No Nama alat kode Jlh harga ∑ dtg

1 Needle holder mayo hegar, heavy 14 cm J32020 2 167000 334000

2 Needle holder mayo hegar, heavy 16 cm J32040 2 185000 370000
3 Needle holder mayo crile – wood 16 cm J32050 2 185000 370000
4 Needle holder mayo hegar 16 cm JC3204 2 244000 488000
5 Halsted mosquito forcefs curved 12.5 cm JC4001 10 244000 2440000
6 Halsted mosquito forceps, straight 12.5 cm JC4000 10 2440000
244000
Halsted mosquito forcefs curved 9 cm JC3901 6 244000 1464000
Halsted mosquito forceps, straight 9 cm JC3900 6 244000 1464000
Up hetting scissor 14 cm J25030 2 145000 290000
mayo scissors, CVD 14 cm J22020 1 136000 136000
mayo scissors, CVD 16 cm J22040 1 145000 145000
mayo scissors, STR 14 cm J22010 1 136000 136000
mayo scissors, STR 16 cm J22030 1 145000 145000
tissue forceps 12.5 cm J41010 4 59000 236000
tissue forceps 14 cm J41050 2 63000 126000
dressing forceps 12.5 cm J42010 4 36000 144000
dressing forceps 14 cm J42020 2 41000 82000
kom kecil 10
Forceps kocher straight 16 cm J31150 2 185000 370000
Rochester pean forceps 18 cm JC4081 2 276000 552000
dissecting scissor str 12,5 cm J25010 1 127000 127000
dissecting scissor cvd 12.5 cm J25020 1 145000 145000
bak instrumen sedang 5
op scissors cvd, sharp, blunt 12.5 cm J21050 1 136000 136000
op scissors cvd, sharp, blunt 14 cm J21110 1 145000 145000
total 12285000
No Nama alat kode Jumlah harga ∑ Dtg
1 Needle holder mayo hegar, heavy 14 cm J32020 32 167000 5344000
2 Needle holder mayo hegar, heavy 16 cm J32040 2 185000 370000
3 Needle holder mayo crile – wood 16 cm J32050 2 185000 370000
4 Needle holder mayo hegar 16 cm JC3204 2 244000 488000

6 Halsted mosquito forceps, straight 12.5 cm JC4000 15 244000 3660000

Halsted mosquito forcefs curved 9 cm JC3901 6 244000 1464000

Halsted mosquito forceps, straight 9 cm JC3900 6 244000 1464000
Up hetting scissor 14 cm J25030 4 145000 290000
Forceps kocher straight 16 cm J31150 2 185000 370000
Rochester pean forceps 18 cm JC4081 2 276000 552000
kom kecil 10
bak instrumen sedang 24
bengkok sedang 12
crile forcefs cvd 14 cm JC4031
kelly forcefs cvd 14 cm JC4021
metzenbaum scissor 18 cm stright JC2502 1 249000 249000
metzenbaum scissor 18 cm curved JC2508 1 249000 249000
mayo scissor, straight 16 cm JC2203 2 190000 380000
backhaus forceps,
tissue forceps 12.5 cm J41010 35 59000 2065000
tissue forceps 14 cm J41050 2 63000 126000
tissue forceps 16 J41080 3 72000 216000
dressing forceps 12.5 cm J42010 40 36000 1440000
dressing forceps 14 cm J42020 2 41000 82000
dressing forceps 18 J42040 3 50000 150000
Halsted mosquito forcefs curved 12.5 cm JC4001 10 244000 2440000
cervix dilatator 18x1 F 10160 1 855000 855000
Needle holder 18 cm mayo hegar JC3206 3 244000 732000
total 23356000
No Nama alat kode Jlh harga ∑ Dtg
1 Needle holder mayo hegar, heavy 14 cm J32020 25 167000 4175000
2 Needle holder mayo hegar, heavy 16 cm J32040 2 185000 370000
3 Needle holder mayo crile – wood 16 cm J32050 2 185000 370000
4 Needle holder mayo hegar 16 cm JC3204 2 244000 488000
6 Halsted mosquito forceps, straight 12.5 cm JC4000 10 244000 2440000
Halsted mosquito forcefs curved 12.5 cm JC4001 10 244000 2440000
Up hetting scissor 14 cm J25030 2 145000 290000
tissue forceps 12.5 cm J41010 25 59000 1475000
tissue forceps 14 cm J41050 2 63000 126000
dressing forceps 12.5 cm J42010 25 36000 900000
dressing forceps 14 cm J42020 2 41000 82000

