geomed-instrumen-bedah

V.
BIDANG KESEHATAN
No Jenis Barang/Jasa Merk/Type/Spesifikasi/Ukuran
1 ALKED DAN ALKES
OK dan ICU - Instrumen Bedah Geomed Sterilizing Container
1
465x280x135mm- PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Sterilizing 3/4 Container
2 465x280x150mm Green Lid Perforated Bottom
Non Perforated- PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Sterilizing 3/4 Container
3 465x280x150mm Green Lid Perforated Bottom
Non Perforated - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Stevens Dissect Scissor Bl/Bl Cvd 11cm
4
- PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Stevens Dissect Scissor- PT. Fosma
5
Medifarma
OK dan ICU - Instrumen Bedah Geomed Stille Bone Rongeur Angled To Side
6
23cm - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Stille Osteotome Str 10mm 20cm - PT.
7
Fosma Medifarma
8
Fosma Medifarma
9
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Stille Plaster Shear 23cm - PT. Fosma
10
Medifarma
11
Medifarma
12
Medifarma
OK dan ICU - Instrumen Bedah Geomed Stilleliston Bone Cutting Fcps Str 27cm
13
OK dan ICU - Instrumen Bedah Geomed Stille-Luer Bone Rongeur Cvd 10mm
14
OK dan ICU - Instrumen Bedah Geomed Stille-Luer Bone Rongeur Str 23cm -
15
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Stilleruskin Bone Rongeur Cvd 8mm
16
OK dan ICU -Instrumen Bedah Geomed Stratte Needle Holder 23cm - PT.
17
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Stratte Needleholder 20cm - PT. Fosma
18
Medifarma
OK dan ICU - Instrumen Bedah Geomed Surgical Scissors Sh/Bl Str 11,5cm -
19
PT. Fosma Medifarma
20
PT. Fosma Medifarma
21
PT. Fosma Medifarma
22
PT. Fosma Medifarma
23
PT. Fosma Medifarma
24
PT. Fosma Medifarma
25 OK dan ICU - Instrumen Bedah Scissors Sh/Bl Str 14,5cm -
OK dan ICU - Instrumen Bedah Geomed Syme Ligature Needle 15cm - PT.
26
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Syme Ligature Needle 17cm - PT.
27
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Sypert Punch 40 Up 5,5mm 25cm -
28
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Taylor Dressing Fcps Bayonett 17cm -
29
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Taylor Tissue Fcps Dissect End 1x2t
30
OK dan ICU - Instrumen Bedah Geomed Tendon Stripper Malleable 23cm - PT.
31
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Tendon Tunnelling Forceps Cvd
32
20,5cm - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Tendon Tunnelling Forceps Str 20,5cm
33
OK dan ICU - Instrumen Bedah Geomed Tissue Forceps 1x2t Str 14.5cm - PT.
34
Fosma Medifarma
35 OK dan ICU - Instrumen Bedah STR 14.5CM
36
Fosma Medifarma
37
Fosma Medifarma
38 OK dan ICU - Instrumen Bedah Geomed Tissue Forceps 1x2t Str 14.5cm - PT.
OK dan ICU -Instrumen Bedah Fosma Medifarma
Geomed Tissue Forceps 1x2t Str 16cm - PT.
39
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Tissue Forceps 1x2t Str 20cm - PT.
40
Fosma Medifarma
41
Fosma Medifarma
Geomed tissue Forceps 1x2t Str 20cm - pt.
42
OK dan ICU - Instrumen Bedah Fosma medifarma
Geomed Tissue Forceps 1x2t Str 25cm - PT.
43
OK dan ICU - Instrumen Bedah Fosma Medifarma
44
Fosma Medifarma
45 OK dan ICU - Instrumen Bedah Geomed Tissue Forceps Medium 1x2t Str
46 OK dan ICU - Instrumen Bedah 14.5cm
Geomed- Tissue
PT. Fosma Medifarma
Forceps Medium 1x2t Str 20cm
OK dan ICU - Instrumen Bedah - PT. Fosma
Geomed Medifarma
Titan Yasargil Mini Clip 45 5mm - PT.
47
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Mini Clip Cvd 7mm 110gr
48
OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Mini Clip Str 5mm 110gr
49
50 OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Standard Clip 45 11mm
51 OK dan ICU - Instrumen Bedah - PT. Fosma
Geomed Medifarma
Titan Yasargil Standard Clip 45 5mm -
52 OK dan ICU - Instrumen Bedah PT. Fosma Medifarma
Geomed Titan Yasargil Standard Clip 7mm - PT.
OK dan ICU -Instrumen Bedah Fosma
GeomedMedifarma
Titan Yasargil Standard Clip Ang 90
53
7mm - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Standard Clip Bay 9mm -
54
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Standard Clip Cvd 15mm
55
OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Standard Clip Cvd 7mm -
56
PT. Fosma Medifarma
57
PT. Fosma Medifarma
58
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Titan Yasargil Standard Clip Str 5mm -
59
PT. Fosma Medifarma
60
PT. Fosma Medifarma
61
PT. Fosma Medifarma
62 OK dan ICU - Instrumen Bedah Geomed Toennis-Adson Scissors Cvd 17,5cm-
OK dan ICU - Instrumen Bedah PT. Fosma
Geomed Medifarma
Towel Clamp F Paper Towel W Ball
63
OK dan ICU - Instrumen Bedah Geomed Troeltsch (Wilde) Ear Forceps 18cm -
64
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Universal Wire Cutting Scissor Serr
65
OK dan ICU - Instrumen Bedah Geomed Vats X-Heavy Needleholder Cvd 10mm
66 Shaft With Ratchet - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Vats X-Heavy Needleholder Str 10mm
67 Shaft With Ratchet - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Vats-Heavy Needle Holder Cvd 7mm
68
Shaft With Ratchet - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Vats-Heavy Needle Holder Str 7mm
69
Shaft With Ratchet - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Volkmann Bone Curette Oval #0 17cm
70
71
72 OK dan ICU - Instrumen Bedah Geomed #00 17cm - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Volkmann Bone Curette Oval #000
73
OK dan ICU - Instrumen Bedah Geomed Volkmann Bone Curette Oval #000
74
75
OK dan ICU -Instrumen Bedah Geomed Volkmann Bone Curette Oval #2 17cm
76
77
78
79
80
81 OK dan ICU - Instrumen Bedah Geomed Volkmann - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Volkmann Retractor 1 Prong Sharp
82
OK dan ICU - Instrumen Bedah Geomed Volkmann Retractor 3 Prongs Blunt
83
21.5cm - PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Volkmann Retractor 4 Prongs Blunt
84
OK dan ICU - Instrumen Bedah Geomed Volkmann Retractor Semisharp 4t
85
22cm- PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Volkmann Retractor Semisharp 4t
86
OK dan ICU - Instrumen Bedah Geomed Wachenfeldt Suture Clip Forceps
87
OK dan ICU - Instrumen Bedah Geomed Wagner Scissors Bl/Bl Cvd 12cm - PT.
88
Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Wangensteen Needle Holder 27cm -
89
PT. Fosma Medifarma
90 OK dan ICU - Instrumen Bedah Elevator 12,5cm
OK dan ICU - Instrumen Bedah Geomed Webster Needle Holder Smooth 13cm -
91
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Weitlaner Rectractor 2x3t Sharp
92
OK dan ICU - Instrumen Bedah Geomed Weitlaner Retractor 3x4t Blunt 16.5c -
93
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Weitlaner Retractor 3x4t Sharp 13cm -
94
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Weitlaner Retractor 3x4t Sharp 16.5cm
95
OK dan ICU - Instrumen Bedah Geomed Weller Dissecting Scissor Strong Mod. -
96
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Willauer Dissecting Scissor Cvd 25cm -
97
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Willauer Dissecting Scissor Cvd 28cm -
98
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah Geomed Williger Elevator Light Curve 5mm
99
OK dan ICU - Instrumen Bedah Geomed Williger Elevator Light Curve 5mm
100
Satuan Harga Satuan Harga Survey Sumber
Unit 5,891,625.00 DINKES
Unit 513,562.50 DINKES












V. BIDANG KESEHATAN
1 ALKED DAN ALKES
1 OK dan ICU - Instrumen Bedah Geomed Mayo Scissors Str 14,5cm - PT. Fosma
Medifarma
2 OK dan ICU - Instrumen Bedah Geomed Mayo Scissors Str 15cm - PT. Fosma
Medifarma
Medifarma
Medifarma
Medifarma
Medifarma
7 OK dan ICU - Instrumen Bedah Geomed Mayo Stille Dissec Sc W/ Chamf Bl St 17 -
PT. Fosma Medifarma
8 OK dan ICU - Instrumen Bedah Geomed Mayo Stille Dissecting Scissor Cvd 15cm
Chamfered Blades - PT. Fosma Medifarma
9 OK dan ICU - Instrumen Bedah Geomed Mayo Stille Dissecting Scissor Cvd 17cm
Chamfered Blades - PT. Fosma Medifarma
10 OK dan ICU - Instrumen Bedah Geomed Mayo Stille Dissecting Scissor Str 15cm
Chamfered Blades- PT. Fosma Medifarma
11 OK dan ICU - Instrumen Bedah Geomed Mayo-Harrington Scissors Cvd 22,5cm -
PT. Fosma Medifarma
12 OK dan ICU - Instrumen Bedah Geomed Mayo-Harrington Scissors Cvd 28cm Blunt
13 OK dan ICU - Instrumen Bedah Geomed Mayo-Harrington Scissors Str 22,5cm - PT.
Fosma Medifarma
14 OK dan ICU - Instrumen Bedah Geomed Mayo-Harrington Scissors Str 28cm Blunt -
PT. Fosma Medifarma
15 OK dan ICU - Instrumen Bedah Geomed Mayo-Hegar Needle Hold Fine Pattern
17 OK dan ICU Instrumen Bedah Needle Hold Fine Pattern 20cm - PT. Fosma
Medifarma
24cm -
20 OK dan ICU - Instrumen Bedah Geomed Mayo-Hegar Needle Holder 14cm - PT.
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
26 OK dan ICU - Instrumen Bedah Geomed Mayo-Hegar Needle Holder - PT. Fosma
Medifarma
27 OK dan ICU - Instrumen Bedah Geomed Mayo-Hegar Needleholder 30cm - PT.
Fosma Medifarma
28 OK dan ICU - Instrumen Bedah Geomed Mayo-Stille Dissecting Scissor Str 19cm -
PT. Fosma Medifarma
29 OK dan ICU - Instrumen Bedah Geomed Mayo-Stille Scissors Cvd 15cm - PT. Fosma
Medifarma
Medifarma
31 OK dan ICU - Instrumen Bedah Geomed Mayo-Stille Scissors Cvd 19cm- PT. Fosma
Medifarma
Medifarma
33 OK dan ICU - Instrumen Bedah Geomed Mayo-Stille Scissors Str 15cm - PT. Fosma
Medifarma
Medifarma
Medifarma
36 OK dan ICU - Instrumen Bedah Geomed Mcindoe Cartilage Scissors Serr Str 19cm -
PT. Fosma Medifarma
37 OK dan ICU - Instrumen Bedah Geomed Medical Blade 40x23mm - PT. Fosma
Medifarma
Medifarma
Medifarma
40 OK dan ICU - Instrumen Bedah Geomed Medical Blade 55x23mm- PT. Fosma
Medifarma
Medifarma
42 OK dan ICU - Instrumen Bedah Geomed Metal Label F Ster Container
BlackEngraved 50x17mm - PT. Fosma Medifarma
43 OK dan ICU - Instrumen Bedah Geomed Metal Label F Ster Container Black
Engraved 50x17mm - PT. Fosma Medifarma
44 OK dan ICU - Instrumen Bedah Geomed Metal Label F Ster Container Blue
47 OK dan ICU - Instrumen Bedah Geomed Metal - PT. Fosma Medifarma
48 OK dan ICU - Instrumen Bedah Geomed Metal Label F Ster Container Green
51 OK dan ICU - Instrumen Bedah Geomed Metal Label F Ster Container Red Engraved
50x17mm - PT. Fosma Medifarma
50x17m- PT. Fosma Medifarma
56 OK dan ICU - Instrumen Bedah Geomed Metal Label F Ster Container Yellow
57 OK dan ICU - Instrumen Bedah Geomed Metal Rulercm/Inch Graduation 20cm - PT.
Fosma Medifarma
58 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Nelson Scissors 25cm Cvd -
PT. Fosma Medifarma
59 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Nelson Scissors 28cm Cv -
PT. Fosma Medifarma
60 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Nelson Scissors 28cm Cvd -
PT. Fosma Medifarma
61 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Nelson Scissors 28cm Str. -
PT. Fosma Medifarma
62 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Nelson Scissors Str 25cm -
PT. Fosma Medifarma
63 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissor Fine Bl/Bl Str 14,5cm
64 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissor Fine Sh/Sh Str
65 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Cvd 14,5cm -
PT. Fosma Medifarma
66 OK dan ICU - Instrumen Bedah CVD 14,5CM
67 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Cvd 15,5cm -
PT. Fosma Medifarma
68 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Cvd 18cm - PT.
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
73 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Cvd 28cm- PT.
Fosma Medifarma
74 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Str 14,5cm -
PT. Fosma Medifarma
75 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Str 14,5cm -
76 OK dan ICU - Instrumen Bedah PT. Fosma
Geomed Medifarma
Metzenbaum Scissors Bl/Bl Str 18cm - PT.
Fosma Medifarma
77 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Bl/Bl Str 20cm - PT.
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
82 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Cvd 30cm - PT.
83 OK dan ICU - Instrumen Bedah Fosma
GeomedMedifarma
Metzenbaum Scissors Fine Bl/Bl Cvd 18cm
84 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Fine Bl/Bl Cvd 20cm
85 OK dan ICU - Instrumen Bedah BL/BL CVD 23CM
86 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Fine Bl/Bl Str 18cm -
PT. Fosma Medifarma
PT. Fosma Medifarma
PT. Fosma Medifarma
89 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Sh/Bl Cvd 14c - PT.
Fosma Medifarma
90 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Sh/Bl Str 14cm - PT.
Fosma Medifarma
91 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Sh/Sh Cvd 14,5cm -
Geomed Medifarma Scissors Sh/Sh Cvd 18cm -
Metzenbaum
PT. Fosma Medifarma
93 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Sh/Sh Cvd 20cm -
PT. Fosma Medifarma
94 OK dan ICU - Instrumen Bedah Geomed Metzenbaum Scissors Sh/Sh Str 14,5cm -
Geomed Medifarma Scissors Sh/Sh Str 18cm - PT.
Metzenbaum
GeomedMedifarma
Metzenbaum Scissors Sh/Sh Str 28cm - PT.
97 OK dan ICU - Instrumen Bedah Fosma Medifarma
Geomed Metzenbaum-Fine S-Cvd Sh/Sh 18cm - PT.
Fosma Medifarma
98 OK dan ICU - Instrumen Bedah Geomed Metzenbaum-Fine S-Cvd Sh/Sh 20cm - PT.
Fosma Medifarma
99 OK dan ICU - Instrumen Bedah Geomed Metzenbaum-Fine S-Cvd Sh/Sh 23cm - PT.
Fosma Medifarma
100 OK dan ICU - Instrumen Bedah Geomed Metzenbaum-Fino Bl/Bl S-Cvd 18cm - PT.
Fosma Medifarma










V. BIDANG KESEHATAN
1 ALKED DAN ALKES
1 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison 90 Up 3mm 18cm With
Ejector - PT. Fosma Medifarma
Eject - PT. Fosma Medifarma
5 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison 90 Up 4mm - PT. Fosma
Medifarma
Ejector- PT. Fosma Medifarma
Ejector, Thin Foot- PT. Fosma Medifarma
Ejector, Thin Foot - PT. Fosma Medifarma
Ejector- PT. Fosma Medifarma
13 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Ejector - PT. Fosma
Medifarma
19 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison 90 Up 6mm 20cmwith
20 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Detach 40 Up 2mm 20cm
With Ejector - PT. Fosma Medifarma
21 OK dan ICU - Instrumen Bedah Detach 40 Up 3mm 18cm With Ejector -
29 OK dan ICU - Instrumen Bedah Geomed 1mm 20cm With Ejector - PT. Fosma
Medifarma
30 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Detach 40Up 2mm 18cm
Black Coating Without Ejector - PT. Fosma
Medifarma
Black Coating Without Ejector - PT. Fosma
Medifarma
32 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Detach 40Up 2mm 28cm -
PT. Fosma Medifarma
PT. Fosma Medifarma
36 OK dan ICU -Instrumen Bedah Geomed Love-Kerrison Detach 40Up 4mm 28cm -
PT. Fosma Medifarma
37 OK dan ICU - Instrumen Bedah Geomed 5mm 20cm With Ejector- PT. Fosma
Medifarma
PT. Fosma Medifarma
PT. Fosma Medifarma
41 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Detach 90 Down 1mm
45 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Detach 90 Down 3mm -
PT. Fosma Medifarma
With Ejector- PT. Fosma Medifarma
53 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Detach 90 Up 1mm
20cmwith Ejector- PT. Fosma Medifarma
20cmwith Ejector - PT. Fosma Medifarma
18cmwith Ejector - PT. Fosma Medifarma
64 OK dan ICU - Instrumen Bedah With Ejector
Geomed - PT. Fosma
Love-Kerrison Medifarma
Detach. 40Up 6mm 23cm -
PT. Fosma Medifarma
65 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Flat Foot 40Up 2mm 23cm
Black Coating With Thin Foot- PT. Fosma Medifarma
Black Coating With Thin Foot - PT. Fosma
Medifarma
Medifarma
Medifarma
Medifarma
Medifarma
Medifarma
Medifarma
73 OK dan ICU - Instrumen Bedah Geomed Love-Kerrison Punch 40 3mm 18cm With
74 OK dan ICU - Instrumen Bedah Ejector,
GeomedBlack Coating
Lowman Bone- Holding
PT. Fosma Medifarma
Clamp 18cm - PT.
Fosma Medifarma
75 OK dan ICU - Instrumen Bedah Geomed Lucae Ear Forceps Bayonet 14cm - PT.
Fosma Medifarma
76 OK dan ICU - Instrumen Bedah Curved 17cm-
77 OK dan ICU - Instrumen Bedah Geomed Lumbar T-Bar Wide 25mm - PT. Fosma
Medifarma
78 OK dan ICU -Instrumen Bedah Geomed Martin Multi Assistent - PT. Fosma
Medifarma
79 OK dan ICU - Instrumen Bedah Geomed Martincartilage Scissors Cvd Bl/Bl 20cm
Serrate - PT. Fosma Medifarma
80 OK dan ICU - Instrumen Bedah Geomed Martincartilage Scissors Str Bl/Bl 20cm
Serrate - PT. Fosma Medifarma
81 OK dan ICU - Instrumen Bedah Geomed Masson Needle Holder 27cm - PT. Fosma
Medifarma
82 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder 14cm - PT. Fosma
Medifarma
83 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder 17cm- PT. Fosma
Medifarma
84 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder 20cm - PT. Fosma
Medifarma
85 OK dan ICU - Instrumen Bedah Geomed 24cm - PT. Fosma Medifarma
86 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder Narrow Jaw 14cm -
PT. Fosma Medifarma
87 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder Narrow Jaw 17cm-:
PT. Fosma Medifarma
88 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder W Int Ratchet
89 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle Holder W Int Ratchet
90 OK dan ICU - Instrumen Bedah Geomed Mathieu Needle holder Grooved Jaw 20cm-
PT. Fosma Medifarma
91 OK dan ICU - Instrumen Bedah Geomed Mathieu Nh Grooved Jaw 23cm - PT.
GeomedMedifarma
Mayfield Rongeur Forceps 17cm - PT.
Fosma Medifarma
93 OK dan ICU - Instrumen Bedah Geomed Mayo Safety Pin W Ball 14cm - PT. Fosma
Medifarma
94 OK dan ICU - Instrumen Bedah Geomed Mayo Scissors Cvd 14,5cm - PT. Fosma
Medifarma
95 OK dan ICU - Instrumen Bedah Geomed Mayo Scissors Cvd 15cm - PT. Fosma
Medifarma
Medifarma
Medifarma
Medifarma
Medifarma
Medifarma









V. BIDANG KESEHATAN
No Jenis Barang/Jasa
1 ALKED DAN ALKES
1 OK dan ICU -Instrumen Bedah
3 OK dan ICU - Instrumen Bedah














Merk/Type/Spesifikasi/Ukuran Satuan
Geomed Love-Kerri Fl Footpl Det 90 Up 1mm 18cm- PT. Fosma Unit

Medifarma
Geomed Love-Kerrision Detach Down 90 5mm 20cm - PT. Fosma Unit
Medifarma
Geomed Love-Kerrision Detach Up 40 1mm 18cm Black Coating Unit

Without Ejector - PT. Fosma Medifarma
Geomed Love-Kerrision Detach Up 40 1mm 18cm With Ejector- PT. Unit
Fosma Medifarma
Geomed Love-Kerrision Detach Up 40 4mm 18cm- PT. Fosma Unit
Medifarma
Geomed Love-Kerrision Detach Up 40 5mm 18cm - PT. Fosma Unit
Medifarma
Geomed Love-Kerrison 40 Down 1mm 20cm Without Ejector - PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 40 Down 2mm 20cm Black Coating Black Unit
Coating - PT. Fosma Medifarma
Geomed Love-Kerrison 40 Down 2mm 20cm Without Ejector- PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 40 Down 3mm 20cm - PT. Fosma Unit
Medifarma
Geomed Love-Kerrison 40 Down 3mm 20cm Black Coating- PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 40 Up 1mm 15cm Without Ejector - PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 40 Up 1mm 18cm Black Coating - PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 40 Up 1mm 18cm Dismountable - PT. Unit
Fosma Medifarma
Fosma Medifarma
Geomed Love-Kerrison 40 Up 1mm 18cm Without Ejector, Thin Unit
Foot - PT. Fosma Medifarma
Geomed Love-Kerrison 40 Up 1mm 20cm Black Coating - PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 40 Up 1mm 20cm Without Ejectorwithout Unit
Geomed - PT. Fosma Medifarma Unit
Fosma Medifarma
Fosma Medifarma
Foot- PT. Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Geomed Love-Kerrison 40 Up 3mm 15cm With Ejector - PT. Fosma Unit
Medifarma
Medifarma
Geomed Love-Kerrison 40 Up 3mm 18cm With Ejector, Thin Foot- Unit
PT. Fosma Medifarma
Geomed Love-Kerrison 40 Up 3mm 20cm With Ejector, Thin Foot - Unit
PT. Fosma Medifarma
Medifarma
Medifarma
Medifarma
PT. Fosma Medifarma
Medifarma
PT. Fosma Medifarma
Medifarma
Medifarma
PT. Fosma Medifarma
Medifarma

PT. Fosma Medifarma
Medifarma
Medifarma
Medifarma
PT. Fosma Medifarma
PT. Fosma Medifarma
Medifarma
Geomed Love-Kerrison 40Up 1mm 20cm Without Ejector, Thin Foot Unit
Geomed Love-Kerrison 40Up 2mm 20cm Without Ejector, Thin Foot Unit
Fosma Medifarma
Geomed Love-Kerrison 90 Down 1mm 18cm Without Ejector Unit
Fosma Medifarma
Geomed Love-Kerrison 90 Down 1mm - PT. Fosma Medifarma Unit
Fosma Medifarma
Fosma Medifarma
Geomed Love-Kerrison 90 Down 2mm 18cm Without Ejector Unit
Without Ejector- PT. Fosma Medifarma
Geomed Love-Kerrison 90 Down 2mm 18cm Without Ejector, Thin Unit
Fosma Medifarma
Geomed Ejector - PT. Fosma Medifarma Unit
Geomed Love-Kerrison 90 Down 3mm 18cm With Ejector- PT. Unit
Fosma Medifarma
Geomed Love-Kerrison 90 Down 3mm 18cm With Ejector, Thin Unit

Geomed Love-Kerrison 90 Down 3mm 20cm With Ejector - PT. Unit
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Geomed Love-Kerrison Foot - PT. Fosma Medifarma Unit
Fosma Medifarma
Fosma Medifarma
Geomed Love-Kerrison 90 Down 5mm 15cmwith Ejector - PT. Unit
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma

Fosma Medifarma
Fosma Medifarma
Geomed Love-Kerrison 90 Down 6mm 20cmwith Ejector, Thin Foot Unit
Fosma Medifarma
Geomed Love-Kerrison 90 Up 18cm 2mm Without Ejector, Thin Unit
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Foot- PT. Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma
GeomedMedifarma
Love-Kerrison 90 Up 2mm 20cm Without Ejector, Thin Unit
Medifarma
Harga Satuan Harga Survey Sumber
13,009,500.00 DINKES
11,856,000.00 DINKES
14,282,250.00 DINKES
13,105,500.00 DINKES
14,282,250.00 DINKES
14,282,250.00 DINKES
14,282,250.00 DINKES
14,282,250.00 DINKES
14,282,250.00 DINKES
8,255,250.00 DINKES
9,261,562.50 DINKES
8,255,250.00 DINKES
8,255,250.00 DINKES
9,261,562.50 DINKES
7,833,375.00 DINKES
9,596,250.00 DINKES
11,448,562.50 DINKES
7,622,437.50 DINKES
8,000,437.50 DINKES
9,261,562.50 DINKES
7,337,250.00 DINKES
12,556,500.00 DINKES
7,833,375.00 DINKES
6,018,750.00 DINKES
8,000,437.50 DINKES
6,820,312.50 DINKES
12,556,500.00 DINKES
8,502,750.00 DINKES
8,502,750.00 DINKES
6,347,250.00 DINKES
6,226,875.00 DINKES
6,347,250.00 DINKES
13,419,750.00 DINKES
8,502,750.00 DINKES
8,502,750.00 DINKES
6,347,250.00 DINKES
6,226,875.00 DINKES
6,347,250.00 DINKES
13,419,750.00 DINKES
8,502,750.00 DINKES
8,502,750.00 DINKES
6,347,250.00 DINKES
6,760,125.00 DINKES
6,347,250.00 DINKES
13,419,750.00 DINKES
8,502,750.00 DINKES
8,502,750.00 DINKES
6,347,250.00 DINKES
7,116,187.50 DINKES
6,347,250.00 DINKES
13,419,750.00 DINKES
6,791,625.00 DINKES
5,840,437.50 DINKES
8,190,562.50 DINKES
6,867,000.00 DINKES
7,467,187.50 DINKES
6,791,625.00 DINKES
13,776,750.00 DINKES
8,190,562.50 DINKES
6,018,750.00 DINKES
8,000,437.50 DINKES
7,412,625.00 DINKES
8,190,562.50 DINKES
13,776,750.00 DINKES
6,672,937.50 DINKES
6,018,750.00 DINKES
8,000,437.50 DINKES
7,412,625.00 DINKES
8,190,562.50 DINKES
13,776,750.00 DINKES
8,190,562.50 DINKES
6,018,750.00 DINKES
8,000,437.50 DINKES
7,412,625.00 DINKES
6,111,562.50 DINKES
13,776,750.00 DINKES
8,190,562.50 DINKES
6,018,750.00 DINKES
8,000,437.50 DINKES
7,412,625.00 DINKES
6,111,562.50 DINKES
13,776,750.00 DINKES
8,190,562.50 DINKES
6,018,750.00 DINKES
8,000,437.50 DINKES
6,820,312.50 DINKES
6,111,562.50 DINKES
13,776,750.00 DINKES
8,000,437.50 DINKES
8,000,437.50 DINKES
7,833,375.00 DINKES
6,857,437.50 DINKES
8,000,437.50 DINKES
7,467,187.50 DINKES
6,791,625.00 DINKES
7,833,375.00 DINKES
6,018,750.00 DINKES
6,143,625.00 DINKES
5,840,437.50 DINKES
6,672,937.50 DINKES
DAFTAR BARANG/JASA YANG DIBUTUHKAN RSUD BANTEN
V. BIDANG KESEHATAN
No Jenis Barang/Jasa Merk/Type/Spesifikasi/Ukuran Satuan Harga Satuan
Penyediaan Makan dan Minum Pasien dan
I
Petugas Jaga
Segar, utuh, tidak busuk, matang,
1 Alpukat Kg 22,000
tua, isi 3 -4 bh/kg
Segar, utuh, bersih, tidak busuk, 1
2 Anggur hijau Kg 92,000
kg isi 80 - 100 btr
Jenis autum royal, segar, utuh,
3 Anggur hitam Kg 115,000
bersih, tanpa biji, tidak busuk
Segar, utuh, bersih, tidak busuk, 1
4 Anggur merah Kg 72,000
kg isi 80 - 100 btr
Segar, bersih, utuh, jenis RRC ,
5 Apel Fuji Kg 35,000
manis, 1 kg isi 6 bh
Segar, bersih, utuh, jenis
6 Apel merah Kg 38,500
washington, manis, 1 kg isi 6 bh
Merk Ratu, kemasan plastik 500 gr,
7 Asem matang Bks 17,200
hitam tanpa bill, segar
Segar, wama merah hati, tak bau,
8 Ati ayam kenyal, tanpa empedu, 1 kg isi 18 - Kg 38,200
20 bh
Segar, lokal, wama merah hati,

9 Ati sapi Kg 67,000
tidak bau, kenyal
Segar, utuh, bersih, tanpa kulit,

10 Ayam dada tanpa sayap, tanpa formalin, tidak Kg 49,500
bau
Segar,bersih,kenyal,tidak berlendir,
jenis kampung,1 kg 4 potong
11 Ayam kampung Ekor 72,000
terpisah kaki dan kepala, tanpa
formalin, tidak bau
Segar,bersih,kenyal,tidak berlendir,
12 Ayam potong tanpa kepala, leher, kaki, 1 kg isi kg 33,500
10 ptg, tanpa formalin, tidak bau
Beku, tidak kadaluarsa, 70
13 Bakso ikan Kg 52,000
buah/Kg, ED minimal 3 buian
Merk somber selera kebon jeruk,
14 Baso sapi asli, tanpa campuran, kern. 700 Btr 67,500
gr/50 bh
Merk Minaku, kemasan plastik 500
15 Baso udang Bks 43,800
gr, ED minimal 3 bulan
16 Bawang bombay Segar, kering, utuh, bersih Kg 27,500
Segar, kering, besar sedang, tua,
17 Bawang merah tidak busuk, sekualitas bawang Kg 32,000
brebes
Segar, muda, bersih, tanpa ulat,
18 Bayam Kg 13,500
daun hijau & utuh, dengan akar
Segar, matang, wama kuning

19 Bellmbing kemerahan,utuh, tdk busuk, 1 kg Kg 27,500
isi 3 - 7 bh
20 Belimbing sayur Segar, tua, tidak busuk Kg 11,500
21 Bengkuang Segar, muda, bersih Kg 8,000
Segar, hijau, tanpa ulat, utuh,
22 Brokoll Kg 26,500
muda, tanpa bonggol, tanpa daun
23 Buncis Segar, muda, utuh, tanpa ulat Kg 13,800
Segar, tua, bersih, wama hijau tua,
24 Cabe ijo Kg 27,600
tidak busuk
Segar, tua, bersih, wama merah tua
25 Cabe merah Kg 27,500
merata, tidak busuk
26 Cabe rawit Segar, tua, tidak busuk, bersih Kg 27,500
Segar, tanpa ulat, daun hijau dan
27 Caisim Kg 9,000
utuh, muda
Segar, kenyal, utuh, putih bersih

28 Cumi kupas Kg 75,500
tanpa selaput, tanpa kepala
Segar, 100% daging ayam tanpa

29 Daging ayam cincang campuran lemak, tidak bau, tak Kg 65,000
beriendlr
Segar, 100% daging tanpa
30 Daging sapi cincang campuran lemak, tidak bau, tidak Kg 130,000
beriendir
Segar, jenis has dalam, muda,

31 Daging sapi super wama merah cerah, tidak bau, Kg 115,000
tanpa lemak
32 Daun bawang Segar, bersih, tidak busuk, utuh Kg 16,200
Segar, tua, wama hijau merata,
33 Daun jeruk Kg 31,000
tanpa ulat
34 Daun kemangi Segar, muda, utuh, tanpa ulat Kg 20,700
35 Daun melinjo Segar, muda, utuh, tanpa ulat, Kg 20,000
36 Daun pandan Segar, tua, tidak bolong - bolong Ikat 2,800
Segar, jenis pisang klutuk, hijau
37 Daun pisang Ikat 2,500
mengkilat, tidak sobek, bersih
38 Daun Salam Segar, berslh, tidak kering, muda Ikat 11,500
Segar, muda, daun tidak lebar,

39 Daun selada bokor Kg 20,500
utuh, tidak berulat, bersih
40 Daun seledri Segar, muda, bersih, tanpa akar Kg 23,500
Kering, aren, tidak berjamur, utuh,

41 Gula merah Kg 26,600
kuning kecokiatan mengkilat
Segar, fillet, perpotong 40 gram,

42 Ikan Gurame Kg 101,500
daging kenyal merah
43 Ikan Kakap Segar, fillet, kenyal, wama daging meKg 66,700
Segar, hidup, tidak bau tanah, 10
44 Ikan Mas Kg 34,500
ekor/kg
Segar, hidup, tidak busuk, 1 kg 2-3
45 Ikan Patin Kg 25,500
ekor
Segar, fillet, merek dorri, tanpa

46 Ikan Tenggiri tulang, per potong 50 gr, dengan Kg 55,000
kulit
Segar, muda, utuh, tanpa kulit, 1
47 Jagung manis Kg 10,500
kg isi 4 - 5 buah, tanpa ulat
Segar, muda, tanpa kulit, ukuran
48 Jagung semi sedang merata, tanpa rambut, Kg 23,000
bersih
Segar, bersih, tua, tidak busuk,
49 Jahe Kg 16,500
utuh
Segar, manis, tua, matang, tanpa
50 Jambu biji Kg 13,500
ulat, jenis jambu hijau
Segar, manis, tua, matang, tanpa
51 Jambu biji merah Kg 14,000
ulat, jenis jambu merah
Segar, kering, warn putih bersih,

52 Jamur putih Kg 41,500
tidak busuk, tidak berlendir
Segar, tua, tidak keras, berair

53 Jeruk lemon Kg 23,000
banyak
54 Jeruk limau Segar, tua, tidak busuk, banyak air Kg 31,000
Segar, jenis Ponkam, 1 kg is' 7

55 Jeruk Mandarin Kg 40,100
buah, tidak busuk
56 Jeruk Mandarin Santang Segar, tua, manis, tidak busuk Kg 34,500
Segar, tua, manis, warns orange, 1
57 Jeruk manis medan Kg 29,500
kg isi 6 - 7 bh, jenis brastagi
58 Jeruk nipis Segar, tua, tidak busuk, banyak air Kg 20,500
Segar, jenis slam, empuk banyak

59 Jeruk peras Kg 19,500
air, manis
60 Kacang merah Segar, bemas, tua, tidak berlendir, Kg 45,000
Segar, muda, tanpa ulat, bersih,
61 Kacang panjang Kg 12,500
utuh
Golden Farm, beku, muda,
62 Kacang polong Pak 23,000
kemasan 500 gr/pak
Segar, muda, ukuran sedang
63 Kapri Kg 46,000
merata, tidak berulat, bersih
Segar, tua, tidak berlendir, utuh
64 Kelapa butir Btr 5,800
dengan batok tanpa sabut
Segar, muda, tidak berulat, tanpa
65 Kembang kol Kg 25,500
bonggol, bersih, tidak busuk
Segar, tua, bersih tanpa tanah,

66 Kencur Kg 34,500
utuh, tidak busuk
Segar, jenis tes, tua, bersih, tidak
67 Kentang Kg 11,500
busuk
Baru, kenyal bens', tidak berlendir,
68 Ketupat Bh 2,500
tanpa campuran bleng
69 Kiwi Segar, tidak busuk, matang Kg 62,000
Segar, bersih, muda, tanpa ulat,
70 Kol bersih, tidak berlendir, ukuran Kg 9,000
sedang
Segar, bersih, putih, tanpa kulit,
71 Kolang - Kaling Kg 16,000
tidak asem
Kering, tidak berjamur, tidak sobek,

72 Kulit lumpia tidak basi, ukuran besar, isi 10 Bks 2,000
lembar
Kering, tidak berjamur, tidak sobek,
73 Kulit pangsit Bks 7,000
tidak basi, ukuran besar
74 Kunyit Segar, bersih, tua, utuh Kg 9,000
Segar, muda, utuh, bersih, tidak
75 Labu air Kg 8,000
busuk
76 Labu Kuning Segar, tua, pulen, manis Kg 9,200
Segar, muda, utuh, bersih, tidak
77 Labu Siam Kg 6,500
busuk
78 Laos segar Segar, utuh, tua, bersih Kg 9,000
Segar, tua, manis, bersih, kulit
79 Lengkeng utuh dengan tangkal, 100 gram isi Kg 40,500
10 - 15 bh
Segar, bersih, ukuran kecktidak

80 Lobak Kg 13,500
busuk, tanpa daun
Segar, jenis harumanis, tua, manis,
81 Mangga Bh 17,000
tidak busuk, 1 kg isi 3 bh
82 Melon import Rocky, manis, segar, tua Kg 18,500
Segar, manis, tua, tidak busuk,
83 Melon lokal Kg 11,000
bersih
Segar, tua, matang, manis, utuh,
84 Nangka matang bersih, kuning mengkllat, tidak Kg 17,500
busuk
85 Nangka muda Segar, sudah di kupas Kg 11,500
86 Nenas Segar, tua, matang, dengan kulit Bh 5,500
Segar, utuh, tanpa campuran

87 Oncom Papan 5,800
ampas, sekualitas oncom bandung
Segar, muda, bersih, utuh, tanpa

88 Oyong Kg 10,500
ulat, tidak busuk
Segar, tua, utuh, 1 kg isi 5 - 6 bh,
89 Paprika hijau bersih, tidak busuk, wama hijau Kg 35,000
tua

90 Paprika kuning Kg 46,000
bersih, tidak busuk, merah merata

91 Paprika merah bersih, tidak busuk, merah merata Kg 46,000
Segar, jenis ya lie, manis, tua, tidak

92 Pear Kg 23,000
bonyok, bersih, 1 kg isi 6 - 7 bh
Segar, tua, manis, wama merah,

93 Kg 9,500
Pepaya California bersih, tidak busuk
Segar, bangkok, tua, manis, warna
94 Pepaya matang merah, bersih, tidak busuk Kg 6,200
95 Pepaya mentah Segar, tua, tidak busuk Kg 6,200

Segar, muda, bersih, tanpa ulat,
96 Petercelly Kg 36,500
wama hijau tua,
97 Pisang ambon Kg 17,500
tidak bonyok, dengan sisir
98 Pisang kepok tidak bonyok, dengan sisir, kunIng, Kg 19,500
8 - 10 bh/kg
99 Kg 18,000
Pisang mas Segal-, tua, matang, manis, utuh,
Segar, matang, warna kuning,
100 Pisang Muli Kg 11,500
utuh, 1 kg isi 15 - 20 buah
101 Pisang Raja Bulu Segar, tua, matang pohon, Kg 17,500
Tua, matang, ukuran 10-12
102 Pisang Raja Sereh Kg 16,500
buah/Kg
103 Pisang raja tanglun Segar, tua, matang pohon, Kg 17,250
Segar, tua, matang, man is, utuh,
104 Pisang sunpride Kg 18,500
tidak bonyok, dengan sisir

105 Pisang tanduk Bh 4,600
berat minimal 350 gr, dengan sisir
106 Rebung Segar, tidak asem, muda Kg 13,500

Sari roti, kemasan plastik isi 4
107 Roti Gandum Bks 17,500
buah, ED minimal 2 hari
Hawaii, isi bervariasi

108 Roti isi Buah 8,500
(coklat/srikaya/kc. Ijo/cokiat keju)
Sari roti, baru, tidak berjamur,

109 Roti tawar Bks 12,000
kemasan plastik isi 10 lembar
Segar, muda, tanpa ulat bersih,
110 Sawi putih Kg 9,200
tidak busuk
Segar, jenis super, tanpa biji,
111 Semangka Kg 6,200
manis, wama merah
Segar, jenis super, tanpa biji,
112 Semangka Kuning Kg 16,000
manis, wama kuning cerah
113 Sereh Segar, bersih, tidak kering, tua Kg 11,500
Varietas mentega, segar, murni
114 Singkong parut Kg 5,700
tanpa campuran
Kimbo, segar, kemasan plastik 775
115 Sosis sapi Bks 62,000
gr/24 btg
Segar, matang, utuh, dengan daun,
116 Strawberry Kg 46,000
tidak busuk
Uftra jaya, Kemasan 200 ml, Rasa
117 Susu Cair Kotak 4,800
coklat & vanila
Segar, tanpa pengawet & pewama,

118 Tahu kuning Bh 1,200
wama kunyit alami, tidak beriendir
Segar, ukuran sedang,bentuk

119 Tahu Pong Bh 600
segitiga
Segar, 100 -120 gr/bh, tidak
120 Tahu putih Bh 3,000
beriendir, tidak bau
Segar, putih, dengan bungkus,
121 Tahu Sutera Bh 3,200
lembut, utuh
Manis, cukup matang, tidak
122 Tape matang Kg 8,000
berserat, utuh, bersih
Seger, utuh, bersih, tidak bau, 1 kg
123 Telur ayam Kg 21,000
isi 16 butir
segar, utuh, bersih, butiran, tidak
124 Telur puyuh Btr 575
bau
Kedelai mumi, tidak busuk, bersih,
125 Tempe Kg 11,500
bungkus daun, segar
Segar, muda, utuh,wama ungu tua,
126 Terung sayur Kg 13,500
besar merata
Segar, muda, ukuran sedang,
127 Timun Kg 6,500
bersih
Segar, muda, bersih, wama hijau
128 Timun jepang Kg 20,700
tua, 1 kg 6 buah
Segar, putih, bersih, tidak busuk,
129 Toge Kg 11,500
tidak berair
Segar, matang keras, tidak busuk,

130 Tomat Kg 10,500
bersih, wama merah, 1 kg isi 10 bh
131 Tomat hijau Segar, utuh, tidak busuk Kg 10,500

132 Ubi jalar Segar, putih, tua Kg 5,800
133 Ubi Ungu Segar, ungu, tua Kg 8,000
Tanpa kepala, segar, utuh, ukuran
134 Udang Kg 103,000
sedang
135 Wortel Lokal, kering, ukuran sedang Kg 13,800
136 Wortel import Import, kering, ukuran kecil (S) Kg 20,500
137 pakaian Sipil PSH - stel/Orang 400,000
138 Pakaian Dinas Harian PDH - stel/Orang 550,000
139 Pakaian Batik - stel/Orang 500,000
140 Pakaian Korpri - stel/Orang 600,000
141 Pakaian Kerja Lapangan RSUD Banten - stel/Orang 300,000
Perlengkapan Pakaian Kerja Lapangan
142 stel/Orang
Petugas - 300,000
Penyediaan Sarana Dan Prasarana Ruang
II
Instalasi Laundry
1 four seven 360

Detergent Bubuk 15,000
2 four seven 36
Detergent cair 400,000
3 four seven 36
chlorin bleach 400,000
4 four seven 36
oksigen bleach 550,000
5 four seven 36
Emulsifire 550,000
6 four seven 36
softener 400,000
7 four seven 36
desinfektan 400,000
8 four seven 36
Sour (penetralisir kimia) 550,000
9 four seven 36
pewangi kain 400,000
10 - 100
tambang plastik 4,000
11 stella 24
pewangi ruangan 50,000
12 giant 96
tisue 7,000
13 florex 24
pembersih lantai 12,000
14 - 1
sikat kain 60,000
15 - 6
sikat toilet 12,500
16 cimberly clark 4
sarung tangan panjang 95,000
17 - 4
lap pel 80,000
18 dettol 12
handshop 15,000
19 - 4
meteran kain 12,000
20 - 2
benang jahit berwarna 150,000
21 singer 14 & 18 10
jarum jahit 12,000
22 - 4
gunting kain 50,000
23 - 1
kapuir kain 12,000
24
Stik Laken cotton 100% 50 pcs 70,000
25
Sarung Bantal cotton 100% 50 pcs 60,000
26
Sarung Guling cotton 100% 50 55,000
27
Boven Laken cotton 100% 40 pcs 146,000
28
Sprei Karet TC Soil Release 50 147,000
29
Stik Laken TC Soil Release 50 pcs 60,000
30
Perlak Oscar 100 pcs 76,000
31
Perlak PVC 50 pcs 41,000
32
Sendal oprasi 13 700,000
33
Bed Pad TC Dacron 50 pcs 266,000
34
Sarung Kasur TC Antibactery + WR 50 pcs 237,000
35
Selimut Polar Acrylice 100 pcs 200,000
36
selimut Quilted cotton 40 550,000
37
selimut link flannel 100 122,000
III. BAJU KAMAR OPERASI/OT CLOTHING
jas operasi standard (operating gown

1
standard) TR twill antibacteri 20 pcs 260,000
jas operasi overlapping (operating gown
2
wrap around) TR twill antibacteri 20 pcs 280,000
jas operasi water reppellent (operating gown
3
barrier) TR twill antibacteri 20 pcs 320,000
BAJU DAN CELANA OPERASI ( SCRUB &
IV.
PANTS)
Hacinco & celana (v-Neck scrub shirt &
1
pants) TR twill antibacteri 20 Stel 242,000
Baju dan celana leher bulat (round neck
2
scrub shirt & pants) TR twill antibacteri 20 Stel 242,000
Baju dan celana leher overlapping (cries cross
3
scrub shirt & pants) TR twill antibacteri 20 Stel 242,000
V TOPI OK (OT GOWN)

1 Topi ok tali ( surgical cap,tie)
TR twill antibacteri 20 Pcs 24,000
2 Topi OK karet (surgical cap,elastic)

TR twill antibacteri 20 Pcs 24,000
VI JAS OPERASI
Jas operasi standard (operating gown

1
standard) cotton soil release 20 Pcs 399,000
jas operasi overlaping (Operating gown wrap
2
around) cotton soil release 20 Pcs 425,000
jas operasi water reppellent ( operating gown
3
barier) cotton soil release 20 Pcs 440,000
VII
PANTS)
1
pants) cotton soil release 20 Stel 370,000
2
scrub shirt & pants) cotton soil release 20 Stel 370,000
baju dan celana leher overlapping (cries cross
3
scrub shirt & pants) cotton soil release 20 Stel 370,000
VIII TOPI OK (OT GOWN)

cotton soil release 20 pcs 28,000
2 Topi ok karet (surgical cap,elastic)

IX JAS OPERASI (OT GOWN)
Jas operasi standard (operating gown

4
standard) cotton 20 pcs 217,000
X
PANTS)
1
pants) cotton 20 stel 200,000
2
scrub shirt & pants) cotton 20 stel 200,000
3
scrub shirt & pants) cotton 20 stel 200,000
XI TOPI OK (OT GOWN)
1 - Topi ok tali ( surgical cap,tie)

cotton 20 pcs 19,000
2 - topi ok karet (surgical cap,elastic)

cotton 20 pcs 19,000
XII LINEN KAMAROPERASI (OT LINEN)
- Alas meja operasi (cover operating table)

1
uk.60 x 200 cm cotton soil release 20 pcs 133,000
2 - Duk (drape) uk. 50 x 60 cm




- Duk lobang belah (fenestrated drape)uk.
6
50x60cm cotton soil release 40 pcs 49,000
7
8
- Duk lobang besar (fenestrated drape-large)
9
uk. 125x325cm cotton soil release 20 pcs 387,000
-Duk lobang bulat (round hole drape) uk.
10
50x60 cm cotton soil release 40 pcs 49,000
11
12
13 - Duk persegi (Utility drape) uk. 50 x 50 cm
XIII Baju pasien dewasa / adult patien gown
1 Baju pasien ok
TC Soll Release 40 pcs 112,000
2 Topi pasien OK
TC Soll Release 50 pcs 29,000
3 kimono & celana

TC 40 pcs 172,000
4 kinom
TC 40 pcs 128,000
5 Piyama lengan panjang

TC 30 pcs 187,000



- Duk Lobang Mata (Opthalmic Drape) uk.
9
60x90 cm cotton 40 pcs 47,000
10 - Duk Kaki (Leggings Drape) uk. 50x100 cm

cotton soil release 20pcs 253,000
- Sarung Meja mayo (cover mayo table) uk.
11
12 Sarung Bantal TC Soil Release 40 pcs

60,000
13 Sarung Guling TC Soil Release 30 pcs

48,000
XIV Penyediaan Sarana Dan Prasarana Ruang

Instalasi Kamar Jenazah
1 bath towel.UK60X120/CATTON
Handuk besar 30 102,850
2 plastik/UK ALL SIZE
Apron plastik 6 58,080
3 cotton 100%biru
Kain polos 10 121,000
4 catton/Towcel Uk15x20 cm
waslap washing 25 16,940
5 Galon 20 Ltr
Detergen cair 10 665,500
6 Kilogram
detergen bubuk 20 21,175
7 Galon 20 Ltr
Chlorin bleache 10 72,600
8 Galon 20 Ltr
Softener 6 665,500
9 Galon 20 Ltr
Desinfektan 8 665,500
10 Galon 20 Ltr
Pewangi kain 5 665,500
11 buah
Gunting kain 3 60,500
12 Buah
Meteran kain 2 60,500
13 Lusin
sarung tangan panjang plastik 2 181,500
14 buah
Gayung plastik 2 8,470
15 roll@100 meter
Benang sekun 2 1,149,500
16 buah
Baskom sedang 5 145,200
17 buah
Kantong jenazah kuning 100 314,600
18 ball
kain kafan 75 332,750
19 Gulung
Kapas gulung 50 78,650
20 Kg
Kapur barus 50 151,250
21 Kotak
sepon busa 50 6,050
22 Liter
sampo sansilk 10 24,200
23 Liter
Formalin 10 66,550
24 Mili
minyak wangi 100 6,650
25 By fress
Pewangi ruangan 50 18,150
XV Penyediaan Sarana Dan Prasarana Ruang

