TARIF BHP LABORATORIUM

Kimia Klinik ( Alat A15, BTS 330)Glukosa Cholesterol Asam Urat Trigliserid Ureum Creatinin SGOTSGPTBiliburin Total Biliburin Direct Total Protein Albumin Alkalin Phosfatase HDL - Cholesterol LDL - Cholesterol

Elektrolit ( alat prolyte)

Hematologi ( abx , Advia 60 )Hemoglobin Leukosit Entrisit Trombosit Diff count MCV MCH MCHCHematokrit LED ( Laju Endap Darah )Masa Perdarahan Masa Pembekuan Malaria stik Malaria (mikroskopi)BTA Golongan Darah Widal HBSAG (Punya Lab )HCV ( UTDRS)Syiphilis (UTDRS)Urin rutin Morfologi darah tepi Sedimen urin

Manual Hematologi

Hb Leukosit Diff count Hematokrit Trombosit Analisa Sperma HbAIC Tubex Gram Dengue IG G,IG M Nacl

TARIF BHP LABORATORIUM

BHP 14,200 23,000 28,200 25,200 28,600 23,600 18,200 18,200 10,800 10,800 3,800 3,600 3,600 17,760 62,000

125,000

35,000 - - - - - - - - - 1,100 1,600 1,600 45,600 2,000 4,200 2,400 13,800 27,000 44,400 37,800 1,600 4,200

1,600 1,100 2,600 1,600 1,100 1,800 125,000 80,000 9,500 189,600 -

Mengetahui, Direktur RSUD Sungailiat

dr. Then Suyanti Pembina Nip. 197709192005012012

Daftar Harga Bahan Habis Pakai

NO NAMA SATUAN

1 Abbocath No. 18 PCS2 Abbocath No. 20 PCS3 Abbocath No. 22 PCS4 Abbocath No. 24 PCS5 Abbocath No. 26 PCS6 Alkohol 70 % 100 ML btl7 Alkohol 70 %60 ML btl8 Aqua injeksi AMP 25 CC btl9 Blood Transfusion Set pcs

10 Disp. Syringe 1 ML pcs11 Disp. Syringe 3 ML pcs12 Disp. Syringe 5 ML pcs13 Disp. Syringe 10 ML pcs14 Disp. Syringe 20 ML pcs15 Disp. Syringe 50 ML pcs16 Feeding Tube NO.3,5 pcs17 Feeding Tube NO.5 pcs18 Feeding Tube NO.8 pcs19 Folley Cateter 2 way NO . 16 pcs20 Folley Cateter 2 way NO . 18 pcs21 Folley Cateter 2 way NO . 20 pcs22 Folley Cateter 2 way NO . 6 Dan 10 pcs23 Hand Schoen No. 6,5 pcs24 Hand Schoen No. 7 pcs25 Hand Schoen No. 7,5 pcs26 Hand Schoen No. 8 pcs27 Infusion Set 01- 24 pcs28 Infusion Set Microdrip pcs29 KA-EN 1 B Botol 500 cc pcs30 KA-EN 3 A Botol 500 cc pcs31 KA-EN 3 B Botol 500 cc pcs32 Kasa Steril 16 x 16 ( B ox ) Box 33 Kertas EKG roll34 Masker box 35 Mess box 36 Plester 4,5 x 7,5 cm pcs 37 Plester 2,5 x 1 cm pcs38 Stomatch Tube No. 16 pcs 39 Stomatch Tube No. 18 pcs 40 Stomatch Tube No. 20 pcs 41 Urine BAG pcs 42 Verban 4 x 10 ( gulung ) roll43 Soda lime galon 44 Wing Needle No .23 pcs

