ATTACHMENT

1. PARAMEDIC RESPONDER BAG

CODE ITEM QTY UNIT

AIRWAY MANAGEMENT
30-14-02313 GOEDEL 2 WHITE 70mm/1157 1 PCS
30-14-02314 GOEDEL 3 GREEN 80mm/1158 1 PCS
30-14-02315 GOEDEL 4 YELLOW90mm/1159 1 PCS
31-12-05101 SUCTION MANUAL ADULT SUC-HSE 1 PCS
BREATHING MANAGEMENT
31-18-051587 MASK CPR DISPOSABLE GD 1 PCS
30-14-02328 REBREATHING MASK ADULT 1007 1 PCS
25-17-01827 NASAL OXYGEN CANULA ADULT 1820 1 PCS
31-12-051441 RESUSCITATOR ADULT MANUAL 1 PCS
25-16-01915 LEUKOPLAST 7.5 CM X 4 M (3") 1625H 1 PCS
30-17-05587 PLASTIC BAG FOR CHEST WOUND 2 PCS
25-13-01822 GAUZE NON STERILE S (4X5) 10 ROLL
30-12-02385 NEEDLE STERILE 18G 2 PCS
31-12-052365 AMBULATORY CHEST DRAINAGE SYSTEM KIT/1 1 SET
CIRCULATION MANAGEMENT
07-13-00036 ALCOHOL SWAB BD 10 PCS
30-12-04421 SURFLO IV#16G 1 PCS
30-12-05042 SURFLO IV#18G 1 PCS
30-12-05043 SURFLO IV#20G 1 PCS
30-17-02821 THREE WAY STOPCOCK 1 PCS
25-15-03253 MELOLIN 5 CM X 5 CM 4 PCS
30-15-02236 INFUS SET SOL ADMIN ADULT 2 PCS
30-15-05297 MICRO DRIP ELASTY BALL STC 503 1 PCS
25-13-01480 MICROPORE 1 INCH 1 PCS
25-15-02368 GLOVES NON STERILE L 6 PCS
28-11-01898 TORNIQUET IDEAL 1 PCS
30-11-01852 SYRINGE 3 ML 2 PCS
30-11-01855 SYRINGE 5 ML 1 PCS
30-11-01853 SYRINGE 10 ML 1 PCS
30-11-01854 SYRINGE 20 ML 1 PCS
28-20-02014 WING NEEDLE 21 G X 3/4 4 PCS
30-12-02386 NEEDLE STERILE 19G 1 PCS
30-12-02388 NEEDLE STERILE 21G 1 PCS
30-12-02390 NEEDLE STERILE 23G 1 PCS
30-12-02384 NEEDLE STERILE 25G x 5/8 INCH 1 PCS
12-19-053548 INFUSAN RL SOFTBAG 500ML 2 KOLF
12-19-053547 INFUSAN NS SOFTBAG 500ML 1 KOLF
12-19-053546 INFUSAN D5 SOFTBAG 500ML 1 KOLF
DRUGS EMERGENCY
03-11-054021 EPINEPRIN INJEKSI AMP BOX/30 4 AMP
14-15-01714 ATROPIN SULFAS INJ 1 ML 4 AMP
12-13-00604 LIDOCAIN INJ 2% BOX/100 4 AMP
06-14-04986 CORTIDEX INJ BOX/10 2 AMP
15-12-00081 ASPILETS CHEWABLE TAB 10 TAB
13-12-00201 CEDOCARD TAB 5 MG 10 TAB
12-13-00162 BUSCOPAN INJ 20MG/ML 2 AMP
12-13-00164 BUSCOPAN TAB 10 MG 10 TAB
06-14-04985 CORTIDEX TAB 10 TAB
05-15-04327 STESOLID INJ 10MG/2ML 1 AMP
14-12-01171 VENTOLIN INHALER 1 TIN
05-17-01670 STESOLID RECTAL 10 MG 4 SUPP
15-22-00894 PRIMPERAN INJ 2 AMP
01-12-04164 PANADOL CAP 10 TAB
TRAUMA MANAGEMENT SET
25-15-02368 GLOVES NON STERILE L 4 PCS
25-13-03760 MITELA KAIN SEGITIGA - SIZE L 6 PCS
30-17-05586 SAFETY PIN 1 SET
25-16-01273 TENSOCREPE 3" X 4,5 M 2 ROLL
25-13-02354 HANSAPLAST STRIP 2637 10 PCS
25-13-02381 GAUZE NON STERILE L (4x10) 4 ROLL
25-13-01823 KASSA HIDROFIL STERILE 16X16 (BOX) 2 BOX
25-13-01480 MICROPORE 1 INCH 1 PCS
25-16-03598 SAM SPLINT 1 PCS
26-16-00288 DARYAN-TULLE 2 PCS
07-13-00036 ALCOHOL SWAB BD 10 PCS
25-13-03540 BURN DRESSING 20x20 CM 2 PCS
26-11-00161 BURNAZIN CREAM 35 GR 1 TUBE
31-18-03892 MINOR SURGERY SET 1 SET
31-12-052661 FIRST AID AIR SPLINT/6 1 SET
30-15-02460 SUCTION CATHETER CH 14 1 PCS
31-12-04400 ISOTHERMIC BLANKET MIS-EBA DYNAMED 1 PCS
DIAGNOSTIC SET
31-18-053985 PULSE OXYMETER OLED 1 SET
31-18-03965 TENSIMETER 1 PCS
31-12-01844 STETOSCOPE 1 PCS
31-12-01277 PENLIGHT 2 PCS
31-12-01860 THERMOMETER DIGITAL 1 PCS
25-15-051279 THERMOMETER SHEET 10 PCS
01-17-054420 Y-RINS 12ML BOX/2 1 BTL
25-16-05532 EYE PATCH TM1539 2 PCS
MISCELLANEOUS
35-11-05584 RESPONDER BAG 1 PCS
32-14-05585 BALLPOINT BIRU BPTP "PILOT" 1 PCS
32-11-051392 MEMO (SPIRAL) 1 PCS
 ATTACHMENT
2. DOCTOR RESPONDER BAG

