PERALATAN MEDIS

RUMAH SAKIT KELAS C+

NAMA PERALATAN JUMLAH MERK

\PATIENT DEPARTEMENT
\QUARED SPECIALIST
\ERNAL MEDICAL DEPARTEMENT

EXAMINATION TABLE 1 UNIT FAMED-POLAND

HALOGEN EXAMINATION TABLE 1 UNIT WELCHALLYN-USA
ECG 3/6 CHANEL WITH INTERPRETATIVE 1 UNIT CARDIOLINE-ITALY
ULTRASONIC NEBULAZER WITH INTERPRETIVE 1 UNIT NOUVAGS-SWISS
INTREGATED DIAGNOSTIG SYSTEM 1 UNIT WELCHALLYN-USA
RADIOLOGY STETHOSCOPE 1 UNIT WELCHALLYN-USA
SMALL SPHYMOMANOMETER 1 UNIT WELCHALLYN-USA
STETHOSCOPE 1 UNIT WELCHALLYN-USA
PRESS TEST UNIT WITH TREAMILL UNIT CARDIOLINE-ITALY
COMPUTERIZED SPIROMETER 1 UNIT COSMED-ITALY

OBSETRIC & GYNAECOLOGY DEPARTEMENT

EXAMINATION TABLE 1 UNIT FAMED-POLAND
GYNAECOLOGICAL CHAIR WITH FOOT PLATE & 1 UNIT FAMED-POLAND
\POSCOPE GRID 1 UNIT
\EROPTIC EXAM LIGHT 1 UNIT WELCHALLYN-USA
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
INTEGRATED DIAGNOSTIC SYTEM 1 UNIT WELCHALLYN-USA
SMALL SPHYGOMANOMETER 1 UNIT WELCHALLYN-USA
ADULT STETHOSCOPE 1 UNIT WELCHALLYN-USA
\ FOR GENEAL ABDOMINAL & OBSGYN 1 UNIT BK.MED-DENMARK
\DITOCOGRAPY (CTG) 1 UNIT NICOLET-USA
SUCTION PUMP, UNIVERSAL 1 UNIT NAOVAGS-SWISS
COLPOSCOPE 1 UNIT WELCHALLYN-USA
AECOLOGICAL EXAMINATION INST. SET 1 UNIT ELCON-GERMANY
\ETRETIC DIAGNOSTIC KIT 1 UNIT ELCON-GERMANY
\ DOPPLER 1 UNIT NICOLET-USA

\GERY DEPARTEMENT
EXAMINATION TABLE 1 UNIT FAMED-POLAND
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
\DAGE INSTRUMENT SET 1 SET ELCON-GERMANY
\OR SURGERY INSTRUMENT SET 1 SET ELCON-GERMANY
\CUMSION INSTRUMENT SET 1 SET ELCON-GERMANY
\ INSTRUMENT SET 1 SET ELCON-GERMANY
\TER CAST REMOVAL INSTRUMENT SET 1 SET ELCON-GERMANY

MATRICS DEPARTEMENT
\DING TABLE 1 UNIT FAMED-POLAND
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
INTEGRATED DIAGNOSTIC SYTEM 1 UNIT WELCHALLYN-USA
STETHOSCOPE PAEDIATRIC 1 UNIT WELCHALLYN-USA
SMALL SPHYGHOMANOMETER 1 UNIT WELCHALLYN-USA
ECG CHANNELWITH INTERPETATIVE 1 UNIT CARDIOLINE-ITALY
\ PUNCTION INSTRUMENT SET 1 SET ELCON-GERMANY

\ONAL SPECIALIST
\PHTALOGY DEPARTEMENT
\LIT LAMP 1 UNIT NIKON-JAPAN
\OTORIZED INSTRUMENT TABLE 1 UNIT NIKON-JAPAN
\ESMETER 1 UNIT NIKON-JAPAN
\UTOREFRAKTOR WITH PRINTER 1 UNIT WELCHALLYN-USA
\DIECT OPALMOSCOPE 1 UNIT WELCHALLYN-USA
\RIAL LENS SET & FRAME 1 UNIT TMI-JAPAN
\HART PROJECTOR 1 UNIT TAKAGI-JAPAN
\PHTALMIC DIAGNOSTIC SET 1 UNIT WELCHALLYN-USA

MENTAL DEPARTEMENT
MENTAL UNIT + CHAIR 1 UNIT FAMED-POLAND
MENTAL INSTRUMENT SET 4 UNIT K.REICHLE-GERMANY
SMALL OPERATION ISTRUMENT 1 UNIT K.REICHLE-GERMANY
INSTRUMENT EXTRACTING FORCEP, ADULT 1 UNIT K.REICHLE-GERMANY
INSTRUMENT EXTRACTING FORCEP, CHILD 1 UNIT K.REICHLE-GERMANY
\ DEPARTMENT
\ FUNCTION SYTEM
\OMSIST OF: SET ATMOS-GERMANY
\ FUNTION COLUMN W/ SUNCTION SYTEM
COLD LIGHT SYTEM, 3 FOLD ENDOSCOPE 1 UNIT ATMOS-GERMANY
SUPPORT
ENDOSCOPE HOLDER, HEATED, INCLUDED ATMOS-GERMANY
METAL QUIVER (1PC)
MIRROR PEATHER, FOR APPROX 70 MIRRORS (1PC) ATMOS-GERMANY
UNIT CABINET AC (1PC) ATMOS-GERMANY
COMPRESS AIR SYSTEM (1PC) ATMOS-GERMANY
\ RINSING SYSTEM, 370 (1PC) ATMOS-GERMANY
HEAD LAMP (1PC) ATMOS-GERMANY
\BRE OPTIC CABLE (1PC) ATMOS-GERMANY
PATIENT CHAIR M2 W/ ELECTROMOTIVE ATMOS-GERMANY
WEIGHT AJUSTMENT (1PC)
DOCTOR CHAIR (1PC) ATMOS-GERMANY
\R WASH SYSTEM 1 SET WELCHALLYN-USA
\EMAL STIMULATIONS SYSTEM UNIT ATMOS-GERMANY
\DIOMETER 1 UNIT WELCHALLYN-USA
\V DIAGNOSTIC OTOSCOPE W/ INSUFLATOR 1 UNIT WELCHALLYN-USA
\T FIRS DIAGNOSTIC SET 1 SET ELCON-GERMANY
\MBAL PUNCTION ISTRUMENT SET 1 SET ELCON-GERMANY
\MING FOK SET 1 SET ELCON-GERMANY
\EXIBLE NASHOPARYNGOLARYNGOSCOPE SET R.WOLF-GERMANY
\USCOPE 1 SET R.WOLF-GERMANY

PSYCHIATRY DEPARTEMENT
EXAMINATION TABLE 1 UNIT FAMED-POLAND
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
\N MAPING/EEG 32 CHANNEL UNIT CADWELL-USA
SMALL SPYGOMANOMETER 1 UNIT WELCHALLYN-USA
STETHOSCOPE 1 UNIT WELCHALLYN-USA
INTEGRATED DIAGNOSTIC SYSTEM 1 UNIT WELCHALLYN-USA

DERMATOLOGY DEPARTEMENT
EXAMINATION TABLE 1 UNIT FAMED-POLAND
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
SKIN SURFACE MICROSCOPE 1 UNIT WELCHALLYN-USA
ELECTRO CAUTER 1 UNIT ALSA-ITALY
SKIN GRAF INS SET 1 SET ELCON-GERMANY
COMEDO EXTRACTOR 1 SET ELCON-GERMANY

NEUROLOGY DEPARTEMENT
\EG 32 CHANNEL 1 UNIT CADWELL-USA
\MG 2 CHANNEL UNIT CADWELL-USA
\MBULATORY EEG UNIT CADWELL-USA
ADULT STETHOSCOPE 1 UNIT WELCHALLYN-USA
SMALL SPHYGHOMANOMETER 1 UNIT WELCHALLYN-USA
REFLEX HAMMER 1 UNIT ELCON-GERMANY
LUMBAL PUNCTION 1 UNIT ELCON-GERMANY

STERILITATION
\AL TEMP.STERILIZER 18 L 3 UNIT CERTACLAV-AUSTRALIA

DELIVERY ROOM & BABY CARE

DELIVERY ROOM
DELIVERY BED WITH FOOT REST, KNEE CHRUTC- 1 UNIT FAMED-POLAND
ES HAND GRIP, AND BOTTLE HOLDER
VACUM EXTRAKTOR 1 UNIT NOUVAGS-SWISS
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
METAL SIGN MONITOR, NIBP, SPO2 WITH 1 UNIT WELCHALLYN-USA
PRINTER AND MOBILE STAND
\FIBILATOR WITH EEG MONITOR 1 UNIT ZOLL-USA
SMALL SPHYGHOMANOMETER 1 UNIT SPENCER-ITALY
STETHOSCOPE 1 UNIT WELCHALLYN-USA
INFUSION PUMP 1 UNIT FRESENESIUS VIAL-FRANCE
OXYGEN THERAPY 1 UNIT EX-JAPAN
SUCTION PUMP, UNIVERSAL 1 UNIT NEUVAG-SWISS
BABY SCALE 1 UNIT SIBELMED-SPAIN
INCUBATION ADULT 1 UNIT SPENCER-ITALY
INFANT CARDIF RESUCITATIONS SET 1 UNIT PENLON-ENGLAND
\RTUS INSTRUMEN SET 1 UNIT ELCON-GERMANY
\RCEPS DELIVERY INSTRUMENT SET 1 UNIT ELCON-GERMANY
\SUCITA BAG W/OVER PRESURE ADULT 1 UNIT SPENCER-ITALY
AEROPTIC EXAMINATION LAMP 1 UNIT SPENCER-ITALY
BABY LARYNGOSCOPE FIBERLIGHT 1 UNIT WELCHALLYN-USA
ADLT LARYNGOSCOPE 1 UNIT WELCHALLYN-USA
AEROPTIC EXAMINATION LAMP 1 UNIT WELCHALLYN-USA

