil OT Room
Vinil OT Koridor
Dinding
Sircular Pendant

1 set

5231901

Jumlah
Belanja
(Rp)
6

Keteranga
n
7
K2

1 set

180050000
0

180050000
0

K2

1 set
1 set

465000000
499000000

465000000
499000000

K2

1 set

649000000

649000000

1 set

749000000

749000000

1 set
1 set

89087500
150062500

89087500
150062500

1 set

725000000

725000000

K2
K2

No

Kode
Rekening

Jenis / Nama Barang

Jumlah
Barang

Harga
Satuan
(Rp)

Jumlah
Belanja
(Rp)

Keterang
an

Endoscopy Urology
set (TURS dan URS):
lower Urology, Upper
URS , Camera System
For Urology
Basic Trauma
Instrumen Ortopedi
Set
General Instrumen
Set
Mini Instrumen
Orthopendi Set
Compact
Comprehensive Multi
Attachment Torque
Limiting Power Tool
Electric Pen-shaped
power Tool With Multi
Attachment
LCP Large Fragment
System
Arthroscopy System
Set
Basic Endoscopy

1 set

302000000
0

30200000
0

K2

RF Generator System

1 set

138300000
0
254000000

Arthroscopy Shaper
System
Arthroscopy Pump
System
Telescope and
Accufex Hand
Instrumen
Craniomaxillofasial
Basic Set

1 set

464000000

1 set

305000000

1 set

489000000

5231901

1 set

K2

1 set

300000000

30000000
0
22600000
0
78100000
0

1 set

226000000

1 set

781000000

1 set

690000000

69000000
0

1 set

415000000

41500000
0

1 set
1 set

1 set

K2
13830000
00
25400000
0
46400000
0
30500000
0
48900000
0
K2

Standar Instrumen
For Compact
axillofacial
Compact 1.3 mm
(Implans)
Compact 2.0 mm
(Implans)
Electric Pen Drive
(Bor Tulang Kecil)
Operating Lamp
Aurinio L160/120 with
HD Camera+Monitor

1 set

126000000

12600000
0

1 set

190000000

1 set

106000000

1 set

921000000

1 set

132500000
0

19000000
0
10600000
0
92100000
0
13250000
00

Wartheim
Hysterectomy set
include Wire Basket
Cadwell Luc set
include wire basket

1 set

90000000

90000000

K2

1 set

207990000

20799000

K2

5231905

No

Kode
Rekening

Jenis / Nama
Barang

1
2

2
5231905

3
Mouthgag set
include wire
basket
Ken Retractor
set include wire
basket
Laryngoscopy
set lengkap )
neonatus, bayi,
anak, dan
dewasa)
Oral Surgery set
include wire
basket
Mastectomy sen
include wire
basket
Thyroidectomy
set include wire
basket

Jumlah
Barang

Harga
Satuan
(Rp)
5
1650000
00

Jumlah
Belanja
(Rp)
6
1650000
00

1 set

6500000
0

6500000
0

K2

1 set

2000000
0

2000000
0

K2

1 set

3400000
0

3400000
0

K2

1 set

1690000
00

1690000
00

K2

1 set

2080000
00

2080000
00

K2

4
1 set

Keterang
an
7
K2

K2

Patient Warmer
(Matras Warmer)
Ruang Oprasi
Mayor Surgery
Set include wire
basket
Set Instrumen
Accessoris
Endoscopy

No

1
1

1 set

1310000
00

1310000
00

K2

1 set

1700000
00

1700000
00

K2

1 set

3000000
0

3000000
0

K2

Kode
Rekenin
g
2

Jenis / Nama
Barang

Jumlah
Barang

523190
1

Radiotherapi
simulator
Brachiterapi

1 set
1 set

Harga
Satuan
(Rp)
5

Jumlah
Belanja
(Rp)
6

Keterang
an

5000000
000
6000000

5000000
000
6000000

K2

K2

remote control
afterloading
Dosimeter+Brachit
erapi with
chamber
Mouldroom

000

000

1 set

3500000
00

3500000
00

K2

1 set

6000000
00
1150000
00
7500000
0
1016130
00

6000000
00
1150000
00
7500000
0
1016130
00

K2

Balance Magnetics

1 set

Surveymeter with
chamber
Prosessing Film

1 set
1 unit

No

Kode
Rekening

Jenis / Nama Barang

Jumlah
Barang

Harga
Satuan (Rp)

