DPA REAGEN UNIT TRANSFUSI DARAH

RSUD CILILIN
KABUPATEN BANDUNG BARAT TA 2022

A. CROSSMATCH
DIAPRO ACROSS SYSTEM
No Nama Produk Merk Kemasan Kebutuhan Harga Harga + Ppn 10%
1 Across Gel AHG (IgG+C3d) Across 50 Cards 3 Rp3,879,957.00 Rp4,267,952.70
2 Across LISS Across 500 mL 1 Rp2,282,324.00 Rp2,510,556.40
3 Arkray Bovine Serum Albumin Arkray 1 botol 1 Rp65,000.00 Rp71,500.00
4 Anti Human Globulin Glory 10 mL 1 Rp125,000.00 Rp137,500.00

B. GOLONGAN DARAH
No Nama Produk Merk Kemasan Kebutuhan Harga Harga + Ppn 10%
1 Anti A Monoclonal FORTRESS 10 mL 3 Rp70,000.00 Rp77,000.00
2 Anti B Monoclonal FORTRESS 10 mL 3 Rp70,000.00 Rp77,000.00
3 Anti AB Monoclonal FORTRESS 10 mL 3 Rp85,000.00 Rp93,500.00
4 Anti D Monoclonal FORTRESS 10 mL 3 Rp95,000.00 Rp104,500.00

Sumber : e-Katalog

Total DPA Reagen 2022

Kepala Seksi Koor. UTDRS
Pelayanan Penunjang Kesehatan

Aditya Duta Tirani, S.Kep.,Ners.,M.Kep Dwi Herlambang, Amd.AK

NIP. 198610132010011002 NIP. 199011242019031001
 Total Harga
Rp12,803,858.10
Rp2,510,556.40
Rp71,500.00
Rp137,500.00

Total Harga
Rp231,000.00
Rp231,000.00
Rp280,500.00
Rp313,500.00

Rp16,579,414.50
 DPA REAGEN RSUD CILILIN
KABUPATEN BANDUNG BARAT TA 2022

PT. MITRA BAHAGIA CITRA MEDIKA

A. CROSSMATCH
No Nama Produk MERK Kemasan Kebutuhan Harga Harga + Ppn
1 Across Gel AHG (IgG+C3d) Across 50 Cards 3 Rp3,879,957.00 Rp4,267,952.70
2 Across LISS Across 500 ml 1 Rp2,282,324.00 Rp2,510,556.40

CV. BUMIASRI ANGSATANA MANDIRI

B. GOLONGAN DARAH
GOLONGAN DARAH MERK Kemasan Kebutuhan Harga Harga + Ppn
1 Anti A Monoclonal FORTRESS 10 ml 3 Rp70,000.00 Rp77,000.00
2 Anti B Monoclonal FORTRESS 10 ml 3 Rp70,000.00 Rp77,000.00
3 Anti AB Monoclonal FORTRESS 10 ml 3 Rp85,000.00 Rp93,500.00
4 Anti D Monoclonal FORTRESS 10 ml 3 Rp95,000.00 Rp104,500.00

PT. ALTA DELTA INTERNASIONAL

C. Crossmatch Manual
No Nama Produk MERK Kemasan Kebutuhan Harga Harga + Ppn
1 Arkray Bovine Serum Albumin (22% solution Arkray 1 Botol 1 Rp65,000.00 Rp71,500.00

Total DPA 2022

Mengetahui :
Kepala Seksi Pelayanan Penunjang Kesehatan Koordinator UTD
 Aditya Duta Tirani, S.Kep.,Ners, M.Kep Dwi Herlambang, A.Md.AK
Nip : 198610132010011002 Nip : 199011242019031001

PENYERAPAN DPA REAGEN RSUD CILILIN

KABUPATEN BANDUNG BARAT TA 2022

DPA 2022 Rp16,653,114.50

Tgl Distributor No. Faktur Nominal Faktur Diskon Dibayar

Maret
31/3 PT. ALTA DELTA INTERNASIONAL ADI-22031697 Rp71,500.00 Rp71,500.00
30/3 PT. MITRA BAHAGIA CITRA MEDIKA P-146/SP/III/22 Rp15,314,414.50 Rp15,314,414.50
24/3 CV. BUMIASRI ANGSATANA MANDIRI TJ7/2203000076 Rp1,129,700.00 Rp1,129,700.00

Total Belanja : Rp16,515,614.50

Total Anggaran Terpakai : Rp16,515,614.50

Sisa Anggaran Reagen 2022 Rp137,500.00

 out
Total Harga Keluar Sisa Harga Sisa 30/3
Rp12,803,858.10 1 2 Rp8,535,905.40 1
Rp2,510,556.40 1 0 Rp0.00 1

out
Total Harga Keluar Sisa Harga Sisa 24/3
Rp231,000.00 1 2 Rp154,000.00 1
Rp231,000.00 1 2 Rp154,000.00 1
Rp280,500.00 1 2 Rp187,000.00 1
Rp313,500.00 1 2 Rp209,000.00 1

out
Total Harga Keluar Sisa Harga Sisa
Rp71,500.00 0 1 Rp71,500.00

Rp16,441,914.50 Rp9,311,405.40
mbang, A.Md.AK
1242019031001