BABY CARE
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
INFUSION PUMP 4 UNIT FRESENESIUS VIAL-FRANCE
INFANT INCUBATOR 2 UNIT DRAGER-GERMANY
INFANT WARMER OPEN CARE COT 2 UNIT DRAGER-GERMANY
\OTOTHERAPY 2 UNIT DRAGER-GERMANY
STETHOSCOPE, INFANT 2 UNIT WELCHALLYN-USA
BABY CRIB 2 UNIT FAMED-POLAND
BABY SCALE 1 UNIT SIBELMED-SPAIN
SUCTION PUMP 1 UNIT NEUVAG-SWISS
INFANT CARDIF RESUCCITATION SET 1 UNIT PENLON-ENGLAND
COLOR MONITO EEG/ESP/SPO2/2 TEMP 1 UNIT WELCHALLYN-USA
RESUCITTOR BAG W/OVER PRESSURE, NEUNATAL 1 SET SPENCER-ITALY
SPHYGHOMANOMETER INFANT 1 SET WELCHALLYN-USA
SPHYGHOMANOMETER INFANT, NEWBORN 1 SET WELCHALLYN-USA
NEWBORN WARD INSTRUMENT SET 1 SET ELCON-GERMANY
\ARDS

HOSPITAL BED ELCTRIC 1 UNIT FAMED-POLAND

SUCTION PUMP UNIVERSAL 1 UNIT NEUVAG-SWISS
SMALL SPYGHOMANOMETER 1 UNIT WELCHALLYN-USA
ADUL STETHOSCOPE 1 UNIT WELCHALLYN-USA
INFUSION PUMP 1 UNIT PRESENESIUS VIAL-FRANCE
SYRINGE PUMP 1 UNIT PRESENESIUS VIAL-FRANCE
COLOR MONITOR EG/RESP/NIBP SPO2/2TEMP 1 UNIT WELCHALLYN-USA
MEDICINE TROLLEY 1 UNIT ASTRONG-USA
INTEGRATED DIAGNOSTIC SYSTEM 1 UNIT WELCHALLYN-USA

KELAS I
HOSPITAL BED ELCTRIC 36 UNIT FAMED-POLAND
SMALL SPYHGHOMANOMETER 5 UNIT WELCHALLYN-USA
STETHOSCOPE 20 UNIT WELCHALLYN-USA
SUCTION PUMP UNIVERSAL 1 UNIT NEUVAG-SWISS
INFUSION PUMP 3 UNIT PRESENESIUS VIAL-FRANCE
MEDICINE TROLLY 2 UNIT ASTRONG-USA
INTEGRATED DIAGNOSTIC SYSTEM 5 UNIT WELCHALLYN-USA

KELAS II
HOSPITAL BED ADJUSTABLE 3 SECTIONAL 30 UNIT FAMED-POLAND
SMALL SPYHGHOMANOMETER 10 UNIT WELCHALLYN-USA
STETHOSCOPE 5 UNIT WELCHALLYN-USA
SUCTION PUMP UNIVERSAL 1 UNIT NEUVAG-SWISS
INFUSION PUMP 2 UNIT PRESENESIUS VIAL-FRANCE
MEDICINE TROLLY 2 UNIT ASTRONG-USA
INTEGRATED DIAGNOSTIC SYSTEM 10 UNIT WELCHALLYN-USA

KELAS III
HOSPITAL BED ADJUSTABLE 3 SECTIONAL 32 UNIT FAMED-POLAND
SMALL SPYHGHOMANOMETER 20 UNIT WELCHALLYN-USA
ADULT STETHOSCOPE 5 UNIT WELCHALLYN-USA
SUCTION PUMP UNIVERSAL 1 UNIT NEUVAG-SWISS
INFUSION PUMP 2 UNIT PRESENESIUS VIAL-FRANCE
MEDICINE TROLLY 2 UNIT ASTRONG-USA
INTEGRATED DIAGNOSTIC SYSTEM 10 UNIT WELCHALLYN-USA

EMERGENCY DEPARTEMENT
EMERGERCY STRECHER 1 UNIT FAMED-POLAND
ROLL IN COST STRECHER 1 UNIT SPENCER-ITALY
HOLDING STRECER 1 UNIT SPENCER-ITALY
\OT VITAL SIGN NIBP/SPO2/TEMP WITH MOBILE 1 UNIT WELCHALLYN-USA
\TRICATION DEVICE 1 UNIT SPENCER-ITALY
EMERGENCY VACUM COLLAR (RECCUECER VI) 1 UNIT SPENCER-ITALY
LEAD IMOBILE 1 UNIT SPENCER-ITALY
\R SPLINT 1 UNIT SPENCER-ITALY
SMALL SPHYGMANOMETER 1 UNIT WELCHALLYN-USA
ADULT STETOSCOPE 1 UNIT WELCHALLYN-USA
INTEGRATED DIAGNOSTIC SYSTEM 1 UNIT WELCHALLYN-USA
TANGUE SPATULA 1 UNIT ELCON-GERMANY
OXYGEN THERAPY 2 UNIT EX-JAPAN
EMERGENCY TROLLY 1 UNIT ASTRONG-USA
STETHOSCOPE CHILD 1 UNIT WELCHALLYN-USA
EXAMINATION LAMP 1 UNIT WELCHALLYN-USA

RESUCITATION
EMERGENCY STRECHER 2 UNIT FAMED-POLAND
RESUCITATION BOARD 1 UNIT SPENCER-ITALY
ECG 3/6 CHANNEL W/ AUTORATHMIA W/ 1 UNIT CARDIOLINE-ITALY
RESPIRATOR 1 UNIT SPENCER-ITALY
ULTRASONIC NEBULIZER WITH STAND 1 UNIT NEUVAG-SWISS
INDOTRACHEAL INTUBATIO SET 2 UNIT SPENCER-ITALY
SUCTION PUMP UNIVERSAL 1 UNIT NEUVAG-SWISS
MEDICAL EMERGENCY ADULT 2 UNIT SPENCER-ITALY
MEDICAL EMERGENCY INFANT 2 UNIT SPENCER-ITALY
OXYGEN TERAPY 2 UNIT EX-JAPAN
MANUAL DEFIBRILATOR W/ECG MONITOR 1 UNIT ZOLL-USA
INFUSION PUMP 1 UNIT FRESENSIUS VIAL-FRANCE
DRAINAGE 1 UNIT NEUVAG-SWISS
PORTABLE SPIROMETER 1 UNIT COSMED-ITALY
LARYNGOSCOPE ADULT FIBER LIGHT 1 UNIT WELCHALLYN-USA
LARYNGOSCOPE PEDIATRIC FIBER LIGHT 1 UNIT WELCHALLYN-USA
LARYNGOSCOPE INFANT FIBERLIGHT 1 UNIT WELCHALLYN-USA
\OT VITAL SIGN (NIBP/SPO2/TEMP) W/ MOBILE 1 UNIT WELCHALLYN-USA
PATIENT MONITOR 2 TEMP AND PRINTER 1 UNIT WELCHALLYN-USA
\CITES TROCARD INST SET 1 UNIT ELCON-GERMANY
\NA SECTION INSTRUMENT SET 1 UNIT ELCON-GERMANY
\ACHEOTOMI INSTRUMENT SET 1 UNIT ELCON-GERMANY
HALOGEN EXAMINATION LAMP 1 UNIT WELCHALLYN-USA
MEDICINE TROLLY 1 UNIT ASTRONG-USA
EMERGENCY TROLLY 1 UNIT ASTRONG-USA

\RGERY
PATIEN MONITOR 2TEMP AND PRINTER 1 UNIT WELCHALLYN-USA
\ERATING TABLE (LACUERED) 1 UNIT FAMED-POLAND
\ERATING LAMP 1 UNIT DR.MACH-GERMANY
\AESTESI LAMP 1 UNIT PENLON-ENGLAND
\AESTESI VENTILATOR 1 UNIT PENLON-ENGLAND
\AL SIGN WITH PRINTER AND MOBILE STAND 1 UNIT WELCHALLYN-USA
INFUSION PUMP 2 UNIT FRESENSIUS VIAL-FRANCE
SYRINGE PUMP UNIT FRESENSIUS VIAL-FRANCE
SUCTION PUMP SURGERY 1 UNIT NEUVAG-SWISS
 TIPE KODE HARGA DALAM RUPIAH
UNIT TOTAL

