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DAFTAR SPESIFIKASI ALAT PUSKESMAS PEMBANTU

DINAS KESEHATAN KABUPATEN INDRAGIRI HU


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.607.600.000,: Rp. 1.607.416.800,-

NO

SPEKSIFIKASI
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

Volume
18

Satuan
Set

Merk/Country of Origin

54

buah

Magnate

72
54
54
54
36

buah
buah
Unit
Unit
Unit

Lokal
Smic
Smic
Smic
Assistant

36
36
36
90
90
72
36

Unit
Unit
buah
buah
buah
buah
buah

Gea Medical
Gea Medical
Crown
Smic
Smic
Smic
Smic

14
15

16

17
18
19
20
21
22

23
24
25
26
27

Mangkok untuk larutan


: Stainless Steel
Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
Palu Pengukur reflek
: Dove Stainless Steel (lokal)
Pinset anatomis 14,5 cm
: Dove Stainless Steel
Pinset Anatomis 18 cm
: Dove Stainless Steel
Pispot
: Stainless Steel
Sudip Lidah, logam panjang 12 cm
: Stainless Steel
Stetoskop
Spesifikasi :
duplex
duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

36
18

buah
Unit

Magnate
Gea Medical

18

Unit

MAK

54
72
72
36
36
54

buah
buah
buah
buah
buah
Unit

Lokal
Smic
Smic
Dharma - Lokal
Lokal
Hennis- Jerman

36
36
36
54
36

unit
unit
buah
Unit
buah

Lokal
Aesculap
Smic
Magnate-Thailand
MAK

28
29
30

31

32
33
34
35
36
37
38
39
40

42

Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Steinles steel - knock down
Mattress deck
: foam Covered with vinyl
Complet Wicth
: Foot step
Dimension
: 2000x600x800
Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
Termometer dewasa
: digital
Termometer anak
: digital
Termometer bayi
: karet
Torniket karet
Dove Stainless Steel
Tromol untuk alat steril
Plastik
Urinal
Dove Stainless Steel
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

36
36
18

buah
buah
Unit

Riester
Riester
FANIA

54

unit

Riester

54
54
36
36
36
36
54
54
36

buah
buah
buah
buah
buah
buah
buah
buah
Unit

Omron
Omron
Omron
Lokal
Lokal
Magnate
Magnate
Lokal
Lokal

54

Unit

MAK

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

43
44
45

Lower stand

Painting
Castors
Max. Load
Dimension

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

Lumpang obat lengkap


Nirrbeken
Lemari Obat
Spesifikasi :
Contruction

:
: Stainless steel
:

: Two comprartments, top and bottom.

72
54
18

Unit
Unit
Unit

Lokal
Magnate
MAK

18

Unit

MAK

18

Unit

Lokal

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

46

47

Section

Painting
Max. Load
Dimension
Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
Kursi Tunggu Pasien
Spesifikasi
- P. 232 cm L 73 cm T 76 cm
- P. Dudukan 1 seat 51 cm
- L . Dudukan 1 seat 48,5 cm
- T Sandaran dr lantai 44 cm
- T. Dudukan dr lantai 35 cm
Material dari stainless steel
Waiting Chair 4 seats

:
:
:
:
:
:

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

48

194

Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Set

MOW-CHINA

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

dr. H.RIZALWAN,M.Kes
NIP. 19620214 199704 1 001

Type / Art No

156

Lokal
J21070
J25120
J25030
-

J31050
J31060
J32020
J34050

352
-

31201

OEM
J42020
J42050
SS
Lokal
Adult

OEM
J11010
24 cm
36301

F 20130
F 20130
34101

1030

MC-240
MC-240
MC-510
Lokal
SS
109
1206
Lokal

36101

Lokal
32902

32901

Lokal

AB. INDRAGIRI HULU

uat Komitmen

MOW

DAFTAR HARGA PENGADAAN PERALATAN KESEHATAN

NO

SPEKSIFIKASI

PT. PANCA MITRA LESTARI


MERK

TYPE

Magnate

156

Lokal

Lokal

PT MITRA UTAMA SEJAHTERA

HARGA

PT ENSEVAL PUTRA MEGATRADING,Tbk

MERK

TYPE

HARGA

204,000

Lokal

509

10,000

Lokal

Plastik

92,400

MERK

TYPE

HARGA

Pengadaan Alat Kesehatan Puskesmas Pembantu :

Bak instrumen sedang

Celemek plastik ( schort ) panjang 52 inci

Gunting bedah standar

Smic

J21070

199,000

Henniss

810214

770,000

Gunting Pembalut

Smic

J25120

276,000

Henniss

890118

1,204,000

Gunting Benang

Smic

J25030

201,500

Henniss

2418016

1,890,000

Hemoglobinometer set (sahli)

Assistant

423,000

Assistant

Sahli

1,108,800

Kateter Karet No. 10 ( Nelaton )

Gea Medical

10,500

Lokal

No 12

18,480

Kateter Karet No. 14 ( Nelaton )

Gea Medical

10,500

Lokal

No 14

18,480

Kateter Logam untuk wanita

26,000

Pakistan

Fr 12

61,600

10

Klem arteri lurus

Smic

J31050

26,000

Henniss

1224014

812,000

11

Klem arteri bengkok

Smic

J31060

248,000

Henniss

1224114

826,000

12

Klem pemegang jarum jahit

Smic

J32020

295,000

Henniss

1617018

1,400,000

13

Korentang

Smic

J34050

360,000

Henniss

1617025

1,526,000

14

Mangkok untuk larutan

Magnate

352

Lokal

SS

15

Roll Splint & Spinal Board Ob

Gea Medical

16

Folding Stretcher

Gea Medical

YDC 3B

17

Palu Pengukur reflek

Riester

18

Pinset anatomis 14,5 cm

Smic

J42020

19

Pinset Anatomis 18 cm

Smic

J42050

Pispot

Magnate

106

21

Sudip Lidah, logam panjang 12 cm

Lokal

Lokal

22

Stetoskop

ERKA

Precise

23

Stetoskop Janin

Biston

BT 200 S

24

Skapel, mata pisau bedah ( No 10 )

Aesculap

25

Skapel tangkai pisau operasi

Smic

J11010

26

Sterilisator ( Pemanas Alkohol )

