Belanja Pegawai Belanja Pegawai. Standarisasi Harga dan Standarisasi Sarana dan Prasarana Kerja Pemerintah Provinsi Kalimantan Timur

Belanja Pegawai 2016 Belanja Pegawai 1

Belanja Pegawai 2016 I. Belanja Pegawai No Uraian Harga(Rp) Keterangan (1) (2) (3) (4) 1. Honor Pegawai Teknis dan Non Teknis Non PNS(Orang per bulan) - SD/MI/ SLTP/MTs 2.000.000 - SLTA/MAN 2.100.000 - D I / D II / D III 2.200.000 - D IV / S1 2.300.000 - S2 2.400.000 - Satpol PP / Pamdal 2.250.000 2. Honor Tenaga tertentu Non PNS yang dibutuhkan oleh SKPD dan memiliki standard kompetensi tertentu (akuntan, tenaga ahli/kelompok pakar, dokter spesialis, pelatih/guru olahraga) Standard pembayaran honorarium yang bersifat khusus/tertentu diatur tersendiri dengan Keputusan Gubernur 3. Honorarium Kegiatan Satuan Kerja a. untuk kegiatan yang dilakukan dalam beberapa tahapan kegiatan (orang/tahapan kegiatan) - Gubernur 3.000.000 - Wakil Gubernur 2.800.000 - Eselon I 2.500.000 - Eselon II 2.200.000 - Eselon III 2.000.000 - Eselon IV 1.600.000 - Staf Golongan III & IV 1.400.000 - Staf Golongan II kebawah/ptt 1.200.000 b. untuk kegiatan yang selesai dalam satu tahapan kegiatan (orang/kegiatan) - Gubernur 3.200.000 - Wakil Gubernur 3.000.000 - Eselon I 2.700.000 - Eselon II 2.400.000 - Eselon III 2.200.000 - Eselon IV 1.800.000 - Staf Golongan III & IV 1.600.000 - Staf Golongan II kebawah/ptt 1.300.000 4. Tunjangan Pengamanan Persandian(TPP) - Pengamanan Persandian Tingkat I 1.500.000 - Pengamanan Persandian Tingkat II 1.300.000 - Pengamanan Persandian Tingkat III 1.100.000 - Pengamanan Persandian Tingkat IV 900.000 - Pengamanan Persandian Tingkat V 700.000 - Pengamanan Persandian Tingkat VI 500.000 - Pengamanan Persandian Tingkat VII 300.000 5. Tunjangan Lainya (Orang per bulan) a. Tunjangan Caraka 550.000 Realisasi b. Tunjangan Sopir Operasional/Motoris 600.000 c. Tunjangan Sopir Truck/Bus 700.000 d. Tunjangan Petugas PABX / bulan 400.000 - Standard biaya adalah merupakan plafond angka tertinggi - Pelaksanaan pembayarannya disesuaikan dengan Pergub No 47 Tahun 2014 Dasar: Peraturan Presiden RI No 79 Tahun 2008 Tgl 30 Desember 2008 Tentang Tunjangan Pengamanan Persandian (TPP) Pembayaran harus diatur dengan Pergub tersendiri e. Tunjangan operator Simda Belanja Langsung dan 400.000 Tidak Langsung f. Tambahan Perbaikan Penghasilan (TPP) 2.500.000 Orang per tahun 2

