LIST Ecat Per 30i Meiy

PT.
RAJAWALI NUSINDO
CABANG 36 - MADIUN
Hal : 1
DAFTAR PERSEDIAAN BARANG Tanggal : 31 MAY 2022
Waktu : 05:24 PM
Supplier : 10000003 - TENDER - PHAPROS, PT TBK : TENDER

Group Kode
Id Region Prod Id Nama Produk Katalog Satuan Teknis Stok Harga Jual Cust
- 36 20000888 ACETOSAL 100MG TSS|10 BLS X 10`S 141040012 DOS .00 .00 12,090.91
01 36 20000623 ACYCLOVIR 400MG TAB|5 BLS X 10`S GKL961991 DOS .00 .00 18,500.00
8410B1
01 36 20000985 ACYCLOVIR 400MG TAB|5 BLS X 10`S GKL961991 DOS .00 .00 18,333.00
8410B1
01 36 20000995 ACYCLOVIR 400MG TAB|5 BLS X 10`S - DOS .00 .00 18,409.00
01 36 20293077 AMIKASIN SULFAT INJ 250 MG/ML DUS .00 .00 27,945.00
- 36 20000892 AMINOPHYLLINE 24 MG INJ|30 AMP 141040071 DOS .00 .00 70,378.00
@10ML
07 36 20000610 AMINOPHYLLINE 24 MG INJ|30 AMP GKL961990 DOS .00 .00 71,018.00
@10ML 5143A1
01 36 20000895 AMPICILLIN 1GR S.INJ/10VIAL - DOS .00 .00 77,396.00
- 36 20000900 BENZATIN BENZIL P 2,4 JT IU|10 VIAL 141040211 DOS .00 .00 130,000.00
01 36 20000901 CAPTOPRIL 12,5 MG TAB|10 BLS X 10`S GKL971991 DOS .00 .00 5,856.00
9410A1
01 36 20000959 CAPTOPRIL 25 MG 10X10`S GKL971991 BOX .00 .00 6,757.00
9410B1
- 36 20293074 CEFPIROME SERB INJ 1000 MG DUS .00 .00 47,825.45
- 36 20000905 CHLORPROMAZINE 25 MG|ML INJ|30 AMP 141040331 DOS .00 .00 36,163.64
- 36 20000906 CHLORPROMAZINE 5 MG|ML INJ|30 AMP 141040311 DOS .00 .00 43,936.36
01 36 20000911 DEXAMETHAZONE INJ 5MG/ML@100 GKL861990 DOS .00 .00 83,243.00
6143A1
- 36 20000912 DIPHENHYDRAMINE HCL10MG/30AMP 141040402 DOS 7.33 7.33 21,108.00
01 36 20000914 EPINEPHRINE 0,1 % INJ|30AMP X 1 ML - DOS .00 .00 60,109.09
- 36 20000970 FENITOIN NATRIUM INJEKSI 50 MG - BOX .00 .00 22,297.00
01 36 20000955 GARAM ORALIT I SERB KOMB - DOS 20.00 20.00 25,226.00
- 36 20000915 GEMFIBROZIL 300 MG KAPS| 141041391 DOS 30.00 30.00 27,027.00
10BLSX10`S
- 36 20000948 KLORPROMAZIN TAB-SALUT 25MG 141040342 DUS .00 .00 13,454.55
01 36 20293076 LIDOCAIN COMPOSITUM INJ DUS .00 .00 21,703.00
01 36 20000920 LIDOCAINE 2% INJ|100 AMPX 2 ML - DOS 60.00 60.00 76,306.00
01 36 20000988 METHYL PREDNISOLON 125MG INJ/1`S - DOS .00 .00 9,365.00
01 36 20000924 NA. DIKLOFENAK 25 MG TSE|5 BLS X 141040631 DOS 16.00 16.00 5,180.00
10`S
01 36 20000925 NA. DIKLOFENAK 50 MG/5X10`S GKL981992 DOS .00 .00 4,955.00
0415B1
- 36 20000927 NYSTATIN 100.000 IU TAV|10 BLS X 10`S 141040701 DOS 224.00 224.00 49,550.00
- 36 20000928 NYSTATIN 500.000 IU TSG|10 BLS X 10`S 141040711 DOS 53.00 53.00 74,324.00
- 36 20000978 OAT FDC KAT ANAK - PKT .00 .00 225,563.64
01 36 20971123 OMEPRAZOLE SODIUM 40 MG S.INJ/10 DOS 10.00 10.00 45,883.00
VIAL
- 36 20000949 PHENOBARBITAL INJ 50MG/1ML 30`S 141041911 DUS 26.00 26.00 45,946.00
- 36 20000934 PHENOXYMETHYL P 500MG TAB|10 BLS 141040832 DOS .00 .00 57,182.00
X 10`S
01 36 20000936 PHYTOMENADIONE 10 MG TSG|10 BLS X 141040862 DOS 2.00 2.00 68,000.00
10`S
- 36 20000937 PHYTOMENADIONE 10 MG|ML INJ|30 AMP 141040852 DOS .00 .00 93,000.00
@1ML
- 36 20000975 PHYTOMENADIONE 2MG|ML INJ|30 AMP - DUS .00 .00 37,459.00
PT. RAJAWALI NUSINDO
CABANG 36 - MADIUN
Hal : 2
Tanggal : 31 MAY 2022
Waktu : 05:24 PM
Supplier : 10000003 - TENDER - PHAPROS, PT TBK : TENDER

Group Kode
@1ML
01 36 20000972 PHYTOMENADIONE 2MG|ML INJ|30 AMP GKL091990 DOS 1.00 1.00 37,800.00
@1ML 8943B1
01 36 20000940 PROCAIN BENZIL PEN.3JTIU/30VL GKL961990 DOS .00 .00 291,351.00
7244A1
01 36 20000941 RANITIDINE 25 MG|ML INJ| 25 AMP @2ML GKL101992 DOS .00 .00 18,333.00
7943A1
- 36 20031204 RISTONAT 35 MG TSS|1 BLS X 4`S DUS .00 .00 71,800.00
- 36 20000979 SALBUTAMOL 2MG 10X10S - DOS .00 .00 7,091.00
01 36 20000953 STREPTOMYCIN S. 1 GR INJ|56 VIAL 141041612 DOS .00 .00 279,142.00
@1GR
01 36 20969065 TABLET TAMBAH DARAH TSG 100`S BOX .00 .00 20,360.00
01 36 20000993 TABLET TAMBAH DARAH/30`S - BOX .00 .00 .00
- 36 20000989 ZING TAB DISPERSIBLE 20 M - DOS .00 .00 25,000.00
Supplier : 10000005 - TENDER - PT.ABN (T) - BANDUNG

Group Kode
02 36 20983630 ABN ASPIRA SUCTION UNIT SUB 01 E-SUB-01 UNIT .00 .00 2,046,364.00
- 36 20001451 ABN BPM UPPER ARM DIGITAL SPHY E-DU-120 UNT .00 .00 374,000.00
02 36 20001452 ABN BPM WRIST TYPE DIGITAL SPH E-DW-220 UNT .00 .00 300,454.55
- 36 20001399 ABN CALIBRA ANEROID BLACK ADULT E-AS-031 UNT .00 .00 264,700.00
- 36 20937741 ABN CHAIR MOUNTED DENTAL UNIT CS300A UNT .00 .00 45,454,545.45
02 36 20971637 ABN COILED TUBING 8FT WITH METAL E-300-340- UNIT .00 .00 71,000.00
CONNECTOR 021
- 36 20001468 ABN COMPAMIST I NEBULIZER E-CN-07 UNT 1.00 1.00 459,091.00
02 36 20001446 ABN COMPRESSOR HORIZONTAL E-SC-25H UNT .00 .00 4,863,063.00
02 36 20001447 ABN COMPRESSOR ROUND E-SC-25D UNT .00 .00 4,820,000.00
02 36 20001476 ABN DIGITAL SPHYGMOMANOMETER E-DM-500 M UNT 4.00 4.00 2,340,909.09
- 36 20001469 ABN DIGITAL THERM, W/O PROBE C E-DT-900- UNT .00 .00 64,700.00
101
- 36 20001411 ABN DM 500 DESK MODEL E-DM-500 UNT .00 .00 1,070,427.27
02 36 20972608 ABN DM500-P DIGITAL E-DM-500-P UNIT .00 .00 1,252,000.00
SPHYGMOMANOMETER
02 36 20972647 ABN DM500-P MOBILE DIGITAL E-DM-500P- UNIT .00 .00 2,847,000.00
SPHYGMOMANOMETER M
- 36 20001443 ABN LATEX BULB DELUXE VALVE E- PCS .00 .00 63,063.00
300251021
- 36 20001445 ABN LATEX BULB PRINT DELUX UNT .00 .00 .00
02 36 20001442 ABN LATEX BULB STANDARD VALVE E- UNT .00 .00 43,700.00
300221021
02 36 20971847 ABN NYLON CUFF WITH 1 TB, BLACK E-265-112- UNIT .00 .00 72,072.00
ADULT 021
02 36 20001428 ABN NYLON CUFF, BLACK, ADULT E- UNT .00 12.00 76,577.00
265122021
CABANG 36 - MADIUN
Hal : 3
Waktu : 05:24 PM

Group Kode
- 36 20001436 ABN NYLON CUFF, BLACK, CHILD E- PCS .00 .00 76,577.00
265122025
02 36 20001438 ABN NYLON CUFF, BLACK, INFANT E- UNT .00 .00 30,368.18
265122023
- 36 20001440 ABN NYLON CUFF, BLACK, NEW BOR E- PCS .00 .00 27,361.82
265122022
02 36 20001396 ABN PALM SPHYG BLACK ADULT E-AS-071 UNT .00 .00 336,937.00
- 36 20001403 ABN PRECISION ANEROID BLACK ADULT E-AS-021 UNT .00 .00 163,636.36
- 36 20001448 ABN REGAL CLOCK SPHYG DESK MOD E-AS-081R- UNT 5.00 5.00 1,391,900.00
D
02 36 20001450 ABN REGAL CLOCK SPHYG MOBILE MOD E-AS-081R- UNT .00 .00 3,200,600.00
M
- 36 20001449 ABN REGAL CLOCK SPHYG WALL MOD E-AS-081R- UNT .00 .00 1,469,300.00
W
02 36 20971332 ABN REGAL PLUS DESK CLOCK AS-081RP- UNIT .00 .00 1,252,000.00
ANEROID D
02 36 20971636 ABN REGAL PLUS MOBILE CLOCK AS-081RP- UNIT .00 .00 2,996,396.00
ANEROID SPHYG M
02 36 20971581 ABN SINGLE PATIENT CUFF WITH 1 TUBE, E-265S-9S UNT 5.00 5.00 40,000.00
CHILD
02 36 20972942 ABN SINGLE PATIENT USE (SPU)CUFF 265S-11D PCS .00 .00 40,000.00
WITH2TUBE, ADULT
02 36 20972944 ABN SINGLE PATIENT USE (SPU)CUFF 265S-9D PCS 3.00 3.00 40,000.00
WITH2TUBES, CHILD
02 36 20972936 ABN TOONSCOPE SINGLE HEAD 181(ADT),1 UNIT .00 .00 459,459.00
STETHOSCOPE 85 (CLD)
02 36 20936497 BIAYA KIRIM ABADINUSA USAHA PCS .00 .00 1.00
02 36 20944565 BIAYA KIRIM BARANG UNT .00 .00 264,727.00
02 36 20971331 CARDIOLOGY OPTIMA STETHOSCOPE SS-011P UNIT .00 .00 1,364,865.00
- 36 20001463 CARDIOLOGY STETH, BLACK ADULT E-SS-011- UNT .00 .00 461,600.00
BK
02 36 20001465 CARDIOLOGY STETH, BURGUNDY E-SS-011- UNT .00 .00 461,600.00
ADULT BD
02 36 20001464 CARDIOLOGY STETH, GREY ADULT E-SS-011- UNT .00 .00 461,600.00
GY
02 36 20001466 CARDIOLOGY STETH, HUNTER GREEN E-SS-011- UNT .00 .00 461,600.00
HG
- 36 20001412 CLASSIC STETHOSCOPE BLACK ADULT E-SS-021- UNT .00 .00 298,700.00
BK
02 36 20001420 CLASSIC STETHOSCOPE BLACK CHILD E-SS-025- UNT .00 .00 298,700.00
BK
02 36 20001424 CLASSIC STETHOSCOPE BLACK INFANT E-SS-023- UNT .00 .00 298,700.00
BK
02 36 20969936 CLASSIC STETHOSCOPE OPTIMA E-SS-021P- UNIT .00 .00 911,712.00
BK
- 36 20001419 CLASSIC STETHOSCOPE ROYAL BLUE E-SS-021- UNT .00 .00 298,700.00
RB
02 36 20972016 CLASSIC-S STETHOSCOPE BK ADULT E-SS-021S- UNIT .00 .00 558,000.00
BK
- 36 20001444 DENTAL UNIT (STANDARD) E-CS-300A UNT .00 .00 .00
02 36 20935042 DIGITAL BLOOD PRESSURE MONITOR DU-120 UNIT .00 .00 1.00
UPPER ARM DU 120
02 36 20001467 FETAL STETHOSCOPE, BLACK E-LS-181- UNT .00 .00 136,221.82
CABANG 36 - MADIUN
Hal : 4
Waktu : 05:24 PM

Group Kode
BK
- 36 20001470 HUBDIC NON CONTACT INFRARED THERM E-FS-300 UNT .00 .00 612,885.00
02 36 20942026 HUBDIC NON CONTACT INFRARED FS-700 UNT .00 .00 457,000.00
THERMOMETER FS 700
02 36 20001474 INFUSSION PRESS CUFF 1000 ML E-IC-1000 UNT .00 .00 304,100.00
02 36 20001473 INFUSSION PRESS CUFF 500 ML E-IC-500 UNT .00 .00 297,800.00
- 36 20001472 REGENCY MERCURY DESK MODEL E-MS-131 UNT .00 .00 868,182.00
- 36 20001471 SPHYGMED MERCURY DESK MODEL E-MS-201- UNT .00 .00 590,909.00
BK
- 36 20001454 SPRAGUE RAPP STETH, BLACK E-RS-09-BK UNT .00 .00 119,000.00
Supplier : 10000007 - TENDER - PT.ABN (T) - JAKARTA

Group Kode
02 36 20001536 ABN ACURA 815 FIX. VOL 1000 E8151000 UNT .00 .00 2,102,000.00
02 36 20001533 ABN ACURA 815 FIX. VOL 200 UL E8150200 UNT .00 .00 2,102,000.00
02 36 20001526 ABN ACURA 815 FIX. VOL 5 E8150005 UNT .00 .00 2,102,000.00
- 36 20001522 ABN ACURA 825 VOL. 5 -50 E8250050 UNT .00 .00 3,867,568.00
02 36 20001523 ABN ACURA 825 VOL. 10 -100 E8250100 UNT .00 .00 3,867,568.00
02 36 20001525 ABN ACURA 825 VOL. 100 - 1000UL E8251000 UNT .00 .00 3,867,568.00
02 36 90028632 ABN HAND SCRUB 500ML BTL .00 .00 1.00
02 36 90028633 ABN HUBDIC NON CONTACT INFRARE UNT .00 .00 327,273.00
- 36 90058111 ABN HUBDIC NON CONTACT INFRARE - UNT .00 .00 327,272.72
02 36 20944566 BIAYA KIRIM BARANG,- UNT .00 .00 1.00
- 36 20001517 CENTRIFUGE NF 200 E-NF200 UNT .00 .00 23,581,081.00
07 36 20001537 CENTRIFUGE NF 400 E-NF400 UNT .00 .00 39,946,847.00
Supplier : 10000009 - TENDER - PT.ABBOTT PRODUCTS IND - TENDER

Group Kode
02 36 20001921 CELL-DYN EMERALD 9H39-01 UNT .00 .00 113,636,363.00
Supplier : 10000011 - TENDER - AHMADARIS, PT - TENDER

Group Kode
CABANG 36 - MADIUN
Hal : 5
Waktu : 05:24 PM
Supplier : 10000011 - TENDER - AHMADARIS, PT - TENDER

Group Kode
- 36 20002261 KAPAS PEMBALUT HIDR DRC 250 ROL .00 .00 23,636.30
- 36 20002262 KASA HIDRO DRC 36M X 80CM ROL .00 .00 131,818.10
02 36 20002267 KASA KOMPRES DRC 40CM X 40CM ROL .00 .00 1,315.00
02 36 20938978 KASA PEMBALUT HIDROFIL 3,6X10CM ROLL .00 .00 2,454.50
02 36 20941153 KASA PEMBALUT HIDROFIL 3.6 M X 15 ROL .00 .00 3,614.00
CM
02 36 20002263 KASA PEMBALUT HIDROFIL 4M X 3C ROL .00 .00 1,057.00
- 36 20002269 KASA STERIL DRC 16CM X 16CM 16 BOX .00 .00 6,363.60
Supplier : 10000013 - TENDER - BIO FARMA (PERSERO), PT