Blesmed

27

Standar Waskom, tunggal

Fania

20

Crown

40,000
2,640,000
16,500,000

GEA -China

630,000

92,400
4,900,000

Dharma

DHEES 150 A

Lokal

OEM

65,000

Henniss

1010218

504,000

79,000

Henniss

4420616

574,000

594,000

Dharma

SS

576,940

15,000

Henniss

4810919

532,000

917,000

Henniss

Adult

840,000

Lokal

OEM

168,000

292,000

Henniss

611000

1,190,000

205,000

Henniss

610300

224,000

SS 31

2,106,000

Magnate

24 cm

1,232,000

51700 BS

2,673,000

Dharma

DHEBS011

2,763,600

205,000

1,500,000

13,214,880

MAK

31201

8,640,000

MAK

36301

2,430,000

60,200

28

Spekulum vagina ( Cocor bebek ) Besar

Riester

F 20130

546,000

Henniss

7011003

1,120,000

29

Spekulum vagina ( Cocor bebek ) Kecil

Riester

F 20130

450,000

Henniss

7011001

938,000

30

Tempat tidur periksa dan perlengkapannya

Fania

50700 ETS

8,253,000

Dharma

DHEET010A

8,423,520

31

Tensimeter air raksa + Manset anak

Riester

1030

1,556,000

Henniss

Pediatric

2,100,000

32

Termometer dewasa

Omron

MC-240

75,000

Safety

Air Raksa

39,200

33

Termometer anak

Omron

MC-240

75,000

GC

Digital

84,000

34

Termometer bayi

Omron

MC-510

680,000

Thermored-OEM

MJ-26

1,680,000

35

Torniket karet

Lokal

Lokal

270,000

Lokal

Karet

92,400

36

Tromol untuk alat steril

Magnate

627

2,694,000

Lokal

SS

555,800

37

Urinal

Magnate

109

429,500

Dharma

SS

576,940

38

Waskom Bengkok

Magnate

1206

177,000

Lokal

SS

184,800

39

Waskom cekung

Magnate

1230

426,000

Lokal

32 cm

215,600

40

Tabung Oksigen kecil lengkap

1,500,000

Lokal

1m3

2,156,000

41

Trolly oksigen kecil

42

1,584,000

Dharma

DPA 51040 A

1,420,510

54,000

Lokal

16 cm

308,000

104,000

Lokal

PC

210,000

Lokal

Standar infus

Fania

50300 ISS

43

Lumpang obat lengkap

Lokal

Lokal

44

Nirrbeken

Magnate

45

Lemari Obat

Fania

53800 Mdt

23,436,000

Dharma

DHEIC251B

46

Lemari alat

Fania

52500 IC 1

9,639,000

Dharma

47

Kursi Tunggu Pasien

Lokal

3,000,000

48

Pengadaan Neonatal Respiratory Set

GEA-China

MOW

395,000

MAK

34101-34152

8,613,000

MAK

36101

1,440,000

11,934,720

MAK

32901

6,390,000

DHEIC251

9,648,240

MAK

32901

6,390,000

Import

4 seat

4,130,000

MAK

GEA

MOW

375,000

104S3

4,680,000

CV. BATANG SELO PRIMA


MERK

Magnate

TYPE

156

HARGA

210,000

Lokal

Lokal

Smic

J21070

200,000

Smic

J25120

275,000

Smic

J25030

205,000

Assistant

10,000

425,000

Gea Medical

15,000

Gea Medical

15,000

Crown

30,000

Smic

J31050

30,000

Smic

J31060

250,000

Smic

J32020

295,000

Smic

J34050

360,000

Magnate

352

Gea Medical

Gea Medical

RM ALS 3

Riester

40,000
2,640,000
16,500,000
205,000

Smic

J42020

65,000

Smic

J42050

80,000

Magnate

106

595,000

Lokal

Lokal

ERKA

Sensitive

920,000

MPM

DT 200 S

1,500,000

Aesculap
Smic
Blesmed
Fania

15,000

295,000
J 11010

205,000

2,110,000

51700 BTS

2,145,000

Riester

F20130

545,000

Riester

F20130

450,000

Fania

50700 ETS

8,255,000

Riester

1030

1,560,000

Lokal

Lokal

200,000

Lokal

Lokal

200,000

Lokal

Lokal

200,000

Lokal

Lokal

500,000

Magnate

0670

2,700,000

Magnate

0109

430,000

Magnate

1206

180,000

Magnate

1230

430,000

Lokal

Lokal

1,500,000

Fania

50300 ISS

1,725,000

Lokal

Lokal

Magnate

55,000
200,000

Fania

53800 Mdt

23,500,000

Fania

52500 IC 2

9,640,000

Lokal

Lokal

3,000,000
400,000

DAFTAR HARGA PENGADAAN PERALATAN KESEHATAN

NO

SPEKSIFIKASI

PT. PANCA MITRA LESTARI


MERK

TYPE

Magnate

156

Lokal
Smic
Smic
Smic
Assistant

Gea Medical
Gea Medical
Crown
Smic
Smic
Smic
Smic

HARGA

PT MITRA UTAMA SEJAHTERA


MERK

TYPE

HARGA

204,000

Lokal

509

Lokal
J21070
J25120
J25030
-

10,000
199,000
276,000
201,500
423,000

Lokal
Henniss
Henniss
Henniss
Assistant

Plastik
810214
890118
2418016
Sahli

92,400
770,000
1,204,000
1,890,000
1,108,800

10,500
10,500
26,000
26,000
248,000
295,000
360,000

Lokal
Lokal
Pakistan
Henniss
Henniss
Henniss
Henniss

No 12
No 14
Fr 12
1224014
1224114
1617018
1617025

18,480
18,480
61,600
812,000
826,000
1,400,000
1,526,000

Pengadaan Alat Kesehatan Puskesmas Pembantu :


1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

J31050
J31060
J32020
J34050

630,000

PT ENSEVAL PUTRA MEGATRADIN


MERK

TYPE

14
15

16

17
18
19
20
21
22

23
24
25
26
27

Mangkok untuk larutan


: Stainless Steel
Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
Palu Pengukur reflek
: Dove Stainless Steel (lokal)
Pinset anatomis 14,5 cm
: Dove Stainless Steel
Pinset Anatomis 18 cm
: Dove Stainless Steel
Pispot
: Stainless Steel
Sudip Lidah, logam panjang 12 cm
: Stainless Steel
Stetoskop
Spesifikasi :
duplex
duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

Magnate
Gea Medical

352
-

Gea Medical

YDC 3B

Riester
Smic
Smic
Magnate
Lokal
ERKA

J42020
J42050
106
Lokal
Precise

Biston
Aesculap
Smic
Blesmed
Fania

BT 200 S
J11010
SS 31
51700 BS

40,000
2,640,000

Lokal
GEA -China

SS

16,500,000

Dharma

DHEES 150 A

205,000
65,000
79,000
594,000
15,000
917,000

Lokal
Henniss
Henniss
Dharma
Henniss
Henniss

OEM
1010218
4420616
SS
4810919
Adult

1,500,000
292,000
205,000
2,106,000
2,673,000

Lokal
Henniss
Henniss
Magnate
Dharma

OEM
611000
610300
24 cm
DHEBS011

92,400
4,900,000

13,214,880 MAK

60,200
504,000
574,000
576,940
532,000
840,000

168,000
1,190,000
224,000
1,232,000
2,763,600

31201

28
29
30

31

32
33
34
35
36
37
38
39
40

42

Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Made of stainless steel pipes
Mattress
: Made of foam imitation leather
Back raise
: Adjustable by telescopic
Dimension
: 800Lx1900Wx710H mm
Foot Steep
Specifications
Construction
: Made of stainless steel pipes stainless steel sheet of lis
Consist of
: Two step of rubber cover
Dimension
: 400 x 245 x 435 mm
Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
Termometer dewasa
: digital
Termometer anak
: digital
Termometer bayi
: karet
Torniket karet
Dove Stainless Steel
Tromol untuk alat steril
Plastik
Urinal
Dove Stainless Steel
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

Riester
Riester
Fania

F 20130
F 20130
50700 ETS

546,000
450,000
8,253,000

Henniss
Henniss
Dharma

7011003
7011001
DHEET010A

1,120,000
938,000
8,423,520

Riester

1030

1,556,000

Henniss

Pediatric

2,100,000

Omron
Omron
Omron
Lokal
Magnate
Magnate
Magnate
Magnate
Lokal

MC-240
MC-240
MC-510
Lokal
627
109
1206
1230

75,000
75,000
680,000
270,000
2,694,000
429,500
177,000
426,000
1,500,000

Safety
GC
Thermored-OEM
Lokal
Lokal
Dharma
Lokal
Lokal
Lokal

Air Raksa
Digital
MJ-26
Karet
SS
SS
SS
32 cm
1m3

39,200
84,000
1,680,000
924,000
555,800
576,940
184,800
215,600
2,156,000

Fania

50300 ISS

1,584,000

Dharma

DPA 51040 A

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

1,420,510 MAK

36101

43
44
45

Lower stand

Painting
Castors
Max. Load
Dimension

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

Lumpang obat lengkap


Nirrbeken
Lemari Obat
Spesifikasi :
Contruction

:
: Stainless steel
:

: Two comprartments, top and bottom.

Lokal
Magnate
Fania

Lokal
53800 Mdt

54,000
104,000
23,436,000

Lokal
Lokal
Dharma

16 cm
PC
DHEIC251B

308,000
210,000
11,934,720 MAK

32901

Fania

52500 IC 1

9,639,000

Dharma

DHEIC251

9,648,240 MAK

32901

Lokal

3,000,000

Import

4 seat

4,130,000 MAK

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

46

47

Section

Painting
Max. Load
Dimension
Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
Kursi Tunggu Pasien
Spesifikasi
Contruction

:
:
:
:
:
:

Main Frame
Backrest and seat
Seat Mattress
Painting
Detail on each picture
Max Load
Dimension

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

The frame is made of steel pipe (27mm) Assembled with MIG


welding prosess
Made of square mild steel pipe (40 x 60 mm)
Madeof electro galvanize steel sheet (thickneess 1.2 mm) ferforated
Made of soft foam 10 mm wiht durable convenient cover
Epoxy powder coating finish
Waiting Chair 3 seats
300 kg
L 1600 x W 495 x H 740 mm