Belanja Pegawai 2016 No Uraian Harga(Rp) Keterangan (1) (2) (3) (4) g. Uang Makan Siang Pegawai (PNS) 40.000 Orang/hari kerja dan disesuaikan kehadiran 6. Tunjangan Arsip di Lingkungan Pemerintah Provinsi (orang/bulan) - Eselon I 1.500.000 - Eselon II 1.400.000 - Eselon III 1.250.000 - Eselon IV 1.150.000 - Staf Golongan III/IV 850.000 - Staf Golongan II ke bawah/ptt 750.000 7. Tunjangan Analisa Jabatan di Lingkungan Pemerintah Provinsi (orang/bulan) - Eselon II 1.200.000 - Eselon III 1.000.000 - Eselon IV 800.000 - Analis Jabatan 600.000 6. Honor Pembicara/Narasumber (orang /kegiatan) Realisasi Pembayaran harus diatur dengan Pergub tersendiri a. Pembicara/Narasumber Pejabat Negara 15.000.000 b. Pembicara/Narasumber (Dalam Daerah) - Eselon I 5.000.000 - Eselon II 4.000.000 - Eselon III 3.000.000 - Eselon IV / Non Eselon 2.000.000 - Tenaga Ahli Profesional (Non PNS) 4.000.000 c. Pembicara/Narasumber (Luar Daerah) - Eselon I 10.000.000 - Eselon II 8.000.000 - Eselon III 6.000.000 - Eselon IV / Non Eselon 4.000.000 - Tenaga Ahli Profesional (Non PNS) Ditetapkan 8. Honorarium Pengelola Barang (orang per bulan) Uraian Nilai Aset (Rp) Sesuai kriteria pembicara berdasarkan persetujuan/sk Gubernur 0 10 M 10 25 M 25 50 M 50 75 M > 75 M Biro Perlengkapan - Koordinator Pengurus Barang 2.250.000 2.500.000 2.750.000 3.000.000 3.250.000 - Koordinator Penyimpan 2.000.000 2.250.000 2.500.000 2.750.000 3.000.000 Barang Dinas/Badan/SKPD/UPTD - Pengurus Barang 2.000.000 2.250.000 2.500.000 2.750.000 3.000.000 - Penyimpan Barang 1.750.000 2.000.000 2.250.000 2.500.000 2.750.000 1. Untuk Koordinator Pengurus Barang dan Koordinator Penyimpan Barang (Biro Perlengkapan), besaran honor maksimal disamakan dengan honor Pengurus dan Penyimpan Barang dengan nilai aset tetap yang dikelola> Rp 75 M 2. Untuk SKPD/UPTD dengan nilai aset tetap yang dikelola > Rp 75 M, Pengurus/Penyimpan Barang dapat diangkat Pembantu Pengurus/Penyimpan Barang, yang pengangkatan dan besaran honornya maksimal 75% dari honor Pengurus/Penyimpan Barang dan ditetapkan dengan Surat Keputusan Kepala SKPD. 3

Belanja Pegawai 2016 II. Perjalanan Pindah Tugas Dinas PNS Pindah Tugas atas Kebutuhan Organisasi Pemerintah No Golongan Ruang Tiket Lumpsum Biaya Angkut Barang 1 I Ekonomi 5 hari 10 m 3 Biaya Keluarga Biaya Pembantu 2 II Ekonomi 5 hari 15 m 3 Istri/Suami/ - 3 III Ekonomi 5 hari 20 m 3 2 anak yang belum berusia - 4 IV Ekonomi 5 hari 25 m 3 25 tahun 1 orang 5 Gol IV Eselon I Bisnis 5 hari 25 m 3 2 orang - Keterangan Pemindahan bukan atas dasar usulan pribadi Pembantu dibiayai tiket kelas ekonomi Rincian Lumpsum per hari Memperhatikan ketentuan perjalanan dinas yang telah ditetapkan dalam SK Gubernur tentang Penetapan Uang Harian Dalam Negeri dan Luar Negeri, Uang Saku, Uang Representatif Perjalanan Dinas, Tarif Hotel Dalam dan Luar Daerah 4

Konsumsi Rapat 2016 Konsumsi Rapat Pemerintah Provinsi Kalimantan Timur 5