45 Wing Needle No .25 pcs 46 Spinal Needle No.25 pcs 47 Spinal Needle No.27 pcs 48 Elastis Verban 4 pcs 49 Jarum Kulit / otot all - size lsn 50 Cat Gut Chromic 2/0 casette 51 Cat Gut Chromic 2 casette 52 Cat Gut Chromic 3/0 casette 53 Cat Gut Plain 2 Casette 54 Cat Gut Plain 2/0 Casette 55 Silk Black NO. 2/0 Casette 56 Vicryl No. 3/0 Casette 57 Vicryl No. 2/0 Casette 58 Kantong Mayat ktg59 X-RAY Film 24 x 30 box 60 X-RAY Film 30 x 40 box 61 X-RAY Film 35 x 35 box 62 Fixer + Developer btl63 X- Ray Dobel film / dental box 64 Widal kit 65 Umbilical klem pcs66 Pregnancy test pcs67 Stik Optium pcs68 Cat GUT sachet 69 Silk sachet 70 Elektroda pcs71 Handschoen Non Steril (limas) pcs72 Hibiscrub ltr73 Hipafix 5 cm x 5 cm roll74 Nald pcs75 Kapas 1 kg kg 76 Kasa Gulung 40 cm x 80 cm glg77 Lancet pcs78 Pampers Dewasa bks79 Micropore 2,5 cm roll80 Micropore 4,5 cm roll81 HandschoenNon steril (B Braun ) pcs

Daftar Harga Bahan Habis Pakai

HARGA Lama

20,000 20,000 20,000 20,000 20,000 27,000 5,500 2,500 20,000 2,000 2,500 3,000 5,000 10,000 20,000 18,500 18,500 18,500 27,000 27,000 27,000 40,000 9,000 9,000 9,000 9,000 11,000 12,000 20,000 20,000 20,000 2,500 414,000 40,000 2,500 27,000 18,000 18,500 18,500 18,500 4,000 1,000 742,500 8,000

8,000 40,500 40,500 63,450 16,500 850,000 850,000 850,000 850,000 850,000 432,000 100,000 100,000 267,300 840,000 1,135,000 1,300,000 1,475,000 650,000 273,000 1,500 3,000 7,000 16,500 16,500 5,000 3,000 161,000 36,000 2,000 29,000 63,000 1,000 10,000 24,000 40,000 1,000

Mengetahui, Direktur RSUD Sungailiat

dr. Then Suyanti

Pembina Nip. 197709192005012012

TARIF POLY GIGI

NO JENIS TINDAKAN YANG DILAKUKAN

Pencabutan 1 Gigi Sulung Topikal2 Gigi Sulung Suntikan 3 Gigi Tetap Anterior 4 Gigi Tetap Posterior 5 Gigi Tetap Komplikasi 6 M3 Miring

Penambalan Gigi 1 Tambalan Sementar 2 Tambalan Silikat 3 Tambalan Lomposite 4 Perawatan Saluran Akar 5 Scaling 6 Kuretase

TARIF POLY GIGI

BHP

2,000 35,000 35,000 5,500 19,000 30,000

4,500 4,500 26,500 4,000 17,500 5,500

Mengetahui, Direktur RSUD Sungailiat

dr. Then Suyanti Pembina Nip. 197709192005012012

Pemakaian Alat dan Bahan di Radiologi

No Materi

1 Film Fuji 35cm x 35cm 2 Film Fuji 30cm x 40cm 3 Film Fuji 24cm x 30 cm 4 Dental Aspa 3cm x 4cm 5 Develepor 6 Fixer 7 Kertas USG /Pemeriksaan 8 Jelly USG 9 Amplop Rontgen

10 Amplop Gigi11 Amplop USG

Pemakaian Alat dan Bahan di Radiologi

Penggunaan Pemeriksaan

31,000 29,000 25,000 20,000 9,000 2,500 2,500 35,000 - - -

Mengetahui, Direktur RSUD Sungailiat

dr. Then Suyanti Pembina Nip. 197709192005012012

TARIF BHP TERBARU

No Nama Barang Satuan Harga Satuan (Rp)

1 Abbocath No. 18 pcs Rp 26,000 2 Abbocath No. 20 pcs Rp 26,000 3 Abbocath No. 22 pcs Rp 26,000 4 Abbocath No. 24 pcs Rp 26,000 5 Abbocath No. 26 pcs Rp 34,000 6 Accu check performa apac 25 pcs Rp 12,000 7 Accu chek performa 25 pcs Rp 12,000 8 Accu chek performa 50 pcs Rp 12,000 9 Accu chek softclick 100 pcs Rp 2,000