Instalasi K3RS
1 Barometer ANEROIT BAROMETER

1 7,800,000
2 Dust sempler AR-1500

1 52,000,000
3 Personal heat stress monitor QUEST TEMP II

1 52,000,000
4 Vibration meter VB-8200

1 9,100,000
XVI Penyediaan Sarana Dan Prasarana Ruang

Instalasi Gas Medis
0-15 LPM 5500-6000L Stell/Castor
Tabung Oksigen (tabung besar+ regulator) OT
1 Flowrate 0-15 Liter permenit Filter Unit 2,300,000
6000 + PS 302
terbuat dari keramik
0-15 LPM 1500-2000L Stell/Castor
Oksigen Therapy Set (tabung kecil +
2 Flowrate 0-15 Liter permenit Filter Unit 1,500,000
regulator) OT 1000 + PS 302
terbuat dari keramik
Penyediaan Sarana Dan Prasarana Ruang
XVII
Rehabilitasi Medik
1 Trampolin Kettler/ D: 100 Cm 1 1,000,000
2 Bola Ketiler Kettler 1 350,000
3 Bola Kacang Kettler 1 350,000
4 Educard 20 set 1 100,000
5 Bola Duri 1 360,000
6 Terowongan Parasut 1 400,000
7 Sikat Sensori 1 100,000
8 Wire Game 1 80,000
9 Wire Game 2 1 150,000
10 Oral Sensori Teeth Brush 1 100,000
11 Lips Whistle 4 50,000
12 Puzzle Knop Geometri 2 100,000
13 Puzzle Fraction 2 100,000
14 Menara Pelangi 2 100,000
15 Puzzle Pasak Geo 2 100,000
16 Standing Table 1 2,000,000
17 Cone 10 50,000
18 Alat Gymnasium
19 Double featur motrized 1 Set 14,999,900
20 cardio heart with speaker 1 Set 6,799,900
21 AB muscle 1 Set 2,999,900
22 Orbitrek SE 1 Set 7,199,900
23 Game bike 1 Set 1,199,900
24
25
Papan Titian SF Ukuran : p : 180cm/t : 60cm 1 2,700,000
26
Physioball Gymnic/diameter : 65 cm 1 1,300,000
27
28
29
30
Matras Lantai Ukuran : 2m x 1 m 10 500,000
31
Matras Dinding Uk : t :100cm/tbl:15cm/p : 22 m 5 1,000,000
32
Papan Goyang Uk:l:60cm/t : 15 cm/ p : 100 cm 1 1,500,000
33
Terowongan Busa Ukuran : diameter 60 cm 1 1,500,000
34
Wall Bar Ukuran : 180 x 98 cm 1 4,500,000
35
Meja + Kursi Terapi Type : multiplek 1 1,700,000
36
Bolster/ Guling Terapi Dukuran : p : 90cm/d : 25 cm 1 1,100,000
37
Walker Pediatric Dm - indonesia 1 1,100,000
38
Stool Dm - indonesia 1 700,000
39
Apraksia Kit (Talkstool) Og shop 1 1,500,000
40
ARK Graber (Talks Tools) Og shop 1 300,000
41
ARK Z Vibe (Talkstool) Og shop 1 1,300,000
42
Bear Bottle With Straw Og shop 1 300,000
43
Chewy Tube(Talkstool) Og shop 1 250,000
44
Duck Whistle Og shop 1 50,000
45
Eye Pops Og shop 1 90,000
46
Face Massager Og shop 1 70,000
47
Horn Original Kit (Talkstool) Og shop 1 950,000
48
Inspirometer Og shop 1 250,000
49
Inspirometer (Talkstool) Og shop 1 550,000
50
Jaw Exercise Og shop 1 1,000,000
51
Jaw Grading Bit Block Puple Og shop 1 1,100,000
52
Jaw Grading Bit Block Red 0g shop 1 1,100,000
53
Jet Kazoo Og shop 1 30,000
54
Jet Whistle Og shop 1 25,000
55
Lilin Tiup Og shop 10 20,000
56
Long Kazoo Og shop 1 50,000
57
Mic Echo Og shop 1 50,000
58
Mini Face Vibrator Og shop 1 100,000
59
Mini Face Vibrator Warna Og shop 1 100,000
60
Mini Pan Whistle 0g shop 1 25,000
61
Peluit Kincir Og shop 1 25,000
62
Peluit Kodok Og shop 1 35,000
63
Raper Snaper Og shop 1 45,000
64
Sikat 3 Step Aapple Og shop 1 30,000
65
Sikat 3 step tomie tipie Og shop 1 35,000
66
Spea kit ( talktools) Og shop 1 25,750,000
67
Straw Og shop 1 40,000
68
Tongue spatel kayu Og shop 1 30,000
69
Tongue spate stainless Og shop 1 20,000
70
Tongue tip lateralitation Og shop 1 980,000
71
Toothets isi 20pcs (talktools) Og shop 1 215,000
72
Toothets with vibrator ( talktools) Og shop 1 355,000
73
Train whistle Og shop 1 17,000
74
Tritone whistle Og shop 1 200,000
75
Vibrator oral Og shop 1 120,000
76
Wind mild wistle Og shop 1 12,000
77
Zoo wistle Og shop 1 25,000
78
Crossover Og shop 1 42,000
79
Dolphin vibrator Og shop 1 500,000
80
Extremgell grip Og shop 1 20,000
81
Ez scrub brush Og shop 1 500,000
82
Fisioball duri 75cm Og shop 1 197,000
83
Fliying finger Og shop 1 32,000
84
Grotto Og shop 1 42,000
85
Hop ball 45cm Og shop 1 135,000
86
Jumbo grid Og shop 1 59,000
87
Mediumclaw Og shop 1 44,000
88
Peanutball Og shop 1 200,000
89
Ridged foam grip Og shop 1 20,000
90
Sikat terapi Og shop 1 40,000
91
Solo gird Og shop 1 260,000
92
Star right Og shop 1 40,000
93
Streto gird Og shop 1 20,000
94
The pencil gird Og shop 1 40,000
95
Triangular gird Og shop 1 20,000
96
Two way fisio ball Og shop 1 240,000
97
Terowong trobos Og shop 1 260,000
98
Kartu edukatif aktifitas Og shop 1 50,000
99
Kartu edukatif asosiasi Og shop 1 35,000
100
Kartu edukatif bayi belacar membaca Og shop 1 55,000
101
Kartu educatif binatang Og shop 1 40,000
102
Edudomino Og shop 1 20,000
103
Edudomino set isi 5 Og shop 1 80,000
104
Flascard isi 5 Og shop 1 200,000
105
Foto bayi pintar Og shop 1 45,000
106
Gender Og shop 1 35,000
107
Kata kerja Og shop 1 12,000
108
Kata sifat Og shop 1 50,000
109
Memory game Og shop 1 40,000
110
Memory game set isi 5 Og shop 1 50,000
111
Pe be em (lat artikulasi) Og shop 1 40,000
112
Pemahaman bentuk Og shop 1 25,000
113
Pemahaman tempat Og shop 1 35,000
114
Pemahaman alfabet Og shop 1 35,000
115
Pemahaman angka Og shop 1 20,000
116
Pemahaman huruf Og shop 1 20,000
117
Pemahaman waktu Og shop 1 35,000
118
Pintar lengkap Og shop 1 45,000
119
Pintar membaca suku kata Og shop 1 45,000
120
Playing card Og shop 1 11,000
121
Playing card set isi 6 Og shop 1 60,000
122
Kartu edukatif profesi Og shop 1 35,000
123
Smart card Og shop 1 15,000
124
Smart card set isi 5 Og shop 1 60,000
125
Warna Og shop 1 25,000
126
Iq devel0pment card asosiasi Og shop 1 50,000
127
Iq develpment card apa yang salah Og shop 1 55,000
128
Iq development card apa yang hilang Og shop 1 60,000
129
Iq development card apa yang beda Og shop 1 55,000
130
Iq development card berhitung Og shop 1 65,000
131
Iq development card emosi Og shop 1 65,000
132
Iq development card kebiasaan baik Og shop 1 55,000
133
Klasifikasi kata kerja Og shop 1 50,000
134
Klasifikasi 1 Og shop 1 50,000
135
Klasifikasi 2 Og shop 1 50,000
136
Kata kerja anak Og shop 1 55,000
137
Kata kerja ibu Og shop 1 55,000
138
Lawan kata benda Og shop 1 55,000
139
Lawan kata orang Og shop 1 60,000
140
Lotto baca biru Og shop 1 60,000
141
Lotto baca kuning Og shop 1 60,000
142
Lotto kecil anak Og shop 1 30,000
143
Lotto kecil benda Og shop 1 30,000
144
Lotto kecil foto benda Og shop 1 30,000
145
Lotto kecil huruf Og shop 1 55,000
146
Pemahaman tempat 1 Og shop 1 55,000
147
Pemahaman tempat 2 Og shop 1 55,000
148
Preposisi Og shop 1 55,000
149
Profesi Og shop 1 55,000
150
Rumah 1 Og shop 1 55,000
151
Rumah 2 Og shop 1 55,000
152
Sebab akibat Og shop 1 55,000
153
Sikuen pemula Og shop 1 60,000
154
Sikuen lanjutan Og shop 1 60,000
155
Sikuen pertumbuhan Og shop 1 60,000
156
Suara apa ini Og shop 1 55,000
157
Tubuhku Og shop 1 40,000
158
Puzzle a Og shop 1 40,000
159
Puzzle b Og shop 1 40,000
160
Puzzle c Og shop 1 40,000
161
Puzzle d Og shop 1 40,000
162
Gradasi besar kecil Og shop 1 40,000
163
Gradasi tinggi/pendek/panjang Og shop 1 40,000
164
Lotto board binatang Og shop 1 35,000
165
Lotto board benda Og shop 1 35,000
166
Lotto board buah Og shop 1 35,000
167
Lotto board kendaraan Og shop 1 35,000
168
Lotto board 3d Og shop 1 35,000
169
Lotto board bentuk Og shop 1 35,000
170
Kwarted (klasifikasi benda) Og shop 1 50,000
171
Mainan kayu abacus Og shop 1 40,000
172
Mainan kayu alat pertukangan Og shop 1 50,000
173
Mainan kayu aneka menjahit Og shop 1 20,000
174
Mainan kayu angka digital Og shop 1 40,000
175
Mainan kayu balok 40000 Og shop 1 150,000
176
Mainan kayu balok bangunan Og shop 1 40,000
177
Mainan kayu balok mobil Og shop 1 80,000
178
Mainan kayu balok natural Og shop 1 140,000
179
Mainan kayu balok geometri Og shop 1 60,000
180
Mainan kayu bebakaran Og shop 1 50,000
181
Mainan kayu boneka jari profesi Og shop 1 50,000
182
Mainan kayu boneka jari serangga Og shop 1 22,000
183
Mainan kayu boneka tangan Og shop 1 65,000
184
Mainan kayu boneka tangga Og shop 1 25,000
185
Mainan kayu bowling Og shop 1 45,000
186
Mainan kayu buah buahan Og shop 1 40,000
187
Mainan kayu donat Og shop 1 50,000
188
Mainan kayu felt book binatang Og shop 1 50,000
189
Mainan kayu felt book jumlah Og shop 1 50,000
190
Mainan kayu felt book Og shop 1 50,000
191
Mainan kayu feltbook geometri Og shop 1 50,000
192
Mainan kayu feltbook lets word Og shop 1 50,000
193
Mainan kayu fraksi (shape) Og shop 1 50,000
194
Mainan kayu fraksi 5 shape Og shop 1 35,000
195
Mainan kayu golf Og shop 1 40,000
196
Mainan kayu hammer boneka loncat Og shop 1 45,000
197
Mainan kayu hanoy tower Og shop 1 40,000
198
Mainan kayu heli bongkar Og shop 1 40,000
199
Mainan kayu hit the ball Og shop 1 50,000
200
Mainan kayu jam bunga Og shop 1 50,000
201
Mainan kayu jam duduk Og shop 1 50,000
202
Mainan kayu jam gantung Og shop 1 40,000
203
Mainan kayu weker Og shop 1 50,000
204
Mainan kayu jamur hitung Og shop 1 50,000
205
Mainan kayu jangkrik tarik Og shop 1 35,000
206
Mainan kayu jigsaw puzzle timbul eks Og shop 1 40,000
207
Mainan kayu jigsaw puzzle timbul ikan Og shop 1 40,000
208
Mainan kayu kapal bongkar Og shop 1 50,000
209
Mainan kayu kereta angka 0-9 Og shop 1 45,000
210
Mainan kayu kereta tarik Og shop 1 40,000
211
Mainan kayu kereta kubus / telor Og shop 1 40,000
212
Mainan kayu kerata putar Og shop 1 50,000
213
Mainan kayu kereta sortasi Og shop 1 50,000
214
Mainan kayu kriket Og shop 1 40,000
215
Mainan kayu lempar gelang Og shop 1 50,000
216
Mainan kayu life skiils monteseri Og shop 1 50,000
217
Mainan kayu luncuran kelinci Og shop 1 40,000
218
Mainan kayu luncuran kelereng Og shop 1 45,000
219
Mainan kayu maching board Og shop 1 45,000
220
Mainan kayu maze kupu kupu Og shop 1 45,000
221
Mainan kayu maze panda Og shop 1 45,000
222
Mainan kayu maze pre writing Og shop 1 40,000
223
Mainan kayu maze pre writing 2 Og shop 1 50,000
224
Mainan kayu maze warna Og shop 1 40,000
225
Mainan kayu memancing Og shop 1 45,000
226
Mainan kayu menara kue tar Og shop 1 40,000
227
Mainan kayu menara kunci Og shop 1 40,000
228
Mainan kayu menara kunci 4 Og shop 1 45,000
229
Mainan kayu menara pelangi Og shop 1 40,000
230
Mainan kayu menjahit baju Og shop 1 25,000
231
Mainan kayu meronce Og shop 1 40,000
232
Mainan kayu meronce 100pcs Og shop 1 125,000
233
Mainan kayu meronce huruf Og shop 1 40,000
234
Mainan kayu miniature sepatu Og shop 1 35,000
235
Mainan kayu my book Og shop 1 50,000
236
Mainan kayu palu bola luncur Og shop 1 50,000
237
Mainan kayu pohon abjad Og shop 1 150,000
238
Mainan kayu pohon angka Og shop 1 150,000
239
Mainan kayu palu segitiga Og shop 1 45,000
240
Mainan kayu palu geometri Og shop 1 45,000
241
Mainan kayu papan tebal tipis Og shop 1 45,000
242
Mainan kayu pasak binatang Og shop 1 45,000
243
Mainan kayu pasak belah dua Og shop 1 35,000
244
Mainan kayu pasak geo angka Og shop 1 40,000
245
Mainan kayu pasak geo segi 4 Og shop 1 40,000
246
Mainan kayu pasak geometri Og shop 1 40,000
247
Mainan kayu pasak kepik Og shop 1 40,000
248
Mainan kayu petk ceri Og shop 1 40,000
249
Mainan kayu potong buah Og shop 1 50,000
250
Mainan kayu potong sayur Og shop 1 50,000
251
Mainan kayu pull along dino Og shop 1 45,000
252
Mainan kayu pusak belah 3 Og shop 1 38,000
253
Mainan kayu push alonge duck Og shop 1 38,000
254
Mainan kayu puzzle baca isi 6 Og shop 1 38,000
255
Mainan kayu puzzle wajah Og shop 1 50,000
256
Mainan kayu puzzle baca Og shop 1 50,000
257
Mainan kayu pasak geo kait Og shop 1 50,000
258
Mainan kayu alat transportasi besar isi 4 Og shop 1 50,000
259
Mainan kayu lotto warna Og shop 1 50,000
260
Mainan kayu puzzle peta Og shop 1 50,000
261
Mainan kayu alat transportasi kecil isi 6 Og shop 1 38,000
262
Mainan kayu puzzle angka /p.a segitiga Og shop 1 32,000
263
Mainan kayu puzzle binatang besar isi 4 Og shop 1 50,000
264
Mainan kayu puzzle binatang kecil isi 6 Og shop 1 38,000
265
Mainan kayu puzzle buah besar isi 4 Og shop 1 50,000
266
Mainan kayu puzzle buah kecil isi 6 Og shop 1 38,000
267
Mainan kayu puzzle eksklusif Og shop 1 37,000
268
Mainan kayu jahit huruf Og shop 1 35,000
269
Mainan kayu puzzle geometri Og shop 1 50,000
270
Mainan kayu puzzle huruf besar Og shop 1 50,000
271
Mainan kayu puzzle huruf kecil Og shop 1 50,000
272
Mainan kayu feltbook sayuran Og shop 1 50,000
273
Mainan kayu puzzle knob anatomi manusia Og shop 1 45,000
274
Mainan kayu puzzle knob geo Og shop 1 40,000
275
Mainan kayu puzzle pasak Og shop 1 35,000
276
Mainan kayu puzzlesimple Og shop 1 25,000
277
Mainan kayu puzzle tangan Og shop 1 40,000
278
Mainan kayu puzzle tusuk besar Og shop 1 40,000
279
Mainan kayu puzzle tusuk ikan Og shop 1 30,000
280
Mainan kayu rambun lalu lintas Og shop 1 150,000
281
Mainan kayu rumah boneka Og shop 1 320,000
282
Mainan kayu sate geometri Og shop 1 20,000
283
Mainan kayu sangkar sortasi Og shop 1 50,000
284
Mainan kayu sempoa Og shop 1 60,000
285
Mainan kayu maze mengenal habitat Og shop 1 45,000
286
Mainan kayu simple tracking Og shop 1 45,000
287
Mainan kayu siput loncat Og shop 1 50,000
288
Mainan kayu sliding slide Og shop 1 45,000
289
Mainan kayu fraksi 4 slide Og shop 1 50,000
290
Mainan kayu sortasi sangkar Og shop 1 50,000
291
Mainan kayu square hammer Og shop 1 50,000
292
Mainan kayu stacking bear Og shop 1 40,000
293
Mainan kayu tangram bujur sangkar Og shop 1 40,000
294
Mainan kayu tetris biasa /tebal Og shop 1 50,000
295
Mainan kayu tic tac toe Og shop 1 40,000
296
Mainan kayu timbangan kodok Og shop 1 45,000
297
Mainan kayu truck geometri Og shop 1 35,000
298
Mainan kayu truck bongkar pasang Og shop 1 45,000
299
Mainan kayu feltbook motesori Og shop 1 65,000
300
Mainan kayu truck sortasi Og shop 1 45,000
301
Mainan kayu ulat geometri Og shop 1 40,000
302
Mainan kayu wire game a Og shop 1 40,000
303
Mainan kayu wire game kura/ kepik Og shop 1 50,000
304
Boneka tangan keluarga Og shop 1 65,000
305
Boneka tangan binatang Og shop 1 65,000
XVIII OBAT
1 Acetazolamide 250 mg Glaucon Botol 20 tab 104,500

2 Acetazolamide 250 mg Glaucon Botol 20 tab
3 Acetylcystein 200 mg OGB Box 10 x 10 tab 110,000
4 Acetylcystein 200 mg OGB Box 10 x 10 tab
5 Adapalen 10 % Evalen gel 10 gr Tube 10 gr
6 Adenosin Triphosphat Disodium (ATP) Inj ATP Dankos Box @ 10 amp 385,000
7 Adenosin Triphosphat Disodium (ATP) Inj ATP Dankos Box @ 10 amp
8 Adenosin Triphosphat Disodium (ATP) Tab ATP Dankos Box 10 x 10 tab 137,500
9 Adenosin Triphosphat Disodium (ATP) Tab ATP Dankos Box 10 x 10 tab
10 Akarbose Tab 100 mg Akarbose OGB Box 10 x 10 Tab 173,800
11 Akarbose Tab 100 mg Akarbose OGB Box 10 x 10 Tab
12 Akarbose Tab 50 mg Akarbose OGB Box 10 x 10 Tab 107,800
13 Akarbose Tab 50 mg Akarbose OGB Box 10 x 10 Tab
14 Albendazol suspensi 200 mg/5 ml PT. Indofarma Dus, @ 10 Botol 3,811
15 Albendazol tablet 400 mg PT. Holi Pharma ktk 5 strip x 6 tablet 365
16 Albumin serum normal Inj 20% Albapure Botol 100 ml 1,300,000
17 Albumin serum normal Inj 20% Albapure Botol 50 ml
18 Albumin serum normal Inj 20% Albapure Botol 100 ml
19 Alginat GC bungkus 95,700
20 Alginat GC bungkus
21 Allylestrenol 5 mg Pregnolin 5mg box @ 50
22 Alprazolam tablet 0,25 mg PT. Dexa Medica dus 10 x 10 tablet 435
Kotak, 10 strip @ 10
23 Alprazolam tablet 0,5 mg PT. Dexa Medica 460
tablet
24 Alprazolam tablet 1 mg PT. Dexa Medica dus 10 x 10 tablet 810
25 Alvogyl Alvogyl Pot 350,000
26 Alvogyl Alvogyl Pot
27 Ambroksol drop 15 mg/ml Mucos Botol 20 ml 29,700
28 Ambroksol drop 15 mg/ml Mucos Botol 20 ml
29 Ambroxol sirup 15 mg/ml PT. Indofarma Botol 60 ml 2,475
30 Ambroxol tablet 30 mg PT. Novapharin ktk 10 X 10 tablet 86
31 Amikasin Sulfat Inj 250 mg/ml, 2 ml Amikasin Sulfat OGB Box @ 1 vial 79,200
32 Amikasin Sulfat Inj 250 mg/ml, 2 ml Mikasin Box @ 1 vial
33 Amikasin Sulfat Inj 250 mg/ml, 2 ml Amikasin Sulfat OGB Box @ 1 vial
34 Amikasin Sulfat Inj 500 mg/ml, 2 ml Amikasin Sulfat OGB Box @ 1 vial 132,000
35 Amikasin Sulfat Inj 500 mg/ml, 2 ml Mikasin Box @ 1 vial
36 Amikasin Sulfat Inj 500 mg/ml, 2 ml Amikasin Sulfat OGB Box @ 1 vial
37 Aminofilin injeksi 24 mg/ml PT. Phapros, Tbk ktk 30 ampl x 10 ml 3,240
38 Aminofilin tablet 200 mg PT. Marin Liza Farmasi Botol 100 tablet 87
39 Aminofluid L Aminofluid L Botol 500 ml
40 Aminofusin Pediatri Aminofusin Pediatri
41 Aminophyllin Inj OGB Box @ 24 amp
42 Amiodaron HCl Inj 50 mg/ml Cordarone Box @ 6 amp
43 Amiodaron HCl Tab 200 mg Cordarone Box 3 x 10 tab 174,843
44 Amiodaron HCl Tab 200 mg Cordarone Box 3 x 10 tab
Dus, 10 Strip @ 10
45 Amitriptilin tablet salut 25 mg (HCl) PT. Indofarma 102
Tablet
46 Amlodipin Tab 10 mg Divask Box 3 x 10 tab
47 Amlodipin Tab 5 mg Divask Box 3 x 10 tab 176,000
48 Amlodipin Tab 5 mg Divask Box 3 x 10 tab
49 Amlodipin tablet 10 mg PT. Hexpharm Jaya Laboratories Ktk 3 x 10 tablet 440
50 Amlodipin tablet 5 mg PT. Hexpharm Jaya Laboratories Ktk 3 x 10 tablet 240
51 Amoksisilin + As. Klavulanat 625 mg tablet PT. Indofarma Dus, 5 Strip @ 6 Tablet 4,550
52 Amoksisilin anhidrat drops Amoxsan Botol 15 ml 21,681

53 Amoksisilin anhidrat drops Amoxsan Botol 15 ml
54 Amoksisilin anhidrat sir Amoxsan Botol 60 ml 21,681
55 Amoksisilin anhidrat sir Amoxsan Botol 60 ml
56 Amoksisilin kaps 500 mg Amoxsan Box 10 x 10 kaps 316,085
57 Amoksisilin kaps 500 mg Amoxsan Box 10 x 10 kaps
58 Amoksisilin serbuk injeksi 1000 mg PT. Phapros, Tbk ktk 10 vial 7,396
59 Amoksisilin sirup kering 125 mg/ 5 ml PT. Lucas Djaja Botol 60 ml 2,277
Ampisilin serbuk injeksi i.m./i.v. 1000
60 PT. Bernofarm Kotak 10 vial 1000 mg 4,200
mg/vial
Antasida DOEN II suspensi, kombi :
61 Aluminium Hidroksida 200 mg/5 ml PT. Lucas Djaja Botol, 60 ml 1,866
Magnesium Hidroksida 200 mg/5 ml
Antihemoroid DOEN kombinasi : Bismut
62 PT. Kimia Farma Kotak 10 supp 2,450
subgalat 150 mg Heksaklorofen 2,5 mg
Antimigren tablet: Ergotamin Tartrat 1 mg +
63 PT. Kimia Farma Btl 100 tablet 123
Kofein 50 mg
64 Aqua pi Otsu-water for injection botol 25 ml
65 Aqua pro Injeksi steril, bebas pirogen PT. Bernofarm Kotak 10 vial 20 ml 5,300
66 Aripiprazole Abilify Discmelt 10 mg Box @ 1 tab 445,693
67 Aripiprazole Abilify oral solution Botol 150 ml 650,814
68 Aripiprazole Abilify Discmelt 10 mg Box @ 1 tab
69 Aripiprazole Abilify oral solution Botol 150 ml
70 Artemether injeksi 80 mg/ml PT. Kimia Farma ktk 6 AMP 22,167
71 Artesunate injeksi, vial 60 mg PT. Mersifarma Tirmaku Mercusana vial 25,063
72 Articulatig paper tapal kuda Swedent Box 115,500

73 Articulatig paper tapal kuda Swedent Box
74 As. Amino 6 % Aminosteril infant 6% Botol 100 ml
75 Asam Asetilsalisilat tablet 500 mg (Asetosal) PT. Phapros, Tbk 10 str x 10's 162
76 Asam askorbat (vit C) Inj Asam askorbat OGB Box @ 5 amp 121,357
77 Asam askorbat (vit C) Inj Asam askorbat OGB Box @ 5 amp
78 Asam Askorbat (Vitamin C) tablet 100 mg PT. Kimia Farma ktk 10X10 TAB 51
79 Asam folat Tab 400 mcg Folavit Box 10 x 10 tab 72,600
80 Asam folat Tab 400 mcg Folavit Box 10 x 10 tab
81 Asam Folat tablet 1 mg PT. Marin Liza Farmasi Botol 100 tablet 45
82 Asam pipemidat Urinter Box 10 x 10 kaps 38,050
83 Asam pipemidat Urinter Box 10 x 10 kaps
84 Asam salisilat Bahan baku Kaleng 500 gr 84,000
85 Asam salisilat Bahan baku Kaleng 500 gr
86 Asam traneksamat Inj 500 mg Kalnex Box @ 10 amp
87 Asam traneksamat Inj 500 mg/5 ml OGB Box @ 10 amp 57,750
88 Asam traneksamat Inj 500 mg/5 ml OGB Box @ 10 amp
89 Asam traneksamat Tab 500 mg OGB Box 10 x 10 tab 104,300
90 Asam traneksamat Tab 500 mg Kalnex Box 10 x 10 tab
91 Asam traneksamat Tab 500 mg OGB Box 10 x 10 tab
92 Asam valproat Sir 250 mg / 5 ml Depakene Botol 120 ml 149,160
93 Asam valproat Sir 250 mg / 5 ml Depakene Botol 120 ml
94 Asam valproat Tab 250 mg Depakote Botol 100 tab 872,052
95 Asam valproat Tab 250 mg Depakote Botol 100 tab
96 Asetosal 80 mg Thrombo Aspilet Box 15 x 10 tab 75,900
97 Asetosal 80 mg Thrombo Aspilet Box 15 x 10 tab
98 Asetosal 80 mg Aspilet Box 10 x 10 tab
99 Asiklovir Inj Zovirax Box @ 5 vial 1,100,000
100 Asiklovir Inj Zovirax Box @ 5 vial
101 Asiklovir krim 5% PT. Indofarma Dus, 25 tube @ 5 g 2,152
102 Asiklovir tablet 200 mg PT. Kimia Farma ktk 10x10 tablet 239
103 Asiklovir tablet 400 mg PT. Kimia Farma ktk 10x10 tablet 339
104 Atenolol tablet 100 mg PT. Nufarindo 5x 10 tablet 654
105 Atenolol tablet 50 mg PT. Nufarindo 5x 10 tablet 346
106 Atorvastatin 20 mg tab Lipitor 20 kotak @ 3 strip 492,090
107 Atorvastatin 20 mg tab Stator 20mg kotak @ 3 strip
108 Atracurium besilat Inj 50 mg / 5 ml Tramus Box @ 5 amp
Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml
109 PT. Indofarma Dus, 30 ampul @ 1 ml 1,230
(Sulfat)
110 Atropin Sulfat tablet 0,5 mg PT. Indofarma Kotak 10 x 10 68
111 Azytrhromicin Tab 500 mg Azytrhromicin OGB Box 2 x 10 tab 240,000
112 Azytrhromicin Tab 500 mg Azytrhromicin OGB Box 2 x 10 tab
113 Benzatin Benzil Penisilin 1,2 juta IU/ vial PT. Phapros, Tbk 10 vial x 1,2 Jt IU 8,935
114 Benzatin Benzil Penisilin 2,4 juta IU/vial PT. Phapros, Tbk ktk 10 vial x 2,4 Jt IU 12,185
115 Betahistin mesilat Tab 6 mg OGB Box 3 x 10 tab 27,720
116 Betahistin mesilat Tab 6 mg Mertigo Box @ 100 tab
117 Betahistin mesilat Tab 6 mg OGB Box 3 x 10 tab
PT. Novell Pharmaeutical
118 Betahistin Mesilat tablet 6 mg strip / ktk 3 x 10 tablet 924
Laboratories
119 Betametason krim 0,1 % (sebagai Valerat) PT. Rama Emerald Multi Sukses Kotak 25 tube @ 5 g 1,524
120 Bic.Nat 8,4% Maylon Botol 25 ml

121 Bikatulamit 50 mg Casodex Box 2 x 14 2,644,475
122 Bikatulamit 50 mg Casodex Box 2 x 14
123 Bisakodil Supp 10 mg Dulcolax Box @ 6 supp 102,080
124 Bisakodil Supp 10 mg Dulcolax Box @ 6 supp
125 Bisakodil Supp 5 mg (Paed) Dulcolax Box @ 6 supp 76,000
126 Bisakodil Supp 5 mg (Paed) Dulcolax Box @ 6 supp
127 Bisakodil Tab salut 5 mg Dulcolax Box 10 x 20 tab 158,994
128 Bisakodil Tab salut 5 mg Dulcolax Box 10 x 20 tab
129 bisoprolol 5 mg tab OGB kotak 10 x 10 tab 232,167
130 bisoprolol 5 mg tab OGB Kotak @ 30 Tablet
PT. Novell Pharmaeutical blister / ktk 10 x 10
131 Bisoprolol tablet 5 mg 2,300
Laboratories tablet
132 Bromheksin HCl Solution Bisolvon Botol 40 ml 62,000
133 Bromheksin HCl Solution Bisolvon Botol 40 ml
134 Brush lowspeed gold Dentamerica Pcs 6,600
135 Brush lowspeed gold Dentamerica Pcs
136 Budesonid turbuhaler 200 mcg Pulmicort Box @ 1 can 211,375
137 Budesonid turbuhaler 200 mcg Pulmicort Box @ 1 can
138 Bupivacain Inj 0,5% / 4 ml Regivell Box @ 5 amp
139 Bupivacain Inj 0,5% / 4 ml OGB Box @ 5 amp
140 Bur diamond set highspeed meisinger Set 121,000
141 Bur diamond set highspeed meisinger Set
142 Bur tulang highspeed fisure panjang Meisinger Pcs 44,000
143 Bur tulang highspeed fisure panjang Meisinger Pcs
144 Ca. Gluconas 100 mg/ml OGB Box @ 24 amp
145 Cairan koloid gelatin Gelofusin Ecoflac Botol 500 ml
146 Candesartan 16 mg OGB Box 3 x 10 tab 198,000
147 Candesartan 16 mg OGB Box 3 x 10 tab
148 Candesartan 8 mg OGB Box 3 x 10 tab 132,000
149 Candesartan 8 mg OGB Box 3 x 10 tab
150 Catalyst base double impresion light body GC Pack 374,000
151 Catalyst base double impresion light body GC Pack
152 Caviton GC Pot 148,500
153 Caviton GC Pot
154 Cefazolin Inj 1 gr Cefazolin OGB Box @ 2 vial
155 Cefiksim DS Trixim syr 30 ml Botol 30 ml
156 Cefiksim DS 100 mg/5 ml OGB Botol 30 ml 30,223
157 Cefiksim DS 100 mg/5 ml OGB Botol 30 ml
158 Cefiksim Tab 200 mg Trixim 200mg caps Box @ 10 tab
159 Ceftazidime Inj 1 gr OGB Box @ 2 vial 67,716
160 Ceftazidime Inj 1 gr OGB Box @ 2 vial
161 Ceftizoxime Inj Ceftizoxime OGB Box @ 1 vial 319,000
162 Ceftizoxime Inj Ceftizoxime OGB Box @ 1 vial
163 Ceftriakson Inj Broadced hospital pack Box @ 1 v
164 celuloid strip Svenska Pack 104,500
165 celuloid strip Svenska Pack
166 Cendo Cenfres 0,6 ml @S's minidose Strip 19,388
167 Cendo Cenfres 0,6 ml @S's minidose Strip
168 Cendo Fenicol 0,25% fls Botol 20,267
169 Cendo Fenicol 0,25% fls Botol
170 Cendo Fenicol 1% fls Botol 28,325
171 Cendo Fenicol 1% fls Botol
172 Cendo Ophthalgon 3 ml Strip 12,100
173 Cendo Ophthalgon 3 ml Strip
174 Cendo Polydex 0,6 ml @S's minidose Strip 22,417
175 Cendo Polydex 0,6 ml @S's minidose Strip
176 Cendo Polygran EO 3,5 gr Tube 20,350
177 Cendo Polygran EO 3,5 gr Tube
178 Cendo polynel 5 ml Btl 24,857
179 Cendo polynel 5 ml Btl
180 Cendo Tobroson 0,6 ml @S's minidose Strip 24,475
181 Cendo Tobroson 0,6 ml @S's minidose Strip
182 Cendo Xytrol fls Botol 25,850
183 Cendo Xytrol fls Botol
184 Cenfresh 5 ml Btl 29,480
185 Cenfresh 5 ml Btl
186 Cetirizin sirup 5 mg/5 ml PT. Indofarma Dus,, Botol 60 ml 8,778
187 Cetirizine tablet 10 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 188
188 CHKM Botol 200,000
189 CHKM Botol
190 chlordiazepoxide 5 mg, clidium Br 2,5 mg braxidine tab kotak @ 100 tab 74,800
191 chlordiazepoxide 5 mg, clidium Br 2,5 mg braxidine tab kotak @ 100 tab
192 Chlorhexidin 2% Mikrosield 2% Gallon 5L
193 Chlorhexidin 4% Mikrosield 4% Gallon 5L 847,000
194 Chlorhexidin 4% Mikrosield 4% Gallon 5L
195 Choline citrate 147.5,cytidine

monophosphate,phosphatidylserine Neulin PS Box @ 30caps
196 Choriogonadotropin alpha 250 mcg Inj Ovidrell Box @ 1 prefilled 700,590
197 Choriogonadotropin alpha 250 mcg Inj Ovidrell Box @ 1 prefilled
198 Citicoline 2 gr Brain act Box @ 5 sach 74,800
199 Citicoline 2 gr Brain act Box @ 5 sach
200 Citicoline Inj 1000, 8 ml Neulin 1000 inj Box @ 5 amp
201 CITICOLINE Inj 125Mg/mL OGB Box @ 10amp
202 Citicoline Inj 250mg Neulin inj 250 Box @ 5ampl
203 Citicoline Inj 500, 4 ml Neulin 500 Inj Box @ 5 amp
204 Citicoline Oral 1 gr Brain act Box 3 x 10 tab
205 Citicoline Oral 500 mg tab Brain act Box 3 x 10 tab 341,000
206 Citicoline Oral 500 mg tab Brain act Box 3 x 10 tab
207 Clindamycin solution gel Mediklin Tube 15 gr 27,500
208 Clindamycin solution gel Mediklin Tube 15 gr
209 Clobazam Tab 10 mg Asabium Box 10 x 10 tab 187,000
210 Clobazam Tab 10 mg OGB Box 10 x 10 tab 95,000
211 Clobazam Tab 10 mg Asabium Box 10 x 10 tab
212 Clobazam Tab 10 mg OGB Box 10 x 10 tab
213 Clobazam tablet 10 mg PT. Dexa Medica 760
tablet
214 Clobetasol cr 0,05 % Kloderm Tube 10 gr 19,300
215 Clobetasol cr 0,05 % Kloderm Tube 10 gr
kotak 25 tube 5 gr,
216 Clobetasol krim 0,05% PT. Rama Emerald Multi Sukses Nama Dagang: 4,000
Emetasol
217 Clopidogrel Tab 75 mg Clopidogrel OGB Box 5 x 6 tab 297,000
218 Clopidogrel Tab 75 mg Clotix Box 3 x 10 tab 363,000
219 Clopidogrel Tab 75 mg Clopidogrel OGB Box 5 x 6 tab
220 Clopidogrel Tab 75 mg Clotix tab Box 3 x 10 tab
221 Clozapin 25 mg Clorilex Box 5 x 10 198,000
222 Clozapin 25 mg Clorilex Box 5 x 10
223 Clozapin100 mg Clorilex Box 5 x 10 693,000
224 Clozapin100 mg Clorilex Box 5 x 10
225 Co-enzim Q L-Carnitin Fumarat Car Q 100 Box 3 x 10 tab 308,000
226 Co-enzim Q L-Carnitin Fumarat Car Q 100 Box 3 x 10 tab
227 Composite 3M Z250 3M Z250 set 2,750,000
228 Composite 3M Z250 3M Z250 set
229 Cortison acetate Inj 25 mg/ml, 10 ml Cortison Box @ 1 vial 24,750
230 Cortison acetate Inj 25 mg/ml, 10 ml Cortison Box @ 1 vial
231 Cresophat Botol 350,000
232 Cresophat Botol
233 Cresophen Septodont Botol 300,000
234 Cresophen Septodont Botol
235 Deksametason Inj 4 mg / ml Kalmethasone Box @ 5 vial
236 Deksametason injeksi i.v. 5 mg/ml PT. Bernofarm Kotak 100 ampul 1 ml 1,500
PT. Promedrahardjo Farmasi
237 Deksametason tablet 0,5 mg Strip 10 x 10 Tablet 69
Industri
botol 500 ml (Merek:
238 Dekstran 70 - larutan infus 6% steril PT Otsuka Indonesia 39,079
Dekstran)
239 Dekstrometorfan sirup 10 mg/5 ml (HBr) PT. Afifarma BTL 60 ML 1,379
Dus, 10 Blister @ 10
240 Dekstrometorfan tablet 15 mg (HBr) PT. Indofarma 92
Tablet
241 Devitalisasi Pasta Non Arsen Septodont Btl/Box 526,211
242 Devitalisasi Pasta Non Arsen Septodont Btl/Box
243 Dexketoprofen Trometamol 50mg Ketesse 50mg Inj Box@5ampl
244 Dextrose 5% + 1/2 NaCl Otsu D5 + 1/2 NS botol 500 ml
245 Dextrose 5% + 1/4 NaCl Otsu D5 + 1/4 NS botol 500 ml
246 Diazepam 5 mg tab Valisanbe Box 10 x 10 tab
247 Diazepam Inj, 2 ml Valisanbe Box @ 10 amp
248 Diazepam injeksi 5 mg/ml PT. Indofarma Dus, 30 ampul @ 2 ml 2,344
249 Diazepam Lar. Rectal 10 mg Stesolid Box @ 5 tube
250 Diazepam Lar. Rectal 5 mg Stesolid Box @ 5 tube
251 Diazepam tablet 2 mg PT. Kimia Farma Botol 100 tablet 27
252 Diazepam tablet 5 mg PT. Indofarma Ktk 10 x 10 56
253 Dibekacin Sulfat Inj 100 mg Dibekacin Box @ 1 vial 89,045
254 Dibekacin Sulfat Inj 100 mg Dibekacin Box @ 1 vial
255 Dibekacin Sulfat Inj 50 mg Dibekacin Box @ 1 vial 65,505
256 Dibekacin Sulfat Inj 50 mg Dibekacin Box @ 1 vial
257 Difenhidramin injeksi i.m. 10 mg/ml (HCl) PT. Phapros, Tbk ktk 30 ampl x 1 ml 960
258 Digoksin 0,5 mg/2 ml Inj Fargoxin Box @ 5 amp

259 Digoksin tablet 0,25 mg PT. Yarindo Farmatama 10 x 10 tab 91
260 Diltiazem HCl tablet 30 mg PT. Kimia Farma Ktk 10X10 TAB 123
261 Diltiazem Inj 50 mg/vial Herbesser Box @10 vial
262 Diphenhidramin 10 mg Inj OGB Box @ 30 amp
263 Dobutamin Dobutamin Giulini Box @ 5 amp
264 Doksisiklin HCl kap 500 mg Doxycicline OGB Box 10 x 10 kap 25,300
265 Doksisiklin HCl kap 500 mg Doxycicline OGB Box 10 x 10 kap
Dus, 10 Strip @ 10
266 Doksisiklin kapsul/kaplet 100 mg PT. Indofarma 220
Kapsul
267 Domperidon drop 5 mg/ml Vidon drop Botol 10 ml 30,000
268 Domperidon drop 5 mg/ml Vometa Botol 10 ml
269 Domperidon suspensi 5 mg/5 ml PT. Novapharin btl 60 ml 3,624
270 Domperidon tablet 10 mg PT. Yarindo Farmatama 10 x 10 tab 176
271 Dopamin HCl Inj 10 mg/ml Dopamin Giulini Box @ 5 amp
272 Double impresion soft putty GC Pack 973,500
273 Double impresion soft putty GC Pack
274 dutasterid 0,5 Avodart Box 30 kapl 323,400
275 dutasterid 0,5 Avodart Box 30 kapl
276 Efedrin Inj 50 mg/ml Efedrin Box @ 10 amp
277 Ekstrak citrus sinensis pericarpium setara
diosmin 90% hesperidin 10% Ardium HD kotak @ 36 Tab 249,480
278 Ekstrak citrus sinensis pericarpium setara

diosmin 90% hesperidin 10% Ardium HD kotak @ 36 Tab
279 Eperison HCl Eprinoc Box 10 x 10 tab 310,000
280 Eperison HCl Eprinoc Box 10 x 10 tab
281 Eperison HCl 50 mg tab OGB Box 10 x 10 tab 154,000
282 Eperison HCl 50 mg tab OGB Box 10 x 10 tab
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai
283 PT. Phapros, Tbk ktk 30 amp x 1 ml 1,500
HCl)
284 Erdosteine DS Edotin syr Botol 30,000
285 Erdosteine DS Edotin Syr 175 mg/5ml Botol
286 Erdosteine Kap 300 mg Recustein Box 2 x 10 kap 80,300
287 Erdosteine Kap 300 mg Edotin caps Box 2 x 10 kap
288 Eritromisin kapsul/kaplet 500 mg PT. Indofarma 921
Tablet
289 Eritromisin sirup 200 mg/ 5 ml PT. Kimia Farma btl 60 ml 7,220
290 Etambutol tablet 250 mg (HCl) PT. Kimia Farma all 305
291 Etambutol tablet salut 500 mg (HCl) PT. Bernofarm Kotak 100 tab 500 mg 420
292 Etamsilat Inj 250 ml/2 ml Dicynone Box @ 6 amp 93,500
293 Etamsilat Inj 250 ml/2 ml Dicynone Box @ 6 amp
294 Etamsilat Tab 500 mg Dicynone Box 2 x 10 tab 93,500
295 Etamsilat Tab 500 mg Dicynone Box 2 x 10 tab
296 Etanol 100% dan 18g Propanol softaman Box @ 20 botol 1 L 3,300,000
297 Ethambutol 250 OGB Box 20 x 10 tab 76,560
298 Ethambutol 250 OGB Box 20 x 10 tab
299 Ethambutol 500 OGB Box 10 x 10 tab 68,832
300 Ethambutol 500 OGB Box 10 x 10 tab
301 Etil Klorida Etil Klorida spray walter ritter Kaleng 100 ml 110,000
302 Etil Klorida Etil Klorida spray walter ritter Kaleng 100 ml
303 Etinil estradiol Tab 50 mcg Lynoral Botol 100 tab 147,092
304 Etinil estradiol Tab 50 mcg Lynoral Botol 100 tab
305 Eyefresh ED 5 ml Botol 31,762
306 Eyefresh ED 5 ml Botol
307 Eyefresh minidose Strip 19,525
308 Eyefresh minidose Strip
309 Fenobarbital tablet 100 mg PT. Indofarma Kotak 10 x 10 144
Kotak 100 (10 strip @
310 Fenobarbital tablet 30 mg PT. Indofarma 62
10 tablet)
311 Fenoksimetil Penisilin tablet 500 mg PT. Phapros, Tbk ktk 10 str x 10's 465
312 Fentanil Inj 0,05 mg/ml, 10 ml Fentanyl Box @ 5 amp
313 Fentanil Inj 0,05 mg/ml, 2 ml Fentanyl Box @ 5 amp 203,848
314 Fentanil Inj 0,05 mg/ml, 2 ml Fentanyl Box @ 5 amp
315 Fentanil Patch Durogesic Box @ 5
316 Fentanil Patch 50 mcg/jam Durogesic Box @ 5 patch 1,559,407
317 Fitchecker GC Pack 687,500
318 Fitchecker GC Pack
319 Fitomenadion (Vit.K1) tablet salut gula 10 mg PT. Phapros, Tbk btl 100 tablet 579
320 Fitomenadion (Vitamin K1) injeksi 10 mg/ml PT. Phapros, Tbk ktk 30 amp x 1 ml 1,566
321 Fitonadion 2 mg/ml Neo - K Box @ 5 amp

322 Flunarizin Tab 10 mg OGB Box 3 x 10 tab 66,000
323 Flunarizin Tab 10 mg OGB Box 3 x 10 tab
324 Flunarizin Tab 5 mg Degrium 5 Box 5 x 10 tab 210,000
325 Flunarizin Tab 5 mg Degrium 5mg Box 5 x 10 tab
326 Fluoksetin Tab 10 mg Kalxetin Box 3 x 10 tab 106,150
327 Fluoksetin Tab 10 mg Kalxetin Box 3 x 10 tab
328 Fluorometholone Flumetholon Tetes Mata @ 5 ml
329 Fluticason furoat 27,5 mcg/spray Avamys nasal spray 119,999
330 Fluticason furoat 27,5 mcg/spray Avamys nasal spray
331 Flutikason propionat 0,5 mg/2 ml Flixotide Box 5 x 2 nebu
332 Fondaparinuks Na Inj 2,5 mg/0,5 ml Arixtra Box @ 2 pre filled
333 Formalin Bahan baku Gallon 10 L 350,000
334 Fosfomycin Natrium 1 gr Fosmycin Box @ 1 vial 90,530
335 Fosfomycin Natrium 1 gr Fosmycin Box @ 1 vial
336 Fradiomisin 2,5 mg, gramisidin-S 1 mg FG Troches Kotak @ 300 tab 268,125
337 Fradiomisin 2,5 mg, gramisidin-S 1 mg FG Troches Kotak @ 300 tab
338 Fuji II LC serbuk 5 gr + cairan GC Pack 313,500
339 Fuji II LC serbuk 5 gr + cairan GC Pack
340 Fuji IX GP 1-1 GC Pack 737,000
341 Fuji IX GP 1-1 GC Pack
342 Furosemid Inj OGB Box @ 25 amp 57,828
343 Furosemid Inj OGB Box @ 25 amp
344 Furosemid injeksi i.v./i.m. 10 mg/ml PT. Indofarma Dus, 25 ampul @ 2 ml 1,751
345 Furosemid tablet 40 mg PT. Yarindo Farmatama 10 X10 tab 85
346 Gabapentin Ganin Box 30/kap 246,675
347 Gabapentin 300mg Ganin Box @ 30 kaps
Garam Oralit I serbuk, kombinasi : Natrium

348 0,52 g Kalium klorida 0,30 g Trinatrium sitrat PT. Indofarma Dus, 100 Sachet 292
dihidrat 0,58 g Glukosa Anhidrat 2,7 g
349 Gemfibrozil kapsul/kaplet 300 mg PT. Indofarma 272
Kapsul
350 Gemfibrozil tablet 600 mg PT. Indofarma 680
Tablet
351 Gentamisin injeksi 40 mg/ ml PT. Indofarma Dus, 5 ampul @ 2 ml 3,104
352 Gentamisin salep kulit 0.1% PT. Indofarma Dus, 25 tube @ 5 g 1,469
353 Gentamisin Sulfat tetes mata 0,3 % PT. Indofarma Kotak 10 botol @ 5 ml 2,904
354 Gentamycin 40mg/ml inj OGB box @ 5ampl 18,370
355 Gentamycin, Fluicinolone Cinogenta Tube
356 Glass Ionomer Cement ART GC Fuji IX Pack 737,000
357 Glass Ionomer Cement ART GC Fuji IX Pack
358 Glibenklamida tablet 5 mg PT. Indofarma 54
Tablet
359 Glimepirid 2 mg Gluvas 2 mg Box @ 50 tab
360 Glimepirid 3 mg Gluvas 3 mg Box 3 x 10 tab
361 Glimepiride tablet 1 mg PT. Bernofarm Kotak 30 tab 1 mg 360
362 Glimepiride tablet 2 mg PT. Bernofarm Kotak 30 tab 2 mg 500
363 Glimepiride tablet 3 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 684
364 Glimepiride tablet 4 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 1,049
365 Gliquidon tablet 30 mg PT. Dexa Medica 645
tablet
366 Gliserin PT. Lucas Djaja Botol, 100 ml 4,158
367 Glukosa larutan infus 10 % steril PT. Widatra Bhakti Botol 500 ml 5,727
ampul 25 ml (Merek:
368 Glukosa larutan infus 40 % steril PT Otsuka Indonesia 1,960
Otsu D40 %)
369 Glukosa larutan infus 5 % steril PT. Widatra Bhakti Botol 500 ml 5,313
370 goserelin asetat steril 3,6 ml Zoladex 1 box 1 depot 1,767,998
371 goserelin asetat steril 3,6 ml Zoladex 1 box 1 depot
372 Guttap percha No. 15-40 Pack 75,000
373 Guttap percha No. 15-40 Pack
378 Haloperidol tablet 1,5 mg PT. Yarindo Farmatama 10 X 10 tab 60
379 Haloperidol tablet 5 mg PT. Yarindo Farmatama 10 X 10 tab 88
380 Halotan Halothane Botol 250 ml 1,265,000
381 Halotan Halothane Botol 250 ml
382 hand wash softaskin Box@20 btl 500ml
383 Heparin Na Inj 5000 iu/ml, 5 ml Inviclot inj Box @ 1 vial
384 Hidrokortison krim 1% PT. Marin Liza Farmasi tube @ 5 gr 2,275
385 Hidrokortison krim 2,5 % PT. Kimia Farma ktk 24 tube @ 5 g 2,399
386 Hiroquinon, tretinoin, flucinolon acetonid Revaquin Tube 15 gr 71,088
387 Hiroquinon, tretinoin, flucinolon acetonid Revaquin Tube 15 gr
kotak 5 x 10 tablet,
388 Hyoscine -N-Butilbromide tablet 10 mg PT. Rama Emerald Multi Sukses 395
Nama Dagang: Hyorex
389 Hyosin N Butil Bromida Inj Scopamin Box 5 amp @ 1 ml
390 Ibuprofen Sir Proris Forte botol @ 60 ml 20,350
391 Ibuprofen Sir Proris Forte botol @ 60 ml
392 Ibuprofen Supp 125 mg Proris Box 2 x 5 supp
393 Ibuprofen suspensi 100 mg/5 ml PT. Indofarma Botol 60 ml 3,465
394 Ibuprofen tablet 200 mg PT. Yarindo Farmatama Botol 100 Tablet 93
395 Ig tetanus manusia 250IU, 1 ml Tetagam-P Box @ 1 amp
396 imidapril Tanapress 5 Kotak @ 30 Tablet 308,946
397 imidapril Tanapress 5 Kotak @ 30 Tablet
398 Immune Globulin IV (human) 10 % Gammaras Box @ 1 vial 2,420,000
399 Immune Globulin IV (human) 10 % Gammaras Box @ 1 vial
400 Infection Control softaman Box @20 botol 500ml
401 Infus Glucose 10% Otsu-D10 Botol 500 ml
402 Infus Glucose 40% Otsu-D40 botol 25 ml
405 INH 300 OGB Box 1000 tab 106,700
406 INH 300 OGB Box 1000 tab
407 Insulin Vial 100 IU/ml x 10 ml Actrapid Box @ 1 Vial 10 ml
408 Isoflurane Isoflurane Botol 250 ml
409 Isoniazid tablet 100 mg PT. Kimia Farma Ktk 10X10 TAB 44
410 Isoniazid tablet 300 mg PT. Phyto Kemo Agung Farma botol 100 tablet 85
411 Isosorbid dinitrat Inj 10 mg/10 ml Farsorbid Box @ 10 amp
412 Isosorbid Dinitrat tablet sublingual 5 mg PT. Yarindo Farmatama 10 X 10 tab 81
Kotak 30 kapsul/kaplet
413 Itrakonazol kapsul/kaplet 100 mg PT. Bernofarm 1,400
100 mg
414 KAEN 1B 500 ml infus ( NaCl, Glukosa) Otsu-KAEN 1B Botol 500 ml
415 KAEN 3A 500 ml infus Otsu-KAEN 3A Botol 500 ml
416 KAEN 3B 500 ml infus Otsu-KAEN 3B Botol 500 ml
417 Kalium diklofenak 25 mg Cataflam 25 kotak 5 x 10 tab 112,851
418 Kalium diklofenak 25 mg Cataflam 25 kotak 5 x 10 tab
419 Kalium Diklofenak tablet 50 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 489
420 Kalium L-Aspartat Aspar K Box 10 x 10 Tab 224,796
421 Kalium L-Aspartat Aspar K Box 10 x 10 Tab
422 Kalsitriol Kolkatriol Botol @ 30 kap lunak 113,080
423 Kalsitriol Kolkatriol Botol @ 30 kap lunak
424 Kalsium Laktat (Kalk) tablet 500 mg PT. Phapros, Tbk ktk 10 str x 10's 47
425 Kanamycin sulfate 1 gr Inj Kanamycin Box @ 1 vial
426 Kaptopril tablet 12,5 mg PT. Hexpharm Jaya Laboratories Ktk 10 x 10 tablet 63
Dus, 10 Strip @ 10
427 Kaptopril tablet 25 mg PT. Indofarma 88
Tablet
Dus, 10 Strip @ 10
428 Kaptopril tablet 50 mg PT. Indofarma 134
Tablet
429 Karbamazokrom natrium sulfonat 10 mg/2ml

Inj Adona AC kotak @ 10 vial 228,800

Inj Adona AC kotak @ 10 vial
431 Karbamazokrom natrium sulfonat 25 mg/2ml Adona AC inj 25 mg/5 ml Box @ 10 vial 160,160
432 Karbamazokrom natrium sulfonat 25 mg/2ml Adona AC inj 25 mg/5 ml Box @ 10 vial
433 KCl inj 7,46% Otsu-KCl Botol 25 ml

434 KCl Tab 600 mg KSR Tab 10 x 10 tab 268,018
435 KCl Tab 600 mg KSR Tab 10 x 10 tab
436 Ketamin HCl Inj 100 mg/ml, 10 ml Ketalar Box @ 1 vial
437 Ketokonazol krim 2% PT. Kimia Farma tube 15 gram 4,050
438 Ketokonazol tablet 200 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 267
439 Ketoprofen injeksi 100 mg PT. Hexpharm Jaya Laboratories ktk 5 ampul 2,923
440 Ketoprofen Supp 100 mg Pronalges Box 2 x 5 supp
441 Ketorolac injeksi 30 mg PT. Hexpharm Jaya Laboratories ktk 6 amp 2,539
442 Ketorolac tab 10 mg OGB Box 10 x 10 tab 315,700
443 Ketorolac tab 10 mg OGB Box 10 x 10 tab
444 Ketorolac tromethamine Inj 30 mg/ml (3%) OGB Box @ 6 amp

80,190
445 Ketorolac tromethamine Inj 30 mg/ml (3%) Remopain 3% inj Box @ 6 amp
446 Ketorolac tromethamine Inj 30 mg/ml (3%) OGB Box @ 6 amp
447 Ketorolac tromethamine Tab 10 mg Torasic Box @ 10 tab

Dus, 5 Blister @ 10
448 Klindamisin kapsul/kaplet 150 mg PT. Indofarma 382
Kapsul
Dus, 5 Blister @ 10
449 Klindamisin kapsul/kaplet 300 mg PT. Indofarma 527
Kapsul
Dus, 1 strip x 10 tablet,

450 Klomifen tablet 50 mg PT. Bernofarm 1,500
Nama Dagang: Ofertil
451 Klonidin HCl Inj 0,15 mg/ml Catapres Box 10 amp
452 Klonidin tablet 0,15 mg PT. Kimia Farma Ktk 10X10 TAB 188
453 Kloramfenikol Inj 1 g/ml Colcansetine Box @ 10 vial 94,160
454 Kloramfenikol Inj 1 g/ml Colcansetine Box @ 10 vial
455 Kloramfenikol kapsul/kaplet 250 mg PT. Phapros, Tbk ktk 10 str x 10's 227
456 Kloramfenikol salep mata 1 % PT. Kimia Farma tube 5 g 1,450
457 Kloramfenikol suspensi 125 mg/ 5 ml PT. Kimia Farma btl 60 ml 3,800
458 Kloramfenikol tetes telinga 3 % PT. Erela btl 5 ml 1,599
459 Klorfeniramina Maleat (CTM) tablet 4 mg PT. Phapros, Tbk ktk 10 str x 10's 21
460 Klorokuin tablet 250 mg PT. Kimia Farma ktk 10x10 tablet 107
461 Klorpromazin injeksi i.m. 25 mg/ml (HCl) PT. Phapros, Tbk 30 amp x 1 ml 1,021
462 Klorpromazin tablet salut 100 mg (HCl) PT. Kimia Farma Ktk 10X10 TAB 133
463 Kodein tablet 10 mg PT. Kimia Farma ktk 10x10 tablet 470
464 Kodein tablet 15 mg PT. Kimia Farma Ktk 10X10 TAB 800
465 Kodein tablet 20 mg PT. Kimia Farma Ktk 10X10 TAB 1,045
466 Koloid HES 130/0,42 Tetraspan 6% Botol 500 ml
Komb : Alinamin fursuthiamine HCl, B2 25
467 Alinamin F Box @ 5 amp
mg / 10 ml
468 komb. Miconazole, zink oksida Daktarin Diapers Tube 10 gr
Kombinasi : Al Hidroksida 400 mg, Mg
469 Hidroksida 400 mg, Dimetil polisiloksan 100 Plantacid forte Botol 100 ml 27,500
mg
Kombinasi : Al Hidroksida 400 mg, Mg