SZ-02.0 NE-FMD-031 77,566,000.00 77,566,000.00

LS 200+44250 E-WAL-116 37,602,000.00 37,602,000.00
DELTA 3/6 PLUS 1 E-CAR-005 138,316,000.00 138,316,000.00
ULTRASONIC 2000-3204 E-NVG-003 57,410,000.00 57,410,000.00
76791-2P E-WAL-043 42,486,000.00 42,486,000.00
HARVEY DLX 5079-324 E-WAL-060 5,771,000.00 5,771,000.00
7670-01 E-WAL-057 4,871,000.00 4,871,000.00
5079-76 NE-WAL-O68 774,000.00 774,000.00
WS 2000 E-CAR-017 1,134,118,000.00
QUAK PATIENT NE-CMD-003 357,718,000.00 357,718,000.00
SUB TOTAL 722,514,000.00

SZ-02.0 NE-FMD-031 77,566,000.00 77,566,000.00

FG-4 NE-FMD-037 178,678,000.00 178,678,000.00

EXAM-III 58,593,000.00 58,593,000.00

LS 200+44250 E-WAL-116 37,602,000.00 37,602,000.00
76791-2P E-WAL-043 42,486,000.00 42,486,000.00
7670-01 E-WAL-057 4,871,000.00 4,871,000.00
5079-76 NE-WAL-068 774,000.00 774,000.00
MERLIN-1101 E-BKM-002 811,292,000.00 811,292,000.00
VERSALAB APM E-NCT-001 164,645,000.00 164,645,000.00
VACUSON 40 E-NVG-008 71,484,000.00 71,484,000.00
88000A E-WAL-132 361,346,000.00 361,346,000.00
592-602 E-ELC-042 6,230,000.00 6,230,000.00
591-020 E-ELC-072 2,276,000.00 2,276,000.00
FREEDOP E-NCT-029 68,229,000.00 68,229,000.00
SUB TOTAL 1,886,072,000.00

SZ-02.0 NE-FMD-031 77,566,000.00 77,566,000.00

LS 200+44250 E-WAL-116 37,602,000.00 37,602,000.00
155-170 E-ELC-008 3,721,000.00 3,721,000.00
591-210A E-ELC-066 18,261,000.00 18,261,000.00
590-996 E-ELC-025 11,399,000.00 11,399,000.00
155-100 E-ELC-011 6,704,000.00 6,704,000.00
594-000 E-ELC-080 33,802,000.00 33,802,000.00
SUB TOTAL 189,055,000.00
 WG-22.0 NE-FMD-069 10,260,000.00 10,260,000.00
LS 150 (44500) E-WAL-119 11,723,000.00 11,723,000.00
76791-2P E-WAL-043 42,486,000.00 42,486,000.00
5079-287 NE-WAL-064 20,112,000.00 20,112,000.00
7670-01 E-WAL-057 4,871,000.00 4,871,000.00
DELTA 3/6 PLUS 1 E-CAR-005 138,316,000.00 138,316,000.00
297-092 E-ELC-058 2,483,000.00 2,483,000.00
SUB TOTAL 230,251,000.00

NS-IV NE-NKN-003 250,098,000.00 250,098,000.00

NE-NKN-001 ACC 24,453,000.00 24,453,000.00
OL-7 NE-NKN-002 68,092,000.00 68,092,000.00
SURE LIGT 14010 E-WAL-081 228,729,000.00 228,729,000.00
12500-DY E-WAL-076 45,997,000.00 45,997,000.00
#94+UNIVERSAL NE-TMI-005+006 67,439,000.00 67,439,000.00
CP-30B NE-TKG-001 93,143,000.00 93,143,000.00
18375 SM 30,942,000.00 30,942,000.00
SUB TOTAL 808,893,000.00

PEGAZ EG NE-FMD-129 415,992,000.00 415,992,000.00

VARIOUS E-KRL-003 37,819,000.00 151,276,000.00
VARIOUS E-KRL-004 48,383,000.00 48,383,000.00
VARIOUS E-KRL-001 47,917,000.00 47,917,000.00
VARIOUS E-KRL-002 20,015,000.00 20,015,000.00
SUB TOTAL 683,583,000.00
 C31 NATM-001 A 1,164,520,000.00

506.7400.0

506.7016.0

506.7025.0
506.7260.0
506.7007.0
506.7001.0
502.0515.0
508.0664.0
503.0337.0

503.0316.0
29350 E-ID E-WAL-103 12,780,000.00 12,780,000.00
VARIOTERM PLUS NE-ATM-012 312,552,000.00
262230 E-WAL-102 129,914,000.00 129,914,000.00
25021 E-WAL-089 8,418,000.00 8,418,000.00
593-002 E-ELC-035 77,824,000.00 77,824,000.00
597-092 E-ELC-058 2,483,000.00 2,483,000.00
430-121 E-ELC-097B 12,889,000.00 12,889,000.00
VARIOUS NE-RCW-020 461,358,000.00
VARIOUS NE-RCW-020 359,681,000.00 359,681,000.00
SUB TOTAL 603,989,000.00

SZ 02.0 NE-FMD-031 77,566,000.00 77,566,000.00

LS 150 (44500) E-WAL-119 11,723,000.00 11,723,000.00
EASY II + SPIKE + PERSYST E-CAD-004 1,120,225,000.00
7670-01 E-WAL-057 4,871,000.00 4,871,000.00
5079-76 NE-WAL-068 774,000.00 774,000.00
76791-2P E-WAL-043 42,486,000.00 42,486,000.00
SUB TOTAL 137,420,000.00

SZ 02.0 NE-FMD-031 77,566,000.00 77,566,000.00

LS 200 + 44250 E-WAL-116 37,602,000.00 37,602,000.00
47351 E-WAL-112 15,623,000.00 15,623,000.00
SU 50 MB NE-ALS-010 23,974,000.00 23,974,000.00
VARIOUS A-ALC-086A 45,400,000.00 45,400,000.00
592-920 E-ELC-027 4,529,000.00 4,529,000.00
SUB TOTAL 204,694,000.00

EASY II CONSOLE W-CAD-002 835,938,000.00 835,938,000.00

SIERA II WEDGE E-CAD-008 1,149,013,000.00
EASY AMBULATORY E-CAD-006 763,387,000.00
 5079-76 NE-WAL-068 774,000.00 774,000.00
7670-01 E-WAL-057 4,871,000.00 4,871,000.00
100-111 NE-WAL-090 271,000.00 271,000.00
597-092 NE-WAL-053 2,483,000.00 2,483,000.00
SUB TOTAL 844,337,000.00

CV-EL 18L GS E-CER-003 686,816,000.00 2,060,448,000.00

SUB TOTAL 2,060,448,000.00

TOTAL A 8,371,256,000.00

LM-01.3 NE-FMD-077A 330,629,000.00 330,629,000.00

VACUSON 40E E-NVG-012 91,999,000.00 91,999,000.00

LS 150 (44500) E-WAL-119 11,723,000.00 11,723,000.00
52SOP NE-WAL-034 143,990,000.00 143,990,000.00

M-SERIES E-ZLL-007 A 257,412,000.00 257,412,000.00

7670-01 E-WAL-057 4,871,000.00 4,871,000.00
5079-76 NE-WAL-068 774,000.00 774,000.00
OPTIMA ST E-FRE-015 71,136,000.00 71,136,000.00
6,000,000.00 6,000,000.00
VACUSON 40 U E-NVG-008 71,484,000.00 71,484,000.00
BASIC SP2 NE-SBM-022 22,176,000.00 22,176,000.00
DG-80014 E NE-SCR-026 26,011,000.00 26,011,000.00
50442 E-PLN-031 7,325,000.00 7,325,000.00
592-042 E-ELC-075 57,100,000.00 57,100,000.00
VARIOUS E-ELC-0347A 8,618,000.00 8,618,000.00
BG-0410A B-LIFE NE-SCR-012 8,618,000.00 8,618,000.00
BG-0440A B-LIFE NE-SCR-014 6,118,000.00 6,118,000.00
MILLER SIZE0 21,720,000.00 21,720,000.00
MACINTOSH (69696) 58,593,000.00 58,593,000.00
EXAM III
SUB TOTAL 1,206,297,000.00

LS 150 (44500) E-WAL-119 11,723,000.00 11,723,000.00

OPTIMA ST E-FRE-015 71,136,000.00 284,544,000.00
CALEO NE-DRA-006 652,174,000.00 1,304,348,000.00
BEBYHERM 8004 563,108,000.00 1,126,216,000.00
4000 188,368,000.00 376,736,000.00
5079-227 NE-WAL-065 2,308,000.00 4,616,000.00
LN-09.0 NE-FMD-070A 16,467,000.00 32,934,000.00
BASIC SP2 NE-SBM-022 22,176,000.00 22,176,000.00
18/1.5(4041) E-NVG-004A 24,994,000.00 24,994,000.00
50442 E-PLN-031 32,011,000.00 32,011,000.00
PROPAG-CS 242 E-WAL-002 419,754,000.00 419,754,000.00
BG-04040 A B - LIFE NE-SCR-014 8,618,000.00 8,618,000.00
5098-72+5082-03 3,098,000.00 3,098,000.00
5198-72+5082-07 3,015,000.00 3,015,000.00
592-092 E-ELC-070 822,000.00 822,000.00
SUB TOTAL 3,655,605,000.00