10 Accu chek softclick 25 pcs Rp 2,000 11 Alkohol 70 % 60 ML btl Rp 7,000 12 Alkohol 70% 1 L botol Rp 36,000 13 Alkohol 96% 1 L botol Rp 70,000 14 Asering 500 cc pcs Rp 26,000 15 Blood Transfusi Set pcs Rp 30,000 16 Catgut Chromic all size pcs Rp 82,500 17 Catgut plain all size pcs Rp 82,500 18 Certofix duo pcs Rp 895,000 19 Certofix duo paed pcs Rp 882,000 20 Certofix trio pcs Rp 1,012,000 21 Sofratule/lomatule pcs Rp 23,000 22 Dermafilm 23.5cmx8.5cm pcs Rp 27,000 23 Discofix 3-way stopcock pcs Rp 30,000 24 Discofix 3-way +10 cm tubing pcs Rp 45,000 25 Discofix C white pcs Rp 35,000 26 Disp Syringe 1 cc pcs Rp 2,500 27 Disp syringe 3 ml pcs Rp 2,200 28 Disp syringe 5 cc pcs Rp 2,700 29 Disp Syringe 10 cc pcs Rp 3,000 30 Disp Syringe 20 cc pcs Rp 11,000 31 Disp Syringe 50 cc pcs Rp 30,000 32 Elastis verban 3' roll Rp 70,000 33 Elastis verban 4' roll Rp 82,500 34 Elastis verban 6' roll Rp 96,000 35 Elektrode pcs Rp 5,000 36 Ethy klorida spray botol Rp 130,000 37 ETT all size orange pcs Rp 526,000 38 ETT all size putih pcs Rp 100,000 39 Extension tube all size pcs Rp 55,000 40 Folley Catheter No. 6 pcs Rp 230,000 41 Folley Catheter No.10 pcs Rp 65,000 42 Folley Catheter No.12 - 20 pcs Rp 26,000 43 Folley Catheter 3 way No.18-24 pcs Rp 90,000

44 Gelang pasien pcs Rp 2,000 45 Guedel Airway Red all size pcs Rp 70,000 46 Gypsona 3 in pcs Rp 45,000 47 Gypsona 4 in pcs Rp 62,000 48 Gypsona 6 in pcs Rp 82,000 49 H2O2 3% 1L botol Rp 54,000 50 Handshoen non steril all size pcs Rp 1,000 51 Handshoen steril all size pcs Rp 20,000 52 Hermesh 4.5x10 cm pcs Rp 275,000 53 Hipafix 10x5 roll Rp 172,000 54 Hipafix 5x5 roll Rp 100,000 55 In stopper pcs Rp 12,000 56 Infusion set makro pcs Rp 27,000 57 Infusion set mikro pcs Rp 27,000 58 Kantong Mayat ktg Rp 270,000 59 Kasa steril 16x16 box Rp 8,000 60 Kassa gulung 40x80 glg Rp 190,000 61 Kertas EKG 112 x 25 roll Rp 226,000 62 Lancet pcs Rp 1,000 63 Leukomed IV film pcs Rp 14,000 64 Leukoplast 1.25cmx4.5m roll 124,000 ###65 Leukoplast 5cmx4.5m roll 43,000 ###66 Leukoplast 7,5cmx4.5m roll 52,000 ###67 Lidi BTA bgks 24,000 ###68 Lidi wasen bgks 49,000 ###69 Lignocain jelly tube 92,000 ###70 Lilymeyr 500 ml botol 860,000 ###71 Liscoomb card box 5,890,000 ###72 Lithium 500 ml botol 1,290,000 ###73 Lomatulle pcs 16,000 ###74 Malaria entebe box 908,000 ###75 Malaria test strip kit 714,000 ###76 Mandrin no 4.3 mm pcs 265,000 ###77 Masker box 56,000 ###78 Masker O2 non rebreating anak pcs 91,000 ###79 Masker O2 non rebreating dewasa pcs 91,000 ###80 Masker O2 non rebreting bayi pcs 104,000 ###81 Masker O2 rebreating anak pcs 76,000 ###82 Masker O2 rebreating dewasa pcs 91,000 ###83 Masker O2 sungkup anak pcs 35,000 ###84 Masker O2 sungkup bayi pcs 38,000 ###85 Masker O2 sungkup dewasa pcs 38,000 ###86 Masker oksigen sungkup dws pcs 35,000 ###87 Meliodent heraeus kulzer Box 1,052,000 ###88 Mess no. 15 pcs 4,000 ###89 Mess no. 21 pcs 4,000 ###90 Mess no. 23 pcs 4,000 ###91 Micropipette adjustable 5-50µ unit 3,835,000 ###