Group Kode
- 36 20002339 BIOSAT-1.5 (ATS 1500 UI) AMP .00 .00 119,090.00

- 36 20002340 BIOSAVE (ABU) VIA .00 .00 465,640.00
- 36 90028649 FLU BIO VAL .00 .00 74,850.00
- 36 20002338 HEPATITIS B REKOM. UNIJECT 0,5 POU .00 .00 23,270.00
- 36 20002341 HEPATITIS B REKOM.UNIJECT 1ML POU .00 .00 50,490.00
- 36 90028650 MENIVAC ACYW VAL .00 .00 122,727.00
01 36 90062106 VAKSIN FLU BIO @0.5ML - VAL .00 .00 82,005.00
01 36 20934512 VAKSIN INFLUENZA VIAL .00 .00 82,005.00
Supplier : 10000016 - TENDER - MERAPI UTAMA PHARMA, PT -TENDER

Group Kode
- 36 20002452 GLUKOSA LAR INF 10% 500ML - BTL .00 .00 6,545.00
- 36 20002453 GLUKOSA LAR INF 5% 500 ML - BTL .00 .00 6,694.00
02 36 20950011 INFUSION SET DEWASA OTSU Y - SET BOX .00 .00 940,500.00
ADAPTOR 100`S
- 36 20002454 NATRIUM KLORIDA LAR INF 0.9% - BTL .00 .00 6,218.00
- 36 20002455 RINGER LAKTAT LARUTAN INFU - BTL .00 .00 6,936.00
- 36 90028654 WIDA BES ASETAT RINGER (ASE BTL .00 .00 9,357.00
- 36 20002456 WIDA D5 1/2 NS/TH - BTL .00 .00 9,509.00
- 36 20002459 WIDA D5-1/4 NS - BTL .00 .00 8,840.00
- 36 20002467 WIDA KDN-1 - BTL .00 .00 10,395.00
- 36 20028997 WIDA KN-2 BTL .00 .00 10,010.00
- 36 20002466 WIDA WI 1000ML UNICAP - BTL .00 .00 9,545.00
CABANG 36 - MADIUN
Hal : 6
Waktu : 05:24 PM
Supplier : 10000016 - TENDER - MERAPI UTAMA PHARMA, PT -TENDER

Group Kode
Supplier : 10000018 - TENDER - PT.FOKUS DIAGNOSTIC IND - TENDER

Group Kode
02 36 20002521 ANTI-HCV STRIP BOX .00 .00 311,374.00

02 36 90022997 FEBRILE ANTIGEN O-D PARAT VAL .00 .00 35,236.00
02 36 20942013 FOCUS 5 IN 1 PANEL DOA CASSETE E103DOA5P BOX .00 .00 1,418,108.00
- 36 20933244 FOKUS FIBRILE ANTIGEN H PARATIPHY VAL .00 .00 35,236.00
- 36 20933248 FOKUS FIBRILE ANTIGEN O-A VAL .00 .00 35,236.00
PARATIPHY
- 36 20933249 FOKUS FIBRILE ANTIGEN O-B PARATHIPY VAL .00 .00 35,236.00
02 36 20943249 FOKUS LEPTOSPIRA IGM CASSETTE 103LPCAS BOX .00 .00 1,200,405.00
02 36 20938966 FOKUS NEW HIV 1/2 3 LINE TENDER BOX 40.00 40.00 315,901.00
- 36 20002520 HBSAG STRIP BOX .00 .00 186,599.00
- 36 20002523 HCG STRIP 25`S BOX .00 .00 154,550.00
- 36 20002518 MALARIA PAN/PF CASSETTE BOX .00 .00 578,446.00
02 36 20942606 URS-3P (GLUCOSE,PROTEIN,PH ) - BTL .00 .00 78,336.00
Supplier : 10000023 - TENDER - ECOLAB LTD - TENDER

Group Kode
- 36 20002597 AQUAGEL HOSP PACK 82 G 427675 PAK .00 .00 31,389.00

- 36 20026952 HYDREX SURGICAL SCRUB 5LT - PCS .00 .00 760,145.00
Supplier : 10000026 - TENDER - HUMAN GMBH - TENDER

Group Kode
- 36 90028665 GLUCOSE TEST STRIP HUMASENS UNT .00 .00 227,091.00

02 36 20002649 HUMASENS PLUS URIC ACID STR 17566 KIT .00 .00 498,455.00
Supplier : 10000028 - TENDER - IDEAL HEALTHCARE - TENDER

Group Kode
CABANG 36 - MADIUN
Hal : 7
Waktu : 05:24 PM
Supplier : 10000028 - TENDER - IDEAL HEALTHCARE - TENDER

Group Kode
- 36 20933357 2WAY STD FOLEY CATH SIL COATED IC21121830 PCS .00 .00 .00
STRL 18 FR
- 36 20002816 BLOOD GIVING SET IC WITH AIRVENT IC3052 PCS .00 .00 7,448.18
- 36 20026969 ETT WIRE REINFORCED CUFFED 7.5 IC61214075 PCS .00 .00 .00
02 36 20002778 ETT. REG PLAIN UNCUFF 2.5MM IC61130025 PCS .00 .00 9,800.00
02 36 20002774 ETT. WIRED REINFORCED HVLP CUFFED IC61214070 PCS .00 4.00 131,710.91
7.0MM
- 36 20002791 FOLEY CATH IC 2WAY 16FR 30-45CC IC21111630 PCS .00 .00 11,171.82
02 36 20002792 FOLEY CATH IC 2WAY 18FR 30-45CC IC21111830 PCS .00 .00 13,132.00
02 36 20939727 I.V. CATH WITH INJ 14 IC2002-14 PCS 100.00 100.00 2,940.00
02 36 20939729 I.V. CATH WITH INJ 18 IC2002-18 PCS .00 .00 2,940.00
02 36 20940324 I.V. CATHETER WITHOUT PORT 14G IC2003-14 PCS 100.00 100.00 3,528.18
02 36 20002817 INTRAVENOUS ADMIN SET W/ AIRVENT IC3053A-21 PCS 500.00 500.00 6,663.64
02 36 20943017 QUICK F. I.V CATHETER-22GX2.5CM IC1039-22 PCS .00 .00 3,136.36
Supplier : 10000030 - TENDER - IMTMEDICAL - TENDER

Group Kode
- 36 20002911 ADPTER P. INF AIRWAY ADPTER TO NEO 301.476.050 PCS .00 .00 676,539.09
- 36 20025592 BC E (NEO, INSP-HEATED, HYTREL 301.683.550 PCS .00 .00 4,486,018.72
- 36 20002950 BELLAVISTA NICU VENTILATOR PKT .00 .00 .00
- 36 20002906 BELLAVISTA TROLLEY 301.105.000 UNT .00 .00 27,490,882.00
- 36 20002922 DUAL LIMB ADAPTER 301.522.000 UNT .00 .00 6,516,273.93
- 36 20002928 HUMIDIFIER BRACKET 301.620.000 PCS .00 .00 2,352,823.00
02 36 20935101 OXYGEN SENSOR LONG-LIFE 304.413.000 PCS .00 .00 3,402,000.00
- 36 20002908 PROX.FLOW SENSOR (AD/PED, R 301.549.000 PCS .00 .00 3,508,689.28
- 36 20002907 SUPPORT ARM FOR TROLLEY 301.106.000 UNT .00 .00 10,253,356.00
- 36 20002949 TEST LUNG NEONATAL 500.040.000 UNT .00 .00 1,882,259.00
CABANG 36 - MADIUN
Hal : 8
Waktu : 05:24 PM
Supplier : 10000030 - TENDER - IMTMEDICAL - TENDER

Group Kode
Supplier : 10000041 - TENDER - POLY JAYA MEDIKAL. PT - TENDER

Group Kode
02 36 20007431 BED SIDE CABINET DELUXE ABS P 012 DLX PCS .00 .00 3,556,757.00
02 36 20935493 BLOOD DONOR CHAIR PC P 080 PC UNT .00 .00 3,684,093.00
02 36 20969715 BRANCAR AMBULANCE (ISOLATION) P 060 I UNT .00 .00 46,174,399.00
02 36 20935481 BRANCAR AMBULANCE (MULTI P 060 MP UNT .00 .00 28,476,189.00
PURPOSE)
02 36 20935477 BRANCAR KOMPLIT P 059 SS UNT .00 .00 9,212,359.00
- 36 20007496 BRANCAR KOMPLIT S/S POLY - PCS .00 .00 8,632,727.00
059SS
02 36 20938082 BRANCAR KOMPLIT SET SEDERHANA P 059 [SS] UNIT .00 .00 7,108,623.00
02 36 20937095 BRANCAR STANDARD (SEDERHANA) P 058 PCSS UNT .00 .00 8,626,002.00
(T)
02 36 20935521 DRESSING TROLLEY S/S P 049 UNT .00 .00 6,212,613.00
02 36 20935495 ELECTRIC OPERATING TABLE P 081 UNT .00 .00 65,328,179.00
02 36 20935473 EMERGENCY TROLLEY P.C P 056 PC UNT .00 .00 7,956,244.00
02 36 20936343 EXAMINATION LAMP P 041 UNT .00 .00 2,010,124.00
02 36 20935461 GYNAECOLOG EXAMINATION S/S+FSSS P 029SSFS UNT .00 .00 8,620,262.00
02 36 20935460 GYNAECOLOG EXAMINATION TABLE S/S P 029 SS UNT .00 .00 8,123,896.00
02 36 20966300 HIGH FLOW NASAL CANULA AIRCOV-19 UNT .00 .00 48,693,002.70
02 36 90055885 INCUBATOR INFANT WARMER P 023 UNT .00 .00 38,082,697.00
02 36 20007441 INCUBATOR THERMOSTAT POLY - 020 PCS .00 .00 7,041,441.00
02 36 20007538 INCUBATOR TRANSPORT CHART P 021 TC UNT .00 .00 52,648,649.00
- 36 20944593 INDORAY MOBILE HIGH FREQUENCY IRM-HF 50 UNIT .00 .00 428,706,617.30
RADIOLOGY SYSTEM 500
02 36 20972609 INFRARED THERMOMETER PH IRT 02 UNT .00 .00 346,847.00
- 36 20007460 INSTRUMENT TROLLEY S/S TANP POLY - 036- PCS .00 .00 2,590,000.00
02 36 90058528 KURSI RODA P 084 UNT .00 .00 2,882,882.00
- 36 20007410 LEMARI INSTRUMEN 2 PINTU PC POLY - 044 PCS .00 .00 4,727,273.00
P
02 36 20935518 LEMARI NARKOTIK BESAR P 046 LNB UNT .00 .00 8,508,108.10
02 36 20935517 LEMARI NARKOTIK KECIL P 046 LNK UNT .00 .00 6,842,342.00
- 36 20007564 LEMARI NARKOTIKA BESAR P46LNB UNT .00 .00 7,550,125.45
- 36 20007546 LEMARI NARKOTIKA KECIL P46LNK UNT .00 .00 6,903,636.00
02 36 20935515 LEMARI OBAT 1 PINTU P.C P 045 PC UNT .00 .00 4,922,019.00
02 36 20935519 LEMARI OBAT 2 PINTU P.C P 046 PC UNT .00 .00 5,704,615.00
- 36 20007476 LEMARI OBAT 2 PINTU S/S POLY - PCS .00 .00 9,418,182.00
046SS
02 36 20935524 LINEN TROLLEY P.C P 053 PC UNT .00 .00 5,883,054.00
02 36 20935512 MATRAS ANTI DECUBITUS P 016 G UNT .00 .00 2,347,130.00
02 36 20935509 MATRAS RANJANG ANAK COVER VINYL P 016 E2 UNT .00 .00 1,350,450.00
02 36 20935469 MEJA PERIKSA (DENGAN FOOT STEP) P 033 SSFS UNT .00 .00 3,696,859.00
CABANG 36 - MADIUN
Hal : 9
Waktu : 05:24 PM
Supplier : 10000041 - TENDER - POLY JAYA MEDIKAL. PT - TENDER

Group Kode
02 36 20007445 MEJA RESUSCITASI P.C. P 026 PC PCS .00 .00 5,862,720.00

02 36 20935452 MEJA RESUSITASY S.S P 026 SS UNT .00 .00 10,050,620.00
02 36 20935544 OXYGEN GENERATOR & SYSTEM P 074 C UNT .00 .00 2,240,558,929.00
P100LPM (100 Lpm)
02 36 20935547 OXYGEN GENERATOR & SYSTEM P 074 C UNT .00 .00 4,825,819,231.00
P500LPM (500 Lpm)
02 36 20935542 OXYGEN GENERATOR& SYSTEM P 074 C (10 UNT .00 .00 241,290,621.00
P10+FILLING Lpm + F)
- 36 20007525 POLY MEJA PERIKSA SS + FO POLY-033- UNT .00 .00 .00
SS
- 36 20007571 RADIOLOGI ROOM INSTALATION/ P70-RRI MTR .00 .00 .00
02 36 20935439 RANJANG 1 ENGKOL P 003 UNT .00 .00 6,823,423.00
02 36 20935442 RANJANG 2 ENGKOL DELUXE P 004 DLX UNT .00 .00 11,593,694.00
02 36 20938029 RANJANG 3 ENGKOL P 006 UNT .00 .00 9,212,359.00
02 36 20935504 STAND WASKOM S/S DOUBLE P 014 D UNT .00 .00 3,349,550.00
K.4+WASKOM
02 36 20007433 STAND WASKOM S/S SINGLE K.5 POLY - 013- PCS .00 .00 1.00
02 36 20935503 STAND WASKOM S/S SINGLE P 013 S UNT .00 .00 1,827,928.00
K.5+WASKOM
02 36 20935471 TIANG INFUS K.5 FULL S/S+PEMBERAT P 039 UNT .00 .00 2,093,524.00
02 36 20007463 TIANG INFUS K.5 P.C. POLY - 037 PCS .00 .00 918,919.00
02 36 20935470 TIANG INFUS K.5 S/S P 038 UNT .00 .00 1,507,168.00
02 36 20007464 TIANG INFUS K.5 S/S POLY - 038 PCS .00 .00 1,507,168.00
02 36 20935457 U.V MOBILE STERILIZATOR REMOTE P 024 RC UNT .00 .00 16,750,750.00
02 36 20935464 VERLOS /DELIVERY TABLE S/S + FSSS P 030SSFS UNT .00 .00 9,631,064.00
02 36 20007560 VERLOS/DELIVERY BED ELECT P 030 SSE UNT .00 .00 55,453,722.00
02 36 20935484 VIEWER DOUBLE P 069 DPC UNT .00 .00 4,727,027.00
02 36 20007513 VIEWER DOUBLE 800 P 069D PCS .00 .00 1,797,449.00
02 36 20935485 VIEWER X-RAY FILM (30 WATT) P69D30W UNT .00 .00 3,716,216.00
02 36 20007512 X - RAY BARRIER / TABIR P 068 PCS .00 .00 18,177,477.00
02 36 20935592 X-RAY MOBILE 300mA IRM HF30 UNT .00 .00 369,525,655.00
Supplier : 10000044 - TENDER - PRATAPA NIRMALA. PT

Group Kode
- 36 20007724 BISOPROLOL FUMARATE TAB - BOX .00 .00
Supplier : 10000046 - TENDER - NOVAPHARIN PHARMA INDUSTRI, PT

Group Kode
CABANG 36 - MADIUN
Hal : 10
Waktu : 05:24 PM
Supplier : 10000046 - TENDER - NOVAPHARIN PHARMA INDUSTRI, PT

Group Kode
02 36 20983868 AMBROXOL TABLET,- INST BOX .00 .00 7,281.81

- 36 20007795 AMOXICILLIN SIRUP KERING - BTL .00 .00 3,298.18
01 36 20972214 ASAM FOLAT 1MG TAB DUS .00 1,125.00 5,045.05
- 36 20945050 ASAM MEFENAMAT 500 MG 100`S INST BOX .00 .00 37,070.00
01 36 20971130 CEFADROXIL MONOHYDRATE SYR BTL .00 1,000.00 3,423.43
KERING 125MG/5ML
- 36 90024315 CHLORAMPHENICOL KAP 250 MG - DUS .00 .00 28,182.82
- 36 20007801 CHLORAMPHENICOL SUSPENSI - BTL .00 .00 .00
01 36 20970188 CHLORPHENIRAMINE MALEATE TABLET 4 NOVAPHAR BOX .00 .00 2,181.82
MG IN
- 36 20007822 DEKSAMETASON TABLET/KAPSU - KAP .00 .00 29.09
01 36 20935424 DEKSAMETASON TABLET/KAPSUL/KAP BOX .00 .00 2,909.09
- 36 20007797 DOMPERIDONE SUSPENSI - BTL .00 .00 2,454.55
- 36 20007798 DOMPERIDONE TAB 10MG/10X1 03-22-149- DOS .00 .00 8,273.00
12
01 36 90046809 GLISERIL GUAIAKOLAT 100MG INST KTK .00 .00 26,363.00
- 36 90022995 GRISEOFULVIN TAB 125 MG .00 .00 20,364.00
- 36 20945421 GUAFENESIN TABLET INST BOX .00 .00 23,636.00
01 36 20935423 IBUPROFEN 200 TABLET POT DOS .00 .00 .00
01 36 20971131 IBUPROFEN 200MG SUSPENSI BTL .00 1,700.00 2,882.88
02 36 20943853 IBUPROFEN 400 MG INST BOX .00 .00 31,200.00
01 36 20007800 IBUPROFEN 400 TABLET DUS NOVAPHAR DOS .00 .00 17,207.21
IN
- 36 20007799 IBUPROFEN TAB 200 MG 03-22-133- TAB .00 .00 .00
41
01 36 20942871 KALSIUM LAKTAT 500 MG 30`S TENDER BOX .00 .00 36,364.00
01 36 20935421 KETOKONAZOL TABLET 200MG BOX .00 .00 13,091.00
- 36 20007815 KETOKONAZOL TABLET 200MG - STR .00 .00 25,300.00
02 36 20983871 METRONIDAZOLE 500 MG,- INST BOX .00 .00 16,650.00
01 36 20007814 OMEPRAZOL KAPSUL / KAPLET - BTL .00 .00 6,854.54
- 36 20007818 OMEPRAZOLE KAPSUL DUS - DOS .00 .00 3,790.80
- 36 20019147 PIROXICAM 20 MG - BOX .00 .00 12,000.00
- 36 20007826 SIPROFLOKSASIN TAB SCORED 500M - TAB .00 .00 240.91
- 36 20936625 TIAMIN (VITAMIN B1 50MG) BOX .00 .00 .00
01 36 20029097 TIAMIN (VITAMIN B1) 100 MG NOVAPHAR DOS .00 .00 .00
IN
- 36 20007828 TIAMIN (VITAMIN B1) TABLET|KAP - TAB .00 .00 1.00
01 36 20942876 VITAMIN B KOMPLEKS 100`S NOVAPHAR BOX .00 5,000.00 5,135.14
IN
01 36 90024386 VITAMIN B1 50 TABLET DUS - DOS .00 .00 .00
Supplier : 10000048 - TENDER - RAMA EMERALD MULTI SUKSES. PT