Medical Wall
Cladding Panel
System
HPL Laminate Wall
Cladding Panel With
Supporting Basic
Accessories (Integral
Cove Profile, Internal
Corner, High
performance Thermal
Insulation and Noise
Insulation, 45b
derajat celcius corner
module) and include
Accessories
Wall Subtructure
Suspendid Ceiling In
Painted Steel
Hermatic Automatic
Door and Hinged
Door
Hepafulter Clean
Room
Vinil OT Room
Vinil OT Koridor

1 set

5231901

K2
K2
K2

Jumlah
Belanja
(Rp)
6

Keteranga
n
7
K2

1 set

180050000
00

180050000
00

K2

1 set
1 set

465000000
499000000

465000000
499000000

K2

1 set

649000000

649000000

1 set

749000000

749000000

1 set
1 set

89087500
150062500

89087500
150062500

K2
K2

Dinding
Sircular Pendant

1 set

725000000

725000000

No

Kode
Rekening

Jenis / Nama Barang

Jumlah
Barang

Harga
Satuan
(Rp)

Jumlah
Belanja
(Rp)

Keterang
an

Endoscopy Urology
set (TURS dan URS):
lower Urology, Upper
URS , Camera System
For Urology
Basic Trauma
Instrumen Ortopedi
Set
General Instrumen
Set
Mini Instrumen
Orthopendi Set
Compact
Comprehensive Multi
Attachment Torque
Limiting Power Tool
Electric Pen-shaped

1 set

302000000
0

30200000
0

K2

5231901

1 set

K2

1 set

300000000

1 set

226000000

1 set

781000000

1 set

690000000

30000000
0
22600000
0
78100000
0

69000000

power Tool With Multi

Attachment
LCP Large Fragment
System
Arthroscopy System
Set
Basic Endoscopy

0
1 set

415000000

1 set

RF Generator System

1 set

Arthroscopy Shaper
System
Arthroscopy Pump
System
Telescope and
Accufex Hand
Instrumen
Craniomaxillofasial
Basic Set
Standar Instrumen
For Compact
axillofacial
Compact 1.3 mm
(Implans)
Compact 2.0 mm
(Implans)
Electric Pen Drive
(Bor Tulang Kecil)
Operating Lamp
Aurinio L160/120 with
HD Camera+Monitor

1 set

464000000

1 set

305000000

1 set

489000000

Wartheim
Hysterectomy set
include Wire Basket
Cadwell Luc set
include wire basket

No

Kode
Rekening

Jenis / Nama
Barang

1
2

2
5231905

3
Mouthgag set

1 set

K2
138300000
0
254000000

5231905

41500000
0

13830000
00
25400000
0
46400000
0
30500000
0
48900000
0

1 set

K2

1 set

126000000

12600000
0

1 set

190000000

1 set

106000000

1 set

921000000

1 set

132500000
0

19000000
0
10600000
0
92100000
0
13250000
00

1 set

90000000

90000000

K2

1 set

207990000

20799000

K2

Jumlah
Barang
4
1 set

Harga
Satuan
(Rp)
5
1650000

Jumlah
Belanja
(Rp)
6
1650000

Keterang
an
7
K2

K2

include wire
basket
Ken Retractor
set include wire
basket
Laryngoscopy
set lengkap )
neonatus, bayi,
anak, dan
dewasa)
Oral Surgery set
include wire
basket
Mastectomy sen
include wire
basket
Thyroidectomy
set include wire
basket
Patient Warmer
(Matras Warmer)
Ruang Oprasi
Mayor Surgery
Set include wire
basket
Set Instrumen
Accessoris
Endoscopy