92 Micropore 1" roll 38,000 ###93 Micropore 2" box 259,000 ###94 Minotrol 16 twin-pack botol 590,000 ###95 Mortir besar pcs 95,000 ###96 Mortir sedang pcs 64,000 ###97 Muufix 5x5 roll 94,000 ###98 Nald kulit GT no. 6 pcs 8,000 ###99 Nald kulit GT no. 7 pcs 4,000 ###

100 Nald kulit GT no. 8 pcs 4,000 ###101 Nald kulit no.10 bgks 26,000 ###102 Nald kulit no.11 bgks103 Nald kulit no.12 bgks104 Nald kulit no.13 bgks105 Nald kulit no.14 bgks106 Nald kulit no.16 bgks107 Nald kulit no.9 bgks108 Nald otot GR no. 6 pcs 8,000 ###109 Nald otot no.10 bgks 26,000 ###110 Nald otot no.11 bgks111 Nald otot no.12 bgks112 Nald otot no.13 bgks113 Nald otot no.14 bgks114 Nald otot no.15 bgks115 Nald otot no.16 bgks116 Nald otot no.9 bgks117 Nasal oksigen anak pcs 15,000 ###118 Nasal oksigen bayi pcs 35,000 ###119 Nasal oksigen dewasa pcs 13,000 ###120 Needle all Size pcs 62,000 ###121 NGT No. 20 pcs 35,000 ###122 NGT No. 5 pcs 21,000 ###123 NGT no. 8 pcs 24,000 ###124 NGT no.12 pcs 22,000 ###125 NGT no.16 pcs 21,000 ###126 NGT no.18 pcs 24,000 ###127 NGT No.20 pcs 33,000 ###128 NGT no.3,5 pcs 21,000 ###129 NGT no.5 pcs 21,000 ###130 NGT no.6 pcs 30,000 ###131 NGT no.8 pcs 21,000 ###132 Objek glass pcs 42,000 ###133 OG-6 500 ML botol 1,280,000 ###134 Omnifix 50 ml LL centric cone pcs 28,000 ###135 Pampers Dewasa bks 13,000 ###136 Perban elastic 4 in roll 90,000 ###137 Perban elastic 6 in roll 42,000 ###138 Perban elastis 3” roll 25,000 ###139 Perfusor tub white pcs 45,000 ###