CABANG 36 - MADIUN
Hal : 11
Waktu : 05:24 PM
Supplier : 10000048 - TENDER - RAMA EMERALD MULTI SUKSES. PT

Group Kode
- 36 90028684 CEFOTAXIM INJ 1000MG VAL .00 .00 .00

01 36 20293048 CEFOTAXIME SODIUM 1GR @10 VIAL VIAL .00 .00 4,075.00
- 36 90028688 CETIRIZINE SYRUP BTL .00 .00 2,385.00
- 36 20007857 IBUPROFEN SUSP 60ML - BTL .00 .00 2,474.00
- 36 20007859 KOTRIMOKSAZOL (DEWASA) SUSPENS - BTL .00 .00 1,946.00
Supplier : 10000050 - TENDER - PT.ROCHE IND - TENDER

Group Kode
02 36 20942977 ACCUTREND CHOLESTEROL 1141826217 TUB .00 .00 167,273.00

1
02 36 20942980 ACCUTREND CONTROL CHOLESTEROL 1141828919 TUB .00 .00 487,273.00
0
02 36 20007998 ACCUTREND PLUS 5050472023 UNT .00 .00 2,109,091.00
02 36 20942978 ACCUTREND TRIGLYCERIDE 1153814401 TUB .00 .00 206,364.00
6
02 36 20942981 ACUTREND CONTROL TRIGLYCERIDE 1153815219 TUB .00 .00 454,545.00
0
Supplier : 10000054 - TENDER - SFRI SARL - TENDER

Group Kode
- 36 20008023 COUNTENDER 20+ - UNT .00 .00 115,849,909.00
Supplier : 10000056 - TENDER - SINARAYA NUGRAHA AHMADARIS MEDIKA,PT

Group Kode
- 36 20008059 FM CREPE 10CM X 4,55M 83120322 ROL .00 .00 41,909.00

- 36 20008060 FM CREPE 15CM X 4,55M 83120322 ROL .00 .00 51,639.64
- 36 20008058 FM CREPE 7,5CM X 4,55M 83120321 ROL .00 .00 34,360.36
02 36 20008088 HOSPAK KAPAS PEMBALUT 250 G 83120534 ROL .00 .00 27,180.18
02 36 20008077 NEW DRC T 40 Y X 80 CM PLAIN 83120791 ROL .00 .00 142,360.36
02 36 20008081 POLI AID 1 LITER LA 83120202 BTL .00 .00 123,000.00
02 36 20008080 POLI AID 5 LITER LA 83120201 GLN .00 .00 545,000.00
- 36 20008067 POLIBAN 10CM X 2.7 M 83120312 ROL .00 .00 13,729.73
- 36 20008068 POLIBAN 15CM X 2.7 M 83120313 ROL .00 .00 18,450.45
CABANG 36 - MADIUN
Hal : 12
Waktu : 05:24 PM
Supplier : 10000056 - TENDER - SINARAYA NUGRAHA AHMADARIS MEDIKA,PT

Group Kode
- 36 20008066 POLIBAN 7.5CM X 2.7 M 83120311 ROL .00 .00 10,639.00

02 36 20008071 POLIBAN NAT 15CM X 2.7 M 83120316 ROL .00 .00 25,000.00
02 36 20008070 POLIBAN NAT 10CM X 2.7 M 83120315 ROL .00 .00 16,090.00
02 36 20008056 POLICREPE 10CM X 4,55M 83120327 ROL .00 .00 31,360.36
02 36 20008057 POLICREPE 15CM X 4,55M 83120328 ROL .00 .00 39,909.91
- 36 20008074 POLIFIX 10CM X 5 M 83120338 BOX .00 .00 70,549.55
- 36 20008075 POLIFIX 15CM X 5 M 83120339 BOX .00 .00 95,180.18
02 36 20008073 POLIFIX 5CM X 5 M 83120337 BOX .00 .00 37,360.36
- 36 20008063 POLIGYP 10CM X 2.7 M 83120302 ROL .00 .00 20,090.00
- 36 20008064 POLIGYP 15CM X 2.7 M 83120303 ROL .00 .00 26,270.27
- 36 20008062 POLIGYP 7.5CM X 2.7 M 83120301 ROL .00 .00 14,000.00
- 36 20008082 POLIWASH 5 LITER 83120208 GLN .00 .00 541,000.00
- 36 20008083 POLIWASH 500 ML 83120207 BTL .00 .00 54,000.00
Supplier : 10000057 - TENDER - SINARAYA NUGRAHA MEDIKA.CV

Group Kode
01 36 20008094 PRO CREPE 10 CM X 4.55 M 10002 PCS .00 .00 30,000.00

01 36 20008095 PRO CREPE 15 CM X 4.55 M 10003 PCS .00 .00 38,100.00
01 36 20008098 PRO CREPE 7,5 CM X 4.55 M - PCS .00 .00 25,300.00
07 36 20941660 PRO-KASA 10CM X 4M 40002 ROL .00 .00 2,455.00
01 36 20936962 PRO-KASA 40Y X 80CM 41001 ROL .00 .00 139,272.73
Supplier : 10000059 - TENDER - SMI A.G. : TENDER

Group Kode
- 36 20008582 CATGUT CHROMIC 0 HR 37 MM BOX .00 .00 343,385.45

- 36 20008583 CATGUT CHROMIC 1 HR 37 MM 250 0137 BOX .00 .00 357,501.82
- 36 20008442 CATGUT CHROMIC 1 HR 40 MM 2500140.00 BOX .00 .00 357,501.80
- 36 20008444 CATGUT CHROMIC 2 HR 50 MM 260 0150 BOX .00 .00 402,185.45
- 36 20008689 CATGUT CHROMIC 0 100M 2040 ROL .00 .00 1,662,454.55
02 36 20008441 CATGUT CHROMIC 0 HR 40 MM 240 0140 BOX 11.00 11.00 343,385.45
- 36 20008691 CATGUT CHROMIC 2 50M ROL .00 .00 1,552,400.00
- 36 20008688 CATGUT CHROMIC 2-0 100M 2035 ROL .00 .00 1,697,318.18
02 36 20008594 CATGUT CHROMIC 2/0 DS 19 MM 235 1519 BOX .00 .00 322,221.82
- 36 20008598 CATGUT CHROMIC 2/0 DS 30 MM BOX .00 .00 333,981.82
- 36 20008569 CATGUT CHROMIC 2/0 HR 20 MM BOX 1.00 1.00 272,825.45
CABANG 36 - MADIUN
Hal : 13
Waktu : 05:24 PM

Group Kode
- 36 20026922 CATGUT CHROMIC 2/0 HR 26 MM 2350126.00 BOX .00 .00 .00

02 36 20008577 CATGUT CHROMIC 2/0 HR 30 235 0130 BOX .00 40.00 272,825.45
- 36 20025536 CATGUT CHROMIC 2/0 HR 37 MM 2350137.00 BOX .00 .00 1.00
02 36 20026929 CATGUT CHROMIC 2/0 HR 40 MM 235 0140 BOX .00 .00 .00
02 36 20008454 CATGUT CHROMIC 2/0 HR 40 MM 235 0140 BOX .00 .00 272,825.45
02 36 20008445 CATGUT CHROMIC 2|0 DS 24 MM 2351524 BOX .00 .00 333,981.82
02 36 20008439 CATGUT CHROMIC 2|0 HR 26 MM 235 0126 BOX .00 .00 272,825.45
02 36 20008440 CATGUT CHROMIC 2|0 HR 37MM 235 0137 BOX .00 .00 272,825.45
- 36 20008593 CATGUT CHROMIC 3/0 DS 19 MM 230 1519 BOX 4.00 4.00 322,221.82
02 36 20008596 CATGUT CHROMIC 3/0 DS 24 MM 230 1524 BOX 2.00 2.00 333,981.82
02 36 20008568 CATGUT CHROMIC 3/0 HR 20 MM 230 0120 BOX 59.00 59.00 272,825.45
- 36 20008576 CATGUT CHROMIC 3/0 HR 30 MM BOX 3.00 43.00 272,825.45
- 36 20008438 CATGUT CHROMIC 3|0 HR 26 MM 230 0126 BOX .00 .00 272,825.45
02 36 20008595 CATGUT CHROMIC 4/0 DS 24 MM 220 1524 BOX 1.00 1.00 315,163.64
- 36 20008450 CATGUT PLAIN 0 HR 37 MM 140 0137 BOX .00 .00 291,643.64
02 36 20008451 CATGUT PLAIN 1 HR 37 MM 150 0137 BOX 2.00 2.00 319,865.45
02 36 20008551 CATGUT PLAIN 2 HR 45 MM 160 0145 BOX 1.00 1.00 350,443.64
02 36 20008549 CATGUT PLAIN 0 HR 26 MM 140 0126 BOX .00 .00 291,643.64
- 36 20026928 CATGUT PLAIN 2/0 DS 24 MM 1351524.00 BOX .00 .00 438,545.00
02 36 20008547 CATGUT PLAIN 2/0 HR 20 MM 135 0120 BOX .00 .00 284,585.45
- 36 20025538 CATGUT PLAIN 2/0 HR 26 MM 1350126.00 BOX .00 .00 .00
02 36 20008448 CATGUT PLAIN 2/0 HR 26 MM 1350126.00 BOX 5.00 5.00 284,585.45
02 36 20008453 CATGUT PLAIN 2|0 DS 24 MM 135 1524 BOX 14.00 34.00 333,981.82
- 36 20008681 CATGUT PLAIN 3-0 100M 1030 ROL .00 .00 1,662,454.55
02 36 20008556 CATGUT PLAIN 3/0 DS 16 MM 130 1516 BOX .34 .34 357,501.82
- 36 20008546 CATGUT PLAIN 3/0 HR 20 MM BOX 2.00 23.00 284,585.45
- 36 20026926 CATGUT PLAIN 3/0 HR 26 MM 1300126.00 BOX .00 .00 1.00
- 36 20008550 CATGUT PLAIN 3/0 HR 37 MM BOX .00 .00 284,585.45
02 36 20008452 CATGUT PLAIN 3|0 DS 24 MM BOX 1.00 1.00 333,981.82
02 36 20008447 CATGUT PLAIN 3|0 HR 26 MM 130 0126 BOX .00 .00 284,585.45
02 36 20008555 CATGUT PLAIN 4|0 DS 16 MM 120 1516 BOX .00 .00 338,683.64
02 36 20008554 CATGUT PLAIN 5/0 DS 16 MM 115 1516 BOX .00 .00 345,741.82
- 36 20008642 DACLON 2|0 DS 24 MM BOX .00 .00 249,305.45
- 36 20008638 DACLON 4/0 DS 19 MM BOX .00 .00 178,756.36
02 36 20008627 POLYPROPYLENE 1 DS 24 MM 540 1524 BOX .00 .00 246,960.00
- 36 20008625 POLYPROPYLENE 2/0 DS 24 MM 530 1524 BOX 1.00 1.00 244,603.64
02 36 20008624 POLYPROPYLENE 3/0 DS 24 MM 520 1524 BOX .00 .00 242,258.18
- 36 20008612 POLYPROPYLENE 4/0 DS 12 MM BOX .00 .00 211,680.00
CABANG 36 - MADIUN
Hal : 14
Waktu : 05:24 PM

Group Kode
- 36 20008619 POLYPROPYLENE 4/0 DS 19 MM 515 1519 BOX .00 .00 242,258.18

02 36 20008623 POLYPROPYLENE 4|0 DS 24 MM 515 1524 BOX .00 .00 246,960.00
02 36 20008614 POLYPROPYLENE 5|0 DS 16 MM 510 1516 BOX .00 .00 244,603.64
02 36 20008613 POLYPROPYLENE 6/0 DS 16 MM 507 1516 BOX .00 .00 303,403.64
- 36 20008674 POLYPROPYLENE MESH 15X15 BOX .00 .00 642,877.27
- 36 20008698 SILK 2 100M 8050 ROL .00 .00 876,645.45
- 36 20025542 SILK 3-0 100M 8020 ROL .00 .00 618,581.82
02 36 20008656 SILK BLACK 0 HR 30 MM 835 0130 BOX .00 .00 169,341.82
- 36 20008437 SILK BLACK 1 DS 24 MM 8401524.00 BOX 2.00 2.00 197,563.64
02 36 20008657 SILK BLACK 1 HR 30 MM 840 0130 BOX .00 .00 171,698.18
- 36 20008433 SILK BLACK 1 HR 37 MM BOX .00 .00 171,698.18
- 36 20008659 SILK BLACK 2 HR 37 MM 850 0137 BOX .00 .00 174,043.64
02 36 20942263 SILK BLACK 1 DS 37 MM 840 1537 BOX .00 .00 188,160.00
- 36 20008670 SILK BLACK 2/0 DS 19 MM 830 1519 BOX .00 3.00 192,861.82
- 36 20026921 SILK BLACK 2/0 DS 24 MM 8301524.00 BOX .00 .00 1.00
- 36 20008429 SILK BLACK 2/0 HR 20 MM 830 0120 BOX .00 .00 169,341.82
- 36 20026945 SILK BLACK 2/0 HR 30 MM 830 0130 BOX .00 .00 1.00
02 36 20008658 SILK BLACK 2/0 HR 37 MM 830 0137 BOX 1.00 1.00 169,341.82
02 36 20008436 SILK BLACK 2|0 DS 24 MM 8301524 BOX 16.00 16.00 192,861.82
- 36 20008673 SILK BLACK 2|0 DS 30 MM BOX 1.00 1.00 192,861.82
02 36 20026920 SILK BLACK 2|0 HR 26 MM 830 0126 BOX .00 .00 221,455.00
- 36 20008431 SILK BLACK 2|0 HR 26 MM 8300126.00 BOX 1.00 1.00 169,341.82
02 36 20008655 SILK BLACK 2|0 HR 30 MM 830 0130 BOX 5.00 5.00 169,341.82
- 36 20008667 SILK BLACK 3/0 DS 16 MM 820 1516 BOX 2.00 2.00 185,803.64
- 36 20008669 SILK BLACK 3/0 DS 19 MM BOX .00 .00 185,803.64
- 36 20008435 SILK BLACK 3/0 DS 24 MM BOX 5.00 5.00 185,803.64
02 36 20008654 SILK BLACK 3/0 HR 30 MM 820 0130 BOX .00 .00 164,640.00
- 36 20026944 SILK BLACK 3/0 HR 30 MM 820 0130 BOX .00 .00 .00
- 36 20008428 SILK BLACK 3|0 HR 20 MM BOX 2.00 3.00 164,640.00
02 36 20008430 SILK BLACK 3|0 HR 26 MM 820 0126 BOX .00 .00 164,640.00
- 36 20008666 SILK BLACK 4/0 DS 16 MM BOX .00 .00 185,803.64
- 36 20008434 SILK BLACK 4/0 DS 19 MM 8151519.00 BOX 2.00 2.00 185,803.64
- 36 20008648 SILK BLACK 4/0 HR 16 MM BOX 5.00 5.00 164,640.00
- 36 20008427 SILK BLACK 4/0 HR 20 MM 8150120.00 UNT .00 .00 164,640.00
02 36 20008477 SURGICRYL 910 0 HR 40 MM 1535 0140 BOX .00 .00 651,501.82
- 36 20008478 SURGICRYL 910 1 HR 40 MM BOX 5.00 5.00 682,080.00
- 36 20008480 SURGICRYL 910 2 HR 45 MM BOX .00 .00 832,603.64
- 36 20008490 SURGICRYL 910 2|0 DS 24 MM BOX .00 .00 717,360.00
02 36 20008465 SURGICRYL 910 2|0 HR 26 MM BOX .00 .00 529,200.00
CABANG 36 - MADIUN
Hal : 15
Waktu : 05:24 PM