Konsumsi Rapat 2016 III. Konsumsi Rapat No. Jenis Konsumsi Harga (Rp) (1) (2) (3) 1. Minuman Karyawan - Teh/gelas 3.500 - Kopi/gelas 4.000 2. Snack Olah Raga Jumat Pagi per orang per minggu 25.000 3. Snack ringan / kotak 22.500 4. Snack ringan Prasmanan / porsi 32.500 5. Snack ringan Prasmanan (Isi 3) / porsi 27.500 6. Snack ringan istimewa / kotak 30.000 7. Snack box di kendaraan / porsi 45.000 8. Snack Prasmanan VIP (istimewa) / porsi 47.500 9. Snack setengah berat prasmanan (soto, bakso, nasi goreng, dan lainnya) / porsi 32.500 10. Makan / bungkus 25.000 11. Makan / kotak 37.500 12. Makan Prasmanan biasa / porsi 65.000 13. Makan istimewa / kotak 47.500 14. Makan Prasmanan istimewa VIP / porsi 95.000 15. Untuk kegiatan yang dilaksanakan di hotel, biaya konsumsi + snack disesuaikan dengan tarif yang berlaku di hotel tersebut 16. Untuk kegiatan di luar hotel tetapi dengan konsumsi/snack yang disiapkan oleh pihak hotel, biaya konsumsi + snack disesuaikan dengan tarif yang berlaku di hotel tersebut Standard Hotel Standard Hotel 6

Belanja Barang Rutin dan Pemeliharaan 2016 Belanja Barang Rutin dan Pemeliharaan 7

Belanja Barang Rutin dan Pemeliharaan 2016 IV. Belanja Barang Rutin dan Pemeliharaan No Jenis Pengeluaran Harga (Rp) Keterangan (1) (2) (3) (4) 1. Pembuatan Pakaian Dinas (kain + ongkos) 1 stel 1. Pakaian Seragam Lengkap + Atribut Hansip 1 (satu) stel 600.000 2. Pakaian Seragam Lengkap Pamong Praja 1(satu)stel 500.000 3. Pakaian Seragam Lengkap Satpam 1 (satu)stel 500.000 5. Pakaian Sipil Resmi 1 stel 3.500.000 6. Pakaian Pegawai 1 stel 600.000 7. Pakaian Korpri 1 stel 500.000 8. Pakaian Batik 1 stel 800.000 9. Baju Batik 500.000 10. Pakaian Olah Raga Lengkap + 1.000.000 Topi + Sepatu 2. a. Biaya Bahan Bakar 1. RODA EMPAT : - Sedan 4 cyl 10 ltr / hari 320 hari - Sedan 6 cyl 12 ltr / hari 320 hari - Jeep 4 cyl 10 ltr / hari 320 hari - Jeep 6 cyl 12 ltr / hari 320 hari - Truck 4 cyl 20 ltr / hari 320 hari - Ambulance 6 cyl 15 ltr / hari 320 hari - Bus Mini / L-300 4 cyl 8 ltr / hari 320 hari 2. RODA EMPAT / SEDAN 4 CYL : - Tenggarong 20 ltr/hari 50/hari/Tahun - Balikpapan 40 ltr/hari 50/hari/Tahun - Tanah Grogot 80 ltr/hari 50/hari/Tahun - Banjarmasin 210 ltr/hari 10/hari/Tahun - Bontang 40 ltr/hari 50/hari/Tahun 3. RODA EMPAT / SEDAN 6 CYL : - Tenggarong 30 ltr/hari 50/hari/ tahun - Balikpapan 60 ltr/hari 50/hari/tahun 4. RODA EMPAT / JEEP 4 CYL : - Tenggarong 30 ltr/hari 50/hari/tahun - Balikpapan 40 ltr/hari 50/hari/tahun - Tanah Grogot 80 ltr/hari 50/hari/tahun - Banjarmasin 220 ltr/hari 50/hari/tahun - Bontang 40 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 20 ltr/hari 50/hari/tahun 5. RODA EMPAT / JEEP 6 CYL : - Tenggarong 30 ltr/hari 50/hari/tahun - Balikpapan 60 ltr/hari 50/hari/tahun - Tanah Grogot 120 ltr/hari 50/hari/tahun - Banjarmasin 280 ltr/hari 50/hari/tahun - Bontang 60 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 30 ltr/hari 50/hari/tahun 6. RODA EMPAT / MINI BUS / L-300 4 CYL : - Tenggarong 20 ltr/hari 50/hari/tahun - Balikpapan 40 ltr/hari 50/hari/tahun - Tanah Grogot 80 ltr/hari 50/hari/tahun - Banjarmasin 210 ltr/hari 50/hari/tahun - Bontang 40 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 20 ltr/hari 50/hari/tahun 1. Berdasarkan Permenkeu No 53/PMK.02/ 2014 2. Untuk pakaian selain waskat, menyesuaikan aturan yang berlaku 3. Dengan pertimbangan kualitas kain dan upah jahit Hanya diberikan kepada pemegang kendaraan jabatan. Pool Biro Umum khusus rutin melayani tamu Pemerintah Provinsi Kalimantan Timur, Mobil Jenazah. 8

Belanja Barang Rutin dan Pemeliharaan 2016 No Jenis Pengeluaran Harga (Rp) Keterangan (1) (2) (3) (4) 7. RODA EMPAT / PICK UP 4 CYL : - Tenggarong 20 ltr/hari 50/hari/tahun - Balikpapan 40 ltr/hari 50/hari/tahun - Tanah Grogot 80 ltr/hari 50/hari/tahun - Banjarmasin 210 ltr/hari 50/hari/tahun - Bontang 40 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 20 ltr/hari 50/hari/tahun 8. RODA EMPAT / BUS 4 CYL : - Tenggarong 30 ltr/hari 50/hari/tahun - Balikpapan 60 ltr/hari 50/hari/tahun - Tanah Grogot 120 ltr/hari 50/hari/tahun - Banjarmasin 210 ltr/hari 50/hari/tahun - Bontang 60 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 30 ltr/hari 50/hari/tahun 9. RODA EMPAT / BUS 6 CYL : - Tenggarong 50 ltr/hari 50/hari/tahun - Balikpapan 100 ltr/hari 50/hari/tahun - Tanah Grogot 200 ltr/hari 50/hari/tahun - Banjarmasin 500 ltr/hari 50/hari/tahun - Bontang 120 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 50 ltr/hari 50/hari/tahun 10. RODA EMPAT / AMBULANCE 4 CYL : - Tenggarong 20 ltr/hari 50/hari/tahun - Balikpapan 40 ltr/hari 50/hari/tahun - Tanah Grogot 80 ltr/hari 50/hari/tahun - Banjarmasin 210 ltr/hari 50/hari/tahun - Bontang 40 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 20 ltr/hari 50/hari/tahun 11. RODA EMPAT / TRUCK 4 CYL : - Tenggarong 30 ltr/hari 50/hari/tahun - Balikpapan 60 ltr/hari 50/hari/tahun - Tanah Grogot 80 ltr/hari 50/hari/tahun - Banjarmasin 210 ltr/hari 50/hari/tahun - Bontang 40 ltr/hari 50/hari/tahun - Pampang/Teluk Dalam 20 ltr/hari 50/hari/tahun Caraka 12. RODA DUA 3 ltr / hari 320 hari 13. SPEED BOAT - Bensin 20 ltr / hari 320 hari - Solar 10 ltr / hari 320 hari 14. KAPAL - Solar 20 ltr / hari 320 hari - Olie 12 ltr / hari 320 hari 15. GENERATOR - Solar 10 ltr / hari 320 hari - Olie 10 ltr / hari 320 hari 16. MESIN POMPA AIR - Bensin 3 ltr / hari 320 hari - Solar 2 ltr / hari 320 hari 9