140 Perifix 400 G18x3 pcs 360,000 ###141 Pewarnaan MDT set 235,000 ###142 PGA 0,TP 40 mm pcs 117,000 ###143 PGA 1 HS 48 pcs 94,000 ###144 PGA 1 RC 40 mm pcs 110,000 ###145 PGA 1,TP 48 mm pcs 117,000 ###146 PGA 2 TP 48 mm pcs 114,000 ###147 PGA 2-0 TP 26 mm pcs 93,000 ###148 PGA 3-0 RC 19 mm pcs 97,000 ###149 PGA 3-0 RC 24 mm pcs 93,000 ###150 PGA 4-0 RC 24 mm pcs 93,000 ###151 PGA no.2 TP 48 mm pcs 117,000 ###152 Piston pcs 1,045,000 ###153 Plastik 1 kg bungkus 10,000 ###154 Plastik 5 kg bungkus 10,000 ###155 Plastik klip 10x15 bgks 18,000 ###156 Plastik klip 13x8,7 bgks 10,000 ###157 Plastik klip 6x10 bgks 9,000 ###158 Plastik klip 7x10 bgks 9,000 ###159 Plastik klip 8.7x13 pcs 1,000 ###160 Plastik klip 8x12 pcs 1,000 ###161 Plester leukoplas 1.25x4.5 roll 15,000 ###162 Plester Leukoplast 5cmx4.5m roll 43,000 ###163 Poli Glycolic acid 4-0, RC 24 mm sach/pcs 93,000 ###164 Poli Glycolic acid 4-0, TP 26 mm, 70 cm sach/pcs 93,000 ###165 Poli Glycolic acid no 3-0 RC sach/pcs 188,000 ###166 Poli Glycolic acid no 3-0 TP bulat sach/pcs 188,000 ###167 Poli Glycolic acid no. 3-0 TP bulat 26 mm sach/pcs 93,000 ###168 Poli Glycolic acid no. 3-0, RC 24 mm sach/pcs 93,000 ###169 Poli Glycolic acid no.0 bulat (RB) sach/pcs 130,000 ###170 Poli Glycolic acid no.0 segitiga (RC) sach/pcs 130,000 ###171 Poli Glycolic acid no.1 bulat (RB) sach/pcs 130,000 ###172 Poli Glycolic acid no.1 segitiga (RC) sach/pcs 130,000 ###173 Poli Glycolic acid 1 TP bulat 48 mm sach/pcs 117,000 ###174 Poli Glycolic acid 1, TP bulat 37 mm sach/pcs 117,000 ###175 Poli Glycolic acid no 1 bulat TP sach/pcs 200,000 ###176 Poli Glycolic acid no. 2 bulat (RB) sach/pcs 145,000 ###177 Poli Glycolic acid no. 2 bulat (TP) sach/pcs 146,000 ###178 Poli Glycolic acid no. 2/0 bulat (RB) sach/pcs 110,000 ###179 Poli Glycolic acid no. 2/0 segitiga (RC) sach/pcs 144,000 ###180 Poli Glycolic acid no. 2-0 TP bulat 26 cm pcs 93,000 ###181 Poli Glycolic acid no.2 TP bulat 48 mm sach/pcs 117,000 ###182 Poli Glycolic acid no.2-0, RC 24 mm pcs 93,000 ###183 Poli Glycolic acid no.3/0 bulat (RB) sach/pcs 110,000 ###184 Poli Glycolic acid no.3/0 segitiga (RC) sach/pcs 144,000 ###185 Poli Glycolic acid no.4/0 bulat (RB) sach/pcs 110,000 ###186 Poli Glycolic acid no.5/0 bulat (RB) sach/pcs 110,000 ###187 Poli Glycolic acid R no.0 bulat (TP) sach/pcs 188,000 ###

188 Poli Glycolic acid R no.3/0 bulat (TP) sachet 147,000 ###189 Poli Propylene no. 3-0 TP 26 mm sach/pcs 152,000 ###190 Poli Propylene 4/0 bulat (RB) sach/pcs 92,000 ###191 Poli Propylene 4/0 bulat (TP) sach/pcs 214,000 ###192 Poli Propylene no. 1 bulat (RB) sach/pcs 112,000 ###193 Poli Propylene no. 3/0 bulat (RB) sach/pcs 121,000 ###194 Polifix 5x5 box 73,000 ###195 Polypropylene 3/0 DS 24 mm pcs 86,000 ###196 Postofix 10x25 pcs 35,000 ###197 Pot dahak/sputum dia 7 cm pcs 3,000 ###198 Pot salep pcs 5,000 ###199 PPL 2-0 RC 24 mm pcs 107,000 ###200 PPL 4-0 RC 19 mm pcs 107,000 ###201 Pregnancy test pcs 4,000 ###202 Premicron 2 hrt 43 pcs 236,000 ###203 Premicron 2/0 pcs 135,000 ###204 Premicron 2/0 HRT pcs 135,000 ###205 Premilen 2/0 ds 24 pcs 85,000 ###206 Premilen 4/0 ds 19 pcs 109,000 ###207 Rak stanning jar buah 482,000 ###208 Rapid test dengue IgG/IgM’25 box 3,232,000 ###209 Reaction rotor box 396,000 ###210 Reagen HbA 1C kit 3,230,000 ###211 Reagent HB Meter KIT 2,544,000 ###212 Resuscitator bayi premature pcs 530,000 ###213 Ruber bur set Box 505,000 ###214 Safil 0 hr 40s pcs 101,000 ###215 Safil 0 hr 48 pcs 110,000 ###216 Safil 1 hr 40s pcs 107,000 ###217 Safil 1 hr 48 pcs 107,000 ###218 Safil 2 hrt 48 pcs 127,000 ###219 Safil 2/0 hr 26 pcs 98,000 ###220 Safil 3/0 ds 24 pcs 93,000 ###221 Salmonella-AH vial 207,000 ###222 Salmonella-AO vial 207,000 ###223 Salmonella-H vial 207,000 ###224 Salmonella-O vial 207,000 ###225 Sample cup pcs 1,850,000 ###226 Selang O2 dewasa pcs 14,000 ###227 Selang canula O2 anak pcs 14,000 ###228 Selang canula O2 dewasa pcs 14,000 ###229 Selang masker pcs 62,000 ###230 Selang Masker O2 bayi pcs 42,000 ###231 Selang masker o2 with obat anak pcs 1,547,000 ###232 Selang O2 bayi pcs 28,000 ###233 Selang O2 anak pcs 14,000 ###234 Selang O2 dewasa pcs 21,000 ###235 SGOT botol 2,060,000 ###