470 Hidroksida 400 mg, Dimetil polisiloksan 100 Plantacid forte Botol 100 ml
mg
Kombinasi : Amoksisilin trihidrat 500 mg,

471
Asam klavulanat 125 mg Clavamox Box 3 x 10 kap
Kombinasi : Amoksisilin trihidrat, Asam
472
klavulanat Clavamox Botol 60 ml
473 kombinasi : Ampisilin 1 gr, Sulbaktam 0,5 gr Box @ 1 vial

Cinam 132,000
474 kombinasi : Ampisilin 1 gr, Sulbaktam 0,5 gr Box @ 1 vial

Cinam
475 Kombinasi : Benzoyl peroxide 5%,

Clindamycin 1,2 % Benzolac CL Tube 10 gr 30,250
476 Kombinasi : Benzoyl peroxide 5%,
Clindamycin 1,2 % Benzolac CL Tube 10 gr
477 kombinasi : Ca,K,Na Asering Kantong 500 ml
Kombinasi : Ergotamin tartrat 0,3 mg, Ext.
478
Belladona 0,1 mg, Fenobarbital 20 mg Bellapheen Botol 100 tab 130,000
479
Belladona 0,1 mg, Fenobarbital 20 mg Bellapheen Botol 100 tab
Kombinasi : Ergotamin tartrat 1 mg, Kafein
480
100 mg Cafergot Box 10 x 10 tab 732,942
Kombinasi : Ergotamin tartrat 1 mg, Kafein
481
100 mg Cafergot Box 10 x 10 tab
Kombinasi : Humulin R soluble Human
Insulin reguler Soluble human insulin 30 %
482 Humulin R Box @ 1 Vial 10 ml
dan isophane, Human insulin susp 70 %,
Vial 100 IU/ml x 10 ml
483 kombinasi : Imipenem , Cilastatin 1 gr Inj Box @ 1 vial

OGB
484 Kombinasi : Ipratropium Br MDI 10 ml, UDV

2,5 ml, Salbutamol 0,5 mg Combivent nebulizer Box @ 20 nebu
Kombinasi : Kodein 11,11 mg,
485 Phenyltoloxamine 3,67 mg, Guaifenesin 55,55 Codipront cum expect Botol 60 ml 53,350
mg, Thyme liq.ext 55, 55 mg.
Kombinasi : Kodein 11,11 mg,

486 Phenyltoloxamine 3,67 mg, Guaifenesin 55,55 Codipront cum expect Botol 60 ml
mg, Thyme liq.ext 55, 55 mg.
Kombinasi : Kodein anhidrat 30 mg,

487 Codipront Botol 60 ml 48,950
Phenyltoloxamine 10 mg
488 Codipront Botol 60 ml
Kombinasi : Lactobacillus acidophilus,

489 Bifidobacterium longun, Streptococcus Lacto-B Box 40 sach
faeeium, Vit C, Vit B, Vit B2, Vit B5, Niacin,
Protein, Fat 199,282
Kombinasi : Lactobacillus acidophilus,
490 Bifidobacterium longun, Streptococcus Lacto-B Box 40 sach
faeeium, Vit C, Vit B, Vit B2, Vit B5, Niacin,
Protein, Fat
491 Kombinasi : Levodopa 100 mg, Benzerazida

HCl 25 mg Leparson Box 10 x 10 tab 417,450
492 Kombinasi : Levodopa 100 mg, Benzerazida

HCl 25 mg Leparson Box 10 x 10 tab
493 Kombinasi : Lidokain HCl 2%, Adrenalin Pehacain Box @ 20 amp 77,000
494 Kombinasi : Lidokain HCl 2%, Adrenalin Pehacain Box @ 20 amp
495 Kombinasi : Loratadin 10 mg, Pseudoefedrin

HCl 120 mg Rhinos SR Box 5 x 10 kap 151,250
496 Kombinasi : Loratadin 10 mg, Pseudoefedrin

HCl 120 mg Rhinos SR Box 5 x 10 kap
Kombinasi : Metampiron 500 mg, Diazepam 2
497 Analsik Box 10 x 10 tab
mg 108,350
Kombinasi : Metampiron 500 mg, Diazepam 2
498 Analsik Box 10 x 10 tab
mg
499 Kombinasi : Mikonazol nitrat 2 %,

Hidrokortison 1 % Thecort Tube 5 gr 25,410
500 Kombinasi : Mikonazol nitrat 2 %,

Hidrokortison 1 % Thecort Tube 5 gr
Kombinasi : Monascus purpureus, Psidii
501
folium, Elektrolit, Zink Trolit Box 6 sach 9,167
Kombinasi : Monascus purpureus, Psidii
502
folium, Elektrolit, Zink Trolit Box 6 sach
503 Kombinasi : Na. Lactat, CaCl2 Inf Totilac Kantong 250 ml
504 Kombinasi : Sulbaktam Na 500 mg,

Sefoperazon Na 500 mg OGB Box @ 1 vial
Kombinasi : Testosteron propionat 30 mg,
Testosteron fenil propionat 60 mg,
505 Sustanon Inj Box @ 1 amp, 1 ml 190,799
Testosteron iso kaproat 60 mg, Testosteron
dekanoat 100 mg
Testosteron fenil propionat 60 mg,
506 Sustanon Inj Box @ 1 amp, 1 ml
Testosteron iso kaproat 60 mg, Testosteron
dekanoat 100 mg
Kombinasi : Tramadol 37,5 mg, Paracetamol

507 Ultracet Box 3 x 10 tab
325 mg.
Kotrimoksazol Suspensi komb:

508 Sulfametoksazol 200 mg + Trimetoprim 40 PT. Holi Pharma btl 60 ml 1,975
mg / 5 ml
509 Kuinin (Kina) tablet 200 mg PT. Kimia Farma kotak 60 tablet 610
510 Kuinin injeksi i.v. 25% (sebagai 2 HCl) PT. Kimia Farma kotak 30 ampul @ 2 ml 5,706
511 Lactobacillus reuteri Tab Rillus Botol 30 tab 187,000

512 Lactobacillus reuteri Tab Rillus Botol 30 tab
513 Laktulosa sir 3,35 gr/5 ml Lactulax Botol 60 ml 35,090
514 Laktulosa sir 3,35 gr/5 ml Lactulax Botol 60 ml
515 Lansoprazole Laz 30 mg Box @ 20 tab
516 Lanzoprazol kapsul/kaplet 30 mg PT. Hexpharm Jaya Laboratories ktk 2 x 10 kapsul 473
517 Lar. Elektrolit Aminofusin 6 % Larutan 500 ml 71,500
518 Lar. Elektrolit Renalyt Botol 200 ml
519 Lar. Elektrolit Aminofusin 6 % Larutan 500 ml
520 LCD (liq. Carbonas detergent) Bahan baku Botol 100 ml 186,000
521 LCD (liq. Carbonas detergent) Bahan baku Botol 100 ml
522 leuprorelin tapros inj Box 1 vial 2 amp 2,153,838
523 leuprorelin tapros inj Box 1 vial 2 amp
524 Levofloksasin tablet 500 mg PT. Kimia Farma ktk 5 x 10 tablet 574
525 Levofloxacin Tab 500 mg Lekuicin tab 500mg Box @ 10 tab
526 LFX 0,6 ml @S's minidose Strip 63,250
527 LFX 0,6 ml @S's minidose Strip
528 Lidocain 10 % Xilocain spray Botol 50 ml 257,731
529 Lidocain 10 % Xilocain spray Botol 50 ml
530 Lidokain HCl Inj 0,2 % OGB Box @ 100 amp 121,200
531 Lidokain HCl Inj 0,2 % OGB Box @ 100 amp
532 Lidokain injeksi 2% PT. Phapros, Tbk ktk 100 amp x 2 ml 900
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
533 PT. Indofarma Dus, 30 ampul @ 2 ml 4,000
80.000 - 2ml
Dus, 5 Blister @ 12
534 Linkomisin kapsul/kaplet 500 mg PT. Indofarma 520
Kapsul
535 Lisinopril tab 5 mg OGB Box 3 x 10 tab 10,050
536 Lisinopril tab 5 mg OGB Box 3 x 10 tab
537 Lisinopril tablet 10 mg kotak 3 x 10 tablet 550
Laboratories
538 Lisinopril tablet 5 mg kotak 3 x 10 tablet 330
Laboratories
PT. Ifars Pharmaceutical Dus, 10 strip @ 10
539 Loperamid tablet 2 mg 90
Laboratories tablet
540 Loratadin Sir 5 mg/5 ml Alloris Botol 60 ml 49,775
541 Loratadin Sir 5 mg/5 ml Alloris Botol 60 ml
542 Loratadin tablet 10 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 160
543 Lorazepam Tab 1 mg Renaquil Box 10 x 10 tab 242,000
544 Lorazepam Tab 1 mg Renaquil Box 10 x 10 tab
545 Losartan 50 mg Losartan OGB Box 3 x 10 16,654
546 Losartan 50 mg Losartan OGB Box 3 x 10
vial 25 ml (Merek: Otsu
547 Magnesium Sulfat inj (IV) 20% - 25 ml PT Otsuka Indonesia 2,078
MgSO4 20 %)
548 Magnesium Sulfat inj (IV) 40% - 25 ml PT Otsuka Indonesia 2,629
MgSO4 40 %)
549 Manitol 20 % Otsu-Manitol Botol 500 ml
550 mantoux test P.P.D.RT 23 Box @ 1 vial 880,000
551 mantoux test P.P.D.RT 23 Box @ 1 vial
552 Martos 10% Otsu-Martos 10% Botol 500 ml
553 Mebendazol sirup 100 mg / 5 ml PT. Indofarma Botol 30 ml 3,570
Dus, 3 Blister @ 10
554 Mebendazol tablet 100 mg PT. Indofarma 228
Tablet
555 Mebhidrolin napadisilat 50 mg / 5 ml sir Interhistin Botol 60 ml 16,500
556 Mebhidrolin napadisilat 50 mg / 5 ml sir Interhistin Botol 60 ml
557 Mebhidrolin napadisilat Tab 50 mg Histapan Box 10 x 10 tab 58,850
558 Mebhidrolin napadisilat Tab 50 mg Histapan Box 10 x 10 tab
559 Mecobalamin Inj 500 mcg/ml Lapibal Inj Box @ 5 amp
560 Mecobalamin kaps 500 mcg OGB Box 10 x 10 kaps 77,000
561 Mecobalamin kaps 500 mcg OGB Box 10 x 10 kaps
562 Mecobalamin Tab 500 mcg Kalmeco Box 10 x 10 kaps 194,700
563 Mecobalamin Tab 500 mcg Lapibal Caps Box 10 x 10 kaps
Kotak, isi 10
564 Meloksikam suppositoria PT. Dexa Medica 6,600
suppositoria
Dus, 5 Strip @ 10
565 Meloksikam tablet 7,5 mg PT. Indofarma 234
Tablet
566 Menadion (Vitamin K3) injeksi 10 mg/ml PT. Kimia Farma ktk 100 amp @ 1 ml 1,250
567 Meropenem Inj 0,5 gr Meropenem OGB Box @ 1 vial 132,000
568 Meropenem Inj 0,5 gr Meropenem OGB Box @ 1 vial
569 Meropenem Inj 1 gr Meropenem OGB Box @ 1 vial 220,000
570 Meropenem Inj 1 gr Meropenem OGB Box @ 1 vial
571 Metamizole Na Inj 1 g/2ml, 2 ml Santagesic Box @ 5 amp
572 Metampiron injeksi 250 mg PT. Bernofarm Kotak 30 ampul 2 ml 1,300
573 Metformin HCl tablet 500 mg PT. Hexpharm Jaya Laboratories Ktk 10 x 10 tablet 105
574 Metformin HCl tablet 850 mg PT. Bernofarm Kotak 100 tab 850 mg 260
575 Methylprednisolon Inj 125 mg OGB Box @ 1 vial + pelarut 35,475
576 Methylprednisolon Inj 125 mg OGB Box @ 1 vial + pelarut
577 Methylprednisolon Tab 16 mg Medixon tab 16 Box 3 x 10 tab 170,000
578 Methylprednisolon Tab 16 mg Medixon tab 16 Box 3 x 10 tab
579 Methylprednisolon Tab 4 mg Medixon tab 4 box @ 100 tab 200,000
580 Methylprednisolon Tab 4 mg Medixon tab 4 box
581 Metildopa Tab 250 mg Dopamet Box 10 x 10 tab 176,000
582 Metildopa Tab 250 mg Dopamet Box 10 x 10 tab
Metilergometrin Maleat (Metilergometrin)
583 PT. Kimia Farma kotak 10x10 tablet 140
tablet salut 0,125 mg
584 Metilprednisolon injeksi 500 mg PT. Phapros, Tbk ktk 1 vial @ 8 ml 59,000
585 Metilprednisolon tablet 16 mg PT. Hexpharm Jaya Laboratories Ktk 3 x 10 tablet 620
586 Metilprednisolon tablet 8 mg PT. Bernofarm Kotak 100 tab 8 mg 375
587 metisoprinol Isprinol Botol 86,515
588 metisoprinol Isprinol Botol
589 Metoklopramid Inj Primperan Box @ 6 amp 49,500
590 Metoklopramid Inj Primperan Box @ 6 amp
dus 5 ampul 2 ml,

591 Metoklopramide injeksi 5 mg/ml PT. Bernofarm 980
Nama Dagang: Metolon
botol 60 ml, Nama

592 Metoklopramide sirup 5 mg/ 5 ml PT. Molex Ayus 2,830
Dagang: Lexapram syr
593 Metoklopramide tablet 10 mg PT. Kimia Farma Ktk 10X10 TAB 89

594 Metotreksat Tab 25 mg Emthexate botol @ 100 tab 318,032
595 Metotreksat Tab 25 mg Emthexate botol @ 100 tab
596 Metronidazol Inf 5 mg/ml Metronidazol OGB Botol 100 ml 22,000
597 Metronidazol Inf 5 mg/ml Metronidazol OGB Botol 100 ml
598 Metronidazol Sir 125 mg/5ml Flagyl Botol 60 ml
599 Metronidazol Supp 1 g Trichodazol Box @ 6 supp 104,106
600 Metronidazol Supp 1 g Trichodazol Box @ 6 supp
601 Metronidazol tablet 500 mg PT. Novapharin ktk 10 X 10 tablet 164
602 MgSO4 20% Otsu-MgSO4 Botol 25 ml
603 MgSO4 40% Otsu-MgSO5 Botol 25 ml
604 Midazolam 15 mg/3ml, 3 amp Miloz Box @ 5 amp
605 Midazolam 5 mg/5ml, 5 amp Miloz Box @ 10 amp
606 Mikonazol krim/salep 2 % (Nitrat) PT. Kimia Farma ktk 24 tube @ 10 gram 3,000
Mineral Mix, kombinasi : Kalium klorida 1792

mg Trikalium sitrat (1H2O) 648 mg
607 Magnesium klorida (6H2O) 608 mg Seng PT. Indofarma Dus, 40 Sachet 2,450
asetat (2H2O) 66 mg Tembaga sulfat (5H2O)
11 mg
608 Misoprostol Tab 200 mcg Noprostol Box 5 x 10 tab 484,000

609 Misoprostol Tab 200 mcg Noprostol Box 5 x 10 tab
tube 10 gram, Nama
610 Momethason krim 0,1 % PT. Bernofarm 17,800
Dagang: Motaderm
611 Momethasone furoat 0,1 % cr Mefurosan Tube 10 gr 65,973
612 Momethasone furoat 0,1 % cr Mefurosan Tube 10 gr
613 Morfin injeksi 10 mg/ml PT. Kimia Farma Ktk 10 ampul @ 1ML 10,499
614 Morfin tablet 10 mg PT. Kimia Farma btl 30 tablet 1,206
615 MST Continuos Tab 10 mg MST Continuos Box 60 tab
616 Multivitamin Elkana Sir Botol 60 ml 19,250
617 multivitamin Promavit Box 5 x 6 kap 119,900
618 Multivitamin Elkana Sir Botol 60 ml
619 multivitamin Promavit Box 5 x 6 kap
620 Mupirosin 2% cr Pibaksin Tube 10 gr 37,840
621 Mupirosin 2% cr Pibaksin Tube 10 gr
622 Mydratil 0,5% ED 5 ml Strip 22,687
623 Mydratil 0,5% ED 5 ml Strip
624 Nacl 0,9 % Breathy Botol 30 ml 16,500
625 Nacl 0,9 % Ecosol Nacl 0.9% Botol 500 ml
626 Nacl 0,9 % Otsu-NS Botol 100 ml
629 Nacl 0,9 % Breathy Botol 30 ml
630 NaCl 3% Otsu-Salin Botol 500 ml
631 Naloxone 0,4 mg/ml Nokoba Box @ 5 amp
632 Natrium Diklofenak tablet 25 mg PT. Phapros, Tbk ktk 5 str x 10's 134
633 Natrium Diklofenak tablet 50 mg PT. Phapros, Tbk ktk 5 str x 10's 174
634 Natrium Fusidat cr Fusycom Tube 5 gr 37,950
635 Natrium Fusidat cr Fusycom Tube 5 gr
636 Natrium Klorida larutan infus 0,9 % PT. Widatra Bhakti Botol 500 ml 4,900
637 Neomycin sulfate,placenta extr 10% Bioplacenton Tube 15 gr
638 Neostigmin methylsulfat Inj 0,5 mg Prostigmin Box @ 5 amp
639 Nicardipine HCl Inj 10 mg Perdipine Box @ 10 Amp
640 Nicergoline Tab 10 mg Serolin Box 5 x 21 tab 632,500
641 Nicergoline Tab 10 mg Serolin Box 5 x 21 tab
642 Nifedipin tablet 10 mg PT. Kimia Farma ktk 10 x 10 tablet 112
643 Nimodipin infus 0,2mg/ml Ceremax Botol 50ml 242,550
644 Nimodipin iv Seremax Botol
645 Nistatin tablet salut 500.000 IU/ g PT. Phapros, Tbk ktk 10 str x 10's 640
646 Nistatin vaginal tablet 100.000 IU/ g PT. Phapros, Tbk ktk 10 str x 10's vaginal 407
647 Norepinefrin Inj , 4 ml N Epi Box @ 5 Amp
648 Nystatin 100.000 IU, zink oint Myco Z Tube 10 gr 51,920
649 Nystatin 100.000 IU, zink oint Myco Z Tube 10 gr
650 Nystatin suspensi Fungatin susp btl @ 12ml
651 Obat Batuk Hitam ( O.B.H. ) cairan PT. Afifarma BTL 100 ML 1,259
652 Obat Batuk Hitam ( O.B.H. ) cairan PT. Erela btl 200 ml 2,783
653 OCO Botol 75,000
654 OCO Botol
655 Oksitetrasiklin HCl Inj 500 mg/ml Oksitetrasiklin HCl OGB Box @ 1 vial, 10 ml
656 Oksitetrasiklin salep kulit 3% PT. Kimia Farma ktk 25 tube @ 3,5 g 1,450
657 Oksitosin injeksi 10 IU/ml - 1 ml PT. Ethica Industri Farmasi ds / 100 amp / 1 cc 1,820
658 Omeprazol kapsul/kaplet 20 mg PT. Hexpharm Jaya Laboratories Ktk 3 x 10 kapsul 265
659 Omeprazole Inj 40 mg Omeprazole inj Box @ 1 amp 74,655
660 Omeprazole Inj 40 mg OMZ Inj Box @ 1 amp
661 Ondansetron Inj 4 mg/2ml, 2 ml OGB Box @ 5 amp 27,500
662 Ondansetron Inj 4 mg/2ml, 2 ml OGB Box @ 5 amp
663 Ondansetron Tab 8 mg Ondavel 8 Box 12 tab
664 Ortho-Phtalaldehyde cidex opa Gallon 5L
665 Oxytocin 10 IU/ml Inj Pitogin Box @ 10 amp
666 Pantoprazole Inj 40 mg OGB Box @ 1 vial 88,000
667 Pantoprazole Inj 40 mg Vomizole Inj Box @ 1 vial
668 Pantoprazole Inj 40 mg OGB Box @ 1 vial
669 Paper point No. 15-40 Pack 75,000
670 Paper point No. 15-40 Pack
671 Paracetamol infus 10 mg/ml Pyrex inf Botol 100 ml
672 Paracetamol supp 160 mg Propyretic Box 2 x 6 supp
675 Parasetamol 500mg+N acetylsistein Sistenol caplet box @ 60
676 Parasetamol drops PT. Indofarma Btl 15 ml 5,227
677 Parasetamol sirup 120 mg / 5 ml PT. Afifarma BTL 60 ML 1,319
678 Parecoxib Na 40 mg Inj Dynastat Box @ 1 vial 98,785
679 Parecoxib Na 40 mg Inj Dynastat Box @ 1 vial
680 Pasta iodoform 300,000
681 Pasta iodoform
682 Pemirolast Potassium 0.1% Alegysal Tetes Mata @ 5 ml
683 Pentoxifillin Inj 500 mg Reotal Box @ 5 amp 196,350
684 Pentoxifillin Inj 500 mg Reotal Box @ 5 amp
685 Pentoxifillin Tab 400 mg Reotal Box 3 x 10 tab
686 Perak sulfadiazin 1 % Burnazin salep Tube 35 gr 32,450
687 Perak sulfadiazin 1 % Burnazin salep Tube 35 gr
688 Periodontal dressing GC Pcs 506,000
689 Periodontal dressing GC Pcs
690 Petidin inj OGB Box @ 10 amp 143,906
691 Petidin inj OGB Box @ 10 amp
692 Petidin injeksi 50 mg/ml PT. Kimia Farma Ktk 10 AMP @ 2ML 13,191
693 Phenobarbital Inj 200 mg/2 ml Sibital inj Box @ 10 amp
694 Pioglitazon Tab 15 mg Pionix Box 3 x 10 tab 191,400
695 Pioglitazon Tab 15 mg Pionix Box 3 x 10 tab
696 Piracetam 800 mg Neurotam Box 5 x 10 tab
697 Piracetam Inj 3 gr Fepiram inj 3 gr Box @ 4 amp
698 Piracetam injeksi 1 g/5 ml PT. Hexpharm Jaya Laboratories 1 box isi 10 ampul 1,925
699 Piracetam injeksi 3 g/15 ml PT. Hexpharm Jaya Laboratories ktk 4 amp 4,000
Dus, 5 Strip @ 10
700 Piracetam tablet 1200 mg PT. Indofarma 776
Tablet
701 Piracetam tablet 400 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 194
702 Piracetam tablet 800 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 tablet 321
703 Pirantel pamoat Susp. 25 mg/ml, 10 ml Combantrin orange Botol 10 ml 8,924
704 Pirantel pamoat Susp. 25 mg/ml, 10 ml Combantrin orange Botol 10 ml
705 Pirantel sirup 125 mg/5 ml PT. Holi Pharma BOTOL 60 ML 8,250
Kotak 30 (5 strip @ 6
706 Pirantel tablet score (base) 125 mg PT. Indofarma 311
tablet)
707 Pirazinamid tablet 500 mg PT. Indofarma 198
Tablet
PT. Promedrahardjo Farmasi
708 Piroksikam kapsul/kaplet/tablet 10 mg Strip 10 x 10 Tablet 65
Industri
709 Piroksikam kapsul/kaplet/tablet 20 mg PT. Kimia Farma ktk 10 x 10 tablet 88
710 Plastic syringe GC Pack 561,000
711 Plastic syringe GC Pack
712 policresulen Albothyl concentrat kotak @ 10 ml 29,645
713 policresulen Albothyl ovula kotak @ 6 ovula 108,900
714 policresulen Albothyl concentrat kotak @ 10 ml
715 policresulen Albothyl ovula kotak @ 6 ovula
716 Polishing pasta 600,000
717 Polishing pasta
718 Polygelin 3,5% Inf Gelafusal Botol 500 ml
719 Polygran ED 5 ml Strip 30,250
720 Polygran ED 5 ml Strip
721 Povidon Betadin scrub Gallon 5L 805,200
722 Povidon Betadin scrub Gallon 5L
723 Povidon Iodida larutan 10% PT. Kimia Farma btl 60 ml 3,500
724 Povidon Iodida larutan 10% PT. Kimia Farma btl 300 ml 14,000
725 Povidon Iodida larutan 10% PT. Kimia Farma BTL.1000ML 31,174
726 Povidon Iodida larutan 10% PT. Kimia Farma BTL. 30 ML 2,000
727 Povidon iodine 10% OGB Botol 60 ml 38,184
728 Povidon iodine 10% OGB Botol 60 ml
PPC 95% 150 mg, silymarin phytosome 100
729 mg, Schizandra extr.375 mg d--tocopherol 5 Hepamax kotak @ 30 kaps 207,900
IU
PPC 95% 150 mg, silymarin phytosome 100

730 mg, Schizandra extr.375 mg d--tocopherol 5 Hepamax kotak @ 30 kaps
IU
731 Pravastatin tablet 20 mg kotak 5 x 10 tablet 2,400
Laboratories
732 Pre,post natal vitamin + dha Folamil genio btl @ 30 caps
733 Prednison tablet 5 mg PT. Phapros, Tbk ktk 10 str x 10's 52
734 Pregabalin Kaps 75 mg Provelyn Box @ 14 kaps 200,200
735 Pregabalin Kaps 75 mg Provelyn Box @ 14 kaps
736 Primakuin tablet 15 mg PT. Phapros, Tbk ktk 10 str x 10's 114
737 Propanolol tablet 10 mg ( HCl ) PT. Holi Pharma ktk 10 strip x 10 tab 77
738 Propanolol tablet 40 mg (HCl) PT. Indofarma Botol 100 Tablet 108
739 Propiltiourasil 100mg OGB Botol 100 tab 40,411
740 Propiltiourasil 100mg OGB Botol 100 tab
Botol plastik @ 100
741 Propiltiourasil tablet 100 mg PT. Indofarma 264
tablet
742 propiverin Mictonorm Box 4 x 7 tan 426,364
743 propiverin Mictonorm Box 4 x 7 tan
744 Propofol 1 %, 2 ml Safol Box @ 5 amp
745 Propofol Inj 200 mg/20 ml Recofol Box @ 5 amp 445,280
746 Propofol Inj 200 mg/20 ml Recofol Box @ 5 amp
747 Propofol Inj 500 mg/50 ml Recofol Box @ 1 amp
748 Protagenta ED 5 ml Strip 40,150
749 Protagenta ED 5 ml Strip
750 Pseudoefedrin HCl drops 7,5 mg / 0,8 ml Alco Botol 15 ml 24,750
751 Pseudoefedrin HCl drops 7,5 mg / 0,8 ml Alco Botol 15 ml
752 Pyrazinamid 500 OGB Box 10 x 10 tab 25,740
753 Pyrazinamid 500 OGB Box 10 x 10 tab
754 Ramipril tablet 2,5 mg PT. Dexa Medica 300
tablet
755 Ramipril tablet 5 mg PT. Dexa Medica 530
tablet
756 Ranitidin 150 inj Radin Inj Box @ 5 amp 87,500
757 Ranitidin 150 inj Radin Inj Box @ 5 amp
758 Ranitidin injeksi 25 mg/2 ml PT. Phapros, Tbk ktk 25 amp x 2 ml 1,928
759 Revotek GC Pack 539,000
760 Revotek GC Pack
761 Rifampicin 450 OGB Box 10 x 10 tab 79,200
762 Rifampicin 450 OGB
Dus, 10 Strip @ 10
763 Rifampisin kapsul/kaplet 300 mg PT. Indofarma 376
Kapsul
764 Rifampisin kapsul/kaplet 600 mg PT. Hexpharm Jaya Laboratories ktk 10 x 10 kaplet 830
Dus, 10 Strip @ 10
765 Rifampisin tablet salut 450 mg PT. Indofarma 594
Kapsul
766 Ringer Lactat Ecosol RL botol 500 ml
767 Ringer Laktat larutan infus PT. Widatra Bhakti Botol 500 ml 5,200
768 risperidon Inj 25 mg Risperdal consta Box @ 1 vial 995,500
769 risperidon Inj 25 mg Risperdal consta Box @ 1 vial
2 X 10 Tablet, Nama
770 Risperidon tablet 1 mg PT. Mersifarma Tirmaku Mercusana 1,400
Dagang: Persidal
771 Risperidon tablet 2 mg PT. Mersifarma Tirmaku Mercusana strip 1,781
772 Risperidon tablet 3 mg PT. Dexa Medica dus 5 x 10 tablet 2,500

773 Rosuvastatin 20 mg Crestor 20 Kotak @ 28 Tab
774 Salbutamol Nebules 2,5 mg/ 2,5 ml NaCl Ventolin Box 4 x 5 nebu
775 Salbutamol Spray Ventolin inhaler Box, can 200 doses
776 Salbutamol tablet 2 mg (sebagai Sulfat) PT. Yarindo Farmatama 10 X 10 tab 60
777 Salbutamol tablet 4 mg (sebagai Sulfat) PT. Phapros, Tbk ktk 10 str x 10's 82
Salep 2-4 , Kombinasi: Asam Salisilat 2% +
778 PT. Marin Liza Farmasi POT @ 30 GR 1,800
Belerang endap 4%
779 Salisil Bedak 2 % PT. Kimia Farma ktk 50 gram 1,120
780 Saliva ejector medesy pack 59,400
781 Saliva ejector medesy pack
782 Sefadroksil kapsul/kaplet 250 mg PT. Hexpharm Jaya Laboratories KTK 5x10 Kapsul 468
783 Sefadroksil kapsul/kaplet 500 mg PT. Hexpharm Jaya Laboratories ktk 10 x 10 kapsul 521
784 Sefadroksil sirup kering 125 mg/5ml PT. Hexpharm Jaya Laboratories Btl 60 ml 5,248
Dus, 5 Strip @ 10
785 Sefaleksin kapsul/kaplet 500 mg PT. Indofarma 972
Kapsul
786 Sefazolin injeksi 1 g PT. Dexa Medica dus 2 vial 1 gr 18,585
787 Sefiksim kapsul/kaplet 100 mg PT. Hexpharm Jaya Laboratories Ktk 5 x 10 kapsul 958
788 Sefiksim sirup kering 100 mg/ 5 ml PT. Hexpharm Jaya Laboratories btl 30 ml 10,588
789 Sefofluran Sojourn Botol 250 ml
790 Sefoperazon Na Inj Sefoperazon Na OGB Box @ 1 vial
791 Sefotaksim injeksi 0,5 g PT. Hexpharm Jaya Laboratories KTK 2 Vial 5,500
792 Sefotaksim injeksi 1 g PT. Holi Pharma ktk 2 vial @ 1g 5,000
793 Sefpirome Inj 1 gr OGB Box @ 2 vial 253,000
794 Sefpirome Inj 1 gr OGB Box @ 1 vial
795 Seftazidim injeksi 1 g PT. Hexpharm Jaya Laboratories ktk 2 vial 12,527
796 Seftriakson injeksi 1 g PT. Holi Pharma ktk 2 vial @ 1g 5,500
797 Sefuroksim Inj 1 gr Sefuroksim OGB Box @ 1 vial
798 Semen Seng Fosfat Serbuk dan Cairan Set @ 30 gr/Btl 168,658
799 Semen Seng Fosfat Serbuk dan Cairan Set @ 30 gr/Btl
800 Seng sulfat sir 10 mg/5ml Zinkid Botol 31,460
801 Seng sulfat sir 10 mg/5ml Zinkid Botol
802
Serbuk rhizoma kurkuma 200 mg Tab salut Curcuma Botol 500 tab 220,000
803
Serbuk rhizoma kurkuma 200 mg Tab salut Curcuma Botol 500 tab
804 Sertralin 50 mg Zoloft Box 3 x 10 433,834
805 Sertralin 50 mg Zoloft Box 3 x 10
806 Serum antibisa ular ABU I Box @ 10 Ampul 1 ml
807 Serum antitetanus (ATS) 1500 UI, 1 ml ATS 1500 Box @ 10 amp
808 Serum antitetanus (ATS) 20000, 5 ml ATS 20000 Box @ 10 Vial
Sianokobalamin (vitamin B12) injeksi 500
809 PT. Indofarma Dus, 100 ampul @ 1 ml 916
mcg
810 Sianokobalamin (vitamin B12) tablet 50 mcg PT. Kimia Farma ktk 10x10 tablet 14
811 Sildenafil Sitrat Tab 50 mg Viagra Box 4 tab

812 Simvastatin Tab 20 mg Cholestat Box 3 x 10 tab 185,500
813 Simvastatin Tab 20 mg Cholestat Box 3 x 10 tab
814 Simvastatin tablet 10 mg PT. Hexpharm Jaya Laboratories Ktk 3 x 10 tablet 180
815 Simvastatin tablet 20 mg PT. Kimia Farma DS. 50 TAB 497
816 Simvastatin tablet 5 mg PT. Bernofarm Nama Dagang: 240
Rendapid
817 Siprofloksasin infus 2% PT. Phapros, Tbk btl 100 ml 39,900
818 Siprofloksasin tablet 500 mg (sebagai HCl) PT. Phapros, Tbk ktk 5 bls x 10's 245
Dus, 5 Strip @ 10
819 Spiramisin tablet 500 mg PT. Indofarma 1,386
Tablet
820 Spiramycin 500 mg OGB Box 5 x 10 tab 77,050
821 Spiramycin 500 mg OGB Box 5 x 10 tab
822 Spironolakton tablet 100 mg PT. Dexa Medica Kotak 10 x 10 tablet 950
823 Spironolakton tablet 25 mg PT. Dexa Medica Kotak 10 x 10 tablet 311
824 Spongostan Septodont botol 440,000
825 Spongostan Septodont botol
826 Sterile water 100 ml Otsu Botol 1000 ml
827 stone gip biru GC bungkus 23,100
828 stone gip biru GC bungkus
829 stone gip kuning GC bungkus 148,500
830 stone gip kuning GC bungkus
831 Streptokinase Inj 1.500.000 iu Streptase Box @ 1 vial
832 Streptomisin serbuk injeksi i.v 1000 mg/ml PT. Phapros, Tbk Dus 56 vial @ 1 gram 3,650
833 Streptomycin 1 gr Inj Streptomycin Box @ 1 vial

834 Sukralfat susp Inpepsa Botol 100 ml 48,400
835 Sukralfat susp Inpepsa Botol 100 ml
836 Sulfasalazin tablet 500 mg PT. Bernofarm Kotak 100 tab 500 mg 415
837 Sulfur presipitatum Bahan baku Kaleng 1 kg 32,500
838 Sulfur presipitatum Bahan baku Kaleng 1 kg
839 Tabir surya cr Parasol SPF 33 Tube 20 gr 88,000
840 Tabir surya cr Parasol SPF 33 Tube 20 gr
841 Tadalafil Cialis 5 Box 4 tab 457,380
842 Tadalafil Cialis 5 Box 4 tab
843 Tamsulosin ocas 0,4 mg tab Harnal Ocas Box @ 30 tab 388,798
844 Tamsulosin ocas 0,4 mg tab Harnal Ocas Box @ 30 tab
845 Teofilin Tab 150 mg Euphyllin SR Box 10 x 10 tab 291,500
846 Teofilin Tab 150 mg Euphyllin SR Box 10 x 10 tab
847 Teofilin Tab 150 mg Bronsolvan Box 10 x 10 tab
848 terazosin HCl 2 mg tab Hytroz Box 10 x 10 920,700
849 terazosin HCl 2 mg tab Hytroz Box 10 x 10
850 Terazosin Tab 2 mg Hytrin Tab 2 x 14 mg 351,120
851 Terazosin Tab 2 mg Hytrin Tab 2 x 14 mg
852 Terbutalin sulfat Inj 0,5 mg/ml Bricasma Box @ 5 amp
853 tetes hidung Illidin Nasal 35,332
854 tetes hidung Illidin Nasal
855 Thiamfenicol F DS Biothicol Botol 60 ml 53,350
856 Thiamfenicol F DS Biothicol Botol 60 ml
857 Tiamin (Vitamin B1) 100 mg tablet PT. Kimia Farma ktk 10x10 tablet 81
858 Tiamin (Vitamin B1) injeksi 100 mg/ml PT. Bernofarm Kotak 30 ampul 1 ml 690
859 tinoridin 50 mg Nonflamin Box 6 x 10 kap 201,963
860 tinoridin 50 mg Nonflamin Box 6 x 10 kap
861 Tipokal anastesi Zeyco Box 71,500
862 Tipokal anastesi Zeyco Box
863 Tramadol injeksi 50 mg/ml PT. Bernofarm Kotak 5 ampul 1 ml 5,400
864 Triamcinolon tab 4 mg OGB Box 10 x 10 tab 79,695
865 Triamcinolon tab 4 mg OGB Box 10 x 10 tab
866 Triamcinolone a cetonide 1mg/g Ketricin orabase 0.1 % Tube 5gr
867
Triamsinolon asetonid Inj IA/ID 10 mg/5 ml Flamicort Box @ 1 vial, 5 ml 96,800
868
Triamsinolon asetonid Inj IA/ID 10 mg/5 ml Flamicort Box @ 1 vial, 5 ml
869 Triamsinolon asetonid Tab 4 mg Ketricin Box 10 x 10 tab 308,000
870 Triamsinolon asetonid Tab 4 mg Ketricin Box 10 x 10 tab
871 Trifluoperazin 5 mg Stelosi Box 10 x 10 55,000
872 Trifluoperazin 5 mg Stelosi Box 10 x 10
873 Triheksifenidil tablet 2 mg PT. Indofarma 40
Tablet
874 Ursideoxycholic acid Urdahex Box 3 x 10 tab 258,500
875 Ursideoxycholic acid Urdahex Box 3 x 10 tab
876 Vaselin album Bahan baku Kaleng 92,000
877 Vaselin album Bahan baku Kaleng
878 Vekuronium bromide Inj 10 mg/vial Norcuron Box @ 1 vial
879 Verapamil tablet 80 mg (HCl) PT. Kimia Farma Ktk 10X10 TAB 215
Vit B1 50 mg,Vit B2 25 mg, Vit B6 10 mg,Vit
880 B12 5 mcg,Nikotinamid 100 mg,Pantotenat Becom c Box 10 x 10 122,100
18,4 mg,Vit C 500 mg
Vit B1 50 mg,Vit B2 25 mg, Vit B6 10 mg,Vit

881 B12 5 mcg,Nikotinamid 100 mg,Pantotenat Becom c Box 10 x 10
18,4 mg,Vit C 500 mg
882 Vitamin neurotropik Inj Neurobion 5000 Box 20 ampul
883 Vitamin neurotropik Inj Neurobion Box 20 ampul
884 Vitrolenta 0,6 ml @S's minidose Strip 24,200
885 Vitrolenta 0,6 ml @S's minidose Strip
886 Warfarin Na Tab 2 mg Simarc-2 Box 10 x 10 tab 132,000
887 Warfarin Na Tab 2 mg Simarc-2 Box 10 x 10 tab
888 wax medium Anchor Box 35,200
889 wax medium Anchor Box
890 wedges
Dus, 10 Strip @ 10
891 Zinc tablet 20 mg PT. Indofarma 455
Tablet
XVIII ALKED & ALKES
1 Betametason+desklorfeniramin maleat
2mg/5ml Collergis syr btl @ 60ml
2 2 Way Folley Catheter no 10 Chroma Box/ 10 pcs 57,200
9 3 Way Stopcock (Blue) Polymed Pcs 11,200
10 Acryfold 357,500
11 Alkohol 70% 1 L Molex Ayus Botol 1 L 18,000
12 Apron White ( celemek plastik ) Remedi Pcs 5,500
13 Aqua DM Bahan Baku Botol 20 L 70,000
14 Autoclav Indikator Tape Roll 125,000
Benang jahit Prolene cutting no 3-0(size 3/8
15 Prolene box/24 pcs 2,211,000
circle) W8025T
circle) W8015T
circle) W8681G
circle) W8005T
Benang jahit Vicryl cutting no 3-0(size 3/8
19 Vicryl box/24 pcs 1,950,630
circle) W9521T
Benang jahit Vicryl cutting no 4-0 (size 3/8
circle) W9515T
Benang jahit Vicryl cutting no 5-0(size 3/8
circle) W9514T
22 Betadine Scrub Gallon 5 L 805,200
23 Blood Tranf set Type OB-1 Otsuka Pcs 28,600
24 Bonewax 2.5 gram Bonewax Box/24 pcs 1,425,600
25 Botol Kaca 30 ml warna gelap Pcs 1,500
Braided Coated Lactomer 9-1 synthetic
26 Polysorb Box/36 pcs 2,930,400
absorble suture 75 cm tapper 2-0 (GL 123)
absorble suture 90 cm tapper 0 (CL 914)
Braided Silk Natural non absorble suture 45
32 Sofsilk Box/36 pcs 1,861,200
cm cutting 2-0 (SS 685)
cm cutting 3-0 (SS 684)
cm tapper 1 (GS 425)
cm tapper 0 (CS 424)
cm tapper 2-0 (GS 833)
cm tapper 3-0 (GS 832)
38 Catgut Chromic 0 SurgiRoll Roll 100 m 1,518,000
41 Catgut Chromic 2-0 SurgiRoll Roll 100 m 1,573,000
44 Catgut Chromic Atraumatic Taper 0 , HR 30 CHROMIC Box/ 24 pcs 1,515,888
Catgut Chromic Atraumatic Taper 2-0 , HR

47 CHROMIC Box/ 24 pcs 1,515,888
30
Catgut Chromic Atraumatic Taper 3-0 , HR
48 CHROMIC Box/ 24 pcs 1,531,200
30
49 Catgut Plain 0 SurgiRoll Roll 100 m 1,518,000
52 Catgut Plain 2-0 SurgiRoll Roll 100 m 1,573,000
55 Catgut Plain Taper 0, HR 43 PLAIN Box/ 24 pcs 1,600,104
58 Catgut Plain Taper 2-0, HR 35 PLAIN Box/ 24 pcs 1,420,320
61 Cauter Aaron 258,500
62 Chlorhexidin 2% Microsield Gallon 5 L 605,000
63 Chlorhexidin 4% Microsield Gallon 5 L 847,000
64 Colostomy Bag, Sterille (140mm x 250mm) Ideal Care Pack/30 pcs 253,000
65 Cresent Knife - disposible 150,333

66 Diapers bayi baru lahir Mamypoko Pack 30 pcs 56,297
67 Disp.Syiringe 20 cc Terumo Box/50 pcs 398,750
68 Disp.Syringe 1 cc Tuberculin BD Box/100 pcs 363,000
69 Disp.Syringe 10 cc BD Box/100 pcs 462,000
72 Disp.Syringe 50 cc Terumo Box/20 pcs 350,900
73 Disp.Syringe 50 cc Cath.Tip Terumo Box/20 pcs 660,000
74 Dop Mata 13,200
75 Dressing Transparent 10 cm x 10 m Fixomull Roll 330,000
78 ECG Elektroda Anak Ambu Pack 165,000
79 ECG Elektroda Dewasa Kendall Pack 165,000
80 EKG Paper ( FCP 7101) Fukuda Roll 17,600
81 EKG Paper ( FCP 7102) Fukuda Roll 17,600
82 EKG Paper ( FX 7402) Fukuda Roll 17,600
Endotracheal Tube Nasal Oral Curved HVLC
83 Ideal Care Pcs 525,800
Cuffed,Sterille 4
Cuffed,Sterille 4.5
Cuffed,Sterille 5
Cuffed,Sterille 5.5
Cuffed,Sterille 6
Cuffed,Sterille 6.5
Cuffed,Sterille 7
Cuffed,Sterille 7.5
Endotracheal Tube Regular Plain
Uncuff,Steille 2
Uncuff,Steille 2.5
Uncuff,Steille 3
Uncuff,Steille 3.5
Uncuff,Steille 4
Endotracheal Tube Reguler HVLP
Cuffed,sterille 3.5
Cuffed,sterille 4
Cuffed,sterille 4.5
Cuffed,sterille 5
Cuffed,sterille 5.5
Cuffed,sterille 6
Cuffed,sterille 6.5
Cuffed,sterille 7
Cuffed,sterille 7.5
Endotracheal Tube Wire Reinforced HVLP
Cuffed,Sterille 5
Cuffed,Sterille 5.5
Cuffed,Sterille 6
Cuffed,Sterille 6.5
Cuffed,Sterille 7
Cuffed,Sterille 7.5
Endotracheal Tube Wire Reinforced Plain
Uncuff,Sterille 2
Uncuff,Sterille 2.5
Uncuff,Sterille 3
Uncuff,Sterille 3.5
Uncuff,Sterille 4
116 Epidural Needle Paediatric G 22 Perican Box/ 25 pcs 110,000
117 Epidural Needle G 18 Perican Box/ 25 pcs 107,800
Essential Shunt Kit,Burr Hole Design,Low
118 Unit 4,950,000
Pressure
Essential Shunt Kit,Burr Hole
119 Unit 4,950,000
Design,Medium Pressure
Essential Shunt Kit,Flat Bottom Design, Low
120 Unit 4,950,000
Pressure
Essential Shunt Kit,Flat Bottom Design,
121 Unit 4,950,000
Medium Pressure
Essential ShuntKit,Burr Hole Design,High
122 Unit 4,950,000
Pressure
Ethilond Excel Polyester Suture ASH-30 taper
123 Polyester Suture Box/12 pcs 1,187,120
1 W969
124 Extension Tube JMS JMS Pcs 40,000
125 Eye Drape /Pad 27,500
126 Feeding Tube No 3.5 Terumo Pcs 16,830
127 Feeding Tube No 5 Terumo Pcs 16,830
128 Feeding Tube No 6 JMS Pcs 16,830
129 Feeding Tube No 8 100 cm Terumo Pcs 16,830
130 Formalin Cair Bahan Baku Botol 10 L 350,000
131 Guedel no 0 Ideal Care Pcs 34,100
139 Gypsona 3 inc (3.5 m x 7.5 cm) BSN Roll 25,941
140 Gypsona 4 inc (3.5 m x 10 cm) BSN Roll 36,319
141 Gypsona 6 inc (3.5 m x 15 cm) BSN Roll 47,626
142 H2O2 50% Bahan Baku Botol 800 ml 50,000
143 Hypafix 10 cm x 5 m Hypafix Roll 101,129
146 In Stopper/Heparin Cap,Sterille Ideal Care Pack/100Pcs 242,000
147 Infus Pump Disposible Pcs 165,000
148 Infusion Set adult Savety Intrafix air adult Pcs 24,200
149 Infusion Set Pediatric savety Intrafix air pediatric Pcs 18,150
150 IV Catheter No 14 Terumo Pcs 13,200
154 IV Dressing (6 cm x 7 cm ) Tegaderm Box/100 pcs 554,400
155 Jackson Reast Pcs 246,400
156 Jarum Kulit no 10 Ideal Care 1 lusin/pack 88,000
164 Jarum Otot 10 Ideal Care 1 lusin/pack 88,000
172 Kapas 100 gram Indo Medika Roll 12,320
178 Kapsul Kosong 0 Lokal Zak 32,000
183 Kassa Binda Roll (40m x 80cm) Indo Medika Roll 234,300
184 Laminaria ukuran L Ideal Care Box/12 pcs 1,452,079
185 Laminaria ukuran M Ideal Care Box/12 pcs 1,452,079
186 Laminaria ukuran S Ideal Care Box/12 pcs 1,452,079
187 Laryngeal Mask Airway no 2 (LMA) - bengkok Ambu Pcs 465,000
Laryngeal Mask Airway no 2.5 (LMA) -

188 Ambu Pcs 465,000
bengkok
Lensa IOL jenis foldable IOL (dilipat) dan

191 357,500
keras
192 Leukoplast 1622 (1x5) roll 13,750
193 Leukoplast 1625 (3x5) roll 38,500
194 Mesh For Hernia ( Premilene Mesh 15 x 15) Premilene Pcs 885,500
195 Mesh For Hernia ( Premilene Mesh 30 x 15) Premilene Pcs 2,213,750
196 Mesh For Hernia ( Premilene Mesh 5 x 10) Premilene Pcs 302,390
197 Mesh For Hernia ( Premilene Mesh 7.5 x 15) Premilene Pcs 431,420
198 Micropore with dispenser (1 inch x 10 yds) Micropre 3M Box/12 roll 322,640
199 Micropore with dispenser (1/2 inch x 10 yds) Micropre 3M Box/12 roll 332,640
200 Micropore with dispenser (2 inch x 10 yds) Box/12 roll 322,640
201 Miochol 38,500

202 Monocryl PS-1 3/8 Circle Y936H 3-0 Poligrecaprone 25 Box/36pcs 3,688,740
203 Monocryl SH 1/2 Circle Y316H 3-0 Poligrecaprone 25 Box/36pcs 3,431,450
204 Monocryl SH 1/2 Circle Y317H 2-0 Poligrecaprone 25 Box/36pcs 3,030,720
Monofilament chromic gut Natural absorble
205 Chromic Box/36 pcs 2,613,600
suture 75 cm tapper 0 (CG 812)
suture 75 cm tapper 1 (CD 915)
suture 75 cm tapper 2 (CG 804)
suture 75 cm tapper 2-0 (GG 123)
Monofilament Glicomer 631 synthetic
211 absorble suture 70 cm reverse cutting 3-0 Biosyn Box/36 pcs 4,316,400
(SM 693)
Monofilament Glicomer 631 synthetic

212 absorble suture 70 cm reverse cutting 4-0 Biosyn Box/36 pcs 4,059,000
(SM 691)
Monofilament Plain gut Natural absorble
213 Plain Box/36 pcs 2,336,400
214 Plain Box/36 pcs 2,296,800
215 Plain Box/36 pcs 2,613,600
suture 75 cm tapper 4-0 (UG 207)
Monofilament polypropylene synthetic non

216 Sugipro Box/36 pcs 3,326,400
absorble suture 45 cm,cutting 4-0 (SP 683)

absorble suture 45 cm,tapper 3-0 ( SP 684)

absorble suture 75 cm,tapper 2-0 (SP 685)

219 Surgipro Box/36 pcs 5,544,000
absorble suture 75 cm,tapper 6-0 (VP 776 X)
220 MQA (isi 20 pcs) 380,000

221 Nasal Nebulizer Adult Mas Pcs 33,880
222 Nasal Canul O2 Adult Mas Pcs 18,150
223 Nasal Canul O2 Child Mas Pcs 18,150
224 Nasal Canul O2 Neonatus Mas Pcs 18,150
225 Nasal Canul O Non Rebreathing Adult Mas Pcs 27,500
226 Nasal Canul O Non Rebreathing Child Mas Pcs 27,500
227 Nasal Canul O Rebreathing Adult Mas Pcs 27,500
228 Nasal Canul O Rebreathing Child Mas Pcs 27,500
229 Nasal Nebulizer Child Mas Pcs 28,490
230 Nasal Nebulizer Neonatus Mas Pcs 28,490
231 Naspro 390,000
232 Naspro BBY 495,000
233 Needle 18 G Terumo Box/100 pcs 121,000
236 Neoflon 24 G BD Pcs 16,500
237 Nursing Caps Mas Box 66,000
Ethilon Precision point-Reserse
238 Nylon 1/2 Circle 1716G No. 8-0 Box 12 pcs 5,234,900
Cutting
239 Nylon 1/2 circle CT no 0 tapper W740 Ethilon Nylon Suture taper Kotak 12 pcs 1,180,300
Nylon 1/2 circle CTX Heavy no 1 tapper
240 Ethilon Nylon Suture taper Kotak 12 pcs 1,427,690
W748
241 Nylon 1/2 circle CTX no 1 tapper W749 Nylon Suture cutting Kotak 12 pcs 929,830
242 Nylon 1/2 Circle W1756 No. 10-0 Box 12 pcs 2,641,320
Cutting
243 Nylon 10-0 double needle Pcs 202,400
244 Nylon 3/8 circle PCLX no 2-0 W1632T Kotak 24 pcs 1,580,260
Cutting
245 Nylon 3/8 circle PS no 2-0 W1626T Kotak 24 pcs 1,334,410
Cutting
246 Nylon 3/8 circle PS-2 no 3-0 W1621T Kotak 24 pcs 1,207,580
Cutting
Cutting
Cutting
Cutting
250 Nylon 3/8 Circle W1718 No. 10-0 Box 12 pcs 2,428,800
Cutting
251 Opsite (30 cm x 28 cm) / 1x10 Opsite Pcs 60,984
252 Opsite Flexigrid 10 x 12 cm Opsite Pcs 12,474
255 Opsite (10 cm x 14 cm) /1x50 Opsite Pcs 12,100
260 Opsite Post-Op (15.5 cm x 8.5 cm) Opsite Pcs 24,200
261 Opsite Post-Op (20 cm x 10 cm) Opsite Pcs 27,720
262 Opsite Post-Op (25 cm x 15 cm) Opsite Pcs 33,000
263 Opsite Post-Op (6.5 cm x 5 cm) Opsite Pcs 8,316
264 Opsite Post-Op (9.5 cm x 8,5 cm) Opsite Pcs 18,150
265 Optem (Aaron) 258,500
266 Orto-Phthalaldehyde Cidex OPA Gallon 5 L 821,900
Paediatric urine collector,sterille ukuran 100
267 Ideal Care Box/100pcs 5,500
ml
PDS II (Polydioxanone) C-1 ,C-1 3/8 Circle
268 Polydioxanone Box/24 pcs 4,554,000
taper W9095T 7-0
PDS II (Polydioxanone) C-1 ,C-1 3/8 Circle
269 Polydioxanone Box/36pcs 6,831,000
taper W9096 H 6-0
270 Pen Can Paed G25 Pencan Box/ 25 pcs 1,485,000
271 Pen Can Paed G27 Pencan Box /25 pcs 2,612,500
272 Peneng Anak Biru One Med Box/100 pcs 88,000
273 Peneng Anak Pink One Med Box/100 pcs 88,000
274 Peneng Dewasa Biru One Med Box/100 pcs 88,000
275 Peneng Dewasa Pink One Med Box/100 pcs 88,000
276 Pisau Bedah No 10 (Bisturi) Aescullap Box/ 100 pcs 160,000
Plester Coklat Gulungan 3x5 (Leukoplast
282 Leukoplast Roll 38,500
1625)
Polymed Polyflex IV catheter with inj port no
283 Polymed Box/50 pcs 19,800
16
18
20
22
24
Polymed Polyflex IV Catheter With Inj.Port no
26 G
289 Popok Dewasa Tipe Perekat ukuran L Lifefree Pack 16 pcs 95,481
290 Popok Dewasa Tipe Perekat ukuran M Lifefree Pack 18 pcs 95,481
291 Pot 100 cc plastik Lokal Pcs 1,100
292 Pot 20 cc plastik Lokal Pcs 600
Pouches Steril Guzetted (10cm x 5cm x
295 Mpack Roll 495,000
100m)
100m)
100m)
298 Mpack Roll 1,540,000
100m)
299 Mpack Roll 1,045,000
100m)
Pouches Steril Guzetted (7.5cm x 5cm x
100m)
301 Pouches Sterilzation Flat (10cm x 200m) Mpack Roll 550,000
304 Pouches Sterilzation Flat (25cm x 200m) Mpack Roll 1,155,000
308 Pouches Sterilzation Flat (7.5cm x 200m) Mpack Roll 440,000
309 Povidone Iodine 10% Lokal Gallon 20 L 1,380,000
310 Premilene Reserve Cutting 2-0 DS 24 Premilene Box/ 36 pcs 2,855,160
315 Prolene 8-0 double needle 3/8 circle Prolene 453,750
316 Quicky Suction No 16 Flexytube Pcs 211,200
319 Redon Drain No 16 G Redon Drain Pcs 22,550
322 Respiratory Anesthesi Face Mask Infant Demka Pcs 78,870
323 Respiratory Anesthesi Face Mask Large Adult Demka Pcs 78,870
Respiratory Anesthesi Face Mask Medium