CODE ITEM QTY UNIT

AIRWAY MANAGEMENT
30-15-02484 E.T.T.DISP.W/CUFF NO.6 1 PCS
30-15-02494 E.T.T.DISP.W/CUFF SIZE 7 1 PCS
30-15-02487 E.T.T.DISP.W/CUFF NO.7,5 1 PCS
30-15-02488 E.T.T.DISP.W/CUFF NO.8 1 PCS
30-15-02489 E.T.T.DISP.W/CUFF SIZE 8,5 1 PCS
31-12-05101 SUCTION MANUAL ADULT SUC-HSE 1 PCS
31-18-051731 MANDRAIN CATHETER NO 3.3 1 PCS
31-12-052192 LARYNGOSCOPE 1 UNIT
25-13-01480 MICROPORE 1 INCH 1 ROLL
30-14-02313 GOEDEL 2 WHITE 70mm/1157 1 PCS
30-14-02314 GOEDEL 3 GREEN 80mm/1158 1 PCS
30-14-02315 GOEDEL 4 YELLOW90mm/1159 1 PCS
30-15-02460 SUCTION CATHETER CH 14 1 PCS
30-11-01854 SYRINGE 20 ML 1 PCS
25-16-02644 STIFFNECK COLLAR ADJUSTABLE 1 PCS
17-13-04948 XYLOCAIN GEL 10GR 1 TUBE
30-14-02326 NON REBREATHING MASK ADULT 1 PCS
BREATHING MANAGEMENT
31-18-051587 MASK CPR DISPOSABLE GD 2 PCS
30-14-02328 REBREATHING MASK ADULT 1007 1 PCS
25-17-01827 NASAL OXYGEN CANULA ADULT 1820 1 PCS
31-12-051441 RESUSCITATOR ADULT MANUAL 1 SET
25-16-01915 LEUKOPLAST 7.5 CM X 4 M (3") 1625H 1 ROLL
30-17-05587 PLASTIC BAG FOR CHEST WOUND 2 PCS
25-13-01822 GAUZE NON STERILE S (4X5) 10 ROLL
30-12-02385 NEEDLE STERILE 18G 2 PCS
31-12-052365 AMBULATORY CHEST DRAINAGE SYSTEM KIT/1 1 PCS
CIRCULATION MANAGEMENT
07-13-00036 ALCOHOL SWAB BD 10 PCS
30-12-04421 SURFLO IV#16G 1 PCS
30-12-05042 SURFLO IV#18G 1 PCS
30-12-05043 SURFLO IV#20G 1 PCS
30-17-02821 THREE WAY STOPCOCK 1 PCS
25-15-03253 MELOLIN 5 CM X 5 CM 4 PCS
30-15-05297 MICRO DRIP ELASTY BALL STC 503 1 PCS
30-15-02236 INFUS SET SOL ADMIN ADULT 2 PCS
25-13-04646 TEGADERM 6X7 CM 1624W 2 PCS
25-13-01480 MICROPORE 1 INCH 1 ROLL
25-15-02368 GLOVES NON STERILE L 6 PCS
28-11-01898 TORNIQUET IDEAL 1 PCS
30-11-01852 SYRINGE 3 ML 2 PCS
30-11-01855 SYRINGE 5 ML 1 PCS
30-11-01853 SYRINGE 10 ML 1 PCS
30-11-01854 SYRINGE 20 ML 1 PCS
28-20-02014 WING NEEDLE 21 G X 3/4 4 PCS
 30-12-02386 NEEDLE STERILE 19G 1 PCS
30-12-02388 NEEDLE STERILE 21G 1 PCS
30-12-02390 NEEDLE STERILE 23G 1 PCS
30-12-02384 NEEDLE STERILE 25G x 5/8 INCH 1 PCS
33-11-04999 OTSU NS 100 ML PIGGYBAG 1 KOLF
12-19-053548 INFUSAN RL SOFTBAG 500ML 2 KOLF
12-19-053547 INFUSAN NS SOFTBAG 500ML 1 KOLF
12-19-053546 INFUSAN D5 SOFTBAG 500ML 1 KOLF
33-11-052380 GELAFUSAL INFUSION 500ML 1 KOLF
25-17-01816 FOLLEY BALON CATHETER CH16 1 PCS