kom kecil 10
bak instrumen sedang 24

13156000
total
No Nama alat kode Jlh harga ∑ Dtg
1 tissue forceps 1x 2 teeth 16 cm J41080 2 123000 246000 2
2 dressing forceps 16 cm J42030 2 0 0 0
3 1/2 kocher 0
4 Needle holder mayo hegar, heavy 16 cm J32040 2 250000 500000 2
5 episiotomy, braun-stadler F30150 1 368000 368000 1
6 bone rongeur forcefh 20-443-18 1 1166600 1166600 1
7 kocher 14 cm crown 4 75000 300000 4
8 0
9 0
10 0
Jumlah 2580600
disc 25 % 205250
total 1935450
 PERMINTAAN BARANG CSSD JULI 2017

No Nama alat kode Jlh harga

∑
1 dressing forceps 16 cm J42030 2 45000 90000
2 bak instrument sedang 23x13x5 cm 5
3 scalpel no.4 2
4 dressing forceps 12.5 cm J42010 5 61000 305000
5 tisue forceps 12,5 cm j41010 5 100000 500000
6 tromol diameter 17 cm 2
7 OP. scissor str blut-blunt 14 cm J21090 3 136000 408000
8 1/2 kocher 2 50000 100000

jumlah 1403000
 PERMINTAAN BARANG CSSD SEPTEMBER 2017

No Nama alat kode Jlh harga

∑
1 dressing forceps 16 cm J42030 2 45000 90000
2 dressing forceps 18 cm J42040 2 50000 100000
3 bak instrument sedang (MAGNATE) 23x13x5 cm 5
4 dressing forceps 12.5 cm J42010 5 61000 305000
5 tisue forceps 12,5 cm j41010 5 100000 500000
6 tromol diameter 12.5 cm 2
7 OP. scissor str blut-blunt 14 cm J21090 2 136000 272000
8 Forceps rochester pean curved 14 cm J31060 5 167000 835000
9 backhaus forceps with ball stop 14 cm J35050 2 212000 424000
10
11

jumlah 2526000
 PERMINTAAN BARANG NOVEMBER 2017

No Nama alat kode Jlh harga ∑

1 dressing forceps 16 cm 2
2 tissue forceps 16 cm 2
3 dressing forceps 14 cm 2
4 tissue forceps 14 cm 2
5 dressing forceps 12.5 cm 2
6 tissue forceps 12,5 cm 2
7 Klem arteri forcep 14 cm (CVD) 8 0
8 mayo scissor 17 cm (STG) 1
9 mayo scissor 17 cm (CVD) 1
10 babock tissue forcep 16 cm 2
11 baby tissue & holding forceps 15 cm 2
12 bachaust towel 13 cm 4
13 scalpel hendle no. 4 3
14 cervix dilatator/ billagator hegar 1 set
 yg datang
dressing fr= 18 cm = 2

2
2

16 cm = 1
18 cm = 1
No Nama alat kode Jlh harga ∑
1 bak instrumen sedang 5
2 dressing forceps 14 cm 2
3 tissue forceps 14 cm 2
4 dressing forceps 12.5 cm 2
5 tissue forceps 12,5 cm 2
6 Klem arteri forcep 14 cm (CVD) 6
7 bachaust towel 13 cm 3
8 cervix dilatator/ billagator hegar 1
9
No Nama alat kode Jlh harga ∑
1 tissue forceps 18 cm 1 210000 210000
2 dressing forceps 14 cm 1 210000 210000
3 tissue forceps 14 cm 1 210000 210000
4 dressing forceps 12.5 cm 1 210000 210000
5 tissue forceps 12,5 cm 1 210000 210000
6 Klem arteri forcep 14 cm (CVD) 5 210000 1050000
7 mayo scissor 17 cm (STG) 1 210000 210000
8 mayo scissor 17 cm (CVD) 1 210000 210000
9 bachaust towel 13 cm 3 252000 756000
12

3276000