PENGADAAN BMHP PELAYANAN BKMM CIKAMPEK

BULAN APRIL 2019

NO. NAMA BARANG SATUANJUMLAH BARANGHARGA SATUAN JUMLAH HARGA

1 Intaoculer Lens (IOL) Post. Chamber P: 15 Pcs 5 120,000 600,000
2 Intaoculer Lens (IOL) Post. Chamber P: 16 Pcs 5 120,000 600,000
3 Intaoculer Lens (IOL) Post. Chamber P: 17 Pcs 5 120,000 600,000
4 Intaoculer Lens (IOL) Post. Chamber P: 22 Pcs 50 120,000 6,000,000
5 Intaoculer Lens (IOL) Post. Chamber P: 22,5 Pcs 50 120,000 6,000,000
6 Intaoculer Lens (IOL) Post. Chamber P: 23 Pcs 30 120,000 3,600,000
7 Intaoculer Lens (IOL) Post. Chamber P: 23,5 Pcs 30 120,000 3,600,000
8 Intaoculer Lens (IOL) Post. Chamber P: 24 Pcs 5 120,000 600,000
9 Intaoculer Lens (IOL) Post. Chamber P: 25 Pcs 5 120,000 600,000
10 Intaoculer Lens (IOL) Post. Chamber P: 26 Pcs 5 120,000 600,000
11 Foldable Lens Hydrophilic Acrylic, P : 15 Pcs 5 525,000 2,625,000
12 Foldable Lens Hydrophilic Acrylic, P : 16 Pcs 5 525,000 2,625,000
13 Foldable Lens Hydrophilic Acrylic, P : 17 Pcs 5 525,000 2,625,000
14 Foldable Lens Hydrophilic Acrylic, P : 21 Pcs 34 525,000 17,850,000
15 Foldable Lens Hydrophilic Acrylic, P : 21,5 Pcs 50 525,000 26,250,000
16 Foldable Lens Hydrophilic Acrylic, P : 22 Pcs 50 525,000 26,250,000
17 Foldable Lens Hydrophilic Acrylic, P : 22,5 Pcs 50 525,000 26,250,000
18 Foldable Lens Hydrophilic Acrylic, P : 23 Pcs 30 525,000 15,750,000
19 Foldable Lens Hydrophilic Acrylic, P : 23,5 Pcs 30 525,000 15,750,000
20 Foldable Lens Hydrophilic Acrylic, P : 24 Pcs 5 525,000 2,625,000
21 Foldable Lens Hydrophilic Acrylic, P : 25 Pcs 5 525,000 2,625,000
22 Foldable Lens Hydrophilic Acrylic, P : 26 Pcs 5 525,000 2,625,000
23 Ophthalmic Cautery Low temp (Aron Bovie) Pcs 60 245,000 14,700,000
JUMLAH HARGA NETTO 181,350,000
PPN 18,135,000
JUMLAH HARGA NETTO + PPN 199,485,000
 PENGADAAN OBAT PELAYANAN BKMM CIKAMPEK
BULAN MARET 2019

NO. NAMA OBAT Satuan Harga Satuan

1 Floxa 0,6ml @5's minidose Tetes Mata Strip 26,750
2 Tobroson 0,6ml @5's minidose Tetes Mata Strip 29,000
3 Polynel 0,6 ml @5's minidose Tetes Mata Strip 17,875
4 Polygran 0,6ml @5's minidose Tetes Mata Strip 17,500
5 P Pred 0,6ml @5's minidose Tetes Mata Strip 38,250
6 Natacen 0,6ml @5's minidose Tetes Mata Strip 41,625
7 Conver 2 % 0,6ml @5's minidose Tetes Mata Strip 16,125
8 Cendo Lyteers 0.6 ML @ 5'S Minidose Strip 19,250
9 Cendo Lyteers Tetes Mata Botol 15 ml 22,500
10 Siloxan Tetes Mata Botol 5 ml 52,750
11 Vitrolenta Tetes Mata Botol 5 ml 32,750
12 Cyclon 1 % Tetes Mata Botol 5 ml 17,750
13 Mycetin Salep Mata Tube 3,5 g 12,750
14 Mycos Salep Mata Tube 3,5 g 26,250
15 Parasetamol 500 mg Box/100 Tab 18,000
Jumlah Harga Netto
PPN
Jumlah Harga Total
BKMM CIKAMPEK
19

Jumlah Volume Jumlah Harga

200 5,350,000
200 5,800,000
200 3,575,000
100 1,750,000
100 3,825,000
100 4,162,500
100 1,612,500
3220 61,985,000
1000 22,500,000
500 26,375,000
500 16,375,000
200 3,550,000
500 6,375,000
550 14,437,500
200 3,600,000
Jumlah Harga Netto 181,272,500
PPN 18,127,250
Jumlah Harga Total 199,399,750