30-15-02471 FOLLEY BALON CATHETER CH18 1 PCS
25-17-02891 URINE BAG STERIL 1 PCS
DRUGS EMERGENCY
03-11-054021 EPINEPRIN INJEKSI AMP BOX/30 4 AMP
04-12-01657 AMINOPHYLIN INJ 10 ML 1 AMP
14-15-01714 ATROPIN SULFAS INJ 1 ML 4 AMP
03-11-01659 CORDARONE AMP 150 MG INJ 3ML 1 AMP
03-11-01660 DOPAMIN GIULINI 200MG INJ 10 ML 1 AMP
05-17-052345 ANESFAR INJ 5MG/5ML BOX/5 1 AMP
06-14-04986 CORTIDEX INJ BOX/10 4 AMP
12-13-00604 LIDOCAIN INJ 2% BOX/100 4 AMP
17-13-04938 MORPHINE INJ 1 AMP
15-12-00081 ASPILETS CHEWABLE TAB 10 TAB
13-12-00201 CEDOCARD TAB 5 MG 10 TAB
12-13-00162 BUSCOPAN INJ 20MG/ML 2 AMP
15-12-00846 PETHIDIN INJ 2 ML 1 AMP
15-22-00894 PRIMPERAN INJ BOX/6 2 AMP
05-15-04327 STESOLID INJ BOX/5 1 AMP
04-12-03499 BEROTEC INH.SOL 0.1% 50 ML 1 BOX
17-11-01755 CENDO PANTOCAIN 2% EYE DROP 5 ML 1 BTL
14-12-01171 VENTOLIN INHALER 1 CAN
05-17-01670 STESOLID RECTAL 10 MG BOX/5 4 TUB
13-16-01092 THROMBOPHOB GEL 20 GR 2 TUB
01-12-04164 PANADOL CAP 10 CAP
TRAUMA MANAGEMENT SET
25-13-02564 BASIC DRESSING KIT 2 PCS
25-13-01824 GLOVES STERIL # 7.5 2 PCS
25-13-03760 MITELA KAIN SEGITIGA - SIZE L 6 PCS
30-17-05586 SAFETY PIN 1 PACK
28-11-01898 TORNIQUET IDEAL 2 PCS
25-16-01273 TENSOCREPE 3" X 4,5 M 2 ROLL
25-13-02354 HANSAPLAST STRIP 2637 10 PCS
25-13-02381 GAUZE NON STERILE L (4x10) 4 ROLL
25-13-01823 KASSA HIDROFIL STERILE 16X16 (BOX) 2 BOX
25-13-01480 MICROPORE 1 INCH 1 ROLL
25-16-03598 SAM SPLINT 1 PCS
26-16-00288 DARYAN-TULLE 2 PCS
07-13-00125 BETADINE SOLUTION 60 ML 1 BTL
07-13-00036 ALCOHOL SWAB BD 10 PCS
25-13-03540 BURN DRESSING 20x20 CM 1 PCS
26-11-00161 BURNAZIN CREAM 35 GR 1 TUB
31-18-03892 MINOR SURGERY SET 1 SET
31-12-052661 FIRST AID AIR SPLINT PENTAMED/6 1 SET
 31-12-04400 ISOTHERMIC BLANKET MIS-EBA DYNAMED 1 PCS
DIAGNOSTIC SET
31-18-053985 PULSE OXYMETER OLED 1 SET
31-18-03965 TENSIMETER 1 PCS
31-12-01844 STETOSCOPE 1 PCS
31-12-01277 PENLIGHT 2 PCS
31-15-02661 REFLEX HAMMER 1 PCS
31-12-01860 THERMOMETER DIGITAL 1 PCS
25-15-051279 THERMOMETER SHEET 10 PCS
01-17-054420 Y-RINS 12ML BOX/2 1 FLS
25-16-05532 EYE PATCH TM1539 2 PCS
MISCELLANEOUS
35-11-05584 RESPONDER BAG 1 PCS
32-14-05585 BALLPOINT BIRU BPTP "PILOT" 1 PCS
32-11-051392 MEMO (SPIRAL) 1 PCS
 ATTACHMENT
3. DRUG STARTER PACK