104S3

48

GEA-China

Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Volume

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

MOW

395,000

GEA

MOW

375,000

MEGATRADING,Tbk CV. BATANG SELO PRIMA


HARGA

MERK

TYPE

HARGA

Magnate

156

210,000

Lokal
Smic
Smic
Smic
Assistant

Lokal
J21070
J25120
J25030

10,000
200,000
275,000
205,000
425,000

Gea Medical
Gea Medical
Crown
Smic
Smic
Smic
Smic

J31050
J31060
J32020
J34050

15,000
15,000
30,000
30,000
250,000
295,000
360,000

8,640,000

Magnate
Gea Medical

352
-

Gea Medical

RM ALS 3

16,500,000

Riester
Smic
Smic
Magnate
Lokal
ERKA

J42020
J42050
106
Lokal
Sensitive

205,000
65,000
80,000
595,000
15,000
920,000

MPM
Aesculap
Smic
Blesmed
Fania

DT 200 S
J 11010
51700 BTS

40,000
2,640,000

1,500,000
295,000
205,000
2,110,000
2,145,000

1,440,000

Riester
Riester
Fania

F20130
F20130
50700 ETS

545,000
450,000
8,255,000

Riester

1030

1,560,000

Lokal
Lokal
Lokal
Lokal
Magnate
Magnate
Magnate
Magnate
Lokal

Lokal
Lokal
Lokal
Lokal
0670
0109
1206
1230
Lokal

200,000
200,000
200,000
500,000
2,700,000
430,000
180,000
430,000
1,500,000

50300 ISS

1,725,000

Fania

6,390,000

Lokal
Magnate
Fania

Lokal
53800 Mdt

55,000
200,000
2,350,000

6,390,000

Fania

52500 IC 2

9,640,000

4,680,000

Lokal

Lokal

300,000

400,000

DAFTAR SPESIFIKASI ALAT PUSKESMAS PEMBANTU


DINAS KESEHATAN KABUPATEN INDRAGIRI HU
ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.607.600.000,: Rp. 1.607.416.800,-

NO

SPEKSIFIKASI
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

Volume
18

Satuan
Set

Merk/Country of Origin

54

buah

Magnate

72
54
54
54
36

buah
buah
Unit
Unit
Unit

Lokal
Smic
Smic
Smic
Assistant

36
36
36
90
90
72
36

Unit
Unit
buah
buah
buah
buah
buah

Gea Medical
Gea Medical
Crown
Smic
Smic
Smic
Smic

14
15

16

17
18
19
20
21
22

23
24
25
26
27

Mangkok untuk larutan


: Stainless Steel
Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
Palu Pengukur reflek
: Dove Stainless Steel (lokal)
Pinset anatomis 14,5 cm
: Dove Stainless Steel
Pinset Anatomis 18 cm
: Dove Stainless Steel
Pispot
: Stainless Steel
Sudip Lidah, logam panjang 12 cm
: Stainless Steel
Stetoskop
Spesifikasi :
duplex
duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

36
18

buah
Unit

Magnate
Gea Medical

18

Unit

MAK

54
72
72
36
36
54

buah
buah
buah
buah
buah
Unit

Lokal
Smic
Smic
Dharma - Lokal
Lokal
Hennis- Jerman

36
36
36
54
36

unit
unit
buah
Unit
buah

Lokal
Aesculap
Smic
Magnate-Thailand
MAK

28
29
30

31

32
33
34
35
36
37
38
39
40

42

Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Steinles steel - knock down
Mattress deck
: foam Covered with vinyl
Complet Wicth
: Foot step
Dimension
: 2000x600x800
Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
Termometer dewasa
: digital
Termometer anak
: digital
Termometer bayi
: karet
Torniket karet
Dove Stainless Steel
Tromol untuk alat steril
Plastik
Urinal
Dove Stainless Steel
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

36
36
18

buah
buah
Unit

Riester
Riester
FANIA

54

unit

Riester

54
54
36
36
36
36
54
54
36

buah
buah
buah
buah
buah
buah
buah
buah
Unit

Omron
Omron
Omron
Lokal
Lokal
Magnate
Magnate
Lokal
Lokal

54

Unit

MAK

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

43
44
45

Lower stand

Painting
Castors
Max. Load
Dimension

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

Lumpang obat lengkap


Nirrbeken
Lemari Obat
Spesifikasi :
Contruction

:
: Stainless steel
:

: Two comprartments, top and bottom.

72
54
18

Unit
Unit
Unit

Lokal
Magnate
MAK

18

Unit

MAK

18

Unit

Lokal

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

46

47

Section

Painting
Max. Load
Dimension
Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
Kursi Tunggu Pasien
Spesifikasi
- P. 232 cm L 73 cm T 76 cm
- P. Dudukan 1 seat 51 cm
- L . Dudukan 1 seat 48,5 cm
- T Sandaran dr lantai 44 cm
- T. Dudukan dr lantai 35 cm
Material dari stainless steel
Waiting Chair 4 seats

:
:
:
:
:
:

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

48

194

Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Set

MOW-CHINA

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

Pejabat Pelaksana Teknis Kegiatan

dr. H.RIZALWAN,M.Kes
NIP. 19620214 199704 1 001

NIP. 19720226 200604 1 006

dr. MOHD ZAINUL ARIFIN

Pengguna Anggaran

H. SUHARDI.SE.M.Si.MM.MH

NIP.19660506 199303 1 006

Type / Art No

156

Lokal
J21070
J25120
J25030
-

J31050
J31060
J32020
J34050

352
-

31201

OEM
J42020
J42050
SS
Lokal
Adult

OEM
J11010
24 cm
36301

F 20130
F 20130
34101

1030

MC-240
MC-240
MC-510
Lokal
SS
109
1206
Lokal

36101

Lokal
32902

32901

Lokal

MOW

AB. INDRAGIRI HULU

a Teknis Kegiatan

AINUL ARIFIN

200604 1 006

DAFTAR PERALATAN PUSTU 2013


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU

NO

SPEKSIFIKASI

Volume

SATUAN

Pengadaan Alat Kesehatan Puskesmas Pembantu :

Bak instrumen sedang

Celemek plastik ( schort ) panjang 52 inci

Gunting bedah standar

Gunting Pembalut

Gunting Benang

buah

Plastik

buah

Dove Stainless Steel

buah

Dove Stainless Steel

Unit

Dove Stainless Steel

Unit

Hemoglobinometer set (sahli)

Unit

Kateter Karet No. 10 ( Nelaton )

Unit

Kateter Karet No. 14 ( Nelaton )

Unit

Kateter Logam untuk wanita

buah

10

Klem arteri lurus

Dove Stainless Steel

buah

11

Klem arteri bengkok

Dove Stainless Steel

buah

12

Klem pemegang jarum jahit

Dove Stainless Steel

buah

13

Korentang

Dove Stainless Steel

buah

14

Mangkok untuk larutan

Stainless Steel

buah

15

Roll Splint & Spinal Board Ob

Unit

16

Folding Stretcher

Unit

17

Palu Pengukur reflek

Dove Stainless Steel (lokal)

buah

18

Pinset anatomis 14,5 cm

Dove Stainless Steel

buah

19

Pinset Anatomis 18 cm

Dove Stainless Steel

buah

20

Pispot

Stainless Steel

buah

21

Sudip Lidah, logam panjang 12 cm

Stainless Steel

buah

22

Stetoskop

Unit

23

Stetoskop Janin

Bahan terbuat dari Alumunium

unit

24

Skapel, mata pisau bedah ( No 10 )

Dove Stainless Steel

unit

25

Skapel tangkai pisau operasi

Dove Stainless Steel

buah

26

Sterilisator ( Pemanas Alkohol )

Stainless Steel

Unit

27

Standar Waskom, tunggal

buah

28

Spekulum vagina ( Cocor bebek ) Besar

Dove Stainless Steel

buah

29

Spekulum vagina ( Cocor bebek ) Kecil

Dove Stainless Steel

buah

30

Tempat tidur periksa dan perlengkapannya

Unit

31

Tensimeter air raksa + Manset anak

unit

32

Termometer dewasa

: digital

buah

33

Termometer anak

: digital

buah

34

Termometer bayi

: digital

buah

35

Torniket karet

: karet

buah

36

Tromol untuk alat steril

Dove Stainless Steel

buah

37

Urinal

Plastik

buah

38

Waskom Bengkok

Dove Stainless Steel

buah

39

Waskom cekung

Dove Stainless Steel

buah

40

Tabung Oksigen kecil lengkap

Unit

Standar infus

:
:

42

Unit

43

Lumpang obat lengkap

Unit

44

Nirrbeken

Unit

45

Lemari Obat

Unit

Unit

Unit

46

Lemari alat

47

Kursi Tunggu Pasien

Yang Menerima

Stainless steel

Yang Menyerahkan

RIKI MARINUS
NIP.19810601 200312 1 002

Ket

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.607.600.000,: Rp. 1.607.422.938

NO

SPEKSIFIKASI
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

VOLUME
18

SATUAN
Set

HARGA

54

buah

204,000

180
54
54
54
36

buah
buah
Unit
Unit
Unit

10,000
199,000
275,000
201,500
423,000

36
36
36
90
90
72
54

Unit
Unit
buah
buah
buah
buah
buah

10,500
10,500
26,000
26,000
248,000
295,000
360,000

14 Mangkok untuk larutan


: Stainless Steel
15 Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
16 Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
17 Palu Pengukur reflek
: Dove Stainless Steel (lokal)
18 Pinset anatomis 14,5 cm
: Dove Stainless Steel
19 Pinset Anatomis 18 cm
: Dove Stainless Steel
20 Pispot
: Stainless Steel
21 Sudip Lidah, logam panjang 12 cm
: Stainless Steel
22 Stetoskop
Spesifikasi :
duplex