324 Demka Pcs 78,870
Adult
325 Respiratory Anesthesi Face Mask Neonate Demka Pcs 82,500
326 Respiratory Anesthesi Face Mask Paediatric Demka Pcs 78,870
327 Respiratory Anesthesi Face Mask Small Adult Demka Pcs 78,870
328 Rhex-Id 44,000

329 Ring Pessarium Pcs 100,000
330 Safil Reserve Cutting 2-0 DS 24 Safil Box/ 36 pcs 3,571,920
331 Safil Reserve Cutting 3-0 DS 24 Safil Box/ 36 pcs 3,141,309
332 Safil Taper 0, HR 37 Safil Box/ 36 pcs 3,767,781
335 Safil Taper 2-0, HR 26 Safil Box/ 36 pcs 3,320,301
336 Safil Taper 3-0, HR 26 Safil Box/ 36 pcs 3,516,480
337 Sarung Tangan non sterile ukuran L Sensi Glove Box/ 50 psg 40,000
338 Sarung Tangan non sterile ukuran M Sensi Glove Box/ 50 psg 40,000
339 Sarung Tangan non sterile ukuran S Sensi Glove Box/ 50 psg 40,000
340 Sarung Tangan non sterile ukuran XL Sensi Glove Box/ 50 psg 40,000
341 Sarung Tangan Orthopaedic 7 Surgika Pcs 23,656
342 Sarung Tangan Orthopaedic 7,5 Surgika Pcs 23,656
343 Sarung Tangan Orthopaedic 8 Surgika Pcs 23,656
344 Sarung Tangan Sterile (Gamex) no 6 Gamex Box/ 40 pcs 638,000
346 Sarung Tangan Sterile (Gamex) no 7,5 Gamex Box/ 40 pcs 638,000
348 Sarung Tangan Sterile Gynaecolog L Mas Pcs 44,000
349 Sarung Tangan Sterile Gynaecolog M Mas Pcs 44,000
350 Sarung Tangan Sterile no 7 Mas Pcs 15,400
351 Sarung Tangan Sterile no 7,5 Mas Pcs 15,400
Sarung Tangan Sterile Powder Free 7
352 Gammex./Ansell Box/25 pcs 440,000
(Gammex Micro Grip)
Sarung Tangan Sterile Powder Free 7,5
353 Gammex./Ansell Box/25 pcs 440,000
(Gammex Micro Grip)
354 Silk Black 0 Surgical Roll 100 m 682,000
357 Silk Black 2-0 Surgical Roll 100 m 682,000
358 Silk Black 3-0 Surgical Roll 100 m 594,000
359 Slit Knife 2,75 150,333
360 Soda Lime Bahan Baku Gallon 5 KG 715,000
361 Sofband 3 inc (7.5 cm x 2.7 m) BSN Roll 15,430
362 Sofband 4 inc (10 cm x 2.7 m) BSN Roll 19,466
363 Sofband 6 inc (15 cm x 2.7 m) BSN Roll 27,983
364 Spalk Besar (50X10X2)cm Lokal Pcs 15,000
365 Spalk Kecil (15x5x2) cm Lokal Pcs 10,000
366 Spalk Sedang (30x7.5x2) cm Lokal Pcs 12,000
367 Spinal No 25 Spinocan Box /25 pcs 852,500
368 Spinal No 26 Spinocan Box /25 pcs 852,500
369 Spinal No 27 Spinocan Box/25 pcs 852,500
370 Sponge Untuk Perembasan Perdarahan (3x5) Lyostypt Box/12 pcs 78,650
371 Sponge Untuk Perembasan Perdarahan (5x8) Lyostypt Box/6 pcs 110,660
372 Stab Knife 122,833

373 Step Knife 87,000
374 Stomach Tube No 10 JMS Pcs 19,800
375 Stomach Tube No 12 Terumo Pcs 19,800
379 Suction Catheter No 10 Polymed Pcs 8,800
385 Suction Conection Tube 3 m Mas Pcs 70,000
386 Surgical Caps Mas Box 71,500
387 Surgical Gloves Non Sterile No.7.5 Mas Pair 7,150
Surgical Gut Suture -Chromic CT-1 1/2
388 Surgical Gut Suture -Chromic Box/24 pcs 1,639,440
Circle 925T 1 taper 925T
Surgical Gut Suture -Chromic SH 1/2 Circle
G123T 2-0 taper G123T
Surgical Gut Suture -Chromic SH1 1/2 Circle
G181T 4-0 taper
G182T 3-0 taper
392 Surgical Mask Ear Loop Premium Mas Box/50 pcs 55,000
393 Surgical Mask Tie On Premium Mas Box/50 pcs 55,000
394 Tensocrepe 3 inc (7.5 cm x 4.55 m) BSN Roll 50,071
395 Tensocrepe 4 inc (10 cm x 4.55 m) BSN Roll 60,272
396 Tensocrepe 6 inc (15 cm x 4.55 m) BSN Roll 73,760
397 Tongue Spatel Disposible Pcs 14,300
398 Umbilical (tali pusat) Box/100 pcs 200,000
399 Underpads 60 cm x 90 Remedi Pak/ 10 pcs 110,000
400 Urine Collection Bag 2.000 ml Mas Pcs 7,700
401 Venflon 20 G BD Pcs 16,500
404 Vicryl 1/2 Circle J305H taper 3-0 Coated Vicryl(polyglactin 910) Box/36 pcs 3,335,860
405 Vicryl 1/2 Circle J306 H taper 2-0 Coated Vicryl(polyglactin 910) Box/36 pcs 3,506,580
406 Vicryl 1/2 Circle W9106 taper point 4-0 Coated Vicryl(polyglactin 910) Box/12 pcs 1,080,200
407 Vicryl 1/2 Circle W9141 taper 0 Coated Vicryl(polyglactin 910) Box/12pcs 999,240
408 Vicryl 3/8 Circle W9560 no 8-0 Coated Vicryl(polyglactin 910) Box/12 pcs 3,006,300
409 Vicryl 3/8 Circle W9561 7-0 Coated Vicryl(polyglactin 910) Box/12 pcs 2,530,220
410 Vicryl 8-0 double needle 3/8 circle Vicryl 3,006,300
411 Viscoelastik HPMC Encer (Appasivc 2 ml) 91,850
412 Viscoelastik HPMC Encer (Appasivc 3 ml) 74,250
413 Viscoelastik Sodium 214,500
414 Wing Needle 21 Terumo Box 544,500
415 Wing Needle 23 Terumo Box 544,500
416 Curataged Anak corr A Flex Tubing 100 FT roll 380,000
417 HibisCrub Stabimed btl@1000ml 800,000
418 Safetty Box Obor Save Pcs @ 5 ltr 38,000
Serang, Maret 2014

Direktur Rumah Sakit Umum Daerah
Provinsi Banten
drg. Andi Fatmawati, MMKes

NIP. 19600920 199203 2 001
Harga Survey Sumber
APK
APK
APK
APK
APK
APK
Maret 2014
Sakit Umum Daerah
atmawati, MMKes
20 199203 2 001
V. BIDANG KESEHATAN
1 Albendazol Suspensi 200 mg/5 ml
2 Albendazol tablet 400mg
3 Alopurinol tablet 100 mg
4 Alopurinol Tablet 300mg
5 Alprazolam tablet 0,5 mg
6 Ambroxol sirup 15 mg/ml
7 Ambroxol tablet 30 mg
8 Aminofilin injeksi 24 mg/ml
9 Aminofilin Tablet 200 mg
10 Amitriptilin tablet salut 25 mg(HCL)
11 Amlodipin tablet 10 mg
13 Amoksisilin + As. Klavulanat 625 mg tablet
14 Amoksisilin kapsul /kaplet 250 mg
15 Amoksisilin Kapsul/kaplet 250 mg
16 Amoksisilin kapsul/kaplet 500 mg
17 Amoksisilin serbuk injeksi 1000 mg
18 Amoksisilin sirup kering 125 mg/5ml
19 Ampisilin Serbuk Injeksi i.m/i.v.1000mg/vial
20 Ampisilin Serbuk Injeksi i.m/i.v.500mg/vial

Antasida DOEN 1 tablet kunyah, kombinasi,
21 aluminium hidroksida 200mg, magnesium
hidroksida 200 mg
Antasida DOEN II Suspensi, Kombinasi :

22 Aluminium Hidroksida 200 mg/5ml Magnesium
Hidroksida 200 mg/5ml
Anti bakteri DOEN salep kombinasi : basitrasin

23
500IU/g+polimiksin 10.000 IU/g
Antifungi DOEN Kombinasi : Asam Benzoat 6% +
24
Asam Salisilat 3%
Antimalaria DOEN kombinasi : Pirimetamin
25
tablet 25 mg sulfadoksin tablet 500 mg
Antimigren tablet : Ergotamin Tartrat 1 mg +
26
Kofein 50 mg
27 Aqua pro Injeksi steril, bebas pirogen
28 Artemether Injeksi 80 mg/ml
29 Artesunate injeksi, vial 60 mg
30 Asam asetilsalisilat tablet 100 mg (Asetosal)
31 Asam asetilsalisilat tablet 500 mg (Asetosal)
32 Asam Askorbat (Vitamin C) Tablet 100 mg
33 Asam Askorbat (Vitamin C) Tablet 250 mg
34 Asam Folat Tablet 1mg
35 Asam Mefenamat kapsul/kaplet 250 mg
- 211 -
38 Asiklovir krim 5%
39 Asiklovir tablet 200 mg
41 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat)
42 Atropin Sulfat tablet 0,5 mg

43 Benzatin Benzil Penisilin 1,2 Juta IU/vial
44 Benzatin Benzil Penisilin 2,4 Juta IU/vial
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg
45
tablet (tablet tambah darah kombinasi )
46 Betahistin Mesilat tablet 6 mg
47 Betametason krim 0,1 % (sebagai valet)
48 bisoprolol tablet 5 mg
49 Cetirizin sirup 5 mg/5 ml
50 Cetirizine tablet 10 mg
51 Clobazam tablet 10 mg
52 Deksametason Injeksi i.v.5 mg/ml
53 Deksametason Injeksi i.v.5 mg/ml
54 Deksametason tablet 0,5 mg
55 Dekstrometorfan tablet 15 mg (HBr)
56 Dextrometorfan sirup 10 mg/5ml (HBr)
57 Diazepam injeksi 5 mg/ml
58 Diazepam tablet 2 mg
60 Dietilkalbamazin sitrat tablet 100 mg
61 Difenhidramin injeksi i.m 10 mg/ml (HCL)
62 Digoksin tablet 0,25 mg
63 Diltiazem HCL tablet 30 mg
64 Dimenhidrinat tablet 50 mg
65 Doksisiklin kapsul / kaplet 100 mg
66 Domperidon suspensi 5 mg/5ml
67 Domperidon tablet 10 mg
68 Ekstraks Belladona tablet 10 mg
69 Epinefrin(Adrenalin) injeksi 0,1 %(sebagai HCL)
70 Eritromisin kapsul/kaplet 250 mg

72 Eritromisin sirup 200 mg/5 ml
73 Etakridin Larutan 0.1%
74 Etambutol tablet 250 mg (HCL)
75 Etambutol tablet salut 500 mg (HCL)
76 Famotidine tablet 20 mg
77 Famotidine tablet 40 mg
- 212 -
78 Fanitoin Natrium injeksi 50 mg/ml
79 Fenibutason tablet 200 mg
80 Fenitoin kapsul/kaplet 100 mg
81 Fenitoin Natrium kapsul/kaplet 30 mg
82 Fenobarbital injeksi i.m/I.v. 50 mg/ml
83 Fenobarbital tablet 100 mg
85 Fenoksimetil Penisilin tablet 250 mg
87 Fenol Gliserol tetes telinga 10 %
88 Fitomenadion (Vit. K1) injeksi 10 mg/ml
89 Fitomenadion (Vit. K1) tablet salut gula 10 mg
90 Flukonazol tablet 150 mg
91 Furosemid injeksi i.v./i.m. 10 mg/ml
92 Furosemid tablet 40 mg
Garam Oralit Serbuk, kombinasi : Natrium 0,52 g
93 kalium Klorida 0.30 g Trinatrium Sitrat Dihidrat
0,58 g Glukosa Anhidrat 2,7 g
94 Gemfibrozil kapsul /kaplet 300 mg
95 Gemfibrozil tablet 600 mg
96 Gentamisin injeksi 40 mg/ml
97 Gentamisin salep kulit 0.1 %
98 Gentamisin Sulfat tetes mata 0.3 %
99 Gentian Violet Larutan 1%
100 Glibenklamida tablet 5 mg
101 Glimepiride tablet 2 mg
105 Gliserin
106 Glukosa Larutan Infus 10% steril
107 Glukosa Larutan Infus 5% steril
108 Griseofulvin tablet 125 mg
109 Haloperidol tablet 0,5 mg
111 Haloperidol tablet 5 mg
112 Hidrokortison krim 1 %
113 Hidrokortison krim 2,5 %
114 Ibuprofen suspensi 100 mg/5 ml
115 Ibuprofen tablet 200 mg
117 Ibuprofen tablet 400mg
118 Ibuproven tablet 400 mg
119 Iodiol Kapsul Lunak
120 Isoniazid tablet 100 mg
- 213 -
121 Isosorbit Dinitrat tablet sublingual 5 mg
122 Itrakonazol kapsul/kaplet 100 mg
123 Kalium Diklofenak tablet 50 mg
124 Kalsium Laktat (Kalk) tablet 500mg
125 Keptopril tablet 12,5 mg
126 keptopril tablet 25 mg
127 keptopril tablet 50 mg
128 Kerbamazepin tablet 200 mg
129 Ketorolak Injeksi 10 mg
130 Ketokonazol krim 2%
131 Ketokonazol tablet 200 mg
132 Ketoprofen injeksi 100 mg
133 Ketoprofen tablet 100 mg
134 Ketorolak injeksi 30 mg
135 Klindamisin kapsul/kaplet 150 mg
137 Klonidin tablet 0,15 mg
138 Kloramfenikol kapsul/kaplet 250 mg
139 Kloramfenikol salep mata 1%
140 Kloramfenikol suspensi 125 mg/5 ml
141 Kloramfenikol suspensi 125 mg/5 ml
142 Kloramfenikol tetes telinga 3%
143 Klorfeniramina Maleat (CTM) tablet 4 mg
144 Klorokuin tablet 250 mg
145 Klorpromazin injeksi i.m 25 mg/ml (HCL)
146 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL)
147 Klorpromazin tablet salut 100 mg (HCL)
148 Klorpromazin tablet salut 25 mg (HCL)
149 Kodein tablet 15 mg
Kotrimoksazol DOEN I ( dewasa) Kombinasi :
152
Sulfametoksazol 400mg, Trimetoprin 80 mg
Kotrimoksazol DOEN II ( pediatrik) kombinasi :
153
Sulfametoksazol 100mg Trimetoprim 20 mg
Kotrimoksazol Suspensi Komb. Sulfametoksazol

154
200mg+Trimetoprin 40 mg/5ml
155 Kuinin Dihidroklorida injeksi 25% - 2 ml

156 Lamifudine tablet 150 mg
157 Lanzoprazol kapsul/kaplet 30 mg
158 Levofloksasin tablet 500 mg
159 Lidokain Injeksi 2%
160 Lidokain Injeksi 2%
- 214 -
Lidokain Injeksi 2% (HCL) + Epinefrin 1 : 80.000
161
- 2ml
162 Linkomisin kapsul.kaplet 500 mg
163 Loratadin tablet 10 mg
164 Loperamid tablet 2 mg
165 Meloksikam tablet 15 mg
166 Meloksikam tablet 7.5 mg
167 Meloksikam Suppositoria
168 Membedazol sirup 100 mg/5 ml
169 Membedazol tablet 100 mg
170 Menadion (Vitamin K3) injeksi 10 mg/ml
171 Metampiron Injeksi 250 mg
172 Metampiron tablet 500 mg
173 Metformin HCL tablet 850mg
174 Metilprednisolon injeksi 500 mg
175 Metilprednisolon tablet 4 mg
177 Metilprednison tablet 16 mg
178 Metoklopramide tablet 10 mg
180 Metrodinazol tablet 250 mg
181 Metrodinazol tablet 500 mg
182 Metroformin HCL tablet 500 mg
183 Mikonazol krim/salep 2% (nitrat)
Mineral Mix, Kombinasi : Kalium Klorida 1792

mg trikalium Sitrat (1H2O) 648 mg Magnesium
184
Klorida (6H2O) 608 mg Seng Asetat (2H2O) 66 mg
Tembaga Sulfat (5H20) 11mg
185 Morfin injeksi 10 mg/ml

186 Morfin tablet 10 mg
187 Natrium Diklofenak tablet 25 mg
189 Natrium Klorida Larutan infus 0,9%
190 Nevirapin tablet 200 mg
191 Nifedipin tablet 10 mg
192 Nistatin tablet salut 500.000 UI/g
193 Nistatin vaginal tablet 100.000 UI/g
194 Obat Antituberkulosis Kategori 1 Dewasa
195 Obat Antituberkulosis Kategori Anak
196 Obat Antituberkulosis FDC Kategori 1
197 Obat Antituberkulosis FDC Kategori 2
198 Obat antituberkulosis FDC Kategori Anak
199 Obat antituberkulosis Kategori Anak
200 Obat Antituberkulosis FDC sisipan
- 215 -
201 Obat Batuk Hitam (O.B.H) Cairan
202 Obat Batuk Hitam (O.B.H) Cairan
203 Ofloxacin tablet 200 mg
204 Ofloxacin tablet 400 mg
205 Oksitetrasiklin HCL salep kulit 3%
206 Oksitetrasiklin HCL salep mata 1%
207 Omeprazol kapsul/kaplet 20 mg
208 Oseltamivir kapsul/kaplet 75 mg
209 Papaverin tablet 40 mg
210 Papaverin tablet 40 mg/ml
211 Parasetamol Drops
212 Parasetamol Sirup 120 Mg/5 ml
213 Parasetamol tablet 100 mg
214 Parasetamol Tablet 500 mg
215 Perfenazin tablet 4 mg (HCL)
216 Petidin injeksi 50 mg/ml
217 Piracetam injeksi 1 g/5ml
218 Piracetam Injeksi 3 g/15 ml
219 Piracetam injeksi 3 g/15 ml
220 Piracetam Tablet 1200mg
221 Piracetam tablet 400 mg
223 Pirantel tablet score (base) 125 mg
224 Pirantel Sirup 125 mg/5 ml
225 Pirazinamid tablet 500 mg
226 Piroksikam kapsul/kaplet/tablet 10 mg
228 Povidon Iodida Larutan 10%
232 Prednison tablet 5 mg
233 Primakurin tablet 15 mg
234 Prokain Benjil Penisilin G. Injeksi 3 jt IU/vial
235 Propanolol tablet 10 mg (HCL)
236 propanolol tablet 500 mg
237 Propiltiourasil tablet 100 mg
238 Ramipril tablet 2,5 mg
239 Ramipril tablet 5 mg
240 Ranitidin injeksi 25 mg/2 ml
241 Ranitidin tablet 150 mg
242 Ranitidin tablet 150 mg
243 Reserpin tablet 0,10 mg
244 Reserpin tablet 0,25 mg
245 Retinol (Vitamin A) 100.000 IU kapsul Anak
- 216 -
246 Retinol (Vitamin A) 200.000 IU kapsul Anak
247 Rifampisin kapsul/kaplet 300 mg
249 Rifampisin tablet salut 450 mg
250 Ringer laktat larutan infus
251 Risperidon tablet 2 mg
252 Safaleksin kapsul/kaplet 500 mg
253 Salbutamol injeksi 25 mg (sebagai sulfat)
254 Salbutamol tablet 2 mg (sebagai sulfat)
255 Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4, Kombinasi : Asam Salisilat 2% +
256
Belerang endap 4%
257 Salisil Bedak 2%
258 Salisil Bedak 2%
259 Sefadroksil kapsul/kaplet 500 mg
261 Sefadroksil sirup kering 125 mg/5 ml
262 Sefaleksim kapsul/kaplet 500 mg
263 Sefiksim 400 mg + Azitromisin 1000 mg
264 Sefiksim kapsul/kaplet 100 mg
265 Sefiksim sirup kering 100 mg/5 ml
266 Sefotaksin Injeksi 1 g
267 Seftazidim injeksi 1 g
268 Seftriakson Injeksi 1 g
269 Sefotaksim injeksi 0,5 mg
270 Sianokobalamin (vitamin B12) injeksi 50 mcg
272 Simetidin tablet 200 mg

273 Simvastatin tablet 10 mg
275 Siprofloksasin infus 2%
276 Siprofloksasin tablet 250 mg (sebagai HCL)
277 Siprofloksasin tablet 500 mg (sebagai HCL)
278 Spiramisin tablet 500 mg
279 Stavudin tablet 30 mg
280 Sulfasalazin tablet 500 mg
281 Sulfasetamida Natrium tetes mata 15%
282 Tetrasiklin kapsul/kaplet 250 mg
283 Tetrasiklin kapsul/kaplet 500 mg
284 Tiamfenikol kapsul/kaplet 500mg
285 Tiamfenikol kapsul/kaplet 250mg
286 Tiamin (vitamin B1) 100 tablet
287 Tiamin (vitamin b1) Injeksi 100 mg/ml
- 217 -
288 Tramadol Injeksi 50 mg/ml
289 Tramadol kapsul/kaplet/tablet 50 mg
290 Tramadol kapsul/kaplet/tablet 50 mg
291 Triheksifenidil tablet 2 mg
292 Verapamil tablet 80 mg (HCL)
293 Zidovudin tablet 100 mg
zidovudin tablet 300 mg + Lamivudine tablet 150
294
mg
295 Zinc tablet 20 mg
2 SARANA DAN PRASARANA RUANG INSTALASI LAUNDRY

1 Bed Pad
2 benang jahit berwarna
3 Boven Laken
4 Chlorin Bleach
5 desinfektan
6 Detergent Bubuk
7 Detergent Cair
8 Emulsifire
9 gunting kain
10 jarum jahit
11 kapuir kain
12 meteran kain
13 oksigen bleach
14 Perlak
15 Perlak
16 Sarung Bantal
17 Sarung Guling
18 Sarung Kasur
19 selimut link
20 Selimut Polar
21 selimut Quilted
22 Sendal oprasi
23 softener
24 Sour (penetralisir kimia)
25 Sprei Karet
26 Stik Laken
27 Stik Laken
28 tambang plastik
Lap Pel
Pembersih Lantai
Pewangi Kain
Pewangi Ruangan
Sarung Tangan Panjang
Sikat Kain
- 218 -
Sikat Toilet
Tissue
- 219 -
Dus, @ 10 btl Botol
ktk 5 strip x 6 tablet Tablet
Ktk 10 x 10 tablet Tablet
Kotak 30 tab 300mg Tablet
Kotak, 10 Strip @ 10 Tab Tablet
Botol 60 ml Botol
ktk 30 amp x 10 ml Ampul
btl 100 tablet Tablet
Dus, 10 strip @ 10 tab Tablet
ktk 12 strip x 10 kapsul Tablet
Kotak 100 kapsul /kaplet 250mg Tablet
kotak 10 x 10 kaplet Tablet
ktk 10 vial Ampul
Btl 60 ml Botol
Kotak 10 vial 1000 mg Vial
Kotak 10 vial 500mg Vial
Kotak 10 strip x 10 tablet kunyah Tablet
Btl 60 ml Botol
Dus, 25 tube @ 5 g Tube
Ktk 24 pot @ 30 gram Pot
Dus, 10 Blister @ 10 tab Tablet
Kotak 10 vial 20 ml Vial

ktk 6 amp Ampul
vial Vial
ktk 10 str x 10S Tablet
10 str x 10S Tablet
Dus, 12 blister @ 10 kapsul Tablet
- 220 -
Kotak 10x10 Tablet
Kotak 100 kapsul/kaplet 500 mg Tablet
Dus, @ 25 tube @ 5 g Tablet
kotak 10 x 10 kaplet Tube
Dus, 30 ampul @ 1 ml Ampul
Kotak 10 x 10 Tablet
10 vial x 1,2 jt IU Vial
ktk 10 vial x 2,4 jt IU Vial
1 sase @ 30 tablet Sachet
Strip/ktk 10 x 10 tablet Tablet

Kotak 25 tube @ 5 g Tube
blister/ktk 3 x 10 tablet Tablet
Dus, Botol 60 ml Botol
Kotak 100 ampul 1 ml Ampul
strip 10 x 10 tablet Tablet
Btl 60 Ml Botol
Dus, 10 Strip @ 10 tab Tablet
10 x 10 tab Tablet
Dus, 10 strip @ 10 kapsul Tablet
btl 60 ml Botol
10 x 10 tab Tablet
ktk 10 bls x 10 Tablet

Botol 60 ml Botol
Btl 300ml Botol
Kotak 20 x 10 tablet Tablet
Dus, 5 strip @ 10 tablet Tablet
- 221 -
ktk 15 str x 10 Tablet
Botol 100 kapsul Tablet
Botol 100 kapsul Tablet
Botol @ 100 tablet Tablet
10 str x 10 Tablet
ktk 10 str x 10 Tablet
Ktk 24 btl @ 5ml Botol
ktk 30 amp x 1ml Ampul
Kotak 1 x 10 kapsul Tablet
10 x 10 tab Tablet
Dus, 100 Sachet Sachet
Dus, 10 Blister @ 12 kapsul Tablet

Dus, 10 Blister @ 10 kapsul Tablet
Dus, 25 tube @ 5 g Tube
Dus, botol plastik @ 5 ml Botol
btl 10 ml Botol
Kotak 30 tab 2 mg Tablet
Btl 100ml Botol
botol 500 ml Botol
botol 500 ml Botol
kotak 10 x 10 tablet Tablet
10 x 10 tab Tablet
10 x 10 tab Tablet
10 x 10 tab Tablet
tube @ 5 gr Tube
kotak 24 tube @ 5g Tube
Botol 60 ml Botol
Botol 100 tablet Tablet
btl 100 kap Botol
- 222 -
10 x 10 tab Tablet
Kotak 30 kapsul / kaplet 100 mg Tablet
tube 15 gram Tube
ktk 5 amp Ampul
ktk 6 amp Ampul
tube 5g Tube
Botol 60 ml Botol
Botol 60 ml Botol
btl 5 ml Botol
kotak 10 x 10 tablet Tablet
30 amp x 1 ml Ampul
30 amp x 2 ml Ampul
Dus, 10 strip @ 10 Tab Tablet
btl 60 ml Botol
Ktk 30 ampul @ 2 ml Ampul

ktk 2 x 10 kapsul Tablet
- 223 -
Dus, 30 ampul @ 2ml Ampul

Kotak, isi 10 Suppositoria Supp
Botol 30 ml Botol
Dus, 3 blister @ 10 tablet Tablet
Ktk 100 amp @ 1 ml Ampul
ktk 1 vial @ 8 ml Vial
10 x 10 tab Tablet
ktk 10 x 10 tablet Tablet
ktk 24 tube @ 10 gram Tube
Dus, 40 Sachet Sachet
ktk 10 amp @ 1ml Ampul

btl 30 tab Tablet
ktk 5 str x 10 S Tablet
botol 500 ml Botol
ktk 10 str x 10S vaginal Tablet
Paket Paket
Paket Paket
paket Paket
paket Paket
Paket Paket
Paket Paket
Paket Paket
- 224 -
Btl 100 Ml Botol
btl 200 ml Botol
ktk 25 tube @ 3,5 g Tube
ktk 25 tube @ 3,5 g Tube
Kotak 100 ampul Ampul
Dus, 15 botol Botol
Btl 60 Ml Botol
10 x 10 Tablet
ktk 10 amp @ 2ml Ampul
ktk 5 amp Tablet
ktk 4 amp Ampul
Botol 60 ml Botol
strip 10 x 10 tablet Tablet
btl 60 ml Botol
Btl 300ml Botol
Btl. 1000ml Botol
btl 30 ml Botol
Kotak 30 vial 15 ml Via;
Botol 100 tablet Tablet
Botol palstik @ 100 tablet Tablet
btl 50 kapsul lunak Botol
- 225 -
btl 50 kapsul lunak Botol
botol 500 ml Botol
strip Tablet
Dus, 5 strip @ 10 Kapsul Tablet
ktk 10 str x 10S Ampul
10 x 10 tab Tablet
Kotak 10 srip x10S Tablet
Pot @ 30 Gr Pot
ktk 50 gram Kotak

Kotak 50 gr Kotak
kotak 5x 10 kapsul Tablet
btl 60 ml Botol
Paket/Amplop Paket
btl 30 ml Botol
ktk 2 vial @ 1g Vial
ktk 2 vial Vial
ktk 2 vial @ 1g Vial
Kotak 2 vial Vial
Dus, 100 ampul @ 1ml Ampul

Ds. 50 Tab Tablet
btl 100 ml Botol
Dus, 5 blister @ 10 tablet Tablet
kotak 5 bls x 10S Tablet
btl @ 5 ml Botol
- 226 -
Dus, 5 strip @ 10 Kapsul Tablet
Btl 60 Kap Tablet
ANG INSTALASI LAUNDRY

TC Dacron pcs
-
cotton 100% pcs
Four Seven
four seven
Four Seven
Four Seven
four seven
-
singer 14 & 18
-
-
four seven
Oscar pcs
PVC pcs
cotton 100% pcs
cotton 100%
TC Antibactery + WR pcs
flannel
Acrylice pcs
cotton
four seven
four seven
TC Soil Release
cotton 100% pcs
TC Soil Release pcs
-
Florex
Four Seven
Stella
Cimberly clark
- 227 -
Giant
- 228 -
4,100.00
400.00
100.00
200.00
500.00
2,600.00
100.00
3,500.00
100.00
100.00
500.00
300.00
4,900.00
200.00
200.00
200.00
7,900.00
2,400.00
4,500.00
3,200.00
100.00
2,000.00
2,700.00
203,800.00
500.00
100.00
5,700.00
23,700.00
26,800.00
100.00
200.00
100.00
100.00
57.82
100.00
- 229 -
100.00
100.00
2,300.00
300.00
400.00
1,300.00
100.00
9,600.00
13,000.00
47.08
1,000.00
1,600.00
2,500.00
9,400.00
200.00
800.00
1,600.00
1,600.00
100.00
100.00
1,500.00
2,500.00
28.89
100.00
100.00
1,000.00
100.00
100.00
100.00
200.00
3,900.00
200.00
40.66
1,600.00
500.00
1,000.00
7,700.00
2,400.00
300.00
400.00
100.00
200.00
- 230 -
51,800.00
100.00
100.00
100.00
1,800.00
200.00
100.00
300.00
500.00
1,100.00
1,700.00
600.00
23,500.00
1,900.00
100.00
300.00
300.00
700.00
3,300.00
1,600.00
3,100.00
1,000.00
100.00
500.00
500.00
700.00
1,100.00
4,400.00
6,100.00
5,700.00
200.00
100.00
100.00
100.00
2,400.00
2,600.00
3,700.00
100.00
100.00
200.00
200.00
1,000.00
47.08
- 231 -
100.00
1,500.00
500.00
100.00
100.00
100.00
100.00
300.00
1,700.00
4,300.00
300.00
3,100.00
700.00
2,700.00
400.00
600.00
200.00
200.00
1,600.00
4,100.00
4,100.00
1,700.00
22.47
100.00
1,100.00
1,000.00
100.00
48.15
900.00
500.00
1,100.00
100.00
100.00
2,100.00
4,500.00
1,400.00
500.00
600.00
1,000.00
1,000.00
- 232 -
1,400.00
600.00
200.00
100.00
400.00
300.00
7,100.00
3,800.00
200.00
1,300.00
1,400.00
100.00
300.00
63,100.00
300.00
400.00
700.00
100.00
100.00
100.00
200.00
100.00
3,200.00
2,600.00
11,200.00
1,300.00
100.00
200.00
5,200.00
2,800.00
100.00
700.00
400.00
308,300.00
183,900.00
385,100.00
1,283,900.00
229,900.00
183,900.00
171,100.00
- 233 -
1,300.00
3,000.00
400.00
700.00
1,600.00
1,700.00
300.00
13,900.00
100.00
1,200.00
5,600.00
1,400.00
34.49
100.00
100.00
14,100.00
2,100.00
4,300.00
4,300.00
800.00
200.00
300.00
300.00
8,800.00
200.00
100.00
100.00
3,700.00
15,000.00
33,400.00
2,100.00
100.00
100.00
6,500.00
100.00
100.00
300.00
300.00
600.00
2,100.00
100.00
100.00
100.00
100.00
300.00
- 234 -
400.00
400.00
900.00
600.00
5,600.00
1,900.00
1,000.00
100.00
100.00
100.00
1,900.00
1,200.00
1,200.00
600.00
500.00
5,600.00
1,000.00
35,300.00
1,000.00
11,300.00
5,400.00
13,400.00
5,900.00
5,900.00
14.98
1,000.00
100.00
200.00
500.00
42,700.00
300.00
300.00
1,500.00
900.00
400.00
3,500.00
100.00
200.00
500.00
300.00
100.00
700.00
- 235 -
5,800.00
200.00
200.00
42.80
200.00
1,000.00
3,300.00
500.00
266,000 RSUD Prov

150,000 RSUD Prov
146,000 RSUD Prov
400,000.00 RSUD Prov
400,000 RSUD Prov
15,000.00 RSUD Prov
550,000 RSUD Prov
50,000 RSUD Prov
12,000 RSUD Prov
12,000 RSUD Prov
12,000 RSUD Prov
550,000 RSUD Prov
76,000 RSUD Prov
41,000 RSUD Prov
60,000 RSUD Prov
55,000 RSUD Prov
237,000 RSUD Prov
122,000 RSUD Prov
200,000 RSUD Prov
550,000 RSUD Prov
700,000 RSUD Prov
400,000 RSUD Prov
550,000 RSUD Prov
147,000 RSUD Prov
70,000 RSUD Prov
60,000 RSUD Prov
4,000 RSUD Prov
80,000.00 RSUD Prov
12,000.00 RSUD Prov
50,000.00 RSUD Prov
95,000.00 RSUD Prov
60,000.00 RSUD Prov
- 236 -
12,500.00 RSUD Prov
7,000.00 RSUD Prov
- 237 -
Segar, utuh, tidak Busuk, Matang, Tua,
1 Alpukat Kg
isi 3-4 bh/kg
Segar, Utuh, Bersih, Tidak Busuk, 1 kg
2 Anggur hijau Kg
isi 80-100 Btr
Jenis autum royal, segar, utuh, bersih,
3 Anggur Hitam Kg
tanpa biji, tidak busuk
Segar, Utuh, Bersih, Tidak Busuk, 1 kg
4 Anggur Merah Kg
isi 80-100 Btr
Segar, bersih, utuh, jenis RRC, manis, 1
5 Apel Fuji Kg
kg isi 6 bh
Segar, bersih, utuh, jenis Washington,
6 Apel Merah Kg
manis, 1 kg isi 6 bh
Merk ratu, kemasan plastik 500 gr, hitam
7 Asem Matang Kg
tanpa bill, segar
Segar, warna merah hati, tak bau,

8 Ati Ayam Kg
kenyal, tanpa empedu, 1 kg isi 18-20 bh
Segar, lokal, warna merah hati tidak bau,

9 Ati Sapi Kg
kenyal
Segar, utuh, bersih, tanpa kulit, tanpa

10 Ayam Dada Kg
sayap, tanpa formalin, tidak bau
Segar, bersih, kenyal, tidak berlendir,

jenis kampung, 1 kg 4 potong terpisah
11 Ayam Kampung Ekor
kaki dan kepala, tanpa formalin, tidak
bau
Segar, bersih, kenyal, tidak berlendir,
12 Ayam Potong tnapa kepala, leher, kaki, 1 kg isi 10 ptg, Kg
tanpa formalin, tidak bau
Beku, tidak kadaluwarsa, 70 buah/Kg,
13 Bakso Ikan Kg
ED minimal 3 bulan
merk Somber selera kebon jeruk, asli,
14 Bakso Sapi Btr
tanpa campuran, kern. 700 gr/50 bh
Merk Minaku, kemasan plastik 500 gr,
15 Bakso Udang Bks
ED minimal 3 bulan
16 Bawang Bombay Segar, kering, utuh, bersih Kg
Segar, kering, besar sedang, tua, tidak

17 Bawang Merah Kg
busuk, sekualitas bawang brebes
Segar, muda, bersih, tanpa ulat, daun

18 Bayam Kg
hijau & utuh, dengan akar
Segar, matang, warna kuning
19 Belimbing kemerahan, utuh, tidak busuk, 1 kg isi 3- Kg
7 bh
20 Belimbing Sayur Segar, tua, tidak busuk Kg

21 Bengkuang Sega, Muda, bersih Kg
Segar, hijau, tanpa ulat, utuh, muda,
22 Brokoli Kg
tangpa bonggol, tanpa daun
23 Buncis Segar, muda, utuh, tanpa ulat Kg
Segar, tua, bersih, warna hijau tua, tidak
24 Cabe Ijo Kg
busuk
Segar, tua, bersih, warna merah tua
25 Cabe Merah Kg
merata, tidak busuk
26 Cabe Rawit Segar, tua, tidak busuk, bersih Kg
Segar, tanpa ulat, daun hijau dan utuh,
27 Caisim Kg
muda
Segar, kenyal, utuh, putih bersih tanpa
28 Cumi Kupas Kg
selaput, tanpa kepala
Daging ayam Segar, 100% daging tanpa campuran
29 Kg
Cincang lemak, tidak bau, tak berlendir
Daging Sapi Segar, 100% daging tanpa campuran
30 Kg
Cincang lemak, tidak bau, tak berlendir
Daging Sapi Segar, jenis has dalam, muda, warna
31 Kg
Super merah cerah, tidak bau, tanpa lemak
32 Daun Bawang Segar, bersih, tidak busuk, utuh Kg
Segar, tua, warna hijau merata, tanpa
33 Daun Jeruk Kg
ulat
34 Daun Kemangi Segar, muda, utuh, tanpa ulat Kg
35 Daun Melinjo Segar, muda, utuh, tanpa ulat Kg
36 Daun Pandan Segar, tua, tidak bolong-bolong Ikat
Segar, jenis pisang klutuk, hijau
37 Daun Pisang Ikat
mengkilat, tidak sobek, bersih
38 Daun Salam Segar, bersih, tidak kering, muda Ikat
Daun Selada Segar, muda, daun tidak lebar, utuh,
39 Kg
Bokor tidak berulat, bersih
40 Daun Seledri Segar, muda, bersih, tanpa akar Kg
Kering, aren, tidak berjamur, utuh,
41 Gula Merah Kg
kuning kecoklatan mengkilat
Segar, fillet, perpotong 40 gram, daging
42 Ikan Gurame Kg
kenyal merah
Segar, fillet, kenyal, warna daging merah,
43 Ikan Kakap Kg
tidak bau
Segar, hidup, tidak bau tanah, 10
44 Ikan Mas Kg
ekor/kg
45 Ikan Patin Segar, hidup, tidak busuk, 1 kg 2-3 ekor Kg
Segar, fillet, merk dori, tanpa tulang, per

46 Ikan Tenggiri Kg
potong 50 gr, dengan kulit
Segar, muda, tanpa kulit, 1 kg isi 4-5
47 Jagung Manis Kg
buah, tanpa ulat
Segar, muda, tanpa kulit, ukuran sedang
48 Jagung Semi Kg
merata, tanpa rambut, bersih
49 Jahe Segar, bersih, tua, tidak busuk utuh Kg
Segar,manis, tua, matang, tanpa ulat,
50 Jambu biji Kg
jenis jambu hijau
Segar, manis, tua, matang, tanpa ulat,
51 Jambu biji merah Kg
jenis jambu merah
Segar, kering, warna putih bersih, tidak
52 Jamur Putih Kg
busuk, tidak berlendir
53 Jeruk Lemon Segar, tua, tidak keras, berair banyak Kg
54 Jeruk Limau Segar, tua, tidak busuk, banyak air Kg
Segar, jenis Ponkam, 1kg isi 7 buah,
55 Jeruk Mandarin Kg
tidak busuk
Jeruk Mandarin
56 Segar, tua, manis, tidak busuk Kg
Santang
Jeruk Manis Segar, tua, manis, warna orange, 1 kg isi

57 Kg
Medan 6-7 bh, jenis brastagi
58 Jeruk Nipis Segar, tua, tidak busuk, banyak air Kg
Segar, jenis slam, emppuk banyak air,
59 Jeruk Peras Kg
manis
Segar, bemas, tua, tidak berlendir, tidak
60 Kacang Merah Kg
bertunas
61 Kacang Panjang Segar, muda, tanpa ulat, bersih, utuh Kg
Golden farm, beku, muda, kemasan 500
62 Kacang Polong Pak
gr/pak
Segar, muda, ukuran sedang merata,
63 Kapri Kg
tidak berulat, bersih
Segar, tua, tidak berlendir, utuh dengan
64 Kelapa Butir Btr
batok tanpa sabut
Segar, muda, tidak berulat, tanpa
65 Kembang Kol Kg
bonggol, bersih, tidak busuk
Segar, tua, bersih tanpa tanah, tidak
66 Kencur Kg
busuk
67 Kentang Segar, jenis tes, tua, bersih, tidak busuk Kg
Baru, kenyal bens', tidak berlendir, tanpa

68 Ketupat Bh
campuran bleng
69 Kiwi Segar, tidak busuk, matang Kg
Segar, bersih, muda, tnapa ulat, bersih,

70 Kol Kg
tidak berlendir, ukuran sedang
Segar, bersih, putih, tanpa kulit, tidak

71 Kolang-Kaling Kg
asem
Kering, tidak berjamur, tidak sobek, tidak

72 Kulit Lumpia Bks
basi, ukuran besar, isi 10 lembar
Kering, tidak berjamur, tidak sobek, tidak

73 Kulit Pangsit Bks
basi, ukuran besar
74 Kunyit Segar, bersih, tua, utuh Kg
75 Labu Air Segar, muda, utuh, bersih, tidak busuk Kg
76 Labu Kuning Segar, tua, pulen, manis Kg
77 Labu Siam Segar, muda, utuh, bersih, tidak busuk Kg
78 Laos Segar Segar, utuh, tua, bersih Kg
Segar, tua, manis, bersih, kulit utuh

79 Lengkeng Kg
dengan tangkal, 100 gram isi 10-15 bh
Segar, bersih, ukuran kecil, tidak busuk,

80 Lobak Kg
tanpa daun
Segar, jenis harumanis, tua, manis, tidak
81 Mangga Bh
busuk, 1 kg isi 3 bh
82 Melon Import Rocky, manis, segar, tua Kg
83 Melon Lokal Segar, manis, tua, tidak busuk, bersih Kg
Segar, tua, matang, manis, utuh, bersih,

84 Nangka Matang Kg
kuning mengkilat, tidak busuk
85 Nangka Muda Segar, sudah dikupas Kg

86 Nenas Segar, tua, matang, dengan kulit Bh
Segar, utuh, tanpa campuran ampas,
87 Oncom Papan
sekualitas oncom bandung
Segar, muda, bersih, utuh, tanpa ulat,
88 Oyong Kg
tidak busuk
Segar, tua, utuh, 1 kg isi 5-6 bh, bersih,
89 Paprika Hijau Kg
tidak busuk, warna hijau tua
90 Paprika Kuning Kg
tidak busuk, warna kuning
91 Paprika Merah Kg
tidak busuk, warna merah
Segar, jenis ya lie, manis, tua, tidak
92 Pear Kg
bonyok, bersih
Segar, tua, manis, warna merah, bersih,
93 Pepaya California Kg
tidak busuk
Segar, bangkok, tua, manis, warna merah
94 Pepaya Matang Kg
bersih, tidak busuk
95 Pepaya Mentah Segar, tua, tidak busuk Kg
Segar, muda, bersih, tanpa ulat, warna
96 Petercelly Kg
hijau tua
Segar, tua, matang, manis, utuh, tidak
97 Pisang Ambon Kg
bonyok, dengan sisir

98 Pisang Kepok Kg
bonyok, dengan sisir, kuning, 8-10 bh/kg
99 Pisang Mas Segar, tua, matang, manis, utuh Kg

segar, matang, warna kuning, utuh, 1 kg
100 Pisang Muli Kg
isi 15-20 buah
101 Pisang Raja Bulu Segar, tua, matang pohon Kg
102 Pisang Raja Sereh Tua, matang, ukuran 10-12 buah/kg Kg
Pisang Raja
103 Segar, tua, matang pohon Kg
Tanglun
104 Pisang sunpride Kg
bonyok, dengan sisir
Segar, tua, matang, manis, utuh, berat
105 Pisang Tanduk Kg
minimal 350 gr, dengan sisir
106 Rebung Segar, tidak asem, muda Kg
Sari Roti, kemasan plastik isi 4 buah, ED
107 Roti Gandum Bks
minimal 2 hari
hawaii, isi bervariasi (coklat/srikaya/kc.
108 Roti Isi Buah
Ijo/coklat keju)
Sari Roti, baru, tidak berjamur,, kemasan
109 Roti Tawar Bks
plastik isi 01 lembar
Segar, muda, tanpa ulat, bersih, tidak
110 Sawi Putih Kg
busuk
Segar, jenis super, tanpa biji, manis,
111 Semangka Kg
warna merah
Semangka Segar, jenis super, tanpa biji, manis,
112 Kg
Kuning warna kuning cerah
113 Sereh Segar, bersih, tidak kering, tua Kg
Bvarietas mentega, segar, murnni tanpa
114 Singkong Parut Kg
campuran
Kimbo, segar, kemasan plastik 775 gr/24
115 Sosis Sapi Kg
btg
Segar, matang, utuh, dengan daun, tidak
116 Strawberry Kg
busuk
Ultra Jaya, kemasan 200 ml, rasa coklat
117 Susu Cair Kotak
& vanila
Segar, tanpa pengawet & pewarna, warna
118 Tahu Kuning Bh
kunyit alami, tidak berlendir
119 Tahu Pong Segar, ukuran sedang, bentuk segitiga Bh
Segar, 100-120 gr/bh, tidak berlendir,

120 Tahu Putih Bh
tidak bau
Segar, putih, dengan bungkus, lembut,
121 tahu Sutera Bh
utuh
Manis, cukup matang, tidak berserat,
122 Tape Matang Kg
utuh, bersih
Segar, utuh, bersih, tidak bau, 1 kg isi
123 Telur Ayam Kg
16 butir
124 Telur Puyuh Segar, utuh, bersih, butiran, tidak bau Btr
Kedelai murni, tidak busuk, bersih,

125 Tempe Kg
bungkus daun, segar
Segar, muda, utuh, warna ungu tua,
126 Terung Sayur Kg
besar merata
127 Timun Segar, muda, ukuran sedang, bersih Kg
Segar, muda, bersih, warna hijau tua, 1
128 Timun Jepang Kg
kg 6 buah
Segar, putih, bersih, tidak busuk, tidak
129 Toge Kg
berair
Segar, matang keras, tidak busuk, bersih,
130 Tomat Kg
warna merah, 1 kg isi 10 buah
Segar, utuh, tidak Busuk, Matang, Tua,
131 Tomat Hijau Kg
isi 3-4 bh/kg
132 Ubi jalar Segar, putih, tua Kg
133 Ubi Ungu segar, ungu, tua Kg
Tanppa kepala, segar, utuh, ukuran
134 Udang Kg
sedang
135 Wortel Lokal, kering, ukuran sedang Kg
136 Wortel Import Import, kering ukuran kecil (S) Kg
22,000.00
92,000.00
115,000.00
72,000.00
35,000.00
38,500.00
17,200.00
38,200.00
67,000.00
49,500.00
72,000.00
33,500.00
52,000.00
67,500.00
43,800.00
27,500.00
32,000.00
13,500.00
27,500.00
11,500.00
8,000.00
26,500.00
13,800.00
27,600.00
27,500.00
27,500.00
9,000.00
75,500.00
65,000.00
130,000.00
115,000.00
16,200.00
31,000.00
20,700.00
20,000.00
2,800.00
2,500.00
11,500.00
20,500.00
23,500.00
26,600.00
101,500.00
66,700.00
34,500.00
25,500.00
55,000.00
10,500.00
23,000.00
16,500.00
13,500.00
14,000.00
41,500.00
23,000.00
31,000.00
40,100.00
34,500.00
29,500.00
20,500.00
19,500.00
45,000.00
12,500.00
23,000.00
46,000.00
5,800.00
25,500.00
34,500.00
11,500.00
2,500.00
62,000.00
9,000.00
16,000.00
2,000.00
7,000.00
9,000.00
8,000.00
9,200.00
6,500.00
9,000.00
40,500.00
13,500.00
17,000.00
18,500.00
11,000.00
17,500.00
11,500.00
5,500.00
5,800.00
10,500.00
35,000.00
46,000.00
46,000.00
23,000.00
9,500.00
6,200.00
6,200.00
36,500.00
17,500.00
19,500.00
18,000.00
11,500.00
17,500.00
16,500.00
17,250.00
18,500.00
4,600.00
13,500.00
17,500.00
8,500.00
12,000.00
9,200.00
6,200.00
16,000.00
11,500.00
5,700.00
62,000.00
46,000.00
4,800.00
1,200.00
600.00
3,000.00
3,200.00
8,000.00
21,000.00
575.00
11,500.00
13,500.00
6,500.00
20,700.00
11,500.00
10,500.00
10,500.00
5,800.00
8,000.00
103,000.00
13,800.00
20,500.00
V. BIDANG KESEHATAN
1 ALKED & ALKES
1 2 Way Folley Catheter no 10
8 3 Way Stopcock (Blue)
9 Acryfold
10 Alkohol 70% 1 L
11 Apron White ( celemek plastik )
12 Aqua DM
13 Autoclav Indikator Tape
Benang jahit Prolene cutting no 3-0(size 3/8 circle)
14
W8025T
15
W8015T
16
W8681G
17
W8005T
Benang jahit Vicryl cutting no 3-0(size 3/8 circle)
18
W9521T
Benang jahit Vicryl cutting no 4-0 (size 3/8 circle)
19
W9515T
Benang jahit Vicryl cutting no 5-0(size 3/8 circle)
20
W9514T
21 Betadine Scrub
22
Betametason+desklorfeniramin maleat 2mg/5ml
23 Blood Tranf set Type OB-1
24 Bonewax 2.5 gram
25 Botol Kaca 30 ml warna gelap
Braided Coated Lactomer 9-1 synthetic absorble
26
suture 75 cm tapper 2-0 (GL 123)
27
28
29
suture 90 cm tapper 0 (CL 914)
30
31
Braided Silk Natural non absorble suture 45 cm
32
cutting 2-0 (SS 685)
33
cutting 3-0 (SS 684)
34
tapper 1 (GS 425)
35
tapper 0 (CS 424)
36
tapper 2-0 (GS 833)
37
tapper 3-0 (GS 832)
38 Catgut Chromic 0
39 Catgut Chromic 1
40 Catgut Chromic 2
41 Catgut Chromic 2-0
44 Catgut Chromic Atraumatic Taper 0 , HR 30
47 Catgut Chromic Atraumatic Taper 2-0 , HR 30
48 Catgut Chromic Atraumatic Taper 3-0 , HR 30
49 Catgut Plain 0
50 Catgut Plain 1
51 Catgut Plain 2
52 Catgut Plain 2-0
53 Catgut Plain 3-0
54 Catgut Plain 4-0
55 Catgut Plain Taper 0, HR 43
58 Catgut Plain Taper 2-0, HR 35
61 Cauter Aaron
62 Chlorhexidin 2%
63 Chlorhexidin 4%
64 Colostomy Bag, Sterille (140mm x 250mm)
65 Cresent Knife - disposible
66 Curataged Anak
67 Diapers bayi baru lahir
68 Disp.Syiringe 20 cc
69 Disp.Syringe 1 cc Tuberculin
70 Disp.Syringe 10 cc
74 Disp.Syringe 50 cc Cath.Tip
75 Dop Mata
76 Dressing Transparent 10 cm x 10 m
79 ECG Elektroda Anak
80 ECG Elektroda Dewasa
81 EKG Paper ( FCP 7101)
82 EKG Paper ( FCP 7102)
83 EKG Paper ( FX 7402)
84
Cuffed,Sterille 4
85
Cuffed,Sterille 4.5
86
Cuffed,Sterille 5
87
Cuffed,Sterille 5.5
88
Cuffed,Sterille 6
89
Cuffed,Sterille 6.5
90
Cuffed,Sterille 7
91
Cuffed,Sterille 7.5
92 Endotracheal Tube Regular Plain Uncuff,Steille 2
93 Endotracheal Tube Regular Plain Uncuff,Steille 2.5
95 Endotracheal Tube Regular Plain Uncuff,Steille 3.5

