Bhp Yanmedis 2012

BHP POLI GIGIPAGU 29,812,506 TOTAL KEBUTUHAN 29,803,500 SISA DANA 9,006

No Nama Barang Harga Satuan Kebutuhan Satuan JUMLAH

1 Tetric N Ceram Intropack Rp 3,500,000 3 set 10,500,0002 Tetric N Flow A3 Rp 250,000 2 Tube 500,0003 Tetric N Ceram A 3,5 Dentin Rp 435,000 1 Tube 435,0004 Septocaine Rp 675,000 10 Dos 6,750,0005 Metaphaste Rp 450,000 1 Tube 450,0006 Maribur Rp 100,000 12 Kotak 1,200,0007 Fiji 9 Art Mini Pack Rp 535,000 2 Dos 1,070,0008 Cavito White Rp 250,000 5 Dos 1,250,0009 Septojet 0,30x16mm Rp 385,000 3 Dos 1,155,00010 Septojet 0,30x12 mm Rp 375,000 3 Dos 1,125,00011 Calsidor Rp 650,000 1 Dos 650,00012 Articulating Paper Rp 35,000 5 pcs 175,00013 Papper Point Rp 45,000 10 Kotak 450,00014 Albothyl Rp 45,000 10 Botol 450,00015 Chlor Etil Rp 140,000 3 Botol 420,00016 Dispo 3cc Rp 78,000 2 Box 156,00017 Masker tali Rp 61,000 2 Box 122,00018 Handscoon No.6,5 NS Rp 1,850 500 pcs 925,00019 Alkohol Rp 25,000 5 Botol 125,00020 Betadine Rp 82,500 3 Botol 247,50021 Kapas 1000 gr Rp 64,000 2 Kg 128,00022 Kasa roll Rp 140,000 3 rol 420,00023 Spray Hand Pice Rp 550,000 2 Botol 1,100,000

TOTAL 29,803,500

Tilamuta, 22 November 2012Penanggung Jawab Ruangan

drg.MULIATY19761129 200604 2 014

DAFTAR KEBUTUHAN BHP POLIKLINIKPAGU 12,776,788 TOTAL KEBTUHAN 12,776,383 SISA 405

POLIKLINIKNo.

Nama Harga Satuan Kebutuhan Satuan Jumlah Harga

Interna 1 Kertas USG Rp 247000 2 Buah 494,0002 Kertas EKG Rp 200000 7 Buah 1,400,0003 Jely USG Rp 25000 14 Botol 350,0004 Handscoon Rp 10010 3 Dos 30,0305 Masker Rp 110000 5 Dos 550,0006 Alkohol Rp 35574 1 Liter 35,574

Total2,859,604

Obgyn 1 Alkohol Rp 24700 6 Liter 148,2002 Betadine Rp 71500 6 Liter 429,0003 Kertas USG Rp 247000 9 Rol 2,223,0004 Jely USG Rp 26000 20 Botol 520,0005 Handscoon Rp 500500 3 Dos 1,501,5006 Masker Rp 110000 3 Dos 330,0007 Hypasfix 10cm Rp 165000 6 Dos 990,0008 Kasa steril Rp 8000 36 Dos 288,0009 Kapas 500gr Rp 38000 5 Buah 190,00010 Dermafix Rp 39000 10 Buah 390,00011 Plester Besar Rp 62133 5 Buah 310,665

Total7,320,365

Umum 1 Betadine Rp 71500 2 Liter 143,0002 Alkohol Rp 35000 2 Botol 70,0003 Handscoon Rp 500500 1 Dos 500,5004 Masker Rp 110000 1 Dos 110,0005 Kasa steril Rp 8000 6 Dos 48,000

6 Kapas 500gr Rp 38000 1 Buah 38,0007 Plester Luka Besar Rp 62133 1 Buah 62,1338 Hypafix 10cm x 5cm Rp 165000 1 165,000

Total 1,136,633

Mata 1 Betadine Rp 71500 2 Liter 143,0002 Alkohol Rp 35574 2 Botol 71,1483 Handscoon Rp 500500 1 Dos 500,5004 Masker Rp 110000 1 Dos 110,0005 Kasa Steril Rp 8000 5 Dos 40,0006 Kapas 500gr Rp 38000 1 Buah 38,0007 Plaster Luka Kecil Rp 62133 1 62,1338 Hypafix 10cmx5cm Rp 165000 3 495,000