TOTAL B 4,868,015,000.00
 LE-02.0 NE-FMD-097 136304000 136,304,000.00
VACUSO 40U E-NVG-008 71484000 71,484,000.00
7670-01 E-WAL-057 4871000 4,871,000.00
5079-285 NE-WAL-063 2012000 2,012,000.00
OPTIMA ST E-FRE-015 71136000 71,136,000.00
PILOT DELTA NE-FRE-004 57456000 57,456,000.00
PROPAQ-CS 242 NE-WAL-002 419754000 419,754,000.00
PAMS 100 64417000 64,417,000.00
76791-2P E-WAL-043 42486000 42,486,000.00
SUB TOTAL 869,920,000.00

LR-03.7 NE-FMD-094 A 66,639,000.00 2,399,004,000.00

7670-01 E-WAL-057 4,871,000.00 24,355,000.00
5079-76 NE-WAL-068 774,000.00 15,480,000.00
VACUSAN 40 U E-NVG-008 71,484,000.00 71,484,000.00
OPTIMA ST NE-FRE-015 71,136,000.00 213,408,000.00
PAMS 100 64,417,000.00 128,834,000.00
76791-27 E-WAL-043 42,486,000.00 212,430,000.00
SUB TOTAL 3,064,995,000.00

LW-01.11 NE-FMD-088 B 58,226,000.00 1,746,780,000.00

7670-01 E-WAL-057 4,871,000.00 48,710,000.00
5079-76 NE-WAL-068 774,000.00 3,870,000.00
VACUSAN 40 U E-NVG-008 71,484,000.00 71,484,000.00
OPTIMA ST NE-FRE-015 71,136,000.00 142,272,000.00
PAMS 100 64,417,000.00 128,834,000.00
76791-27 E-WAL-043 42,486,000.00 424,860,000.00
SUB TOTAL 2,566,810,000.00

LW-01.11 NE-FMD-088 B 58,226,000.00 1,863,232,000.00

7670-01 E-WAL-057 4,871,000.00 97,420,000.00
5079-76 NE-WAL-063 2,012,000.00 10,060,000.00
VACUSAN 40 U E-NVG-008 71,484,000.00 71,484,000.00
OPTIMA ST NE-FRE-015 71,136,000.00 142,272,000.00
PAMS 100 64,417,000.00 128,834,000.00
76791-27 E-WAL-043 42,486,000.00 424,860,000.00
SUB TOTAL 2,738,162,000.00

TOTAL C 9,239,887,000.00
 WP-02.0 NE-FMD-075 88,954,000.00 88,954,000.00
ST-400 10 A+40300 A NE-SCR-078 89,156,000.00 89,156,000.00
ST30200A NE-SCR-091 7,583,000.00 7,583,000.00
42NTB-N E-WAL-027 91,671,000.00 91,671,000.00
SR00111B NE-SCR-138 5,171,000.00 5,171,000.00
QC22150A NE-SCR-133 1,416,000.00 1,416,000.00
SH00300C NE-SCR-127 4,606,000.00 4,606,000.00
QS24200A NE-SCR-143 3,644,000.00 3,644,000.00
7670-01 E-WAL-057 4,871,000.00 4,871,000.00
5079-285 E-WAL-063 2,012,000.00 2,012,000.00
76791-2P E-WAL-043 42,486,000.00 42,486,000.00
470-444 340,000.00 340,000.00
6,000,000.00 12,000,000.00
APE-2 80,127,000.00 80,127,000.00
5079-287 E-WAL-064 2,012,000.00 2,012,000.00
LS 150(44500) E-WAL-119 11,723,000.00 11,723,000.00
SUB TOTAL 447,772,000.00

WP-02.0 NE-FMD-075 86,954,000.00 173,908,000.00

E-70000A NE-SCR-046 1,954,000.00 1,954,000.00
DELTA 3/6 PLUS 1 E-CAR-005 138,316,000.00 138,316,000.00
SPENCER 190 NE-SCR-005 113,270,000.00 113,270,000.00
ULTRASONIC 2000-3204 E-NVG-003 57,410,000.00 57,410,000.00
SPENCER DG-8000 14 E NE-SCR-026 26,594,000.00 53,188,000.00
18/1.5 (4041) E-NVG-004A 24,994,000.00 24,994,000.00
ALERT CB-06020 A NE-SCR-034 31,396,000.00 62,792,000.00
ALERT CB-06025 A NE-SCR-035 31,519,000.00 63,038,000.00
6,000,000.00 12,000,000.00
M-SERIES E-ZLL-049 289,446,000.00 289,446,000.00
OPTIMA ST NE-FRE-015 A 83,106,000.00 83,106,000.00
VACUSON 40 D E-NVG-011 88,315,000.00 88,315,000.00
PONYGRAPHIC E-CMD-002 82,969,000.00 82,969,000.00
MACINTOSH 4.3.2 17,293,500.00 17,293,500.00
MILLER 2&1 13,705,200.00 13,705,200.00
MILLER 0&00 13,705,200.00 13,705,200.00
42NTB-M E-WAL-027 91,671,000.00 91,671,000.00
PROPAG-CS 242 NE-WAL-001 359,004,000.00 359,004,000.00
VARIOUS E-ELC-005 A 19,421,000.00 19,421,000.00
155-140 E-ELC-101 12,603,000.00 12,603,000.00
155-160 E-ELC-096 14,875,000.00 14,875,000.00
LS 200+44250 E-WAL-116 37,602,000.00 37,602,000.00
PAMS 100 64,417,000.00 64,417,000.00
APE-2 80,127,000.00 80,127,000.00
SUB TOTAL 1,969,129,900.00

PROPAQ-CS242 E-WAL-002 419,754,000.00 419,754,000.00

 SJ-21 NE-FMD-020 253,764,000.00 253,764,000.00
MACH 500DF E-MAC-058 410,847,000.00 410,847,000.00
PTIMA SP 102 +MAHD E-PLN-064 619,488,000.00 619,488,000.00
AV 900 E-PLN-018 315,757,000.00 315,757,000.00
52 SOP E-WAL-034 143,990,000.00 143,990,000.00
OPTIMA ST E-FRE-015 A 83,106,000.00 166,212,000.00
PILOT DELTA NE-FRE-004 57,456,000.00
VACUSON 60 C E-NVG-015 93,271,000.00 93,271,000.00
No. NAMA PERALATAN JUMLAH

1 Integrated Diagnostic System UNIT

2 Ntuba Lion Set UNIT

CENTRAL OPERATING THEATHER

EQUIPMENT
3 HYDRAULIC OPERATING TABLE 5 SECTION 1 UNIT
4 CEILING OPERATING LAMP, 5 LAMP+4 LAMP 1 UNIT
WAESTHESI MACHINE 1 UNIT
TOUCHSCREEN ANAESRHESI VENTILATOR 1 UNIT
W/S PIROMETRY AND OXYGEN MONITOR
5 COLOUR MONITOR ECG/RESP/NIBP/2 IBP/SPO2/ 1 UNIT
ITEM WITH MAINSTREAM CO2 AND PRINTER
6 MED/MANUAL SEFIBRILLATOR WITH EGC/TEMP 1 UNIT
MONITOR AND PACING
7 VITAL SIGH MONITOR ECG/SPO2/NIBP/ 1 UNIT
TEMP/RESP/BATTERY/RS232 WITH
PRINTER & MOBILE STAND
8 SURGICAL SUCTION PUMP 1 UNIT
9 ANESTHESIA TROLLEY 1 UNIT
10 LARYNGOSCOPE, ADULT FIBERLIGHT 1 UNIT
11 LARYNGOSCOPE, PEDIATRIC FIBERLIGHT 1 UNIT
12 INTUBATION SET 1 UNIT
13 DRAINAGE PUMP (WSD) 1 UNIT
14 INFUCTION PUMP 1 UNIT
15 ELECTRO CAUTER 1 UNIT
16 SYRINGE PUMP 1 UNIT
17 ANAESTHESY SYINGE PUMP 1 UNIT
18 COLOR USG FO SURGEY FOR INTRAOPERATIVE 1 UNIT
19 OPERATING MICROSCOPE 1 UNIT