23
24
25
26
27

duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

54
18

buah
Unit

40,000
2,640,000

18

Unit

9,504,000

54
72
72
36
36
54

buah
buah
buah
buah
buah
Unit

60,200
65,000
79,000
576,940
15,000
840,000

54
36
36
54
36

unit
unit
buah
Unit
buah

168,000
292,000
205,000
1,232,000
2,145,000

28 Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
29 Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
30 Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Made of stainless steel pipes
Mattress
: Made of foam imitation leather
Back raise
: Adjustable by telescopic
Dimension
: 800Lx1900Wx710H mm
Foot Steep
Specifications
Construction
: Made of stainless steel pipes stainless steel sheet of lis
Consist of
: Two step of rubber cover
Dimension
: 400 x 245 x 435 mm
31 Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
32 Termometer dewasa
: digital
33 Termometer anak
: digital
34 Termometer bayi
: karet
35 Torniket karet
Dove Stainless Steel
36 Tromol untuk alat steril
Plastik
37 Urinal
Dove Stainless Steel
38 Waskom Bengkok
39 Waskom cekung
40 Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
42 Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

36
36
18

buah
buah
Unit

545,000
450,000
8,253,000

54

unit

1,556,000

54
54
36
36
36
36
54
54
36

buah
buah
buah
buah
buah
buah
buah
buah
Unit

75,000
75,000
680,000
92,400
555,800
429,500
177,000
215,800
1,500,000

54

Unit

1,420,510

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

Lower stand

Painting
Castors
Max. Load
Dimension

43 Lumpang obat lengkap


44 Nirrbeken
45 Lemari Obat
Spesifikasi :
Contruction

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

:
: Stainless steel
:

72
54
18

Unit
Unit
Unit

54,000
104,000
6,390,000

18

Unit

6,390,000

18

Unit

3,000,000

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

Section

: Two comprartments, top and bottom.

Painting
Max. Load
Dimension
46 Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
47 Kursi Tunggu Pasien
Spesifikasi
P. 232 cm L 73 cm T 76 cm
P. Dudukan 1 seat 51 cm
L . Dudukan 1 seat 48,5 cm
T Sandaran dr lantai 44 cm
T. Dudukan dr lantai 35 cm

:
:
:
:
:
:

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

194

48 Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Volume

Set

375,000

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

Jumlah :
PPH 10 %

Jumlah : Satu Milyar Enam Ratus Tujuh Juta Empat Ratus Dua Puluh Dua Ribu Sembilan Ratus Tiga Puluh Delapan Rupiah

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

Pejabat Pelaksana Teknis Kegiatan

dr. H.RIZALWAN,M.Kes
NIP. 19620214 199704 1 001

NIP. 19720226 200604 1 006

dr. MOHD ZAINUL ARIFIN

Pengguna Anggaran

H. SUHARDI.SE.M.Si.MM.MH

NIP.19660506 199303 1 006

JUMLAH
1,607,422,938.00
11,016,000
1,800,000
10,746,000
14,850,000
10,881,000
15,228,000
378,000
378,000
936,000
2,340,000
22,320,000
21,240,000
19,440,000

2,160,000
47,520,000
171,072,000
-

3,250,800
4,680,000
5,688,000
20,769,840
540,000
45,360,000

9,072,000
10,512,000
7,380,000
66,528,000
77,220,000
-

19,620,000
16,200,000
148,554,000
84,024,000
4,050,000
4,050,000
24,480,000
3,326,400
20,008,800
15,462,000
9,558,000
11,653,200
54,000,000

76,707,540
-

3,888,000
5,616,000
115,020,000

115,020,000

54,000,000

72,750,000

1,461,293,580
146,129,358
1,607,422,938

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pelaksana Teknis Kegiatan

dr. MOHD ZAINUL ARIFIN

NIP. 19720226 200604 1 006

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.607.600.000,: Rp. 1.607.416.800,-

NO

SPEKSIFIKASI
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

VOLUME
18

SATUAN
Set

HARGA

54

buah

204,000

72
54
54
54
36

buah
buah
Unit
Unit
Unit

10,000
199,000
275,000
201,500
423,000

36
36
36
90
90
72
36

Unit
Unit
buah
buah
buah
buah
buah

10,500
10,500
26,000
26,000
248,000
295,000
360,000

14
15

16

17
18
19
20
21
22

23
24
25
26
27

Mangkok untuk larutan


: Stainless Steel
Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
Palu Pengukur reflek
: Dove Stainless Steel (lokal)
Pinset anatomis 14,5 cm
: Dove Stainless Steel
Pinset Anatomis 18 cm
: Dove Stainless Steel
Pispot
: Stainless Steel
Sudip Lidah, logam panjang 12 cm
: Stainless Steel
Stetoskop
Spesifikasi :
duplex
duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

36
18

buah
Unit

40,000
2,640,000

18

Unit

9,504,000

54
72
72
36
36
54

buah
buah
buah
buah
buah
Unit

60,200
65,000
79,000
576,900
15,000
840,000

36
36
36
54
36

unit
unit
buah
Unit
buah

168,000
292,000
205,000
1,232,000
2,430,000

28
29
30

31

32
33
34
35
36
37
38
39
40

42

Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Steinles steel - knock down
Mattress deck
: foam Covered with vinyl
Complet Wicth
: Foot step
Dimension
: 2000x600x800
Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
Termometer dewasa
: digital
Termometer anak
: digital
Termometer bayi
: karet
Torniket karet
Dove Stainless Steel
Tromol untuk alat steril
Plastik
Urinal
Dove Stainless Steel
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

36
36
18

buah
buah
Unit

545,000
450,000
8,253,000

54

unit

1,556,000

54
54
36
36
36
36
54
54
36

buah
buah
buah
buah
buah
buah
buah
buah
Unit

75,000
75,000
680,000
92,500
555,800
429,500
177,000
215,500
1,500,000

54

Unit

1,440,000

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

43
44
45

Lower stand

Painting
Castors
Max. Load
Dimension

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

Lumpang obat lengkap


Nirrbeken
Lemari Obat
Spesifikasi :
Contruction

:
: Stainless steel
:

: Two comprartments, top and bottom.

72
54
18

Unit
Unit
Unit

54,000
104,000
6,390,000

18

Unit

6,390,000

18

Unit

3,000,000

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

46

47

Section

Painting
Max. Load
Dimension
Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
Kursi Tunggu Pasien
Spesifikasi
P. 232 cm L 73 cm T 76 cm
P. Dudukan 1 seat 51 cm
L . Dudukan 1 seat 48,5 cm
T Sandaran dr lantai 44 cm
T. Dudukan dr lantai 35 cm
Material dari stainless steel
Waiting Chair 4 seats

:
:
:
:
:
:

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

48

194

Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Set

375,000

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

Jumlah :
PPH 10 %

Jumlah : Satu Milyar Enam Ratus Tujuh Juta Empat Ratus Enam Belas Ribu Delapan Ratus Rupiah

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

Pejabat Pelaksana Teknis Kegiatan

dr. H.RIZALWAN,M.Kes
NIP. 19620214 199704 1 001

NIP. 19720226 200604 1 006

dr. MOHD ZAINUL ARIFIN

Pengguna Anggaran

H. SUHARDI.SE.M.Si.MM.MH

NIP.19660506 199303 1 006

JUMLAH
1,607,416,800.00
11,016,000
720,000
10,746,000
14,850,000
10,881,000
15,228,000
378,000
378,000
936,000
2,340,000
22,320,000
21,240,000
12,960,000

1,440,000
47,520,000
171,072,000
-

3,250,800
4,680,000
5,688,000
20,768,400
540,000
45,360,000

6,048,000
10,512,000
7,380,000
66,528,000
87,480,000
-

19,620,000
16,200,000
148,554,000
84,024,000
4,050,000
4,050,000
24,480,000
3,330,000
20,008,800
15,462,000
9,558,000
11,637,000
54,000,000

77,760,000
-

3,888,000
5,616,000
115,020,000

115,020,000

54,000,000

72,750,000

1,461,288,000
146,128,800

1,607,416,800

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pelaksana Teknis Kegiatan

dr. MOHD ZAINUL ARIFIN

NIP. 19720226 200604 1 006

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.607.600.000,: Rp. 1.607.439,768,-

