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III.

PEKERJAAN KAMAR OPERASI

PEKERJAAN : BELANJA MODAL PENGADAAN BANGUNAN GEDUNG INSTALASI RAWAT JALAN


LOKASI : JL. TIMOR RAYA PASIR NO. 134 PASIR PANJANG KEC. KOTA LAMA, KOTA KUPANG
NUSA TENGGARA TIMUR

RINCIAN RENCANA ANGGARAN BIAYA PEKERJAAN KAMAR OPERASI


HARGA SATUAN JUMLAH HARGA
NO. URAIAN PEKERJAAN VOLUME SAT
(Rp.) (Rp.)

A. PEKERJAAN KAMAR OPERASI


A.1 PEKERJAAN KAMAR OPERASI - 1 ( OK 1)

I. INTERIOR MATERIAL
1 Wall Panel : Sanwich Panel Tebal 50mm 108,00 m2 1.500.000 162.000.000
2 Ceiling Panel : Sanwich Panel Tebal 50mm 57,05 m2 1.500.000 85.575.000
3 Base Board : SS-304 HL Finished 1,2 mm 25,00 m' 607.000 15.175.000
4 Wall & Ceiling Support Material : T-Line, L-line, Straight/Curve Crip, Hangerbolt, Joint Fixing Bar 124,00 m2 692.000 85.808.000
5 Automatic Hermatic Sliding Door X-Ray Type : Auto Hermatic Sliding Door 2150 x 1600 - NAX-SX - X.Ray Type 1,00 set 170.000.000 170.000.000
Manual Single Swing Door X-Ray Type : Manual Single Swing Door 1000 x 2200 mm - X.Ray Type 1,00 set 22.000.000 22.000.000
6 Flooring : Vinyl,Scretch Resistance Anti Static 43,00 m2 916.900 39.426.700
7 Lighting Standard : 3x18 W LED ~ 32W.220 V TL c/w COVER :ACRYLIC 12,00 unit 3.850.000 46.200.000
8 Wiring Cable & Work 1,00 lot 22.500.000 22.500.000
9 X-Ray Protection : Pb 2,0 mm T : 2200 mm 82,00 m2 2.200.000 180.400.000
10 Pas Box : 800x800x500, SS Mirror, Electrik Interlock System 1,00 unit 65.000.000 65.000.000

Jumlah Pek Interior Material 894.084.700

II. EQUIPMENT
1 X-Ray viemer : 3 Films 1 Row 1,00 unit 18.500.000 18.500.000
2 Medical Gas Unit (Local Type) : Medical Gas Panel (w/o Outlet ONAV + AGSS) 1,00 unit 2.600.000 2.600.000
3 Instrument Cabinet : Lemari alat SS Mirror SUS 304 1200 x 1600 x 40 mm 1,00 unit 42.500.000 42.500.000
4 Electrical unit panel typpe 3R + UPS : terdiri atas 3 receptacles single phase 4,00 set 1.710.000 6.840.000
5 Information Panel Seri 60 : penempatan saklar lampu penerangan, panel timer OT 1,00 unit 5.300.000 5.300.000
6 Operating Timer : Operating Timer Type 2D1A c/w Frame SS.304 HL Finished 1,00 unit 17.500.000 17.500.000
7 In used Lamp : LED ~ c/w COVER :ACRYLIC 1,00 unit 667.000 667.000
8 Surgical Ceilling Pendant : Double Arm 500 + 500, OA7A4V, 6 EU, 2 Infus Standing, 2 Platform, Tidak Dikerjakan
1 Drawer, Electric motor, pneumatic break.
9 Anasthesia Ceilling Pendant Double Arm 500 + 500, ONAV, 6 EU, 2 Infus Standing, 1 Platform, Tidak Dikerjakan
1 Drawer, Electric motor, pneumatic break.