INSTRUMENT SET
GENERAL SURGERY
1 MAJOR SURGERY INSTRUMEN SET 2 SET
2 BASIC INSTRUMEN SET 1 SET
3 LARGE SUTURE INSTRUMEN SET 1 SET
4 WENA SECTION INSTRUMENT SET 1 SET
5 ABDOMINAL INSTRUMENT SET 1 SET
6 MINNOR SURGERY SET 2 SET
7 CIRCUMSCISION ADULT SET 2 SET
 INTERNAL SUGERY
1 PLEURAL PUNCTURE INSTRUMENT SET SET
2 IVER PUNCTUE INSTRUMEN SET SET
3 ASTROINTESTINAL INSTRUMENT SET SET
4 HORACOCENTESIS/PARACENTESIS SET SET
5 HEST ASPIRATION INSTRUMENT SET SET
6 APARATOMY INSTRUMEN SET SET
7 APPENDICTOMY INSTRUMENT SET SET
8 APAROSCOPE SET
9 GASTROSCOPE SET
10 VIDEO SYSTEM SET
 HARGA DALAM RUPIAH
MERK TIPE KODE
UNIT

WELCH ALLYN-USA 76791-2P E-WAL-043 42,486,000.00

SPENCER - ITALY SPENCER DG-80017E NE-SCR-026 26,594,000.00

TOTAL E

FAMED-POLAND SU-02 NE-FMD-014 414,094,000.00

DR. MACH-GERMANY MACH-500+MACH 400 F E-MAC-081 815,805,000.00
PENLOND-ENGLAND PRIMA SP 102 + MAHD E-PLN-063 619,488,000.00
PENLOND-ENGLAND AV 900 E-PLN-021 315,757,000.00

WELCH ALL YN-USA PROAQ-CS 246 NE-WAL-009 672,750,000.00

NEUVAG-SWISS VACUSON 60 C E-ZLL-054 332,196,000.00

WELCH ALL YN-USA ATLAS 622 SP NE-WAL-040 256,664,000.00

NEUVAG-SWISS VACUSON 60 C E-NVG-015 93,271,000.00

ASTRONG -USA PAPE-1 83,269,000.00
WELCH ALL YN-USA MACINTOSH 4,3,2 17,293,500.00
WELCH ALL YN-USA MILLER 2&1 13,705,200.00
SPENCER-ITALY SPENCER DG-80014 E NE-SCR-026 26,594,000.00
NEUVAG-SWISS VACUSON 40 D E-NVG-011 88,315,000.00
FRESENESIUS VIAL-FRANCE OPTIMA ST E-FRE-015 A 83,106,000.00
ALSA-ITALY EXCELL-350 MCDS E-ALS-006 167,272,000.00
FRESENESIUS VIAL-FRANCE PILOT DELTA NE-FRE-004 57,456,000.00
FRESENESIUS VIAL-FRANCE PILOT ANAESTHESIA NE-FRE-005 58,140,000.00
B-K MED - DENMARK EXL HAWK 2102-7 E-BKM-036 2,823,189,000.00
TAKAGI-JAPAN OM-5 S-ENT NE-TKG-002 C 311,705,000.00

SUB TOTAL

ELCON-GERMANY 590-110 E-ELC-061 57,860,000.00

ELCON-GERMANY 155-100 E-ELC-011 6,704,000.00
ELCON-GERMANY 155-134 E-ELC-057 8,363,000.00
ELCON-GERMANY 155-140 E-ELC-0101 12,603,000.00
ELCON-GERMANY 590-740 E-ELC-002 92,496,000.00
ELCON-GERMANY 590-210A E-ELC-066 18,261,000.00
ELCON-GERMANY 590-996 E-ELC-025 11,399,000.00

SUB TOTAL
 ELCON-GERMANY 591-910 E-ELC-081 24,453,000.00
ELCON-GERMANY VARIOUS E-ELC-107 48,308,000.00
ELCON-GERMANY 590-700 E-ELC-039 250,680,000.00
ELCON-GERMANY 591-900 E-ELC-091 13,704,000.00
ELCON-GERMANY 591-904 E-ELC-023 13,920,000.00
ELCON-GERMANY 590-765 E-ELC-056 57,969,000.00
ELCON-GERMANY 591-780 E-ELC-005 37,639,000.00
R. WOLF-GERMANY VARIOUS NE-RCW-015 2,173,595,000.00
R. WOLF-GERMANY VARIOUS NE-RCW-014 1,255,208,000.00
R. WOLF-GERMANY VARIOUS NE-RCW-018 467,446,000.00

SUB TOTAL
HARGA DALAM RUPIAH
TOTAL

-
-

414,094,000.00
815,805,000.00
619,488,000.00
315,757,000.00

672,750,000.00

332,196,000.00

256,664,000.00

93,271,000.00
83,269,000.00
17,293,500.00
13,705,200.00
26,594,000.00
88,315,000.00
83,106,000.00
167,272,000.00
57,456,000.00
58,140,000.00
2,823,189,000.00
311,705,000.00

7,250,069,700.00

115,720,000.00
6,704,000.00
8,363,000.00
12,603,000.00
92,496,000.00
36,522,000.00
22,798,000.00

295,206,000.00
-
-
-
-
-
-
-
-
-
-

-
No. NAMA PERALATAN JUMLAH

BSTETRY&GYNAECOLOGY SURGERY
1 UCTIONSURRETAGE PUMP UNIT
2 APAROSCOPE / PELVISCOPE UNIT
3 YSTEROSCOPE UNIT
4 VIDEO SYSTEM GYNEGOCOLOGY ENDOSCOPE UNIT
5 TANDARS COLPOSCOPE UNIT
6 ECTION CAESAREAN INSTRUMENT SET SET
7 OVARIUM CYSTECTOMY INSTRUMENT SET SET
8 VAGINAL HYSTERECTOMY INSTRUMENT SET SET
9 ABDOMINAL HYSTERECTOMY INSTRUMEN SET SET
10 ARTUS INSTRUMENT SET SET
11 CROCURRETAGE INSTRUMENT SET SET
12 APAROTONY OBSGYN INSTRUMENT SET SET
13 LATATION AND CURRETAGE INSTRUMEN SET SET

MAEDIATRIC SURGERY
1 MEDIATRIC SURGERY SET SET

OPTHALMOLOGY SURGERY
1 CATARACT EXTRACAPSULAR LENS IMPLAN SET
2 TRABISMUS MICROSURGICAL SET SET
3 HALAZION INSTRUMEN SET SET
4 GLAUCOMA TRABECULECTOMY SET SET
5 ORNEAL FOREIGN BODY EXTRACTION SET SET
6 TERYGION INSTRUMEN SET SET
7 REDECTOMY INSTRUMEN SET SET

EURO SURGERY
1 USG+TRANSDUCER FOR NEUROSURGERY UNIT
2 BASIC NEURO SURGICAL INSTRUMEN SET SET
3 AMINECTOMY INSTRUMENT SET SET
4 UMBAL PUNCTION INSTRUMEN SET SET

NT SURGERY
1 HYROIDECTOMY INSTRUMEN SET SET
2 ONSILECTOMY SET SET
3 RACHEOTOMY SET SET
4 IMPLANOPLASTY INSTRUMEN SET SET
5 ASAL POLYPECTOMY SET SET
6 ASTOIDECTOMY SET SET
7 AR WAS SYSTEM SET

RTHOPEDIC SURGERY
1 RTHOPEDIC ATTACHENT (SU-02) SET
2 BASIC ORTHOPAEDIC INSTRUMENT SET SET
3 BASIC INSTRUMENT SET SET
4 ENA SECTION SET SET
5 MRE INSTRUMEN SET SET
6 TRAMEDULLARY NAILING INSTRUMEN SET SET
7 LATE INSTRUMEN SET SET
8 MALL FRAGMEN AND IMPLANT INST SET SET
9 RTHOSCOPY INSTRUMEN SET SET
 HARGA DALAM RUPIAH
MERK TIPE KODE
UNIT

NEUVAG-SWISS VACUSON 40 CU E-NVG-013 87,228,000

R.WOLF-GERMANY VARIOUS NE-RCW-010 2,362,173,000
R.WOLF-GERMANY VARIOUS E-RCW-046 1,099,263,000
R.WOLF-GERMANY VARIOUS NE-RCW-013 467,446,000
WELCH ALLYN-USA 88000 A E-WAL-132 361,346,000
ELCON-GERMANY 592-100 E-ELC-086 31,183,000
ELCON-GERMANY 592-660 E-ELC-074 38,030,000
ELCON-GERMANY 592-402 E-ELC-099 39,670,000
ELCON-GERMANY 592-302 E-ELC-001 51,344,000
ELCON-GERMANY 592-042 E-ELC-075 7,325,000
ELCON-GERMANY VARIOUS E-ELC-112 8,186,000
ELCON-GERMANY 590-765 E-ELC-056 57,969,000
ELCON-GERMANY 592-210 E-ELC-029 21,033,000

SUB TOTAL

ELCON-GERMANY 590-302 E-ELC-010 41,585,000

SUB TOTAL

MORIA-FRANCE #400 E-MOR-002 210,913,000

MORIA-FRANCE #410 E-MOR-012 119,542,000
MORIA-FRANCE #401 E-MOR-003 36,977,000
MORIA-FRANCE #406 E-MOR-008 133,879,000
MORIA-FRANCE #402 E-MOR-004 10,314,000
MORIA-FRANCE #408 E-MOR-010 54,064,000
ELCON-GERMANY 596-100 E-ELC-051 79,295,000

