Distributor : PT. INTISUMBER SUMBER HASIL SEMPURNA Prop.

Banten, DKI, Jabar, Jateng, DIY , Jatim

No. Nama Barang Satuan No. Ijin Edar Harga + PPN

1 Pulse oxymeter ( oxy 9 ) unit AKL 20502113495 Rp 5,995,000

2 Resusitator bayi buah AKD 200403900264 Rp 460,000
3 Resusitator anak buah AKD 200403900264 Rp 460,000
4 Resusitator dewasa buah AKD 200403900264 Rp 460,000
5 Patient monitor AM 1200 Advance unit AKD 20502900286 Rp 18,700,000
6 Patient monitor AM 1500 Advance unit AKD 20502210205 Rp 20,350,000
7 Alat Suntik Sekali pakai 1 cc tuberculin 27G X ½ " box/100 AKD 20902800300 Rp 65,000
8 Alat Suntik Sekali pakai 2.5 cc x 23G x 1¼" box/100 AKD 20902800300 Rp 65,000
9 Alat Suntik Sekali Pakai 3 cc x 23G x 1¼", box/100 AKD 20902800300 Rp 65,000
10 Alat Suntik Sekali Pakai 5 cc x 22G x 1½" box/100 AKD 20902800300 Rp 75,000
11 Alat Suntik Sekali Pakai 10 cc x 21 G x 1½" box/100 AKD 20902800294 Rp 92,500
12 Alat Suntik sekali pakai 20 cc ec box/50 AKD 20902700363 Rp 75,000
13 Alat Suntik Sekali Pakai 50 cc ec tip box/20 AKD 20902700364 Rp 68,000
14 Kasa Hydrophil 40 x 80 cm roll AKD 10902900146 Rp 105,000
15 Kasa pembalut hydrophil 4 m x 3 cm roll AKD 10902900146 Rp 590
16 Kasa pembalut hydrohil 4 m x 5 cm roll AKD 10902900146 Rp 750
17 Kasa pembalut hydrohil 4 m x 10 cm roll AKD 10902900146 Rp 1,500
18 Kasa pembalut hydrohil 4 m x 15 cm roll AKD 10902900146 Rp 2,100
19 Kasa pembalut 2 m x 80 cm roll AKD 10902900146 Rp 7,700
20 Kasa hydrophil steril uk 16 x 16 box/16 AKD 10902900140 Rp 5,800
21 Kasa Hydrohpil steril uk 18 x 22 cm box/12 AKD 10902900140 Rp 5,900
22 Kasa kompress steril 40 x 40 bh AKD 10902900140 Rp 1,600
23 Kapas berlemak 500 gr roll AKD 10902010261 Rp 16,500
24 Kapas pembalut / absorben 250 gram roll AKD 10902010261 Rp 12,500
25 Surgical Mask 3 ply Earloop box/50 AKD 21603310133 Rp 16,500
26 Surgical Mask 3 ply Tie on box/50 AKD 21603310134 Rp 16,500
27 Surgical mask Plus 3 Ply plus Earloop box/50 AKD 21603310133 Rp 22,000
28 Surgical mask with Visor box/10 AKD 10403310262 Rp 55,000
29 Alkohol swab box/100 AKD 10903010280 Rp 10,000
30 Alkohol 70 % 1 liter botol PKD 20501900054 Rp 21,500
31 Povidone iodine 30 cc botol PKD 20501900053 Rp 2,900
32 Povidone Iodine 60 cc botol PKD 20501900053 Rp 3,700
33 Povidone iodine 300 cc botol PKD 20501900053 Rp 18,000
34 Aseptan 500 cc + dispenser botol PKD 20501900052 Rp 30,000
35 Aseptic Gel 500 cc + dispenser botol PKD 20501900056 Rp 22,000
36 OneScrub 500 cc + dispenser botol PKD 20501900045 Rp 62,500
37 Onescrub 5 Liter galon botol PKD 20501900045 Rp 420,000