Jumlah Pek Equipment 93.907.000

III. HEATING VENTILATING AIR CONDITIONING SYSTEM


HEATING VENTILATING AIR CONDITIONING SYSTEM
AC split duct 100.000 BTU/H 1,00 unit 350.000.000 350.000.000
- Indoor unit
- Outdoor unit 10 KW
- CONTROLLER
StartUp Panel
Sensor Temperature + PID Controller 1 set
Sensor Humidity + PID Controller 1 set
Sensor Pressure Transducer + PID Controller 1 set
Variable Speed Drive (VSD)-Inverter 1 set
- Air Filter (inside the unit AC) 1 set
Media Pre Filter + Housing (builtin) 1 set
Media Medium Filter + Housing (builtin) 1 set
- Air Filter (On Ceilling Room) 1 set
HARGA SATUAN JUMLAH HARGA
NO. URAIAN PEKERJAAN VOLUME SAT
(Rp.) (Rp.)
Media Hepa + Housing Box + Noise Protection
Cover Steel Powder Coating Perforated Size 24" x 24" 6 unit
- Accessories
Deferential Pressure Switch (detection pressure drop for Medium Filter)
Deferential Pressure Switch (detection pressure drop for Hepa Filter)
Analoge Deferential Pressure Gauge (Detection Room Pressure)
Mixing Box untuk Fresh air dan Return Air
INSTALASI
- Ducting PU (fresh air, supply, return) 70,00 m2 560.000 39.200.000
- Fresh air grille (Perforated plate powder coated) 1,00 unit 500.000 500.000
- Volum Damper 1,00 unit 1.000.000 1.000.000
- Piping
Refrigerant Dia 5/8" dan 1 1/8" 40,00 m1 650.000 26.000.000
Drain Dia 1" + Isolasi 12,00 m1 65.000 780.000
Acessories 1,00 lot 8.000.000 8.000.000
Fitting, Filter Drier, Sight Glass, Valve, Freon
- Instalasi Kabel IU. OU, AHU 1,00 lot 10.000.000 10.000.000
NYY 4x4 + NYA 4mm, NYY 4x16, NYA 10mm
- Material bantu 1,00 lot 5.000.000 5.000.000
- Testing & commisioning 1,00 lot 3.500.000 3.500.000

Jumlah Pek HVAC 443.980.000

Jumlah Pek OK-1 1.431.971.700

A.2 PEKERJAAN KAMAR OPERASI - 2 ( OK 2)

I. INTERIOR MATERIAL
1 Wall Panel : Sanwich Panel Tebal 50mm 96,00 m2 1.500.000 144.000.000
2 Ceiling Panel : Sanwich Panel Tebal 50mm 46,20 m2 1.500.000 69.300.000
3 Base Board : SS-304 HL Finished 1,2 mm 25,00 m' 607.000 15.175.000
4 Wall & Ceiling Support Material : T-Line, L-line, Straight/Curve Crip, Hangerbolt, Joint Fixing Bar 124,00 m2 692.000 85.808.000
5 Automatic Hermatic Sliding Door X-Ray Type : Auto Hermatic Sliding Door 2150 x 1600 - NAX-SX - X.Ray Type 1,00 set 170.000.000 170.000.000
Manual Single Swing Door X-Ray Type : Manual Single Swing Door 1000 x 2200 mm - X.Ray Type 1,00 set 22.000.000 22.000.000
6 Flooring : Vinyl,Scretch Resistance Anti Static 43,00 m2 916.900 39.426.700
7 Lighting Standard : 3x18 W LED ~ 32W.220 V TL c/w COVER :ACRYLIC 12,00 unit 3.850.000 46.200.000
8 Wiring Cable & Work 1,00 lot 22.500.000 22.500.000
9 Pas Box : External zise 860 x 700 x 1600 mm 1,00 unit 65.000.000 65.000.000

Jumlah Pek Interior Material 679.409.700

II. EQUIPMENT
1 X-Ray viemer : 3 Films 1 Row 1,00 unit 18.500.000 18.500.000
2 Medical Gas Unit (Local Type) : Medical Gas Panel (w/o Outlet ONAV + AGSS) 1,00 unit 2.600.000 2.600.000
Instrument Cabinet : Lemari alat SS Mirror SUS 304 1200 x 1600 x 40 mm 1,00 unit 42.500.000 42.500.000
1 Electrical unit panel typpe 3R + UPS : terdiri atas 3 receptacles single phase 4,00 set 1.710.000 6.840.000
2 Information Panel Seri 60 : penempatan saklar lampu penerangan, panel timer OT 1,00 unit 5.300.000 5.300.000
3 Operating Timer : Operating Timer Type 2D1A c/w Frame SS.304 HL Finished 1,00 unit 17.500.000 17.500.000
4 In used Lamp : LED ~ c/w COVER :ACRYLIC 1,00 unit 667.000 667.000
5 Surgical Ceilling Pendant : Double Arm 500 + 500, OA7A4V, 6 EU, 2 Infus Standing, 2 Platform, Tidak Dikerjakan
1 Drawer, Electric motor, pneumatic break.
6 Anasthesia Ceilling Pendant Double Arm 500 + 500, ONAV, 6 EU, 2 Infus Standing, 1 Platform, Tidak Dikerjakan
1 Drawer, Electric motor, pneumatic break.