NO DRUGS ITEM NAME UOM

Gastrointestinal & Hepatobiliary System
1 Antasida
A. TABLET ANFLAT FORTE TAB BOX/100 Tab
ACITRAL TAB BOX/100 Tab
POLYSILANE TAB BOX/40 BOX
B. SIRUP PLANTACID SUSPENSI 100 ML BTL
POLYSILANE SUSPENSI 100 ML BTL
ACITRAL SYR 120 ML BTL
2 Ranitidine
A. tablet ACRAN TAB 150 MG BOX/30 Tab
RANTIN TAB 150 MG BOX/100 Tab
3 B. injeksi ACRAN INJ 2 ML BOX/5 amp
RANTIN INJ 50 MG BOX/5 amp
4 Omeprazole
A. TABLET PUMPITOR TAB 20 MG BOX/20 Tab
PROTOP CAP 20 MG BOX/14 Tab
OMEPRAZOLE CAP 20 MG BOX/30 tab
B. INJEKSI PUMPITOR INJ amp
OMZ INJ 10ML BOX/1 amp

5 PANTOPRAZOL INJ PUMPISEL INJ VIAL

PRANZA INJ VIAL
6 Sucralfate
A. TABLET Ulsafate 500 mg 60 Tab/Box TAB
b. sirup ulsafate syr 100 ml btl
nucral syr 100 ml btl
7 Lactobacillus SYNBIO CAP BOX/30 TAB
L - BIO CAP BOX/30 TAB
8 Hyoscine
A. TABLET BUSCOPAN TAB 10 MG BOX/100 TAB
SCOPAMIN TAB BOX/100 tab
B. INJEKSI GITAS INJ AMP BOX/5 amp
BUSCOPAN INJ 20MG/ML BOX/10 amp
9 Oralit PHAROLIT 200 BOX/60 sach
10 Attapulgite NEW DIATABS TAB BOX/100 tab
ARCAPEC TAB BOX/100 TAB
11 Loperamide LOREMID FC TAB BOX/100 TAB
LODIA TAB BOX/60 TAB
12 Dioktahedral smectite 3 g/sachet SMECTA SACH BOX/30 SACH
 13 Bisacodyl DULCOLAX TAB 5 MG BOX/200 TAB
DULCOLAX ADULT SUPP 10 MG BOX/5 supp
14 Ursodeoxycholic acid URDAHEX CAP 250 MG BOX/30 tab
15 Policresulen FAKTU OINT 20 GR TUBE
FAKTU SUPP BOX/10 supp
16 Metoclopramide
A. TABLET GAVISTAL TAB 10 MG BOX/100 TAB
PRIMPERAN TAB 10 MG BOX/100 TAB
B. INJEKSI GAVISTAL INJ BOX/ 5 AMP amp
PRIMPERAN INJ BOX/6 amp
17 ONDANSENTRON
A. TABLET NARFOZ TAB 4MG BOX/12 TAB
INVOMIT TABLET 4 MG/18 BOX
B. INJEKSI NARFOZ INJECTION 4MG/2ML BOX/5 amp
INVOMIT INJ 4 ML/2 ML amp
Respiratory System
1 Salbutamol
A. Tablet VENTOLIN TAB 2 MG BOX/30 BOX
B. INHALER VENTOLIN INHALER CAN
C. NEBULES VENTOLIN NEBULES BOX/20 ampl
2 Aminophilin AMINOPHYLIN INJ 10 ML BOX/24 amp
3 Bromhexine BISOLVON EXTRA SYR 60 ML BTL
BISOLVON INJ 4MG/2ML BOX/10 AMP
BISOLVON TAB BOX/100 tab
4 DMP PROMEDEX TAB BOX/100 tab
5 Pseudoephedrine + terfenadine RHINOFED TAB BOX/50 tab
6 pseudoephedrine + loratadine ALDISA SR KAP BOX/50 tab
RHINOS SR CAPS BOX/50 TAB
Central Nervous System
1 Diazepam (suppositoria) STESOLID RECTAL 10 MG BOX/5 supp
2 Diazepam (tablet) VALISANBE TAB 2 MG BOX/100 tab
STESOLID TAB 2 MG BOX/100 tab
3 Diazepam (injection) VALISANBE INJ 2 ML BOX/10 AMP
STESOLID INJ BOX/5 AMP
4 Midazolam ANESFAR INJ 5MG/5ML BOX/5 AMP
SEDACUM INJ 5MG/5ML AMP BOX/10 AMP
5 Haloperidol
a. tablet LODOMER TAB 2 MG BOX/100 tab
B. INJEKSI LODOMER INJ AMP BOX/12 AMP
ANALGETIC AGENT
6 Betahistine MERTIGO TAB 6 MG BOX/100 TAB
BETASERC TAB 8 MG BOX/100 tab
7 Mefenamic Acid PONSTAN FCT 500 MG BOX/100 tab
MEFINAL CAP 500 MG BOX/100 tab
8 Paracetamol SANMOL TAB BOX/100 tab
 PANADOL CAP BOX/100 tab
9 Diclofenac sodium (tablet) VOLTAREN ENT C TAB 25 MG BOX/50 tab
10 Diclofenac sodium (injection) VOLTAREN INJ 25MG/3ML BOX/5 amp
11 Pethidine PETHIDIN INJ 2 ML AMP BOX/10 amp
12 Tramadol
a. tablet TRADOSIK CAPS BOX/100 tab
TRADYL CAPS 50 MG BOX/50 tab
b. injeksi TRADOSIK INJ 2 ML BOX/10 AMP amp