No

1
1

Kode
Rekenin
g
2
523190
1

00

00

1 set

6500000
0

6500000
0

K2

1 set

2000000
0

2000000
0

K2

1 set

3400000
0

3400000
0

K2

1 set

1690000
00

1690000
00

K2

1 set

2080000
00

2080000
00

K2

1 set

1310000
00

1310000
00

K2

1 set

1700000
00

1700000
00

K2

1 set

3000000
0

3000000
0

K2

Harga
Satuan
(Rp)
5

Jumlah
Belanja
(Rp)
6

Keterang
an

3 set

14500000
0

43500000
0

K2

8 unit

52000000

41600000
0

K2

Jenis / Nama
Barang

Jumlah
Barang

Tempat Tidur
ICU/ICCU Weigh
scale + CPR 4
Motor Elektrik
Lengkap (Bed,
Matras, Bedside
Cabinet, Overbed
Table,IV stand)
Transfer Strecher

Tempat Tidur
Dewasa Manual 3
Crank Lengkap
(Bed, Matras,
Bedside Cabinet,
Overbed Table, IV
Stand)

No

Kode
Rekeni
ng

Jenis/ Nama Barang

523190
1

18 set

28000000

50400000
0

K2

Jumla
h
Baran
g
4

Harga
Satuan
(Rp)

Jumlah
Belanja

Keterang
an

Slit lamp with elektrik

table
Tonometer for slit lamp

1 set

Slide projector untuk

mata
Trial lens set

1 set

Non contac Tonometer

With Elektrik Stand
Full Automatic AutorefKeratometer/Biokerato
meter
Funduscopy Direc/
direc Opthalmoscope
(prestige Coaxial-plus)
Funduscopy
Indirec/indirec
Opthhalmoscope
Autolensmeter

2 set

3200000
00
4275000
0
4750000
0
4750000
0
2240000
00
2717050
00

3200000
00
4275000
0
4750000
0
9500000
0
4480000
00
5434100
00

1 unit

1650000
0

1650000
0

1 set

7575000
0

7575000
0

2 unit

7575000
0
2700000
00
4250000
00
2850000
0
9000000
0
2500000
00

1515000
00
2700000
00
8500000
00
5700000
0
1800000
00
7500000
00

1 set

2 set

2 set

Refraktometer

1 set

Infant Warmer With

Oksigen include SPO2
Resussitator Neopuf

2 set

T-Piece Infant
Resuscitator Transport
Weighscale +SPO2
Asessoris Incubator
infant

2 set

2 set

3 set

Monitor Patient For

Neonatus (include
Bracket+asessoris
neonatus)
Elektrocardiograph 3
Chanel (include stand
khusus untuk EKG)
Infusion Pump/Pumping
System (Flowrate
9,999) include stand
Cardio Toco Graphy
(CTG) include stand
Mortuary Refrigrator
Steinless Stell 4 Body +
Trolly refrigrator
Mesin Automatic
Pemrosesan Ulang
Dialyzer

No

Kode
Rekenin
g
2

3 set

2800000
00

8400000
00

3 set

4200000
0

1260000
00

10 set

4150000
0

4150000
00

1 set

9100000
0
5500000
00

9100000
0
5500000
00

3600000
00

3600000
00

Jumlah
Belanja
(Rp)
6

1 set

1 set

Jenis / Nama
Barang

Jumlah
Barang

Harga
Satuan
(Rp)
5

Shygnomanomet
er LCD Display
Free mercury
(Mobil/Roda)
Regulator
Oksigen Central
(Steinless steel)
Classic
Flowmeter/Regul
ator Oksigen
Sentral lowflow
(Kapasitas 1-5
lt/mt)
Classic
Flowmeter/Regul
ator Oksigen
Manual lowflow
(Kapasitas 1-5
lt/mt)
Trolly Emergency

8 unit

5000000

4000000
0

43 unit

2000000

8600000
0

20 unit

8000000

1600000
00

2 unit

8000000

1600000
0

5 unit

2500000

1250000

Keterang
an
7

Kapasitas 3
tahap (Bahan
ABS) Untuk
Drug, Alat
Defrilator dan
Papan Resusitasi
Pulsa Oxometry
Portable
(Neonatus-anakDewasa)
UV Digital
Portable Mobile
Syringe Bone
Marrow (ukuran
2,5 ml/bahan
kaca)
Syringe Bone
Marrow (ukuran
5 ml/bahan kaca
Syringe Bone
Marrow (ukuran
10 ml/bahan
kaca
Trial Frame