SUB TOTAL

B.K MED-GERMANY EXL HAWK 2102-7 E-BKM-027+022ACC 2,650,710,000

ELCON-GERMANY 597-004 E-ELC-061 302,864,000
ELCON-GERMANY 597-000 E-ELC-053 272,139,000
ELCON-GERMANY 597-090 E-ELC-059 6,474,000

SUB TOTAL

ELCON-GERMANY 590-160 E-ELC-093 73,927,000

ELCON-GERMANY 293-702 E-ELC-094 89,558,000
ELCON-GERMANY 155-160 E-ELC-096 14,875,000
ELCON-GERMANY 593-140 E-ELC-058 87,433,000
ELCON-GERMANY 593-312 E-ELC-083 14,010,000
ELCON-GERMANY 593-122 E-ELC-063 79,171,000
WELCH ALL YN-USA 29350E-ID E-WAL-103 12,780,000

SUB TOTAL

FAMED-POLAND SO-08.3(SU-02) NE-FMD-015A Rp 452,352,000

ELCON-GERMANY 594-100 E-ELC-016 Rp 124,214,000
ELCON-GERMANY 155-100 E-ELC-011 Rp 6,704,000
ELCON-GERMANY 155-140 E-ELC-101 Rp 12,603,000
ELCON-GERMANY 421-9810 E-ELC-102 Rp 48,125,000
ELCON-GERMANY 421-9892 E-ELC-050 Rp 215,561,000
ELCON-GERMANY 421-9930 E-ELC-109 Rp 89,257,000
ELCON-GERMANY 421-9970 E-ELC-111 Rp 65,261,000
R. WOLF-GERMANY VARIOUS NE-RCW-002 Rp 1,467,555,000

SUB TOTAL
HARGA DALAM RUPIAH
TOTAL

-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
-

-
-
-
-

-
-
-
-
-
-
-

-
-
-
-
-
-
-
-
-

-
No. NAMA PERALATAN JUMLAH

DERMATOLOGY SURGERY
1 PLASTIC SURGERY INS SET SET
2 DOMEDO EXTRACTOR SET
3 SKIN GRAF INST. SET SET
4 SKIN SURFACE MICROSCOPE UNIT

MINOR SURGERY
1 ELECTRO CONTROL UNIT UNIT
2 SUCTION PUMP UNIVERSAL UNIT
3 MINOR SURGERY INS. SET SET
4 SIRCUMCISION INSTRUMEN SET SET
5 PLASTER CAST REMOVAL INS SET SET
6 G.S WARE SET (8 ITEM) SET

RECOVERY ROOM
1 HOSPITAL BED ELECTRIC UNIT
2 MED/MANUAL DEFIBRILLATOR W/ECG MONITOR UNIT
3 SUCTION PUMP UNIVERSAL UNIT
4 SYRINGE PUMP UNIT
5 INFUCTION PUMP UNIT
6 EXAMINATION LAMP UNIT
7 COLOR MONITOR ECG/RESP/NIBP/SPO2/2 TEMP UNIT
WITH PRINTER

ICU (4BEDS)
1 ICU BEDS WITH PLIT SLIDES TRACTION ASSEMB 2 UNIT
2 COLOR MONITOR ECG/NIBP/1ETCO/SPO2/ 2 UNIT
TEMP WITH PRINTER
3 MED / MANUAL RECTILINEAR BIPHASIC DEFIBRI- 1 UNIT
ATOR WITH ECG MONITOR
4 RAINAGE SUCTION PUMP 1 UNIT
5 ULTRASONIC NEBULIZER 1 UNIT
6 SYRINGE PUMP MANAGEMENT SYSTEM CONSIST 1 UNIT
DATA MANAGEMENT SISTEM (1PC)
SYRINGE MODULE (3PC)
INFUSION PUMP MODULE (3PC)
7 PATIENT CONTROL ANALGESIA 2 UNIT
8 VENTILATOR UNIT
9 SILICONE MANUAL RESUSCITATOR ADULT 2 UNIT
10 ARYNGOSCOPE SET 2 UNIT
11 RACHEOTOMY INSTRUMEN SET 2 UNIT
12 ITUBATION SET 2 UNIT
13 WALL SPYGMOMANIMETER SET 2 UNIT
14 TETHOSCOPE 2 UNIT
15 NTI DEBUCITUS MATTRAS 4 UNIT
16 MEDICINE TROLLEY 1 UNIT
17 INTEGRATED DIAGNOSTIC SYSTEM 2 UNIT
 HARGA DALAM RUPIAH
MERK TIPE KODE
UNIT

ELCON-GERMANY VARIOUS E-ELC-080 A 64,338,000

ELCON-GERMANY 592-920 E-ELC-027 4,529,000
ELCON-GERMANY VARIOUS E-ELC-086 A 45,400,000
WELCH ALLYN-USA 47351 E-WALL-112 15,623,000

SUB TOTAL

ALSA-ITALY SU 50 MB E-ALS-010 23,974,000

NEUVAG-SWISS 18/1.5 (4041) E-NVG-004 A 24,994,000
ELCON-GERMANY 590-210 A E-ELC-066 18,261,000
ELCON-GERMANY 590-996 E-ELC-025 11,399,000
ELCON-GERMANY 594-000 E-ELC-080 33,802,000
SUGICO-JAPAN VARIOUS NE-SGC-044 9,844,000

SUB TOTAL

FAMED POLAND LR-03.7 NE-FMD 094 A 66,639,000

ZOLL-USA M-SERIES E-ZLL-049 289,446,000
NEUVAG-SWISS VACUSON 40 U E-NVG-008 71,484,000
FRESENESIUS VIAL-FRANCE PILOT DELTA NE-FRE-004 57,456,000
FRESENESIUS VIAL-FRANCE OPTIMA ST NE-FRE-015 71,136,000
WELCH ALL YN - USA LS 150 (44500) E-WALL-119 11,723,000
WELCH ALL YN - USA PROPAQ-CS 242 NE-WAL-002 419,754,000

SUB TOTAL

TOTAL F

FAMED-POLAND LE-02.0 NE-FMD-097 136,304,000

WELCH ALL YN-USA PROPAQ-CS 244 E-WAL-006 662,297,000

ZOLL-USA M-SERIES E-ZLL-049 289,446,000

NEUVAG-SWISS VACUSON 40 D E-NVG-011 88,315,000

NEUVAG-SWISS ULTRASONIC 2000-320 D E-NVG-003 57,410,000
FRESENESIUS VIAL-FRANCE ORCHESTRA-MIX NE-FRE-018 370,044,000
FRESENESIUS VIAL-FRANCE BASE INTENSIVE
FRESENESIUS VIAL-FRANCE MODULE DPS
FRESENESIUS VIAL-FRANCE MODULE MVP-MS
FRESENESIUS VIAL-FRANCE MASTER PCA PACK NE-FRE-017 97,812,000
DRAGER-GERMANY SAVINA NE-DRA-003 1,655,233,000
 SPANCER-ITALY BG-04010 A B-LIFE NE-SCR-012 8,618,000
WELCH ALL YN-USA MACINTOSH 4,3,2 17,293,500
ELCON-GERMANY 155-160 E-ELC-096 14,875,000
SPANCER-ITALY SPENCER DG 800 14E NE-SCR-026 26,594,000
WELCH ALL YN-USA 7670-01 E-WAL-057 4,871,000
WELCH ALL YN-USA 5079-76 NE-WAL-098 774,000
SUZRICH-TAIWAN COMFORT2001 NE-SZR-001 6,840,000
AMSTRONG-USA PAMS 100 64,417,000
WELCH ALL YN-USA 76791-2P E-WAL-043 42,486,000

SUB TOTAL

TOTAL G
HARGA DALAM RUPIAH
TOTAL

-
-
-
-

-
-
-
-
-
-

-
-
-
-
-
-
-

272,608,000
1,324,594,000

289,446,000

88,315,000
57,410,000
370,044,000

195,624,000
 17,236,000
34,587,000
29,750,000
53,188,000
9,742,000
1,548,000
27,360,000
64,417,000
84,972,000

2,920,841,000.00

-
No. NAMA PERALATAN JUMLAH

1 ICU BED ELECTRIC 1 UNIT

2 ANTI DECUBITUS MATTRAS 4 UNIT
3 COLOR MONITOR ECG/RESPN/NIBP/SPO2/2TEMP 1 UNIT
4 VENTILATOR UNIT
5 DEFIBRILATOR WITH ECG MONITOR 1 UNIT
6 VITAK SIGN MONITOR NIBP, SPO2 WITH PRINTER 1 UNIT
AND STAND
7 INFACT INCUBATOR 1 UNIT
8 SUCTION PUMP 1 UNIT
9 ULTRASONIC NEBULIZER WITH STAND 1 UNIT
10 SYRINGE PUMP 1 UNIT
11 INFUSION PUMP 1 UNIT
12 INTEGRATED DIAGNOSTIC SYSTEM 1 UNIT
13 MANUAL RESUSCITATTOR PEDIATRIC 1 UNIT
14 LARYNGOSCOPE, PEDIATRIC 1 UNIT
15 WALL SPHYNGMOMANOMETER 1 UNIT
16 STETOSCOPE FOR PEDIATRIC 1 UNIT
17 MEDICINE TROLLEY 1 UNIT