TRAMAL INJ 100 MG 2 ML BOX/5 amp
13 Ergotamine ERICAF TAB BOX/100 tab
14 metamizole inj NORAGES INJ BOX/5 amp
Musculo-Skeletal System
1 Allopurinol REUCID TAB 100 MG BOX/50 TAB
ZYLORIC TAB 100 MG BOX/200 TAB
2 Eperisone EPRINOC TAB BOX/100 TAB
MYONEP TAB 50 MG BOX/100 TAB
3 tizanidine MYORES TAB 2 MHG BOX/100 TAB
Anti-Infectives (Systemic)
1 Cefadroxil CEFAT CAP 500 MG BOX/100 tab
LAPICEF CAP 500 MG BOX/100 tab
2 Amoxicillin AMOXSAN CAP 500 MG BOX/100 tab
AMOXILLIN 500 MG TAB BOX/100 tab
3 Thiamphenicol THIAMYCIN CAP 500 MG BOX/100 tab
4 Erythromycine ERYSANBE CAP 500 MG BOX/100 tab
5 Ciprofloxacine BAQUINOR FORTE CAPL BOX/20 tab
6 Doxycycline INTERDOXIN CAP 100 MG BOX/20 tab
7 Fradiomycin + gramicidin FG TROCHES TAB BOX/120 tab
8 Co-trimoksazole SANPRIMA FORTE KAPL BOX/100 tab
9 antifungal cream TUBE
a. miconazol DAKTARIN CREAM 10 GR TUBE
b. ketoconazol FORMYCO CREAM 10 GR TUBE
10 Pyrantel Palmitat COMBANTRIN TAB 250 MG BOX/50 TAB
11 Metronidazole trichodazole tab 500 mg TAB
12 Permethrine SCABIMITE CREAM 10 GR TUBE
13 Acyclovir ACYCLOVIR TAB 200 MG BOX/50 TAB
Anti-Malaria (optional for endemic area)
1 PIL KINA PIL KINA TAB BOX/288 TAB
PRIMAQUIN PRIMAQUIN tab box/100 tab
Endocrine & Metabolic System
1 Metformin NEVOX XR 500 mg TAB
glimepirid metrix 1 mg TAB
2 simvastatin SINOVA TAB 10 MG BOX/20 TAB
3 Fenofibrate EVOTHYL CAP 100 MG BOX/30 TAB
Vitamins & Minerals
1 multivitamin THERABEX TAB TAB
 2 multivitamin MALTIRON TAB
3 kalsium cal-95 TAB
4 Fe SANGOBION CAPS BOX/250 TAB
Electrolytes
1 Dextrose 40% OTSU DS 40% 25 ML KOLF
2 Dextrose 5% INFUSAN D5 SOFTBAG 500ML KOLF
3 Polygeline GELAFUSAL INFUSION 500ML KOLF
4 Ringer Lactate INFUSAN RL SOFTBAG 500ML KOLF
5 Normal Saline 25 ml OTSU NS 25 ML KOLF
6 Normal Saline 500 ml INFUSAN NS SOFTBAG 500ML KOLF
Eye, Ear, Nose
1 Chloramphenicol CENDO FENICOL EYE DROP 0.5% 5 ML BTL
3 Tetrahydrozoline VISINE EYE DROP ORIGINAL 6ML BTL
4 Benzalkonium Cl Y-RINS 12ML BOX/2 BOX
5 polymixin+ neomicin + dexamethasone CENDO POLYDEX EYE DROP 5 ML BTL
polymixine + neomicin otopain ear drop BTL
Dermatologicals
1 Povidone-iodine BETADINE SOLUTION 60 ML BTL
2 Silver Sulfadiazine BURNAZIN CREAM 35 GR TUBE
3 Betamethasone + Neomycin BENOSON N CREAM 5 GR TUBE
4 Calamine CALADINE LOTION 60 ML BTL
5 Hydrocortisone HYDROCORTISON CREAM 1% 5 GR TUBE
6 acyclovir cream zoter cream 5 % TUBE
Anaesthetics - Local & General
1 Xylocaine XYLOCAIN GEL 10GR TUBE
2 Lidocaine LIDOCAIN INJ 2% BOX/100 AMP
Allergy & Immune System
1 Cetirizine CETIRIZINE TAB BOX/50 TAB
2 dexametason+dex CTM DEXTAMINE TAB BOX/100 TAB
3 methilprednisolone
a. tablet LAMESON TAB 4 MG BOX/100 TAB
b. injeksi TORAS 125MG/2ML DRY INJECTION VIAL
vaccine
2 Tetanus toxoid vaccine VACCINE TETANUS DIPHTERI BIO (T.D) VIAL
3 Tetanus immunoglobulin TETAGAM P 250 IU INJ 1 ML VIAL
4 Anti venom (snake) SERUM ANTI BISA ULAR 5 ML VIAL
Intravenous & Other Sterile Solutions
1 Aquabidest OTSU WATER FOR INJ.25 ML VIAL
Miscellaneous
1 Topical Emollients KY JELLY 50 GR TUBE
COOL BOX 6 L EA
COOL GEL/ ICE PACK MINI EA
THERMOMETER EA
STARTER PACK