38 Rivanol 300 cc botol PKD 20501900051 Rp 2,550
39 Lysol 1 liter botol PKD 20502900046 Rp 41,000
40 Catgut plain 2/0 + jarum 1/2 GT 35 mm box/24 AKL 21603012641 Rp 134,000
41 Catgut plain 3/0 + jarum 1/2 GT 35 mm box/24 AKL 21603012641 Rp 134,000
42 Catgut Chromic 2/0 + jarum 1/2 GT 35 mm box/24 AKL 21603012426 Rp 134,000
43 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm box/24 AKL 21603012426 Rp 134,000
44 Silk 2/0 + jarum 1/2 GT 35 mm box/36 AKL 21603012639 Rp 110,000
45 Silk 3/0 + jarum 1/2 GT 35 mm box/36 AKL 21603012639 Rp 110,000
46 Folley Catheter 2 way no. 12 box/10 AKL 20805012796 Rp 80,000
47 Folley Catheter 2 way no. 14 box/10 AKL 20805012796 Rp 80,000
48 Folley Catheter 2 way no. 16 box/10 AKL 20805012796 Rp 80,000
49 Folley Catheter 2 way no. 18 box/10 AKL 20805012796 Rp 80,000
50 Folley Catheter 2 way no. 20 box/10 AKL 20805012796 Rp 80,000
51 Folley Catheter 2 way no. 22 box/10 AKL 20805012796 Rp 80,000
52 Folley Catheter 2 way no. 24 box/10 AKL 20805012796 Rp 80,000
53 Folley Catheter 3 way no. 20 box/10 AKL 20805012795 Rp 325,000
54 Folley Catheter 3 way no. 22 box/10 AKL 20805012795 Rp 325,000
55 Folley Catheter 3 way no. 24 box/10 AKL 20805012795 Rp 325,000
56 Folley Catheter ped no. 6 box/10 AKL 20805012796 Rp 365,000
57 Folley Catheter ped no. 8 box/10 AKL 20805012796 Rp 300,000
58 Folley Catheter ped no. 10 box/10 AKL 20805012796 Rp 300,000
59 Nelathon Catheter OneMed 8 box/10 AKL 20805012793 Rp 64,000
60 Nelathon Catheter OneMed 10 box/10 AKL 20805012793 Rp 64,000
61 Nelathon Catheter OneMed 12 box/10 AKL 20805012793 Rp 64,000
62 Nelathon Catheter OneMed 14 box/10 AKL 20805012793 Rp 64,000
63 Nelathon Catheter OneMed 16 box/10 AKL 20805012793 Rp 64,000
64 Nelathon Catheter OneMed 18 box/10 AKL 20805012793 Rp 64,000
65 Nelathon Catheter OneMed 20 box/10 AKL 20805012793 Rp 64,000
66 Steracath I.V Catheter no. 18 G x 32 mm bh AKD 20902310038 Rp 3,800
67 Steracath I.V Catheter no. 20 G x 11/4 " bh AKD 20902310038 Rp 3,800
68 Steracath I.V Catheter no. 22 G x 1 " bh AKD 20902310038 Rp 3,800
69 Steracath I.V Catheter no. 24 G x 3/4 " bh AKD 20902310038 Rp 3,800
70 Steracath I.V Catheter no. 26 G x 1/2 " bh AKD 20902310038 Rp 4,100
71 Infusion Set dewasa ( 20 drops/ml) bh AKD 20902700187 Rp 3,200
72 Infusion Set pediatric (60 drops/ml) bh AKD 20902700191 Rp 3,500
73 Blood transfusion set bh AKD 20902700190 Rp 3,600
74 Urine Bag standard steril 2 Lt ( T valve ) bh AKD 20805200132 Rp 3,000
75 Examination glove box/100 AKL 10903312488 Rp 32,500