Group Kode
- 36 20008472 SURGICRYL 910 2|0 HR 36 MM 1530 0136 BOX .00 .00 555,065.45
- 36 20008489 SURGICRYL 910 3/0 DS 24 MM BOX .00 .00 717,360.00
02 36 20008461 SURGICRYL 910 3/0 HR 22 MM 1520 0122 BOX .00 .00 555,065.45
02 36 20008464 SURGICRYL 910 3/0 HR 26 MM 1520 0126 BOX .00 .00 512,738.18
- 36 20008460 SURGICRYL 910 4/0 HR 22 MM BOX 2.00 2.00 529,200.00
02 36 20008487 SURGICRYL 910 4|0 DS 19 MM 1515 1519 BOX .00 .00 745,581.82
02 36 20008486 SURGICRYL 910 5/0 DS 19 MM 1510 1519 BOX .00 .00 733,821.82
- 36 20008535 SURGICRYL MONOFILAMENT 1 HR BOX 87.00 87.00 961,963.64
02 36 20008536 SURGICRYL MONOFILAMENT 1 HR 48 M 1340 0148 BOX .00 .00 1,034,880.00
02 36 90040380 SURGICRYL MONOFILAMENT 2/0 HR 1330 0136 BOX .00 .00 823,200.00
02 36 20008543 SURGICRYL MONOFILAMENT 3/0 DS 24 1320 1524 BOX .00 .00 867,883.64
MM
- 36 20008505 SURGICRYL PGA 2HS 48MM BOX 4.00 4.00 809,083.64
Supplier : 10000061 - TENDER - SMITHS MEDICAL - TENDER

Group Kode
- 36 20008801 EQUATOR - UNT .00 .00 42,297,709.00

- 36 20008809 FULL UNDER BODY BLANKET/10 - BOX .00 .00 3,563,636.00
02 36 20008794 GRASEBY 2100 12DW100 UNT .00 .00 15,060,455.85
02 36 20008795 GRASEBY SYRINGE PUMP - UNT .00 .00 .00
- 36 20008812 JELCO 18 RO 4035 PCS .00 .00 .00
02 36 20008785 JELCO 2 18GX45MM MR18-AI PCS 640.00 690.00 11,956.36
- 36 20008786 JELCO 2 20GX32MM MR20-AI PCS .00 .00 11,956.36
- 36 20008787 JELCO 2 22GX25MM MR22-AI PCS 540.00 590.00 11,956.36
- 36 20008781 JELCO RADIOPAQUE 18GX32MM 4035-AI PCS 400.00 400.00 7,840.00
- 36 20008782 JELCO RADIOPAQUE 20GX32MM 4036-AI PCS .00 .00 5,880.00
- 36 20008783 JELCO RADIOPAQUE 22GX25MM 4030-AI PCS 950.00 950.00 5,880.00
- 36 20008784 JELCO RADIOPAQUE 24GX19MM 4033-AI PCS .00 .00 5,880.00
- 36 20008808 LARGE PEDIATRIC UNDER BODY/10 - BOX .00 .00 6,609,090.00
02 36 20939854 OPTIVA 24GX19MM 5063-AI PCS .00 .00 8,797.27
- 36 20008804 PEDIATRIC FULL BODY BLANKET 10 - BOX .00 .00 2,909,090.00
02 36 20008807 PEDIATRIC UNDER BODY BLANKET/10 SW-2011 BOX .00 .00 2,854,545.00
- 36 20008803 SNUGGLE WARMA COMFORD ADULT FU SW-2001 BOX 1.00 1.00 2,709,090.00
Supplier : 10000068 - TENDER - YARINDO FARMATAMA. PT

CABANG 36 - MADIUN
Hal : 16
Waktu : 05:24 PM
Supplier : 10000068 - TENDER - YARINDO FARMATAMA. PT

Group Kode
- 36 20010594 DIGOKSIN TAB 0,25 MG 31162 TAB .00 .00 9,545.45

- 36 20010598 IBUPROFEN TAB 200 MG 31211 BTL .00 .00 9,900.00
Supplier : 10000069 - TENDER - PT.MITRA RAJAWALI BANJARAN - TENDER

Group Kode
- 36 20939364 ASSP RD 10ML. SR-105 BOX 78.00 78.00 100,272.72

- 36 20007770 ASSP RD 3ML SR103 PCS .00 .00 1.00
- 36 20939366 ASSP RD 3ML. SR-103 BOX 15.00 15.00 77,600.00
- 36 20939367 ASSP RD 5ML. SR-104 BOX 286.00 286.00 82,100.00
01 36 20979076 SKIFA ADS 0,5 ML SAD103 BOX .00 .00 109,545.45
(HC)
- 36 20007764 SKIFA ADS 0,5 ML SAD103 BOX .00 .00 109,545.45
- 36 20007765 SKIFA ADS 3 ML BOX .00 .00 120,000.00
- 36 20026966 SKIFA EXAMINATION GLOVE L SGE101 BOX .00 .00 53,182.00
- 36 20007787 SKIFA EXAMINATION GLOVE M BOX .00 .00 53,182.00
- 36 20029135 SKIFA HANDSHCOEN STERIL 7 PSG .00 .00 .00
02 36 20007767 SKIFA HANDSHCOEN STERIL 7,5 - PSG .00 .00 .00
02 36 20967659 SKIFA MASKER 3 PLY HIJAB BOX .00 .00 66,363.63
02 36 20026964 SKIFA SURGICAL GLOVE 6.5 - BOX 8.00 8.00 454,545.45
Supplier : 10000072 - TENDER - ANUGERAH PHARMINDO LESTARI, PT -TENDER

Group Kode
- 36 20025426 CAVITON 30GR - BOK .00 .00 126,000.00

- 36 20293212 GC GOLD LABEL 9 EXTRA 1-1 MINIPACK 0131F164 SET .00 .00 313,000.00
- 36 20025424 SOLARE X 5GR (2,7ML) - PCS .00 .00 252,000.00
Supplier : 10000076 - TENDER - AFI FARMA, PT - TENDER

Group Kode
01 36 20971132 ANTASIDA DOEN @ 60 ML BTL 65.00 11,065.00 1,499.00

01 36 20971134 DOMPERIDON DROPS @ 10 ML BTL .00 .00 8,477.07
01 36 20971135 DOMPERIDON @ 60 ML BTL .00 .00 2,049.85
01 36 20971136 IBUPROFEN @ 60 ML BTL .00 .00 1,996.28
CABANG 36 - MADIUN
Hal : 17
Waktu : 05:24 PM
Supplier : 10000076 - TENDER - AFI FARMA, PT - TENDER

Group Kode
01 36 20971137 PARACETAMOL DROPS @ 15 ML BTL 95.00 95.00 4,652.25

01 36 20012636 POVIDON IODIDA 30ML - BTL .00 .00 2,771.81
01 36 20971138 SALEP 2 - 4 @ 15 GR POT 352.00 352.00 1,258.84
01 36 20971133 SALEP WHITFIELD`S @ 30 GR POT .00 2,500.00 3,104.24
Supplier : 10000091 - TENDER - KARINDO ALKESTRON, PT - TENDER

Group Kode
02 36 20938546 1/2 CHANNEL DIGITAL ECG CARDISUNY C110 (T) UNT .00 .00 500,000.00
02 36 20941783 ANSELL GAMMEX LATEX PF NO.6,5 GLF-65 PSG .00 .00 12,500.00
02 36 20941784 ANSELL GAMMEX LATEX PF NO.7 GLF-70 PSG .00 .00 12,500.00
02 36 20941786 ANSELL GAMMEX LATEX PF NO.8 GLF-80 PSG .00 .00 12,500.00
02 36 20936485 BIAYA KIRIM KARINDO ALKESTRON PCS .00 .00 1.00
- 36 20013640 ECG PAPER 63MMX30MT(FOR ECG 063F30-H03 ROL .00 .00 80,000.00
02 36 20013645 ECG PAPER 63MMX30MT(FOR ECG 063F30-H03 BOX .00 .00 800,000.00
02 36 20013642 ECG PAPER 63MMX30MT(FOR ECG C1 063R30-H01 BOX .00 .00 772,972.97
- 36 20013637 FUKUDA 1/2/3 CHANNEL DIGITAL E - UNT .00 .00 35,200,000.00
02 36 20937372 FUKUDA ME ECG 3 CHANEL (CARDISUNY UNT .00 .00 32,000,000.00
C120) TENDER
02 36 20936718 M.E ECG PAPER C-120 063F30-H03 063F30- BOX .00 .00 .00
H03
07 36 20949605 SONODOP S-3X FULL DIGITAL UNIT .00 .00 126,734,850.90
ULTRASOUND SYSTEM
Supplier : 10000097 - TENDER - LUCAS DJAJA. PT - TENDER

Group Kode
- 36 20025456 AMINOFILIN INJ 24 MG/ML I.023 AMP .00 .00 .00

02 36 20940876 AMINOPHYLLINE INJ 24 MG/ML @30 AMP GKL871360 BOX .00 .00 81,163.63
3943A1
01 36 20940877 ANTASIDA SUSPENSI, KOMBINASI GBL941360 BTL 30.00 30.00 1,935.45
@60ML 4433A1
01 36 20940878 CYANOCOBALAMIN INJ 500MCG @100 GKL781360 BOX 14.00 14.00 100,400.00
AMP 1043B1
02 36 20940879 DIPHENHYDRAMINE INJ 10MG/ML @30 GKL961360 BOX .00 .00 31,854.54
AMP 6043A1
01 36 20940880 ERYTHROMYCIN STEARATE 250MG GKL961360 BOX .00 .00 53,000.00
@100 KAP 6101A1
01 36 20940881 LIDOCAIN INJ 2% @100 AMP GKL951360 BOX .00 .00 111,000.00
CABANG 36 - MADIUN
Hal : 18
Waktu : 05:24 PM
Supplier : 10000097 - TENDER - LUCAS DJAJA. PT - TENDER

Group Kode
0743B1
02 36 20940884 PHENOL GLYCEROL TETES TELINGA 10% GBL941360 BTL 1,281.00 1,281.00 3,000.00
4148A1
- 36 20025481 SALEP 2-4 18 POT .00 .00 .00
- 36 20025488 SIANO (VIT B12) INJ 500MC - AMP .00 .00 .00
Supplier : 10000099 - TENDER - MICROLIT PIPET. PT

Group Kode
02 36 20025641 FV-RBO-F SERIES 10000UL UNT .00 .00 498,802.73

- 36 20026975 FV-RBO-F SERIES 10ul 53490004 UNT .00 .00 495,736.00
- 36 20025637 FV-RBO-F SERIES 500UL UNT .00 .00 498,802.73
02 36 20933270 RBO-100 10-100UL PCS .00 .00 828,732.73
02 36 20025644 RBO-20 2-20UL UNT .00 .00 828,732.73
- 36 20025653 TIPS FOR MICROPIPETTES MT-II PAK .00 .00 206,454.00
- 36 20025651 TIPS FOR MICROPIPETTES MTSP PAK .00 .00 79,818.00
02 36 20025655 TIPS FOR MICROPIPETTES 1000µL PAK .00 .00 206,454.55
02 36 20025656 TIPS FOR MICROPIPETTES 200µL PAK .00 .00 79,818.18
Supplier : 10000102 - TENDER - PT.PARIT PADANG GLOBAL - TENDER

Group Kode
02 36 20947906 HALOPERIDOL 5 MG HAJI TAB .00 .00 16,250.00

TENDER
02 36 20942018 ISOSORBIT DINITRAT (ISDN) TAB BOX .00 .00 16,090.90
Supplier : 10000307 - TENDER - ERELA FARMA. PT - TENDER

Group Kode
- 36 20293147 ASIKLOVIR SALEP MATA 3% TUBE .00 .00 18,091.00

- 36 20025438 GENTAMISIN SALEP MATA 0,3% - TUB .00 .00 2,422.73
CABANG 36 - MADIUN
Hal : 19
Waktu : 05:24 PM
Supplier : 10000307 - TENDER - ERELA FARMA. PT - TENDER

Group Kode
- 36 20025449 GENTAMISIN TETES MATA 0,3% - BTL .00 .00 4,109.09

- 36 20025444 LEVOFLOKSASIN TTS MATA 0,5% - BTL .00 .00 16,364.00
- 36 20937816 SULFACETAMID TETES MATA FLS .00 .00 7,450.00
Supplier : 10000320 - TENDER - DFI CO.LTD - TENDER

Group Kode
- 36 20025567 CYBOW STRIP 10`S - KIT .00 .00 1.00
Supplier : 10000405 - TENDER - ROBERT RIELE. PT

Group Kode
- 36 20001558 ASPIRATE TUBING 185MM 5010-065 SET .00 .00 600,000.00

02 36 20938984 HALOGEN LAMP 12V/20W 0554871001 PCS 5.00 5.00 530,400.00
02 36 20001609 INTERFERENCE FILTER 340 NM 5010-340 UNT .00 .00 .00
- 36 20001589 LAMP HOLDER 5010-059 UNT .00 .00 1.00
02 36 20948717 LAMP HOLDER 5010-096 5010-096 PCS 5.00 5.00 489,600.00
- 36 20001622 PUMP TUB WITH JOINTS V5 5010-050 UNT .00 .00 390,000.00
- 36 20026956 RIELE PHOTOMETER 5010 V5+ - UNT .00 .00 72,727,272.73
Supplier : 10000406 - TENDER - HUMAN GMBH (HUMASENS). PT

Group Kode
02 36 20934581 HUMASENS 2.0 PLUS CHOLESTROL TEST 17567 KIT 980.00 980.00 492,636.36
02 36 20934579 HUMASENS 2.0 PLUS GLUCOSE STRIP 17562 KIT .00 .00 222,114.40
02 36 20933214 HUMASENS 2.0 PLUS ST 17561 UNT .00 5.00 547,300.00
02 36 20934580 HUMASENS 2.0 PLUS URIC ACID TEST 17566 KIT .00 .00 317,340.00
STRIP
02 36 90028777 HUMASENS 2.0 STARTER PACK 17560 UNT .00 .00 433,179.09
- 36 20293073 HUMASENS PLUS CHOLESTEROL STRI 17567 KIT .00 .00 492,636.00
Supplier : 10000410 - TENDER - PRIMA ALKESSINDO NUSANTARA. PT

CABANG 36 - MADIUN
Hal : 20
Waktu : 05:24 PM
Supplier : 10000410 - TENDER - PRIMA ALKESSINDO NUSANTARA. PT

Group Kode
07 36 20972863 AXIOM MICROSCOPE BM-500 UNIT .00 .00 16,570,000.00

07 36 20025560 BIAYA KIRIM BARANG PT.PRIMA - PCS .00 .00 346,818.18
ALKESINDO
02 36 20983791 HETTICH CENTRIFUGE 12X5 ML TENDER UNT .00 .00 62,518,181.00
Supplier : 10000448 - TENDER - SURYA KHATULISTIWA NUSANTRA. PT

Group Kode
02 36 90028718 ABDOMINAL OPERATION SET SET .00 .00 41,965,909.00

02 36 90020670 BANDAGE INSTRUMENT SET SET .00 .00 2,988,727.00
02 36 20972121 BANDAGE SET 21176 UNT .00 .00 9,305,727.00
02 36 90028723 BOUCHERON EAR SPECULA SET SET .00 .00 679,545.00
02 36 20972147 CAESARIAN SECTIO INSTRUMENTS SET 21206 UNT .00 .00 115,732,000.00
- 36 20934253 ENT INSTRUMENT SET SET .00 .00 60,480,260.00
02 36 20935722 HARTMANN ALOY TUNING FORK-C2=512 BH. .00 .00 926,727.27
- 36 20937424 HARTMANN EAR SPECULA SET SET .00 .00 1,199,400.00
- 36 90028734 HARTMANN NASAL SPECULA 16,5 PCS .00 .00 978,909.00
- 36 90020671 HECTING INSTRUMENT SET SET .00 .00 .00
02 36 90028735 HERNIOTOMY SET SET .00 .00 .00
02 36 20972136 LAPAROTOMY SET 21193 UNT .00 .00 184,663,909.00
02 36 20029013 MINOR SURGERY INSTRUMENT SET SET .00 .00 28,827,000.00
- 36 90020693 PARTUS INSTRUMENT SET SET .00 .00 .00
02 36 20293134 TIECK HALLE NASAL SPECTULA 13,5 CM BH. .00 .00 865,909.00
Supplier : 10000454 - TENDER - SAPTA SARI TAMA, PT - TENDER

Group Kode
02 36 20949777 PARACETAMOL TAB 500 MG BOX .00 .00 13,300.00

07 36 20966698 TRIFAMOL KAP BOX/100 TENDER BOX .00 .00 26,364.00
Supplier : 10000455 - TENDER - MAESINDO MASANUSA.PT

Group Kode
02 36 20029169 KIT A1 OPERASI STERIL KITS113 SET .00 .00 46,000.00

02 36 20029171 KIT CESAREAN KITCSR001 SET .00 .00 280,000.00
CABANG 36 - MADIUN
Hal : 21
Waktu : 05:24 PM
Supplier : 10000455 - TENDER - MAESINDO MASANUSA.PT

Group Kode
02 36 20937926 MOB CAP 12GR 100S TPNWT- PCS .00 .00 410.00
00227
Supplier : 10000457 - TENDER - INTI SUMBER HASIL SEMPURNA. PT