RADIOLOGY
CONVENTIONAL ROOM
1 DENTAL X RAY UNIT WITH CEPHALOMETRIC 1 UNIT

ULTRASONOGRAPHY ROOM
2 COLOR USG CONSOLE FOR UROLOGY 1 UNIT
3 TRANSDUCER FOR TRANSCENTRAL , BI-/MULTI 1 PC
PLANE PUNCTURE AND MFI
4 TRANSDUCER FOR CARDIAC AND MFI PC
5 TRANSDUCER FOR PEDIATRIC, SMALL PART PC
WASCULAR MUSCULOSKELETAL PUNCTURE

DARK ROOM
1 AUTOMATIC FILM PROCESOR 1 UNIT
FILM HANGER (ANY SIZE) 10 UNIT
RUBBER GLOVE, HEAD (POTECTIVE GLOVE) 1 UNIT
X RAY FILM VIEWER 1 UNIT
FILM MARKET SET, ALPHA NUMBER 1 UNIT
HEAD GLASS 2.0 MM 300X400 MM 1 UNIT
INTENSIF YNG SCREEN SET
5X35 1 UNIT
0X40 1 UNIT
4X33 1 UNIT
8X24 1 UNIT
CASSETTES SET
5X35 1 UNIT
0X40 1 UNIT
4X30 1 UNIT
8X24 1 UNIT
ISHOLM GRID SET
4X30 1 UNIT
0X40 1 UNIT
PRON LEAD TIMBAL (0,50 MMPB SIZE M) 1 UNIT
 HARGA DALAM RUPIAH
MERK TIPE KODE
UNIT

FAMED-POLAND LE-02.0 NE-FMD-097 136,304,000

SUZRICH-TAIWAN COMFORT 2001 NE-SZR-001 Rp 6,840,000
WELCH ALL YN-USA PROPAQ-CS-242 NE-WAL-002 Rp 419,754,000
DRAGER-GERMANY BABYLOG 8000 Rp 2,341,869,000
ZOLL-USA M-SERIES E-ZLL-007 A Rp 257,412,000
WELCH ALL YN-USA 52SOP NE-WAL-034 Rp 143,990,000

DRAGER-GERMANY CALEO Rp 652,174,000

NEUVAG-SWISS 18/1.5 (4041) E-NVG-004 A Rp 24,994,000
NEUVAG-SWISS ULTRASONIC 2000-3204 E-NVG-003 Rp 57,410,000
FRESENESIUS VIAL-FRANCE PILOT DELTA NE-FRE-004 Rp 57,456,000
FRESENESIUS VIAL-FRANCE OPTIMA ST NE-FRE-015 A Rp 83,106,000
WELCH ALL YN-USA 74791-2P E-WAL-043 Rp 42,486,000
SPANCER-ITALY BG-04020 A-B-LIFE NE-SCR-013 Rp 8,618,000
WELCH ALL YN-USA MILLER 2&1 Rp 13,705,200
WELCH ALL YN-USA 7670-01 E-WAL-057 Rp 4,871,000
WELCH ALL YN-USA 5079-287 NE-WAL-064 Rp 2,012,000
AMSTRONG-USA PAMS 100 Rp 64,417,000

SUB TOTAL

TOTAL H

PANORAMIC-USA PC-1000/LASER 1000 NE-FMD 094 A 628,425,000

SUB TOTAL

BK.MED-DENMARK HAWK 2101-6 E-BKM-029 Rp 2,466,175,000

BK.MED-DENMARK 8658 E-BKM-018ACC Rp 493,506,000

BK.MED-DENMARK 8807 E-BKM-033ACC Rp 347,745,000

BK.MED-DENMARK 8804 E-BKM-0131ACC Rp 347,745,000

SUB TOTAL

ELK-JAPAN CP-345 NE-ELK-011 280,529,000

NANKAI-JAPAN N1560 NE-NNK-037 Rp 1,050,000
NANKAI-JAPAN G1 NE-NNK-003 Rp 17,202,000
NANKAI-JAPAN LH-2K NE-NNK-041 Rp 30,216,000
NANKAI-JAPAN N1462 NE-NNK-040 Rp 5,714,000
NANKAI-JAPAN N1430 NE-NNK-018 Rp 23,377,000

NANKAI-JAPAN LUS(1210) NE-NNK-030 Rp 11,487,000

NANKAI-JAPAN LUS(1210) NE-NNK-029 Rp 11,487,000
NANKAI-JAPAN LUS(1210) NE-NNK-028 Rp 6,881,000
NANKAI-JAPAN LUS(1210) NE-NNK-027 Rp 4,432,000

NANKAI-JAPAN PL-B(N1203) NE-NNK-035 Rp 6,706,000

NANKAI-JAPAN PL-B(N1203) NE-NNK-034 Rp 6,706,000
NANKAI-JAPAN PL-B(N1203) NE-NNK-033 Rp 5,207,000
NANKAI-JAPAN PL-B(N1203) NE-NNK-032 Rp 4,607,000

NANKAI-JAPAN 301 NE-NNK-044 Rp 9,446,000

NANKAI-JAPAN 301 NE-NNK-046 Rp 13,586,000
NANKAI-JAPAN SA 1 B NE-NNK-014 Rp 21,284,000

SUB TOTAL

TOTAL I
HARGA DALAM RUPIAH
TOTAL

136,304,000
27,360,000
419,754,000

257,412,000
143,990,000

652,174,000
24,994,000
57,410,000
57,456,000
83,106,000
42,486,000
8,618,000
13,705,200
4,871,000
2,012,000
64,417,000

1,996,069,200.00

4,427,938,200.00

628,425,000
628,425,000.00

2,466,175,000
493,506,000

-
-

2,959,681,000.00

280,529,000
10,500,000
17,202,000
30,216,000
5,714,000
23,377,000

11,487,000
 11,487,000
6,881,000
4,432,000

6,706,000
6,706,000
5,207,000
4,607,000

9,446,000
13,586,000
21,284,000

469,367,000.00

4,057,473,000.00
No. NAMA PERALATAN JUMLAH

LABORATORIUM
MICRO FLOW CELL PHOTOMETER 1 UNIT
INCUBATO LABORATORY 1 UNIT
AUTOCLAVE 1 UNIT
CENTRIFUGE HEMATROCRIT 1 UNIT
CENTRIFUGE TABLE TOP 1 UNIT
TEST TUBE ROTATOR LABORATORY 1 UNIT
WATER BATH, LABORATORY 1 UNIT
BINOCULARMICROSCOPE 1 UNIT
BILIRUBIN METER 1 UNIT
HEMATOLOGY ANALIZER 1 UNIT
REFRIGERATOR 1 UNIT
FREEZER 1 UNIT

MEDICAL REHABILITATION
DUAL FREQUENCY ULTRASOUND UNIT
SHORT WAVE DIATHERMIC UNIT
INTERFERENTIAL THERAPHY UNIT
ELECTRO MYOGRAPH BIOFEEDBACK UNIT
LASER UNIT UNIT
STIMULATION MACHINE WITH TABLE UNIT
TRACTION MACHINE WITH TABLE UNIT
BALANCE BENCH (335 CM) UNIT
TES MEDIS UNIT UNIT

CSSD
STERILLIZER 6-6-6 VSI 1 UNIT
WASHING DISINFECTOR 1 UNIT
ULTRASONIC CLEANER UNIT
ENDOSCOPE DISINFECTOR UNIT

MORTUARY
OPERATING LAMP, CEILING UNIT
REFRIGERATOR MORTUARY 4 BODIES UNIT
CRANIOTOMY UNIT
DISECTING TABLE UNIT
 HARGA DALAM RUPIAH
MERK TIPE KODE
UNIT

ERMA JAPAN AE-600 NE-EMA-021 148,428,000

GFL-GERMANY 3032 NE-GFL-037 317,444,000
CERTOCLAV-AUSTRIA CV-EL 18L GS E-CER-003 68,816,000
HETTCH-GERMANY MIKRO 20 NE-HTC-005 69,804,000
HETTCH-GERMANY ROTOFIX 32 NE-HTC-001 92,959,000
GFL-GERMANY 3025 NE-GFL-041 37,603,000
GFL-GERMANY 1092 NE-GFL-015 152,156,000
ERMA JAPAN ERMAX-1 NE-EMA-053 64,460,000
ERMA JAPAN B 105 NE-EMA-003 84,816,000
ERMA JAPAN PCE-170 NE-EMA-003 262,930,000
HOTCK-USA 852600 NE-EMA-082 94,962,000
GFL-GERMANY 6340 NE-EMA-042 316,569,000