236 SGPT botol 2,060,000 ###237 Silk no. 2/0 kaset 894,000 ###238 Silk 0 DS 24 mm pcs 49,000 ###239 Silk 0 ds 30 pcs 90,000 ###240 Silk 0 hr 30 pcs 56,000 ###241 Silk 0 HR 37 mm pcs 47,000 ###242 Silk 1 hr 28 pcs 75,000 ###243 Silk 1 HR 37 mm pcs 47,000 ###244 Silk 1 hr 48 pcs 84,000 ###245 Silk 1 TP 40 mm pcs 62,000 ###246 Silk 2 TP 40 mm pcs 62,000 ###247 Silk 2/0 ds 24 pcs 48,000 ###248 Silk 2/0 hr 22 pcs 54,000 ###249 Silk 3/0 roll 674,000 ###250 Silk 3/0 ds 16 pcs 35,000 ###251 Silk 3/0 ds 19 pcs 59,000 ###252 Silk 3/0 ds 24 pcs 54,000 ###253 Silk 3/0 hr 17 pcs 60,000 ###254 Silk 4/0 hr 17 pcs 72,000 ###255 Silk no. 0 hr 30 pcs 56,000 ###256 Silk no. 0 RC 30 pcs 58,000 ###257 Silk no. 3/0 kaset 894,000 ###258 Silk no. 3/0 RC 24 pcs 55,000 ###259 Silk no. 4/0 kaset 894,000 ###260 Soda lime galon 928,000 ###261 Sodium citrate 3.8 100ml botol 38,000 ###262 Sofnolime galon 1,540,000 ###263 Sofratull 10 cm x 10 cm box 290,000 ###264 Sofratulle box 280,000 ###265 Softaman 1 L botol 176,000 ###266 Softaman 500 ml botol 98,000 ###267 Softband 4 in pcs 41,000 ###268 Softband 6 in pcs 50,000 ###269 Spalk 4x80cm pcs 13,000 ###270 Spalk 8x80cm pcs 17,000 ###271 Spatula box 62,000 ###272 Spinal Needle No.27 pcs 51,000 ###273 Spinocan 26 pcs 51,000 ###274 Spinocan no. 23 pcs 37,000 ###275 Spinocan no. 25 pcs 37,000 ###276 Spinocan no. 27 pcs 36,000 ###277 Spritus liter 35,000 ###278 Spuit Glycerin 20 cc pcs 114,000 ###279 Spun filter 1 µl pcs 38,000 ###280 Spun filter 10 µl pcs 38,000 ###281 Spun filter 5 µl pcs 38,000 ###282 Stabimed 1 L botol 935,000 ###283 Stanning jar horizontal box 825,000 ###