00

2 unit

1000000
0

2000000
0

2 unit
1 unit

2880000
0
5000000

5760000
0
5000000

1 unit

5000000

5000000

1 unit

5000000

5000000

4 unit

5000000

Ishihara (38
lembar)
Lensa 78 D

2 unit

5000000

2 unit

6032500

Lensa 90 D

2 unit

6032500

Partus set
include wire
basket
Curratage set
Berbagai ukuran
sendok curret
include wire
basket
IUD set pasang
dan angkat
include wire
basket
Umbilikal set
include
tray+tutup
Accuvein/Alat
Ukur Melihat

10 unit

4200000
0

2000000
0
1000000
0
1206500
0
1206500
0
4200000
00

6 set

3000000
0

1800000
00

4 set

2000000
0

8000000
0

2 set

1000000

2000000

1 unit

1207200
00

1207200
00

Pembuluh Darah
Inflat Care Cuf
(Pengukur
Tekanan Balon
EET)
Modul Printer
Monitor Pasien

N0

2 unit

8160000

1632000
0

6 unit

1300000
0

7800000
0

Jenis/ Nama
Barang

Jumlah
Barang

Kode
Rekenin
g
2

5231901

Tempat Tidur
Dewasa 3 Motor
Elektrik
lengkkap (Bed
pasien, Matras,
IV Stand,
Bedside Cabinet
dan Overbed
Table)
Examination
Table Elektrik
Film Viewer LED
2 Bang (Lampu
Baca Radiologi)
Film Viewer LED
1 Bang (Lampu
Baca Radiologi)
Hecting set
include
Tray+Tutup
Sircusisi set
include
Tray+Tutup
GV set include
Tray+Tutup
Anuscope
dewasa
steinless steel
Tenoctomy set
include
Tray+Tutup
Set Insersi
Tindakan

5231901

Harga
Satuan
(Rp)
5

Jumlah
Belanja
(Rp)
6

40 set

4500000
0

1800000
000

1 unit

3000000
0

3000000
0

5 unit

2200000
0

1100000
00

5 unit

1100000
0

5500000
0

10 set

7000000

7000000
0

1 set

1000000

1000000

20 set

1000000

2 unit

500000

2000000
0
1000000

2 set

2000000

4000000

30 set

750000

2250000
0

Keterang
an
7

Hemodialisa
Cauter
Sircumsisi
Sphygnomanom
eter LCD
Display Free
Mercury
Stethoscope
Adult Double
Sound
(Steinless Steel)
Stethoscope
Pediatric Double
Sound
(Steinless Steel)
Stethoscope
Neonatus
Double Sound
(Steinless Steel)
Bak Instrumen
Sedang
Steinless
steel+tutup
Tromol Kassa
Steinles steel
(Ukuran
sedang)
Tromol Kassa
Steinles steel
(Ukuran kecil)
Thermometer
Digital
Breast Pump
elektrik
Badpan & Urinal
Single Rack
steinless steel
Comode Chair
Steinless steel
N0

1
1

1 set

2500000

2500000

80 unit

2500000

2000000
00

80 unit

1700000

1360000
00

20 unit

1700000

3400000
0

10 unit

1700000

1700000
0

5 unit

500000

2500000

5 unit

3000000

1500000
0

10 unit

2000000

2000000
0

70 unit

58000

4060000

1 set

2500000

2500000

60 unit

200000

1200000
0

2 unit

2500000

5000000

Kode
Rekenin
g
2

Jenis/ Nama
Barang

Jumlah
Barang

523190
1

USG 4 Dimensu
For Obgyn (3
Probe include

1 set

Harga
Satuan
(Rp)
5

Jumlah
Belanja
(Rp)
6

Keterang
an

1200000
000

12000000
00

K2

transvaginal)
USG Biometri
Scan With
Printer+Trolly
USG 2 Dimensi
Probe
Vascular/Anasth
esi
Mini Ficture
Achieving
Computerize(Mi
ni FACS)
+Radiology
Information
System (Include
Instalasi
Jaringan)
ENT Unit
Include
Endoscopy
System,
Microscope dan
Video
Othoscope
Fototherapi LED
Mesin
Hemodialisa
Operating Zoom
Microscope
Mata