Total 1,459,781

DAFTAR KEBUTUHAN BHP ANASTESI

PAGU 69,688,178

TOTAL KEBUTUHAN 69,747,713

SELISIH (59,535)

No Nama Barang Harga Satuan Kebutuhan Satuan Jumlah Harga

1 Isofluran Rp 1,400,000 7 Botol 9,800,0002 Halothane Rp 1,400,000 4 Botol 5,600,0003 Ketamin 100 Rp 160,000 10 Vial 1,600,0004 Fentanyl Rp 35,000 50 Amp 1,750,0005 Pethidin Rp 24,000 50 Amp 1,200,0006 Amiodaron Rp 20,000 5 Amp 100,0007 Fargoxin Rp 28,000 5 Amp 140,0008 Aminophyllin Rp 3,000 20 Amp 60,0009 Rp 78,989 5 394,94510 Midazolam 1mg/ml Rp 45,760 100 Amp 4,576,00011 Buvanest Spiral Rp 54,000 190 Amp 10,260,00012 Efedrin Rp 3,145 50 Amp 157,25013 Marcain Epidual Rp 260,000 10 Botol 2,600,00014 Xylocain Spray Rp 234,301 1 Botol 234,30115 Rp 70,000 20 Amp 1,400,00016 Rp 50,000 20 Amp 1,000,00017 Fimahes Rp 48,000 100 Bag 4,800,00018 Rp 30,000 30 Amp 900,00019 Aqua B 10ml Rp 3,000 200 Amp 600,00020 Vecuranium 10mg Rp 139,049 10 Vial 1,390,49021 Spinocan 6,25 Rp 32,000 125 pcs 4,000,00022 Spinocan 6 27 Rp 32,000 30 pcs 960,00023 Epidural Needle Rp 50,000 10 pcs 500,00024 Epidural Needle + Cath Rp 320,000 5 pcs 1,600,00025 Spuit 50cc Rp 9,240 20 pcs 184,800

Nor Adrenalin (vascon®/Raivas®)

Nalaxom (Nacota®)Atracurium (Tramus®)

Donidin (Ctapness®)

26 Spuit 20 cc Rp 3,300 50 pcs 165,00027 Spuit 10cc Rp 1,589 200 pcs 317,80028 Spuit 5cc Rp 1,589 200 pcs 317,80029 Spuit 3cc Rp 1,589 200 pcs 317,80030 Spuit 1cc Rp 1,589 50 pcs 79,45031 Suction Cath No.6 Rp 7,000 10 pcs 70,00032 Suction Cath No.8 Rp 7,000 50 pcs 350,00033 Suction Cath No.10 Rp 7,000 10 pcs 70,00034 Suction cath no.12 Rp 7,000 10 pcs 70,00035 Suction Cath No. 16 Rp 7,000 20 pcs 140,00036 Orofaring No. 100 Rp 27,456 1 pcs 27,456 37 Orofaring No. 90 Rp 27,456 1 pcs 27,456 38 Orofaring No. 80 Rp 27,456 2 pcs 54,912 39 Orofaring No.70 Rp 20,592 1 pcs 20,592 40 Orofaring No. 60 Rp 20,592 1 pcs 20,592 41 Orofaring No.50 Rp 20,592 1 pcs 20,592 42 Orofaring No. 40 Rp 20,592 1 pcs 20,592 43 Nasofaring (dws) Rp 200,000 1 pcs 200,000 44 LMA No. 4 Rp 396,000 1 pcs 396,000 45 ET No. 7,5 Rp 50,000 5 pcs 250,000 46 ET No.7,0 Rp 50,000 5 pcs 250,000 47 ET No. 5,0 Rp 50,000 3 pcs 150,000 48 Wing Needle 6,23 Rp 4,752 100 pcs 475,200 49 Needle 6,23 Rp 500 100 pcs 50,000 50 Needle 6,21 Rp 500 100 pcs 50,000 51 Needle 6,18 Rp 500 100 pcs 50,000 52 Morfin Rp 10,810 100 Amp 1,081,000 53 Propofol Rp 90,000 74 Amp 6,660,000 54 Ketorolac 30mg Rp 13,385 51 Amp 682,635 55 Soda lime Rp 500,000 1 galon 500,000 56 Ext Tube Rp 9,181 50 pcs 459,050 57 Rp 100,000 2 pcs 200,000