284 Stetoskop anak Box 1,928,000 ###285 Stetoskop spirit Set 344,000 ###286 Stik optium box 949,000 ###287 Stik optium '25 box 272,000 ###288 Stik optium ‘100 box 963,000 ###289 Stik optium ‘50 box 564,000 ###290 Stik tubercolosos anty body box 1,774,000 ###291 Stone bur set Box 206,000 ###292 Suction catheter All Size pcs 14,000 ###293 Syphilis card box 1,339,000 ###294 Tabung EDTA box 482,000 ###295 Tabung ependop 0,5 ml pack 3,468,000 ###296 Tabung Hematocrit merah pcs 215,000 ###297 Tabung westergren botol 129,000 ###298 Tensimeter anak box 1,547,000 ###299 Tensocrepe pcs 185,000 ###300 Termometer pcs 49,000 ###301 Testserum A-B botol 147,000 ###302 Thermometer air raksa pcs 14,000 ###303 Thermometer digital pcs 49,000 ###304 Toniquet pcs 15,000 ###305 Total protein botol 430,000 ###306 Triglyceride botol 3,850,000 ###307 Tubex box 3,119,000 ###308 Turk botol 54,000 ###309 Tusuk gigi bgks 21,000 ###310 Umbilical klem pcs 2,000 ###311 Under pad pak 80,000 ###312 Urea botol 1,760,000 ###313 Uric acid botol 1,815,000 ###314 Urine bag pcs 10,000 ###315 Urine strip (Cybow) box 909,000 ###316 Vasofix G20 pcs 38,000 ###317 Vasofix G22 pcs 40,000 ###318 Vasofix G24 pcs 38,000 ###319 Verban 4 x 10 (Gulung) roll 2,000 ###320 Vicryl No. 2/0 Casette 125,000 ###321 Vicryl No. 3/0 Casette 125,000 ###322 Vitrocem 5 gr powder botol 398,000 ###323 Wright E.M.B solution botol 132,000 ###324 X Ray film dental box 963,000 ###325 X Ray film dental box 963,000 ###326 X Ray film uk.15x30 box 1,169,000 ###327 X Ray film uk.24x30 box 3,110,000 ###328 X Ray film uk.30x40 box 4,981,000 ###329 X Ray film uk.35x35 box 2,875,000 ###330 X-ray film dental 3x4 box 894,000 ###331 Xylocain jelly tube 104,000 ###

332 Xylol 4 L botol 1,460,000 ###333 Yellow tips pcs 1,000 ###

Nama Barang Satuan Harga Satuan (Rp)

ABX Miniclean 1 L pai 1,486,100.00 1,857,625.00ABX minidil LMG 10 L pai 2,081,200.00 2,601,500.00ABX Minilyse LMG 1 L pai 4,458,300.00 5,572,875.00Albumin 50 ml botol 1,056,000.00 1,320,000.00Anti A botol 143,000.00 178,750.00Anti A botol 99,000.00 123,750.00Anti B botol 143,000.00 178,750.00Anti B botol 99,000.00 123,750.00Anti D botol 120,450.00 150,562.50Anti D botol 143,000.00 178,750.00Anti D botol 154,000.00 192,500.00Billirubin total botol 1,038,400.00 1,298,000.00Calibrator box 343,200.00 429,000.00Cholesterol botol 968,000.00 1,210,000.00Control serum level I box 319,440.00 399,300.00Control serum level II box 319,440.00 399,300.00Cratinine botol 756,800.00 946,000.00Daily cleaning solution ki botol 792,000.00 990,000.00Dengue (igg-iggm) box 3,437,500.00 4,296,875.00Dengue (igg-iggm) box 2,585,000.00 3,231,250.00Dengue IGG/IGM Box 1,650,000.00 2,062,500.00Dengue IgG/IgM ‘25 box 1,977,800.00 2,472,250.00Dengue IgG/IgM ‘25 box 2,178,000.00 2,722,500.00Dengue IgG/IgM ‘25 box 2,585,000.00 3,231,250.00Dengue IgG/IGM’ 50 box 4,950,000.00 6,187,500.00Rapid test dengue IgG/I box 2,585,000.00 3,231,250.00Fluid pack Na+/K+/Cl- pack 33,000,000.00 41,250,000.00HBSAG Card box 1,149,500.00 1,436,875.00HCV Card box 1,329,790.00 1,662,237.50HDL cholesterol botol 1,298,000.00 1,622,500.00HIV 1 dan II card box 1,427,800.00 1,784,750.00Minotrol 16 twin-pack botol 471,350.00 589,187.50Micropipette adjustable unit 3,067,735.00 3,834,668.75OG-6 500 ML botol 1,024,650.00 1,280,812.50Pewarnaan MDT set 1,787,500.00 2,234,375.00Rak stanning jar buah 385,000.00 481,250.00Reagen HbA 1C kit 2,607,275.00 3,259,093.75Reagent HB Meter KIT 2,035,000.00 2,543,750.00Sodium citrate 3.8 100ml botol 30,250.00 37,812.50Spun filter 1 µl pcs 30,250.00 37,812.50Spun filter 10 µl pcs 30,250.00 37,812.50Spun filter 5 µl pcs 30,250.00 37,812.50Stabimed 1 L botol 748,000.00 935,000.00Stanning jar horizontal box 660,000.00 825,000.00Stik tubercolosos anty bo box 1,419,000.00 1,773,750.00Syphilis Card box 1,070,850.00 1,338,562.50