QTY
ATTACHMENT

4. DISPOSABLE STARTER PACK

ITEM NAME UNIT QTY

Airway Apparatus
E.T.T.DISP.W/CUFF SIZE 7 PCS 4
E.T.T.DISP.W/CUFF SIZE 8 PCS 4
E.T.T.DISP.W/CUFF SIZE 9 PCS 4
E.T.T HOLDER PCS 1
GOEDEL 2 WHITE 70mm/1157 PCS 1
GOEDEL 3 GREEN 80mm/1158 PCS 1
GOEDEL 4 YELLOW90mm/1159 PCS 1
NEBULIZER MASK AST ADULT MIC85 PCS 1
OXYGEN MASK ADULT 1041 PCS 2
SUCTION CATHETER CH 12 PCS 2
Intra Venous Administration
INFUS SET SOL ADMIN ADULT BOX/50 PCS PCS 4
MICRO DRIP ELASTY BALL STC 503 PCS 4
SURFLO IV#16G BOX/50 PCS 4
SURFLO IV #18G X 1 1/4" PCS 4
SURFLO IV #20G X 1 1/4" PCS 4
NEEDLE STERILE 21G PCS 6
NEEDLE STERILE 23G PCS 6
NEEDLE STERILE 25G PCS 6
SYRINGE 1ML TUBERCULIN BOX/100 TERUMO PCS 6
SYRINGE 3 ML BOX/100 TERUMO PCS 20
SYRINGE 5 ML BOX/100 TERUMO PCS 10
SYRINGE 10 ML BOX/100 TERUMO PCS 4
SYRINGE 20 ML BOX/50 TERUMO PCS 4
WING NEEDLE 21 G X 3/4 PCS 4
Feeding Tube
STOMACH TUBE FR 14 TERUMO PCS 2
STOMACH TUBE FR 16 TERUMO PCS 2
STOMACH TUBE FR 18 TERUMO PCS 2
STOMACH TUBE FR 20 PCS 2
Urinal Cathether
FOLLEY BALON CATHETER CH14 PCS 2
FOLLEY BALON CATHETER CH18 PCS 2
FOLLEY BALON CATHETER CH20 PCS 2
URINE BAG STERIL PCS 2
Suture & Blade
SCALPEL #11 PCS 2
SCALPEL #23 PCS 2
SUT.SURGIPRO/PROLENE SYNETURE 4-0 REV CUT SP 683 PCS 4
SUT. SOFTSILK SYNETURE 3-0 SS-694 COVIDIEN PCS 4
Surgical PPE
FACE MASK MANIKIN #151201 BOX/6 LAERDAL ROLL 1
GLOVES STERIL # 7 PCS 4
GLOVES NON STERILE M SENSI BOX/100 BOX 1
UNDERPAD 60X90 PCS 10
Wound Dressing & Bandage
EYE PATCH ORTHOPTIC REGULAR BOX/20 TM1539 PCS 10
BASIC DRESSING KIT PCS 4
WOUND DRESSING #15 PCS 12
KASSA HIDROFIL STERILE 16X16 (BOX) BOX 24
GAUZE PAD 10CMX10CM 4" BOX/100 PCS 100
MELOLIN 10 CM X 10 CM BOX/10 PCS 10
STERI STRIP 1/2X4" R1547 PACK/50S PCS 50
STERI STRIP 1/4X4 R1546 PACK/50S PCS 50
TENSOCREPE 4" x 4.5 M PCS 4
MICROPORE 1 INCH PCS 4
HYPAVIX 10 CM X 5 M PCS 4
HYPAVIX 5 CM x 5 M BOX/48 PCS 4
Burn Dressing
BURN DRESSING 10x10 CM PCS 2
BURN DRESSING 20x20 CM PCS 2
Miscellaneous
KLIP PLASTIK OBAT M PCS 100
KLIP PLASTIK OBAT S PCS 100
COTTON BUDS PACK/100 PACK 2
MITELA KAIN SEGITIGA - SIZE L PCS 6
RAZOR DISPOSABLE PCS 4
SHARP BOX CONTAINE 7,8L YELLOW PCS 2
ALCOHOL SWAB BD BOX/100 PCS 100
STOCKINET 2" (5 CMX22,8M) #7231800 BOX/1 ROLL BOX 1
TONGUE BLADE WOODEN PACK/50 PCS 50
TORNIQUET IDEAL PCS 2
URINE CONTAINER STERILE PCS 4
 ATTACHMENT