57 LMA No.1 Rp 396,000 1 pcs 396,000

TOTAL 69,747,713

Cuff Rusch® N0.4

DAFTAR BHP OKPAGU 12,776,788 TOTAL KEBUTUHAN 12,738,150

SISA 38,638

No Nama Barang Harga Satuan Kebutuhan Satuan Jumlah harga

1 Masker Tali Rp 61,000 10 Dos 610,0002 Handscoon No.8 Rp 385,000 3 Dos 1,155,0003 Handscoon No 7,5 Rp 385,000 3 Dos 1,155,0004 Handscoon No 7,5 Rp 385,000 3 Dos 1,155,0005 Handscoen No 6,5 Rp 7,700 25 Dos 192,5006 Alkohol Rp 25,000 11 Botol 275,0007 Bethadine Rp 82,500 8 Botol 660,0008 Kassa Roll Rp 140,000 5 Rol 700,0009 Hipapix 10x5 Rp 99,800 5 Rol 499,00010 Plester 7,5cmx4,5cm Rp 35,000 3 Rol 105,00011 catgut Chromie No.2 Rp 528,000 2 Dos 1,056,00012 catgut Chromie no 2/0 Rp 495,000 2 Dos 990,00013 Sllk Black No 2/0 Rp 382,950 1 Dos 382,95014 Bisturi No 23 Rp 77,000 5 Dos 385,00015 Bisturi no 10 Rp 77,000 5 Dos 385,00016 Asscrom No.2 Rp 871,200 2 Dos 1,742,40017 Surgyeril 910 No.1 Rp 68,640 5 Dos 343,20018 Jarum GT 10 Rp 23,100 8 Dos 184,80019 Jarum Gr 10 Rp 23,100 8 Dos 184,80020 Jarum Gr 6 Rp 23,100 5 Dos 115,50021 cairan Odex Rp 77,000 6 Botol 462,000

TOTAL 12,738,150

Tilamuta,22 November 2012PJ.Ruangan OK

Sulha Talamoa, A.Md.KepNip.19780111 200604 2 029

DAFTAR KEBUTUHAN BHP KEBIDANANPAGU 12776788TOTAL KESELURUHAN 12776010SISA 778


1 Bayklin Rp 15,000 50 Liter 750,000 2 Handscoon Non Steril 'M' Rp 50,000 2 Box 100,000 3 Hanscoon Non steril 'L' Rp 50,000 2 Box 100,000 4 Handscoon Steril 6,5 Rp 7,700 100 Pcs 770,000 5 Handscoon Steril 7 Rp 7,700 100 Pcs 770,000 6 Handscoon Steril 7,5 Rp 7,700 100 Pcs 770,000 7 Handscoon Steril 8 Rp 7,700 50 Pcs 385,000 8 Kapas Rp 70,400 50 Gram 3,520,000 9 Sabun Detol Cair Rp 9,000 10 Botol 90,000

10 Plester anti air Rp 39000 50 Pcs 1,950,000 11 Bioplacenton Tube Rp 14988 10 Tube 149,880 12 Hipafix 5x5 cm Rp 92950 15 Rol 1,394,250 13 Has Hidro 40x80cm Rp 271700 5 Rol 1,358,500 14 Bisturi Rp 77000 2 Box 154,000 15 Masker Ikat Rp 50000 2 Box 100,000 16 Rivanol 300 ml Rp 4538 10 Box 45,380 17 Kertas USG Rp 24500 2 rol 49,000 18 Jelly USG Rp 26000 10 Botol 260,000 19 Jarum Heacting Otot Rp 20000 3 Lusin 60,000

TOTAL 12,776,010

Tilamuta, 22 November 2012PJ. Runagan Kebidanan

Witan Pakaya, Amd.Keb

Nip.19821105 200604 2 016

DAFTAR KEBUTUHAN BHP INTERNAPAGU 12776788TOTAL KESELURUHAN 12782150SELISIH -5362


1 Alkohol Rp 35,574.00 25 Liter 889,350 2 Bethadine Rp 71,500 2 Liter 143,000 3 Handscoon N.7,5 Rp 7,700 700 Box 5,390,000 4 Plester (Leukoplosil 7,5 cm) Rp 35,000 24 Rol 840,000 5 Masker Ikat Rp 50,000 25 dos 1,250,000 6 Kertas EKG Rp 200,000 12 rol 2,400,000 7 Jelly EKG Rp 25,000 8 Pcs 200,000.00 8 Lisol Rp 17,600 24 Botol 422,400.00 9 Kapas 1000 gr Rp 70,400 10 bal 704,000.00