97 Endotracheal Tube Reguler HVLP Cuffed,sterille 3.5
98 Endotracheal Tube Reguler HVLP Cuffed,sterille 4

106
Cuffed,Sterille 5
107
Cuffed,Sterille 5.5
108
Cuffed,Sterille 6
109
Cuffed,Sterille 6.5
110
Cuffed,Sterille 7
111
Cuffed,Sterille 7.5
112
Uncuff,Sterille 2
113
Uncuff,Sterille 2.5
114
Uncuff,Sterille 3
115
Uncuff,Sterille 3.5
116
Uncuff,Sterille 4
117 Epidural Needle Paediatric G 22
118 Epidural Needle G 18
119 Essential Shunt Kit,Burr Hole Design,Low Pressure

Essential Shunt Kit,Burr Hole Design,Medium
120
Pressure
Essential Shunt Kit,Flat Bottom Design, Low
121
Pressure
Essential Shunt Kit,Flat Bottom Design, Medium
122
Pressure
123 Essential ShuntKit,Burr Hole Design,High Pressure
Ethilond Excel Polyester Suture ASH-30 taper 1

124
W969
125 Extension Tube JMS
126 Eye Drape /Pad
127 Feeding Tube No 3.5
128 Feeding Tube No 5
129 Feeding Tube No 6
130 Feeding Tube No 8 100 cm
131 Formalin Cair
132 Guedel no 0
133 Guedel no 00
134 Guedel no 000
135 Guedel no 1
136 Guedel no 2
137 Guedel no 3
138 Guedel no 4
139 Guedel no 5
140 Gypsona 3 inc (3.5 m x 7.5 cm)
141 Gypsona 4 inc (3.5 m x 10 cm)
142 Gypsona 6 inc (3.5 m x 15 cm)
143 H2O2 50%
144 HibisCrub
145 Hypafix 10 cm x 5 m
148 In Stopper/Heparin Cap,Sterille
149 Infus Pump Disposible
150 Infusion Set adult Savety
151 Infusion Set Pediatric savety
152 IV Catheter No 14
156 IV Dressing (6 cm x 7 cm )
157 Jackson Reast
158 Jarum Kulit no 10
166 Jarum Otot 10
167 Jarum Otot 11
168 Jarum Otot 12
169 Jarum Otot 13
170 Jarum Otot 14
171 Jarum Otot 15
172 Jarum Otot 8
173 Jarum Otot 9
174 Kapas 100 gram
175 Kapas 1000 gram
176 Kapas 25 gram
177 Kapas 250 gram
178 Kapas 50 gram
179 Kapas 500 gram
180 Kapsul Kosong 0
181 Kapsul Kosong 00
182 Kapsul Kosong 1
183 Kapsul Kosong 2
184 Kapsul Kosong 3
185 Kassa Binda Roll (40m x 80cm)
186 Laminaria ukuran L
187 Laminaria ukuran M
188 Laminaria ukuran S
189 Laryngeal Mask Airway no 2 (LMA) - bengkok
190 Laryngeal Mask Airway no 2.5 (LMA) - bengkok
193 Lensa IOL jenis foldable IOL (dilipat) dan keras
194 Leukoplast 1622 (1x5)
195 Leukoplast 1625 (3x5)
196 Mesh For Hernia ( Premilene Mesh 15 x 15)
199 Mesh For Hernia ( Premilene Mesh 7.5 x 15)
200 Micropore with dispenser (1 inch x 10 yds)
201 Micropore with dispenser (1/2 inch x 10 yds)
202 Micropore with dispenser (2 inch x 10 yds)
203 Miochol
204 Monocryl PS-1 3/8 Circle Y936H 3-0
205 Monocryl SH 1/2 Circle Y316H 3-0
206 Monocryl SH 1/2 Circle Y317H 2-0
Monofilament chromic gut Natural absorble suture
207
75 cm tapper 0 (CG 812)
208
75 cm tapper 1 (CD 915)
209
75 cm tapper 2 (CG 804)
210
75 cm tapper 2-0 (GG 123)
211
212
Monofilament Glicomer 631 synthetic absorble
213
suture 70 cm reverse cutting 3-0 (SM 693)
Monofilament Glicomer 631 synthetic absorble
214
suture 70 cm reverse cutting 4-0 (SM 691)
Monofilament Plain gut Natural absorble suture 75
215
cm tapper 2-0 (GG 323)
216
cm tapper 3-0 (GG 322)
217
cm tapper 4-0 (UG 207)
Monofilament polypropylene synthetic non absorble
218
suture 45 cm,cutting 4-0 (SP 683)
219
suture 45 cm,tapper 3-0 ( SP 684)
220
suture 75 cm,tapper 2-0 (SP 685)
221
suture 75 cm,tapper 6-0 (VP 776 X)
222 MQA (isi 20 pcs)
223 Nasal Nebulizer Adult
224 Nasal Canul O2 Adult
225 Nasal Canul O2 Child
226 Nasal Canul O2 Neonatus
227 Nasal Canul O Non Rebreathing Adult
228 Nasal Canul O Non Rebreathing Child
229 Nasal Canul O Rebreathing Adult
230 Nasal Canul O Rebreathing Child
231 Nasal Nebulizer Child
232 Nasal Nebulizer Neonatus
233 Naspro
234 Naspro BBY
235 Needle 18 G
236 Needle 23 G
237 Needle 27 G
238 Neoflon 24 G
239 Nursing Caps
240 Nylon 1/2 Circle 1716G No. 8-0
241 Nylon 1/2 circle CT no 0 tapper W740
242 Nylon 1/2 circle CTX Heavy no 1 tapper W748
243 Nylon 1/2 circle CTX no 1 tapper W749
244 Nylon 1/2 Circle W1756 No. 10-0
245 Nylon 10-0 double needle
246 Nylon 3/8 circle PCLX no 2-0 W1632T
247 Nylon 3/8 circle PS no 2-0 W1626T
248 Nylon 3/8 circle PS-2 no 3-0 W1621T
252 Nylon 3/8 Circle W1718 No. 10-0
253 Opsite (30 cm x 28 cm) / 1x10
254 Opsite Flexigrid 10 x 12 cm
257 Opsite (10 cm x 14 cm) /1x50
258 Opsite (15 cm x 28 cm) /1x10
259 Opsite (45 cm x 28 cm) /1x10
260 Opsite (55 cm x 45 cm) /1x10
261 Opsite (84 cm x 56 cm) /1x10
262 Opsite Post-Op (15.5 cm x 8.5 cm)
263 Opsite Post-Op (20 cm x 10 cm)
264 Opsite Post-Op (25 cm x 15 cm)
265 Opsite Post-Op (6.5 cm x 5 cm)
266 Opsite Post-Op (9.5 cm x 8,5 cm)
267 Optem (Aaron)
268 Orto-Phthalaldehyde
269 Paediatric urine collector,sterille ukuran 100 ml
PDS II (Polydioxanone) C-1 ,C-1 3/8 Circle taper

270
W9095T 7-0
PDS II (Polydioxanone) C-1 ,C-1 3/8 Circle taper
271
W9096 H 6-0
272 Pen Can Paed G25
273 Pen Can Paed G27
274 Peneng Anak Biru
275 Peneng Anak Pink
276 Peneng Dewasa Biru
277 Peneng Dewasa Pink
278 Pisau Bedah No 10 (Bisturi)
284 Plester Coklat Gulungan 3x5 (Leukoplast 1625)
285 Polymed Polyflex IV catheter with inj port no 16
290 Polymed Polyflex IV Catheter With Inj.Port no 26 G
291 Popok Dewasa Tipe Perekat ukuran L

292 Popok Dewasa Tipe Perekat ukuran M
293 Pot 100 cc plastik
297 Pouches Steril Guzetted (10cm x 5cm x 100m)
302 Pouches Steril Guzetted (7.5cm x 5cm x 100m)
303 Pouches Sterilzation Flat (10cm x 200m)
310 Pouches Sterilzation Flat (7.5cm x 200m)
311 Povidone Iodine 10%
312 Premilene Reserve Cutting 2-0 DS 24
317 Prolene 8-0 double needle 3/8 circle
318 Quicky Suction No 16
321 Redon Drain No 16 G
324 Respiratory Anesthesi Face Mask Infant
325 Respiratory Anesthesi Face Mask Large Adult
326 Respiratory Anesthesi Face Mask Medium Adult
327 Respiratory Anesthesi Face Mask Neonate

328 Respiratory Anesthesi Face Mask Paediatric
329 Respiratory Anesthesi Face Mask Small Adult
330 Rhex-Id
331 Ring Pessarium
332 Safetty Box
333 Safil Reserve Cutting 2-0 DS 24
334 Safil Reserve Cutting 3-0 DS 24
335 Safil Taper 0, HR 37
338 Safil Taper 2-0, HR 26
339 Safil Taper 3-0, HR 26
340 Sarung Tangan non sterile ukuran L
341 Sarung Tangan non sterile ukuran M
342 Sarung Tangan non sterile ukuran S
343 Sarung Tangan non sterile ukuran XL
344 Sarung Tangan Orthopaedic 7
345 Sarung Tangan Orthopaedic 7,5
346 Sarung Tangan Orthopaedic 8
347 Sarung Tangan Sterile (Gamex) no 6
349 Sarung Tangan Sterile (Gamex) no 7,5
351 Sarung Tangan Sterile Gynaecolog L
352 Sarung Tangan Sterile Gynaecolog M
353 Sarung Tangan Sterile no 7
354 Sarung Tangan Sterile no 7,5
Sarung Tangan Sterile Powder Free 7 (Gammex
355
Micro Grip)
Sarung Tangan Sterile Powder Free 7,5 (Gammex
356
Micro Grip)
357 Silk Black 0
358 Silk Black 1
359 Silk Black 2
360 Silk Black 2-0
361 Silk Black 3-0
362 Slit Knife 2,75
363 Soda Lime
364 Sofband 3 inc (7.5 cm x 2.7 m)
365 Sofband 4 inc (10 cm x 2.7 m)
366 Sofband 6 inc (15 cm x 2.7 m)
367 Spalk Besar (50X10X2)cm
368 Spalk Kecil (15x5x2) cm
369 Spalk Sedang (30x7.5x2) cm
370 Spinal No 25
371 Spinal No 26
372 Spinal No 27
373 Sponge Untuk Perembasan Perdarahan (3x5)
374 Sponge Untuk Perembasan Perdarahan (5x8)
375 Stab Knife
376 Step Knife
377 Stomach Tube No 10
382 Suction Catheter No 10
388 Suction Conection Tube 3 m
389 Surgical Caps
390 Surgical Gloves Non Sterile No.7.5
Surgical Gut Suture -Chromic CT-1 1/2 Circle 925T
391
1 taper 925T
Surgical Gut Suture -Chromic SH 1/2 Circle G123T
392
2-0 taper G123T
393
G181T 4-0 taper
394
G182T 3-0 taper
395 Surgical Mask Ear Loop Premium
396 Surgical Mask Tie On Premium
397 Tensocrepe 3 inc (7.5 cm x 4.55 m)
398 Tensocrepe 4 inc (10 cm x 4.55 m)
399 Tensocrepe 6 inc (15 cm x 4.55 m)
400 Tongue Spatel Disposible
401 Umbilical (tali pusat)
402 Underpads 60 cm x 90
403 Urine Collection Bag 2.000 ml
404 Venflon 20 G
405 Venflon 22 G
406 Venflon 24 G
407 Vicryl 1/2 Circle J305H taper 3-0
408 Vicryl 1/2 Circle J306 H taper 2-0
409 Vicryl 1/2 Circle W9106 taper point 4-0
410 Vicryl 1/2 Circle W9141 taper 0
411 Vicryl 3/8 Circle W9560 no 8-0
412 Vicryl 3/8 Circle W9561 7-0
413 Vicryl 8-0 double needle 3/8 circle
414 Viscoelastik HPMC Encer (Appasivc 2 ml)
415 Viscoelastik HPMC Encer (Appasivc 3 ml)
416 Viscoelastik Sodium
417 Wing Needle 21
418 Wing Needle 23
2 BAJU DAN CELANA OPERASI ( SCRUB & PANTS)

Baju dan celana leher bulat (round neck scrub shirt
1
& pants)
2
& pants)
3
& pants)
4
scrub shirt & pants)
5
scrub shirt & pants)
baju dan celana leher overlapping (cries cross scrub
6
shirt & pants)
7 Hacinco & celana (v-Neck scrub shirt & pants)
13 Baju pasien dewasa / adult patien gown

1 - Duk Kaki (Leggings Drape) uk. 50x100 cm
- Duk Lobang Mata (Opthalmic Drape) uk. 60x90
2
cm
- Sarung Meja mayo (cover mayo table) uk. 50x90
6
cm
7 Baju pasien ok
8 kimono & celana
9 kinom
10 Piyama lengan panjang
11 Sarung Bantal
12 Sarung Guling
13 Topi pasien OK
3 JAS OPERASI (OT GOWN)

1 Jas operasi standard (operating gown standard)
2 Jas operasi standard (operating gown standard)
jas operasi overlaping (Operating gown wrap
3
around)
Jas operasi water reppellent ( operating gown
4
barier)
4 TOPI OK (OT GOWN)

5 Topi OK karet (surgical cap,elastic)
2 SARANA DAN PRASARANA RUANG INSTALASI LAUNDRY
1 Bed Pad
2 benang jahit berwarna
3 Boven Laken
4 Chlorin Bleach
5 desinfektan
6 Detergent Bubuk
7 Detergent Cair
8 Emulsifire
9 gunting kain
10 Handshop
11 jarum jahit
12 kapuir kain
13 Lap Pel
14 meteran kain
15 oksigen bleach
16 Pembersih Lantai
17 Perlak
18 Perlak
19 Pewangi Kain
20 Pewangi Ruangan
21 Sarung Bantal
22 Sarung Guling
23 Sarung Kasur
24 Sarung Tangan Panjang
25 selimut link
26 Selimut Polar
27 selimut Quilted
28 Sendal oprasi
29 Sikat Kain
30 Sikat Toilet
31 softener
32 Sour (penetralisir kimia)
33 Sprei Karet
34 Stik Laken
35 Stik Laken
36 tambang plastik
37 Tissue
3 OBAT-OBATAN
1 Acetazolamide 250 mg
2 Acetazolamide 250 mg
3 Acetylcystein 200 mg
4 Acetylcystein 200 mg
5 Adapalen 10 %
6 Adenosin Triphosphat Disodium (ATP) Inj
7 Adenosin Triphosphat Disodium (ATP) Inj
8 Adenosin Triphosphat Disodium (ATP) Tab
9 Adenosin Triphosphat Disodium (ATP) Tab
10 Akarbose Tab 100 mg
14 Albendazol suspensi 200 mg/5 ml
15 Albendazol tablet 400 mg
16 Albumin serum normal Inj 20%
19 Alginat
20 Alginat
21 Allylestrenol 5 mg
24 Alprazolam tablet 1 mg
25 Alvogyl
26 Alvogyl
27 Ambroksol drop 15 mg/ml
28 Ambroksol drop 15 mg/ml
29 Ambroxol sirup 15 mg/ml
30 Ambroxol tablet 30 mg
31 Amikasin Sulfat Inj 250 mg/ml, 2 ml
37 Aminofilin injeksi 24 mg/ml
38 Aminofilin tablet 200 mg
39 Aminofluid L
40 Aminofusin Pediatri
41 Aminophyllin Inj
42 Amiodaron HCl Inj 50 mg/ml
43 Amiodaron HCl Tab 200 mg
44 Amiodaron HCl Tab 200 mg
45 Amitriptilin tablet salut 25 mg (HCl)
46 Amlodipin Tab 10 mg
51 Amoksisilin + As. Klavulanat 625 mg tablet
52 Amoksisilin anhidrat drops

53 Amoksisilin anhidrat drops
54 Amoksisilin anhidrat sir
55 Amoksisilin anhidrat sir
56 Amoksisilin kaps 500 mg
57 Amoksisilin kaps 500 mg
58 Amoksisilin serbuk injeksi 1000 mg
59 Amoksisilin sirup kering 125 mg/ 5 ml
60 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial
Antasida DOEN II suspensi, kombi : Aluminium

61 Hidroksida 200 mg/5 ml Magnesium Hidroksida
200 mg/5 ml
Antihemoroid DOEN kombinasi : Bismut subgalat
62
150 mg Heksaklorofen 2,5 mg
Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein
63
50 mg
64 Aqua pi
65 Aqua pro Injeksi steril, bebas pirogen
66 Aripiprazole
67 Aripiprazole
68 Aripiprazole
69 Aripiprazole
70 Artemether injeksi 80 mg/ml
71 Artesunate injeksi, vial 60 mg
72 Articulatig paper tapal kuda
73 Articulatig paper tapal kuda
74 As. Amino 6 %
75 Asam Asetilsalisilat tablet 500 mg (Asetosal)
76 Asam askorbat (vit C) Inj
77 Asam askorbat (vit C) Inj
78 Asam Askorbat (Vitamin C) tablet 100 mg
79 Asam folat Tab 400 mcg
80 Asam folat Tab 400 mcg
81 Asam Folat tablet 1 mg
82 Asam pipemidat
83 Asam pipemidat
84 Asam salisilat
85 Asam salisilat
86 Asam traneksamat Inj 500 mg
87 Asam traneksamat Inj 500 mg/5 ml
88 Asam traneksamat Inj 500 mg/5 ml
89 Asam traneksamat Tab 500 mg
92 Asam valproat Sir 250 mg / 5 ml
93 Asam valproat Sir 250 mg / 5 ml
94 Asam valproat Tab 250 mg
95 Asam valproat Tab 250 mg
96 Asetosal 80 mg
97 Asetosal 80 mg
98 Asetosal 80 mg
99 Asiklovir Inj
100 Asiklovir Inj
101 Asiklovir krim 5%
104 Atenolol tablet 100 mg
105 Atenolol tablet 50 mg
106 Atorvastatin 20 mg tab
107 Atorvastatin 20 mg tab
108 Atracurium besilat Inj 50 mg / 5 ml
109 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat)
110 Atropin Sulfat tablet 0,5 mg

111 Azytrhromicin Tab 500 mg
112 Azytrhromicin Tab 500 mg
113 Benzatin Benzil Penisilin 1,2 juta IU/ vial
114 Benzatin Benzil Penisilin 2,4 juta IU/vial
115 Betahistin mesilat Tab 6 mg
118 Betahistin Mesilat tablet 6 mg
119 Betametason krim 0,1 % (sebagai Valerat)

120 Bic.Nat 8,4%
121 Bikatulamit 50 mg
122 Bikatulamit 50 mg
123 Bisakodil Supp 10 mg
124 Bisakodil Supp 10 mg
125 Bisakodil Supp 5 mg (Paed)
126 Bisakodil Supp 5 mg (Paed)
127 Bisakodil Tab salut 5 mg
128 Bisakodil Tab salut 5 mg
129 bisoprolol 5 mg tab
130 bisoprolol 5 mg tab
131 Bisoprolol tablet 5 mg
132 Bromheksin HCl Solution

133 Bromheksin HCl Solution
134 Brush lowspeed gold
135 Brush lowspeed gold
136 Budesonid turbuhaler 200 mcg
137 Budesonid turbuhaler 200 mcg
138 Bupivacain Inj 0,5% / 4 ml
139 Bupivacain Inj 0,5% / 4 ml
140 Bur diamond set highspeed
141 Bur diamond set highspeed
142 Bur tulang highspeed fisure panjang
143 Bur tulang highspeed fisure panjang
144 Ca. Gluconas 100 mg/ml
145 Cairan koloid gelatin
146 Candesartan 16 mg
150 Catalyst base double impresion light body
151 Catalyst base double impresion light body
152 Caviton
153 Caviton
154 Cefazolin Inj 1 gr
155 Cefiksim DS
156 Cefiksim DS 100 mg/5 ml
157 Cefiksim DS 100 mg/5 ml
158 Cefiksim Tab 200 mg
159 Ceftazidime Inj 1 gr
160 Ceftazidime Inj 1 gr
161 Ceftizoxime Inj
162 Ceftizoxime Inj
163 Ceftriakson Inj
164 celuloid strip
165 celuloid strip
166 Cendo Cenfres 0,6 ml @S's minidose
167 Cendo Cenfres 0,6 ml @S's minidose
168 Cendo Fenicol 0,25% fls
169 Cendo Fenicol 0,25% fls
170 Cendo Fenicol 1% fls
171 Cendo Fenicol 1% fls
172 Cendo Ophthalgon 3 ml
173 Cendo Ophthalgon 3 ml
174 Cendo Polydex 0,6 ml @S's minidose
175 Cendo Polydex 0,6 ml @S's minidose
176 Cendo Polygran EO 3,5 gr
177 Cendo Polygran EO 3,5 gr
178 Cendo polynel 5 ml
179 Cendo polynel 5 ml
180 Cendo Tobroson 0,6 ml @S's minidose
181 Cendo Tobroson 0,6 ml @S's minidose
182 Cendo Xytrol fls
183 Cendo Xytrol fls
184 Cenfresh 5 ml
185 Cenfresh 5 ml
186 Cetirizin sirup 5 mg/5 ml
187 Cetirizine tablet 10 mg
188 CHKM
189 CHKM
190 chlordiazepoxide 5 mg, clidium Br 2,5 mg
191 chlordiazepoxide 5 mg, clidium Br 2,5 mg
192 Chlorhexidin 2%
193 Chlorhexidin 4%
194 Chlorhexidin 4%
195 Choline citrate 147.5,cytidine

monophosphate,phosphatidylserine
196 Choriogonadotropin alpha 250 mcg Inj
197 Choriogonadotropin alpha 250 mcg Inj
198 Citicoline 2 gr
199 Citicoline 2 gr
200 Citicoline Inj 1000, 8 ml
201 CITICOLINE Inj 125Mg/mL
202 Citicoline Inj 250mg
203 Citicoline Inj 500, 4 ml
204 Citicoline Oral 1 gr
205 Citicoline Oral 500 mg tab
206 Citicoline Oral 500 mg tab
207 Clindamycin solution gel
208 Clindamycin solution gel
209 Clobazam Tab 10 mg
213 Clobazam tablet 10 mg
214 Clobetasol cr 0,05 %

215 Clobetasol cr 0,05 %
216 Clobetasol krim 0,05%
217 Clopidogrel Tab 75 mg

221 Clozapin 25 mg
222 Clozapin 25 mg
223 Clozapin100 mg
224 Clozapin100 mg
225 Co-enzim Q L-Carnitin Fumarat
226 Co-enzim Q L-Carnitin Fumarat
227 Composite 3M Z250
228 Composite 3M Z250
229 Cortison acetate Inj 25 mg/ml, 10 ml
230 Cortison acetate Inj 25 mg/ml, 10 ml
231 Cresophat
232 Cresophat
233 Cresophen
234 Cresophen
235 Deksametason Inj 4 mg / ml
236 Deksametason injeksi i.v. 5 mg/ml
237 Deksametason tablet 0,5 mg
238 Dekstran 70 - larutan infus 6% steril
239 Dekstrometorfan sirup 10 mg/5 ml (HBr)
240 Dekstrometorfan tablet 15 mg (HBr)
241 Devitalisasi Pasta Non Arsen

242 Devitalisasi Pasta Non Arsen
243 Dexketoprofen Trometamol 50mg
244 Dextrose 5% + 1/2 NaCl
245 Dextrose 5% + 1/4 NaCl
246 Diazepam 5 mg tab
247 Diazepam Inj, 2 ml
248 Diazepam injeksi 5 mg/ml
249 Diazepam Lar. Rectal 10 mg
250 Diazepam Lar. Rectal 5 mg
253 Dibekacin Sulfat Inj 100 mg
257 Difenhidramin injeksi i.m. 10 mg/ml (HCl)
258 Digoksin 0,5 mg/2 ml Inj
259 Digoksin tablet 0,25 mg
260 Diltiazem HCl tablet 30 mg
261 Diltiazem Inj 50 mg/vial
262 Diphenhidramin 10 mg Inj
263 Dobutamin
264 Doksisiklin HCl kap 500 mg
265 Doksisiklin HCl kap 500 mg
266 Doksisiklin kapsul/kaplet 100 mg
267 Domperidon drop 5 mg/ml

268 Domperidon drop 5 mg/ml
269 Domperidon suspensi 5 mg/5 ml
270 Domperidon tablet 10 mg
271 Dopamin HCl Inj 10 mg/ml
272 Double impresion soft putty
273 Double impresion soft putty
274 dutasterid 0,5
275 dutasterid 0,5
276 Efedrin Inj 50 mg/ml
277 Ekstrak citrus sinensis pericarpium setara diosmin

90% hesperidin 10%
278 Ekstrak citrus sinensis pericarpium setara diosmin

90% hesperidin 10%
279 Eperison HCl
280 Eperison HCl
281 Eperison HCl 50 mg tab
282 Eperison HCl 50 mg tab
283 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl)
284 Erdosteine DS
285 Erdosteine DS
286 Erdosteine Kap 300 mg
287 Erdosteine Kap 300 mg
289 Eritromisin sirup 200 mg/ 5 ml

290 Etambutol tablet 250 mg (HCl)
291 Etambutol tablet salut 500 mg (HCl)
292 Etamsilat Inj 250 ml/2 ml
293 Etamsilat Inj 250 ml/2 ml
294 Etamsilat Tab 500 mg
295 Etamsilat Tab 500 mg
296 Etanol 100% dan 18g Propanol
297 Ethambutol 250
298 Ethambutol 250
299 Ethambutol 500
300 Ethambutol 500
301 Etil Klorida
302 Etil Klorida
303 Etinil estradiol Tab 50 mcg
304 Etinil estradiol Tab 50 mcg
305 Eyefresh ED 5 ml
306 Eyefresh ED 5 ml
307 Eyefresh minidose
308 Eyefresh minidose

312 Fentanil Inj 0,05 mg/ml, 10 ml
315 Fentanil Patch
316 Fentanil Patch 50 mcg/jam
317 Fitchecker
318 Fitchecker
319 Fitomenadion (Vit.K1) tablet salut gula 10 mg
320 Fitomenadion (Vitamin K1) injeksi 10 mg/ml
321 Fitonadion 2 mg/ml
322 Flunarizin Tab 10 mg
326 Fluoksetin Tab 10 mg
327 Fluoksetin Tab 10 mg
328 Fluorometholone
329 Fluticason furoat 27,5 mcg/spray
330 Fluticason furoat 27,5 mcg/spray
331 Flutikason propionat 0,5 mg/2 ml
332 Fondaparinuks Na Inj 2,5 mg/0,5 ml
333 Formalin
334 Fosfomycin Natrium 1 gr
335 Fosfomycin Natrium 1 gr
336 Fradiomisin 2,5 mg, gramisidin-S 1 mg
337 Fradiomisin 2,5 mg, gramisidin-S 1 mg
338 Fuji II LC serbuk 5 gr + cairan
339 Fuji II LC serbuk 5 gr + cairan
340 Fuji IX GP 1-1
341 Fuji IX GP 1-1
342 Furosemid Inj
343 Furosemid Inj
344 Furosemid injeksi i.v./i.m. 10 mg/ml
345 Furosemid tablet 40 mg
346 Gabapentin
347 Gabapentin 300mg
Garam Oralit I serbuk, kombinasi : Natrium 0,52 g
348 Kalium klorida 0,30 g Trinatrium sitrat dihidrat
0,58 g Glukosa Anhidrat 2,7 g
349 Gemfibrozil kapsul/kaplet 300 mg
350 Gemfibrozil tablet 600 mg
351 Gentamisin injeksi 40 mg/ ml

352 Gentamisin salep kulit 0.1%
353 Gentamisin Sulfat tetes mata 0,3 %
354 Gentamycin 40mg/ml inj
355 Gentamycin, Fluicinolone
356 Glass Ionomer Cement ART
357 Glass Ionomer Cement ART
358 Glibenklamida tablet 5 mg
359 Glimepirid 2 mg
360 Glimepirid 3 mg
365 Gliquidon tablet 30 mg
366 Gliserin
367 Glukosa larutan infus 10 % steril

370 goserelin asetat steril 3,6 ml
371 goserelin asetat steril 3,6 ml
372 Guttap percha No. 15-40
379 Haloperidol tablet 5 mg
380 Halotan
381 Halotan
382 hand wash
383 Heparin Na Inj 5000 iu/ml, 5 ml
384 Hidrokortison krim 1%
385 Hidrokortison krim 2,5 %
386 Hiroquinon, tretinoin, flucinolon acetonid
387 Hiroquinon, tretinoin, flucinolon acetonid
388 Hyoscine -N-Butilbromide tablet 10 mg
389 Hyosin N Butil Bromida Inj

390 Ibuprofen Sir
391 Ibuprofen Sir
392 Ibuprofen Supp 125 mg
393 Ibuprofen suspensi 100 mg/5 ml
395 Ig tetanus manusia 250IU, 1 ml
396 imidapril
397 imidapril
398 Immune Globulin IV (human) 10 %
399 Immune Globulin IV (human) 10 %
400 Infection Control
401 Infus Glucose 10%
405 INH 300
406 INH 300
407 Insulin Vial 100 IU/ml x 10 ml
408 Isoflurane
411 Isosorbid dinitrat Inj 10 mg/10 ml
412 Isosorbid Dinitrat tablet sublingual 5 mg
413 Itrakonazol kapsul/kaplet 100 mg
414 KAEN 1B 500 ml infus ( NaCl, Glukosa)

415 KAEN 3A 500 ml infus
416 KAEN 3B 500 ml infus
417 Kalium diklofenak 25 mg
418 Kalium diklofenak 25 mg
419 Kalium Diklofenak tablet 50 mg
420 Kalium L-Aspartat
421 Kalium L-Aspartat
422 Kalsitriol
423 Kalsitriol
424 Kalsium Laktat (Kalk) tablet 500 mg
425 Kanamycin sulfate 1 gr Inj
426 Kaptopril tablet 12,5 mg
427 Kaptopril tablet 25 mg

428 Kaptopril tablet 50 mg
429
Karbamazokrom natrium sulfonat 10 mg/2ml Inj
430
Karbamazokrom natrium sulfonat 10 mg/2ml Inj
433 KCl inj 7,46%
434 KCl Tab 600 mg
435 KCl Tab 600 mg
436 Ketamin HCl Inj 100 mg/ml, 10 ml
437 Ketokonazol krim 2%
438 Ketokonazol tablet 200 mg
439 Ketoprofen injeksi 100 mg
440 Ketoprofen Supp 100 mg
441 Ketorolac injeksi 30 mg
442 Ketorolac tab 10 mg
443 Ketorolac tab 10 mg
444 Ketorolac tromethamine Inj 30 mg/ml (3%)
447 Ketorolac tromethamine Tab 10 mg
450 Klomifen tablet 50 mg
451 Klonidin HCl Inj 0,15 mg/ml

452 Klonidin tablet 0,15 mg
453 Kloramfenikol Inj 1 g/ml
454 Kloramfenikol Inj 1 g/ml
455 Kloramfenikol kapsul/kaplet 250 mg
456 Kloramfenikol salep mata 1 %
457 Kloramfenikol suspensi 125 mg/ 5 ml
458 Kloramfenikol tetes telinga 3 %
459 Klorfeniramina Maleat (CTM) tablet 4 mg
460 Klorokuin tablet 250 mg
461 Klorpromazin injeksi i.m. 25 mg/ml (HCl)
462 Klorpromazin tablet salut 100 mg (HCl)
466 Koloid HES 130/0,42
Komb : Alinamin fursuthiamine HCl, B2 25 mg / 10
467
ml
468 komb. Miconazole, zink oksida
Kombinasi : Al Hidroksida 400 mg, Mg Hidroksida

469
400 mg, Dimetil polisiloksan 100 mg
Kombinasi : Al Hidroksida 400 mg, Mg Hidroksida

470
400 mg, Dimetil polisiloksan 100 mg
Kombinasi : Amoksisilin trihidrat 500 mg, Asam

471
klavulanat 125 mg
472 Kombinasi : Amoksisilin trihidrat, Asam klavulanat
473 kombinasi : Ampisilin 1 gr, Sulbaktam 0,5 gr

474 kombinasi : Ampisilin 1 gr, Sulbaktam 0,5 gr
475 Kombinasi : Benzoyl peroxide 5%, Clindamycin 1,2

%
476 Kombinasi : Benzoyl peroxide 5%, Clindamycin 1,2

%
477 kombinasi : Ca,K,Na
478
Belladona 0,1 mg, Fenobarbital 20 mg
479
Belladona 0,1 mg, Fenobarbital 20 mg
480 Kombinasi : Ergotamin tartrat 1 mg, Kafein 100 mg
481 Kombinasi : Ergotamin tartrat 1 mg, Kafein 100 mg
Kombinasi : Humulin R soluble Human Insulin

482 reguler Soluble human insulin 30 % dan isophane,
Human insulin susp 70 %, Vial 100 IU/ml x 10 ml
483 kombinasi : Imipenem , Cilastatin 1 gr Inj
484 Kombinasi : Ipratropium Br MDI 10 ml, UDV 2,5

ml, Salbutamol 0,5 mg
Kombinasi : Kodein 11,11 mg, Phenyltoloxamine
485 3,67 mg, Guaifenesin 55,55 mg, Thyme liq.ext 55,
55 mg.
486
Kombinasi : Kodein 11,11 mg, Phenyltoloxamine

487 3,67 mg, Guaifenesin 55,55 mg, Thyme liq.ext 55,
55 mg.
488
489 Kombinasi : Lactobacillus acidophilus,

Bifidobacterium longun, Streptococcus faeeium, Vit
C, Vit B, Vit B2, Vit B5, Niacin, Protein, Fat
490 Kombinasi : Lactobacillus acidophilus,

Bifidobacterium longun, Streptococcus faeeium, Vit
C, Vit B, Vit B2, Vit B5, Niacin, Protein, Fat
491 Kombinasi : Levodopa 100 mg, Benzerazida HCl 25

mg
492 Kombinasi : Levodopa 100 mg, Benzerazida HCl 25

mg
493 Kombinasi : Lidokain HCl 2%, Adrenalin
494 Kombinasi : Lidokain HCl 2%, Adrenalin
495 Kombinasi : Loratadin 10 mg, Pseudoefedrin HCl

120 mg
496 Kombinasi : Loratadin 10 mg, Pseudoefedrin HCl

120 mg
497 Kombinasi : Metampiron 500 mg, Diazepam 2 mg
498 Kombinasi : Metampiron 500 mg, Diazepam 2 mg
499 Kombinasi : Mikonazol nitrat 2 %, Hidrokortison 1

%
500 Kombinasi : Mikonazol nitrat 2 %, Hidrokortison 1

%
Kombinasi : Monascus purpureus, Psidii folium,
501
Elektrolit, Zink
Kombinasi : Monascus purpureus, Psidii folium,
502
Elektrolit, Zink
503 Kombinasi : Na. Lactat, CaCl2 Inf
504 Kombinasi : Sulbaktam Na 500 mg, Sefoperazon Na

500 mg

505 Testosteron fenil propionat 60 mg, Testosteron iso
kaproat 60 mg, Testosteron dekanoat 100 mg

506 Testosteron fenil propionat 60 mg, Testosteron iso
kaproat 60 mg, Testosteron dekanoat 100 mg
Kombinasi : Tramadol 37,5 mg, Paracetamol 325

507
mg.
Kotrimoksazol Suspensi komb: Sulfametoksazol
508
200 mg + Trimetoprim 40 mg / 5 ml
509 Kuinin (Kina) tablet 200 mg
510 Kuinin injeksi i.v. 25% (sebagai 2 HCl)
511 Lactobacillus reuteri Tab

512 Lactobacillus reuteri Tab
513 Laktulosa sir 3,35 gr/5 ml
514 Laktulosa sir 3,35 gr/5 ml
515 Lansoprazole
516 Lanzoprazol kapsul/kaplet 30 mg
517 Lar. Elektrolit
518 Lar. Elektrolit
519 Lar. Elektrolit
520 LCD (liq. Carbonas detergent)
521 LCD (liq. Carbonas detergent)
522 leuprorelin
523 leuprorelin
524 Levofloksasin tablet 500 mg
525 Levofloxacin Tab 500 mg
526 LFX 0,6 ml @S's minidose
527 LFX 0,6 ml @S's minidose
528 Lidocain 10 %
529 Lidocain 10 %
530 Lidokain HCl Inj 0,2 %
531 Lidokain HCl Inj 0,2 %
532 Lidokain injeksi 2%
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 -
533
2ml
534 Linkomisin kapsul/kaplet 500 mg
535 Lisinopril tab 5 mg

536 Lisinopril tab 5 mg
537 Lisinopril tablet 10 mg
538 Lisinopril tablet 5 mg
539 Loperamid tablet 2 mg
540 Loratadin Sir 5 mg/5 ml

541 Loratadin Sir 5 mg/5 ml
542 Loratadin tablet 10 mg
543 Lorazepam Tab 1 mg
544 Lorazepam Tab 1 mg
545 Losartan 50 mg
546 Losartan 50 mg
547 Magnesium Sulfat inj (IV) 20% - 25 ml
548 Magnesium Sulfat inj (IV) 40% - 25 ml
549 Manitol 20 %
550 mantoux test
551 mantoux test
552 Martos 10%
553 Mebendazol sirup 100 mg / 5 ml
554 Mebendazol tablet 100 mg
555 Mebhidrolin napadisilat 50 mg / 5 ml sir

556 Mebhidrolin napadisilat 50 mg / 5 ml sir
557 Mebhidrolin napadisilat Tab 50 mg
558 Mebhidrolin napadisilat Tab 50 mg
559 Mecobalamin Inj 500 mcg/ml
560 Mecobalamin kaps 500 mcg
561 Mecobalamin kaps 500 mcg
562 Mecobalamin Tab 500 mcg
563 Mecobalamin Tab 500 mcg
564 Meloksikam suppositoria
565 Meloksikam tablet 7,5 mg
566 Menadion (Vitamin K3) injeksi 10 mg/ml

567 Meropenem Inj 0,5 gr
568 Meropenem Inj 0,5 gr
569 Meropenem Inj 1 gr
570 Meropenem Inj 1 gr
571 Metamizole Na Inj 1 g/2ml, 2 ml
572 Metampiron injeksi 250 mg
573 Metformin HCl tablet 500 mg
574 Metformin HCl tablet 850 mg
575 Methylprednisolon Inj 125 mg
576 Methylprednisolon Inj 125 mg
577 Methylprednisolon Tab 16 mg
581 Metildopa Tab 250 mg
582 Metildopa Tab 250 mg
Metilergometrin Maleat (Metilergometrin) tablet
583
salut 0,125 mg
584 Metilprednisolon injeksi 500 mg
587 metisoprinol
588 metisoprinol
589 Metoklopramid Inj
590 Metoklopramid Inj
591 Metoklopramide injeksi 5 mg/ml
592 Metoklopramide sirup 5 mg/ 5 ml

594 Metotreksat Tab 25 mg
595 Metotreksat Tab 25 mg
596 Metronidazol Inf 5 mg/ml
597 Metronidazol Inf 5 mg/ml
598 Metronidazol Sir 125 mg/5ml
599 Metronidazol Supp 1 g
600 Metronidazol Supp 1 g
601 Metronidazol tablet 500 mg
602 MgSO4 20%
603 MgSO4 40%
604 Midazolam 15 mg/3ml, 3 amp
605 Midazolam 5 mg/5ml, 5 amp
606 Mikonazol krim/salep 2 % (Nitrat)
Mineral Mix, kombinasi : Kalium klorida 1792 mg

Trikalium sitrat (1H2O) 648 mg Magnesium klorida
607
(6H2O) 608 mg Seng asetat (2H2O) 66 mg Tembaga
sulfat (5H2O) 11 mg
608 Misoprostol Tab 200 mcg

609 Misoprostol Tab 200 mcg
610 Momethason krim 0,1 %
611 Momethasone furoat 0,1 % cr

612 Momethasone furoat 0,1 % cr
613 Morfin injeksi 10 mg/ml
614 Morfin tablet 10 mg
615 MST Continuos Tab 10 mg
616 Multivitamin
617 multivitamin
618 Multivitamin
619 multivitamin
620 Mupirosin 2% cr
621 Mupirosin 2% cr
622 Mydratil 0,5% ED 5 ml
623 Mydratil 0,5% ED 5 ml
624 Nacl 0,9 %
625 Nacl 0,9 %
626 Nacl 0,9 %
627 Nacl 0,9 %
628 Nacl 0,9 %
629 Nacl 0,9 %
630 NaCl 3%
631 Naloxone 0,4 mg/ml
634 Natrium Fusidat cr
635 Natrium Fusidat cr
636 Natrium Klorida larutan infus 0,9 %
637 Neomycin sulfate,placenta extr 10%
638 Neostigmin methylsulfat Inj 0,5 mg
639 Nicardipine HCl Inj 10 mg
640 Nicergoline Tab 10 mg
641 Nicergoline Tab 10 mg
642 Nifedipin tablet 10 mg
643 Nimodipin infus 0,2mg/ml
644 Nimodipin iv
645 Nistatin tablet salut 500.000 IU/ g
646 Nistatin vaginal tablet 100.000 IU/ g
647 Norepinefrin Inj , 4 ml

648 Nystatin 100.000 IU, zink oint
649 Nystatin 100.000 IU, zink oint
650 Nystatin suspensi
651 Obat Batuk Hitam ( O.B.H. ) cairan
652 Obat Batuk Hitam ( O.B.H. ) cairan
653 OCO
654 OCO
655 Oksitetrasiklin HCl Inj 500 mg/ml
656 Oksitetrasiklin salep kulit 3%
657 Oksitosin injeksi 10 IU/ml - 1 ml
658 Omeprazol kapsul/kaplet 20 mg
659 Omeprazole Inj 40 mg
660 Omeprazole Inj 40 mg
661 Ondansetron Inj 4 mg/2ml, 2 ml
662 Ondansetron Inj 4 mg/2ml, 2 ml
663 Ondansetron Tab 8 mg
664 Ortho-Phtalaldehyde
665 Oxytocin 10 IU/ml Inj
666 Pantoprazole Inj 40 mg
669 Paper point No. 15-40
670 Paper point No. 15-40
671 Paracetamol infus 10 mg/ml
672 Paracetamol supp 160 mg
675 Parasetamol 500mg+N acetylsistein
676 Parasetamol drops
677 Parasetamol sirup 120 mg / 5 ml
678 Parecoxib Na 40 mg Inj
679 Parecoxib Na 40 mg Inj
680 Pasta iodoform
681 Pasta iodoform
682 Pemirolast Potassium 0.1%
683 Pentoxifillin Inj 500 mg
684 Pentoxifillin Inj 500 mg
685 Pentoxifillin Tab 400 mg
686 Perak sulfadiazin 1 %
687 Perak sulfadiazin 1 %
688 Periodontal dressing
689 Periodontal dressing
690 Petidin inj
691 Petidin inj
692 Petidin injeksi 50 mg/ml
693 Phenobarbital Inj 200 mg/2 ml
694 Pioglitazon Tab 15 mg
695 Pioglitazon Tab 15 mg
696 Piracetam 800 mg
697 Piracetam Inj 3 gr

703 Pirantel pamoat Susp. 25 mg/ml, 10 ml
704 Pirantel pamoat Susp. 25 mg/ml, 10 ml
705 Pirantel sirup 125 mg/5 ml
706 Pirantel tablet score (base) 125 mg
707 Pirazinamid tablet 500 mg

710 Plastic syringe
711 Plastic syringe
712 policresulen
713 policresulen
714 policresulen
715 policresulen
716 Polishing pasta
717 Polishing pasta
718 Polygelin 3,5% Inf
719 Polygran ED 5 ml
720 Polygran ED 5 ml
721 Povidon
722 Povidon
723 Povidon Iodida larutan 10%
727 Povidon iodine 10%
728 Povidon iodine 10%
PPC 95% 150 mg, silymarin phytosome 100 mg,
729
Schizandra extr.375 mg d--tocopherol 5 IU
PPC 95% 150 mg, silymarin phytosome 100 mg,
730
Schizandra extr.375 mg d--tocopherol 5 IU
731 Pravastatin tablet 20 mg
732 Pre,post natal vitamin + dha
733 Prednison tablet 5 mg
734 Pregabalin Kaps 75 mg
735 Pregabalin Kaps 75 mg
736 Primakuin tablet 15 mg
737 Propanolol tablet 10 mg ( HCl )
738 Propanolol tablet 40 mg (HCl)
739 Propiltiourasil 100mg
740 Propiltiourasil 100mg
741 Propiltiourasil tablet 100 mg
742 propiverin
743 propiverin
744 Propofol 1 %, 2 ml
745 Propofol Inj 200 mg/20 ml
748 Protagenta ED 5 ml
749 Protagenta ED 5 ml
750 Pseudoefedrin HCl drops 7,5 mg / 0,8 ml
751 Pseudoefedrin HCl drops 7,5 mg / 0,8 ml
752 Pyrazinamid 500
753 Pyrazinamid 500
754 Ramipril tablet 2,5 mg
755 Ramipril tablet 5 mg
756 Ranitidin 150 inj

757 Ranitidin 150 inj
758 Ranitidin injeksi 25 mg/2 ml
759 Revotek
760 Revotek
761 Rifampicin 450
762 Rifampicin 450
765 Rifampisin tablet salut 450 mg
766 Ringer Lactat

767 Ringer Laktat larutan infus
768 risperidon Inj 25 mg
769 risperidon Inj 25 mg

773 Rosuvastatin 20 mg
774 Salbutamol Nebules 2,5 mg/ 2,5 ml NaCl
775 Salbutamol Spray
776 Salbutamol tablet 2 mg (sebagai Sulfat)
777 Salbutamol tablet 4 mg (sebagai Sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% +
778
Belerang endap 4%
779 Salisil Bedak 2 %
780 Saliva ejector
781 Saliva ejector
784 Sefadroksil sirup kering 125 mg/5ml
785 Sefaleksin kapsul/kaplet 500 mg
786 Sefazolin injeksi 1 g

787 Sefiksim kapsul/kaplet 100 mg
788 Sefiksim sirup kering 100 mg/ 5 ml
789 Sefofluran
790 Sefoperazon Na Inj
791 Sefotaksim injeksi 0,5 g
792 Sefotaksim injeksi 1 g
793 Sefpirome Inj 1 gr
794 Sefpirome Inj 1 gr
795 Seftazidim injeksi 1 g
796 Seftriakson injeksi 1 g
797 Sefuroksim Inj 1 gr
798 Semen Seng Fosfat Serbuk dan Cairan
799 Semen Seng Fosfat Serbuk dan Cairan
800 Seng sulfat sir 10 mg/5ml
801 Seng sulfat sir 10 mg/5ml
802 Serbuk rhizoma kurkuma 200 mg Tab salut
803 Serbuk rhizoma kurkuma 200 mg Tab salut
804 Sertralin 50 mg
805 Sertralin 50 mg
806 Serum antibisa ular
807 Serum antitetanus (ATS) 1500 UI, 1 ml
808 Serum antitetanus (ATS) 20000, 5 ml
810 Sianokobalamin (vitamin B12) tablet 50 mcg

811 Sildenafil Sitrat Tab 50 mg
812 Simvastatin Tab 20 mg
813 Simvastatin Tab 20 mg
817 Siprofloksasin infus 2%

818 Siprofloksasin tablet 500 mg (sebagai HCl)
819 Spiramisin tablet 500 mg
820 Spiramycin 500 mg

821 Spiramycin 500 mg
822 Spironolakton tablet 100 mg
823 Spironolakton tablet 25 mg
824 Spongostan
825 Spongostan
826 Sterile water 100 ml
827 stone gip biru
828 stone gip biru
829 stone gip kuning
830 stone gip kuning
831 Streptokinase Inj 1.500.000 iu
832 Streptomisin serbuk injeksi i.v 1000 mg/ml
833 Streptomycin 1 gr Inj
834 Sukralfat susp
835 Sukralfat susp
836 Sulfasalazin tablet 500 mg
837 Sulfur presipitatum
838 Sulfur presipitatum
839 Tabir surya cr
840 Tabir surya cr
841 Tadalafil
842 Tadalafil
843 Tamsulosin ocas 0,4 mg tab
844 Tamsulosin ocas 0,4 mg tab
845 Teofilin Tab 150 mg
848 terazosin HCl 2 mg tab
849 terazosin HCl 2 mg tab
850 Terazosin Tab 2 mg
851 Terazosin Tab 2 mg
852 Terbutalin sulfat Inj 0,5 mg/ml
853 tetes hidung
854 tetes hidung
855 Thiamfenicol F DS
856 Thiamfenicol F DS
857 Tiamin (Vitamin B1) 100 mg tablet
858 Tiamin (Vitamin B1) injeksi 100 mg/ml
859 tinoridin 50 mg
860 tinoridin 50 mg
861 Tipokal anastesi
862 Tipokal anastesi
863 Tramadol injeksi 50 mg/ml
864 Triamcinolon tab 4 mg
865 Triamcinolon tab 4 mg
866 Triamcinolone a cetonide 1mg/g
867 Triamsinolon asetonid Inj IA/ID 10 mg/5 ml
868 Triamsinolon asetonid Inj IA/ID 10 mg/5 ml
869 Triamsinolon asetonid Tab 4 mg
870 Triamsinolon asetonid Tab 4 mg
871 Trifluoperazin 5 mg
872 Trifluoperazin 5 mg
873 Triheksifenidil tablet 2 mg
874 Ursideoxycholic acid

875 Ursideoxycholic acid
876 Vaselin album
877 Vaselin album
878 Vekuronium bromide Inj 10 mg/vial
879 Verapamil tablet 80 mg (HCl)
Vit B1 50 mg,Vit B2 25 mg, Vit B6 10 mg,Vit B12 5
880 mcg,Nikotinamid 100 mg,Pantotenat 18,4 mg,Vit C
500 mg
Vit B1 50 mg,Vit B2 25 mg, Vit B6 10 mg,Vit B12 5

881 mcg,Nikotinamid 100 mg,Pantotenat 18,4 mg,Vit C
500 mg
882 Vitamin neurotropik Inj
883 Vitamin neurotropik Inj
884 Vitrolenta 0,6 ml @S's minidose
885 Vitrolenta 0,6 ml @S's minidose
886 Warfarin Na Tab 2 mg
887 Warfarin Na Tab 2 mg
888 wax medium
889 wax medium
890 wedges
891 Zinc tablet 20 mg

12 LINEN KAMAR OPERASI(OT LINEN)
- Alas meja operasi (cover operating table) uk.60 x
1
200 cm
6 - Duk lobang belah (fenestrated drape)uk. 50x60cm
7 - Duk lobang belah (fenestrated drape)uk. 60x90cm

8
90x125cm
- Duk lobang besar (fenestrated drape-large) uk.
9
125x325cm
11 -Duk lobang bulat (round hole drape) uk. 50x60 cm
12 -Duk lobang bulat (round hole drape) uk. 60x90 cm
-Duk lobang bulat (round hole drape) uk. 90x125

13
cm
14 Penyediaan Sarana Dan Prasarana Ruang Instalasi Kamar Jenazah

1 Apron plastik
2 Baskom sedang
3 Benang sekun
4 Chlorin bleache
5 Desinfektan
6 detergen bubuk
7 Detergen cair
8 Formalin
9 Gayung plastik
10 Gunting kain
11 Handuk besar
12 kain kafan
13 Kain polos
14 Kantong jenazah kuning
15 Kapas gulung
16 Kapur barus
17 Meteran kain
18 minyak wangi
19 Pewangi kain
20 Pewangi ruangan
21 sampo sansilk
22 sarung tangan panjang plastik
23 sepon busa
24 Softener
25 waslap washing
15 Penyediaan Sarana Dan Prasarana Ruang Instalasi K3RS

1 Barometer
2 Dust sempler
3 Personal heat stress monitor
4 Vibration meter
16 Penyediaan Sarana Dan Prasarana Ruang Instalasi Gas Medis

Oksigen Therapy Set (tabung kecil + regulator) OT
1
1000 + PS 302
Tabung Oksigen (tabung besar+ regulator) OT 6000
2
+ PS 302
17 Penyediaan Sarana Dan Prasarana Ruang Rehabilitasi Medik