NO

SPEKSIFIKASI
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

VOLUME
18

SATUAN
Set

HARGA

54

buah

204,000

180
54
54
54
36

buah
buah
Unit
Unit
Unit

10,000
199,000
275,000
201,500
423,000

36
36
36
90
90
72
54

Unit
Unit
buah
buah
buah
buah
buah

10,500
10,500
26,000
26,000
248,000
295,000
360,000

14 Mangkok untuk larutan


: Stainless Steel
15 Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
16 Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
17 Palu Pengukur reflek
: Dove Stainless Steel (lokal)
18 Pinset anatomis 14,5 cm
: Dove Stainless Steel
19 Pinset Anatomis 18 cm
: Dove Stainless Steel
20 Pispot
: Stainless Steel
21 Sudip Lidah, logam panjang 12 cm
: Stainless Steel
22 Stetoskop
Spesifikasi :
duplex

23
24
25
26
27

duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

54
18

buah
Unit

40,000
2,640,000

18

Unit

9,504,000

54
72
72
36
36
54

buah
buah
buah
buah
buah
Unit

60,200
65,000
79,000
576,940
15,000
840,000

54
36
36
54
36

unit
unit
buah
Unit
buah

168,000
292,000
205,000
1,232,000
2,145,000

28 Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
29 Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
30 Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Steinles steel - knock down
Mattress deck
: foam Covered with vinyl
Complet Wicth
: Foot step
Dimension
: 2000x600x800
31 Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
32 Termometer dewasa
: digital
33 Termometer anak
: digital
34 Termometer bayi
: karet
35 Torniket karet
Dove Stainless Steel
36 Tromol untuk alat steril
Plastik
37 Urinal
Dove Stainless Steel
38 Waskom Bengkok
39 Waskom cekung
40 Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
42 Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

36
36
18

buah
buah
Unit

545,000
450,000
8,253,000

54

unit

1,556,000

54
54
36
36
36
36
54
54
36

buah
buah
buah
buah
buah
buah
buah
buah
Unit

75,000
75,000
680,000
92,400
555,800
429,500
177,000
215,800
1,500,000

54

Unit

1,420,510

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

Lower stand

Painting
Castors
Max. Load
Dimension

43 Lumpang obat lengkap


44 Nirrbeken
45 Lemari Obat
Spesifikasi :
Contruction

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

:
: Stainless steel
:

72
54
18

Unit
Unit
Unit

54,000
104,000
6,390,000

18

Unit

6,390,000

18

Unit

3,000,000

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

Section

: Two comprartments, top and bottom.

Painting
Max. Load
Dimension
46 Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
47 Kursi Tunggu Pasien
Spesifikasi
P. 232 cm L 73 cm T 76 cm
P. Dudukan 1 seat 51 cm
L . Dudukan 1 seat 48,5 cm
T Sandaran dr lantai 44 cm
T. Dudukan dr lantai 35 cm

:
:
:
:
:
:

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

194

48 Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Volume

Set

375,000

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

Jumlah :
PPH 10 %

Jumlah : Satu Milyar Enam Ratus Tujuh Juta Empat Ratus Dua Puluh Dua Ribu Sembilan Ratus Tiga Puluh Delapan Rupiah

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

dr. H.RIZALWAN,M.Kes
NIP. 19620214 199704 1 001

JUMLAH
1,607,422,938.00
11,016,000
1,800,000
10,746,000
14,850,000
10,881,000
15,228,000
378,000
378,000
936,000
2,340,000
22,320,000
21,240,000
19,440,000

2,160,000
47,520,000
171,072,000
-

3,250,800
4,680,000
5,688,000
20,769,840
540,000
45,360,000

9,072,000
10,512,000
7,380,000
66,528,000
77,220,000
-

19,620,000
16,200,000
148,554,000
84,024,000
4,050,000
4,050,000
24,480,000
3,326,400
20,008,800
15,462,000
9,558,000
11,653,200
54,000,000

76,707,540
-

3,888,000
5,616,000
115,020,000

115,020,000

54,000,000

72,750,000

1,461,293,580
146,129,358
1,607,422,938

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

NIP. 19620214 199704 1 001

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Rawat Inap dan Puskesmas Pembantu Tahun 2012 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.520.000.000,: Rp. 1.496.286.000,-

NO

SPEKSIFIKASI
Suction Portable
Ultrasonic Nebuizer
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Bak instrumen sedang


Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
Gunting Pembalut
Gunting Benang
Hemoglobinometer set (sahli)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
Klem arteri bengkok
Klem pemegang jarum jahit
Korentang
Mangkok untuk larutan
Roll Splint & Spinal Board Ob
Folding Stretcher
Palu Pengukur reflek
Pinset anatomis 14,5 cm
Pinset Anatomis 18 cm
Pinset bedah 14,5 cm
Pinset bedah 18 cm
Pispot

:
:
:

Dove Stainless Steel


Dove Stainless Steel
Dove Stainless Steel

:
:
:
:
:

Dove Stainless Steel


Dove Stainless Steel
Dove Stainless Steel
Dove Stainless Steel
Stainless Steel

:
:
:
:
:
:

Dove Stainless Steel


Dove Stainless Steel
Dove Stainless Steel
Dove Stainless Steel
Dove Stainless Steel
Stainless Steel

VOLUME

SATUAN

HARGA

4
4
12

Unit
Unit
Set

53,460,000.00
84,645,000.00
67,320,000.00

12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12

Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit

266,400
68,400
481,140
3,235,815
507,870
266,400
10,800
10,800
602,910
708,345
735,075
865,755
1,241,460
107,100
9,000,000
10,193,400
341,550
314,820
314,820
314,820
314,820
1,098,900

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

Sudip Lidah, logam panjang 12 cm


Stetoskop
Stetoskop Janin
Skapel, mata pisau bedah ( No 10 )
Skapel tangkai pisau operasi
Sterilisator ( Pemanas Alkohol )
Standar Waskom, tunggal
Spekulum vagina ( Cocor bebek ) Besar
Spekulum vagina ( Cocor bebek ) Kecil
Tempat tidur periksa dan perlengkapannya
Tensimeter air raksa + Manset anak
Termometer dewasa
Termometer bayi
Timbangan dewasa
Timbangan bayi
Torniket karet
Tromol untuk alat steril
Urinal
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Trolly oksigen kecil
Standar infus
Lumpang obat lengkap
Nirrbeken
Underpad

49 PITHA Mouth Rubber Wedge with chain

Stainless Steel

:
:
:
:

Bahan terbuat dari Alumunium


Dove Stainless Steel
Dove Stainless Steel
Stainless Steel

:
:

Dove Stainless Steel


Dove Stainless Steel

: Air Raksa
: Air Raksa

: Dove Stainless Steel


: Plastik

:
:

Dove Stainless Steel


Dove Stainless Steel

: Memiliki standar, beroda


:
:

Dove Stainless Steel

Dove Stainless Steel

12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12

Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit

20,700
507,600
51,300
769,230
166,320
798,300
2,803,500
953,370
839,025
9,173,700
2,520,900
16,200
53,100
2,102,400
4,689,855
26,100
432,000
1,098,900
515,700
233,100
3,600,000
675,000
1,656,000
135,000
603,000
1,188,000

12

Unit

690,300
67,320,000

JUMLAH
PPN 10%
TOTAL
Terbilang : Satu Milyar Empat Ratus Sembilan Puluh Enam Juta Dua Ratus Delapan Puluh Enam Ribu Rupiah

Rengat,
Januari 2012
DINAS KESEHATAN KAB. INDRAGIRI HULU
Kuasa Pengguna Anggaran

Drs. DEDI PARLAUNGAN. Apt

Nip. 19640228 198911 1 001

JUMLAH
213,840,000.00
338,580,000.00
807,840,000.00
3,196,800
820,800
5,773,680
38,829,780
6,094,440
3,196,800
129,600
129,600
7,234,920
8,500,140
8,820,900
10,389,060
14,897,520
1,285,200
108,000,000
122,320,800
4,098,600
3,777,840
3,777,840
3,777,840
3,777,840
13,186,800

248,400
6,091,200
615,600
9,230,760
1,995,840
9,579,600
33,642,000
11,440,440
10,068,300
110,084,400
30,250,800
194,400
637,200
25,228,800
56,278,260
313,200
5,184,000
13,186,800
6,188,400
2,797,200
43,200,000
8,100,000
19,872,000
1,620,000
7,236,000
14,256,000
8,283,600
1,360,260,000
136,026,000
1,496,286,000

DAFTAR SPESIFIKASI ALAT KESEHATAN PUSKESMAS


DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
(Pengadaan Alat Kedokteran dan Alat Kesehatan Puskesmas dan Puskesmas Rawat Inap )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU

NO
SPEKSIFIKASI
I Pengadaan Alat Kedokteran Umum Puskesmas :
A Suction Portable
1 Dimension
Dimensions (L x W x H)
: 340 x 190 x 220 mm
Weight
: 3.8 Kg
2 Electrical Characteristics
Voltage
Frequency
Input current
Power Consumption
Classification

3 Suction Capability
Mode of Operation
Displacement
Vacuum

4 Suction Composistion
Septic fluid jar volume
Septic fluid jar cap
Protection
Hydrophobic filter

5 Accessories

:
:
:
:
:

230 V AC
50 Hz
350 mA
92 W
II a

: Continous Operation
: 26 l/m
: - 80 kPa
:
:
:
:
:
:
:
:

1.0 l sterilizable fluid jar (PSU)


Integrated overflow protection device
Mechanical Overflow and Hydrophobic filter
Protection for oversuction
Trolley (Optional)
Carry Bag (Optional)
Fingertip
Silicone Tube

VOLUME

SATUAN

Unit

B Ultrasonic Nebulizer
1 Dimension
Dimensions (L x W x H)
Weight

2 Electrical Characteristics
Voltage
Frequency
Power Consumption

3 Nebulizing Characteristics
Nebulizing capacity

: 190 x 260 x 190 mm


: 3.5 Kg
: 230 V AC
: 50 Hz
: 80 W

Air capacity

:
:
:
:
:

Sound pressure level

Air Flow
Time Setting
Average particle size

4 Trolley
Number of Castors
Trolley matterial
Trolley composition

5 Accessories
Nebulizer Chamber
Filter
Medicine Cup
Sterilisable Tube

Unit

:
:
:
:

2 8 ml/min
1.5 - 15 ml/min
Up to 60 minutes
4 m
approx. 1.5 15 l/min
with bacterial filter
42 dB
5
Stainless Steel
Support pipe and Pin joint arm with adjusting pin
Infusion hook with adjusting ring

: Nebulizer chamber retainer with adjusting ring


: Quartz Module, Nebulizer chamber lid
: Bacterial Filter
: Yes, equipped with Lid
: 2 pieces (300 mm & 1200 mm)
TOTAL
Rengat,
Januari 2012
DINAS KESEHATAN KAB. INDRAGIRI HULU
Kuasa Pengguna Anggaran

Drs. DEDI PARLAUNGAN. Apt


Nip. 19640228 198911 1 001

uskesmas Rawat Inap )

Merk/Country of Origin

Type / Art No

MAQUET - GERMANY

VENTA MC 26

MAQUET- GERMANY

MONSUN U 910

Rengat,
Januari 2012
DINAS KESEHATAN KAB. INDRAGIRI HULU
Kuasa Pengguna Anggaran

Drs. DEDI PARLAUNGAN. Apt


Nip. 19640228 198911 1 001

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
(Pengadaan Alat Kesehatan Puskesmas Rawat Inap dan Puskesmas Pembantu )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
:
1,520,000,000.00
:
1,496,286,000.00

NO
I

II

SPEKSIFIKASI

VOLUME

SATUAN

HARGA

Pengadaan Alat Kedokteran Puskesmas Rawat Inap :


A

Suction Portable

Unit

53,460,000.00

Ultrasonic Nebulizer

Unit

84,645,000.00

12

Set

67,320,000.00

Pengadaan Alat Kesehatan Puskesmas Pembantu


JUMLAH
PPN 10 %
TOTAL

Terbilang : Satu Milyar Empat Ratus Sembilan Puluh Enam Juta Dua Ratus Delapan Puluh Enam Ribu Rupiah
Rengat,
Januari 2012
DINAS KESEHATAN KAB. INDRAGIRI HULU
Kuasa Pengguna Anggaran

Drs. DEDI PARLAUNGAN. Apt


Nip. 19640228 198911 1 001

JUMLAH
213,840,000.00
338,580,000.00
807,840,000.00
1,360,260,000.00
136,026,000.00
1,496,286,000.00

ri 2012
RAGIRI HULU
aran

N. Apt
1 001

DAFTAR SPESIFIKASI ALAT KESEHATAN PSKESMAS RAWAT INAP DAN PUSKESMAS PEMBANTU
DINAS KESEHATAN KABUPATEN INDRAGIRI HULU TAHUN 2013
ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN

:
:
:
:

LOKASI

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Untuk Bidan Desa Dan Puskesmas Pembantu Tahun 2013 )
DINAS KESEHATAN KABUPATEN INDRAGIRI HULU

NO
I

SPEKSIFIKASI
Pengadaan Alat Kesehatan Untuk Bidan
A Pengadaan Neonatal Respiratory Set
1 Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Volume (bag/stroke)

Desa :

:
:
:
:
:
:
:
:
:

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

II. Pengadaan Alat Kesehatan Puskesmas Pembantu :


1

2
3
4
5
6

7
8
9
10
11
12
13
14
15

16

17
18
19
20
21
22

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Dove Stainless Steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
:
Hemoglobinometer set (sahli)
Direction for use
Preparation
a.
Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b.
Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a.
Sterilise finger tip or lobe of ear with ether and allow to dry
b.
sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c.
Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a.
Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b.
Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c.
Dilute with pure water until colours are the same.
d.
Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Dove Stainless Steel
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Stainless Steel
Mangkok untuk larutan
:
Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
Folding Stretcher
Specifications:
Made of steel pipes and can be folded for easy store up
Constructions
: Made of foam and imitation leather
Mattress
: Adjustable manually by telescopic mechanism
Back Raise
: Safety side guard, oxygen cylinder
Accessories
: bracket and stainless steel I.V Rod
Four 5" Castor, two with brakes and swivel locks.
Castor
: Epoxy powder coating finish
Painting
: 1900Lx650Wx810H (mm)
Dimension
: Dove Stainless Steel
Palu Pengukur reflek
: Dove Stainless Steel
Pinset anatomis 14,5 cm
: Dove Stainless Steel
Pinset Anatomis 18 cm
: Dove Stainless Steel
Pispot
: Stainless Steel
Sudip Lidah, logam panjang 12 cm
:
Stetoskop
duplex family
The duplex - family from Riester. The duplex stethoscope from Riester impress through firstclass quality at an attractive price.The practical solutions for the daily challenges encountered
in office practices and hospitals.Considerably improved acoustic performance.

Precision double chest-piece for perfect auscultation,with Riester special membranes and bells

Matt chromium-plated binaural,wich can be adjusted by turning with external spring

soft,replaceable ear-tips with metal screw thread for comfertable and effective sealing of the
external auditorycanal

Strong Y-tube made of PVC to shield against undersired stray sound

Latex free
duplex

23
24
25
26
27

duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
duplex frequency anaysis
20 Hz - 100 Hz max 3.6 dB at 100 Hz
100 Hz -1.500 Hz max 21.7 dB at 300 Hz
Bahan terbuat dari Alumunium
Stetoskop Janin
: Dove Stainless Steel
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Stainless Steel
Sterilisator ( Pemanas Alkohol )
:
Standar Waskom, tunggal
Specification
Made of stainless steel pipes
Construction
: One piece stainless steel
Basin
: On two side also function as towel hanger
Handle
: Four 2" swivel castor
Castor
: 560Lx440Wx750H (mm)

Merk/
Of Origin

Dimension
28 Spekulum vagina ( Cocor bebek ) Besar
29 Spekulum vagina ( Cocor bebek ) Kecil
30 Tempat tidur periksa dan perlengkapannya
Specification
Construction
Mattress
Back raise
Dimension
Foot Steep
Specifications
Construction
Consist of
Dimension
31 Tensimeter air raksa + Manset anak

:
:
:

Dove Stainless Steel


Dove Stainless Steel

Made of stainless steel pipes

: Made of foam imitation leather


: Adjustable by telescopic
: 800Lx1900Wx710H mm
:
Made of stainless steel pipes stainless steel sheet of lis

: Two step of rubber cover


: 400 x 245 x 435 mm
:

Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: Air Raksa
32 Termometer dewasa
: Digital
33 Termometer Anak
: Digital
34 Termometer bayi

35
36
37
38
39
40

41
42

Specifications
Digital Display
Wide range temp. Scale
Torniket karet
Tromol untuk alat steril
Urinal
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Specifications:
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

: Plastik
: Dove Stainless Steel

Dove Stainless Steel

:
:
:
:
:
:
:

0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda

:
:

Made of stainless steel pipe. Two hooks, adjustable

: height with locking screw

Lower stand
Painting
Castors
Height
Length of infus support
43 Lumpang obat lengkap
44 Nirrbeken
45 Lemari Obat
Spesifikasi:
Construction
Consist Of
-

:
:
:
:
:

Equipped with
Painting
46 Lemari Alat/Instrumen
Spesifikasi:
Construction
Consist Of
Door
-

:
:

Painting
47 Kursi Tunggu Pasien
Spesifikasi
Constructions
Painting
Seat
-

Packing

:
:

:
:

:
:
:

:
:
:
:

Made of steel pipe


Epoxy powder, coating finished
Three 2" swivel castor
Max. 2200mm Min. 1200mm
230 mm

Stainless Steel

Made Of steel sheet


Two Compartment, top and bottom
For the top side, two doors with full
transparent glass 5 mm, there shelves adjustable.
For the bottom side, one shelve adjustable with steel door.
Lock and Key
Epoxy Powder finish.