10 Kasa Gulung 40x80cm Rp 271700 2 Rol 543,400.00 TOTAL 12,782,150

Tilamuta, 22 November 2012PJ. Ruangan Interna

Farida Manjurungi, Amd.Kep19771121 200604 2 012

DAFTAR KEBUTUHAN BHP UGDPAGU 12,776,788 TOTAL KEBUTUHAN 12,817,678 SISA (40,890)


1 Aminhopylin Rp 3,000 26 Amp 75,000 2 Atrofin Sulfat Rp 2,400 26 Amp 60,000 3 Adrenalin Rp 2,300 26 Amp 59,800 4 Aqua Pro Inj 10 ml Rp 3,000 107 botol 321,000 5 Jelly (ultra sonic jelly) Rp 25,000 4 pcs 100,000 6 Spoit 50cc Rp 9,240 21 pcs 194,040 7 Spoit 20cc Rp 3,300 21 pcs 69,300 8 Spoit 10cc Rp 1,589 251 pcs 398,839 9 Spoit 5cc Rp 1,589 251 pcs 398,839

10 Spoit 3cc Rp 1589 251 pcs 398,839 11 Spoit 1cc Rp 1589 251 pcs 398,839 12 Suction kateter N0.6 Rp 7000 6 pcs 42,000 13 Suction kateter N0.8 Rp 7000 11 pcs 77,000 14 Suction kateter No.10 Rp 7000 6 ps 42,000 16 Suction kateter no.16 Rp 7000 11 pcs 77,000 17 Lidocain Rp 1325 100 Amp 132,500 18 combuvent Rp 14520 10 Amp 145,200 19 adona Rp 19604 10 Amp 196,040 20 dipenhidramin Rp 633 10 Amp 6,330 21 dopamin Rp 2288 26 Amp 59,488 22 D40% Rp 2250 21 botol 47,250 23 dexametason Rp 2407 26 Amp 62,582 24 masker oxigen dewasa Rp 70785 10 pcs 707,850 25 masker oxigen anak Rp 70785 10 pcs 707,850 26 masker tali Rp 2628 6 dos 15,768 27 handscoon no. 6,5 Rp 7700 100 pcs 770,000 28 handscoon no.6 Rp 7700 100 pcs 770,000

29 handscoon n0.7 Rp 7700 100 pcs 770,000 30 handscoon n0.7,5 Rp 7700 100 pcs 770,000 31 handscoon no.8 Rp 7700 100 pcs 770,000 32 kateter no.18 Rp 11000 10 pcs 110,000 33 Urine Bag Rp 10000 10 pcs 100,000 34 NGT n0.18 Rp 51480 10 pcs 514,800 35 silk black 3/0 Rp 107250 3 pcs 321,750 36 silk blak4/0 Rp 107250 3 pcs 321,750 37 kertas ecg Rp 200,000 3 rol 600,000 38 jarum hacting kulit Rp 25,200 4 dos 100,800 39 kapas 50 gr Rp 35,200 2 - 70,400 40 hipvix 5x5 cm Rp 92,950 3 - 278,850 41 kasa gulung 40x80 Rp 271,700 2 - 543,400 42 plester leukoplas Rp 35,500 5 rol 177,500 43 alkohol Rp 35,574 3 botol 106,722 44 betadin Rp 71,500 2 botol 143,000 45 GDS chek (GDS Stick) Rp 785352 1 785,352

TOTAL 12,817,678

Tilamuta, 22 November 2012PJ. Ruangan UGD

FATMA HABI S.STNip.19811108 200604 2 021

DAFTAR KEBUTUHAN BHP PERAWATAN ANAKPAGU 12776788TOTAL KEBUTUHAN 12774729

SISA 2059


1 Spoit 50cc Rp 9,240 100 924,000 2 Spoit 20cc Rp 3,300 100 330,000 3 Spoit 1cc Rp 1,589 500 794,500 4 Spoit 3cc Rp 1,589 500 794,500 5 Spoit 5cc Rp 1,589 500 794,500 6 Spoit 10cc Rp 1,589 500 794,500 7 NGT 5 Rp 19,800 5 99,000 8 NGT 6 Rp 19,800 5 99,000 9 Aqua Pro Inj 10 ml Rp 3,000 51 153,000