1 AB muscle
2 Alat Gymnasium
3 Apraksia Kit (Talkstool)
4 ARK Graber (Talks Tools)
5 ARK Z Vibe (Talkstool)
6 Bear Bottle With Straw
7 Bola Duri
8 Bola Kacang
9 Bola Ketiler
10 Bolster/ Guling Terapi
11 Boneka tangan binatang
12 Boneka tangan keluarga
13 cardio heart with speaker
14 Chewy Tube(Talkstool)
15 Cone
16 Crossover
17 Dolphin vibrator
18 Double featur motrized
19 Duck Whistle
20 Educard 20 set
21 Edudomino
22 Edudomino set isi 5
23 Extremgell grip
24 Eye Pops
25 Ez scrub brush
26 Face Massager
27 Fisioball duri 75cm
28 Flascard isi 5
29 Fliying finger
30 Foto bayi pintar
31 Game bike
32 Gender
33 Gradasi besar kecil
34 Gradasi tinggi/pendek/panjang
35 Grotto
36 Hop ball 45cm
37 Horn Original Kit (Talkstool)
38 Inspirometer
39 Inspirometer (Talkstool)
40 Iq devel0pment card asosiasi
41 Iq development card apa yang beda
42 Iq development card apa yang hilang
43 Iq development card berhitung
44 Iq development card emosi
45 Iq development card kebiasaan baik
46 Iq develpment card apa yang salah
47 Jaw Exercise
48 Jaw Grading Bit Block Puple
49 Jaw Grading Bit Block Red
50 Jet Kazoo
51 Jet Whistle
52 Jumbo grid
53 Kartu educatif binatang
54 Kartu edukatif aktifitas
55 Kartu edukatif asosiasi
56 Kartu edukatif bayi belacar membaca
57 Kartu edukatif profesi
58 Kata kerja
59 Kata kerja anak
60 Kata kerja ibu
61 Kata sifat
62 Klasifikasi 1
63 Klasifikasi 2
64 Klasifikasi kata kerja
65 Kwarted (klasifikasi benda)
66 Lawan kata benda
67 Lawan kata orang
68 Lilin Tiup
69 Lips Whistle
70 Long Kazoo
71 Lotto baca biru
72 Lotto baca kuning
73 Lotto board 3d
74 Lotto board benda
75 Lotto board bentuk
76 Lotto board binatang
77 Lotto board buah
78 Lotto board kendaraan
79 Lotto kecil anak
80 Lotto kecil benda
81 Lotto kecil foto benda
82 Lotto kecil huruf
83 Mainan kayu puzzle tangan
84 Mainan kayu puzzlesimple
85 Mainan kayu abacus
86 Mainan kayu alat pertukangan
87 Mainan kayu alat transportasi besar isi 4
88 Mainan kayu alat transportasi kecil isi 6
89 Mainan kayu aneka menjahit
90 Mainan kayu angka digital
91 Mainan kayu balok 40000
92 Mainan kayu balok bangunan
93 Mainan kayu balok geometri
94 Mainan kayu balok mobil
95 Mainan kayu balok natural
96 Mainan kayu bebakaran
97 Mainan kayu boneka jari profesi
98 Mainan kayu boneka jari serangga
99 Mainan kayu boneka tangan
100 Mainan kayu boneka tangga
101 Mainan kayu bowling
102 Mainan kayu buah buahan
103 Mainan kayu donat
104 Mainan kayu felt book
105 Mainan kayu felt book binatang
106 Mainan kayu felt book jumlah
107 Mainan kayu feltbook geometri
108 Mainan kayu feltbook lets word
109 Mainan kayu feltbook motesori
110 Mainan kayu feltbook sayuran
111 Mainan kayu fraksi (shape)
112 Mainan kayu fraksi 4 slide
113 Mainan kayu fraksi 5 shape
114 Mainan kayu golf
115 Mainan kayu hammer boneka loncat
116 Mainan kayu hanoy tower
117 Mainan kayu heli bongkar
118 Mainan kayu hit the ball
119 Mainan kayu jahit huruf
120 Mainan kayu jam bunga
121 Mainan kayu jam duduk
122 Mainan kayu jam gantung
123 Mainan kayu jamur hitung
124 Mainan kayu jangkrik tarik
125 Mainan kayu jigsaw puzzle timbul eks
126 Mainan kayu jigsaw puzzle timbul ikan
127 Mainan kayu kapal bongkar
128 Mainan kayu kerata putar
129 Mainan kayu kereta angka 0-9
130 Mainan kayu kereta kubus / telor
131 Mainan kayu kereta sortasi
132 Mainan kayu kereta tarik
133 Mainan kayu kriket
134 Mainan kayu lempar gelang
135 Mainan kayu life skiils monteseri
136 Mainan kayu lotto warna
137 Mainan kayu luncuran kelereng
138 Mainan kayu luncuran kelinci
139 Mainan kayu maching board
140 Mainan kayu maze kupu kupu
141 Mainan kayu maze mengenal habitat
142 Mainan kayu maze panda
143 Mainan kayu maze pre writing
144 Mainan kayu maze pre writing 2
145 Mainan kayu maze warna
146 Mainan kayu memancing
147 Mainan kayu menara kue tar
148 Mainan kayu menara kunci
149 Mainan kayu menara kunci 4
150 Mainan kayu menara pelangi
151 Mainan kayu menjahit baju
152 Mainan kayu meronce
153 Mainan kayu meronce 100pcs
154 Mainan kayu meronce huruf
155 Mainan kayu miniature sepatu
156 Mainan kayu my book
157 Mainan kayu palu bola luncur
158 Mainan kayu palu geometri
159 Mainan kayu palu segitiga
160 Mainan kayu papan tebal tipis
161 Mainan kayu pasak belah dua
162 Mainan kayu pasak binatang
163 Mainan kayu pasak geo angka
164 Mainan kayu pasak geo kait
165 Mainan kayu pasak geo segi 4
166 Mainan kayu pasak geometri
167 Mainan kayu pasak kepik
168 Mainan kayu petk ceri
169 Mainan kayu pohon abjad
170 Mainan kayu pohon angka
171 Mainan kayu potong buah
172 Mainan kayu potong sayur
173 Mainan kayu pull along dino
174 Mainan kayu pusak belah 3
175 Mainan kayu push alonge duck
176 Mainan kayu puzzle knob geo
177 Mainan kayu puzzle angka /p.a segitiga
178 Mainan kayu puzzle baca
179 Mainan kayu puzzle baca isi 6
180 Mainan kayu puzzle binatang besar isi 4
181 Mainan kayu puzzle binatang kecil isi 6
182 Mainan kayu puzzle buah besar isi 4
183 Mainan kayu puzzle buah kecil isi 6
184 Mainan kayu puzzle eksklusif
185 Mainan kayu puzzle geometri
186 Mainan kayu puzzle huruf besar
187 Mainan kayu puzzle huruf kecil
188 Mainan kayu puzzle knob anatomi manusia
189 Mainan kayu puzzle pasak
190 Mainan kayu puzzle peta
191 Mainan kayu puzzle tusuk besar
192 Mainan kayu puzzle tusuk ikan
193 Mainan kayu puzzle wajah
194 Mainan kayu rambun lalu lintas
195 Mainan kayu rumah boneka
196 Mainan kayu sangkar sortasi
197 Mainan kayu sate geometri
198 Mainan kayu sempoa
199 Mainan kayu simple tracking
200 Mainan kayu siput loncat
201 Mainan kayu sliding slide
202 Mainan kayu sortasi sangkar
203 Mainan kayu square hammer
204 Mainan kayu stacking bear
205 Mainan kayu tangram bujur sangkar
206 Mainan kayu tetris biasa /tebal
207 Mainan kayu tic tac toe
208 Mainan kayu timbangan kodok
209 Mainan kayu truck bongkar pasang
210 Mainan kayu truck geometri
211 Mainan kayu truck sortasi
212 Mainan kayu ulat geometri
213 Mainan kayu weker
214 Mainan kayu wire game a
215 Mainan kayu wire game kura/ kepik
216 Matras Dinding
217 Matras Lantai
218 Mediumclaw
219 Meja + Kursi Terapi
220 Memory game
221 Memory game set isi 5
222 Menara Pelangi
223 Mic Echo
224 Mini Face Vibrator
225 Mini Face Vibrator Warna
226 Mini Pan Whistle
227 Oral Sensori Teeth Brush
228 Orbitrek SE
229 Papan Goyang
230 Papan Titian SF
231 Pe be em (lat artikulasi)
232 Peanutball
233 Peluit Kincir
234 Peluit Kodok
235 Pemahaman alfabet
236 Pemahaman angka
237 Pemahaman bentuk
238 Pemahaman huruf
239 Pemahaman tempat
240 Pemahaman tempat 1
241 Pemahaman tempat 2
242 Pemahaman waktu
243 Physioball
244 Physioball
245 Physioball
246 Physioball
247 Pintar lengkap
248 Pintar membaca suku kata
249 Playing card
250 Playing card set isi 6
251 Preposisi
252 Profesi
253 Puzzle a
254 Puzzle b
255 Puzzle c
256 Puzzle d
257 Puzzle Fraction
258 Puzzle Knop Geometri
259 Puzzle Pasak Geo
260 Raper Snaper
261 Ridged foam grip
262 Rumah 1
263 Rumah 2
264 Sebab akibat
265 Sikat 3 Step Aapple
266 Sikat 3 step tomie tipie
267 Sikat Sensori
268 Sikat terapi
269 Sikuen lanjutan
270 Sikuen pemula
271 Sikuen pertumbuhan
272 Smart card
273 Smart card set isi 5
274 Solo gird
275 Spea kit ( talktools)
276 Standing Table
277 Star right
278 Stool
279 Straw
280 Streto gird
281 Suara apa ini
282 Terowong trobos
283 Terowongan Busa
284 Terowongan Parasut
285 The pencil gird
286 Tongue spate stainless
287 Tongue spatel kayu
288 Tongue tip lateralitation
289 Toothets isi 20pcs (talktools)
290 Toothets with vibrator ( talktools)
291 Train whistle
292 Trampolin
293 Triangular gird
294 Tritone whistle
295 Tubuhku
296 Two way fisio ball
297 Vibrator oral
298 Walker Pediatric
299 Wall Bar
300 Warna
301 Wind mild wistle
302 Wire Game
303 Wire Game 2
304 Zoo wistle
Chroma Box/ 10 pcs

Chroma Box/ 10 pcs
Chroma Box/ 10 pcs
Chroma Box/ 10 pcs
Chroma Box/ 10 pcs
Chroma Box/ 10 pcs
Chroma Box/ 10 pcs
Polymed Pcs
Molex Ayus Botol 1 L

Remedi Pcs
Bahan Baku Botol 20 L
Roll
Prolene box/24 pcs
Prolene box/24 pcs
Prolene box/24 pcs
Prolene box/24 pcs
Vicryl box/24 pcs
Vicryl box/24 pcs
Vicryl box/24 pcs
Gallon 5 L
Collergis syr btl @ 60ml

Otsuka Pcs
Bonewax Box/24 pcs
Pcs
Polysorb Box/36 pcs
Polysorb Box/36 pcs
Polysorb Box/36 pcs
Polysorb Box/36 pcs

Polysorb Box/36 pcs
Polysorb Box/36 pcs
Sofsilk Box/36 pcs
Sofsilk Box/36 pcs
Sofsilk Box/36 pcs
Sofsilk Box/36 pcs
Sofsilk Box/36 pcs
Sofsilk Box/36 pcs
SurgiRoll Roll 100 m

CHROMIC Box/ 24 pcs
CHROMIC Box/ 24 pcs
CHROMIC Box/ 24 pcs
CHROMIC Box/ 24 pcs
CHROMIC Box/ 24 pcs
PLAIN Box/ 24 pcs
PLAIN Box/ 24 pcs
PLAIN Box/ 24 pcs
PLAIN Box/ 24 pcs
PLAIN Box/ 24 pcs
PLAIN Box/ 24 pcs
Microsield Gallon 5 L
Microsield Gallon 5 L
Ideal Care Pack/30 pcs
corr A Flex Tubing 100 FT roll
Mamypoko Pack 30 pcs
Terumo Box/50 pcs
BD Box/100 pcs
BD Box/100 pcs
BD Box/100 pcs
BD Box/100 pcs
Terumo Box/20 pcs
Terumo Box/20 pcs
Fixomull Roll
Fixomull Roll
Fixomull Roll
Ambu Pack
Kendall Pack
Fukuda Roll
Fukuda Roll
Fukuda Roll
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs

Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Perican Box/ 25 pcs

Perican Box/ 25 pcs
Unit
Unit
Unit
Unit
Unit
Polyester Suture Box/12 pcs
JMS Pcs
Terumo Pcs
Terumo Pcs
JMS Pcs
Terumo Pcs
Bahan Baku Botol 10 L
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
Ideal Care Pcs
BSN Roll
BSN Roll
BSN Roll
Bahan Baku Botol 800 ml
Stabimed btl@1000ml
Hypafix Roll
Hypafix Roll
Hypafix Roll
Ideal Care Pack/100Pcs
Pcs
Intrafix air adult Pcs
Intrafix air pediatric Pcs
Terumo Pcs
Terumo Pcs
Terumo Pcs
Terumo Pcs
Tegaderm Box/100 pcs
Pcs
Ideal Care 1 lusin/pack
Indo Medika Roll
Indo Medika Roll
Indo Medika Roll
Indo Medika Roll
Indo Medika Roll
Indo Medika Roll
Lokal Zak
Lokal Zak
Lokal Zak
Lokal Zak
Lokal Zak
Indo Medika Roll
Ideal Care Box/12 pcs
Ambu Pcs
Ambu Pcs
Ambu Pcs
Ambu Pcs
roll
roll
Premilene Pcs
Premilene Pcs
Premilene Pcs
Premilene Pcs
Micropre 3M Box/12 roll
Micropre 3M Box/12 roll
Box/12 roll
Poligrecaprone 25 Box/36pcs
Chromic Box/36 pcs
Chromic Box/36 pcs
Chromic Box/36 pcs
Chromic Box/36 pcs
Chromic Box/36 pcs
Chromic Box/36 pcs
Biosyn Box/36 pcs
Biosyn Box/36 pcs
Plain Box/36 pcs
Plain Box/36 pcs
Plain Box/36 pcs
Sugipro Box/36 pcs
Sugipro Box/36 pcs
Sugipro Box/36 pcs
Surgipro Box/36 pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Terumo Box/100 pcs

Terumo Box/100 pcs
Terumo Box/100 pcs
BD Pcs
Mas Box
Ethilon Precision point-Reserse Cutting Box 12 pcs
Ethilon Nylon Suture taper Kotak 12 pcs
Ethilon Nylon Suture taper Kotak 12 pcs
Nylon Suture cutting Kotak 12 pcs
Pcs
Ethilon Precision point-Reserse Cutting Kotak 24 pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Opsite Pcs
Cidex OPA Gallon 5 L
Ideal Care Box/100pcs
Polydioxanone Box/24 pcs

Polydioxanone Box/36pcs
Pencan Box/ 25 pcs

Pencan Box /25 pcs
One Med Box/100 pcs
One Med Box/100 pcs
One Med Box/100 pcs
One Med Box/100 pcs
Aescullap Box/ 100 pcs
Leukoplast Roll
Polymed Box/50 pcs
Polymed Box/50 pcs
Polymed Box/50 pcs
Polymed Box/50 pcs
Polymed Box/50 pcs
Polymed Box/50 pcs
Lifefree Pack 16 pcs

Lifefree Pack 18 pcs
Lokal Pcs
Lokal Pcs
Lokal Pcs
Lokal Pcs
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Mpack Roll
Lokal Gallon 20 L
Premilene Box/ 36 pcs
Prolene
Flexytube Pcs
Flexytube Pcs
Flexytube Pcs
Redon Drain Pcs
Redon Drain Pcs
Redon Drain Pcs
Demka Pcs
Demka Pcs
Demka Pcs
Demka Pcs
Demka Pcs
Demka Pcs
Pcs
Obor Save Pcs @ 5 ltr
Safil Box/ 36 pcs
Safil Box/ 36 pcs
Safil Box/ 36 pcs
Safil Box/ 36 pcs
Safil Box/ 36 pcs
Safil Box/ 36 pcs
Safil Box/ 36 pcs
Sensi Glove Box/ 50 psg
Surgika Pcs
Surgika Pcs
Surgika Pcs
Gamex Box/ 40 pcs
Gamex Box/ 40 pcs
Gamex Box/ 40 pcs
Gamex Box/ 40 pcs
Mas Pcs
Mas Pcs
Mas Pcs
Mas Pcs
Gammex./Ansell Box/25 pcs
Gammex./Ansell Box/25 pcs
Surgical Roll 100 m

Surgical Roll 100 m
Surgical Roll 100 m
Surgical Roll 100 m
Surgical Roll 100 m
Bahan Baku Gallon 5 KG

BSN Roll
BSN Roll
BSN Roll
Lokal Pcs
Lokal Pcs
Lokal Pcs
Spinocan Box /25 pcs
Spinocan Box /25 pcs
Spinocan Box/25 pcs
Lyostypt Box/12 pcs
Lyostypt Box/6 pcs
JMS Pcs
Terumo Pcs
Terumo Pcs
Terumo Pcs
Terumo Pcs
Polymed Pcs
Polymed Pcs
Polymed Pcs
Polymed Pcs
Polymed Pcs
Polymed Pcs
Mas Pcs
Mas Box
Mas Pair
Surgical Gut Suture -Chromic Box/24 pcs

Mas Box/50 pcs

Mas Box/50 pcs
BSN Roll
BSN Roll
BSN Roll
Pcs
Box/100 pcs
Remedi Pak/ 10 pcs
Mas Pcs
BD Pcs
BD Pcs
BD Pcs
Coated Vicryl(polyglactin 910) Box/36 pcs
Coated Vicryl(polyglactin 910) Box/12pcs
Vicryl
Terumo Box
Terumo Box
& PANTS)
TR twill antibacteri 20 Stel
cotton 20 stel
cotton soil release 20 Stel
cotton 20 stel

cotton 20 stel
cotton soil release 20pcs
cotton 40 pcs
cotton soil release 40 pcs

TC Soll Release 40 pcs
TC 40 pcs
TC 40 pcs
TC 30 pcs
TC Soil Release 40 pcs
TC Soll Release 50 pcs
cotton soil release 20 Pcs

cotton 20 pcs
cotton 20 pcs
TR twill antibacteri 20 Pcs
cotton 20 pcs
TR twill antibacteri 20 Pcs
TALASI LAUNDRY
TC Dacron 50 pcs
-
cotton 100% 40 pcs
Four Seven 36
four seven 36
Four Seven 360
Four Seven 36
four seven 36
-
Dettol 12
singer 14 & 18
-
4
-
four seven 36
Florex 24
Oscar 100 pcs
PVC 50 pcs
Four Seven 36
Stella 24
cotton 100% 50 pcs
cotton 100%
TC Antibactery + WR 50 pcs
Cimberly clark 4
flannel
Acrylice 100 pcs
cotton
1
6
four seven 36 Pcs
four seven 36
TC Soil Release
cotton 100% 50 pcs
- 100
Giant 96
Glaucon Botol 20 tab

Glaucon Botol 20 tab
OGB Box 10 x 10 tab
OGB Box 10 x 10 tab
Evalen gel 10 gr Tube 10 gr
ATP Dankos Box @ 10 amp
ATP Dankos Box @ 10 amp
ATP Dankos Box 10 x 10 tab
ATP Dankos Box 10 x 10 tab
Akarbose OGB Box 10 x 10 Tab
PT. Indofarma Dus, @ 10 Botol
PT. Holi Pharma ktk 5 strip x 6 tablet
Albapure Botol 100 ml
GC bungkus
GC bungkus
Pregnolin 5mg box @ 50
PT. Dexa Medica dus 10 x 10 tablet
PT. Dexa Medica
tablet
Alvogyl Pot
Alvogyl Pot
Mucos Botol 20 ml
Mucos Botol 20 ml
PT. Indofarma Botol 60 ml
PT. Novapharin ktk 10 X 10 tablet
Amikasin Sulfat OGB Box @ 1 vial
Mikasin Box @ 1 vial
Mikasin Box @ 1 vial
PT. Phapros, Tbk ktk 30 ampl x 10 ml
PT. Marin Liza Farmasi Botol 100 tablet
Aminofluid L Botol 500 ml
Aminofusin Pediatri
OGB Box @ 24 amp
Cordarone Box @ 6 amp
Cordarone Box 3 x 10 tab
Cordarone Box 3 x 10 tab
Dus, 10 Strip @ 10
PT. Indofarma
Tablet
Divask Box 3 x 10 tab
PT. Hexpharm Jaya Laboratories Ktk 3 x 10 tablet
PT. Indofarma Dus, 5 Strip @ 6 Tablet
Amoxsan Botol 15 ml
Amoxsan Botol 15 ml
Amoxsan Botol 60 ml
Amoxsan Botol 60 ml
Amoxsan Box 10 x 10 kaps
Amoxsan Box 10 x 10 kaps
PT. Phapros, Tbk ktk 10 vial
PT. Lucas Djaja Botol 60 ml
PT. Bernofarm Kotak 10 vial 1000 mg
PT. Lucas Djaja Botol, 60 ml
PT. Kimia Farma Kotak 10 supp
PT. Kimia Farma Btl 100 tablet
Otsu-water for injection botol 25 ml

PT. Bernofarm Kotak 10 vial 20 ml
Abilify Discmelt 10 mg Box @ 1 tab
Abilify oral solution Botol 150 ml
Abilify Discmelt 10 mg Box @ 1 tab
Abilify oral solution Botol 150 ml
PT. Kimia Farma ktk 6 AMP
PT. Mersifarma Tirmaku Mercusana vial
Swedent Box
Swedent Box
Aminosteril infant 6% Botol 100 ml
PT. Phapros, Tbk 10 str x 10's
Asam askorbat OGB Box @ 5 amp
Asam askorbat OGB Box @ 5 amp
PT. Kimia Farma ktk 10X10 TAB
Folavit Box 10 x 10 tab
Folavit Box 10 x 10 tab
PT. Marin Liza Farmasi Botol 100 tablet
Urinter Box 10 x 10 kaps
Urinter Box 10 x 10 kaps
Bahan baku Kaleng 500 gr
Bahan baku Kaleng 500 gr
Kalnex Box @ 10 amp
OGB Box @ 10 amp
OGB Box @ 10 amp
OGB Box 10 x 10 tab
Kalnex Box 10 x 10 tab
OGB Box 10 x 10 tab
Depakene Botol 120 ml
Depakene Botol 120 ml
Depakote Botol 100 tab
Depakote Botol 100 tab
Thrombo Aspilet Box 15 x 10 tab
Thrombo Aspilet Box 15 x 10 tab
Aspilet Box 10 x 10 tab
Zovirax Box @ 5 vial
Zovirax Box @ 5 vial
PT. Indofarma Dus, 25 tube @ 5 g
PT. Kimia Farma ktk 10x10 tablet
PT. Nufarindo 5x 10 tablet
PT. Nufarindo 5x 10 tablet
Lipitor 20 kotak @ 3 strip
Stator 20mg kotak @ 3 strip
Tramus Box @ 5 amp
PT. Indofarma Dus, 30 ampul @ 1 ml
PT. Indofarma Kotak 10 x 10

Azytrhromicin OGB Box 2 x 10 tab
Azytrhromicin OGB Box 2 x 10 tab
PT. Phapros, Tbk 10 vial x 1,2 Jt IU
PT. Phapros, Tbk ktk 10 vial x 2,4 Jt IU
OGB Box 3 x 10 tab
Mertigo Box @ 100 tab
OGB Box 3 x 10 tab
PT. Novell Pharmaeutical Laboratories strip / ktk 3 x 10 tablet
PT. Rama Emerald Multi Sukses Kotak 25 tube @ 5 g

Maylon Botol 25 ml
Casodex Box 2 x 14
Casodex Box 2 x 14
Dulcolax Box @ 6 supp
Dulcolax Box 10 x 20 tab
Dulcolax Box 10 x 20 tab
OGB kotak 10 x 10 tab
OGB Kotak @ 30 Tablet
blister / ktk 10 x 10
PT. Novell Pharmaeutical Laboratories
tablet
Bisolvon Botol 40 ml
Bisolvon Botol 40 ml
Dentamerica Pcs
Dentamerica Pcs
Pulmicort Box @ 1 can
Pulmicort Box @ 1 can
Regivell Box @ 5 amp
OGB Box @ 5 amp
meisinger Set
meisinger Set
Meisinger Pcs
Meisinger Pcs
OGB Box @ 24 amp
Gelofusin Ecoflac Botol 500 ml
OGB Box 3 x 10 tab
OGB Box 3 x 10 tab
OGB Box 3 x 10 tab
OGB Box 3 x 10 tab
GC Pack
GC Pack
GC Pot
GC Pot
Cefazolin OGB Box @ 2 vial
Trixim syr 30 ml Botol 30 ml
OGB Botol 30 ml
OGB Botol 30 ml
Trixim 200mg caps Box @ 10 tab
OGB Box @ 2 vial
OGB Box @ 2 vial
Ceftizoxime OGB Box @ 1 vial
Ceftizoxime OGB Box @ 1 vial
Broadced hospital pack Box @ 1 v
Svenska Pack
Svenska Pack
Strip
Strip
Botol
Botol
Botol
Botol
Strip
Strip
Strip
Strip
Tube
Tube
Btl
Btl
Strip
Strip
Botol
Botol
Btl
Btl
PT. Indofarma Dus,, Botol 60 ml
Botol
Botol
braxidine tab kotak @ 100 tab
braxidine tab kotak @ 100 tab
Mikrosield 2% Gallon 5L
Neulin PS Box @ 30caps
Ovidrell Box @ 1 prefilled

Ovidrell Box @ 1 prefilled
Brain act Box @ 5 sach
Brain act Box @ 5 sach
Neulin 1000 inj Box @ 5 amp
OGB Box @ 10amp
Neulin inj 250 Box @ 5ampl
Neulin 500 Inj Box @ 5 amp
Brain act Box 3 x 10 tab
Mediklin Tube 15 gr
Mediklin Tube 15 gr
Asabium Box 10 x 10 tab
OGB Box 10 x 10 tab
Asabium Box 10 x 10 tab
OGB Box 10 x 10 tab
PT. Dexa Medica
tablet
Kloderm Tube 10 gr
Kloderm Tube 10 gr
kotak 25 tube 5 gr,

PT. Rama Emerald Multi Sukses
Nama Dagang: Emetasol
Clopidogrel OGB Box 5 x 6 tab

Clotix Box 3 x 10 tab
Clopidogrel OGB Box 5 x 6 tab
Clotix tab Box 3 x 10 tab
Clorilex Box 5 x 10
Clorilex Box 5 x 10
Clorilex Box 5 x 10
Clorilex Box 5 x 10
Car Q 100 Box 3 x 10 tab
Car Q 100 Box 3 x 10 tab
3M Z250 set
3M Z250 set
Cortison Box @ 1 vial
Cortison Box @ 1 vial
Botol
Botol
Septodont Botol
Septodont Botol
Kalmethasone Box @ 5 vial
PT. Bernofarm Kotak 100 ampul 1 ml
PT. Promedrahardjo Farmasi Industri Strip 10 x 10 Tablet
botol 500 ml (Merek:
PT Otsuka Indonesia
Dekstran)
PT. Afifarma BTL 60 ML
PT. Indofarma
Tablet
Septodont Btl/Box
Septodont Btl/Box
Ketesse 50mg Inj Box@5ampl
Otsu D5 + 1/2 NS botol 500 ml
Otsu D5 + 1/4 NS botol 500 ml
Valisanbe Box 10 x 10 tab
Valisanbe Box @ 10 amp
Stesolid Box @ 5 tube
Stesolid Box @ 5 tube
PT. Kimia Farma Botol 100 tablet
PT. Indofarma Ktk 10 x 10
Dibekacin Box @ 1 vial
PT. Phapros, Tbk ktk 30 ampl x 1 ml
Fargoxin Box @ 5 amp
PT. Yarindo Farmatama 10 x 10 tab
PT. Kimia Farma Ktk 10X10 TAB
Herbesser Box @10 vial
OGB Box @ 30 amp
Dobutamin Giulini Box @ 5 amp
Doxycicline OGB Box 10 x 10 kap
Doxycicline OGB Box 10 x 10 kap
Dus, 10 Strip @ 10
PT. Indofarma
Kapsul
Vidon drop Botol 10 ml
Vometa Botol 10 ml
PT. Novapharin btl 60 ml
PT. Yarindo Farmatama 10 x 10 tab
Dopamin Giulini Box @ 5 amp
GC Pack
GC Pack
Avodart Box 30 kapl
Avodart Box 30 kapl
Efedrin Box @ 10 amp
Ardium HD kotak @ 36 Tab
Ardium HD kotak @ 36 Tab

Eprinoc Box 10 x 10 tab
Eprinoc Box 10 x 10 tab
OGB Box 10 x 10 tab
OGB Box 10 x 10 tab
PT. Phapros, Tbk ktk 30 amp x 1 ml
Edotin syr Botol

Edotin Syr 175 mg/5ml Botol
Recustein Box 2 x 10 kap
Edotin caps Box 2 x 10 kap
PT. Indofarma
Tablet
PT. Kimia Farma btl 60 ml
PT. Kimia Farma all
PT. Bernofarm Kotak 100 tab 500 mg
Dicynone Box @ 6 amp
Dicynone Box @ 6 amp
Dicynone Box 2 x 10 tab
Dicynone Box 2 x 10 tab
softaman Box @ 20 botol 1 L
OGB Box 20 x 10 tab
OGB Box 20 x 10 tab
OGB Box 10 x 10 tab
OGB Box 10 x 10 tab
Etil Klorida spray walter ritter Kaleng 100 ml
Etil Klorida spray walter ritter Kaleng 100 ml
Lynoral Botol 100 tab
Lynoral Botol 100 tab
Botol
Botol
Strip
Strip
PT. Indofarma Kotak 10 x 10
Kotak 100 (10 strip @
PT. Indofarma
10 tablet)
PT. Phapros, Tbk ktk 10 str x 10's
Fentanyl Box @ 5 amp
Durogesic Box @ 5
Durogesic Box @ 5 patch
GC Pack
GC Pack
PT. Phapros, Tbk btl 100 tablet
Neo - K Box @ 5 amp
OGB Box 3 x 10 tab
OGB Box 3 x 10 tab
Degrium 5 Box 5 x 10 tab
Degrium 5mg Box 5 x 10 tab
Kalxetin Box 3 x 10 tab
Kalxetin Box 3 x 10 tab
Flumetholon Tetes Mata @ 5 ml
Avamys nasal spray
Avamys nasal spray
Flixotide Box 5 x 2 nebu
Arixtra Box @ 2 pre filled
Bahan baku Gallon 10 L
Fosmycin Box @ 1 vial
Fosmycin Box @ 1 vial
FG Troches Kotak @ 300 tab
FG Troches Kotak @ 300 tab
GC Pack
GC Pack
GC Pack
GC Pack
OGB Box @ 25 amp
OGB Box @ 25 amp
PT. Yarindo Farmatama 10 X10 tab
Ganin Box 30/kap
Ganin Box @ 30 kaps
PT. Indofarma Dus, 100 Sachet

PT. Indofarma
Kapsul
PT. Indofarma
Tablet
PT. Indofarma Dus, 25 tube @ 5 g
PT. Indofarma Kotak 10 botol @ 5 ml
OGB box @ 5ampl
Cinogenta Tube
GC Fuji IX Pack
GC Fuji IX Pack
PT. Indofarma
Tablet
Gluvas 2 mg Box @ 50 tab
Gluvas 3 mg Box 3 x 10 tab
PT. Dexa Medica
tablet
PT. Lucas Djaja Botol, 100 ml
PT. Widatra Bhakti Botol 500 ml
ampul 25 ml (Merek:
PT Otsuka Indonesia
Otsu D40 %)
Zoladex 1 box 1 depot
Zoladex 1 box 1 depot
Pack
Pack
Pack
Pack
Pack
Pack
PT. Yarindo Farmatama 10 X 10 tab
Halothane Botol 250 ml
Halothane Botol 250 ml
softaskin Box@20 btl 500ml
Inviclot inj Box @ 1 vial
PT. Marin Liza Farmasi tube @ 5 gr
PT. Kimia Farma ktk 24 tube @ 5 g
Revaquin Tube 15 gr
Revaquin Tube 15 gr
PT. Rama Emerald Multi Sukses
Nama Dagang: Hyorex
Scopamin Box 5 amp @ 1 ml
Proris Forte botol @ 60 ml
Proris Forte botol @ 60 ml
Proris Box 2 x 5 supp
PT. Yarindo Farmatama Botol 100 Tablet
Tetagam-P Box @ 1 amp
Tanapress 5 Kotak @ 30 Tablet
Tanapress 5 Kotak @ 30 Tablet
Gammaras Box @ 1 vial
Gammaras Box @ 1 vial
softaman Box @20 botol 500ml
Otsu-D10 Botol 500 ml
Otsu-D40 botol 25 ml
OGB Box 1000 tab
OGB Box 1000 tab
Actrapid Box @ 1 Vial 10 ml
Isoflurane Botol 250 ml
PT. Phyto Kemo Agung Farma botol 100 tablet
Farsorbid Box @ 10 amp
Kotak 30 kapsul/kaplet
PT. Bernofarm
100 mg
Otsu-KAEN 1B Botol 500 ml
Otsu-KAEN 3A Botol 500 ml
Otsu-KAEN 3B Botol 500 ml
Cataflam 25 kotak 5 x 10 tab
Cataflam 25 kotak 5 x 10 tab
Aspar K Box 10 x 10 Tab
Aspar K Box 10 x 10 Tab
Kolkatriol Botol @ 30 kap lunak
Kolkatriol Botol @ 30 kap lunak
Kanamycin Box @ 1 vial
Dus, 10 Strip @ 10
PT. Indofarma
Tablet
Dus, 10 Strip @ 10
PT. Indofarma
Tablet
Adona AC kotak @ 10 vial
Adona AC kotak @ 10 vial

Adona AC inj 25 mg/5 ml Box @ 10 vial
Adona AC inj 25 mg/5 ml Box @ 10 vial
Otsu-KCl Botol 25 ml
KSR Tab 10 x 10 tab
KSR Tab 10 x 10 tab
Ketalar Box @ 1 vial
PT. Kimia Farma tube 15 gram
PT. Hexpharm Jaya Laboratories ktk 5 ampul
Pronalges Box 2 x 5 supp
PT. Hexpharm Jaya Laboratories ktk 6 amp
OGB Box 10 x 10 tab
OGB Box 10 x 10 tab
OGB Box @ 6 amp
Remopain 3% inj Box @ 6 amp
OGB Box @ 6 amp
Torasic Box @ 10 tab
Dus, 5 Blister @ 10
PT. Indofarma
Kapsul
Dus, 5 Blister @ 10
PT. Indofarma
Kapsul
Dus, 1 strip x 10 tablet,

PT. Bernofarm
Nama Dagang: Ofertil
Catapres Box 10 amp

Colcansetine Box @ 10 vial
Colcansetine Box @ 10 vial
PT. Kimia Farma tube 5 g
PT. Erela btl 5 ml
PT. Phapros, Tbk 30 amp x 1 ml
Tetraspan 6% Botol 500 ml
Alinamin F Box @ 5 amp
Daktarin Diapers Tube 10 gr
Plantacid forte Botol 100 ml
Plantacid forte Botol 100 ml
Clavamox Box 3 x 10 kap
Clavamox Botol 60 ml
Cinam Box @ 1 vial
Cinam Box @ 1 vial
Benzolac CL Tube 10 gr
Benzolac CL Tube 10 gr
Asering Kantong 500 ml
Bellapheen Botol 100 tab
Bellapheen Botol 100 tab
Cafergot Box 10 x 10 tab
Cafergot Box 10 x 10 tab
Humulin R Box @ 1 Vial 10 ml
OGB Box @ 1 vial
Combivent nebulizer Box @ 20 nebu
Codipront cum expect Botol 60 ml
Codipront Botol 60 ml
Codipront cum expect Botol 60 ml

Codipront Botol 60 ml
Lacto-B Box 40 sach
Lacto-B Box 40 sach
Leparson Box 10 x 10 tab
Leparson Box 10 x 10 tab

Pehacain Box @ 20 amp
Pehacain Box @ 20 amp
Rhinos SR Box 5 x 10 kap
Rhinos SR Box 5 x 10 kap
Analsik Box 10 x 10 tab
Analsik Box 10 x 10 tab
Thecort Tube 5 gr
Thecort Tube 5 gr
Trolit Box 6 sach
Trolit Box 6 sach

Totilac Kantong 250 ml
OGB Box @ 1 vial
Sustanon Inj Box @ 1 amp, 1 ml
Sustanon Inj Box @ 1 amp, 1 ml
Ultracet Box 3 x 10 tab

PT. Holi Pharma btl 60 ml
PT. Kimia Farma kotak 60 tablet
PT. Kimia Farma kotak 30 ampul @ 2 ml
Rillus Botol 30 tab

Rillus Botol 30 tab
Lactulax Botol 60 ml
Lactulax Botol 60 ml
Laz 30 mg Box @ 20 tab
PT. Hexpharm Jaya Laboratories ktk 2 x 10 kapsul
Aminofusin 6 % Larutan 500 ml
Renalyt Botol 200 ml
Aminofusin 6 % Larutan 500 ml
Bahan baku Botol 100 ml
Bahan baku Botol 100 ml
tapros inj Box 1 vial 2 amp
tapros inj Box 1 vial 2 amp
PT. Kimia Farma ktk 5 x 10 tablet
Lekuicin tab 500mg Box @ 10 tab
Strip
Strip
Xilocain spray Botol 50 ml
Xilocain spray Botol 50 ml
OGB Box @ 100 amp
OGB Box @ 100 amp
Dus, 5 Blister @ 12
PT. Indofarma
Kapsul
OGB Box 3 x 10 tab
OGB Box 3 x 10 tab
PT. Novell Pharmaeutical Laboratories kotak 3 x 10 tablet
Dus, 10 strip @ 10
PT. Ifars Pharmaceutical Laboratories
tablet
Alloris Botol 60 ml
Alloris Botol 60 ml
Renaquil Box 10 x 10 tab
Renaquil Box 10 x 10 tab
Losartan OGB Box 3 x 10
Losartan OGB Box 3 x 10
PT Otsuka Indonesia
MgSO4 20 %)
PT Otsuka Indonesia
MgSO4 40 %)
Otsu-Manitol Botol 500 ml
P.P.D.RT 23 Box @ 1 vial
P.P.D.RT 23 Box @ 1 vial
Otsu-Martos 10% Botol 500 ml
Dus, 3 Blister @ 10
PT. Indofarma
Tablet
Interhistin Botol 60 ml
Interhistin Botol 60 ml
Histapan Box 10 x 10 tab
Histapan Box 10 x 10 tab
Lapibal Inj Box @ 5 amp
OGB Box 10 x 10 kaps
OGB Box 10 x 10 kaps
Kalmeco Box 10 x 10 kaps
Lapibal Caps Box 10 x 10 kaps
Kotak, isi 10
PT. Dexa Medica
suppositoria
PT. Kimia Farma ktk 100 amp @ 1 ml

Meropenem OGB Box @ 1 vial
Santagesic Box @ 5 amp
OGB Box @ 1 vial + pelarut
OGB Box @ 1 vial + pelarut
Medixon tab 16 Box 3 x 10 tab
Medixon tab 16 Box 3 x 10 tab
Medixon tab 4 box @ 100 tab
Medixon tab 4 box
Dopamet Box 10 x 10 tab
Dopamet Box 10 x 10 tab
PT. Kimia Farma kotak 10x10 tablet

PT. Phapros, Tbk ktk 1 vial @ 8 ml
Isprinol Botol
Isprinol Botol
Primperan Box @ 6 amp
Primperan Box @ 6 amp
dus 5 ampul 2 ml,

PT. Bernofarm
Nama Dagang: Metolon
botol 60 ml, Nama

PT. Molex Ayus
Dagang: Lexapram syr
Emthexate botol @ 100 tab
Emthexate botol @ 100 tab
Metronidazol OGB Botol 100 ml
Metronidazol OGB Botol 100 ml
Flagyl Botol 60 ml
Trichodazol Box @ 6 supp
Trichodazol Box @ 6 supp
PT. Novapharin ktk 10 X 10 tablet
Otsu-MgSO4 Botol 25 ml
Otsu-MgSO5 Botol 25 ml
Miloz Box @ 5 amp
Miloz Box @ 10 amp
PT. Kimia Farma ktk 24 tube @ 10 gram
PT. Indofarma Dus, 40 Sachet
Noprostol Box 5 x 10 tab

Noprostol Box 5 x 10 tab
tube 10 gram, Nama
PT. Bernofarm
Dagang: Motaderm
Mefurosan Tube 10 gr
Mefurosan Tube 10 gr
PT. Kimia Farma Ktk 10 ampul @ 1ML
PT. Kimia Farma btl 30 tablet
MST Continuos Box 60 tab
Elkana Sir Botol 60 ml
Promavit Box 5 x 6 kap
Elkana Sir Botol 60 ml
Promavit Box 5 x 6 kap
Pibaksin Tube 10 gr
Pibaksin Tube 10 gr
Strip
Strip
Breathy Botol 30 ml
Ecosol Nacl 0.9% Botol 500 ml
Otsu-NS Botol 100 ml
Otsu-NS Botol 1000 ml
Otsu-NS Botol 25 ml
Breathy Botol 30 ml
Otsu-Salin Botol 500 ml
Nokoba Box @ 5 amp
Fusycom Tube 5 gr
Fusycom Tube 5 gr
Bioplacenton Tube 15 gr
Prostigmin Box @ 5 amp
Perdipine Box @ 10 Amp
Serolin Box 5 x 21 tab
Serolin Box 5 x 21 tab
Ceremax Botol 50ml
Seremax Botol
PT. Phapros, Tbk ktk 10 str x 10's vaginal
N Epi Box @ 5 Amp

Myco Z Tube 10 gr
Myco Z Tube 10 gr
Fungatin susp btl @ 12ml
PT. Erela btl 200 ml
Botol
Botol
Oksitetrasiklin HCl OGB Box @ 1 vial, 10 ml
PT. Kimia Farma ktk 25 tube @ 3,5 g
PT. Ethica Industri Farmasi ds / 100 amp / 1 cc
PT. Hexpharm Jaya Laboratories Ktk 3 x 10 kapsul
Omeprazole inj Box @ 1 amp
OMZ Inj Box @ 1 amp
OGB Box @ 5 amp
OGB Box @ 5 amp
Ondavel 8 Box 12 tab
cidex opa Gallon 5L
Pitogin Box @ 10 amp
OGB Box @ 1 vial
Vomizole Inj Box @ 1 vial
OGB Box @ 1 vial
Pack
Pack
Pyrex inf Botol 100 ml
Propyretic Box 2 x 6 supp
Sistenol caplet box @ 60
PT. Indofarma Btl 15 ml
Dynastat Box @ 1 vial
Dynastat Box @ 1 vial
Alegysal Tetes Mata @ 5 ml

Reotal Box @ 5 amp
Reotal Box @ 5 amp
Reotal Box 3 x 10 tab
Burnazin salep Tube 35 gr
Burnazin salep Tube 35 gr
GC Pcs
GC Pcs
OGB Box @ 10 amp
OGB Box @ 10 amp
PT. Kimia Farma Ktk 10 AMP @ 2ML
Sibital inj Box @ 10 amp
Pionix Box 3 x 10 tab
Pionix Box 3 x 10 tab
Neurotam Box 5 x 10 tab
Fepiram inj 3 gr Box @ 4 amp
PT. Hexpharm Jaya Laboratories 1 box isi 10 ampul
PT. Hexpharm Jaya Laboratories ktk 4 amp

Combantrin orange Botol 10 ml
Combantrin orange Botol 10 ml
PT. Holi Pharma BOTOL 60 ML
Kotak 30 (5 strip @ 6
PT. Indofarma
tablet)
PT. Indofarma
Tablet
PT. Promedrahardjo Farmasi Industri Strip 10 x 10 Tablet
GC Pack
GC Pack
Albothyl concentrat kotak @ 10 ml
Albothyl ovula kotak @ 6 ovula
Albothyl concentrat kotak @ 10 ml
Albothyl ovula kotak @ 6 ovula
Gelafusal Botol 500 ml

Strip
Strip
Betadin scrub Gallon 5L
Betadin scrub Gallon 5L
PT. Kimia Farma BTL.1000ML
PT. Kimia Farma BTL. 30 ML
OGB Botol 60 ml
OGB Botol 60 ml
Hepamax kotak @ 30 kaps
Hepamax kotak @ 30 kaps

Folamil genio btl @ 30 caps
Provelyn Box @ 14 kaps
Provelyn Box @ 14 kaps
PT. Holi Pharma ktk 10 strip x 10 tab
PT. Indofarma Botol 100 Tablet
OGB Botol 100 tab
OGB Botol 100 tab
Botol plastik @ 100
PT. Indofarma
tablet
Mictonorm Box 4 x 7 tan
Mictonorm Box 4 x 7 tan
Safol Box @ 5 amp
Recofol Box @ 5 amp
Recofol Box @ 5 amp
Recofol Box @ 1 amp
Strip
Strip
Alco Botol 15 ml
Alco Botol 15 ml
OGB Box 10 x 10 tab
OGB Box 10 x 10 tab
PT. Dexa Medica
tablet
PT. Dexa Medica
tablet
Radin Inj Box @ 5 amp
Radin Inj Box @ 5 amp
GC Pack
GC Pack
OGB Box 10 x 10 tab
OGB
Dus, 10 Strip @ 10
PT. Indofarma
Kapsul
PT. Hexpharm Jaya Laboratories ktk 10 x 10 kaplet
Dus, 10 Strip @ 10
PT. Indofarma
Kapsul
Ecosol RL botol 500 ml
Risperdal consta Box @ 1 vial
Risperdal consta Box @ 1 vial
2 X 10 Tablet, Nama
PT. Mersifarma Tirmaku Mercusana
Dagang: Persidal
PT. Mersifarma Tirmaku Mercusana strip
Crestor 20 Kotak @ 28 Tab
Ventolin Box 4 x 5 nebu
Ventolin inhaler Box, can 200 doses
PT. Marin Liza Farmasi POT @ 30 GR
PT. Kimia Farma ktk 50 gram

medesy pack
medesy pack
PT. Hexpharm Jaya Laboratories KTK 5x10 Kapsul
PT. Hexpharm Jaya Laboratories ktk 10 x 10 kapsul
PT. Hexpharm Jaya Laboratories Btl 60 ml
Dus, 5 Strip @ 10
PT. Indofarma
Kapsul
PT. Dexa Medica dus 2 vial 1 gr
PT. Hexpharm Jaya Laboratories Ktk 5 x 10 kapsul
PT. Hexpharm Jaya Laboratories btl 30 ml
Sojourn Botol 250 ml
Sefoperazon Na OGB Box @ 1 vial
PT. Hexpharm Jaya Laboratories KTK 2 Vial
PT. Holi Pharma ktk 2 vial @ 1g
OGB Box @ 2 vial
OGB Box @ 1 vial
PT. Hexpharm Jaya Laboratories ktk 2 vial
PT. Holi Pharma ktk 2 vial @ 1g
Sefuroksim OGB Box @ 1 vial
Set @ 30 gr/Btl
Set @ 30 gr/Btl
Zinkid Botol
Zinkid Botol
Curcuma Botol 500 tab
Curcuma Botol 500 tab
Zoloft Box 3 x 10
Zoloft Box 3 x 10
ABU I Box @ 10 Ampul 1 ml
ATS 1500 Box @ 10 amp
ATS 20000 Box @ 10 Vial

Viagra Box 4 tab
Cholestat Box 3 x 10 tab
Cholestat Box 3 x 10 tab
PT. Kimia Farma DS. 50 TAB
PT. Bernofarm Nama Dagang:
Rendapid
PT. Phapros, Tbk btl 100 ml
PT. Phapros, Tbk ktk 5 bls x 10's
OGB Box 5 x 10 tab

OGB Box 5 x 10 tab
PT. Dexa Medica Kotak 10 x 10 tablet
PT. Dexa Medica Kotak 10 x 10 tablet
Septodont botol
Septodont botol
Otsu Botol 1000 ml
GC bungkus
GC bungkus
GC bungkus
GC bungkus
Streptase Box @ 1 vial
PT. Phapros, Tbk Dus 56 vial @ 1 gram
Streptomycin Box @ 1 vial
Inpepsa Botol 100 ml
Inpepsa Botol 100 ml
Bahan baku Kaleng 1 kg
Bahan baku Kaleng 1 kg
Parasol SPF 33 Tube 20 gr
Parasol SPF 33 Tube 20 gr
Cialis 5 Box 4 tab
Cialis 5 Box 4 tab
Harnal Ocas Box @ 30 tab
Harnal Ocas Box @ 30 tab
Euphyllin SR Box 10 x 10 tab
Euphyllin SR Box 10 x 10 tab
Bronsolvan Box 10 x 10 tab
Hytroz Box 10 x 10
Hytroz Box 10 x 10
Hytrin Tab 2 x 14 mg
Hytrin Tab 2 x 14 mg
Bricasma Box @ 5 amp
Illidin Nasal
Illidin Nasal
Biothicol Botol 60 ml
Biothicol Botol 60 ml
Nonflamin Box 6 x 10 kap
Nonflamin Box 6 x 10 kap
Zeyco Box
Zeyco Box
OGB Box 10 x 10 tab
OGB Box 10 x 10 tab
Ketricin orabase 0.1 % Tube 5gr
Flamicort Box @ 1 vial, 5 ml
Flamicort Box @ 1 vial, 5 ml
Ketricin Box 10 x 10 tab
Ketricin Box 10 x 10 tab
Stelosi Box 10 x 10
Stelosi Box 10 x 10
PT. Indofarma
Tablet
Urdahex Box 3 x 10 tab
Urdahex Box 3 x 10 tab
Bahan baku Kaleng
Bahan baku Kaleng
Norcuron Box @ 1 vial
Becom c Box 10 x 10
Becom c Box 10 x 10
Neurobion 5000 Box 20 ampul

Neurobion Box 20 ampul
Strip
Strip
Simarc-2 Box 10 x 10 tab
Simarc-2 Box 10 x 10 tab
Anchor Box
Anchor Box
Dus, 10 Strip @ 10
PT. Indofarma
Tablet

ng Instalasi Kamar Jenazah

plastik/UK ALL SIZE 6
buah 5
roll@100 meter 2
Galon 20 Ltr 10
Galon 20 Ltr 8
Kilogram 20
Galon 20 Ltr 10
Liter 10
buah 2
buah 3
bath towel.UK60X120/CATTON 30
ball 75
cotton 100%biru 10
buah 100
Gulung 50
Kg 50
Buah 2
Mili 100
Galon 20 Ltr 5
By fress 50
Liter 10
Lusin 2
Kotak 50
Galon 20 Ltr 6
catton/Towcel Uk15x20 cm 25
ng Instalasi K3RS
ANEROIT BAROMETER 1
AR-1500 1
QUEST TEMP II 1
VB-8200 1
ng Instalasi Gas Medis

0-15 LPM 1500-2000L Stell/Castor Flowrate 0-15 Liter permenit
Unit
Filter terbuat dari keramik
0-15 LPM 5500-6000L Stell/Castor Flowrate 0-15 Liter permenit
Unit
Filter terbuat dari keramik
ng Rehabilitasi Medik
1 Set
Og shop 1
Og shop 1
Og shop 1
Og shop 1
1
Kettler 1
Kettler 1
Dukuran : p : 90cm/d : 25 cm 1
Og shop 1
Og shop 1
1 Set
Og shop 1
10
Og shop 1
Og shop 1
1 Set
Og shop 1
1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
1 Set
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
0g shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 10
4
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Uk : t :100cm/tbl:15cm/p : 22 m 5
Ukuran : 2m x 1 m 10
Og shop 1
Type : multiplek 1
Og shop 1
Og shop 1
2
Og shop 1
Og shop 1
Og shop 1
0g shop 1
1
1 Set
Uk:l:60cm/t : 15 cm/ p : 100 cm 1
Ukuran : p : 180cm/t : 60cm 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Gymnic/diameter : 65 cm 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
2
2
2
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
1
Og shop 1
Dm - indonesia 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Ukuran : diameter 60 cm 1
1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Kettler/ D: 100 Cm 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Og shop 1
Dm - indonesia 1
Ukuran : 180 x 98 cm 1
Og shop 1
Og shop 1
1
1
Og shop 1
57,200.00
18,700.00
18,700.00
77,000.00
57,200.00
71,500.00
71,500.00
11,200.00
357,500.00
18,000.00
5,500.00
70,000.00
125,000.00
2,211,000.00
2,211,000.00
2,211,000.00
2,211,000.00
1,950,630.00
2,072,070.00
2,277,000.00
805,200.00
28,600.00
1,425,600.00
1,500.00
2,930,400.00
2,930,400.00
3,366,000.00
3,366,000.00
3,286,800.00
4,158,000.00
1,861,200.00
1,801,800.00
2,098,800.00
2,277,000.00
1,841,400.00
1,821,600.00
1,518,000.00
1,518,000.00
1,518,000.00
1,573,000.00
1,573,000.00
1,892,000.00
1,515,888.00
1,986,336.00
1,756,920.00
1,515,888.00
1,531,200.00
1,518,000.00
1,518,000.00
1,518,000.00
1,573,000.00
1,573,000.00
1,892,000.00
1,600,104.00
1,765,632.00
1,853,280.00
1,420,320.00
1,686,960.00
1,686,960.00
258,500.00
605,000.00
847,000.00
253,000.00
150,333.00
380,000.00
56,297.00
398,750.00
363,000.00
462,000.00
291,500.00
363,000.00
350,900.00
660,000.00
13,200.00
330,000.00
473,000.00
173,800.00
165,000.00
165,000.00
17,600.00
17,600.00
17,600.00
525,800.00
525,800.00
525,800.00
525,800.00
525,800.00
525,800.00
525,800.00
525,800.00
47,300.00
47,300.00
47,300.00
47,300.00
47,300.00
59,400.00
59,400.00
59,400.00
59,400.00
59,400.00
59,400.00
59,400.00
59,400.00
59,400.00
525,800.00
525,800.00
525,800.00
525,800.00
525,800.00
525,800.00
47,300.00
47,300.00
47,300.00
47,300.00
47,300.00
110,000.00
107,800.00
4,950,000.00
4,950,000.00
4,950,000.00
4,950,000.00
4,950,000.00
1,187,120.00
40,000.00
27,500.00
16,830.00
16,830.00
16,830.00
16,830.00
350,000.00
34,100.00
34,100.00
34,100.00
34,100.00
34,100.00
34,100.00
34,100.00
34,100.00
25,941.00
36,319.00
47,626.00
50,000.00
800,000.00
101,129.00
139,832.00
53,062.00
242,000.00
165,000.00
24,200.00
18,150.00
13,200.00
13,200.00
13,200.00
13,200.00
554,400.00
246,400.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
88,000.00
12,320.00
122,100.00
3,080.00
30,800.00
6,160.00
61,050.00
32,000.00
70,000.00
30,000.00
27,000.00
25,500.00
234,300.00
1,452,079.00
1,452,079.00
1,452,079.00
465,000.00
465,000.00
465,000.00
465,000.00
357,500.00
13,750.00
38,500.00
885,500.00
2,213,750.00
302,390.00
431,420.00
322,640.00
332,640.00
322,640.00
38,500.00
3,688,740.00
3,431,450.00
3,030,720.00
2,613,600.00
2,692,800.00
2,673,000.00
2,217,600.00
2,098,800.00
2,376,000.00
4,316,400.00
4,059,000.00
2,336,400.00
2,296,800.00
2,613,600.00
3,326,400.00
2,989,800.00
3,148,200.00
5,544,000.00
380,000.00
33,880.00
18,150.00
18,150.00
18,150.00
27,500.00
27,500.00
27,500.00
27,500.00
28,490.00
28,490.00
390,000.00
495,000.00
121,000.00
121,000.00
121,000.00
16,500.00
66,000.00
5,234,900.00
1,180,300.00
1,427,690.00
929,830.00
2,641,320.00
202,400.00
1,580,260.00
1,334,410.00
1,207,580.00
1,207,580.00
2,003,760.00
2,003,760.00
2,428,800.00
60,984.00
12,474.00
27,720.00
6,930.00
12,100.00
38,808.00
109,148.00
160,600.00
242,550.00
24,200.00
27,720.00
33,000.00
8,316.00
18,150.00
258,500.00
821,900.00
5,500.00
4,554,000.00
6,831,000.00
1,485,000.00
2,612,500.00
88,000.00
88,000.00
88,000.00
88,000.00
160,000.00
160,000.00
160,000.00
160,000.00
160,000.00
160,000.00
38,500.00
19,800.00
19,800.00
19,800.00
19,800.00
19,800.00
22,000.00
95,481.00
95,481.00
1,100.00
600.00
650.00
700.00
495,000.00
687,500.00
825,000.00
1,540,000.00
1,045,000.00
368,500.00
550,000.00
715,000.00
990,000.00
1,155,000.00
1,430,000.00
1,815,000.00
275,000.00
440,000.00
1,380,000.00
2,855,160.00
3,456,486.00
3,688,740.00
4,575,780.00
3,784,374.00
453,750.00
211,200.00
211,200.00
211,200.00
22,550.00
22,550.00
22,550.00
78,870.00
78,870.00
78,870.00
82,500.00
78,870.00
78,870.00
44,000.00
100,000.00
38,000.00
3,571,920.00
3,141,309.00
3,767,781.00
3,302,640.00
4,604,569.00
3,320,301.00
3,516,480.00
40,000.00
40,000.00
40,000.00
40,000.00
23,656.00
23,656.00
23,656.00
638,000.00
638,000.00
638,000.00
638,000.00
44,000.00
44,000.00
15,400.00
15,400.00
440,000.00
440,000.00
682,000.00
682,000.00
594,000.00
682,000.00
594,000.00
150,333.00
715,000.00
15,430.00
19,466.00
27,983.00
15,000.00
10,000.00
12,000.00
852,500.00
852,500.00
852,500.00
78,650.00
110,660.00
122,833.00
87,000.00
19,800.00
19,800.00
19,800.00
19,800.00
19,800.00
8,800.00
8,800.00
8,800.00
8,800.00
8,800.00
8,800.00
70,000.00
71,500.00
7,150.00
1,639,440.00
1,426,920.00
1,457,280.00
1,457,280.00
55,000.00
55,000.00
50,071.00
60,272.00
73,760.00
14,300.00
200,000.00
110,000.00
7,700.00
16,500.00
16,500.00
16,500.00
3,335,860.00
3,506,580.00
1,080,200.00
999,240.00
3,006,300.00
2,530,220.00
3,006,300.00
91,850.00
74,250.00
214,500.00
544,500.00
544,500.00