Made of steel sheet


Four shelves, adjustable.
Two with full transparent glass 5 mm
equipped with lock and key.
Epoxy Powder coating finish.

Made of electro galvanized steel sheet, perforated


Epoxy powder coating finish.
3 Seat no Table is 99104 S3
Knock Down System

Rengat,
Juni 20
An. Kepala Dinas Keseha
Kabupaten Indragiri Hu

dr. H. RIZALWAN M.k


NIP. 196202214 199704 1

Type / Art No

Harga

Rengat,
Juni 2013
An. Kepala Dinas Kesehatan
Kabupaten Indragiri Hulu

dr. H. RIZALWAN M.kes


NIP. 196202214 199704 1 001

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2012 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 900.000.000,: Rp. 897.600.000,-

NO

1
Pengadaan Alat Kesehatan Puskesmas Pembantu :
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

Bak instrumen sedang


Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
Gunting Pembalut
Gunting Benang
Hemoglobinometer set (sahli)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
Klem arteri bengkok
Klem pemegang jarum jahit
Korentang
Mangkok untuk larutan
Roll Splint & Spinal Board Ob
Folding Stretcher
Palu Pengukur reflek
Pinset anatomis 14,5 cm
Pinset Anatomis 18 cm
Pinset bedah 14,5 cm
Pinset bedah 18 cm
Pispot
Sudip Lidah, logam panjang 12 cm
Stetoskop
Stetoskop Janin

:
:
:

Dove Stainless Steel


Dove Stainless Steel
Dove Stainless Steel

:
:
:
:
:

Dove Stainless Steel


Dove Stainless Steel
Dove Stainless Steel
Dove Stainless Steel
Stainless Steel

:
:
:
:
:
:
:

Dove Stainless Steel


Dove Stainless Steel
Dove Stainless Steel
Dove Stainless Steel
Dove Stainless Steel
Stainless Steel
Stainless Steel

Bahan terbuat dari Alumunium

VOLUME
12

SATUAN
Set

12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12

Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit

HARGA
67,320,000.00
266,400
68,400
481,140
3,235,815
507,870
266,400
10,800
10,800
602,910
708,345
735,075
865,755
1,241,460
107,100
9,000,000
10,193,400
341,550
314,820
314,820
314,820
314,820
1,098,900
20,700
507,600
51,300

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48

Skapel, mata pisau bedah ( No 10 )


Skapel tangkai pisau operasi
Sterilisator ( Pemanas Alkohol )
Standar Waskom, tunggal
Spekulum vagina ( Cocor bebek ) Besar
Spekulum vagina ( Cocor bebek ) Kecil
Tempat tidur periksa dan perlengkapannya
Tensimeter air raksa + Manset anak
Termometer dewasa
Termometer bayi
Timbangan dewasa
Timbangan bayi
Torniket karet
Tromol untuk alat steril
Urinal
Waskom Bengkok
Waskom cekung
Tabung Oksigen kecil lengkap
Trolly oksigen kecil
Standar infus
Lumpang obat lengkap
Nirrbeken
Underpad

49 PITHA Mouth Rubber Wedge with chain

:
:
:

Dove Stainless Steel


Dove Stainless Steel
Stainless Steel

:
:

Dove Stainless Steel


Dove Stainless Steel

12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12

: Air Raksa
: Air Raksa

: Dove Stainless Steel


: Plastik

:
:

Dove Stainless Steel


Dove Stainless Steel

: Memiliki standar, beroda


:
:

Dove Stainless Steel

Dove Stainless Steel

Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit
Unit

JUMLAH
PPN 10%
TOTAL
Terbilang : Delapan Ratus Sembilan Puluh Tujuh Juta Enam Ratus Ribu Rupiah

Rengat,
Januari 2012
DINAS KESEHATAN KAB. INDRAGIRI HULU
Kuasa Pengguna Anggaran

Drs. DEDI PARLAUNGAN. Apt


Nip. 19640228 198911 1 001

769,230
166,320
798,300
2,803,500
953,370
839,025
9,173,700
2,520,900
16,200
53,100
2,102,400
4,689,855
26,100
432,000
1,098,900
515,700
233,100
3,600,000
675,000
1,656,000
135,000
603,000
1,188,000
690,300
67,320,000

JUMLAH
807,840,000.00
3,196,800
820,800
5,773,680
38,829,780
6,094,440
3,196,800
129,600
129,600
7,234,920
8,500,140
8,820,900
10,389,060
14,897,520
1,285,200
108,000,000
122,320,800
4,098,600
3,777,840
3,777,840
3,777,840
3,777,840
13,186,800
248,400
6,091,200
615,600

9,230,760
1,995,840
9,579,600
33,642,000
11,440,440
10,068,300
110,084,400
30,250,800
194,400
637,200
25,228,800
56,278,260
313,200
5,184,000
13,186,800
6,188,400
2,797,200
43,200,000
8,100,000
19,872,000
1,620,000
7,236,000
14,256,000
8,283,600
807,840,000
89,760,000
897,600,000

HARGA PERKIRAAN SENDIRI (HPS)


ORGANISASI
PROGRAM
KEGIATAN
PEKERJAAN
LOKASI
PAGU DANA
HPS

:
:
:
:

1.02.01
1.02.1.02.01.16
1.02.1.02.01.16.07
5.2.3.19.01

Dinas Kesehatan Kabupaten Indragiri Hulu


Program Upaya Kesehatan Masyarakat
Pelayanan Kefarmasian dan Perbekalan Kesehatan
Belanja Modal Pengadaan Alat-alat Kedokteran umum
( Pengadaan Alat Kesehatan Puskesmas Pembantu Tahun 2013 )
: DINAS KESEHATAN KABUPATEN INDRAGIRI HULU
: Rp. 1.607.600.000,: Rp.1.607.464.200.-

NO

SPEKSIFIKASI
Pengadaan Alat Kesehatan Puskesmas Pembantu :
1

2
3
4
5
6

7
8
9
10
11
12
13

Bak instrumen sedang


Spesifikasi :
Material dari stainless steel
Celemek plastik ( schort ) panjang 52 inci
Gunting bedah standar
: Dove Stainless Steel
Gunting Pembalut
: Dove Stainless Steel
Gunting Benang
: Dove Stainless Steel
Hemoglobinometer set (sahli)
Direction for use
Preparation
a. Fill haemometer tube to level of lowest graduation (0,02 gramme) with standard hydrochloric acid diluted 1 : 10
b. Place ready water for dilution, clock with second hand for checking reaction time.
Blood withdrawal
a. Sterilise finger tip or lobe of ear with ether and allow to dry
b. sterilise a francks's needle and pierce skin. Blood should flow freely without any applied pressure.
c. Wipe away first lew drops of blood and then suck a litle blood into capillary pipette until mark is
reached (20 cu. Mm) Avoid air bubles. Wipe outside tip of pipette clean
Determining haemoglobin content
a. Blow blood out of capillary pippette into hydrochloric acid already in haemometer tube. Suck
blood back into pipette several times and blow out again
b. Place the haemometer tube in the stand so that the scale is turned to the side and cannot be seen
c. Dilute with pure water until colours are the same.
d. Read results exactly 3 minutes after blood has been added to hydrochloric acid. Do not read in
diffused daylight or direct in bright sunshine. Results abtained in artificial light may not be correct.
Calibration
- Our haemometers are calibrated according to rullings laid down by the German Medical
Association and are subject to constant check by this association. (See Deutsch. Medizin.
Wochenschr. 76, 1089 of 1951)
Kateter Karet No. 10 ( Nelaton )
Kateter Karet No. 14 ( Nelaton )
Kateter Logam untuk wanita
Klem arteri lurus
: Dove Stainless Steel
Klem arteri bengkok
: Dove Stainless Steel
Klem pemegang jarum jahit
: Dove Stainless Steel
Korentang
: Dove Stainless Steel

VOLUME
18

SATUAN
Set

HARGA

72

buah

204,000

216
90
90
90
36

buah
buah
Unit
Unit
Unit

10,000
199,000
276,000
201,500
423,000

18
18
72
108
108
108
36

Unit
Unit
buah
buah
buah
buah
buah

10,500
10,500
26,000
26,000
248,000
295,000
360,000

14 Mangkok untuk larutan


: Stainless Steel
15 Roll Splint & Spinal Board Ob
Specifications:
foldable in 4Made of high strength alloy material and water-tightness material.
16 Folding Stretcher
Specifications:
Constructions
: Made of steel pipe(26mm and assembled with welding process
Stretcher can be folded to reduce the storing place
Mattress
: Made of multiplex wood (thichness 12 mm) and covered with
foam & imitation leather without edge stitches
Back Raise
: Adjustable by telescopic mechanism, elevation 0-60
Sideguard
: Folding safety side guard, made of stanless steel pipes (19mm
16mm) and assembled with TIG welding process
Accessories
: Oxygen cylinder holder. IV stand, made of stanless steel pipe
(16mm)adjustable height with locking screw
bracket and stainless steel I.V Rod
Castor
: Four 5" Castor, two with brakes and swivel locks.
Painting
: Epoxy powder coating finish
Max Load
: 150 kg
Dimension
: 1900Lx650Wx810H (mm)
17 Palu Pengukur reflek
: Dove Stainless Steel (lokal)
18 Pinset anatomis 14,5 cm
: Dove Stainless Steel
19 Pinset Anatomis 18 cm
: Dove Stainless Steel
20 Pispot
: Stainless Steel
21 Sudip Lidah, logam panjang 12 cm
: Stainless Steel
22 Stetoskop
Spesifikasi :
duplex

23
24
25
26
27

duplex is the-high grade Riester quality sthetoscope with precision double chest piece.The acoustic
performance has been considerably improved.