Group Kode
- 36 20945582 ALKOHOL SWAB ONEMED 100`S BOX .00 .00 14,700.00

02 36 20016221 ASEPTIC GEL+DISPENSER 500 - BTL .00 .00 41,000.00
02 36 20949130 BLOOD LANCET 26 G ONEMED 100`S BOX .00 .00 20,500.00
02 36 20949555 BLOOD LANCET 28G ONEMED 100`S BOX .00 .00 15,200.00
02 36 20948026 CARDIO GEL 80 GR (ECG GEL) TUBE .00 .00 22,727.27
02 36 20952024 CATGUT CHROMIC 3/0 + 1/2GT 35 MM BOX .00 .00 188,000.00
24`S
- 36 20943991 CATGUT CHROMIC 3/0 12`S BOX .00 .00 114,950.00
02 36 20952077 CATGUT PLAIN 3/0 + 1/2GT 35 MM 24`S BOX .00 .00 188,000.00
02 36 20949131 COVER GLASS 20X20 100`S BOX .00 .00 135,000.00
02 36 20949920 CUP SAMPLE PCR TUBE 1.5 ML 500`S BAG .00 .00 58,500.00
- 36 20943993 HYPAFIX 5 X 5 BH ROL .00 .00 75,400.00
02 36 20965482 HYPAFIX 15 X 5 TENDER ROL .00 .00 161,200.00
- 36 20943995 INFLO IV.CATH 20 G BOX .00 .00 217,800.00
- 36 20943994 INFLO IV.CATH 22 G BOX .00 .00 217,800.00
- 36 20943990 INFUS SET DEWASA 50`S,- BOX .00 .00 211,750.00
02 36 20949469 KASA HYDROPHYL 40X80 ONEMED ROL .00 .00 110,000.00
- 36 20945584 KASA STERIL 16X16 ONEMED BOX .00 .00 7,100.00
- 36 20945585 MASKER HIJAB 50`S BOX .00 .00 25,000.00
02 36 20944407 MASKER NEBULIZER HAJI PCS 50.00 50.00 41,800.00
TENDER
- 36 20945527 MAXTER EXAM GLOVE S 100`S BOX .00 .00 51,000.00
- 36 20943989 MAXTER EXAM GLOVE XS 100`S BOX .00 .00 61,710.00
02 36 20946667 MAXTER SURGICAL GLOVE (M) - BOX .00 .00 51,000.00
- 36 20938349 MUCUS EXTRACTOR JMS BOX/25 BH .00 .00 39,000.00
02 36 20950546 NITRIL REG BLUE/SARUNG TANGAN NON BOX .00 .00 62,150.00
LATEX(M) 100`S
02 36 20933236 OXYFLOW SOFT (BUBLE) DWS BH. 50.00 50.00 7,000.00
- 36 20945581 POT URINE,- PCS .00 .00 1,500.00
02 36 20948027 SAFETY BOX 12.5 LITER BH .00 .00 20,000.00
- 36 20943992 SILK 3/0 ONEMED 12`S BOX .00 .00 72,600.00
01 36 20952025 SILK BLACK 3/0 + 1/2GT 35MM 36`S BOX .00 .00 154,000.00
02 36 20949132 SPECULUM DISPOSIBLE VAGION STERIL BH .00 .00 9,100.00
02 36 20951391 SPUIT 3 CC STERA 100`S BOX .00 .00 70,000.00
02 36 20951392 SPUIT 5 CC STERA 100`S BOX .00 .00 80,000.00
02 36 20949919 TABUNG K3 EDTA BLASS VACULAB BOX 1.00 1.00 105,000.00
CABANG 36 - MADIUN
Hal : 22
Waktu : 05:24 PM
Supplier : 10000457 - TENDER - INTI SUMBER HASIL SEMPURNA. PT

Group Kode
100`S
02 36 90047774 TEST HAMIL ONEMED - BOX .00 .00 58,900.00
01 36 20977966 TIMBANGAN DIG BAYI SEHAT ER7230 ER7230 UNIT .00 .00 620,000.00
02 36 20939214 ULTRASONIC GEL 250 ML - BTL .00 .00 17,800.00
02 36 90047781 UMBILICAL CORD NYLON - BH. .00 .00 138,600.00
- 36 20945583 UNDERPAD STERIL 60X90 10`S BOX .00 .00 107,000.00
02 36 20951393 URINE BAG ONEMED PCS .00 .00 4,200.00
02 36 20950708 VACULAB PLAIN 3ML 100`S BOX 11.00 11.00 105,000.00
02 36 20949470 YELLOW TIPS 1000`S ONEMED BAG .00 .00 48,150.00
Supplier : 10000490 - TENDER - PT.BRATACO - TENDER

Group Kode
01 36 20970185 CAPSUL KOSONG NO.01 - PACK .00 .00 47,900.00

02 36 20950544 TTCA TRIKLORIT 90% TABLET 50 KG DRUM .00 .00 2,363,000.00
Supplier : 10000511 - TENDER - MARIN LIZA FARMASI, PT - TENDER

Group Kode
01 36 20935390 AMINOFILIN TAB 200MG GTL951410 BOX .00 .00 8,545.00

3510A1
01 36 20951732 AMINOFILIN TABLET 200 MG 100`S BTL 135.00 135.00 8,600.00
01 36 90047929 ANTIFUNGI DOEN SALEP MARIN TUB .00 .00 4,362.00
02 36 20940712 ASAM FOLAT 1 MG 100 S GBL951410 BOX .00 .00 .00
3110A2
01 36 20951380 FOLIC ACID 1 MG BOX .00 .00 8,250.00
01 36 90047934 FOLIC ACID 1MG @100 TAB - BTL .00 .00 1.00
01 36 20940530 HYDROCORTISONE KRIM 1% @5G GKL951410 TUBE 96.00 96.00 2,704.00
1229A1
01 36 90047952 SALEP 2-4 QD1317113 POT .00 .00 2,797.00
51
01 36 20940713 SIANOKOBALAMIN (VIT B12) TAB 50 SD1615484 BOX .00 .00 4,181.81
MCG 100S 11
01 36 90021903 VITAMIN B KOMPLEK TAB/100 SD1615486 BOX .00 .00 12,500.00
01
01 36 20969064 VITAMIN C TAB 50MG (PUTIH) DUS .00 .00 3,818.18
.
CABANG 36 - MADIUN
Hal : 23
Waktu : 05:24 PM
Supplier : 10000541 - TENDER - COBRA DENTAL INDONESIA. PT - TENDER

Group Kode
02 36 20942336 ARTICULATING PAPER PART DC TENDER PCS .00 .00 181,500.00

02 36 20964630 ATTAQUE GEL 3X3 SYRINGE TENDER BOX .00 .00 90,000.00
BIODINAMICA
- 36 20945887 BULK FILL REST SYR 4 GR PCS .00 .00 503,363.64
02 36 20951507 CAL LC DENPRO 2828 BOX .00 .00 250,000.00
02 36 20945884 CALPLUS INTROPACK 1 X 2GR PCS .00 .00 106,400.00
02 36 20945885 CAMPHENOL 15ML DENPRO PCS .00 .00 75,900.00
02 36 20945880 CAVIT G RF 28G - 44313 BTL .00 .00 127,909.09
02 36 20938937 CAVITON PINK TENDER BOX .00 .00 157,850.00
02 36 20938917 CAVITON WHITE TENDER BOX 1.00 1.00 143,500.00
02 36 20938919 CHKM/PARAMONOCHLOROFENOL 20ML TENDER BOX .00 .00 66,000.00
02 36 20946018 COTTON ROLL PRODENTAL TENDER PAK .00 .00 57,000.00
- 36 20945891 CRESOTIN ANTISEPTIC LIQUID II PCS .00 .00 340,000.00
TEHNODENT
02 36 20938915 CRESOTIN PASTE TEHNODENT TENDER BOX .00 .00 240,909.09
02 36 20948073 DEVITAL TEHNODENT 5 GR 21457 PCS .00 .00 247,000.00
02 36 20937482 DEVITALISASI PASTA (NON ARSEN) TENDER POT .00 .00 200,000.00
02 36 20970418 DISPOSABLE DENTAL NEEDLE 30X16 22070.15 BOX .00 .00 93,500.00
100`S
02 36 20949530 ELITE CEMENT 100 LIQUID 100 GR PAK .00 .00 297,000.00
02 36 20949531 ELITE CEMENT 100 POWDER 125 GR PAK .00 .00 319,000.00
02 36 20938916 ELITE CEMENT MINI PACK 1-1 35/30GR TENDER BOX 1.00 1.00 190,000.00
02 36 20939361 ETCHANT 9ML TENDER BTL .00 .00 183,700.00
02 36 20949527 FUJI GC GOLD LABEL II 1-1 PKG #22 PAK .00 .00 670,000.00
02 36 90048363 FUJI II MINI PACK 1-1 #22 - BOX .00 .00 356,250.00
02 36 20963010 FUJI IX 1-1 PACKAGE NEW BOX .00 .00 586,500.00
02 36 20950369 FUJI IX GP 1-1 EXTRA A3 A3 PCS .00 .00 836,000.00
- 36 20945295 G-BOND 1-BOTTLE PACK 5 ML GC BTL .00 .00 851,000.00
01 36 20947910 GC GOLD LABEL 9 1-1 XTRA A3 - SET .00 .00 760,000.00
02 36 20964632 GUTTA PERCHA DENTPLUS #15-40 TENDER BOX .00 .00 48,400.00
02 36 20950376 IODOTIN PASTE 25 GRAM TEHNODENT IODOTIN PCS .00 .00 127,273.00
- 36 20945890 KETAC UNIVERSAL HM RF LIQUID PCS .00 .00 148,000.00
- 36 20945889 KETAC UNIVERSAL HM RFA2 PCS .00 .00 445,000.00
02 36 20964631 MASTER BOND TENDER BOX .00 .00 260,000.00
02 36 20945883 MASTER FLOW A2 2 GR PCS .00 .00 160,000.00
02 36 90048424 MODEL GIGI+SIKAT BESAR B0 - PCS .00 .00 136,364.00
- 36 20945888 ORAFIT PLUS 40 GR DENPRO PCS .00 .00 54,000.00
01 36 20935965 POLIREN POLISHING PASTA 45 GR BOX .00 .00 170,000.00
02 36 20945882 PULP X (DEVITALIZER) 3 GR SYRINGE PCS .00 .00 230,000.00
02 36 20938918 PULP X (DEVITALIZER) 6GR DENPRO TENDER BOX .00 .00 200,000.00
02 36 20945886 SOFLEX EXTRA THIN FINE PCS .00 .00 166,454.55
- 36 20945892 SOFLEX SPIRAL MINI KIT PCS .00 .00 293,000.00
02 36 20949529 SOLARE ANTERIOR A3.5 2ML GC PAK .00 .00 251,900.00
02 36 20967609 SOLARE FLO A1 PCS .00 .00 200,000.00
CABANG 36 - MADIUN
Hal : 24
Waktu : 05:24 PM
Supplier : 10000541 - TENDER - COBRA DENTAL INDONESIA. PT - TENDER

Group Kode
- 36 20983607 SOLARE POSTERIOR X-A2 2ML GC BOX 1.00 1.00 202,950.00

- 36 20983608 SOLARE POSTERIOR X-A3 2 ML GC BOX 7.00 7.00 202,950.00
- 36 20983609 SOLARE POSTERIOR X-A3.5 2 ML GC BOX 3.00 3.00 202,950.00
02 36 20945688 SOLARE UNIVERSAL BOND 2,5ML BTL .00 .00 300,000.00
02 36 20946816 TKF / TRICRESOLFORMALINA 10ML BTL .00 .00 82,500.00
02 36 20939634 TKF 10 ML BTL .00 .00 66,000.00
02 36 20948072 TOOTH MOUSE PLUS GC 2620 PCS .00 .00 225,500.00
02 36 20945881 Z360 XT UR SYR DUAL KIT PCS .00 .00 1,955,272.73
Supplier : 10000561 - TENDER - KEBAYORAN PHARMA. PT - TENDER

Group Kode
- 36 90039873 OBH 60 ML BTL .00 .00 5,000.00

02 36 20933649 RECO TETES MATA BTL .00 .00 6,000.00
02 36 90057899 RECO TETES TELINGA 5ML BTL .00 .00 6,000.00
- 36 20938446 WATER FOR INJ 500ML BTL .00 .00 22,000.00
Supplier : 10000582 - TENDER - KIRANA JAYA LESTARI, PT

Group Kode
02 36 20933915 CEMENT SPATULAS DD170-2 DD170-2 PCS .00 .00 131,000.00

02 36 20933325 CEMENT SPATULAS DD170-3 DD170-3 PCS .00 .00 131,000.00
02 36 20933771 COTTON & DRESSING PLIERS DD131-1 DD131-1 PCS .00 .00 113,000.00
02 36 90028774 EXCAVATORS DD202-1 PCS .00 .00 .00
02 36 20933768 EXCAVATORS DD202-4 DD202-4 PCS .00 .00 143,000.00
02 36 20933634 EXTRACTING FORCEPS DD300-87 DD300-87 PCS .00 .00 760,000.00
- 36 20942279 KACA MULUT DATAR NO.4 TANPA BOX .00 .00 246,905.00
TANGKAI 12`S
02 36 20933322 MOUTH MIRROR HANDLES DD100 DD100 PCS .00 .00 47,000.00
- 36 90028788 MOUTH MIRROR HANDLES DD103 PCS .00 .00 .00
02 36 20933324 MOUTH MIRRORS DD105-4 DD105-4 PCS .00 .00 232,000.00
- 36 90028789 MOUTH MIRRORS DD105-5 PCS .00 .00 246,904.55
@12'S
02 36 90032641 OCTAGONAL EXPLORERS DD111-2 - PCS .00 .00 73,100.91
02 36 90028796 PERIODONTAL POCKET PROBES D PCS .00 .00 131,000.00
02 36 20933637 ROOT SPLINTER FORCEPS DD302-2 DD302-2 PCS .00 .00 529,000.00
CABANG 36 - MADIUN
Hal : 25
Waktu : 05:24 PM
Supplier : 10000582 - TENDER - KIRANA JAYA LESTARI, PT

Group Kode
02 36 20952018 YUIL SUCTION UNIT YNK-SV100 PCS .00 .00 24,470,000.00
Supplier : 10000788 - TENDER - PT.ENDO INDONESIA - TENDER

Group Kode
02 36 20942731 AMPALL INFUSION PUMP IP-7700 IP-7700 UNT .00 .00 15,890,960.00
02 36 20942732 DETROX DETROWASH 8002, DW-8002 UNT .00 .00 305,454,545.45
ENDOSCOPY WASHER
07 36 20969897 ELECTROCARDIOGRAPH EI-ECG3CH INST INST .00 .00 24,363,636.00
02 36 20969742 ENDO ELECTROCARDIOGRAPH EI - ECG EI - ECG 12 UNT .00 .00 48,252,567.27
12 CH CH
07 36 20941484 ENDO CTG NST FETAL 112X25M BIONICS - ROL 10.00 10.00 225,454.55
BFM-900
02 36 20985193 ENDO CTG NST FETAL 142X150X300 PAK .00 .00 321,818.18
SONICA IDM-800
07 36 20941499 ENDO CTG NST FETAL 142X150X300 INST PAK .00 .00 .00
SONICAID M-800
02 36 20941502 ENDO CTG NST FETAL 150X90X150 - PAK 10.00 10.00 147,272.73
BISTOS BT-350
02 36 20942752 ENDO DISPOSABLE ECG ELECTRODE 50 ENDO T715 BOX 5.00 5.00 170,811.00
PCS
02 36 20979443 ENDO ECG 110X140X143 NIHON FQW110 FQW110-2- PAK .00 .00 153,000.00
200 140
02 36 20941490 ENDO ECG 110X140X143 NIHON - PAK .00 .00 153,000.00
FQW110-2-140, 9010
02 36 20941500 ENDO ECG 145X150X400 FUKUDA ME - PAK .00 .00 266,363.64
145F60H05 C320
02 36 20941507 ENDO ECG 210X140X180 EDAN INS. SE- - PAK .00 .00 270,000.00
1201
02 36 20941508 ENDO ECG 210X140X200 - PAK 25.00 25.00 247,272.73
CARDIOLINE66010045AR2100
02 36 20943079 ENDO ECG 210X140X200 NIHON ROLL .00 .00 292,727.27
FQW210-3-140, 9110
02 36 20941512 ENDO ECG 210X280X215 SCHILLER - PAK .00 .00 341,818.18
2157-017 AT-2
02 36 20941514 ENDO ECG 210X295X150 GE - PAK 1.00 1.00 253,636.36
22616605/6611 MAC1200
02 36 20943082 ENDO ECG 210X300X200 PHILIPS ROLL 5.00 5.00 339,090.91
M1709A M3708A
02 36 20941522 ENDO ECG 63X100X300 FUKUDA ME - PAK .00 .00 71,363.64
063F30H03 C120
02 36 20941523 ENDO ECG 80X70X300 SCHILLER 2157- - PAK .00 .00 136,363.64
026 AT-101
02 36 20941467 ENDO ECG 80X90X280 GE 2030887001 - PAK .00 .00 116,363.64
MAC400/600/I
02 36 20943078 ENDO ECG ROLL 110X30M VARIOUS ROLL .00 .00 132,522.53
6CHANNEL
02 36 20941464 ENDO ECG ROLL 210X25M VARIOUS - ROL 18.00 18.00 138,738.75
12CH
CABANG 36 - MADIUN
Hal : 26
Waktu : 05:24 PM