Jumlah Pek Equipment 93.907.000

III. HEATING VENTILATING AIR CONDITIONING SYSTEM


HEATING VENTILATING AIR CONDITIONING SYSTEM
AC split duct 100.000 BTU/H 1,00 unit 350.000.000 350.000.000
HARGA SATUAN JUMLAH HARGA
NO. URAIAN PEKERJAAN VOLUME SAT
(Rp.) (Rp.)
- Indoor unit
- Outdoor unit 10 KW
- CONTROLLER
StartUp Panel
Sensor Temperature + PID Controller 1 set
Sensor Humidity + PID Controller 1 set
Sensor Pressure Transducer + PID Controller 1 set
Variable Speed Drive (VSD)-Inverter 1 set
- Air Filter (inside the unit AC) 1 set
Media Pre Filter + Housing (builtin) 1 set
Media Medium Filter + Housing (builtin) 1 set
- Air Filter (On Ceilling Room) 1 set
Media Hepa + Housing Box + Noise Protection
Cover Steel Powder Coating Perforated Size 24" x 24" 6 unit
- Accessories
Deferential Pressure Switch (detection pressure drop for Medium Filter)
Deferential Pressure Switch (detection pressure drop for Hepa Filter)
Analoge Deferential Pressure Gauge (Detection Room Pressure)
Mixing Box untuk Fresh air dan Return Air
INSTALASI
- Ducting PU (fresh air, supply, return) 70,00 m2 560.000 39.200.000
- Fresh air grille (Perforated plate powder coated) 1,00 unit 500.000 500.000
- Volum Damper 1,00 unit 1.000.000 1.000.000
- Piping
Refrigerant Dia 5/8" dan 1 1/8" 40,00 m1 650.000 26.000.000
Drain Dia 1" + Isolasi 12,00 m1 65.000 780.000
Acessories 1,00 lot 8.000.000 8.000.000
Fitting, Filter Drier, Sight Glass, Valve, Freon
- Instalasi Kabel IU. OU, AHU 1,00 lot 10.000.000 10.000.000
NYY 4x4 + NYA 4mm, NYY 4x16, NYA 10mm
- Material bantu 1,00 lot 5.000.000 5.000.000
- Testing & commisioning 1,00 lot 3.500.000 3.500.000
Jumlah Pek HVAC 443.980.000
Jumlah Pek OK-2 1.217.296.700

A.3 PEKERJAAN KAMAR OPERASI - 3 ( OK 3)

I. INTERIOR MATERIAL
1 Wall Panel : Sanwich Panel Tebal 50mm 82,00 m2 1.122.000 92.004.000
2 Ceiling Panel : Sanwich Panel Tebal 50mm 43,00 m2 1.153.000 49.579.000
3 Base Board : SS-304 HL Finished 1,2 mm 25,00 m' 607.000 15.175.000
4 Wall & Ceiling Support Material : T-Line, L-line, Straight/Curve Crip, Hangerbolt, Joint Fixing Bar 124,00 m2 692.000 85.808.000
5 Automatic Hermetic Sliding Door X-Ray Type : Auto Hermatic Sliding Door 2150 x 1600 - NAX-SX - X.Ray Type 1,00 set 170.000.000 170.000.000
Manual Single Swing Door X-Ray Type : Manual Single Swing Door 1000 x 2200 mm - X.Ray Type 1,00 set 22.000.000 22.000.000
6 Flooring : Vinyl,Scretch Resistance Anti Static 43,00 m2 916.900 39.426.700
7 Lighting Standard : 3x18 W LED ~ 32W.220 V TL c/w COVER :ACRYLIC 12,00 unit 22.000.000 264.000.000
8 Wiring Cable & Work 1,00 lot 22.500.000 22.500.000
9 Pas Box : External zise 860 x 700 x 1600 mm 1,00 unit 65.000.000 65.000.000
Jumlah Pek Interior Material 825.492.700