10 handscoon No.6,5 (steril) Rp 7,700 10 dos 77,000 11 Handscoon No. 7,5 (steril) Rp 7,700 10 77,000 12 Handscoon No.8 (steril) Rp 7,700 10 77,000 13 Alkohol 70% Rp 27,500 11 liter 302,500 14 Betadine Rp 82,500 9 liter 742,500 15 Kapas Rp 32,000 10 320,000 16 Khasa Rool Rp 271,700 6 rol 1,630,200 17 Wing Needle 26 Rp 34,857 10 348,570 18 Wing Needle 24 Rp 34,857 10 348,570 19 Abocath 26 Rp 23,625 10 236,250 20 Abocath 24 Rp 23,625 10 236,250 21 Abocath 22 Rp 23,625 10 236,250 22 Masker Rp 30,500 10 305,000 23 Hufafix 5x10 Rp 155,412 6 932,472 24 Plester Rp 45,500 10 455,000 25 Infus set Mikro one need Rp 8,250 11 90,750 26 Infus set Makro Rp 7,150 10 71,500 27 Rp 24,544 6 147,264 Masker 0₂ Bayi

28 Rp 24,863 6 149,178 29 Rp 24,544 5 122,720 30 Nasal O₂ Anak Rp 24,863 5 124,315 31 Chateter 8 Rp 75,625 5 378,125 32 Chateter 10 Rp 75,625 5 378,125 33 NGT 3,5 Rp 21,038 5 105,190 33 Urine Bag Rp 10,000 10 100,000

Total 12,774,729

Tilamuta, 22 November 2012PJ. Ruangan Anak

Yolla O.Pangau, A.md,KepNip.19800101 200501 2 018

Nasal O₂ BayiMasker O₂ Anak

DAFTAR KEBUTUHAN BHP PERAWATAN BEDAHPAGU 12,776,788 TOTAL KEBUTUHAN 12,770,741 SISA 6,047


1 Masker Tali Rp 1,100 176 193,600 2 handscoon n0.6,5 Rp 7,700 200 1,540,000 3 Handscoon n0.8 Rp 6,160 50 308,000 4 Alkohol 70% Rp 27,500 4 110,000 5 Betadine Rp 82,500 3 247,500 6 Kapas Rp 70,400 2 140,800 7 Handscoon no.8 (non steril) Rp 11,000 40 440,000 8 Rivanol Rp 4,538 10 45,380 9 Kasa rol Rp 271,700 16 4,347,200

10 Hipovix 5cmx 10cm Rp 155,412 3 466,236 11 Plester 7,5x4,5 Rp 45,000 6 270,000 12 Dispo 1 Rp 2,360 30 70,800 13 Dispo3 Rp 1,589 35 55,615 14 Dispo 5 Rp 1,898 40 75,920 15 Dispo 10 Rp 1,589 100 158,900 16 Infus set Makro Rp 8,250 51 420,750 17 Blood Set Rp 8,250 40 330,000 18 EKG rol Rp 37,180 3 111,540 19 Daryantule Rp 13,750 6 82,500 20 Jelly USG Rp 25,000 3 75,000 21 Folky cateter 18 Rp 15,000 30 450,000 22 Folky cateter 20 Rp 15,000 15 225,000 23 Folky cateter 16 Rp 15,000 15 225,000 24 Abocat 24 Rp 23,625 10 236,250 25 Abocat 22 Rp 23,625 15 354,375 26 Abocat 20 Rp 23,625 25 590,625 27 Abocat 18 Rp 23,625 30 708,750 28 Tourgient Rp 36,000 6 216,000 29 Urine Bag Rp 11,000 25 275,000

Total 12,770,741

Tilamuta, 22 November 2012PJ.Ruangan Bedah

Sri Pratiwi, S.Kep

Nip. 19800101 200501 2 018

DAFTAR KEBUTUHAN BHP BIDANG PELAYANAN

I DAFTAR KEBUTUHAN ANGGARAN BHP RUANGAN RP 89,489,841

No Ruangan Jumlah1 Poli Interna 2,859,604

Poli Obgyn 7,320,365 Poli Umum 1,136,633 Poli Mata 1,459,781

Total 12,776,383 2 UGD 12,871,678 3 OK 12,738,150 4 INTERNA 12,782,150 5 ANAK 12,774,729 6 OBGYN 12,776,010 7 BEDAH 12,770,741

89,489,841

II DAFTAR KEBUTUHAN ANGGARAN POLIKLINIK GIGI RP 29,803,500

III DAFTAR KEBUTUHAN ANGGARAN OK (OBAT ANASTESI) RP 69,747,713

Bhp Yanmedis 2012

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