Group Kode
02 36 20941479 ENDO ECG ROLL 210X30M VARIOUS - ROL 20.00 20.00 139,639.63
12CH
02 36 20941480 ENDO ECG ROLL 215X25M BIONET - ROL .00 .00 100,000.00
CARDIOCARE
02 36 20943077 ENDO ECG ROLL 50X30M VARIOUS ROLL .00 .00 27,181.82
1CHANNEL
02 36 20941476 ENDO ECG ROLL 58X20M VARIOUS 1CH - ROL .00 .00 36,818.18
02 36 20941466 ENDO ECG ROLL 60X15M CARDIOLINE - ROL .00 .00 63,636.36
AR-600
02 36 20941465 ENDO ECG ROLL 80X20M VARIOUS 3CH - ROL 20.00 20.00 92,727.27
02 36 20941469 ENDO PLAIN 110X30M SPIROMETER - ROL .00 .00 49,545.45
02 36 20941471 ENDO PLAIN 57X30M SPIROMETER, - ROL .00 .00 30,454.55
CHEMISTRY
02 36 20969744 ENDO PULSE OXYMETER EI - PO EI - PO UNT .00 .00 1,351,351.35
02 36 20942753 ENDO ULTRASOUND GEL 250 ML ENDO Gel BTL .00 .00 14,414.00
250ml
02 36 20942750 METSIS BIPHASIC DEFIBRILLATOR Biphasic UNT .00 .00 71,020,614.55
LIFEPOINT PLUS PLUS
02 36 20974601 PULSE OXIMETER STANDARD H100-B UNT .00 .00 6,227,273.00
02 36 20942755 ROMSONS AEROMIST ®, NEBULIZER GS-2074 PCS .00 .00 23,351.00
MASK
02 36 20942779 ROMSONS ENDOTRACHEAL TUBE GS-2004 PCS .00 .00 26,514.00
CUFFED
02 36 20942780 ROMSONS ENDOTRACHEAL TUBE PLAIN GS-2002 PCS .00 .00 18,730.00
02 36 20942758 ROMSONS FLEXI MASK ®, OXYGEN GS-2020 PCS .00 .00 18,730.00
MASK
02 36 20942759 ROMSONS GUEDEL AIRWAYS, GS-2012 PCS .00 .00 10,946.00
OROPHARYNGEAL AIRWAYS
02 36 20942760 ROMSONS HI MASK ®, OXYGEN MASK GS-2044 PCS .00 .00 34,297.00
HI-MASK
02 36 20944826 ROMSONS MUCUS EXTRACTOR GS 1020T PCS .00 .00 10,703.00
02 36 20943255 ROMSONS OXY SET ® NAS.OXY PCS 10.00 10.00 14,352.00
CANNULA FOR NEONATE
02 36 20942765 ROMSONS OXY SET ®, NASAL OXYGEN GS-2016 PCS 30.00 30.00 12,405.00
CANNULA CHILD
02 36 20942767 ROMSONS PM-O-LINE ®, PRESSURE GS-3036 PCS .00 .00 9,243.00
MONITORING LINE
02 36 20942768 ROMSONS RESQ BAG, MANUAL GS-2052 PCS .00 .00 468,730.00
RESUSCITATOR ADULT
02 36 20942770 ROMSONS RESQ BAG, MANUAL GS-2052 PCS .00 .00 468,730.00
RESUSCITATOR INFANT
02 36 20942771 ROMSONS ROMOLENE ®, FEEDING TUBE GS-4032 PCS .00 .00 7,784.00
02 36 20942773 ROMSONS THORACIC / CHEST TROCAR GS-5030 PCS .00 .00 108,730.00
CATHETER
02 36 20947180 ROMSONS TRACHEOSTOMY TUBE ECATALOG PCS .00 .00 194,838.00
CUFFED NO.7
02 36 20946571 USG VIDEO PRINTER PAPER DURICO PCS .00 .00 260,455.00
110X18M
02 36 20943862 VACUUM BLOOD COLL TUBE STERILE EVBPL35 BOX .00 .00 134,798.00
CABANG 36 - MADIUN
Hal : 27
Waktu : 05:24 PM

Group Kode
PLAIN 3-5 ML
02 36 20944136 VACUUM TUBE STERILE, K3 EDTA - 3ML TENDER BOX .00 .00 139,091.00
SOFT NEEDLE
02 36 20942740 ZERONE ELECTROSURGICAL UNT ZEUS Zeus-400 UNT .00 .00 64,827,491.00
400
Supplier : 10000975 - TENDER - HARUM DEWA PERSADA INDONESIA, PT : E-CAT

Group Kode
01 36 20935213 HARUM PEN. XY-P401-2E PCS 420.00 420.00 34,684.68

01 36 20935211 HARUM PLATE NON CABLE BIPO ADULT. GP202SZ- PCS 240.00 240.00 25,000.00
AE
01 36 20935210 HARUM PLATE NON CABLE MONO GP202DZ- PCS 220.00 220.00 25,000.00
ADULT AE
Supplier : 10002149 - TENDER - WAHANA RIZKY GUMILANG, PT

Group Kode
01 36 20974473 DIATRO CLEANER 1L DP.C01 BTL .00 .00 1,205,600.00

01 36 20974471 DIATRO DILUENT SP 20L DP.D01 BOX .00 .00 3,512,250.00
01 36 20974472 DIATRO LYSE 1L DP.L01 BTL .00 .00 2,681,250.00
Supplier : 10002153 - TENDER - WIDATRA BHAKTI, PT

Group Kode
02 36 20937942 GLUKOSA 10% 500ML GKL BOTOL 540.00 540.00 6,486.00

9230500249
B1
02 36 20937943 GLUKOSA 5% 500ML GKL BOTOL 2,600.00 2,600.00 5,970.00
9230500249
C1
01 36 20939872 NATRIUM KLORIDA 0,9% @1000ML,- BTL .00 .00 25,105.00
01 36 20937941 NATRIUM KLORIDA 0.9% 500ML BTL 27,820.00 30,000.00 6,126.00
01 36 20937940 RINGER LAKTAT 500ML BTL 33,980.00 35,980.00 6,874.00
02 36 20937946 WIDA D5-1/2NS 500CC DKL BOTOL 660.00 660.00 9,423.00
9930500034
9C1
02 36 20937947 WIDA D5-1/4NS 500CC DKL BOTOL 520.00 520.00 9,374.00
CABANG 36 - MADIUN
Hal : 28
Waktu : 05:24 PM
Supplier : 10002153 - TENDER - WIDATRA BHAKTI, PT

Group Kode
9930500349
B1
01 36 20937954 WIDA KN-2 500CC DKL BTL .00 .00 10,676.00
1030503749
B1
02 36 20937949 WIDA RD 500CC DKL BOTOL 40.00 40.00 8,631.00
9930500649
A1
01 36 20937944 WIDA WI UNICAP 1000ML DKL BTL .00 .00 9,545.00
0430503441
A2
Supplier : 10002262 - TENDER - PT. IPHA LABORATORIES - TND

Group Kode
01 36 20971023 CYANOCOBALAMIN INJ 500 MCG 100 DUS .00 .00 88,090.91
AMP @ 1ML
01 36 20971024 METOCLOPRAMIDE HCL INJ 5 MG 15 X 10 DUS 64.00 64.00 15,300.00
AMP
01 36 20971025 WATER FOR INJECTION 20 ML DUS .00 .00 70,240.00
Supplier : 10002276 - TENDER - MULYA HUSADA JAYA, PT - TENDER

Group Kode
02 36 20942237 AMBU SPUR II ADULT BAG RES. EU 325002000 PCS .00 .00 569,091.00
02 36 20942238 AMBU SPUR II PEDIATRIC BAG RES. EU 330004000 PCS .00 .00 569,091.00
02 36 20942231 ASCOPE 3 403001000 PCS .00 .00 9,484,182.00
02 36 20942230 ASCOPE 3SLIM 402001000 PCS .00 .00 9,484,182.00
02 36 20942244 AURA-I SIZE 3 329300000 PCS .00 .00 451,091.00
02 36 20942245 AURA-I SIZE 4 329400000 PCS .00 .00 451,091.00
02 36 20942247 AURAGAIN SIZE 1½ 408150000 PCS .00 .00 660,455.00
02 36 20942248 AURAGAIN SIZE 2 408200000 PCS .00 .00 660,455.00
02 36 20942249 AURAGAIN SIZE 2½ 408250000 PCS .00 .00 660,455.00
02 36 20942250 AURAGAIN SIZE 3 408300000 PCS 1.00 1.00 660,455.00
02 36 20942251 AURAGAIN SIZE 4 408400000 PCS .00 .00 660,455.00
02 36 20942229 AVIEW 405001000 PCS .00 .00 61,128,000.00
02 36 20942232 MARK IV ADULT, BAG RES MASK 5 304002000 PCS .00 .00 7,284,182.00
02 36 20942233 MARK IV BABY, OPEN RES, MASK 0A 299001000 PCS .00 .00 7,208,273.00
02 36 20942234 OVAL SILICONE RESUS. ADULT 470002000 PCS .00 .00 2,333,963.96
02 36 20942236 OVAL SILICONE RESUS. NEONATE A28800300 PCS .00 .00 2,333,963.96
0
CABANG 36 - MADIUN
Hal : 29
Waktu : 05:24 PM
Supplier : 10002276 - TENDER - MULYA HUSADA JAYA, PT - TENDER

Group Kode
02 36 20942235 OVAL SILICONE RESUS. PAED 370003000 PCS .00 .00 2,333,963.96
02 36 20937230 SCHILER ECG ELECTRODE WITH ECG UNT .00 .00 63,636,364.00
(TENDER)
02 36 90055773 SCHILLER ARGUS OXM-C - PCS .00 .00 12,134,954.54
Supplier : 10002317 - TENDER - PT SELARAS KUSUMA

Group Kode
- 36 20937976 ERLAMYCETIN EAR DROPS 1% FLS .00 .00 5,375.00
Supplier : 10002338 - TENDER - PT.SAKAJAJA MAKMUR ABADI

Group Kode
02 36 20949778 ACYCLOVIR KRIM 5GR TUBE .00 .00 3,092.00

- 36 20937515 GLYCERYL GUAIACOLAT TAB BTL .00 .00 9,090.00
Supplier : 10002355 - TENDER - CEMPAKA INDAH MURNI, PT

Group Kode
- 36 20937971 DEMACOLIN TAB 100S BOX .00 .00 33,700.00
Supplier : 10002362 - TENDER - PT.EFFATA FAJAR ANUGERAH

Group Kode
- 36 20938005 DANEURON TAB BOX .00 .00 50,000.00
Supplier : 10002395 - TENDER - MEDIA HUSADA, PT

Group Kode
CABANG 36 - MADIUN
Hal : 30
Waktu : 05:24 PM
Supplier : 10002395 - TENDER - MEDIA HUSADA, PT

Group Kode
- 36 20938646 AMIS SWAB BOX .00 .00 1,750,000.00
Supplier : 10002484 - TENDER - PHAPROS, PT TBK : TENDER,-

Group Kode
01 36 20941117 ACYCLOVIR 400MG TAB|5 BLS X 10`S,- ALK DOS .00 .00 17,273.00
01 36 20940358 AMIKACIN SULFATE INJ 250MG/ML,- ALK DOS .00 .00 27,945.00
01 36 20940359 CLOPIDOGREL BISULFATE,- ALK DOS .00 .00 18,000.00
01 36 20950768 LIDOCAINE 2% INJ|100 AMPX 2 ML,- ALK DOS .00 .00 110,000.00
01 36 20940356 METHYL PREDNISOLON 125MG INJ/1`S,- ALK DOS .00 .00 10,477.27
01 36 20940353 NA.DIKLOFENAK 25MG 5X10`S,- ALK DOS .00 .00 6,227.00
01 36 20940354 NA.DIKLOFENAK 50MG 5X10`S,- ALK DOS .00 .00 5,591.00
01 36 20940355 PHYTOMENADIONE 10 MG TSG|10 BLS X ALK DOS .00 .00 68,909.00
10`S,-
01 36 20950769 PHYTOMENADIONE 10 MG|ML INJ|30 AMP ALK BOX .00 .00 97,200.00
@1ML,-
01 36 20941118 TABLET TAMBAH DARAH/30`S,- ALK BOX .00 .00 9,627.00
Supplier : 10002488 - TENDER - WIDATRA BHAKTI, PT - TENDER,-

Group Kode
01 36 20940361 NATRIUM KLORIDA 0.9% 500ML,- ALK BTL .00 .00 5,827.00
01 36 20940362 RINGER LAKTAT 500ML,- ALK BTL .00 .00 6,500.00
Supplier : 10002506 - TENDER - PT.CIPTA MEDIKA SEMPURNA - TENDER

Group Kode
01 36 20940854 COLTOSOL F TEMPORARY FILLING 5906 PCS .00 .00 228,091.00

MATERIAL
Supplier : 10002517 - TENDER - MENARA MEDIKA PRATAMA.PT - TENDER

Group Kode
CABANG 36 - MADIUN
Hal : 31
Waktu : 05:24 PM
Supplier : 10002517 - TENDER - MENARA MEDIKA PRATAMA.PT - TENDER

Group Kode
02 36 20941285 PROTOS EXAM. GLOVES POWDER FREE BOX 43.00 53.00 105,000.00
L
M
S
02 36 20941280 PROTOS EXAM. GLOVES POWDER M BOX 35.00 35.00 96,000.00
02 36 20941279 PROTOS EXAM. GLOVES POWDER S BOX 30.00 30.00 96,000.00
02 36 20941291 PROTOS SURGICAL GLOVES POWDER PSG .00 .00 6,000.00
FREE NO 6
FREE NO 6.5
FREE NO 7
FREE NO 7.5
Supplier : 10002519 - TENDER - F2F PROMOTION

Group Kode
02 36 20941323 TAS KEMASAN - PCS .00 .00 33,000.00

02 36 20941322 TAS POSBINDU ( LOGO KEMENKES ) - PCS .00 .00 160,000.00
Supplier : 10002534 - TENDER - FA ANTARES MEDIKA. PT

Group Kode
07 36 20953939 HEART RATE VARIABILITY (HRV) SA-3000P UNIT .00 .00 345,454,545.45
02 36 20941902 WB380 - TANITA DIG WEIGHTING SCALE WB 380 UNT .00 .00 9,800,000.00
WITH HEIGHT
Supplier : 10002549 - TENDER - NURI TEKNIK, CV

Group Kode
02 36 20942536 BEDSIDE CABINET NURI NT 0044A NT0044A UNT .00 .00 3,087,500.00
07 36 20942563 EMERGENCY TROLLEY NT 01901BSS NT01901BS UNT .00 .00 14,636,363.64
S
02 36 20942552 EXAMINATION LAMP NT 02300B NT02300B UNT .00 .00 2,300,000.00
02 36 20942553 EXAMINATION LAMP NT 02300BSS NT02300BS UNT .00 .00 3,090,909.09
S
CABANG 36 - MADIUN
Hal : 32
Waktu : 05:24 PM
Supplier : 10002549 - TENDER - NURI TEKNIK, CV

Group Kode
02 36 20942545 EXAMINATION TABLE (STAINLESS NT00700DS UNT .00 .00 6,009,009.00

STEEL) S
02 36 20942546 FOOT STEP NT 007F3 NT007F3 UNT .00 .00 946,875.45
02 36 20942547 FOOT STEP NT 007F4 NT007F4 UNT .00 .00 559,375.45
02 36 20942550 GYN. EXAM. TABLE NT 01100BSS NT01100BS UNT .00 .00 8,772,727.27
S
02 36 20942526 HOSPITAL BED ( 2 CRANK ) NURI DELUXE NT 001C UNT .00 .00 12,272,727.27
MANUAL 1 PLUS
02 36 20942543 INFUSION STAND NT 00300BSS NT00300BS UNT .00 .00 1,072,727.27
S
02 36 20942559 INSTRUMENT TROLLEY NT 016B NT016B UNT .00 .00 2,554,062.73
02 36 20942560 INSTRUMENT TROLLEY NT 016J NT016J UNT .00 .00 2,554,062.73
02 36 20942566 UV. ROOM STERILIZATION NT 10100A NT10100A UNT .00 .00 14,818,181.82
07 36 20942555 XRAY FILM VIEWER HILUX 2, TWIO FILM NT02700B, UNT .00 .00 2,972,972.00
NT 02700B,
Supplier : 10002557 - TENDER - ANUGERAH PHARMINDO LESTARI, PT - ( GC ) TENDER

Group Kode
02 36 20293218 AROMA FINE PLUS FAST (500GR) 0130F077- BOX 9.00 9.00 100,000.00
0020
- 36 20025427 AROMA FINE PLUS NORMAL ( 500GR ) - BOX 18.00 18.00 100,000.00
- 36 20028993 CAVITON 30G, PINK BOX .00 .00 150,000.00
- 36 20025418 CAVITON 30G, WHITE 0030 BOX .00 .00 150,000.00
02 36 20025421 DENTIN CONDITIONER 25GR - BTL 1.00 1.00 260,000.00
- 36 20025425 G-BOND 5ML - BTL .00 .00 747,000.00
- 36 20025411 GC FUJI IX ART 1-1 (UNIVE 0130F129 SET 19.00 19.00 426,455.00
02 36 20937447 GC FUJI IX ART 1-1 (UNIVERSAL) TENDER BOK 2.00 2.00 .00
- 36 20025416 GC GOLD LABEL 1 1-1 PKG - SET .00 .00 770,500.00
- 36 20025414 GC GOLD LABEL 2 1-1 - SET .00 .00 562,455.00
- 36 20026917 GC GOLD LABEL 9 1-1 XTRA 0030 SET .00 .00 760,000.00
02 36 20028995 GC GOLD LABEL 9 1-1 XTRA A3 SET .00 .00 760,000.00
- 36 20025410 GC GOLD LABEL 9 EXTRA 1-1 P 0131F163 SET .00 .00 655,000.00
- 36 90024146 GC GOLD LABEL MINI XTRA A - SET .00 .00 274,455.00
- 36 20025419 SOLARE X 2ML SYRINGE X-A2 0020 PCS .00 .00 229,000.00
02 36 20025420 SOLARE X 2ML SYRINGE X-A3 0030 PCS .00 .00 229,000.00
Supplier : 10002692 - TENDER - PERCETAKAN SINAR MUDA