Belanja Barang Rutin dan Pemeliharaan 2016 No Jenis Pengeluaran Harga (Rp) Keterangan (1) (2) (3) (4) b. Perawatan rutin Jenis Kendaraan Perawatan Rutin Harga (Rp) Total Harga a. Mercedez Benz 1 Ganti oli mesin 3500 KM 20 Ltr x 1 GANTI x 85.000 = 1.700.000 BUS 2 Ganti oli persneling 10.000 KM 12 Ltr x 1 GANTI x 95.000 = 1.140.000 3 Ganti oli gardan 10.000. KM 12 Ltr x 1 GANTI x 95.000 = 1.140.000 4 Ganti filter oli 10.000. KM 1 bh x 1 GANTI x 1.900.000 = 1.900.000 5 Ganti filter minyak 10.000 KM 1 bh x 1 GANTI x 800.000 = 800.000 6 Ganti filter udara 10.000 KM 1 bh x 1 GANTI x 2.200.000 = 2.200.000 7 Ganti Filter Reser 10.000. KM 1 bh x 1 GANTI x 590.000 = 590.000 8 ENGINE MAUNTING 1 SET x 1 GANTI x 3.250.000 = 3.250.000 9 BUSHING STABLISER 1 SET x 1 GANTI x 450.000 = 450.000 10 DRAKLING 1 SET x 1 GANTI x 3.400.000 = 3.400.000 11 TEIROOL L 1 SET x 1 GANTI x 850.000 = 850.000 12 BEARING GANTUNG 1 SET x 1 GANTI x 2.060.000 = 2.060.000 13 WIPER L/R 1 SET x 1 GANTI x 630.000 = 630.000 14 DRAKLING STABILISER 1 UNIT x 1 GANTI x 1.600.000 = 1.600.000 15 SPION ELEKTRIK 1 BH x 1 GANTI x 6.900.000 = 6.900.000 16 LAMP BESAR DEPAN 1 BH x 1 GANTI x 5.250.000 = 5.250.000 17 HANDLE BRAKE 1 UNIT x 1 GANTI x 5.600.000 = 5.600.000 18 MASTER KOPLING 1 SET x 1 GANTI x 6.500.000 = 6.500.000 19 SERVO 1 SET x 1 GANTI x 7.740.000 = 7.740.000 20 NOSEL 1 SET x 1 GANTI x 2.318.000 = 2.318.000 22 SHOCK STBILISER 1 SET x 1 GANTI x 655.000 = 655.000 23 BEARING STABILISER 1 SET x 1 GANTI x 35.000 = 35.000 24 BAUT RODA 1 SET x 1 GANTI x 180.000 = 180.000 25 BEARING RODA BELAKANG 1 SET x 1 GANTI x 1.300.000 = 1.300.000 26 PEET GEMOK 1 KLG x 1 GANTI x 60.000 = 60.000 27 LAMPU INDIKATOR 1 BH x 1 GANTI x 175.000 = 175.000 28 LEM KACA 1 BH x 1 GANTI x 135.000 = 135.000 29 SLANG ANGIN 1 SET x 1 GANTI x 350.000 = 350.000 30 KARET SHOCK 1 SET x 1 GANTI x 385.000 = 385.000 31 HISE WIPER 1 BH x 1 GANTI x 645.000 = 645.000 32 PIPA NOSEL 1 SET x 1 GANTI x 1.294.000 = 1.294.000 33 KAMPAS KOPLING 1 SET x 1 GANTI x 4.500.000 = 4.500.000 34 CLUP KOPLING 1 SET x 1 GANTI x 11.750.000 = 11.750.000 35 ACCU 200 AMP 1 BH x 1 GANTI x 3.100.000 = 3.100.000 36 KACA FLIM 1 UNIT x 1 GANTI x 24.000.000 = 24.000.000 37 KAMPAS BRAKE 1 SET x 1 GANTI x 1.100.000 = 1.100.000 38 HOREN 24 VOL 1 BH x 1 GANTI x 135.000 = 135.000 39 PIOSE 5 S/D 35 APM 1 BH x 1 GANTI x 1.500 = 1.500 40 jasa Tune Up = 1.600.000 41 Keanip Relise 1 BH 2.750.000 = 2.750.000 b. Truck 1 Ganti oli mesin 3000 km 10 Ltr x 1 GANTI x 85.000 = 850.000 2 Ganti oli persneling 10.000 KM 8 Ltr x 1 GANTI x 95.000 = 760.000 3 Ganti oli gardan 10.000. KM 8 Ltr x 1 GANTI x 95.000 = 760.000 4 Ganti filter oli 10.000. KM 1 bh x 1 GANTI x 220.000 = 220.000 5 Ganti filter minyak 10.000 KM 1 bh x 1 GANTI x 125.000 = 125.000 6 Ganti filter