5.CARDIAC EMERGENCY DRUGS

No. Drugs ITEM DESCRIPTION QTY UOM

CARDIAC ARREST
1 Adrenaline EPINEPRIN INJEKSI AMP BOX/30 10 AMP
2 Carzochrome ADONA (AC-17) INJ 10MG 2ML BOX/10 10 AMP
3 Amiodarone CORDARONE AMP 150 MG INJ 3ML BOX/6 2 AMP
4 Lidocaine LIDOCAIN INJ 2% BOX/100 5 AMP
HEART ATTACK
1 Morphine MORPHINE INJ BOX/10 ( DDR ) 2 AMP
2 Isosorbide dinitrate CEDOCARD TAB 5 MG BOX/60 6 TAB
3 Aspirin CARDIO ASPIRIN TAB 6 TAB
4 Clopidogrel CLOPIDOGREL TAB 75 MG BOX/30 6 TAB
BRADIARITMIA
1 Sulfas Atropin ATROPIN SULFAS INJ 1 ML BOX/100 10 AMP
TAKIARITMIA
1 Diltiazem HCl HERBESSER INJ 50 MG BOX/10 1 AMP
HEART FAILURE
1 Dopamin DOPAMIN GIULINI 200MG INJ 10 ML AMP BOX/5 1 AMP
2 Furosemide LASIX INJ 20MG 2ML BOX/5 2 AMP
3 Norepinephrine VASCON INJ 1MG/ML 4 ML BOX/5 AMP 1 AMP
4 Digoxin FARGOXIN INJ AMP BOX/5 1 AMP
5 Dobutamin DOBUTAMIN HAMELIN INJ AMP BOX/5 1 VIAL
6 Magnesium Sulfat OTSU MgSO4 40 25 ML 2 AMP
CRISIS HYPERTENSION
1 Lisinopril TENSINOP TAB 5 MG BOX/30 6 TAB
ATHEROSCLEROSIS
1 Heparin INVICLOT INJ 5000IU 5 ML 1 VIAL
2 Streptokinase FIBRION INJ 1 VIAL
3 Glyceril trinitate NTG INJ 10ML AMP BOX/10 1 AMP
MISCELLANOUS
1 HARD CASE HARD CASE 1 BOX
2 Natrium Bicarbonat (ampul) OTSU MEYLON 8,4% 25 ML 2 AMP
3 COOL BOX 6L COOL BOX 6L 1 EA
4 ICE PACK ICE PACK 6 EA
5 THERMOMETER DIGITAL THERMOMETER DIGITAL 1 EA
 ATTACHMENT

6. EMERGENCY CLINIC (UGD)

QTY
NO SALES ITEM UOM

1 PARAMEDIC RESPONDER BAG 1 UNIT

2 DOCTOR RESPONDER BAG 1 UNIT
3 DRUG STARTER PACK 1 UNIT
4 DISPOSABLE STARTER PACK 1 UNIT
5 CARDIAC EMERGENCY DRUGS 1 UNIT
6 OFFICE 1 UNIT
TOTAL SALES PRICE