Cikampek, 27 Maret 2019

Apoteker,

Ahmad Effendi KF
 PENGADAAN OBAT PELAYANAN BKMM CIKAMPEK
BULAN MARET 2019

NO. NAMA OBAT Satuan Harga Satuan Jumlah Volume Jumlah Harga
1 Floxa 0,6ml @5's minidose Tetes Mata Strip 26,750 200 5,350,000
2 Tobroson 0,6ml @5's minidose Tetes Mata Strip 29,000 200 5,800,000
3 Polynel 0,6 ml @5's minidose Tetes Mata Strip 17,875 200 3,575,000
4 Polygran 0,6ml @5's minidose Tetes Mata Strip 17,500 100 1,750,000
5 P Pred 0,6ml @5's minidose Tetes Mata Strip 38,250 100 3,825,000
6 Natacen 0,6ml @5's minidose Tetes Mata Strip 41,625 100 4,162,500
7 Conver 2 % 0,6ml @5's minidose Tetes Mata Strip 16,125 100 1,612,500
8 Cendo Lyteers 0.6 ML @ 5'S Minidose Strip 19,250 3180 61,215,000
9 Cendo Lyteers Tetes Mata Botol 15 ml 22,500 1000 22,500,000
10 Siloxan Tetes Mata Botol 5 ml 52,750 500 26,375,000
11 Vitrolenta Tetes Mata Botol 5 ml 32,750 500 16,375,000
12 Cyclon 1 % Tetes Mata Botol 5 ml 17,750 200 3,550,000
13 Mycetin Salep Mata Tube 3,5 g 12,750 500 6,375,000
14 Mycos Salep Mata Tube 3,5 g 26,250 550 14,437,500
15 Parasetamol 500 mg Box/100 Tab 23,000 200 4,600,000
Jumlah Harga Netto 181,502,500
PPN 18,150,250
Jumlah Harga Total 199,652,750
23 Aquabidestilata steril Pro Injection Botol 500 ml 60 33,000 1,980,000
25 Ringer lactat Plastic Soft 100 12,100 1,210,000
26 Topi Operasi Pcs
27 Kassa steril 16x16 cm Pcs 500 5,445 2,722,500
28 Plester Roll Kain 1,25 cm x 1 m Pcs 500 3,564 1,782,000
 Daftar Permintaan BMHP dan Obat
Bulan Maret 2019

No. Nama Barang Satuan Jumlah Kebutuhan

1 Intaoculer Lens (IOL) Post. Chamber P: 15 Pcs 5
2 Intaoculer Lens (IOL) Post. Chamber P: 16 Pcs 5
3 Intaoculer Lens (IOL) Post. Chamber P: 17 Pcs 5
4 Intaoculer Lens (IOL) Post. Chamber P: 22 Pcs 50
5 Intaoculer Lens (IOL) Post. Chamber P: 22,5 Pcs 50
6 Intaoculer Lens (IOL) Post. Chamber P: 23 Pcs 30
7 Intaoculer Lens (IOL) Post. Chamber P: 23,5 Pcs 30
8 Intaoculer Lens (IOL) Post. Chamber P: 24 Pcs 5
9 Intaoculer Lens (IOL) Post. Chamber P: 25 Pcs 5
10 Intaoculer Lens (IOL) Post. Chamber P: 26 Pcs 5
11 Foldable Lens Hydrophilic Acrylic, P : 15 Pcs 5
12 Foldable Lens Hydrophilic Acrylic, P : 16 Pcs 5
13 Foldable Lens Hydrophilic Acrylic, P : 17 Pcs 5
14 Foldable Lens Hydrophilic Acrylic, P : 21 Pcs 30
15 Foldable Lens Hydrophilic Acrylic, P : 21,5 Pcs 50
16 Foldable Lens Hydrophilic Acrylic, P : 22 Pcs 50
17 Foldable Lens Hydrophilic Acrylic, P : 22,5 Pcs 50
18 Foldable Lens Hydrophilic Acrylic, P : 23 Pcs 30
19 Foldable Lens Hydrophilic Acrylic, P : 23,5 Pcs 30
20 Foldable Lens Hydrophilic Acrylic, P : 24 Pcs 5
21 Foldable Lens Hydrophilic Acrylic, P : 25 Pcs 5
22 Foldable Lens Hydrophilic Acrylic, P : 26 Pcs 5
23 Aquabidestilata steril Pro Injection Botol 500 ml 60
24 Ophthalmic Cautery Low temp (Aron Bovie) Pcs 50
25 Ringer lactat Plastic Softbag 100
26 Kassa steril 16x16 cm Pcs 500
27 Plester Roll Kain 1,25 cm x 1 m Pcs 500
28 Cendo Lyteers 0,6 ml @5's minidose Tetes Mata Strip 2000
29 Floxa 0,6ml @5's minidose Tetes Mata Strip 500
30 Polynel 0,6 ml @5's minidose Tetes Mata Strip 500
31 Polygran 0,6ml @5's minidose Tetes Mata Strip 100
32 Cyclon 1 % Tetes Mata Botol 5 ml 200
33 Cendo Mycos Salep Mata Tube 3,5 g 300

Siloxan
MQA
Topi Operasi
Paracetamol
bat

Harga Satuan + PPN Jumlah Harga

132,000 660,000
132,000 660,000
132,000 660,000
132,000 6,600,000
132,000 6,600,000
132,000 3,960,000
132,000 3,960,000
132,000 660,000
132,000 660,000
132,000 660,000
577,500 2,887,500
577,500 2,887,500
577,500 2,887,500
577,500 17,325,000
577,500 28,875,000
577,500 28,875,000
577,500 28,875,000
577,500 17,325,000
577,500 17,325,000
577,500 2,887,500
577,500 2,887,500
577,500 2,887,500
33,000 1,980,000
269,500 13,475,000
12,100 1,210,000 e katalog
5,445 2,722,500
3,564 1,782,000
21,175 42,350,000
29,425 14,712,500
19,665 9,832,500
19,250 1,925,000
19,525 3,905,000
28,875 8,662,500
283,562,000