udara 10.000 KM 1 bh x 1 GANTI x 425.000 = 425.000 7 dinamo starter 1 set x 1 GANTI x 2.750.000 = 2.750.000 8 Bushing Handle Trasmisi 1 set x 1 GANTI x 350.000 = 350.000 9 Silinder Brake 1 set x 1 GANTI x 387.500 = 387.500 10 Minor L 1 bh x 1 GANTI x 180.000 = 180.000 11 Hore 1 bh x 1 GANTI x 145.000 = 145.000 12 Jasa Tune Up = 1.250.000 c. INNOVA 1 Kaca Film Indium 1 UNIT = 7.500.000 2 CASTROL MAGNETIC EDGE 5/40 1 LTR x 1 GANTI x 198.000 965.250 3 Ganti oli persneling 10.000 KM 3 Ltr x 1 GANTI x 95.000 = 285.000 4 Ganti oli gardan 10.000. KM 3 Ltr x 1 GANTI x 95.000 = 285.000 5 Ganti filter oli 10.000. KM 1 bh x 1 GANTI x 101.000 = 101.000 6 Ganti filter minyak 10.000 KM 1 bh x 1 GANTI x 475.000 = 475.000 7 Ganti filter udara 10.000 KM 1 bh x 1 GANTI x 425.000 = 425.000 8 dinamo starter 1 set x 1 GANTI x 2.750.000 = 2.750.000 9 Bushing Handle Trasmisi 1 set x 1 GANTI x 350.000 = 350.000 10 Silinder Brake 1 set x 1 GANTI x 387.500 = 387.500 11 Minor L 1 bh x 1 GANTI x 180.000 = 180.000 12 Hore 1 bh x 1 GANTI x 145.000 = 145.000 13 Jasa Tune Up = 1.250.000 10

Belanja Barang Rutin dan Pemeliharaan 2016 Jenis Kendaraan Perawatan Rutin Harga (Rp) Total Harga 14 BRAKE CLEANER EKATONIG 1 KLN x 1 GANTI x 58.000 = 57.427 15 GASKET 1 KLN x 1 GANTI x 331.000 = 8.385 16 SPORING 1 UNIT x = 203.775 17 ENGINE CARE = 182.861 18 BALANCE 4 bh x 1 GANTI x 13.000 = 50.699 19 DICKPAK KIC DIST R 1 SET x 1 GANTI x = 754.650 20 DICKPAK KIC DIST L 1 SET x 1 GANTI x = 449.475 21 FRONT DICK SHOE = 207.528 22 REAR BRAKE SHOE = 285.285 23 SPR LONG LIFE CLN 1 BH x 1 GANTI = 112.124 24 RADIATOR UNIT 1 UNIT x 1 GANTI x 3.250.000 = 3.250.000 25 SHOCK DEPAN 1 BH x 1 GANTI x 565.000 = 565.000 26 SHOCK BELAKANG 1 BH x 1 GANTI x 485.000 = 485.000 27 PUM POWER STEARING 1 UNIT x 1 GANTI x 5.650.000 = 5.650.000 28 BEARING RODA DEPAN 1 SET x 1 GANTI x 4.300.000 = 4.300.000 29 Jasa Tune Up 1 BH x 1 GANTI x 1.250.000 = 1.250.000 30 CLUP KOPLING 1 BH x 1 GANTI x 1.050.000 = 1.050.000 31 BEARING RELISE 1 BH x 1 GANTI x 325.000 = 325.000 32 VAN BELT SE 1 set x 1 GANTI x 380.000 = 380.000 33 CLEAR FILTER 1 BH x 1 GANTI x 410.000 = 410.000 34 LAMP STOP 1 BH x 1 GANTI x 721.000 = 721.000 35 LAMP BESAR 1 BH x 1 GANTI x 1.050.000 = 1.050.000 36 DISC BRAKE 1 BH x 1 GANTI x 586.000 = 586.000 37 HUB RODA DEPAN 1 BH x 1 GANTI x 475.000 = 475.000 38 RACK STERING ASSY 1 BH x 1 GANTI x 5.420.000 = 5.420.000 39 TE ROOD LUAR 1 BH x 1 GANTI x 325.000 = 325.000 40 REDK AND 1 BH x 1 GANTI x 378.000 = 378.000 41 Minor L 1 BH x 1 GANTI x 980.000 = 980.000 42 WIPER DEPAN 1 BH x 1 GANTI x 340.000 = 340.000 43 WATER PUMP 1 BH x 1 GANTI x 770.000 = 770.000 44 AUTET 1 BH x 1 GANTI x 40.000 = 40.000 45 PUMP