II. EQUIPMENT
1 X-Ray viemer : 3 Films 1 Row 1,00 unit 18.500.000 18.500.000
2 Medical Gas Unit (Local Type) : Medical Gas Panel (w/o Outlet ONAV + AGSS) 1,00 unit 2.600.000 2.600.000
Instrument Cabinet : Lemari alat SS Mirror SUS 304 1200 x 1600 x 40 mm 1,00 unit 42.500.000 42.500.000
1 Electrical unit panel typpe 3R + UPS : terdiri atas 3 receptacles single phase 4,00 set 1.710.000 6.840.000
2 Information Panel Seri 60 : penempatan saklar lampu penerangan, panel timer OT 1,00 unit 5.300.000 5.300.000
3 Operating Timer : Operating Timer Type 2D1A c/w Frame SS.304 HL Finished 1,00 unit 17.500.000 17.500.000
4 In used Lamp : LED ~ c/w COVER :ACRYLIC 1,00 unit 667.000 667.000
5 Surgical Ceilling Pendant UNIPRO : Double Arm 500 + 500, OA7A4V, 6 EU, 2 Infus Standing, 2 Platform, Tidak Dikerjakan
HARGA SATUAN JUMLAH HARGA
NO. URAIAN PEKERJAAN VOLUME SAT
(Rp.) (Rp.)
1 Drawer, Electric motor, pneumatic break.
6 Anasthesia Ceilling Pendant UNIPRO Double Arm 500 + 500, ONAV, 6 EU, 2 Infus Standing, 1 Platform, Tidak Dikerjakan
1 Drawer, Electric motor, pneumatic break.
Jumlah Pek Equipment 93.907.000

III. HEATING VENTILATING AIR CONDITIONING SYSTEM


HEATING VENTILATING AIR CONDITIONING SYSTEM
AC split duct 100.000 BTU/H 1,00 unit 350.000.000 350.000.000
- Indoor unit
- Outdoor unit 10 KW
- CONTROLLER
StartUp Panel
Sensor Temperature + PID Controller 1 set
Sensor Humidity + PID Controller 1 set
Sensor Pressure Transducer + PID Controller 1 set
Variable Speed Drive (VSD)-Inverter 1 set
- Air Filter (inside the unit AC) 1 set
Media Pre Filter + Housing (builtin) 1 set
Media Medium Filter + Housing (builtin) 1 set
- Air Filter (On Ceilling Room) 1 set
Media Hepa + Housing Box + Noise Protection
Cover Steel Powder Coating Perforated Size 24" x 24" 6 unit
- Accessories
Deferential Pressure Switch (detection pressure drop for Medium Filter)
Deferential Pressure Switch (detection pressure drop for Hepa Filter)
Analoge Deferential Pressure Gauge (Detection Room Pressure)
Mixing Box untuk Fresh air dan Return Air
INSTALASI
- Ducting PU (fresh air, supply, return) 70,00 m2 560.000 39.200.000
- Fresh air grille (Perforated plate powder coated) 1,00 unit 500.000 500.000
- Volum Damper 1,00 unit 1.000.000 1.000.000
- Piping
Refrigerant Dia 5/8" dan 1 1/8" 40,00 m1 650.000 26.000.000
Drain Dia 1" + Isolasi 12,00 m1 65.000 780.000
Acessories 1,00 lot 8.000.000 8.000.000
Fitting, Filter Drier, Sight Glass, Valve, Freon
- Instalasi Kabel IU. OU, AHU 1,00 lot 10.000.000 10.000.000
NYY 4x4 + NYA 4mm, NYY 4x16, NYA 10mm
- Material bantu 1,00 lot 5.000.000 5.000.000
- Testing & commisioning 1,00 lot 3.500.000 3.500.000
Jumlah Pek HVAC 443.980.000
Jumlah Pek OK-3 1.363.379.700
TOTAL PEKERJAAN KAMAR OPERASI ( OK ) 4.012.648.100,00

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