TOTAL J

EMS-ENGLAND ML 9110 E-EMS-004 102,830,000

EMS-ENGLAND EMS 205 E-EMS-017 308,986,000
EMS-ENGLAND ML 9410 E-EMS-006 105,017,000
EMS-ENGLAND ML-9710 E-EMS-021 102,709,000
EMS-ENGLAND ML-9810 E-EMS-009 165,346,000
EMS-ENGLAND ML-9310 E-EMS-010 111,369,000
EMS-ENGLAND RH 085+RH 087 E-EMS-042 239,999,000
EMS-ENGLAND RH-015 E-EMS-067 23,803,000
EMS-ENGLAND TENS 2000 E-EMS-015 9,462,000

TOTAL K

BELIMED-SWISS MSTV 6-6-6 VS 2 NE-BLM-008 3,094,544,000

BELIMED-SWISS WD-220 NE-BLM-003 1,226,925,000
BELIMED-SWISS DL-1028p NE-BLM-007 182,521,000
BELIMED-SWISS WD 420 NE-BLM-006 980,044,000

TOTAL K

DR.MACH-GERMANY MACH 500 F E-MAC-056 367,995,000

UFSK-GERMANY LKZ HS 007 NE-UFK-007 Rp 376,987,000
ELCON-GERMANY VARIOUS E-ELC-027 A Rp 69,770,000
UFSK-GERMANY ST HS 5 NE-UFK-015 Rp 103,609,000

TOTAL M
GRAND TOTAL
HARGA DALAM RUPIAH
TOTAL

148,428,000
317,444,000
68,816,000
69,804,000
92,959,000
37,603,000
152,156,000
64,460,000
84,816,000
262,930,000
94,962,000
316,569,000

1,710,947,000.00

-
-
-
-
-
-
-
-
-

3,094,544,000
1,226,925,000
-
-

4,321,469,000.00

-
-
-
-

-
53,735,105,500.00
No. NAMA PERALATAN JUMLAH

1 DRAINAGE PUMP 1 UNIT

2 RYNGOSCOPE, ADULT FIBERLIGHT 1 UNIT
3 RYNGOSCOPE, PEDIATRIC FIBERLIGHT 1 UNIT
4 RGE SUTURE INSTRUMENT SET 1 UNIT
5 NDAGE INSTRUMENT SET 1 UNIT
6 RACHEOTOMY INSTRUMENT SET 1 UNIT
7 ENA SECTION INSTRUMEN SET 1 UNIT
8 EURAL PUNCTURE UNIT
9 UMBAL PUNCTION FOR CHILD 1 UNIT
10 HORACOCENTES TESIS/PARACENTENTESIS SET 1 UNIT
11 NOR SURGEY INSTRUMEN SET 1 UNIT
12 IMPUTATION INSTRUMEN SET 1 UNIT
13 INCUBATION SET UNIT
14 BASIC INSTRUMEN SET 1 UNIT
15 WASTHESI TROLLEY 1 UNIT

RECOVERY
1 HOSPITA BED ELECTRIC 1 UNIT
2 COLOR MONITOR ECG/RESP/NIPB/SPO2/2 TEMP 1 UNIT
PRINTER
3 MED/MANUAL DEFRIBILATOR W/ECG/MONITO 1 UNIT
4 MEDICAL EMERGENCY ADULT 1 UNIT
5 OXYGEN TERAPHY 1 UNIT
6 FUSION PUMP 1 UNIT
7 STRINGE PUMP 1 UNIT
8 INTEGRATED DIAGNOSTIC SYSTEM 1 UNIT
9 ALL SPYGMOMANOMETER 1 UNIT
10 ADULTH STETOSCHOPE 1 UNIT

ULTRASONOGRAPHY
1 USG+OBSTETRIC ABDOMINAL &ABGYN SET

STERILIZATION
1 AL TEMPERATURES STERILIZER 1 SET
 MOBILE AMBULANCE
1 LF LOADING STRETCHER UNIT
PUBLIC ACCES DEFIBILATOR UNIT
TRANSPORT MONITOR ECG/SPO2/NIBP/2 TEMP UNIT
BATTERY WITH PRINTER
ACTION PUMP 12 VOLTDC UNIT
MEDICAL EMERGENCY ADULT UNIT
MEDICAL EMERGENCY INFANT UNIT
ALL SPYGMOMANOMETER UNIT
ADULT STETOSCHOPE UNIT
OOP STRETCHER UNIT
SILICONE RESUCICATOR ADULT UNIT
OXYGEN RESUCICATOR UNIT
NOR SURGERY INSTRUMEN SET UNIT
NDAGE INSTRUMEN SET UNIT
NA SECTION INSTRUMEN SET UNIT
TRACTION COLLAR SET OF SIZE W/BAG UNIT
TRACTION DEVICE UNIT
 HARGA DALAM RUPIAH
MERK TIPE KODE
UNIT

NEUVAG-SWISS VACUSON 40 D E-NVG-011 88,315,000.00

WELCH ALL YN-USA MACINTOSH 4,3,2 17,293,500.00
WELCH ALL YN-USA MILLER 2&1 13,705,200.00
ELCON-GERMANY 155-134 E-ELC-057 8,363,000.00
ELCON-GERMANY 155-170 E-ELC-008 3,721,000.00
ELCON-GERMANY 155-160 E-ELC-096 14,875,000.00
ELCON-GERMANY 155-140 E-ELC-101 12,603,000.00
ELCON-GERMANY 591-910 E-ELC-081 24,453,000.00
ELCON-GERMANY 597-090 E-ELC-059 6,474,000.00
ELCON-GERMANY 591-900 E-ELC-091 13,704,000.00
ELCON-GERMANY 590-210A E-ELC-066 18,261,000.00
ELCON-GERMANY 594-140 E-ELC-009 5,933,000.00
SPENCER ITALY DG-80014E E-ELC-026 26,594,000.00
ELCON-GERMANY 155-100 NE-SCR-026 6,704,000.00
ASTRONG-USA PAPE-1 E-ELC-011 83,269,000.00

SUB TOTAL

FAMED-POLAND LR.03.7 NE-FMD-094 A 66,639,000.00

WELCH ALL YN-USA PROPAQ-CS-242 NE-WAL-002 419,754,000.00

ZOLL-USA M-SERIES E-ZLL-049 289,446,000.00

SPENCER-ITALY ALERT CB-06020A NE-SCR-034 31,396,000.00
EX-JAPAN 6,000,000.00
FRENESIUS VIAL-FRANCE OPTIMA ST NE-FRE-015 A 83,106,000.00
FRENESIUS VIAL-FRANCE PILOT DELTA NE-FRE-004 57,456,000.00
WELCH ALL YN-USA 76791-2P E-WAL-043 42,486,000.00
WELCH ALL YN-USA 7670-01 E-WAL-0587 4,871,000.00
WELCH ALL YN-USA 5079-285 NE-WAL-063 2,012,000.00

SUB TOTAL

BK. MED-DENMARK EXL FALCON 2102-1 E-BKM-013 1,139,989,000.00

SUB TOTAL

CERTOCLAV-AUSTRALIA C-EL 18L GS E CR-003 68,816,000.00

SUB TOTAL

TOTAL D
 SPENCER-ITALY ELLA NE-SCR-085 77,566,000.00
ZOLL-USA AED PLUS EZLL-097 Rp 100,178,000
WELCH ALL YN-USA PROPAQ ENCORE 202 EL NE-WAL-011 Rp 383,030,000

NEUVAG-SWISS 18/1.5 (4041=12V) E-NVG-004 A Rp 24,994,000

SPENCER-ITALY ALERT CB 06025 A NE-SCR-034 Rp 31,396,000
SPENCER-ITALY ALERT CB 06025 A NE-SCR-035 Rp 31,519,000
WELCH ALL YN-USA 7670-01 E-WAL-057 Rp 4,871,000
WELCH ALL YN-USA 5079-285 NE-WAL-063 Rp 2,012,000
SPENCER-ITALY ST05100A NE-SCR-101 Rp 18,468,000
SPENCER-ITALY BG-04010 A B- LIFE NE-SCR-012 Rp 8,618,000
SPENCER-ITALY LIENZ CB-06022 A NE-SCR-036 Rp 38,413,000
ELCON-GERMANY 590-210 A E-ELC-066 Rp 18,261,000
ELCON-GERMANY 155-170 E-ELC-008 Rp 3,721,000
ELCON-GERMANY 155-140 E-ELC-101 Rp 12,603,000
SPENCER-ITALY QC22506 A NE-SCR-130 Rp 3,817,000
SPENCER-ITALY S DO111B NE-SCR-138 Rp 5,171,000
HARGA DALAM RUPIAH
TOTAL

88,315,000.00
17,293,500.00
13,705,200.00
8,363,000.00
3,721,000.00
14,875,000.00
12,603,000.00
-
6,474,000.00
13,704,000.00
18,261,000.00
5,933,000.00
-
6,704,000.00
83,269,000.00

2,716,303,700.00

66,639,000.00
419,754,000.00

289,446,000.00
31,396,000.00
6,000,000.00
83,106,000.00
57,456,000.00
42,486,000.00
4,871,000.00
2,012,000.00

1,003,166,000.00

68,816,000.00

137,632,000.00

6,272,003,600.00
-
-
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-
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