QTY
NO RENTAL ITEM UOM

6 FIRST AID POST EQUIPMENT 1 SET

AIRWAY MANAGEMENT
LSP 175 PORTABLE OXYGEN RESUSCITATOR 1 SET
OXYGEN CYLINDER EXTRA FOR LSP 0.5M3 1 PCS
SUCTION MANUAL ADULT SUC-HSE 1 UNIT
NASAL OXYGEN CANULA ADULT 1820 2 PCS
REBREATHING MASK ADULT 1007 2 PCS
EMERGENCY TRANSPORT EQUIPMENT
BASKET STRETCHER COLAPSIBLE SPENCER 1 SET
VACUUM MATRESS 1 UNIT
SCOOP STRETCHER 1 UNIT
LONG SPINAL BOARD 1 PCS
SAFETY BELT/ STRAP 3 SET
HEAD IMMOBILIZER 1 PCS
KENDRIK EXTRACTION DEVICE KED EXT-KED 1 SET
TRACTION SPLINT 1 SET
STIFFNECK COLLAR ADJUSTABLE 1 PCS
STING & BITE AID KIT FAB-SBK 1 SET
DIAGNOSTIC EQUIPMENT
OTOSCOPE 1 SET
TENSIMETER ANEROID 1 UNIT
STETOSCOPE 1 UNIT
OPTHALMIC EQUIPMENT
LOUPE OPTIVISOR 1 PCS
SUPPORTING MEDICAL EQUIPMENT
INFUS STAND KAKI 1 PCS
KIDNEY DISH L 2 PCS
RING CUTTER 1 PCS
LARYNGOSCOPE ADULT 1 SET
 SHARP BOX CONTAINE 7,6L YELLOW 2 PCS
BED PAN PLASTIK 1 PCS
URINAL SET (M & F) 1 PCS
MINOR SURGERY SET 1 SET
WEIGHT HEIGHT SCALE SMIC ZT 120 1 SET
IIMS BOOK 1 PCS
BODY BAG 3 PCS
7 EMERGENCY CLINIC EQUIPMENTS 1 SET
AED (AUTOMATIC EXTERNAL DEFIB) 1 UNIT
PULSE OXYMETER 1 UNIT
NEBULIZER DEVILBISS 5650I PULMOAID 1 UNIT
PATIENT MONITOR 1 UNIT
DEFIBRILATOR 1 UNIT
SYRINGE PUMP 1 UNIT
INFUS PUMP 1 UNIT
VENTILATOR PORTABLE 1 UNIT
EXAMINATION TABLE 1 UNIT
EMERGENCY TROLLEY 2 UNIT
ECG 12 CH 1 UNIT
REFRIGERATOR 1 UNIT
FORCEP MAGIL 1 UNIT
MEDICINE CABINET 1 UNIT
INSTRUMENT CABINET 1 UNIT
STERILIZER DRY 1 UNIT
SNELLEN CHART PAPER 1 PCS
ISHIHARA BOOK 14 PG 1 PCS
EXAMINATION HALOGEN LAMP 1 PCS
FORCEP JAR 1 PCS
OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULATOR 1 SET
SUCTION ELECTRIC AC/DC 1 UNIT
TOTAL RENTAL PRICE / MONTH
Update Mar2018
 BRAND

BRAND

SPENCER
SPENCER
LOKAL
LOKAL

RIESTER
RIESTER
LITMAN

LOKAL 5.04.4 PC

RIESTER
 PHILIPS FRX
NONIN 8500
DEVILBISS PULMOAID 56501
U MEC 1000
PHILIPS XL
TERUMO TE-S700N03
TERUMO TYPE LF 600N03
EPV 200
LOCAL
LOCAL
BIONET CARDIO CARE 2000
ELECTROLUX SINGLE DOOR

LOCAL 1 PINTU
LOCAL 1 PINTU
Q10A
LOCAL
LOCAL
LOCAL

DEVILBISS 730SP
TOTAL RENTAL PRICE / MONTH
ATTACHMENT

8. OFFICE EQUIPMENT
ITEM QTY UOM BRAND
MEJA KANTOR 1 UNIT LOCAL
KURSI KANTOR 2 UNIT LOCAL
LAPTOP 1 UNIT LENOVO
PRINTER 1 UNIT HEWLET-PACKARD
PRINTER INK CARTRIDGE (BLACK) 3 UNIT HEWLET-PACKARD
PRINTER INK CARTRIDGE (COLOR) 3 UNIT HEWLET-PACKARD
TELEPON/ HP 1 UNIT
HANDY TALKIE 3 UNIT
FOLDER CASE 1 UNIT
FILLING CABINET 3 LACI 1 UNIT
MR CABINET 1 UNIT
KULKAS 1 UNIT SHARP
WATER DISPENSER 1 UNIT MIYAKO