47,000.00 RSUD Prov


60,000.00 RSUD Prov
48,000.00 RSUD Prov
29,000.00 RSUD Prov

19,000.00 RSUD Prov

24,000.00 RSUD Prov
28,000.00 RSUD Prov
19,000.00 RSUD Prov
24,000.00 RSUD Prov
28,000.00 RSUD Prov
15,000.00 RSUD Prov
50,000.00 RSUD Prov
15,000.00 RSUD Prov
12,000.00 RSUD Prov
12,000.00 RSUD Prov
80,000.00 RSUD Prov
12,000.00 RSUD Prov
12,000.00 RSUD Prov
76,000.00 RSUD Prov
41,000.00 RSUD Prov
50,000.00 RSUD Prov
60,000.00 RSUD Prov
55,000.00 RSUD Prov
95,000.00 RSUD Prov
60,000.00 RSUD Prov
12,500.00 RSUD Prov
70,000.00 RSUD Prov
60,000.00 RSUD Prov
4,000.00 RSUD Prov
7,000.00 RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
3,811.00 RSUD Prov
365.00 RSUD Prov
1,300,000.00 RSUD Prov
RSUD Prov
RSUD Prov
95,700.00 RSUD Prov
RSUD Prov
RSUD Prov
435.16 RSUD Prov
460.00 RSUD Prov
810.00 RSUD Prov

RSUD Prov
29,700.00 RSUD Prov
RSUD Prov
2,475.00 RSUD Prov
85.93 RSUD Prov
79,200.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
3,240.00 RSUD Prov
87.15 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
102.00 RSUD Prov
RSUD Prov
RSUD Prov
440.00 RSUD Prov
240.00 RSUD Prov
4,550.00 RSUD Prov
21,681.00 RSUD Prov

RSUD Prov
21,681.00 RSUD Prov
RSUD Prov
RSUD Prov
7,396.00 RSUD Prov
2,276.92 RSUD Prov
4,200.00 RSUD Prov
1,865.93 RSUD Prov
2,450.00 RSUD Prov
123.00 RSUD Prov
RSUD Prov
5,300.00 RSUD Prov
RSUD Prov
RSUD Prov
22,167.00 RSUD Prov
25,063.00 RSUD Prov
RSUD Prov
RSUD Prov
162.00 RSUD Prov
RSUD Prov
51.00 RSUD Prov
72,600.00 RSUD Prov
RSUD Prov
44.87 RSUD Prov
38,050.00 RSUD Prov
RSUD Prov
84,000.00 RSUD Prov
RSUD Prov
RSUD Prov
57,750.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
75,900.00 RSUD Prov
RSUD Prov
RSUD Prov
1,100,000.00 RSUD Prov
RSUD Prov
2,152.00 RSUD Prov
239.00 RSUD Prov
339.00 RSUD Prov
654.00 RSUD Prov
346.00 RSUD Prov
RSUD Prov
RSUD Prov
1,230.00 RSUD Prov
68.00 RSUD Prov

RSUD Prov
8,935.00 RSUD Prov
12,185.00 RSUD Prov
27,720.00 RSUD Prov
RSUD Prov
RSUD Prov
924.00 RSUD Prov
1,524.00 RSUD Prov

RSUD Prov
2,644,475.00 RSUD Prov
RSUD Prov
RSUD Prov
76,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
2,300.00 RSUD Prov
62,000.00 RSUD Prov

RSUD Prov
6,600.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
44,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
30,223.00 RSUD Prov
RSUD Prov
RSUD Prov
67,716.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
19,388.00 RSUD Prov
RSUD Prov
20,267.00 RSUD Prov
RSUD Prov
28,325.00 RSUD Prov
RSUD Prov
12,100.00 RSUD Prov
RSUD Prov
22,417.00 RSUD Prov
RSUD Prov
20,350.00 RSUD Prov
RSUD Prov
24,857.00 RSUD Prov
RSUD Prov
24,475.00 RSUD Prov
RSUD Prov
25,850.00 RSUD Prov
RSUD Prov
29,480.00 RSUD Prov
RSUD Prov
8,778.00 RSUD Prov
188.00 RSUD Prov
RSUD Prov
74,800.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov

RSUD Prov
74,800.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
27,500.00 RSUD Prov
RSUD Prov
95,000.00 RSUD Prov
RSUD Prov
RSUD Prov
760.00 RSUD Prov
19,300.00 RSUD Prov

RSUD Prov
4,000.00 RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
2,750,000.00 RSUD Prov
RSUD Prov
24,750.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
1,500.00 RSUD Prov
68.98 RSUD Prov
39,079.00 RSUD Prov
1,378.85 RSUD Prov
92.00 RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
2,344.00 RSUD Prov
RSUD Prov
RSUD Prov
27.00 RSUD Prov
56.00 RSUD Prov
89,045.00 RSUD Prov
RSUD Prov
65,505.00 RSUD Prov
RSUD Prov
960.00 RSUD Prov
RSUD Prov
91.00 RSUD Prov
123.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
25,300.00 RSUD Prov
RSUD Prov
220.00 RSUD Prov
30,000.00 RSUD Prov

RSUD Prov
3,624.00 RSUD Prov
176.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
249,480.00
RSUD Prov

RSUD Prov
RSUD Prov
1,500.00 RSUD Prov
30,000.00 RSUD Prov

RSUD Prov
80,300.00 RSUD Prov
RSUD Prov
920.70 RSUD Prov
7,220.00 RSUD Prov

305.00 RSUD Prov
420.00 RSUD Prov
93,500.00 RSUD Prov
RSUD Prov
93,500.00 RSUD Prov
RSUD Prov
3,300,000.00 RSUD Prov
76,560.00 RSUD Prov
RSUD Prov
68,832.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
31,762.00 RSUD Prov
RSUD Prov
19,525.00 RSUD Prov
RSUD Prov
144.00 RSUD Prov
62.00 RSUD Prov
465.00 RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
1,559,407.00 RSUD Prov
RSUD Prov
579.00 RSUD Prov
1,566.00 RSUD Prov
RSUD Prov
66,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
90,530.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
57,828.00 RSUD Prov
RSUD Prov
1,751.00 RSUD Prov
84.85 RSUD Prov
RSUD Prov
292.00 RSUD Prov

272.00 RSUD Prov
680.00 RSUD Prov
3,104.00 RSUD Prov

1,469.00 RSUD Prov
2,904.00 RSUD Prov
18,370.00 RSUD Prov
RSUD Prov
RSUD Prov
54.00 RSUD Prov
RSUD Prov
RSUD Prov
360.00 RSUD Prov
500.00 RSUD Prov
684.00 RSUD Prov
1,049.00 RSUD Prov
645.00 RSUD Prov
4,158.24 RSUD Prov

5,727.00 RSUD Prov
1,960.00 RSUD Prov
5,313.00 RSUD Prov

1,767,998.00 RSUD Prov
RSUD Prov
75,000.00 RSUD Prov
RSUD Prov
75,000.00 RSUD Prov
75,000.00 RSUD Prov
RSUD Prov
RSUD Prov
60.47 RSUD Prov
88.23 RSUD Prov
1,265,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
2,274.73 RSUD Prov
2,399.00 RSUD Prov
71,088.00 RSUD Prov
RSUD Prov
395.00 RSUD Prov
RSUD Prov
20,350.00 RSUD Prov
RSUD Prov
RSUD Prov
3,465.00 RSUD Prov
92.57 RSUD Prov
RSUD Prov
RSUD Prov
2,420,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
44.00 RSUD Prov
85.00 RSUD Prov
RSUD Prov
80.71 RSUD Prov
1,400.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
489.00 RSUD Prov
RSUD Prov
RSUD Prov
47.00 RSUD Prov
RSUD Prov
63.00 RSUD Prov
88.00 RSUD Prov

134.00 RSUD Prov
RSUD Prov
228,800.00
RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
4,050.00 RSUD Prov
267.00 RSUD Prov
2,923.00 RSUD Prov
RSUD Prov
2,539.00 RSUD Prov
RSUD Prov
80,190.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
382.00 RSUD Prov
527.00 RSUD Prov
1,500.00 RSUD Prov
RSUD Prov
188.00 RSUD Prov
94,160.00 RSUD Prov
RSUD Prov
227.00 RSUD Prov
1,450.00 RSUD Prov
3,800.00 RSUD Prov
1,599.00 RSUD Prov
21.00 RSUD Prov
107.00 RSUD Prov
1,021.00 RSUD Prov
133.00 RSUD Prov
470.00 RSUD Prov
800.00 RSUD Prov
1,045.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
27,500.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov

RSUD Prov
RSUD Prov
30,250.00
RSUD Prov
RSUD Prov
RSUD Prov
130,000.00
RSUD Prov
RSUD Prov
732,942.00
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
53,350.00 RSUD Prov
48,950.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
199,282.00
RSUD Prov
RSUD Prov
417,450.00
RSUD Prov
77,000.00 RSUD Prov

RSUD Prov
RSUD Prov
151,250.00
RSUD Prov
RSUD Prov
108,350.00
RSUD Prov
RSUD Prov
25,410.00
RSUD Prov
RSUD Prov
9,167.00
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
1,975.00 RSUD Prov
610.29 RSUD Prov
5,706.00 RSUD Prov

RSUD Prov
35,090.00 RSUD Prov
RSUD Prov
RSUD Prov
473.00 RSUD Prov
71,500.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
2,153,838.00 RSUD Prov
RSUD Prov
574.00 RSUD Prov
RSUD Prov
63,250.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
900.00 RSUD Prov
4,000.00 RSUD Prov
520.00 RSUD Prov
10,050.00 RSUD Prov

RSUD Prov
550.00 RSUD Prov
330.00 RSUD Prov
90.00 RSUD Prov
49,775.00 RSUD Prov

RSUD Prov
160.00 RSUD Prov
RSUD Prov
16,654.00 RSUD Prov
RSUD Prov
2,078.00 RSUD Prov
2,629.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
3,570.00 RSUD Prov
228.00 RSUD Prov
16,500.00 RSUD Prov

RSUD Prov
58,850.00 RSUD Prov
RSUD Prov
RSUD Prov
77,000.00 RSUD Prov
RSUD Prov
RSUD Prov
6,600.00 RSUD Prov
234.00 RSUD Prov
1,250.00 RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
1,300.00 RSUD Prov
105.00 RSUD Prov
260.00 RSUD Prov
35,475.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
140.00 RSUD Prov

59,000.00 RSUD Prov
620.00 RSUD Prov
375.00 RSUD Prov
86,515.00 RSUD Prov
RSUD Prov
49,500.00 RSUD Prov
RSUD Prov
980.00 RSUD Prov
2,830.00 RSUD Prov
89.00 RSUD Prov

RSUD Prov
22,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
163.74 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
3,000.00 RSUD Prov
2,450.00 RSUD Prov

RSUD Prov
17,800.00 RSUD Prov
65,973.00 RSUD Prov

RSUD Prov
10,499.00 RSUD Prov
1,206.00 RSUD Prov
RSUD Prov
19,250.00 RSUD Prov
RSUD Prov
RSUD Prov
37,840.00 RSUD Prov
RSUD Prov
22,687.00 RSUD Prov
RSUD Prov
16,500.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
134.00 RSUD Prov
174.00 RSUD Prov
37,950.00 RSUD Prov
RSUD Prov
4,900.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
112.00 RSUD Prov
RSUD Prov
640.00 RSUD Prov
407.00 RSUD Prov
RSUD Prov
51,920.00 RSUD Prov
RSUD Prov
RSUD Prov
1,258.95 RSUD Prov
2,783.00 RSUD Prov
75,000.00 RSUD Prov
RSUD Prov
RSUD Prov
1,450.00 RSUD Prov
1,820.00 RSUD Prov
265.00 RSUD Prov
74,655.00 RSUD Prov
RSUD Prov
27,500.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
88,000.00 RSUD Prov
RSUD Prov
RSUD Prov
75,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
5,227.00 RSUD Prov
1,318.90 RSUD Prov
98,785.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
32,450.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
13,191.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
1,925.00 RSUD Prov
4,000.00 RSUD Prov
776.00 RSUD Prov
194.00 RSUD Prov

321.00 RSUD Prov
8,924.00 RSUD Prov
RSUD Prov
8,250.00 RSUD Prov
311.00 RSUD Prov
198.00 RSUD Prov
64.86 RSUD Prov

88.00 RSUD Prov
RSUD Prov
29,645.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
30,250.00 RSUD Prov
RSUD Prov
RSUD Prov
3,500.00 RSUD Prov
14,000.00 RSUD Prov
31,174.00 RSUD Prov
2,000.00 RSUD Prov
38,184.00 RSUD Prov
RSUD Prov
RSUD Prov
2,400.00 RSUD Prov

RSUD Prov
52.00 RSUD Prov
RSUD Prov
114.00 RSUD Prov
77.00 RSUD Prov
108.00 RSUD Prov
40,411.00 RSUD Prov
RSUD Prov
264.00 RSUD Prov

RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
40,150.00 RSUD Prov
RSUD Prov
24,750.00 RSUD Prov
RSUD Prov
25,740.00 RSUD Prov
RSUD Prov
300.00 RSUD Prov
530.00 RSUD Prov
87,500.00 RSUD Prov

RSUD Prov
1,928.00 RSUD Prov
RSUD Prov
79,200.00 RSUD Prov
RSUD Prov
376.00 RSUD Prov
830.00 RSUD Prov
594.00 RSUD Prov
RSUD Prov
5,200.00 RSUD Prov
RSUD Prov
1,400.00 RSUD Prov
1,781.00 RSUD Prov

2,500.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
59.82 RSUD Prov
82.00 RSUD Prov
1,800.00 RSUD Prov
1,120.00 RSUD Prov

59,400.00 RSUD Prov
RSUD Prov
468.00 RSUD Prov
521.00 RSUD Prov
5,248.00 RSUD Prov
972.00 RSUD Prov
18,585.00 RSUD Prov

958.00 RSUD Prov
10,588.00 RSUD Prov
RSUD Prov
RSUD Prov
5,500.00 RSUD Prov
5,000.00 RSUD Prov
RSUD Prov
12,527.00 RSUD Prov
5,500.00 RSUD Prov
RSUD Prov
RSUD Prov
31,460.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
916.00 RSUD Prov
14.00 RSUD Prov

RSUD Prov
RSUD Prov
180.00 RSUD Prov
497.00 RSUD Prov
240.00 RSUD Prov
39,900.00 RSUD Prov

245.00 RSUD Prov
1,386.00 RSUD Prov
77,050.00 RSUD Prov

RSUD Prov
949.50 RSUD Prov
311.40 RSUD Prov
RSUD Prov
RSUD Prov
23,100.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
3,650.00 RSUD Prov
RSUD Prov
48,400.00 RSUD Prov
RSUD Prov
415.00 RSUD Prov
32,500.00 RSUD Prov
RSUD Prov
88,000.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
35,332.00 RSUD Prov
RSUD Prov
53,350.00 RSUD Prov
RSUD Prov
81.00 RSUD Prov
690.00 RSUD Prov
RSUD Prov
71,500.00 RSUD Prov
RSUD Prov
5,400.00 RSUD Prov
79,695.00 RSUD Prov
RSUD Prov
RSUD Prov
96,800.00 RSUD Prov
RSUD Prov
RSUD Prov
55,000.00 RSUD Prov
RSUD Prov
40.00 RSUD Prov

RSUD Prov
92,000.00 RSUD Prov
RSUD Prov
RSUD Prov
215.00 RSUD Prov
RSUD Prov
RSUD Prov
RSUD Prov
24,200.00 RSUD Prov
RSUD Prov
RSUD Prov
35,200.00 RSUD Prov
RSUD Prov
RSUD Prov
455.00 RSUD Prov

48,000.00 RSUD Prov
70,000.00 RSUD Prov
49,000.00 RSUD Prov
71,000.00 RSUD Prov

46,000.00 RSUD Prov
49,000.00 RSUD Prov
71,000.00 RSUD Prov
58,080.00 RSUD Prov

1,149,500.00 RSUD Prov
72,600.00 RSUD Prov
21,175.00 RSUD Prov
66,550.00 RSUD Prov
8,470.00 RSUD Prov
60,500.00 RSUD Prov
78,650.00 RSUD Prov
60,500.00 RSUD Prov
6,650.00 RSUD Prov
18,150.00 RSUD Prov
24,200.00 RSUD Prov
6,050.00 RSUD Prov
16,940.00 RSUD Prov
7,800,000.00 RSUD Prov

52,000,000.00 RSUD Prov
52,000,000.00 RSUD Prov
9,100,000.00 RSUD Prov
1,500,000.00
RSUD Prov
2,300,000.00
RSUD Prov
2,999,900.00 RSUD Prov

RSUD Prov
1,500,000.00 RSUD Prov
1,300,000.00 RSUD Prov
1,100,000.00 RSUD Prov
65,000.00 RSUD Prov
65,000.00 RSUD Prov
6,799,900.00 RSUD Prov
50,000.00 RSUD Prov
42,000.00 RSUD Prov
14,999,900.00 RSUD Prov
50,000.00 RSUD Prov
20,000.00 RSUD Prov
80,000.00 RSUD Prov
20,000.00 RSUD Prov
90,000.00 RSUD Prov
70,000.00 RSUD Prov
32,000.00 RSUD Prov
45,000.00 RSUD Prov
1,199,900.00 RSUD Prov
35,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
42,000.00 RSUD Prov
50,000.00 RSUD Prov
55,000.00 RSUD Prov
60,000.00 RSUD Prov
65,000.00 RSUD Prov
65,000.00 RSUD Prov
55,000.00 RSUD Prov
55,000.00 RSUD Prov
1,000,000.00 RSUD Prov
1,100,000.00 RSUD Prov
1,100,000.00 RSUD Prov
30,000.00 RSUD Prov
25,000.00 RSUD Prov
59,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
35,000.00 RSUD Prov
55,000.00 RSUD Prov
35,000.00 RSUD Prov
12,000.00 RSUD Prov
55,000.00 RSUD Prov
55,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
55,000.00 RSUD Prov
60,000.00 RSUD Prov
20,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
60,000.00 RSUD Prov
60,000.00 RSUD Prov
35,000.00 RSUD Prov
35,000.00 RSUD Prov
35,000.00 RSUD Prov
35,000.00 RSUD Prov
35,000.00 RSUD Prov
35,000.00 RSUD Prov
30,000.00 RSUD Prov
30,000.00 RSUD Prov
30,000.00 RSUD Prov
55,000.00 RSUD Prov
40,000.00 RSUD Prov
25,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
38,000.00 RSUD Prov
20,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
60,000.00 RSUD Prov
80,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
22,000.00 RSUD Prov
65,000.00 RSUD Prov
25,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
65,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
35,000.00 RSUD Prov
40,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
35,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
35,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
25,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
35,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
35,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
45,000.00 RSUD Prov
38,000.00 RSUD Prov
38,000.00 RSUD Prov
40,000.00 RSUD Prov
32,000.00 RSUD Prov
50,000.00 RSUD Prov
38,000.00 RSUD Prov
50,000.00 RSUD Prov
38,000.00 RSUD Prov
50,000.00 RSUD Prov
38,000.00 RSUD Prov
37,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
45,000.00 RSUD Prov
35,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
30,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
20,000.00 RSUD Prov
60,000.00 RSUD Prov
45,000.00 RSUD Prov
50,000.00 RSUD Prov
45,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
35,000.00 RSUD Prov
45,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
1,000,000.00 RSUD Prov
44,000.00 RSUD Prov
1,700,000.00 RSUD Prov
40,000.00 RSUD Prov
50,000.00 RSUD Prov
50,000.00 RSUD Prov
25,000.00 RSUD Prov
7,199,900.00 RSUD Prov
1,500,000.00 RSUD Prov
2,700,000.00 RSUD Prov
40,000.00 RSUD Prov
25,000.00 RSUD Prov
35,000.00 RSUD Prov
35,000.00 RSUD Prov
20,000.00 RSUD Prov
25,000.00 RSUD Prov
20,000.00 RSUD Prov
35,000.00 RSUD Prov
55,000.00 RSUD Prov
55,000.00 RSUD Prov
35,000.00 RSUD Prov
1,300,000.00 RSUD Prov
1,500,000.00 RSUD Prov
1,700,000.00 RSUD Prov
1,900,000.00 RSUD Prov
45,000.00 RSUD Prov
45,000.00 RSUD Prov
11,000.00 RSUD Prov
60,000.00 RSUD Prov
55,000.00 RSUD Prov
55,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
45,000.00 RSUD Prov
20,000.00 RSUD Prov
55,000.00 RSUD Prov
55,000.00 RSUD Prov
55,000.00 RSUD Prov
30,000.00 RSUD Prov
35,000.00 RSUD Prov
40,000.00 RSUD Prov
60,000.00 RSUD Prov
60,000.00 RSUD Prov
60,000.00 RSUD Prov
15,000.00 RSUD Prov
60,000.00 RSUD Prov
25,750,000.00 RSUD Prov
2,000,000.00 RSUD Prov
40,000.00 RSUD Prov
40,000.00 RSUD Prov
20,000.00 RSUD Prov
55,000.00 RSUD Prov
1,500,000.00 RSUD Prov
40,000.00 RSUD Prov
20,000.00 RSUD Prov
30,000.00 RSUD Prov
17,000.00 RSUD Prov
1,000,000.00 RSUD Prov
20,000.00 RSUD Prov
40,000.00 RSUD Prov
1,100,000.00 RSUD Prov
4,500,000.00 RSUD Prov
25,000.00 RSUD Prov
12,000.00 RSUD Prov
80,000.00 RSUD Prov
25,000.00 RSUD Prov
ALKED & ALKES

Diasys Diagnostic System Stardust MC-15 - PT. DIAGNOSTIKA SISTEM INDONESIA
1 Fotometer
2 Immunology Analyzer Mini Biomerieux mini vidas biomerieux - PT. ENSEVAL MEDIKA PRIMA
3 Komponen Fyrom Lemari Instrumen

Komponen Penunjang Bowel Holder
4
5 Komponen Penunjang Pelayanan Kesehatan Fyrom Brankar - PT. PENDAR ANDHIKA PARAMARTHA
6 Komponen Penunjang Pelayanan Kesehatan Fyrom Breathing Bag - PT. PENDAR ANDHIKA PARAMARTHA
Komponen Penunjang Pelayanan Kesehatan Fyrom Easymove (Pemindah Pasien) - PT. PENDAR ANDHIKA PARAMARTHA
7
8 Komponen Penunjang Pelayanan Kesehatan Fyrom Foot Step 2 - PT. PENDAR ANDHIKA PARAMARTHA
9 Komponen Penunjang Pelayanan Kesehatan Fyrom Foot Step 3 - PT. PENDAR ANDHIKA PARAMARTHA
Komponen Penunjang Pelayanan Kesehatan Fyrom Hydraulic Lift Instrument Stand - PT. PENDAR ANDHIKA PARAMARTHA
10
11 Komponen Penunjang Pelayanan Kesehatan Fyrom Lemari Cath Lab - PT. PENDAR ANDHIKA PARAMARTHA
12 Komponen Penunjang Pelayanan Kesehatan Fyrom Linen/ Waste Frame - PT. PENDAR ANDHIKA PARAMARTHA
13 Komponen Penunjang Pelayanan Kesehatan Fyrom Mayo Anastesi - PT. PENDAR ANDHIKA PARAMARTHA
14 Komponen Penunjang Pelayanan Kesehatan Fyrom Mayo Bedah - PT. PENDAR ANDHIKA PARAMARTHA
15 Komponen Penunjang Pelayanan Kesehatan Fyrom Modullar Pump System (Tiang (Standar) Infuse Pump/Syringe Pump) - PT.
PENDAR ANDHIKA PARAMARTHa
16 Komponen Penunjang Pelayanan Kesehatan Fyrom o Portable - PT. PENDAR ANDHIKA PARAMARTHA
17 Komponen Penunjang Pelayanan Kesehatan Fyrom Pharmacy Trolley - PT. PENDAR ANDHIKA PARAMARTHA
Komponen Penunjang Pelayanan Kesehatan Fyrom rak Instrument Steril (Beroda) - PT. PENDAR ANDHIKA PARAMARTHA
18
19 Komponen Penunjang Pelayanan Kesehatan Fyrom Scrub Station 2 Person - PT. PENDAR ANDHIKA PARAMARTHA
20 Komponen Penunjang Pelayanan Kesehatan Fyrom Scrub Station 3 Person - PT. PENDAR ANDHIKA PARAMARTHA
21 Komponen Penunjang Pelayanan Kesehatan Fyrom Trolley Cleaning Service - PT. PENDAR ANDHIKA PARAMARTHA
22 Komponen Penunjang Pelayanan Kesehatan Fyrom Trolley Kecil Kaki 2 - PT. PENDAR ANDHIKA PARAMARTHA
23 Komponen Penunjang Pelayanan Kesehatan Fyrom Trolley Linen Bersih - PT. PENDAR ANDHIKA PARAMARTHA
24 Komponen Penunjang Pelayanan Kesehatan Fyrom Trolley Linen Kotor - PT. PENDAR ANDHIKA PARAMARTHA
25 Komponen Penunjang Pelayanan Kesehatan Fyrom Trolley Waskom 2 Lubang - PT. PENDAR ANDHIKA PARAMARTHA
26 Komponen Penunjang Pelayanan Kesehatan Fyrom Urinal Adult - PT. PENDAR ANDHIKA PARAMARTHA
27 Komponen Penunjang Pelayanan Kesehatan Fyrom Urinal Pediatric - PT. PENDAR ANDHIKA PARAMARTHA
28 Mobile Suction Pump Fyrom Stream Line - PT. PENDAR ANDHIKA PARAMARTHA
29 OK dan ICU Electrical Surgical Unit Dre Medical Esu 120w - PT. MULTIGUNA CIPTASENTOSA
30 OK dan ICU Electrical Surgical Unit Dre Medical Esu 200w - PT. MULTIGUNA CIPTASENTOSA
31 OK dan ICU Electrical Surgical Unit
Bbraun infusomat p - PT. B BRAUN MEDICAL INDONESIA

32 OK dan ICU - Infusion Pump
Fyrom Drive Infus Pump - PT. PENDAR ANDHIKA PARAMARTHA

33 OK dan ICU - Infusion Pump
34 OK dan ICU Instrumen Bedah Geomed Scalpel Handle Standard No 4 Scalpel Blades #18 - #36 - PT. FOSMA
MEDIFARMA
35 OK dan ICU Instrumen Bedah
Geomed 1/1 SAFETY LID 580X280MM Black With Exterion Pressbutton - PT. FOSMA
MEDIFARMA
Geomed 1/1 Safety Lid 580x280mm Black With Exterion Pressbutton - PT. FOSMA
MEDIFARMA
Geomed 1/1 Safety Lid 580x280mm Blu - PT. FOSMA MEDIFARMA
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Blue - PT. FOSMA MEDIFARMA
38
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Blue - PT. FOSMA MEDIFARMA
39
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Blue With Exterion Press-Button - PT. FOSMA
40 MEDIFARMA
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Green - PT. FOSMA MEDIFARMA
41
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Red - PT. FOSMA MEDIFARMA
42
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Red - PT. FOSMA MEDIFARMA
43
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Red
44
OK dan ICU Instrumen Bedah Geomed 1/1 Safety Lid 580x280mm Red With Exterion Press-Button - PT. FOSMA
45
MEDIFARMA
OK dan ICU Instrumen Bedah Geomed 2 Wrenches For Oscillating Plaster Saw 11mm - PT. FOSMA MEDIFARMA
46
OK dan ICU Instrumen Bedah Geomed 3/4 Safety Lid 465x280mm Green With Exterion Pressbutton - PT. FOSMA
47 MEDIFARMA
48 OK dan ICU Instrumen Bedah Geomed 3/4 Safety Lid 465x280mm Green with Exterion Pressbutton - PT. FOSMA
MEDIFARMA
OK dan ICU Instrumen Bedah Geomed 3/4 Safety Lid 465x280mm Red With Exterion Press-Button - PT. FOSMA
49 MEDIFARMA
50 OK dan ICU Instrumen Bedah Geomed Abdominal Spatula Malleable - PT. FOSMA MEDIFARMA
51 OK dan ICU Instrumen Bedah Geomed Abdominal Spatula Malleable 17mm 20cm - PT. FOSMA MEDIFARMA
52 OK dan ICU Instrumen Bedah Geomed Abdominal Spatula Malleable 30mm 33cm - PT. FOSMA MEDIFARMA
53 OK dan ICU Instrumen Bedah Geomed Adson Dressing Forceps Str 12cm - PT. FOSMA MEDIFARMA
56 OK dan ICU Instrumen Bedah Geomed Adson Durahook Sharp 20cm - PT. FOSMA MEDIFARMA
OK dan ICU Instrumen Bedah Geomed Adson NHD F Frontal Suture 17.5cm - PT. FOSMA MEDIFARMA
57
58 OK dan ICU Instrumen Bedah Geomed Adson Retractor 3x4t Blunt 13cm - PT. FOSMA MEDIFARMA
59 OK dan ICU Instrumen Bedah Geomed Adson Tissue Forceps 1x2T STR 12cm - PT. FOSMA MEDIFARMA
60 OK dan ICU Lampu Operasi Dre Medical Maxx Luxx - PT. MULTIGUNA CIPTASENTOSA
OK dan ICU Lampu Operasi Dre Medical Maxx Luxx Mobile - PT. MULTIGUNA CIPTASENTOSA
61
62 OK dan ICU Lampu Operasi Dre Medical Vision - PT. MULTIGUNA CIPTASENTOSA
63 OK dan ICU Lampu Operasi Dre Medical Vision Mobile - PT. MULTIGUNA CIPTASENTOSA
64 OK dan ICU Operating Microscope Carl zeiss opmi pentero 900 full spec - Pt Elo Karsa Utama
65 OK dan ICU Operating Microscope Carl zeiss opmi pentero 900 sd basic - pt elo karsa utama
66 OK dan ICU Operating Microscope Carl Zeiss Opmi Sensera S7 System - PT ELO KARSA UTAMA
Euroimmun Ag Microscope Flurecent Eurostar III plus (incl. Imaging System) - PT.
67 OK dan ICU Operating Microscope
INTI MAKMUR MEDITAMA
68 OK dan ICU - Syringe Pump Bbraun perfusor compact s - PT. B BRAUN MEDICAL INDONESIA
69 OK dan ICU - Syringe Pump Fyrom drive syringe Pump - PT. PENDAR ANDHIKA PARAMARTha
PONEK & PONED - CPAP and Medical Compressor Fyrom Espiro Cpap - PT. PENDAR ANDHIKA PARAMARTHA
70
PONEK & PONED - Incubator Fyrom Infinity Basic Infant Incubator - PT. PENDAR ANDHIKA PARAMARTHA
71
PONEK & PONED - Incubator Fyrom Infinity G-1 Infant Incubator - PT. PENDAR ANDHIKA PARAMARTHA
72
PONEK & PONED Incubator Transport Fyrom Infinity G-1 Incubator Transport - pt. Pendar andhika paramartha
73
PONEK & PONED - Infant Blending Resuscitator Fyrom Mix-Safe - PT. PENDAR ANDHIKA PARAMARTHA
74
PONEK & PONED - Infant Blending Resuscitator Fyrom Mix-Safe Forte - PT. PENDAR ANDHIKA PARAMARTHA
75
Besmed infant resuscitator manual silicone - PT. JAYAMAS MEDICA INDUSTRI

76 PONEK & PONED - Infant Resuscitator
PONEK & PONED - Infant Warmer Fyrom Infinity Basic Infant Warmer - PT. PENDAR ANDHIKA PARAMARTHA
77
PONEK & PONED - Infant Warmer Fyrom Infinity G-1 Infant Warmer - PT. PENDAR ANDHIKA PARAMARTHA
78
PONEK & PONED - LED Photo Therapy Fyrom Infinity Basic - Phototeraphy Unit - PT. PENDAR ANDHIKA PARAMARTha
79
PONEK & PONED - LED Photo Therapy Fyrom Infinity g-1 - Phototeraphy Unit Led - PT. PENDAR ANDHIKA PARAMARTHA
80
PONEK & PONED Oxygen Concentrator Fyrom Oxy-One Single - PT. PENDAR ANDHIKA PARAMARTHA
81
82 PONEK & PONED - Patient Monitor Analogic medical am-1200 advance - PT. JAYAMAS MEDICA INDUSTRI
83 PONEK & PONED - Patient Monitor Analogic medical am-1500 advance - PT. JAYAMAS MEDICA INDUSTRI
PONEK & PONED - Patient Monitor Draeger Infinity Delta Xl (Invasive ) - PT DRAEGER MEDICAL INDONESIA
84
PONEK & PONED - Patient Monitor Draeger infinity gamma xl ( ibp dan etco2) - pt draeger medical indonesia
85
PONEK & PONED - Patient Monitor Draeger Infinity Gamma Xl ( Invasive ) - PT DRAEGER MEDICAL INDONESIA
86
PONEK & PONED - Patient Monitor Draeger Infinity Vista Xl ( Invasive ) - PT DRAEGER MEDICAL INDONESIA
87
PONEK & PONED - Patient Monitor Draeger Vista 120 ( IBP dan Etco2 ) - PT DRAEGER MEDICAL INDONESIA
88
PONEK & PONED - Patient Monitor Draeger Vista 120 ( Invasive ) - PT DRAEGER MEDICAL INDONESIA
89
PONEK & PONED - Patient Monitor Fyrom Dream G1 Patient Monitor 17" - PT. PENDAR ANDHIKA PARAMARTHA
90
PONEK & PONED - Patient Monitor Fyrom Dream G2 Patient Monitor 12" (Touch Screen) - PT. PENDAR ANDHIKA
91 PARAMARTHA
PONEK & PONED - Patient Monitor Fyrom Dream G3 Patient Monitor 12" - PT. PENDAR ANDHIKA PARAMARTHA
92
93 PONEK & PONED - Pulse Oxymeter Bionet oxy 9 wave neonatus - PT. JAYAMAS MEDICA INDUSTRI
94 PONEK & PONED - Pulse Oxymeter Fyrom Dream Pulse Oxymeter - PT. PENDAR ANDHIKA PARAMARTHA
95 Radiologi Computed Radiography Firecr Medical-20CR - PT. SCHMIDT BIOMEDTECH INDONESIA

Suction Pump AC Fyrom Stream Wave - PT. PENDAR ANDHIKA PARAMARTha
99
170,000,000.00 Dinkes
Unit
Unit 400,000,000.00 Dinkes
Unit 7,200,000.00 Dinkes
1,800,000.00 Dinkes
Unit
15,850,000.00 Dinkes
Unit
18,000,000.00 Dinkes
Unit
22,750,000.00 Dinkes
Unit
Unit 150,000,000.00 Dinkes
Unit 185,000,000.00 Dinkes
7,800,000.00 Dinkes
Unit
Unit 900,000.00 Dinkes
Unit 168,750,000.00 Dinkes
196,875,000.00 Dinkes
Unit
12,650,000.00 Dinkes
Unit
8,500,000.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
1,249,875.00 Dinkes
Unit
330,187.50 Dinkes
Unit
1,161,000.00 Dinkes
Unit
1,161,000.00 Dinkes
Unit
681,187.50 Dinkes
Unit
Unit 585,000,000.00 Dinkes
270,000,000.00 Dinkes
Unit
Unit 234,000,000.00 Dinkes
Unit 135,000,000.00 Dinkes
Dinkes
Unit 282,229,750.00
68,000,000.00 Dinkes
Unit
15,000,000.00 Dinkes
Unit
38,000,000.00 Dinkes
Unit
68,150,000.00 Dinkes
Unit
12,000,000.00 Dinkes
Unit
25,000,000.00 Dinkes
Unit
Dinkes
Unit 460,000.00
11,550,000.00 Dinkes
Unit
46,770,000.00 Dinkes
Unit
14,700,000.00 Dinkes
Unit
54,250,000.00 Dinkes
Unit
19,850,000.00 Dinkes
Unit
Dinkes
Unit 18,700,000.00
Dinkes
Unit 20,350,000.00
158,720,000.00 Dinkes
Unit
134,668,800.00 Dinkes
Unit
82,790,400.00 Dinkes
Unit
81,920,000.00 Dinkes
Unit
85,680,000.00 Dinkes
Unit
65,680,000.00 Dinkes
Unit
52,000,000.00 Dinkes
Unit
32,000,000.00 Dinkes
Unit
35,000,000.00 Dinkes
Unit
Unit 286,000,000.00 Dinkes
Unit 298,000,000.00 Dinkes
Unit 325,000,000.00 Dinkes
Unit 338,000,000.00 Dinkes
11,495,000.00 Dinkes
Unit
No Jenis Barang/Jasa Merk/Type/Spesifikasi/Ukuran Satuan
ALKED & ALKES
OK dan ICU Instrumen Bedah Geomed Adson Tissue Forceps 1X2T STR
1 12CM - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Adson Tissue Forceps 1X2T STR
2 12CM - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Alexander Chisel 8MM 18CM -

3 PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Allis Intestinal Forceps 4x5t

4 15cm - PT. Fosma Medifarma Unit




OK dan ICU Instrumen Bedah Geomed Applying Forceps 15cm Special

9 Production For Eos France - PT. Fosma Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Arruga Needleholder Curved
OK dan ICU Instrumen Bedah Geomed Arruga Needleholder Straight

OK dan ICU Instrumen Bedah Geomed Aufricht Nasal Rasp Pulling Cut
OK dan ICU Instrumen Bedah Geomed Aufricht Nasal Rasp Pushing Cut
OK dan ICU Instrumen Bedah Geomed Babcock Atraumat Intestinal

14 Forceps 16cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Babcock Intestinal Tissue Hold

15 Fcps 18cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Baby-Crile-Wood Needle Holder

OK dan ICU Instrumen Bedah Geomed Baby-Metzenbaum Scissor Bl/Bl

17 Cvd 11,5cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Baby-Metzenbaum Scissor Bl/Bl
18 Str 11,5cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Baby-Mixter Dissect Clamp Light

19 Cvd 14cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Baby-Mixter Dissect Clamp Light

OK dan ICU Instrumen Bedah Geomed Baby-Roux Retractor 13cm - PT.

21 Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Backhaus Towel Forceps 11cm -



OK dan ICU Instrumen Bedah Geomed Baumgartner Needleholder 13cm

25 - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Beyer Bone Rongeur Cvd 18cm -
OK dan ICU Instrumen Bedah Geomed Bipolar Forceps "Non-Stick

27 Bayonet - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Blunt Blades For Caspar Retr
28 45x23mm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Bone Curette Curved #00 25cm -
OK dan ICU Instrumen Bedah Geomed Bone Curette Str #0 5,2mm

OK dan ICU Instrumen Bedah Geomed bone Holding fcps Self-center

35 10mm 26cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Bone Holding Fcps Self-Center

OK dan ICU Instrumen Bedah Geomed Bone Holding Fcps Self-Center

37 6.5mm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Bone Repositioning Forceps
39 Unit
OK dan ICU Instrumen Bedah Geomed Boynton Needle Holder 12cm -
OK dan ICU Instrumen Bedah Geomed Bozemann Needle-Holder Cvd



OK dan ICU Instrumen Bedah Geomed Brain Spatula Black Coating

44 8/4mm 20cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Brand Tendon Forceps 1x2t

OK dan ICU Instrumen Bedah Geomed Braun Tenaculum Forceps 25cm

OK dan ICU Instrumen Bedah Geomed Brown Needle Holder Str 13cm -
48 OK dan ICU Instrumen Bedah Geomed Brown Needle-Holder 18cm - PT. Unit
Fosma Medifarma
49 OK dan ICU Instrumen Bedah Unit
50 OK dan ICU Instrumen Bedah Geomed Brunner Ligature Conduct Plast Unit
Cvd 18cm - PT. Fosma Medifarma
51 OK dan ICU Instrumen Bedah Geomed Brunner Ligature Conductor Cvd Unit
52 OK dan ICU Instrumen Bedah Geomed Brunner Ligature Conductor Cvd Unit
53 OK dan ICU Instrumen Bedah 30cm - PT.
Geomed Fosma
Bruns Medifarma
Plaster Shear Serrated Unit
Geomed Fosma
Buck Medifarma
Foreign Body Forceps Unit
55 OK dan ICU Instrumen Bedah 13.5cm -Buck
Geomed PT. Fosma Medifarma
Ligature Sciss Str 18cm - Unit
56 OK dan ICU Instrumen Bedah PT. Fosma
Geomed Medifarma
Bunnel Hand Drill Max 4mm Unit
57 OK dan ICU Instrumen Bedah Complete - PT. Fosma
Geomed Bunnel TendonMedifarma
Stripper - PT. Unit
58 OK dan ICU Instrumen Bedah Fosma Medifarma
Geomed Bunnel Tendon Stripper Diam Unit
59 OK dan ICU Instrumen Bedah 4mm 15cm
Geomed - PT. Tendon
Bunnel Fosma Medifarma
Stripper Diam Unit
60 OK dan ICU Instrumen Bedah 5mm 15cm
Geomed - PT. Fosma
Button-End Medifarma
Probe 1mm 14.5cm Unit
61 OK dan ICU Instrumen Bedah - PT. Fosma
Geomed Medifarma
Button-End Probe 2mm 14,5cm Unit
62 OK dan ICU Instrumen Bedah - PT. Fosma
Geomed Medifarma
Button-End Probe Dia 1.5mm Unit
63 OK dan ICU Instrumen Bedah 14.5cm - PT. Fosma Medifarma
Geomed Button-End Probe Dia 1.5mm Unit
Geomed Fosma Medifarma
Button-End Probe Dia 1.5mm Unit
OK dan ICU Instrumen Bedah 20cm - PT.
Geomed Fosma Medifarma
Button-End Probe Dia 2.0mm
OK dan ICU Instrumen Bedah Geomed Caroll Tendon Tunnelling Fcps

OK dan ICU Instrumen Bedah Geomed Caspar Explorationsand

67 Koagulation - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Caspar Laminectomy Punch Str
68 4x14mm 16cm Unit

69 4x14mm 16cm - PT. Fosma Medifarma Unit

70 4x14mm 16cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Caspar Laminectomy Punch Up

OK dan ICU Instrumen Bedah Geomed Caspar Micro-Dissector Bayonet

OK dan ICU Instrumen Bedah Geomed Caspar Micro-Dissector Straight

OK dan ICU Instrumen Bedah Geomed Caspar Nerv Retractor Cvd 6mm
OK dan ICU Instrumen Bedah Geomed Caspar Nerv Retractor Cvd 8mm
OK dan ICU Instrumen Bedah Geomed Caspar Retractor Complete - PT.

OK dan ICU Instrumen Bedah Geomed Caspar Retractor - PT. Fosma

77 Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Caspar Rongeur Str 2mm

78 15.5cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Caspar Rongur Up 3mm 15.5cm

OK dan ICU Instrumen Bedah Geomed Chev-Jackson Trach Tube W

80 Obtur #1 5mm - PT. Fosma Medifarma Unit

OK dan ICU Instrumen Bedah Geomed Chev-Jackson Trach Tube

82 WObtur #6 10mm - PT. Fosma Medifarma Unit

OK dan ICU Instrumen Bedah Geomed Child Suture Clip Forceps 18cm
With Clip Holder - PT. Fosma Medifarma
84 Unit
OK dan ICU Instrumen Bedah Geomed Clar Head Light Complete 6v W

85 5mm Mirror Head Band White Adjustable Unit
Joint Incl Transformer - PT. Fosma
OK dan ICU Instrumen Bedah Geomed Clip Applying Fcps W Lock
Medifarma
86 Bayonet 17cm - PT. Fosma Medifarma Unit
221,625.00
Dinkes
221,625.00
Dinkes
667,687.50
Dinkes
481,500.00
Dinkes
481,500.00
Dinkes
481,500.00
Dinkes
481,500.00
Dinkes
558,562.50
Dinkes
5,288,062.50
Dinkes
2,622,937.50
Dinkes
2,562,187.50
Dinkes
1,035,000.00
Dinkes
1,035,000.00
Dinkes
827,437.50
Dinkes
694,687.50
Dinkes
528,187.50
Dinkes
349,875.00
Dinkes
344,250.00
Dinkes
362,250.00
Dinkes
566,437.50
Dinkes
380,250.00
Dinkes
285,187.50
Dinkes
287,437.50
Dinkes
273,937.50
Dinkes
312,750.00
Dinkes
748,125.00
Dinkes
12,500,437.50
Dinkes
1,518,187.50
Dinkes
1,518,187.50
Dinkes
1,518,187.50
Dinkes
1,518,187.50
Dinkes
1,518,187.50
Dinkes
1,134,000.00
Dinkes
1,795,500.00
Dinkes
5,165,437.50
Dinkes
5,165,437.50
Dinkes
4,779,562.50
Dinkes
3,049,875.00
Dinkes
Dinkes
1,499,062.50
Dinkes
672,187.50
Dinkes
672,187.50
Dinkes
672,187.50
Dinkes
2,790,000.00
Dinkes
7,535,250.00
Dinkes
784,687.50
Dinkes
867,937.50
Dinkes
867,937.50 Dinkes
1,050,750.00 Dinkes
1,030,500.00 Dinkes
986,062.50 Dinkes
1,172,812.50 Dinkes
1,221,187.50 Dinkes
1,145,250.00 Dinkes
726,750.00 Dinkes
11,040,187.50 Dinkes
810,562.50 Dinkes
810,562.50 Dinkes
810,562.50 Dinkes
105,750.00 Dinkes
54,000.00 Dinkes
115,312.50 Dinkes
117,000.00 Dinkes
140,062.50 Dinkes
119,812.50
Dinkes
6,761,812.50
Dinkes
1,795,500.00
Dinkes
5,803,875.00
Dinkes
5,838,750.00
Dinkes
4,855,500.00
Dinkes
5,007,937.50
Dinkes
1,450,687.50
Dinkes
1,317,375.00
Dinkes
1,684,687.50
Dinkes
1,684,687.50
Dinkes
25,629,187.50
Dinkes
16,480,125.00
Dinkes
4,720,500.00
Dinkes
4,855,500.00
Dinkes
8,440,312.50
Dinkes
8,440,312.50
Dinkes
12,891,375.00
Dinkes
14,276,250.00
Dinkes
897,750.00
Dinkes
14,149,687.50
Dinkes
7,900,312.50
Dinkes
7,900,312.50
Dinkes
ALKED & ALKES

OK dan ICU Instrumen Bedah Geomed Clip Storage Tray For 58

2 Yasargil - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Cloward Lamina Spreader Cvd

OK dan ICU Instrumen Bedah Geomed Cloward Lamina Spreader Cvd

OK dan ICU Instrumen Bedah Geomed Cloward Laminectomy

5 Retractor Compl 15cm - PT. Fosma Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Cloward 25 Cm - PT. Fosma
6 Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Coakley Antrum Curette #1






OK dan ICU Instrumen Bedah Geomed Coakley Trocar Dia 2.25mm

OK dan ICU Instrumen Bedah Geomed Cobb Elevator W Plastic

14 Handle 10mm 25cm - PT. Fosma Unit
Medifarma
15 Handle 19mm 25cm - PT. Fosma Unit
Medifarma
16 Handle - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Collin Abdominal Retractor
17 Comp 160mm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Collin Suture Clip Fcps 13cm
OK dan ICU Instrumen Bedah Geomed Collin-Duval Intestinal Fcps

OK dan ICU Instrumen Bedah Geomed Cooper Ligature Needle Cv

OK dan ICU Instrumen Bedah Geomed Cottle Elevator Double-Ended

21 4,5mm 23cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Cottle Malletdeg 30mm 300gr

OK dan ICU Instrumen Bedah Geomed Cottle Septum Osteotome Cvd

OK dan ICU Instrumen Bedah Geomed Cottle Septum Osteotome Str

24 4mm 18.5cm - PT. Fosma Medifarma Unit
25 OK dan ICU Instrumen Bedah Geomed Cottle Septum Osteotome Str Unit
7mm 18.5cm - PT. Fosma Medifarma
OK dan ICU Instrumen Bedah Geomed Cottle Septum - PT. Fosma
26 Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Cottle Septum Osteotome Str
27 9mm 18.5cm - PT. Fosma Medifarma Unit
28 OK dan ICU Instrumen Bedah Geomed Counterretractor Black Unit

Complete - PT. Fosma Medifarma
29 OK dan ICU Instrumen Bedah Geomed Coupling Head - PT. Fosma Unit
30 OK dan ICU Instrumen Bedah Medifarma
Geomed Crile Hemostatic Forceps Cvd Unit
Geomed Fosma
Crile Medifarma
Hemostatic Forceps Str Unit
32 OK dan ICU Instrumen Bedah 14cm - PT. Fosma Medifarma
Geomed Crile Needle Holder 15cm - PT. Unit
OK dan ICU Instrumen Bedah Fosma Medifarma
Geomed Crilemurray Needle Holder
OK dan ICU Instrumen Bedah 15CM

34 Unit
OK dan ICU Instrumen Bedah Geomed Crile-Wood Needle Holder

OK dan ICU Instrumen Bedah Geomed Crile-Wood Needle Holder

OK dan ICU Instrumen Bedah Geomed Cushing Dura Hook Short

OK dan ICU Instrumen Bedah Geomed Cushing Retractor 10mm

OK dan ICU Instrumen Bedah Geomed Cushing Retractor 14mm
OK dan ICU Instrumen Bedah Geomed Cushinglandolt

40 Hypophysektomie - PT. Fosma Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Dandy Dura Hook Blunt 20cm
OK dan ICU Instrumen Bedah Geomed Dandy Hemost Fcps 1x2 Cvd
OK dan ICU Instrumen Bedah Geomed Dartigues Uter Elev Fcps

OK dan ICU Instrumen Bedah Geomed Debakey Atraum Dress Fcps

44 1mm Str 16cm - PT. Fosma Medifarma Unit

45 2,0mm Str 16c - PT. Fosma Medifarma Unit

46 2,0mm Str 20cm - PT. Fosma Unit
Medifarma
33 2.0mm Str 24cm - PT. Fosma Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Debakey Titan Atraumatic
34 Fcps 2mm 16cm - PT. Fosma Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Debakey Titan Atraumatic
35 Fcps 2mm 20c - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Derf Needle Holder 12cm - PT.
OK dan ICU Instrumen Bedah Geomed Derf Nh Longitud Serr 12cm -

OK dan ICU Instrumen Bedah Ligature Needle Blunt 20cm

38 Unit
OK dan ICU Instrumen Bedah Geomed Deschamps Ligature Needle

Blunt 20cm Middle Curved For Left
39 Hand - PT. Fosma Medifarma Unit

Blunt 20cm Middle Curved For Right

Blunt 20cm Small Curved For Left
41 Unit
Hand - PT. Fosma Medifarma

Blunt 20cm Small Curved For Right
42 Unit
Blunt 21cm Large Curved For Left
43 Unit

44 Unit
Blunt 21cm Large Curved For Right
OK dan ICU Instrumen Bedah Hand
Geomed- PT. Fosma Medifarma
Deschamps Ligature Needle