Harga Satuan + 25% (Rp)

Urea botol 1,408,000.00 1,760,000.00Uric Acid botol 1,452,000.00 1,815,000.00Vitrocem 5 gr powder botol 317,900.00 397,375.00Wright E.M.B solution botol 105,930.00 132,412.50Xylol 4 L botol 1,168,750.00 1,460,937.50

BaCl2 100 ml botol 20,020.00 25,025.00EA-50 500 ML botol 1,002,375.00 1,252,968.75EDTA 100ml botol 68,860.00 86,075.00Entellan 100 ml botol 638,000.00 797,500.00Eosin botol 94,930.00 118,662.50Eosin Phyloxin 500 ml botol 1,100,000.00 1,375,000.00Eosin solution 100 ml botol 104,390.00 130,487.50Ethanol 50% 1 L botol 687,500.00 859,375.00Ethanol 70% 1L botol 1,072,500.00 1,340,625.00Ethanol 80% 1L botol 1,031,250.00 1,289,062.50Ethanol 96% 1 L botol 1,168,750.00 1,460,937.50Ethanol Anhydrous 4 L botol 1,718,750.00 2,148,437.50Fouchet 100 ml botol 302,500.00 378,125.00Giemsa botol 1,210,000.00 1,512,500.00Glucose botol 484,000.00 605,000.00Gram color Set 4,218,000.00 5,272,500.00Hcl 0,1 N botol 19,965.00 24,956.25Hematoxylin 500 ml botol 1,083,500.00 1,354,375.00Lilymeyr 500 ml botol 687,500.00 859,375.00Lithium 500 ml botol 1,031,250.00 1,289,062.50Deckglass 24X60 box 126,500.00 158,125.00Malaria entebe box 392,040.00 490,050.00Kertas saring lembaran lembar 22,000.00 27,500.00Total protein botol 343,200.00 429,000.00Triglyceride botol 3,080,000.00 3,850,000.00Tubex box 2,494,800.00 3,118,500.00Turk botol 42,680.00 53,350.00Spritus liter 27,501.00 34,376.25Tabung EDTA pcs 3,850.00 4,812.50Tabung hematocrit pcs 171,600.00 214,500.00Tusuk gigi bgks 16,500.00 20,625.00

Bibag sodium bicarbonate pcs 80,850.00 101,062.50Bloodline tubing system set 97,680.00 122,100.00Dialyser – Low flux H F7 pcs 195,250.00 244,062.50F-Hemosol part A jrg 92,400.00 115,500.00Fistula needle – 16 GA pcs 11,330.00 14,162.50Fistula Needle 16 GV pcs 11,330.00 14,162.50

Charisma sy A2 4 gr box 766,700.00 958,375.00Charisma sy A3 4 gr box 766,700.00 958,375.00Charisma sy A3,5 4 gr box 766,700.00 958,375.00Charisma sy C3 4 gr box 766,700.00 958,375.00GC label fuji IX GP A3 box 561,000.00 701,250.00Gluma comfort bond 4 ml box 1,570,800.00 1,963,500.00Gluma etch syr 2.5 ml pcs 420,750.00 525,937.50