Group Kode
CABANG 36 - MADIUN
Hal : 33
Waktu : 05:24 PM
Supplier : 10002692 - TENDER - PERCETAKAN SINAR MUDA

Group Kode
- 36 20945294 BLANGKO SRQ LBR .00 .00 341.00
Supplier : 10002717 - TENDER - RAMA EMERALD MULTI SUKSES. PT - KP TENDER

Group Kode
01 36 20945686 ANTASIDA DOEN SUSP 60ML.- BTL .00 .00 1,955.00

01 36 20945690 ASAM MEFENAMAT 500 MG,- RAMA BOX .00 .00 25,454.54
EMERALD
01 36 20945667 BETAMETASON KRIM 0.1%.- RAMA TUB 55.00 55.00 1,318.19
01 36 20945654 CEFOTAXIME SODIUM 1GR,- RAMA VIAL .00 .00 4,075.00
EMERALD
01 36 20945681 CEFTRIAXONE SODIUM 1GR,- RAMA VIAL .00 .00 4,455.00
EMERALD
01 36 20945656 CETIRIZINE HCL SYRUP 60ML.- BTL .00 .00 2,650.00
01 36 20945682 CETIRIZINE HYDROCLORIDE 10 STR @10 BOX .00 .00 8,900.00
TAB.-
01 36 20969476 CTM 4 MG 10 X 10 DUS .00 .00 2,181.82
01 36 20945663 ERYTHROMYCIN STEARAT 500MG 10 DUS .00 .00 70,000.00
STR @10 KAPLET.-
01 36 20969475 HYOSCINE BUTYLBROMIDE 10 X 10 DUS .00 .00 95,454.54
01 36 20945627 IBUPROFEN SUSP 60ML.- BTL .00 .00 2,474.00
01 36 20971954 METRONIDAZOLE 500MG 10X10 DUS .00 .00 12,090.91
Supplier : 10002720 - TENDER - CV.DHARMA SETIA MEDIKA

Group Kode
01 36 20967627 ALKOHOL 70% 100ML BOTOL .00 .00 5,530.00

02 36 20952329 ALKOHOL SWAB BOX .00 .00 27,500.00
02 36 20947314 BLOODSET TERUMO 50`S BOX .00 .00 1,415,000.00
02 36 20952757 FACE SHIELD TENDER PCS .00 .00 73,350.00
02 36 20947315 FOLLEY CATHETER 18 RUSCH 10`S BOX .00 .00 220,000.00
- 36 20945874 FOLLEY CATHETER 2 WAY 16 RUSCH BOX .00 .00 220,000.00
10`S
01 36 20970285 FOLLEY CATHETER NO 16 WELLEAD - PCS .00 .00 9,100.00
02 36 20948978 HB STIK EASYTOUCH TUBE .00 .00 150,000.00
02 36 20951537 HYPAFIX 10X5 ROLL .00 .00 120,000.00
01 36 20970186 HYPAVIX 5X5 - ROLL .00 .00 75,400.00
02 36 20951846 KERTAS PUYER PAK .00 .00 12,000.00
02 36 20966683 LEUCOPLAST 2.5 CM X 4.5M 1622H ROL .00 .00 15,000.00
02 36 20951536 LEUCOPLAT 7,5 X 4,5 ROLL .00 .00 43,350.00
CABANG 36 - MADIUN
Hal : 34
Waktu : 05:24 PM
Supplier : 10002720 - TENDER - CV.DHARMA SETIA MEDIKA

Group Kode
02 36 20947312 LOMATUL 10`S BOX 3.00 3.00 180,000.00

02 36 20964633 MESS NO.10 GEA TENDER BOX .00 .00 70,000.00
02 36 20966373 NEEDLE 23 BD BOX .00 .00 45,000.00
02 36 20964192 NEEDLE 23 TERUMO 100`S TENDER BOX .00 .00 108,900.00
02 36 20951848 NEEDLE 24 TERUMO 100`S BOX .00 .00 247,500.00
02 36 20964193 NEEDLE MICROFINE 5MM BD TENDER BOX .00 .00 255,000.00
02 36 20966027 PENLIGHT TENDER UNIT .00 .00 45,000.00
02 36 20947313 SENSIPAD NON STERIL 10`S BOX .00 .00 39,500.00
02 36 20947316 SPUIT 1 ML INSULIN TERUMO 100`S BOX .00 .00 345,000.00
01 36 20952023 SPUIT 1ML TERUMO TUBERCULIN 100`S BOX .00 .00 345,000.00
02 36 20947317 SPUIT 3 ML TERUMO 100`S BOX .00 .00 235,000.00
02 36 20949900 SPUIT 5ML TERUMO 100`S BOX .00 .00 313,900.00
02 36 20966024 STETOSCOPE DELUXE TENDER UNIT .00 .00 120,000.00
02 36 20950489 SURFLO 24 TERUMO 50`S BOX .00 .00 770,000.00
- 36 20945875 SURFLO NO.18 TERUMO 50`S BOX .00 .00 725,000.00
02 36 20966025 TENSIMETER TENDER UNIT .00 .00 120,000.00
02 36 20951847 TEST KEHAMILAN ONEMED BOX .00 .00 86,000.00
02 36 20966026 THERMOMETER TENDER UNIT .00 .00 45,000.00
02 36 20966374 UNDERPAD DIAPRO PAK .00 .00 37,500.00
01 36 20970651 UNDERPAD STERIL 60X90 ONEMED 21012188 PCS .00 .00 11,500.00
01 36 20970456 URINE BAG GEA 10`S 201120 PACK .00 .00 48,000.00
07 36 20986280 URINE GLUCO + PROTEIN TEST INST BOX .00 .00 20,000.00
02 36 20966375 USG 250 ML GEL BTL .00 .00 20,000.00
01 36 20969316 WINGED NEEDLE 23 TERUMO 23G PCS 20.00 20.00 11,200.00
Supplier : 10002721 - TENDER - PT.ELANG MERAH MANDIRI - TENDER

Group Kode
02 36 20965846 ASAM ACETAT 6% 100ML TENDER BTL .00 .00 20,000.00

01 36 20967851 BENANG JAHIT BOX .00 .00 165,000.00
02 36 20965848 BLOOD LANCET NO.28G 100`S TENDER BOX .00 .00 15,000.00
02 36 20965844 CHOLESTEROL STIK EASYTOUCH 10`S TENDER BTL .00 .00 162,000.00
02 36 20969259 CLASSIC-S STETHOSCOPE ADULT SS-021S- PCS .00 .00 800,000.00
BLACK BK
02 36 20965847 COTTON SWABS STERIL 100`S TENDER BOX .00 .00 100,000.00
02 36 20952899 COVERALL TENDER PCS .00 .00 266,650.00
01 36 20967849 EUGENOL CAIRAN 10ML BTL .00 .00 53,000.00
02 36 20967509 FACE SHIELD PCS .00 .00 18,650.00
CABANG 36 - MADIUN
Hal : 35
Waktu : 05:24 PM
Supplier : 10002721 - TENDER - PT.ELANG MERAH MANDIRI - TENDER

Group Kode
02 36 20966123 FACE SHIELD HELM TENDER PCS .00 .00 80,000.00

02 36 20965845 GLUCOSA STIK EASYTOUCH 25`S TENDER BTL .00 .00 108,000.00
02 36 20967513 HELM APD PCS .00 .00 66,000.00
02 36 20967625 HEMOGLOBIN STIK EASYTOUCH 25`S TUBE .00 .00 150,000.00
02 36 20962984 HYGROMETER BEURER TENDER UNIT .00 .00 350,000.00
01 36 20967852 JARUM JAHIT 1/2 LINGKARAN , BULAT DZN .00 .00 71,000.00
01 36 20967853 JARUM JAHIT 1/2 LINGKARAN , TAJAM DZN .00 .00 71,000.00
01 36 20967855 JARUM JAHIT 3/0 LINGKARAN , TAJAM DZN .00 .00 71,000.00
01 36 20967854 JARUM JAHIT 3/8 LINGKARAN , BULAT DZN .00 .00 71,000.00
02 36 20952900 KACAMATA GOOGLE TENDER PCS .00 .00 55,000.00
02 36 20950707 KARTU GOLONGAN DARAH 100`S PAK 1.00 1.00 80,000.00
02 36 20967514 LIFEBUOY BTL .00 .00 39,550.00
02 36 20952901 MASKER BEDAH 2`S TENDER PACK .00 .00 14,000.00
02 36 20967511 MASKER KAIN PCS .00 .00 11,900.00
01 36 20945923 OCCLUDER,- - PCS .00 .00 42,000.00
02 36 20950548 RAK TABUNG UNT .00 .00 275,400.00
02 36 20967512 REAGEN DRABKIN BTL .00 .00 95,000.00
02 36 20966124 SARUNG TANGAN KARET TENDER PSG .00 .00 25,000.00
02 36 20953350 SEPATU BOOT TENDER PCS .00 .00 90,000.00
02 36 20950547 TAS PAKET TES MAKANAN PCS .00 .00 850,000.00
01 36 20967848 TRIKESOL FORMALIN 10ML BTL .00 .00 100,000.00
01 36 20964961 WASHER HEAD SFRI 2.00 MM SFRI PCS .00 .00 3,543,000.00
01 36 20967850 WING NEEDLE PCS .00 .00 1,600.00
Supplier : 10002824 - TENDER - ALHAKIM PRODUCTION

Group Kode
02 36 20948141 TAS KEMASAN,- PCS .00 .00 60,000.00

02 36 20948140 TAS POSBINDU PCS .00 .00 160,000.00
Supplier : 10002847 - TENDER - PT.COSMOGAMMA - TENDER

Group Kode
02 36 20949403 DUAL CHANEL ELECTROTHERAPY,- FIRING UNT .00 .00 39,090,909.00
.
CABANG 36 - MADIUN
Hal : 36
Waktu : 05:24 PM
Supplier : 10002850 - TENDER - PT.INDOMEDIKA ANUGERAH NUSANTARA

Group Kode
02 36 20951394 CATGUT CHROMIC 2/0 GEA BOX .00 .00 230,000.00

02 36 20951395 CATGUT CHROMIC 3/0 GEA BOX .00 .00 230,000.00
01 36 20968328 DOPPLER BT-200 UNT .00 .00 1,099,000.00
01 36 20970654 GENERAL CARE LATEX POWDER SIZE L L BOX 5.00 5.00 141,500.00
01 36 20970652 GENERAL CARE LATEX POWDER SIZE M M BOX 10.00 10.00 141,500.00
01 36 20970653 GENERAL CARE LATEX POWDER SIZE S S BOX 4.00 4.00 141,500.00
01 36 20979656 HC ET ALAT 3 PARAMETER LLETGCU BOX .00 .00 225,750.00
01 36 20975984 HC ET CHOLESTEROL STICK @ 10 LLETCOL TUB .00 .00 186,000.00
01 36 20975982 HC ET GLUCOSE @ 25 LLETGDA TUB .00 .00 102,000.00
01 36 20975983 HC ET URIC ACID @ 25 LLETUA TUB .00 .00 102,000.00
01 36 20987113 REGULATOR OKSIGEN GEA YR-86-9 UNT .00 .00 257,500.00
02 36 20949468 TEST STRIP ASAM URAT 25`S EASY TUBE .00 .00 102,000.00
TOUCH
02 36 20949467 TEST STRIP CHOLESTEROL 10`S EASY TUBE 10.00 10.00 186,000.00
TOUCH
02 36 20949466 TEST STRIP GULA DARAH 25`S EASY TUBE .00 .00 102,000.00
TOUCH
Supplier : 10002897 - TENDER - PT.BINTANG SETIA JAWARA

Group Kode
01 36 20966241 ETHYL CHLORIDE BH KALENG BTL .00 .00 102,272.72

02 36 20950474 WALTER RITTER ETHYLCHLORIDE BTL .00 .00 140,000.00
SPRAY
Supplier : 10002901 - TENDER - PT.ASVI MEDIKA UTAMA

Group Kode
02 36 20950535 TEST KIT BORAX 100`S KIT .00 .00 5,500,000.00

02 36 20950534 TEST KIT FORMALIN 100`S KIT .00 .00 5,412,500.00
02 36 20950537 TEST KIT METHANIL 50`S KIT .00 .00 1,500,000.00
02 36 20950536 TEST KIT RHODAMIN 100`S KIT .00 .00 5,412,500.00
Supplier : 10002910 - TENDER - PT. LOTTE SHOPPING INDONESIA

Group Kode
CABANG 36 - MADIUN
Hal : 37
Waktu : 05:24 PM
Supplier : 10002910 - TENDER - PT. LOTTE SHOPPING INDONESIA

Group Kode
06 36 20970131 BISCUIT MARIE REGAL 230 GR PCS .00 .00 18,000.00
Supplier : 10002931 - TENDER - PT.BIO FARMA ( PBF ) - TENDER

Group Kode
01 36 20951098 BIOSAT-1.5 (ATS 1500 UI) 1 ML BF ( T ) AMP .00 .00 119,090.00
Supplier : 10002933 - TENDER - PT.INDOFARMA GLOBAL MEDIKA - TENDER

Group Kode
01 36 20951119 BIOSAVE (ABU) 5 ML- IGM ( T ) VIAL .00 .00 470,120.00
Supplier : 10002935 - TENDER - PT.KIMIA FARMA T&D - TENDER

Group Kode
07 36 20979585 BECEFORT KSS 25 X 4`S INST BOX .00 .00 115,000.00

07 36 20979583 BECEFORT SYR 60 ML INST FLS .00 .00 15,787.00
01 36 20951126 BIOSAT-1.5 (ATS 1500 UI) 1 ML-. KF ( T ) AMP .00 .00 119,090.00
01 36 20951127 BIOSAVE (ABU) 5 ML-. KF ( T ) VIAL 22.00 22.00 470,120.00
07 36 20979582 NOZA KAPLET 25 X 4`S INST BOX .00 .00 72,500.00
07 36 20979584 PEHAVRAL 10 X 10`S INST BOX .00 .00 89,500.00
Supplier : 10002971 - TENDER - PT. PRABUJAYA KREASI NUSANTARA

Group Kode
02 36 20966176 UKS KIT TENDER UNIT .00 .00 2,152,000.00
Supplier : 10002985 - TENDER - PT.ENESERS - TENDER

CABANG 36 - MADIUN
Hal : 38
Waktu : 05:24 PM
Supplier : 10002985 - TENDER - PT.ENESERS - TENDER

Group Kode
02 36 20952219 DOPPLER NSR FD1 UNT .00 .00 2,535,455.00

02 36 20970442 PASIEN MONITOR PM1200 PM1200 UNIT .00 .00 61,101,818.00
Supplier : 10002987 - TENDER - KIRANA JAYA LESTARI, PT - KP (TENDER)

Group Kode
02 36 20952241 VIVADIAG COVID-19 IGM/IGG RAPID VID35-05- PCS 328.00 328.00 90,000.00
TEST 011
02 36 20967761 VIVADIAG SARS COV 2 AG RAPID TEST TEST .00 .00 50,000.00
Supplier : 10003003 - TENDER - PT.CORERAY

Group Kode
02 36 20952503 HIGHTOP COVID-19 IGM/IGG ANTIBODY HIGHTOP KIT .00 .00 .00
RAPID TES KIT
02 36 20952777 SARS-COV-2 IGM/IGG HIGHTOP NEW NEW-40T PCS .00 .00 80,000.00
Supplier : 10003022 - TENDER - PT.ENDO INDONESIA - LOKAL TENDER

Group Kode
02 36 20953726 ENDO K3 EDTA 3 ML TENDER PACK .00 .00 102,727.27

01 36 20952740 ROMSONS BLOOD ADMINISTRATION SET SS-3052- PCS .00 .00 10,694.00
TENDER
01 36 20952741 ROMSONS HI MASK OXYGEN MASK GS-2044- PCS .00 .00 34,610.00
TENDER
01 36 20952742 ROMSONS PM-O-LINE PRESSURE GS-3036- PCS .00 .00 9,078.00
MONITOR LINE TENDER
Supplier : 10003030 - TENDER - PT.ALAM ANUGERAH SARANA DAYA.

Group Kode
02 36 20952739 BAYCLIN REGULER 1000 ML TENDER BTL .00 .00 195,600.00

CABANG 36 - MADIUN
Hal : 39
Waktu : 05:24 PM
Supplier : 10003030 - TENDER - PT.ALAM ANUGERAH SARANA DAYA.