N0

1
2

Kode
Rekenin
g
2
5231901

1 set

5500000
00

55000000
0

K2

1 set

7500000
00

75000000
0

K2

1 set

1500000
000

15000000
00

1 set

8850000
00

88500000
0

K2

1 unit

1210000
00
3850000
00
8600000
00

12100000
0
38500000
0
86000000
0

K2

1 set
1 set

Jenis/ Nama
Barang

Jumlah
Barang

3
Nebulizer
Ultrasound
(besar) include
Stand
Digital
Pressure Meter
( Alat Kalibrasi
Tensimeter)

4
17 set

1 set

Harga
Satuan
(Rp)
5
1250000
0

Jumlah
Belanja
(Rp)
6
2125000
00

5025000
0

5025000
0

K2

Keterang
an
7

Instrumen
Gigi/Odontecto
my set include
tray/tutup
Eksterpasi
jaringan set
(untuk mulut)
include
tray+tutup
Wiring
instrumen set
include
tray+tutup
Instrumen
Tambal gigi
include
tray+tutup
Instrumen
Cabut gigi
include
tray+tutup
Instrumen
Diagnostic Set
(Untuk Gigi)
include
tray+tutup
Instrumen
Penunjang(Klin
ikl Gigi)
Keeper
Endoscopy
(Cabinet
Instrumen
Endoscopy)
Steam
sterilisator
table tap
(autociave 7,5
kg)
THT minor set
include
tray+tutup
Mediview (Alat
record data
endoscopy)incl
ude sofwerw
Incubator
Analyzer (Alat

1 set

3400000
0

3400000
0

2 set

1500000
0

3000000
0

1 set

1500000
0

1500000
0

2 set

1500000
0

3000000
0

2 set

1500000
0

3000000
0

3 set

1000000
0

3000000
0

1 set

1000000
0

1000000
0

1 unit

7150000
0

7150000
0

1 unit

9500000
0

9500000
0

2 set

3000000

6000000

1 set

2250000
00

2250000
00

1 set

2310000
00

2310000
00

K2

Ukur Suhu
Incubator
Infant)
Alat Steril
Botol Susu

N0

Kode
Rekening

5231901

N0

Kode
Rekening

5231307

1 unit

Jenis/
Nama
Barang
3

Jumlah
Barang

Radiother
api
external
teletherap
i unit
Treatmen
Planing
System
For
Teletherap
i dan
Brachither
api 3
Dimensi
(TPS 3D)
Mobile CArm
Cilmax
Measuring
Device
dosimeter

750000

750000

Harga
Satuan
(Rp)
5

Jumlah
Belanja
(Rp)
6

Keterang
an

1 set

11000000
000

11000000
000

K2

1 set

25000000
00

25000000
00

K2

1 set

80000000
0
45000000

80000000
0
45000000

K2

65500000
0

65500000
0

K2

Harga
Satuan
(Rp)
5

Jumlah
Belanja
(Rp)
6

1450000
00

4350000
00

1 set

1 set

Jenis/
Nama
Barang
3

Jumlah
Barang

Tempat
Tidur
ICU/ICCU

3 set

K2

Keterang
an
7

K2

Weigh
scale +
CPR 4
Motor
Elektrik
Lengkap
(bed,
Matras,
Bedside
Cabinet,
Overbed
Table,IV
stand)
Transfer
Strecher
Tempat
Tidur
Dewasa 3
Crank
Lengkap
(bed,
Matras,
Bedside
Cabinet,
Overbed
Table,IV
stand)

N0

Kode
Rekening

1
1

2
5231901

N0

Kode
Rekening

8 unit
18 set

5200000
0
2800000
0

4160000
00
5040000
00

K2

Harga
Satuan
(Rp)
5
9000000
0

Jumlah
Belanja
(Rp)
6
9000000
0

Keterang
an

Jenis/
Nama
Barang
3
Treatmen
Chair
Fillow
Vacum
Spiromet
er
Chestogr
aph

Jumlah
Barang

1 set

8250000
0

8250000
0

Jenis/
Nama

Jumlah
Barang

Harga
Satuan

Jumlah
Belanja

4
1 unit

K2

Keterang
an

1
1

2
5231901

Barang
3
Robotic
Transcran
ial Dopler
System

4
1 set

(Rp)
5
2500000
00

(Rp)
6
2500000
00