Double-headed chest-piece available in two types.chromium -plated brass or specially lightweight


alumunium galvanized

Special membrane for perfect auscultation, 48 mm,with particularly flat and soft non-chili rims for
improved adaptation on the skin

Bell, 36 mm

Overall length : 77 cm

duplex is supplied with a pair of replacement ear -tips and a replacement membrane
Stetoskop Janin
: Bahan terbuat dari Alumunium
Skapel, mata pisau bedah ( No 10 )
: Dove Stainless Steel
Skapel tangkai pisau operasi
: Dove Stainless Steel
Sterilisator ( Pemanas Alkohol )
: Stainless Steel
Standar Waskom, tunggal
Specification
Construction
: Made of stainless steel pipes
Basin
: One piece stainless steel
Handle
: On two side also function as towel hanger
Castor
: Four 2" swivel castor
Dimension
: 560Lx440Wx750H (mm)

72
18

buah
Unit

40,000
2,640,000

18

Unit

9,504,000

72
90
90
90
72
72

buah
buah
buah
buah
buah
Unit

60,200
65,000
79,000
576,940
15,000
840,000

36
36
36
36
36

unit
unit
buah
Unit
buah

168,000
292,000
205,000
1,232,000
2,673,000

28 Spekulum vagina ( Cocor bebek ) Besar


: Dove Stainless Steel
29 Spekulum vagina ( Cocor bebek ) Kecil
: Dove Stainless Steel
30 Tempat tidur periksa dan perlengkapannya
Specification
Construction
: Made of stainless steel pipes
Mattress
: Made of foam imitation leather
Back raise
: Adjustable by telescopic
Dimension
: 800Lx1900Wx710H mm
Foot Steep
Specifications
Construction
: Made of stainless steel pipes stainless steel sheet of lis
Consist of
: Two step of rubber cover
Dimension
: 400 x 245 x 435 mm
31 Tensimeter air raksa + Manset anak
Specifications
High quality extra - sturdy mercurial sphygmomanometer in metal case.
Enameled in light gray with contrasting trim
Precision glass tube with inside diameter 4.2 mm 0.2 mm
Anodized faceplate with easy - to - read graduated scale
Maximum reading 300 mmHg
Chrome - plated metal parts
Mercury lock, bulb holder. Maximum error throughout range 3 mmHg. With latex bulb and chrome plated air release valve
: digital
32 Termometer dewasa
: digital
33 Termometer anak
: digital
34 Termometer bayi
: karet
35 Torniket karet
Dove Stainless Steel
36 Tromol untuk alat steril
Plastik
37 Urinal
Dove Stainless Steel
38 Waskom Bengkok
39 Waskom cekung
40 Tabung Oksigen kecil lengkap
Spesifikasi :
Flowmeter Cap.
Inlet Connection
Gas Volume
Cylinder Material
Cylinder Test Pressure
Filling Pressure
Weight of Cylinder
Trolly oksigen kecil
41 Trolly oksigen kecil
42 Standar infus
Spesifikasi :
Upper stand

Dove Stainless Steel

:
0-15 l/m
5/8" BSP F-RH
1000 l
34 CrMo4 or equivalent
250 kgf/cm
150 kgf/cm
11 kg, approx.
Memiliki standar, beroda
Memiliki standar, beroda

:
:
:
: Made of stainless steel pipe. Two hooks, adjustable
height with locking screw
Made of steel pipe

54
54
18

buah
buah
Unit

546,000
450,000
8,613,000

36

unit

1,556,000

36
36
36
36
54
54
72
72
36

buah
buah
buah
buah
buah
buah
buah
buah
Unit

75,000
75,000
680,000
92,400
555,800
429,500
177,000
215,800
1,500,000

18
36

Unit
Unit

250,000
1,584,000

Lower stand

Painting
Castors
Max. Load
Dimension

43 Lumpang obat lengkap


44 Nirrbeken
45 Lemari Obat
Spesifikasi :
Contruction

: Epoxy powder, coating finished

:
:

Three 2" swivel castor


Max. 2200mm Min. 1200mm
230 mm
Epoxy powder, coating finished
Three 2" swivel castor
3 kg (each holder)

:
: Stainless steel
:

36
54
18

Unit
Unit
Unit

54,000
104,000
7,029,000

18

Unit

7,029,000

18

Unit

5,148,000

: made of steel with phosphate coating (thickness 1 mm) Assembled with MIG
Assembled with MIG welding process

Section

: Two comprartments, top and bottom.

Painting
Max. Load
Dimension
46 Lemari alat
Spesifikasi
Contruction

:
:
:
:

Section
Door
Painting
Max. Load
Dimension
47 Kursi Tunggu Pasien
Spesifikasi
Contruction

:
:
:
:
:
:

Main Frame
Backrest and seat
Seat Mattress
Painting
Detail on each picture
Max Load
Dimension

Top side,three adjustable shelves two doors with full transparent


glass 5 mm equipped with loch and key
Battom side, one adjustable shelves steel doors equipped with
lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx (L) 900 x (W) 460 x (H) 1700 mm

: Made of steel sheet with phosphate coating (thickness 1 mm).

Assembled with MIG welding process


Four adjustable shelves
Two doors with full transparent glass 5 mm equipped with lock and key
Epoxy powder, coating finished
25 kg (each shelf)
Approx. (L) 900 x (W) 460 x H 1700 mm

The frame is made of steel pipe (27mm) Assembled with MIG


welding prosess
Made of square mild steel pipe (40 x 60 mm)
Madeof electro galvanize steel sheet (thickneess 1.2 mm) ferforated
Made of soft foam 10 mm wiht durable convenient cover
Epoxy powder coating finish
Waiting Chair 3 seats
300 kg
L 1600 x W 495 x H 740 mm

194

48 Pengadaan Neonatal Respiratory Set

Specification :
Body Mass Range
Ventilating Cycles
Dead Speace

Volume

Set

375,000

<10kg for infant model


0 to 60 bpm/infant
<6.8ml for resuscitators
130ml for # 5 mask
90ml for # 4 mask
70ml for # 3 mask
33ml for # 2 mask
20ml for # 1 mask
280/100ml for infant

Jumlah : Satu Milyar Enam Ratus Tujuh Juta Empat Ratus Enam Puluh Empat Ribu Dua Ratus Rupiah

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pembuat Komitmen

Pejabat Pelaksana Teknis Kegiatan

dr. H.RIZALWAN,M.Kes
NIP. 19620214 199704 1 001

dr. MOHD ZAINUL ARIFIN


NIP. 19720226 200604 1 006
Pengguna Anggaran

H.SUHARDI.SE.M.Si,MM.MH
Nip. 19660506 199303 1 007

JUMLAH
1,607,464,200.00
14,688,000
2,160,000
17,910,000
24,840,000
18,135,000
15,228,000
189,000
189,000
1,872,000
2,808,000
26,784,000
31,860,000
12,960,000

2,880,000
47,520,000
171,072,000
-

4,334,400
5,850,000
7,110,000
51,924,600
1,080,000
60,480,000

6,048,000
10,512,000
7,380,000
44,352,000
96,228,000
-

29,484,000
24,300,000
155,034,000
56,016,000
2,700,000
2,700,000
24,480,000
3,326,400
30,013,200
23,193,000
12,744,000
15,537,600
54,000,000

4,500,000
57,024,000
-

1,944,000
5,616,000
126,522,000

126,522,000

92,664,000

72,750,000

1,607,464,200

Rengat,
Juli 2013
DINAS KESEHATAN KAB. INDRAGIRI HULU
Pejabat Pelaksana Teknis Kegiatan

dr. MOHD ZAINUL ARIFIN


NIP. 19720226 200604 1 006

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