76 Three Way stop cock with tube box/50 AKL 20902013815 Rp 162,500
77 Three Way stop cock box/50 AKL 20902013815 Rp 97,500
78 Umbilical cord klem nylon steril bh AKL 10902013530 Rp 1,000

79 Wing Needle 19 G bh AKL 20902012425 Rp 1,400

80 Wing Needle 21 G bh AKL 20902012425 Rp 1,400
81 Wing Needle 23 G bh AKL 20902012425 Rp 1,400
82 Wing Needle 25 G bh AKL 20902012425 Rp 1,400
83 Wing Needle 27 G bh AKL 20902012425 Rp 1,400
84 Micropipet fix vol 5 μL bh AKL 10102010159 Rp 300,000
85 Micropipet fix vol 10 μL bh AKL 10102010159 Rp 300,000
86 Micropipet fix vol 20 μL bh AKL 10102010159 Rp 300,000
87 Micropipet fix vol 25 μL bh AKL 10102010159 Rp 300,000
88 Micropipet fix vol 50 μL bh AKL 10102010159 Rp 300,000
89 Micropipet fix vol 100 μL bh AKL 10102010159 Rp 300,000
90 Micropipet fix vol 200 μL bh AKL 10102010159 Rp 300,000
91 Micropipet fix vol 250 μL bh AKL 10102010159 Rp 300,000
92 Micropipet fix vol 500 μL bh AKL 10102010159 Rp 300,000
93 Micropipet fix vol 1000 μL bh AKL 10102010159 Rp 300,000
94 Micropipet adjust vol 0.1-2.5 uL bh AKL 10102010160 Rp 369,000
95 Micropipet adjust vol 0.5-10 uL bh AKL 10102010160 Rp 369,000
96 Micropipet adjustt vol 2-20 uL bh AKL 10102010160 Rp 369,000
97 Micropipet adjust vol 5-50 uL bh AKL 10102010160 Rp 369,000
98 Micropipet adjust vol 10-100 uL bh AKL 10102010160 Rp 369,000
99 Micropipet adjust vol 50-200 uL bh AKL 10102010160 Rp 369,000
100 Micropipet adjust vol 100-1000 uL bh AKL 10102010160 Rp 369,000
101 Micropipet adjust vol 200-1000 uL bh AKL 10102010160 Rp 369,000
AKL 20502212137
102 ECG Cardio 7 unit Rp 24,000,000
103 Automatic Operating Table OP 850 unit AKL 11603013818 Rp 210,000,000

> Harga sudah termasuk PPN , Pembelian Langsung tanpa tender , termasuk Ongkos kirim
> Kontrak Payung di LKPP per tanggal 14 juli 2014
> Harga utk Pulau Jawa ( Prop. DKI, Banten, Jawa Barat , DIY , Jawa Tengah , Jawa Timur )
> Di tayangkan di LKPP minggu ke II bulan Agustus
, DIY , Jatim
Sulawesi
Kalimantan
Rp 6,894,250
Rp 529,000
Rp 529,000
Rp 529,000
Rp 21,505,000
Rp 23,402,500
Rp 74,750
Rp 74,750
Rp 74,750
Rp 86,250
Rp 106,375
Rp 86,250
Rp 78,200
Rp 120,750
Rp 679
Rp 863
Rp 1,725
Rp 2,415
Rp 8,855
Rp 6,670
Rp 6,785
Rp 1,840
Rp 18,975
Rp 14,375
Rp 18,975
Rp 18,975
Rp 25,300
Rp 63,250
Rp 11,500
Rp 24,725
Rp 3,335
Rp 4,255
Rp 20,700
Rp 34,500
Rp 25,300
Rp 71,875
Rp 483,000
Rp 2,933
Rp 47,150
Rp 154,100
Rp 154,100
Rp 154,100
Rp 154,100
Rp 126,500
Rp 126,500
Rp 92,000
Rp 92,000
Rp 92,000
Rp 92,000
Rp 92,000
Rp 92,000
Rp 92,000
Rp 373,750
Rp 373,750
Rp 373,750
Rp 419,750
Rp 345,000
Rp 345,000
Rp 73,600
Rp 73,600
Rp 73,600
Rp 73,600
Rp 73,600
Rp 73,600
Rp 73,600
Rp 4,370
Rp 4,370
Rp 4,370
Rp 4,370
Rp 4,715
Rp 3,680
Rp 4,025
Rp 4,140
Rp 3,450
Rp 37,375
Rp 186,875
Rp 112,125
Rp 1,150
Rp 1,610
Rp 1,610
Rp 1,610
Rp 1,610
Rp 1,610
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 345,000
Rp 424,350
Rp 424,350
Rp 424,350
Rp 424,350
Rp 424,350
Rp 424,350
Rp 424,350
Rp 424,350
Rp 27,600,000
Rp 241,500,000