47 OK dan ICU Instrumen Bedah Geomed Deschamps Ligature Needle Unit

Blunt 27cm For Left Hand - PT. Fosma
Medifarma
48 Blunt 27cm For Right Hand - PT. Unit
Fosma Medifarma



51 Sharp 20cm Middle Curved For Left Unit

Sharp 20cm Middle Curved For Right
OK dan ICU Instrumen Bedah Geomed Deschamps Ligature Needle -


Sharp 20cm Small Curved For Right

Sharp 21cm Large Curved For Left
55 Unit

Sharp 21cm Large Curved For Right
57 Sharp 27cm For Left Hand - PT. Fosma Unit
Medifarma

58 Sharp 27cm For Right Hand - PT. Unit
Fosma Medifarma
OK dan ICU Instrumen Bedah Geomed Desmarres Retractor 10mm

OK dan ICU Instrumen Bedah Geomed Desmarres Retractor 12mm

61 OK dan ICU Instrumen Bedah Geomed Diamond Grip Jacobson Unit

Titanium Ndhl 23cm - PT. Fosma
OK dan ICU Instrumen Bedah Geomed Dingmann Cartil Hold Forceps
Medifarma
62 Unit
Angled 19cm - PT. Fosma Medifarma
OK dan ICU Instrumen Bedah Geomed Diss Scissors Double-Cut Cvd
63 14,5cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Diss Scissors Double-Cut Str

OK dan ICU Instrumen Bedah Geomed Dockhorn Retractor 40x12mm

OK dan ICU Instrumen Bedah Geomed Dressing Forceps Standard Str

66 14.5cm - PT. Fosma Medifarma Unit



OK dan ICU Instrumen Bedah Geomed Dubois Kephalatom Scissors

OK dan ICU Instrumen Bedah Geomed Dubois Kephalatom Scissors

71 Str 27cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed Dura Hook Cvd Sharp 18,5cm
OK dan ICU Instrumen Bedah Geomed Echlin Bone Rong Angledto

73 Side 3mm 23cm - PT. Fosma Unit
Medifarma
OK dan ICU Instrumen Bedah Geomed Eicken Antrum Irrig Cannula
74 3.0mm 14.5cm - PT. Fosma Medifarma Unit
OK dan ICU Instrumen Bedah Geomed F-S-Kerrison 40 Down 4mm

OK dan ICU Instrumen Bedah Geomed F-S-Kerrison 40 Downward

76 2mm 18cm Without Ejector - PT. Unit
Fosma Medifarma
7,900,312.50
Dinkes
21,222,562.50
Dinkes
11,345,625.00
Dinkes
3,940,312.50
Dinkes
10,023,750.00
Dinkes
8,839,687.50
Dinkes
1,139,062.50
Dinkes
1,139,062.50
Dinkes
1,139,062.50
Dinkes
1,139,062.50
Dinkes
1,139,062.50
Dinkes
1,139,062.50
Dinkes
2,815,875.00
Dinkes
1,695,375.00
Dinkes
1,695,375.00
Dinkes
1,695,375.00
Dinkes
10,458,000.00
Dinkes
597,937.50
Dinkes
1,081,125.00
Dinkes
519,750.00
Dinkes
1,540,125.00
Dinkes
1,872,000.00
Dinkes
352,125.00
Dinkes
370,687.50
Dinkes
370,687.50 Dinkes
370,687.50
Dinkes
370,687.50
Dinkes
22,165,312.50 Dinkes
9,965,812.50 Dinkes
295,312.50 Dinkes
293,062.50 Dinkes
1,249,875.00 Dinkes
479,250.00
Dinkes
442,687.50
Dinkes
505,125.00
Dinkes
558,562.50
Dinkes
800,437.50
Dinkes
694,687.50
Dinkes
694,687.50
Dinkes
11,456,437.50
Dinkes
505,125.00
Dinkes
336,375.00
Dinkes
1,557,562.50
Dinkes
1,429,875.00
Dinkes
498,375.00
Dinkes
528,187.50
Dinkes
1,010,250.00
Dinkes
2,583,000.00
Dinkes
2,647,125.00
Dinkes
580,500.00
Dinkes
551,812.50
Dinkes
720,000.00
Dinkes
720,000.00
Dinkes
720,000.00
Dinkes
715,500.00
Dinkes
715,500.00
Dinkes
720,000.00
Dinkes
720,000.00
Dinkes
955,687.50
Dinkes
955,687.50
Dinkes
949,500.00 Dinkes
949,500.00
Dinkes
988,312.50
Dinkes
988,312.50
Dinkes
720,000.00
Dinkes
720,000.00
Dinkes
715,500.00
Dinkes
715,500.00
Dinkes
715,500.00
Dinkes
715,500.00
Dinkes
949,500.00
Dinkes
949,500.00
Dinkes
448,875.00
Dinkes
448,875.00
Dinkes
14,158,687.50 Dinkes
1,561,500.00
Dinkes
833,062.50
Dinkes
783,000.00
Dinkes
1,880,437.50
Dinkes
169,875.00
Dinkes
180,000.00
Dinkes
262,687.50
Dinkes
262,687.50
Dinkes
1,923,750.00
Dinkes
1,827,000.00
Dinkes
1,256,625.00
Dinkes
3,167,437.50
Dinkes
614,250.00
Dinkes
8,790,750.00
Dinkes
7,080,187.50
Dinkes
ALKED & ALKES

OK dan ICU - Instrumen Bedah Geomed F-S-Kerrison 40 Downward
Fosma Medifarma

Fosma Medifarma

Fosma Medifarma

4 6mm 15cm With Ejector - PT. Fosma Unit
Medifarma


Medifarma
Medifarma
Medifarma
OK dan ICU - Instrumen Bedah Geomed F-S-Kerrison 40 Up 1mm
18cm Without Ejector - PT. Fosma Unit
9 Medifarma
10 Medifarma
18cm - PT. Fosma Medifarma Unit
11
18cm Without Ejector - PT. Fosma
Unit
Medifarma
12
18cm Without Ejector, Black Coating -
Unit
PT. Fosma Medifarma
13
18cm Without Ejector, Thin Foot - PT.
Unit
Fosma Medifarma
14
18cm Without Ejector, Thin Foot Unit
15 Black Coating - PT. Fosma Medifarma
16 Medifarma
Unit
Fosma Medifarma
17
20cm Without Ejector, Thin Foot Unit
18 Black Coating - PT. Fosma Medifarma
19 Medifarma
Unit
Fosma Medifarma
20
15cm With Ejector - PT. Fosma Unit
Medifarma
21
15cm With Ejector, Thin Foot Black Unit
22
15cm with Ejector, Black Coating - PT.
Unit
Fosma Medifarma
23
24
Medifarma
25
18cm With Ejector, Black Coating - Unit
PT. Fosma Medifarma
26
18cm With Ejector, Thin Foot - PT. Unit
Fosma Medifarma
27
OK dan ICU - Instrumen Bedah Geomed F-S-Kerrison Ejector, Thin
Foot Black Coating - PT. Fosma Unit
28 Medifarma
29 Medifarma
30 PT. Fosma Medifarma
31 Coating - PT. Fosma Medifarma
20cm with Ejector, Thin Foot - PT. Unit
Fosma Medifarma
32
23cm With Ejector - PT. Fosma
Unit
Medifarma
33
23cm With Ejector, Black Coating -
Unit
PT. Fosma Medifarma
34
23cm With Ejector, Thin - PT. Fosma Unit
Medifarma
35
36
37
Fosma Medifarma
38
Medifarma
Medifarma
39
Unit
Medifarma
40
15cm With Ejector, Thin Foot - PT.
Unit
Fosma Medifarma
41
42
PT. Fosma Medifarma
OK dan ICU - Instrumen Bedah 40 Up 4mm 18cm With Ejector, Thin
Foot Unit
43
18cm with Ejector - PT. Fosma Unit
44
Medifarma
45
Medifarma
Fosma Medifarma
46
47
Medifarma
48
Fosma Medifarma
49
Medifarma
50
51
Medifarma
52
PT. Fosma Medifarma
53
Fosma Medifarma
54
20cm Dismountable - PT. Fosma Unit
55 Medifarma
56
Medifarma
57
Fosma Medifarma
20cm With - PT. Fosma Medifarma Unit
58
59
Medifarma
23cm with Ejector, Thin Foot - PT. Unit
60
Fosma Medifarma
61
Fosma Medifarma
62
Medifarma
63
Medifarma
64
Medifarma
65
Medifarma
OK dan ICU - Instrumen Bedah Geomed F-S-Kerrison Ejector - PT.
Fosma Medifarma Unit
66
Unit
67 28cm With Ejector - PT. Fosma
OK dan ICU - Instrumen Bedah Medifarma
Geomed F-S-Kerrison 40 Up 6mm
Unit
68 28cm With Ejector - PT. Fosma
Medifarma
OK dan ICU - Instrumen Bedah Geomed F-S-Kerrison 90 Down 1mm
Medifarma
69
Medifarma
70
Medifarma
71
Unit
Medifarma
72
Unit
Medifarma
73
- PT. Fosma Medifarma Unit
74
75
15cm with Ejector, Black Coating - PT. Unit
Fosma Medifarma
76
77
Unit
Medifarma
78
PT. Fosma Medifarma
79
Fosma Medifarma
80
Medifarma
81
OK dan ICU - Instrumen Bedah 90 Down 3mm 20cm With Ejector,
Black Coating Unit
82
Medifarma
83
PT. Fosma Medifarma
84
Medifarma
85
Medifarma
86
Medifarma
87
Medifarma
88
89
Medifarma
90
91
Medifarma
92
93 Medifarma
Medifarma
94
6mm 15cm With Ejector - PT. Fosma Unit
Medifarma
95
Medifarma
96
Medifarma
97
98 Medifarma
Medifarma
99
8,790,750.00
Dinkes
7,765,875.00
Dinkes
7,765,875.00
Dinkes
7,765,875.00
Dinkes
7,765,875.00
Dinkes
7,765,875.00
Dinkes
9,997,875.00
Dinkes
9,997,875.00
Dinkes
6,787,125.00
Dinkes
7,116,187.50
Dinkes
6,015,375.00
Dinkes
6,143,625.00
Dinkes
8,550,562.50
Dinkes
6,501,937.50
Dinkes
6,015,375.00
Dinkes
6,143,625.00
Dinkes
6,501,937.50
Dinkes
8,908,875.00
Dinkes
9,395,437.50
Dinkes
9,395,437.50
Dinkes
6,143,625.00
Dinkes
8,625,937.50
Dinkes
8,550,562.50
Dinkes
8,025,000.00
Dinkes
6,143,625.00
Dinkes
8,550,562.50
Dinkes
6,501,937.50
Dinkes
8,908,875.00
Dinkes
6,143,625.00
Dinkes
8,550,562.50
Dinkes
8,908,875.00
Dinkes
6,501,937.50
Dinkes
8,074,125.00
Dinkes
8,841,937.50
Dinkes
10,064,812.50
Dinkes
9,200,250.00
Dinkes
9,678,937.50
Dinkes
10,667,250.00
Dinkes
11,493,000.00
Dinkes
6,405,187.50
Dinkes
6,501,937.50
Dinkes
8,550,562.50
Dinkes
6,501,937.50
Dinkes
6,143,625.00
Dinkes
6,143,625.00
Dinkes
9,161,437.50
Dinkes
8,908,875.00
Dinkes
8,696,250.00
Dinkes
10,064,812.50
Dinkes
6,143,625.00
Dinkes
8,025,000.00
Dinkes
6,143,625.00
Dinkes
8,550,562.50
Dinkes
6,501,937.50
Dinkes
8,368,875.00
Dinkes
6,143,625.00
Dinkes
6,501,937.50
Dinkes
8,908,875.00
Dinkes
10,064,812.50
Dinkes
10,064,812.50
Dinkes
9,678,937.50
Dinkes
9,433,125.00
Dinkes
8,146,125.00
Dinkes
8,146,125.00
Dinkes
8,146,125.00
Dinkes
9,774,562.50
Dinkes
10,421,437.50
Dinkes
11,260,125.00
Dinkes
8,187,750.00
Dinkes
7,116,187.50
Dinkes
6,143,625.00
Dinkes
6,641,437.50
Dinkes
10,321,875.00
Dinkes
7,116,187.50
Dinkes
8,908,875.00
Dinkes
8,550,562.50
Dinkes
8,025,000.00
Dinkes
6,143,625.00
Dinkes
8,561,812.50
Dinkes
6,501,937.50
Dinkes
7,116,187.50
Dinkes
8,550,562.50
Dinkes
10,321,875.00
Dinkes
8,841,937.50
Dinkes
7,116,187.50
Dinkes
6,285,937.50
Dinkes
7,175,250.00
Dinkes
10,321,875.00
Dinkes
6,760,125.00
Dinkes
6,760,125.00
Dinkes
8,025,000.00
Dinkes
6,143,625.00
Dinkes
6,760,125.00
Dinkes
10,321,875.00
Dinkes
IDR 7,699,500.00
Dinkes
7,699,500.00
Dinkes
7,699,500.00
Dinkes
9,997,875.00
Dinkes
9,997,875.00
Dinkes
Jenis Barang/Jasa Merk/Type/Spesifikasi/Ukuran Satuan
ALKED & ALKES

1 OK dan ICU -Instrumen Bedah Geomed F-S-Kerrison Detach 90 Down Unit
1mm 15cm With Ejector, Thin Foot - PT.
Fosma Medifarma

1mm 18cm With Ejector - PT. Fosma
Medifarma

Fosma Medifarma

Medifarma
5 OK dan ICU -Instrumen Bedah Geomed Down 1mm 23cm With Ejector Unit
Fosma Medifarma

Medifarma
Medifarma

Medifarma

Medifarma
12 OK dan ICU -Instrumen Bedah Medifarma
Geomed F-S-Kerrison Ejector - PT. Unit
Fosma Medifarma

Medifarma

Medifarma
Medifarma
Medifarma

Fosma Medifarma

Medifarma

Medifarma

22 OK dan ICU -Instrumen Bedah Medifarma
Geomed F-S-Kerrison Detach 90 Down Unit
Medifarma

Medifarma
24 OK dan ICU -Instrumen Bedah Geomed F-S-Kerrison Detach 90 Up Unit

Medifarma

Medifarma

Medifarma
27 OK dan ICU -Instrumen Bedah 2mm 15cm With Ejector- Unit

Fosma Medifarma

Medifarma

Fosma Medifarma

Medifarma

Fosma Medifarma

Medifarma

2mm 23cm With Ejector, Black Coating

Fosma Medifarma

Medifarma

Fosma Medifarma

Fosma Medifarma

3mm 18cmwith Ejector - PT. Fosma
Medifarma
Medifarma

Medifarma
42 OK dan ICU -Instrumen Bedah Geomed With Ejector, Black Coating - Unit
PT. Fosma Medifarma

Fosma Medifarma

Medifarma

4mm 15cm With Eject - PT. Fosma
Medifarma

Medifarma

Fosma Medifarma

Medifarma

Fosma Medifarma

Medifarma


Fosma Medifarma

Medifarma

Fosma Medifarma

Medifarma

Fosma Medifarma
57 OK dan ICU -Instrumen Bedah 5mm 20cm With Ejector - Unit

Fosma Medifarma

Medifarma

Fosma Medifarma
62 OK dan ICU -Instrumen Bedah Geomed F-S-Kerrison Detach. 40 Up Unit

Medifarma
63 OK dan ICU -Instrumen Bedah Geomed Farabeuf Retractor Set #1-2 Unit
64 OK dan ICU -Instrumen Bedah Geomed Farrell Cottom Applic Rd Serr Unit
0.9mm/14cm - PT. Fosma Medifarma
65 OK dan ICU -Instrumen Bedah Geomed Farrell Cotton Applic Rd Serr Unit
1.1mm/16cm - PT. Fosma Medifarma
66 OK dan ICU -Instrumen Bedah Geomed Ferrozell Ligature Guide Str Unit
67 OK dan ICU -Instrumen Bedah Geomed Finocchietto Needle Holder Unit

Curved 27cm - PT. Fosma Medifarma
68 OK dan ICU -Instrumen Bedah Geomed Foerster Sponge Hold Fcps Serr Unit
Str 18cm - PT. Fosma Medifarma
Str - PT. Fosma Medifarma
73 OK dan ICU -Instrumen Bedah Geomed Fomon Septum Osteotome Str Unit
5mm 16cm - PT. Fosma Medifarma
74 OK dan ICU -Instrumen Bedah Geomed Frame Only Spread 60mm - PT. Unit
Fosma Medifarma
75 OK dan ICU -Instrumen Bedah Geomed Frazier Suction Tube 7 Fr - PT. Unit
Fosma Medifarma
76 OK dan ICU -Instrumen Bedah Geomed Frazier Suction Tube 9 Fr - PT. Unit
Fosma Medifarma
77 OK dan ICU -Instrumen Bedah Geomed Frazier Suction Tube 11 Fr - Unit

PT. Fosma Medifarma
78 OK dan ICU -Instrumen Bedah Geomed Frazier Suction Tube 2,7mm Unit
79 OK dan ICU -Instrumen Bedah Geomed Frazier Suction Tube 2.7mm Unit
19cm PT. Fosma Medifarma
81 OK dan ICU -Instrumen Bedah Geomed Frazier Suction Tube - PT. Unit
Fosma Medifarma
85 OK dan ICU -Instrumen Bedah Geomed Frazier Ventricular Cannula Str Unit
86 OK dan ICU -Instrumen Bedah Geomed Frazier Ventricular Cannula Str Unit
87 OK dan ICU -Instrumen Bedah Geomed Freer Septum Elevat Sh/Bl Unit
5mm/5mm 18cm - PT. Fosma
Medifarma
Medifarma
Medifarma
Medifarma
91 OK dan ICU -Instrumen Bedah Geomed Friedman Bone Rongeur 30deg Unit
Dull Brushed Finished 14cm - PT.
Fosma Medifarma
92 OK dan ICU -Instrumen Bedah Geomed Fritsch Retractor 40x50mm Unit

93 OK dan ICU -Instrumen Bedah Geomed Geomed Bone Wire Tighteners Unit
17cm PT. Fosma Medifarma
94 OK dan ICU -Instrumen Bedah Geomed Geomed Instruoil Bottle 250ml Unit
Instrument Maintenance Oil - PT.
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
InstrumentMaintenance Oil - PT. Fosma
Medifarma
Instrument Maintenance Oil- PT. Fosma
Medifarma
9,985,500.00 Dinkes
9,627,187.50 Dinkes
9,669,937.50 Dinkes
9,627,187.50 Dinkes
10,058,625.00 Dinkes
10,416,375.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
9,331,875.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
9,331,875.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,331,875.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
9,331,875.00 Dinkes
9,627,187.50 Dinkes
9,627,187.50 Dinkes
10,058,625.00 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
9,331,875.00 Dinkes
10,377,000.00 Dinkes
9,689,625.00 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
8,892,000.00 Dinkes
9,331,875.00 Dinkes
10,377,000.00 Dinkes
9,689,625.00 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
9,331,875.00 Dinkes
10,377,000.00 Dinkes
9,689,625.00 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
8,892,000.00 Dinkes
9,251,437.50 Dinkes
9,331,875.00 Dinkes
10,377,000.00 Dinkes
9,689,625.00 Dinkes
9,627,187.50 Dinkes
289,687.50 Dinkes
122,062.50 Dinkes
122,062.50 Dinkes
1,071,562.50 Dinkes
992,812.50 Dinkes
484,875.00 Dinkes
484,875.00 Dinkes
582,187.50 Dinkes
582,187.50 Dinkes
582,187.50 Dinkes
754,875.00 Dinkes
11,674,125.00 Dinkes
590,625.00 Dinkes
590,625.00 Dinkes
590,625.00 Dinkes
524,250.00 Dinkes
465,750.00 Dinkes
465,750.00 Dinkes
524,250.00 Dinkes
465,750.00 Dinkes
465,750.00 Dinkes
465,750.00 Dinkes
700,312.50 Dinkes
700,312.50 Dinkes
576,000.00 Dinkes
576,000.00 Dinkes
576,000.00 Dinkes
576,000.00 Dinkes
1,145,250.00 Dinkes
1,455,187.50 Dinkes
1,573,875.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
ALKED & ALKES

1 OK dan ICU -Instrumen Bedah Geomed geomed Instruoil Bottle 250ml
2 OK dan ICU -Instrumen Bedah Geomed Geomed Instruoil Bottle 250ml


Medifarma Unit

Medifarma Unit

Instrument - PT. Fosma Medifarma
Unit

Instrument Maintenance Oil - PT. Unit
Fosma Medifarma
7 OK dan ICU -Instrumen Bedah Geomed Geomed Supercut Mayo

Scissors Cvd 17cm - PT. Fosma
Unit
Medifarma
8 OK dan ICU -Instrumen Bedah Geomed Geomed Supercut Metzenbaum

9 OK dan ICU -Instrumen Bedah Geomed Gerald Forceps Titanium 1mm

18cm- PT. Fosma Medifarma Unit
10 OK dan ICU -Instrumen Bedah Geomed Gerald Tissue Fcps 1x2 T 17cm
11 OK dan ICU -Instrumen Bedah Geomed Gersterlowman Distraction Vise

12 OK dan ICU -Instrumen Bedah Geomed Gillies Hook Large 18cm - PT.
13 OK dan ICU -Instrumen Bedah Geomed Gillies Hook Small 18cm - PT.
Fosma Medifarma
Unit
14 OK dan ICU -Instrumen Bedah Geomed Gillies Needle Holder 16cm -

PT. Fosma Medifarma Unit
15 OK dan ICU -Instrumen Bedah Geomed Gillies Needle Holder Str 16cm
16 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Lexer Scs Cvd 16cm -
17 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Mayo Dissect Sciss

Cvd 17cm - PT. Fosma Medifarma Unit
18 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Mayo Dissect Sciss

19 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Mayo-Stille Scissor

20 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Mayo-Stille Scissor
Str 17cm - PT. Fosma Medifarma Unit
21 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Metz Scs Fine Bl/Bl
Cvd 14,5cm - PT. Fosma Medifarma Unit
22 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Metzenbaum Scissor

23 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Metzenbaum Scissor

Cvd - PT. Fosma Medifarma Unit
24 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Plus Lexer Cvd 16cm
25 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Plus Lexer Str 16cm -
26 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Plus Metzenbaum



Cvd 23cm- PT. Fosma Medifarma Unit
29 OK dan ICU -nstrumen Bedah Geomed Gold-Cut Plus Toennis-Adson

Cvd 17,5cm - PT. Fosma Medifarma
Unit
30 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Sciss Super Metz

Plus Cvd 18cm - PT. Fosma Medifarma Unit


33 OK dan ICU -Instrumen Bedah Super Metz Plus Cvd 18cm -

Unit

Plus Cvd 18cm - PT. Fosma Medifarma
Unit



38 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Super Plus

Metzenbaum Cvd 14,5 - PT. Fosma Unit
Medifarma
39 OK dan ICU -Instrumen Bedah Geomed Gold-Cut Suture Scs Bl/Bl Cvd
40 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Adson Tissue

Forceps 1x2t 12cm - PT. Fosma Unit
Medifarma
41 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Baby Crile-W Nh
Unit
42 OK dan ICU -Instrumen Bedah Crile-Wood Ndhl P04 15cm -
Unit
43 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Crile-Wood Ndhl P04


Unit

46 OK dan ICU -Instrumen Bedah Geomed Gold-Grip De Bakey Ndhl P04

47 OK dan ICU -Instrumen Bedah Geomed Gold-Grip De Bakey Ndhl P04

48 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Debakey Needle Hold

P04 19,5cm - PT. Fosma Medifarma Unit
49 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Derf Needleholder

P04 12cm - PT. Fosma Medifarma
Unit
50 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Gruenwald Fcps

Bajo Groov 18, - PT. Fosma Medifarma
Unit
51 OK dan ICU -Instrumen Bedah Holder P04 13cm - Unit

52 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Halsey Titan Needle
Holder P04 - PT. Fosma Medifarma Unit
53 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Mayo-Hegar Ndhl

P05 16cm - PT. Fosma Medifarma Unit

Unit
Unit
Unit
Unit
58 OK dan ICU -Instrumen Bedah Geomed Gold-Grip Wangensteen Needle
Holder 27cm - PT. Fosma Medifarma Unit
59 OK dan ICU -Instrumen Bedah Geomed Graefe Hook Sharp 16cm - PT.
60 OK dan ICU -Instrumen Bedah Scissors 10cm

Unit
61 OK dan ICU -Instrumen Bedah Geomed Grooved Director 14,5cm - PT.



64 OK dan ICU -Instrumen Bedah Geomed Gross Foreign Body Spud Blunt
65 OK dan ICU -Instrumen Bedah Geomed Gross-Maier Fcps Cvd 25cm -
66 OK dan ICU -Instrumen Bedah Geomed Gross-Maier Fcps Str 25cm -

67 OK dan ICU -Instrumen Bedah Geomed Gross-Maier Sponge Holding

Fcps Cvd 20cm - PT. Fosma Medifarma Unit

Fcps Str 25cm - PT. Fosma Medifarma Unit
69 OK dan ICU -Instrumen Bedah Geomed Gross-Maier - PT. Fosma

Medifarma Unit

Fcps Str 25cm - PT. Fosma Medifarma Unit
71 OK dan ICU -Instrumen Bedah Geomed Gruenwald Nasal Dressing

Forceps 20cm - PT. Fosma Medifarma Unit


74 OK dan ICU -Instrumen Bedah Geomed Haberer Abdominal Spatula

25x30mm 28cm - PT. Fosma Medifarma Unit
75 OK dan ICU -Instrumen Bedah Geomed Hajek Mallet Solid Steel 200g
76 OK dan ICU -Instrumen Bedah Geomed Halsey Needle Holder Serrated

Jaw 13cm - PT. Fosma Medifarma Unit
77 OK dan ICU -Instrumen Bedah Geomed Halsey Needle Holder Smooth

Jaw 13cm - PT. Fosma Medifarma Unit
78 OK dan ICU -Instrumen Bedah Geomed Halstead-Mosq - PT. Fosma

Medifarma Unit
79 OK dan ICU -Instrumen Bedah Geomed Halsteadmosquito Hemost Fcps

Cvd 12.5cm - PT. Fosma Medifarma Unit







Str 12.5cm - PT. Fosma Medifarma Unit




92 OK dan ICU -Instrumen Bedah Geomed Halsteadmosquito Hemost Fc -

93 OK dan ICU -Instrumen Bedah Geomed Halsted Hemostatic Forceps Str

18cm- PT. Fosma Medifarma Unit
94 OK dan ICU -Instrumen Bedah Geomed Halsted Hemostatic Forceps Str

95 OK dan ICU -Instrumen Bedah Geomed Hardy Curette Bayonet 3mm

Ang Left 45 - PT. Fosma Medifarma Unit

Ang Right 45 - PT. Fosma Medifarma Unit

Ang Right 90 - PT. Fosma Medifarma Unit

Left Cvd - PT. Fosma Medifarma Unit

Right Cvd - PT. Fosma Medifarma Unit
Ang Left 45 - PT. Fosma Medifarma Unit
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
441,000.00 Dinkes
624,375.00 Dinkes
996,750.00 Dinkes
11,135,812.50 Dinkes
426,937.50 Dinkes
4,680,000.00 Dinkes
452,250.00 Dinkes
452,250.00 Dinkes
1,369,687.50 Dinkes
903,375.00 Dinkes
1,824,187.50 Dinkes
952,312.50 Dinkes
1,021,500.00 Dinkes
986,625.00 Dinkes
945,562.50 Dinkes
969,187.50 Dinkes
959,062.50 Dinkes
959,062.50 Dinkes
2,603,812.50 Dinkes
2,603,812.50 Dinkes
516,937.50 Dinkes
2,870,437.50 Dinkes
2,959,875.00 Dinkes
2,603,812.50 Dinkes
221,625.00 Dinkes
2,603,812.50 Dinkes
2,603,812.50 Dinkes
IDR Dinkes
2,603,812.50
2,603,812.50 Dinkes
2,603,812.50 Dinkes
2,603,812.50 Dinkes
2,603,812.50 Dinkes
2,313,562.50 Dinkes
3,038,625.00 Dinkes
1,533,937.50 Dinkes
1,276,875.00 Dinkes
858,375.00 Dinkes
858,375.00 Dinkes
858,375.00 Dinkes
1,463,062.50 Dinkes
901,125.00 Dinkes
901,125.00 Dinkes
5,043,937.50 Dinkes
875,812.50 Dinkes
1,321,875.00 Dinkes
875,812.50 Dinkes
11,581,875.00 Dinkes
840,937.50 Dinkes
840,937.50 Dinkes
916,312.50 Dinkes
901,125.00 Dinkes
2,046,937.50 Dinkes
1,591,875.00 Dinkes
627,750.00 Dinkes
1,139,062.50 Dinkes
92,250.00 Dinkes
92,250.00 Dinkes
92,250.00 Dinkes
498,375.00 Dinkes
643,500.00 Dinkes
643,500.00 Dinkes
491,062.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
496,125.00 Dinkes
496,125.00 Dinkes
496,125.00 Dinkes
483,750.00 Dinkes
1,302,750.00 Dinkes
506,812.50 Dinkes
506,812.50 Dinkes
315,562.50 Dinkes
295,312.50 Dinkes
295,312.50 Dinkes
295,312.50 Dinkes
295,312.50 Dinkes
295,312.50 Dinkes
295,312.50 Dinkes
295,312.50 Dinkes
289,687.50 Dinkes
289,687.50 Dinkes
289,687.50 Dinkes
289,687.50 Dinkes
289,687.50 Dinkes
289,687.50 Dinkes
311,062.50 Dinkes
553,500.00 Dinkes
591,750.00 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
ALKED & ALKES

1 OK dan ICU - Instrumen Bedah Geomed Hardy Curette Bayonet 5mm Unit
Ang Right 45 - PT. Fosma Medifarma
Ang Up 24cm - PT. Fosma Medifarma
Left Cvd - PT. Fosma Medifarma
Right Cvd - PT. Fosma Medifarma
7 OK dan ICU - Instrumen Bedah Unit
8 OK dan ICU - Instrumen Bedah Geomed Hardyfahlbusch Diss Left Unit

Sharp 24,5cm - PT. Fosma Medifarma
9 OK dan ICU - Instrumen Bedah Geomed Hartmann Ear Polypus Fcps Unit
Stand Mod 13cm - PT. Fosma
Medifarma
10 OK dan ICU - Instrumen Bedah Geomed Hartmann Tuning Fork C Unit

128hz - PT. Fosma Medifarma
11 OK dan ICU - Instrumen Bedah Geomed Hartmann Tuning Fork C1 Unit

256hz - PT. Fosma Medifarma
12 OK dan ICU - Instrumen Bedah Geomed Hartmann-Halle Nasal Specula Unit

13 OK dan ICU - Instrumen Bedah Geomed Hartmann-Halle Nasal Specula Unit

14 OK dan ICU - Instrumen Bedah Geomed Hartmannwullstein Ear Unit

Forceps 8,5cm - PT. Fosma Medifarma
15 OK dan ICU - Instrumen Bedah Geomed Heaney Needle Holder Curved Unit
16 OK dan ICU - Instrumen Bedah Geomed Hegarbaumgartner Needle Unit

Holder 14cm - PT. Fosma Medifarma
17 OK dan ICU - Instrumen Bedah Geomed Hegenbarth Suture Clip Unit

Forceps 12.5cm - PT. Fosma Medifarma
18 OK dan ICU - Instrumen Bedah Geomed Heifetz Spatulas 7+8mm 20cm Unit
19 OK dan ICU - Instrumen Bedah Geomed Heifetz Spatulas 7+8mm 20cm Unit
20 OK dan ICU - Instrumen Bedah Geomed Heifetz Spatulas 10+11mm Unit
21 OK dan ICU - Instrumen Bedah Geomed Heifetz Spatulas 13+14mm Unit

22 OK dan ICU - Instrumen Bedah Geomed Heifetz Spatulas 16x17mm Unit



25 OK dan ICU - Instrumen Bedah Geomed Heiss Hemostatic Forceps Str Unit
26 OK dan ICU - Instrumen Bedah Geomed Hennig Plaster Cast Spreader Unit
27 OK dan ICU - Instrumen Bedah Geomed Hibbs Gouge 10mm 24cm - PT. Unit
Fosma Medifarma
28 OK dan ICU - Instrumen Bedah Geomed Hoesel Needle Holder 25cm - Unit
PT. Fosma Medifarma
29 OK dan ICU - Instrumen Bedah Geomed Hook #4 Sharp 16cm - PT. Unit
Fosma Medifarma
30 OK dan ICU - Instrumen Bedah Geomed Hook #4 Sharp 16cm - PT. Unit
Fosma Medifarma
31 OK dan ICU - Instrumen Bedah Geomed Hook Fine Pattern 1 Prong Unit
Blunt 16cm - PT. Fosma Medifarma
32 OK dan ICU - Instrumen Bedah Geomed Incision Scissors Sh/Bl Str Unit
33 OK dan ICU - Instrumen Bedah Geomed Incision Scissors Sh/Bl Str Unit
34 OK dan ICU - Instrumen Bedah Geomed Jackson Tracheal Hook 15cm - Unit
PT. Fosma Medifarma
35 OK dan ICU - Instrumen Bedah Geomed Jacobs Hand Drill Max Diam Unit
6.35mm 14cm - PT. Fosma Medifarma
36 OK dan ICU - Instrumen Bedah Geomed Jacobson Vessel Knife 18,5cm - Unit
PT. Fosma Medifarma
38 OK dan ICU - Instrumen Bedah Geomed Jameson Needle Holder 23cm - Unit
PT. Fosma Medifarma
39 OK dan ICU - Instrumen Bedah Geomed Jannetta Spatula 70 X 15mm Unit

40 OK dan ICU - Instrumen Bedah Geomed Jannetta Spatula 75 X 25 Mm Unit

41 OK dan ICU - Instrumen Bedah Geomed Jannetta Spatula 75 X20Mm, Unit

42 OK dan ICU - Instrumen Bedah Geomed Jannetta Spatula 95 X 5 Mm Unit

43 OK dan ICU - Instrumen Bedah Geomed Jansenmiddleton Septum Unit

Forceps 19cm Cutting Through - PT.
Fosma Medifarma
44 OK dan ICU - Instrumen Bedah Geomed Jansenmiddleton Septum Unit
Forceps 19cm Spoon Shaped Jaw - PT.
Fosma Medifarma
45 OK dan ICU - Instrumen Bedah Geomed Johnson Needle Holder Cvd Unit
46 OK dan ICU - Instrumen Bedah Geomed Joseph Elevator W.Smooth Unit

Hollow Handle - PT. Fosma Medifarma
48 OK dan ICU - Instrumen Bedah Geomed Joseph Rhinoplasik Hooklet Unit

Sharp 15cm - PT. Fosma Medifarma
49 OK dan ICU - Instrumen Bedah Geomed Kahn Dissecting Scissors Bl/Bl Unit
Cvd 14,5cm - PT. Fosma Medifarma
50 OK dan ICU - Instrumen Bedah Geomed Kahn Dissecting Scissors Bl/Bl Unit
Str 14,5cm - PT. Fosma Medifarma
51 OK dan ICU - Instrumen Bedah Geomed Kerrison Black Thin Foot 90 Unit
Down 3mm 18 - PT. Fosma Medifarma
54 OK dan ICU - Instrumen Bedah Geomed Kerrison Bone Punch 3mm Unit
57 OK dan ICU - Instrumen Bedah With Ejector, Thin Foot - Unit
58 OK dan ICU - Instrumen Bedah Geomed Kerrison Punch Up 40 3mm Unit

Medifarma
59 OK dan ICU - Instrumen Bedah Geomed Kerrison Punch Up 40 5mm Unit
Medifarma
60 OK dan ICU - Instrumen Bedah Geomed Kidney Bowl 20.5cm 4.2cm Unit
0.35l - PT. Fosma Medifarma
61 OK dan ICU - Instrumen Bedah Geomed Kidney Bowl 25cm 3.9cm 0.50l Unit
62 OK dan ICU - Instrumen Bedah Geomed Kidney Bowl 25cm 3.9cm 0.50l Unit
63 OK dan ICU - Instrumen Bedah Geomed Killian Septum Elevator - PT. Unit
Fosma Medifarma
64 OK dan ICU - Instrumen Bedah Geomed Kilner (Ragnell) Diss Scissor Str Unit
65 OK dan ICU - Instrumen Bedah Geomed Kilner Dissecting Scissor Cvd Unit
66 OK dan ICU - Instrumen Bedah Geomed Kilner Dissecting Scissor Unit
Delicate Sh/Sh Str 11,5cm - PT. Fosma
Medifarma
67 OK dan ICU - Instrumen Bedah 13,5CM Unit
68 OK dan ICU - Instrumen Bedah Geomed Kilner Scissors Cvd 12cm - PT. Unit
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
71 OK dan ICU - Instrumen Bedah Geomed Kirschner Abdom Retract Unit

Round Complete - PT. Fosma Medifarma
72 OK dan ICU - Instrumen Bedah Geomed Kirschner Lig Carr Plast Hand - Unit
PT. Fosma Medifarma
73 OK dan ICU - Instrumen Bedah Geomed Kirschner Ligature Conductor - Unit

PT. Fosma Medifarma
74 OK dan ICU - Instrumen Bedah Geomed Kirschner Wire 10pcs Flat Dia Unit
77 OK dan ICU Tendon Tunnelling Forceps Unit
78 OK dan ICU - Instrumen Bedah Geomed Kocher Guiding Probes 11mm Unit
16cm Long - PT. Fosma Medifarma
79 OK dan ICU - Instrumen Bedah Geomed Kocher Guiding Probes 12mm Unit
17cm Long - PT. Fosma Medifarma
80 OK dan ICU - Instrumen Bedah Geomed Kocher Hemostat Fcps Fine Unit
1x2t Cvd 16cm - PT. Fosma Medifarma
1x2t Str 13cm - PT. Fosma Medifarma
84 OK dan ICU - Instrumen Bedah Geomed Kocher Hemostatic Forceps Unit



1x2t Str - PT. Fosma Medifarma


90 OK dan ICU - Instrumen Bedah Geomed Kocher Retractor 1 Prong Unit

Sharp 22cm - PT. Fosma Medifarma
91 OK dan ICU - Instrumen Bedah Geomed Kocher Retractor 40x18mm Unit

92 OK dan ICU - Instrumen Bedah Geomed Kocherlangenbeck Retractor Unit

5x8mm 21cm - PT. Fosma Medifarma
93 OK dan ICU - Instrumen Bedah Geomed Kocherlangenbeck Retractor Unit

94 OK dan ICU - Instrumen Bedah Geomed Koenig Ligature Conduct Cvd Unit
2,8mm 19,5cm - PT. Fosma Medifarma
2,8mm 19,5cm - PT. Fosma Medifarma
96 OK dan ICU - CONDUCT CVD 5MM 19,5CM Unit
7mm 19,5cm - PT. Fosma Medifarma
98 OK dan ICU - Instrumen Bedah Geomed Koenig Retractor 13x13mm Unit

99 OK dan ICU - Instrumen Bedah Geomed Krmer Retractor 66x10mm Unit

100 OK dan ICU - Instrumen Bedah Geomed Krause Ear Polypus Snare Unit
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
2,566,687.50 Dinkes
1,884,937.50 Dinkes
1,884,937.50 Dinkes
1,797,187.50 Dinkes
1,145,250.00 Dinkes
983,250.00 Dinkes
821,812.50 Dinkes
821,812.50 Dinkes
2,923,875.00 Dinkes
1,154,812.50 Dinkes
506,812.50 Dinkes
580,500.00 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
516,937.50 Dinkes
644,625.00 Dinkes
1,834,875.00 Dinkes
1,121,625.00 Dinkes
2,685,375.00 Dinkes
725,625.00 Dinkes
725,625.00 Dinkes
343,125.00 Dinkes
389,812.50 Dinkes
407,812.50 Dinkes
470,250.00 Dinkes
6,705,000.00 Dinkes
2,246,062.50 Dinkes
978,750.00 Dinkes
759,375.00 Dinkes
487,687.50 Dinkes
487,687.50 Dinkes
487,687.50 Dinkes
513,562.50 Dinkes
7,341,187.50 Dinkes
7,842,937.50 Dinkes
1,059,187.50 Dinkes
636,750.00 Dinkes
1,078,312.50 Dinkes
416,812.50 Dinkes
986,062.50 Dinkes
914,625.00 Dinkes
8,908,875.00 Dinkes
8,908,875.00 Dinkes
9,200,250.00 Dinkes
6,782,062.50 Dinkes
6,711,750.00 Dinkes
6,711,750.00 Dinkes
9,251,437.50 Dinkes
7,560,562.50 Dinkes
7,560,562.50 Dinkes
211,500.00 Dinkes
231,187.50 Dinkes
231,187.50 Dinkes
795,937.50 Dinkes
608,625.00 Dinkes
655,875.00 Dinkes
891,000.00 Dinkes
1,476,000.00 Dinkes
433,125.00 Dinkes
435,937.50 Dinkes
435,937.50 Dinkes
13,060,687.50 Dinkes
1,092,375.00 Dinkes
916,312.50 Dinkes
304,312.50 Dinkes
304,312.50 Dinkes
304,312.50 Dinkes
5,202,000.00 Dinkes
671,062.50 Dinkes
671,062.50 Dinkes
378,000.00 Dinkes
381,937.50 Dinkes
338,625.00 Dinkes
338,625.00 Dinkes
475,875.00 Dinkes
703,687.50 Dinkes
455,625.00 Dinkes
455,625.00 Dinkes
683,437.50 Dinkes
683,437.50 Dinkes
821,812.50 Dinkes
953,437.50 Dinkes
759,375.00 Dinkes
759,375.00 Dinkes
806,625.00 Dinkes
806,625.00 Dinkes
806,625.00 Dinkes
806,625.00 Dinkes
657,562.50 Dinkes
2,819,250.00 Dinkes
1,806,187.50 Dinkes
ALKED & ALKES

1 OK dan ICU Instrumen Bedah Geomed Kronecker Ligat Needle Left Cvd Bl Unit
2 OK dan ICU Instrumen Bedah Geomed Kronecker Ligat Needle Right Cvd Bl Unit
3 OK dan ICU Instrumen Bedah Geomed Laboratory Bowl 0,4 L 11cm - PT. Unit
Fosma Medifarma
4 OK dan ICU Instrumen Bedah Geomed Laboratory Bowl 0.02 L 4cm - PT. Unit
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
7 OK dan ICU Instrumen Bedah Geomed Laboratory Bowl 0.16 L 8,5cm - Unit
PT. Fosma Medifarma
8 OK dan ICU Instrumen Bedah Geomed Laboratory Bowl 0.16 L 8,5cm - Unit
PT. Fosma Medifarma
9 OK dan ICU Instrumen Bedah Geomed Laborde Tracheal Dilator 14cm - Unit
PT. Fosma Medifarma
10 OK dan ICU Instrumen Bedah Geomed Landolt Enucleat Scissors Bl/Bl Cvd Unit
11 OK dan ICU Instrumen Bedah Geomed Landolt Enucleat Scissors Bl/Bl Unit
Heavy Cvd 12,5cm - PT. Fosma Medifarma
12 OK dan ICU Instrumen Bedah Geomed Landolt Hook Blunt Bayon Malleable Unit
13 OK dan ICU Instrumen Bedah Geomed Landolt Reulen Raspatory 2,2mm Unit
14 OK dan ICU Instrumen Bedah Geomed Landolt Scalpel Handle Bay 21cm - Unit
PT. Fosma Medifarma
15 OK dan ICU Instrumen Bedah Geomed Landolt Scalpel Handle Bay 21cm - Unit
PT. Fosma Medifarma
16 OK dan ICU Instrumen Bedah Geomed Landolt Scope Bayonet Malleable Unit
17 OK dan ICU Instrumen Bedah Geomed Landolt Spreader For Specula 21cm Unit
18 OK dan ICU Instrumen Bedah Geomed 21cm - PT. Fosma Medifarma Unit
19 OK dan ICU Instrumen Bedah Geomed Langenbeck Elevator Light Cv 8mm Unit
20 OK dan ICU Instrumen Bedah Geomed Langenbeck Periosteal Raspatorie Unit

17mm 19 - PT. Fosma Medifarma
21 OK dan ICU Instrumen Bedah Geomed Langenbeck-Green Retractor Unit
22 OK dan ICU Instrumen Bedah Geomed Langenbeck-Green Retractor Unit

23 OK dan ICU Instrumen Bedah Geomed Laryngeal Mirror W/O Handle #1 Unit
24 OK dan ICU Instrumen Bedah Geomed Laryngeal Mirror W/O Handle #3 Unit
16mm- PT. Fosma Medifarma
25 OK dan ICU Instrumen Bedah Geomed Lateral Blade Black 35mm - PT. Unit
Fosma Medifarma
Fosma Medifarma
Fosma Medifarma
28 OK dan ICU Instrumen Bedah Geomed Lateral Blade Black 50mm- PT. Unit
Fosma Medifarma
Fosma Medifarma
30 OK dan ICU Instrumen Bedah Geomed Lateral Blade For Nl 330-00, 40mm Unit
31 OK dan ICU Instrumen Bedah Geomed Lateral Blade For Nl 330-00, 45mm- Unit
PT. Fosma Medifarma
40 OK dan ICU Instrumen Bedah Geomed Lateral Blades F Nl 330-00, 65mm - Unit
PT. Fosma Medifarma
41 OK dan ICU Instrumen Bedah Geomed Leksellstille Bone Rongeur Str 8mm Unit
42 OK dan ICU Instrumen Bedah Geomed Leriche Hemostatic Forceps Str Unit
43 OK dan ICU Instrumen Bedah Geomed Lexer Scissors Cvd 16cm - PT. Unit
Fosma Medifarma
44 OK dan ICU Instrumen Bedah Geomed Lexer Scissors Str 16cm - PT. Unit
Fosma Medifarma
45 OK dan ICU Instrumen Bedah Geomed Leyla Ball And Socket Joint For Unit
Fixation - PT. Fosma Medifarma
46 OK dan ICU Instrumen Bedah Geomed Leyla Coupl Head T Take 1-5 Flex Unit
Arms - PT. Fosma Medifarma
47 OK dan ICU Instrumen Bedah Geomed Leyla Fixation Base F 1 Flexible Arm Unit
48 OK dan ICU Instrumen Bedah Geomed Leyla Fixation Base For 2 Flexible Unit
Arm - PT. Fosma Medifarma
49 OK dan ICU Instrumen Bedah Geomed Leyla Fixation Base For Mounting Unit
To Bars - PT. Fosma Medifarma
50 OK dan ICU Instrumen Bedah Geomed Leyla Fixed Holding Arm - PT. Unit
Fosma Medifarma
51 OK dan ICU Instrumen Bedah Geomed Leyla Flexible Arm F Attach Couple Unit
Heads - PT. Fosma Medifarma
52 OK dan ICU Instrumen Bedah Geomed Leyla Support Brain Spatulas Compl Unit
53 OK dan ICU Instrumen Bedah Geomed Leyla Support For Curved Spatula - Unit
PT. Fosma Medifarma
54 OK dan ICU Instrumen Bedah Geomed Leyla Support For Flat Spatulas - Unit
PT. Fosma Medifarma
55 OK dan ICU Instrumen Bedah Geomed Ligature Conductor 28cm - PT. Unit
Fosma Medifarma
56 OK dan ICU Instrumen Bedah Geomed Ligature Conductor Cvd 19cm - PT. Unit
Fosma Medifarma
57 OK dan ICU Instrumen Bedah Geomed Ligature Conductor Ferrozell Cv Unit

58 OK dan ICU Instrumen Bedah Geomed Ligature Needle 20cm - PT. Fosma Unit
Medifarma
59 OK dan ICU Instrumen Bedah Geomed Ligature Needle Flexible - PT. Unit
Fosma Medifarma
60 OK dan ICU Instrumen Bedah Geomed Liston Bone Cutting Forceps Str Unit
61 OK dan ICU Instrumen Bedah Geomed Listonkey- Horsley Bone Cut Fcps Unit
Cv 27cm - PT. Fosma Medifarma
62 OK dan ICU Instrumen Bedah Geomed Littauer Ligature Scissor Str 14cm - Unit
PT. Fosma Medifarma
63 OK dan ICU Instrumen Bedah Geomed Love-Gruenw Lam Rong Down Unit
3mmx10mm 15cm - PT. Fosma Medifarma
64 OK dan ICU Instrumen Bedah Geomed Love-Gruenw Lam Rong Str Unit
65 OK dan ICU Instrumen Bedah Geomed Love-Gruenw Lam Rong Up Unit

66 OK dan ICU Instrumen Bedah Geomed Love-Kerri Fl Foot Det 40Up 1mm Unit
20c - PT. Fosma Medifarma
78 OK dan ICU Instrumen Bedah Geomed Love-Kerri Fl Foot Det 90 Down Unit
82 OK dan ICU Instrumen Bedah Geomed Love-Kerri Fl Foot Det 90 - PT. Unit
Fosma Medifarma
6mm 18cm- PT. Fosma Medifarma
90 OK dan ICU Instrumen Bedah Geomed Love-Kerri Fl Foot Det 90 Up 1mm Unit
93 OK dan ICU Instrumen Bedah Geomed Love-Kerri - PT. Fosma Medifarma Unit
551,812.50 Dinkes
551,812.50 Dinkes
245,812.50 Dinkes
105,750.00 Dinkes
129,937.50 Dinkes
129,937.50 Dinkes
176,625.00 Dinkes
176,625.00 Dinkes
2,507,625.00 Dinkes
856,687.50 Dinkes
1,197,000.00 Dinkes
2,118,375.00 Dinkes
2,585,812.50 Dinkes
2,745,562.50 Dinkes
2,745,562.50 Dinkes
2,576,812.50 Dinkes
6,222,375.00 Dinkes
2,186,437.50 Dinkes
477,000.00 Dinkes
616,500.00 Dinkes
1,267,875.00 Dinkes
1,275,750.00 Dinkes
46,125.00 Dinkes
46,125.00 Dinkes
2,751,750.00 Dinkes
2,751,750.00 Dinkes
2,751,750.00 Dinkes
2,751,750.00 Dinkes
2,751,750.00 Dinkes
2,576,812.50 Dinkes
2,576,812.50 Dinkes
2,576,812.50 Dinkes
2,576,812.50 Dinkes
2,751,750.00 Dinkes
2,576,812.50 Dinkes
2,576,812.50 Dinkes
2,576,812.50 Dinkes
2,751,750.00 Dinkes
2,751,750.00 Dinkes
2,751,750.00 Dinkes
3,180,375.00 Dinkes
384,750.00 Dinkes
564,750.00 Dinkes
546,750.00 Dinkes
18,311,062.50 Dinkes
12,391,875.00 Dinkes
5,954,062.50 Dinkes
8,089,875.00 Dinkes
5,954,062.50 Dinkes
5,663,250.00 Dinkes
11,583,000.00 Dinkes
20,997,000.00 Dinkes
4,046,625.00 Dinkes
3,526,312.50 Dinkes
990,000.00 Dinkes
701,437.50 Dinkes
1,076,062.50 Dinkes
9,506,812.50 Dinkes
1,011,937.50 Dinkes
1,470,937.50 Dinkes
5,151,937.50 Dinkes
469,687.50 Dinkes
4,313,250.00 Dinkes
4,194,562.50 Dinkes
4,496,062.50 Dinkes
12,141,750.00 Dinkes
12,087,000.00 Dinkes
11,358,000.00 Dinkes
11,328,000.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
13,551,000.00 Dinkes
12,087,000.00 Dinkes
12,675,750.00 Dinkes
11,328,000.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
12,870,750.00 Dinkes
11,155,500.00 Dinkes
10,867,500.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes
11,231,250.00 Dinkes

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Unit 5,891,625.00 DINKES

Unit 6,092,437.50 DINKES

Unit 6,092,437.50 DINKES

Unit 513,562.50 DINKES

Unit 500,625.00 DINKES

Unit 3,180,375.00 DINKES

Unit 957,937.50 DINKES

Unit 957,937.50 DINKES

Unit 957,937.50 DINKES

Unit 2,745,562.50 DINKES

Unit 3,444,750.00 DINKES

Unit 3,319,312.50 DINKES

Unit 3,728,812.50 DINKES

Unit 3,710,812.50 DINKES

Unit 6,567,750.00 DINKES

Unit 5,491,125.00 DINKES

Unit 923,625.00 DINKES

Unit 810,562.50 DINKES

Unit 306,562.50 DINKES

Unit 326,812.50 DINKES

Unit 326,812.50 DINKES

Unit 326,812.50 DINKES

Unit 326,812.50 DINKES

Unit 326,812.50 DINKES

Unit 798,750.00 DINKES

Unit 9,578,250.00 DINKES

Unit 455,062.50 DINKES

Unit 496,125.00 DINKES

Unit 912,375.00 DINKES

Unit 12,970,687.50 DINKES

Unit 12,478,500.00 DINKES

Unit 180,000.00 DINKES

Unit 180,000.00 DINKES

Unit 180,000.00 DINKES

Unit 180,000.00 DINKES

Unit 271,687.50 DINKES

Unit 271,687.50 DINKES

Unit 271,687.50 DINKES

Unit 381,937.50 DINKES

Unit 381,937.50 DINKES

Unit 196,875.00 DINKES

Unit 2,937,375.00 DINKES

Unit 2,890,687.50 DINKES

Unit 3,236,062.50 DINKES

Unit 3,043,687.50 DINKES

Unit 3,043,687.50 DINKES

Unit 3,196,125.00 DINKES

Unit 3,043,687.50 DINKES

Unit 3,080,250.00 DINKES

Unit 2,890,687.50 DINKES

Unit 2,890,687.50 DINKES

Unit 718,312.50 DINKES

Unit 481,500.00 DINKES

Unit 397,687.50 DINKES

Unit 8,993,812.50 DINKES

Unit 8,703,562.50 DINKES

Unit 8,993,812.50 DINKES

Unit 8,703,562.50 DINKES

Unit 748,125.00 DINKES

Unit 748,125.00 DINKES

Unit 748,125.00 DINKES

Unit 748,125.00 DINKES