Group Kode
Supplier : 10003052 - TENDER - PT.TIRTA BUANA GLOBALINDO

Group Kode
01 36 20979181 ASEPTIC GEL ALCO-0 JRG .00 .00 320,000.00

02 36 20952897 BAJU APD DAN COVER SHOES TENDER SET .00 .00 227,273.00
02 36 20966426 BAK INSTRUMENT + TUTUP SET .00 .00 175,000.00
01 36 20979180 DESINFECTANT CLEANER 5L 0 JRG .00 .00 300,000.00
01 36 20979182 HAZMAT NON STERIL 0 PCS .00 .00 160,000.00
01 36 20977851 K5 NANOSPRAY ELECTRIC K5 UNIT .00 .00 600,000.00
01 36 20979183 MASKER MEDIS HEADLOOP 0 BOX .00 .00 40,909.00
01 36 20973141 SARUNG TANGAN RUMAH TANGGA PSG .00 .00 16,200.00
01 36 20979184 SURGICAL GLOVE NON STERILE 0 BOX .00 .00 120,682.00
02 36 20965557 TRIAL LENS SET SET .00 .00 1,320,000.00
Supplier : 10003059 - TENDER - PT. SUMBER REJEKI AGUNG

Group Kode
02 36 20953329 FACE SHIELD TENDER SET .00 .00 19,500.00

02 36 20966359 FACE SHIELD KACAMATA PCS .00 .00 10,000.00
02 36 20953330 KACAMATA SAFETY GOOGLES. TENDER PCS .00 .00 78,000.00
02 36 20954095 KANTONG JENAZAH - BODY BAG - KTM- TENDER PCS 20.00 20.00 135,000.00
001
02 36 20966360 SARUNG TANGAN NITRILE PSG .00 .00 25,000.00
02 36 20952898 SEPATU BOOT TENDER PSG .00 .00 90,000.00
Supplier : 10003247 - TENDER - PT. ABN JAKARTA - KP (TENDER)

Group Kode
02 36 20962599 HAND RUB 500 ML FB-104P BTL .00 .00 62,000.00
Supplier : 10003280 - TENDER - PT.MAESINDO INDONESIA Ltd - TENDER

CABANG 36 - MADIUN
Hal : 40
Waktu : 05:24 PM
Supplier : 10003280 - TENDER - PT.MAESINDO INDONESIA Ltd - TENDER

Group Kode
02 36 20969024 M-I FACE MASK - EARLOOP MKNW0013 BOX 19.00 19.00 31,727.00
02 36 20969023 M-I KIT CAESAREAN KITCSR001 SET 14.00 14.00 470,818.00
02 36 20969043 M-I KIT STERIL (KIT GOWN BEDAH SMSS) KITS113 SET 3.00 3.00 50,909.00
02 36 20969022 M-I KIT UNIVERSAL KITUSF001 SET 100.00 100.00 326,273.00
02 36 20969026 M-I SURG. FACE MASK - HEADLOOP MKNW-HL- BOX .00 .00 38,462.00
001
02 36 20969737 [SOLIDA] COVERALL MICROP. SET 1,100.00 1,100.00 130,582.00
SEAMTAPE (KIT 3C)
02 36 20970198 [SOLIDA] KIT 3A SET 23.00 23.00 106,000.00
Supplier : 10003315 - TENDER - PT.LIKUID - DROPSHIP ( TENDER )

Group Kode
01 36 20963725 ALKOHOL 70% 1 L, BTL .00 .00 21,257.00

01 36 20969501 BAYMED ALKOHOL SWAB BOX .00 .00 9,910.00
01 36 20969488 BAYMED CHLORHEXIDIN 0.5% 500 ML BTL 230.00 230.00 29,885.00
01 36 20969495 BAYMED CHLORHEXIDIN 4% 5 L JRG 6.00 6.00 310,198.00
01 36 20969497 BAYMED MASKER BOX .00 .00 31,825.00
01 36 20969505 BAYZIME DETERGEN ALKALI ENZIMATIK BTL .00 .00 581,313.00
1L
01 36 20963727 HANDRUB 500 ML, BTL .00 .00 22,000.00
Supplier : 10003451 - TENDER - PT TIARA KENCANA - KP

Group Kode
01 36 20970888 ALPRAZOLAM 0.5 MG MS236E BOX 150.00 150.00 7,091.00

01 36 20970893 ANTASIDA DOEN TABLET MS204E BOX 3,500.00 3,500.00 4,909.00
01 36 20970895 CALCIUM LACTATE 500 MG MS194E BOX 1,700.00 1,700.00 5,455.00
01 36 20970896 CARBAMAZEPINE 200 MG MS229E BOX 100.00 100.00 17,182.00
01 36 20970897 CLINDAMYCIN 300 MG MS185E BOX 30.00 30.00 23,727.00
01 36 20970898 CLOBAZAM 10 MG MS259E BOX .00 .00 34,909.00
01 36 20970902 COTRIMOXAZOLE TABLET MS205E BOX 200.00 200.00 11,455.00
01 36 20970905 DIAZEPAM 5 MG MS186E BOX .00 .00 9,818.00
01 36 20970909 HALOPERIDOL 5 MG MS187E BOX 573.00 573.00 4,909.00
01 36 20970911 ISOFLURANE 250 ML MS244E BTL .00 .00 331,818.00
01 36 20970915 LORAZEPAM 2 MG MS202E BOX 15.00 15.00 55,000.00
01 36 20970917 MINIASPI 80 MS100E BOX .00 .00 8,091.00
01 36 20970923 PARASETAMOL SYRUP 120 MG / 5 ML MS189E BTL .00 .00 1,055.00
CABANG 36 - MADIUN
Hal : 41
Waktu : 05:24 PM
Supplier : 10003451 - TENDER - PT TIARA KENCANA - KP

Group Kode
01 36 20979795 SIKZONOATE INJEKSI @ 5 AMP BOX 80.00 80.00 290,000.00

01 36 20970928 TRIFLUOPERAZINE 5 MG MS192E BOX 70.00 70.00 20,000.00
01 36 20970929 TRIHEXYPHENIDYL 2 MG MS230E BOX .00 .00 5,727.00
Supplier : 10003544 - TENDER - PT.GRAHA REKAYASA UTAMA

Group Kode
02 36 20969223 GENOSE C19 UNT .00 .00 57,200,000.00
Supplier : 10003571 - TENDER - PT.SWAYASA PRAKARSA

Group Kode
02 36 20969582 GE-NOSE C19 UNT .00 .00 62,000,000.00

02 36 20969584 HEPA-FILTER PCS 269.00 269.00 35,000.00
02 36 20969583 KANTUNG UDARA NAFAS. PCS 11,037.00 11,037.00 10,000.00
Supplier : 10003585 - TENDER - PT.MERAPI UTAMA PHARMA(OTSU GROUP) - TENDER

Group Kode
01 36 20970092 AMINOLEBAN INJ 500 ML. BTL 20.00 20.00 65,586.00

01 36 20970090 AMIPAREN INJ 500 ML. BTL 10.00 10.00 87,072.00
01 36 20970087 ASERING (SOFTBAG) 500 ML. BTL .00 .00 7,928.00
01 36 20970086 ASERING 500 ML. BTL .00 .00 7,928.00
01 36 20970094 BFLUID 500 ML. BTL 45.00 45.00 68,739.00
01 36 20970097 INFUSION SET OI-24. PCS .00 .00 6,291.00
01 36 20970100 INFUSION SET OI-34. PCS 445.00 445.00 8,271.00
01 36 20970082 KA-EN 3A INJECTION 500 ML. BTL 200.00 200.00 10,360.00
01 36 20970083 KA-EN 3B INJECTION 500 ML. BTL 1,215.00 1,215.00 10,360.00
01 36 20970085 KA-EN MG3 INJECTION 500 ML. BTL 40.00 40.00 9,685.00
01 36 20970089 KIDMIN 200 ML. BTL 20.00 20.00 49,207.00
01 36 20979396 MANITOL 20% 500ML DKL031870 BTL 97.00 97.00 39,545.00
1349A1
01 36 20970096 OB-1 BLOOD TRANFUSION SET. PCS 70.00 570.00 15,851.00
01 36 20970102 OI-URINE BAG. PCS .00 .00 5,200.00
01 36 20970073 OTSU - D40 (40% DEXTROSE INJ) 25ML AMP 5.00 5.00 6,306.00
CABANG 36 - MADIUN
Hal : 42
Waktu : 05:24 PM
Supplier : 10003585 - TENDER - PT.MERAPI UTAMA PHARMA(OTSU GROUP) - TENDER

Group Kode
01 36 20970078 OTSU - KCL 7.46 (7.46% KCL INJ) 25ML AMP 360.00 360.00 2,904.00
01 36 20970079 OTSU - MANITOL 20 (MANITOL INJ 250 BTL .00 .00 22,136.00
ML) 250 ML.
01 36 20970074 OTSU - MGSO4 20 (20% MGSO4 INJ) 25 AMP 147.00 147.00 3,225.00
ML.
01 36 20970075 OTSU - MGSO4 40 (40% MGSO4 INJ) AMP .00 .00 3,685.00
25ML
01 36 20970076 OTSU - NS (0.9% SODIUM CHLORIDE INJ.) AMP 1,988.00 1,988.00 4,234.00
25 ML.
01 36 20970088 OTSU - NS INJ 100 ML. BTL 7,915.00 7,915.00 5,540.00
01 36 20970101 OTSU Y SET PCS 870.00 870.00 7,744.00
Supplier : 10003623 - TENDER - PT INTI MEDICOM RETAILINDO

Group Kode
01 36 20975871 APPRON ONE BOX ISI 50 AKD116030 BOX .00 .00 125,000.00
22808
01 36 20971020 DENTAL COTTON 8MM 50`S 121020 ROLL .00 .00 3,250.00
Supplier : 10003689 - TENDER - PT.BLZ - E.CAT

Group Kode
02 36 20971936 VEINSIGHT TM VEIN FINDER + MOBILE VS-400-SP1 UNIT .00 .00 51,610,505.00
SUPPORT
Supplier : 10003699 - TENDER - GREINER DIAGNOSTIC GMBH - TENDER

Group Kode
02 36 20972292 GA 200 ANALYZER AND ACCESSORIES 603000 - UNT .00 .00 363,588,832.73
ECAT
Supplier : 10003750 - TENDER - PT. PERMANA PUTRA MANDIRI

Group Kode
CABANG 36 - MADIUN
Hal : 43
Waktu : 05:24 PM
Supplier : 10003750 - TENDER - PT. PERMANA PUTRA MANDIRI

Group Kode
01 36 20975512 BIAYA KIRIM PPM PCS .00 .00 3,612,727.27

01 36 20974179 Lead Free Apron PDW PDW09A PDW09A PCS 6.00 6.00 2,536,909.09
01 36 20974180 Lead apron PC PC04 0,5mm PC04 0,5mm PCS .00 .00 5,131,545.45
01 36 20974188 Lead apron PC PC09A PC09A PCS .00 .00 432,363.64
01 36 20974190 Protective Glasses PC PC13-2 PC13-2 PCS .00 .00 922,454.55
Supplier : 10003751 - TENDER - PT. KALMED MANUFAKTUR INDONESIA

Group Kode
01 36 20975510 BIAYA KIRIM KMI PCS .00 .00 772,727.28

01 36 20974203 KALTECH HEPA FILTER KMI HF-100M2UV KMI HF- UNIT .00 .00 65,785,876.36
100M2UV
Supplier : 10003768 - TENDER - PT AGENA MEDIKA

Group Kode
07 36 20974845 VOLLROTH INSTRUMENT BOILER 05879 UNIT .00 .00 1,500,000.00

300X150X60MM
Supplier : 10003840 - TENDER - PT HOSPI NIAGA UTAMA - DR

Group Kode
07 36 20976338 BLUECARE CLEO 1000 SUPERIOR + INST UNIT .00 .00 213,963,963.96
PHOTOTHERAPY
07 36 20987131 HAETMED AIR COOLING SMALL Q70B UNIT .00 .00 72,072,072.00
STERILIZERS Q70B
07 36 20976355 HOTDOG WC77 COMPLETE INST UNIT .00 .00 168,181,818.00
07 36 20976602 MELING MEDICAL REFRIGERATOR YC UNIT .00 .00 60,394,818.00
1015L
07 36 20976601 MELING MEDICAL REFRIGERATOR YC-75 UNIT .00 .00 16,203,455.00
L
07 36 20977266 MELING ULTRA LOW TEMPERATURE DW- UNIT .00 .00 66,410,454.00
HW50
.
CABANG 36 - MADIUN
Hal : 44
Waktu : 05:24 PM
Supplier : 10003854 - TENDER - PT TIGA IKHWAN MEDIKAL

Group Kode
07 36 20977047 MASKER 3IMED KN95 EARLOOP 50S AKD BOX .00 .00 500,000.00
2160302217
3
07 36 20977048 MASKER 3IMED KN95 HEADLOOP 50S AKD BOX .00 .00 500,000.00
2160302237
8
Supplier : 90022693 - TENDER - LAIN-LAIN - TENDER

Group Kode
02 36 20936479 BAIYA KIRIM ROCHE INDONESIA PCS .00 .00 1.00

- 36 20002820 BIAYA KIRIM PCS .00 .00 1.00
- 36 20008031 BIAYA KIRIM PCS .00 .00 .00
02 36 20938480 BIAYA KIRIM (AMBU) TENDER PCS .00 .00 1.00
02 36 20939161 BIAYA KIRIM : PT.POLY JAYA TENDER UNT .00 .00 1.00
02 36 20938483 BIAYA KIRIM ABN ABN PCS .00 .00 1.00
- 36 20007587 BIAYA KIRIM BARANG - PCS .00 .00 1.00
- 36 20002526 BIAYA KIRIM BARANG PCS .00 .00 1.00
02 36 20007790 BIAYA KIRIM BARANG - PCS .00 .00 1.00
02 36 20935420 BIAYA KIRIM BARANG PCS .00 .00 631,693.00
- 36 20025556 BIAYA KIRIM BARANG PCS .00 .00 1.00
- 36 20025568 BIAYA KIRIM BARANG PCS .00 .00
- 36 20029042 BIAYA KIRIM BARANG SET .00 .00 1.00
- 36 20008091 BIAYA KIRIM BARANG - PCS .00 .00 .00
- 36 20025543 BIAYA KIRIM BARANG BOX - BOX .00 .00 1.00
02 36 20953048 BIAYA KIRIM BARANG ENESERS TENDER PCS .00 .00 1.00
07 36 20942462 BIAYA KIRIM BARANG MITRA RAJAWALI MRB BOX .00 .00 1.00
BANJARAN
- 36 20008813 BIAYA KIRIM BARANG PCS - PCS .00 .00 1.00
02 36 20944634 BIAYA KIRIM CIPTA MEDIKA SEMPURNA` TENDER PCS .00 .00 1.00
01 36 20942704 BIAYA KIRIM CV NURI TEKNIK - - .00 .00 1.00
01 36 20945521 BIAYA KIRIM FA ANTARES PCS .00 .00 1.00
02 36 20936467 BIAYA KIRIM FOCUS DISTRIBUSI PCS .00 .00 1.00
02 36 20936492 BIAYA KIRIM FOKUS DIAGNOSTIC PCS .00 .00 1.00
02 36 20973009 BIAYA KIRIM GREINER PCS .00 .00 1.00
07 36 20978146 BIAYA KIRIM HOSPI NIAGA UTAMA PCS .00 .00 13,600,000.00
02 36 20936451 BIAYA KIRIM HUMASENS PCS .00 .00 1.00
CABANG 36 - MADIUN
Hal : 45
Waktu : 05:24 PM
Supplier : 90022693 - TENDER - LAIN-LAIN - TENDER

Group Kode
02 36 20936489 BIAYA KIRIM IDEAL HEALTHCARE PCS .00 .00 1.00

07 36 20985666 BIAYA KIRIM KARINDO INST PCS .00 .00 1.00
02 36 20936449 BIAYA KIRIM KIRANA JAYA LESTARI PCS .00 .00 1.00
02 36 20936464 BIAYA KIRIM MICROLIT PIPET PCS .00 .00 1.00
02 36 20936493 BIAYA KIRIM MITRA RAJAWALI PCS .00 .00 1.00
BANJARAN
01 36 20960142 BIAYA KIRIM PT. KARINDO ALKESTRON PCS .00 .00 1.00
02 36 20950266 BIAYA KIRIM PT. PRIMA ALKESINDO ONGKIR PCS .00 .00 1.00
NUSANTARA
07 36 20977039 BIAYA KIRIM PT.AGENA MEDIKA INST PCS .00 .00 1.00
02 36 20972857 BIAYA KIRIM PT.BLZ PCS .00 .00 1.00
01 36 20943250 BIAYA KIRIM PT.ENDO - PCS .00 .00 1.00
02 36 20938435 BIAYA KIRIM PT.MULYA HUSADA JAYA - - .00 .00 1.00
02 36 20936455 BIAYA KIRIM ROBERT RIELE PCS .00 .00 1.00
02 36 20936477 BIAYA KIRIM SINARAYA NUGRAHA PCS .00 .00 1.00
AHMADARIS
02 36 20936475 BIAYA KIRIM SMI TENDER PCS .00 .00 1.00
02 36 20936474 BIAYA KIRIM SMITHS MEDICAL PCS .00 .00 1.00
02 36 20936473 BIAYA KIRIM SURYA KHATULISTIWA PCS .00 .00 1.00
- 36 20945586 BIAYA PEMINDAHAN LAMPU ADMECO UNT .00 .00 13,536,450.00
02 36 20950473 BIAYA SERVICE PHOTOMETER PKT .00 .00 500,000.00
- 36 90030472 KANTONG MAYAT PCS .00 .00 105,000.00
07 36 20974579 TIMBANGAN YISUN DIGITAL 150KG - UNT .00 .00 1,200,000.00

LIST Ecat Per 30i Meiy

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LIST Ecat Per 30i Meiy

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PT.

Supplier : 10000003 - TENDER - PHAPROS, PT TBK : TENDER

Supplier : 10000003 - TENDER - PHAPROS, PT TBK : TENDER

Supplier : 10000005 - TENDER - PT.ABN (T) - BANDUNG

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