MINYAK 1 BH x 1 GANTI x 2.850.000 = 2.850.000 46 KACA DEPAN 1 BH x 1 GANTI x 2.750.000 = 2.750.000 47 PISTON KALIFER 1 SET x 1 GANTI x 250.000 = 250.000 48 CROS JOIN 1 BH x 1 GANTI x 375.000 = 375.000 49 TUNE UP = 1.250.000 d. LAND CRUISER 1 M BALANC COMBUMABLE 1 BH x 1 GANTI x 13.000 = 13.000 2 GASKET PLUG 1 BH x 1 GANTI x 8.600 = 8.600 3 FILTER ASSY 1 BH x 1 GANTI x 84.000 = 84.000 4 CASTROL MAGNETIC EDGE 5/40 1 LTR x 1 GANTI x 198.000 = 198.000 5 BRAKE CLEANER EKATONIG 1 KLN x 1 GANTI x 58.000 = 58.900 6 AUTO FLUID 1 KLN x 1 GANTI x 331.000 = 331.000 7 FILTER SOLAR 1 SET x 1 GANTI x 480.000 = 480.000 8 SPORING 1 UNIT x 1 GANTI x 264.000 = 264.000 9 BEARING FR 1 BH x 1 GANTI x 1.350.000 = 1.350.000 10 WASHER 1 BH x 1 GANTI x 832.000 = 832.000 11 SEAL BEARING 1 SET x 1 GANTI x 623.000 = 623.000 12 SEAL CALIFER 1 SET x 1 GANTI x 920.000 = 920.000 13 SHOEKIT NO 1 1 SET x 1 GANTI x 460.000 = 460.000 14 SHOEKIT NO 1 1 SET x 1 GANTI x 515.000 = 515.000 15 SHOEKIT NO 1 1 SET x 1 GANTI x 480.000 = 480.000 16 PIN CALIPER 1 BH x 1 GANTI x 980.000 = 980.000 17 BUSH SHOCK 1 SET x 1 GANTI x 280.000 = 280.000 18 DICS BRAKE 1 BH x 1 GANTI x 3.550.000 = 3.550.000 19 AIR CLENER 1 BH x 1 GANTI x 600.000 = 600.000 20 KACA FLIM 1 UNIT x 1 GANTI x 6.500.000 = 6.500.000 21 SERVIC BERKALA x 1 GANTI x 1.750.000 = 1.750.000 e. MITSHUBISHI 1 RADOATOR 1 BH x 1 GANTI x 3.250.000 = 3.250.000 2 SHOCK DEPAN 1 BH x 1 GANTI x 425.000 = 425.000 3 SHOCK BELAKANG 1 BH x 1 GANTI x 390.000 = 390.000 4 COLOM BRAKE 1 BH x 1 GANTI x 475.000 = 475.000 5 BEARING DEPAN 1 BH x 1 GANTI x 225.000 = 225.000 6 COLOM KOPLING 1 BBH x 1 GANTI x 1.250.000 = 1.250.000 7 MATAHARI 1 BH x 1 GANTI x 1.350.000 = 1.350.000 8 BEARING RELESI 1 BH x 1 GANTI x 400.000 = 400.000 9 FILTER OLI 1 BH x 1 GANTI x 165.000 = 165.000 10 AIR CLENER 1 BH x 1 GANTI x 180.000 = 180.000 11 BEARING RODA DEPAN 1 SET x 1 GANTI x 475.000 = 475.000 12 BEARING RODA BELAKANG 1 SET x 1 GANTI x 400.000 = 400.000 13 BOL JOIN 1 SET x 1 GANTI x 375.000 = 375.000 14 DICS BRAKE 1 SET x 1 GANTI x 780.000 = 780.000 11

Belanja Barang Rutin dan Pemeliharaan 2016 Jenis Kendaraan Perawatan Rutin Harga (Rp) Total Harga 15 HUB RODA DEPAN 1 SET x 1 GANTI x 472.000 = 472.000 16 RACK AND 1 BH x 1 GANTI x 375.000 = 375.000 17 WIPER DEPAN 1 SET x 1 GANTI x 225.000 = 225.000 18 KACA DEPAN 1 BH x 1 GANTI x 1.800.000 = 1.800.000 19 OLI 1 LTR x 1 GANTI x 85.000 = 85.000 21 SERVIC BERKALA x 1 GANTI x 1.750.000 = 1.750.000 f. ALTIS 1 KACA FILM PUL INDIUM 1 UNIT x 1 GANTI x 6.067.000 = 6.067.000 5 PAD KIT 60120 1 BH x 1 GANTI x 1.174.000 = 1.174.000 6 PAD KID 60820 1 BBH x 1 GANTI x 1.596.000 = 1.596.000 7 ELEMENT KIT 1 BH x 1 GANTI x 189.000 = 189.000 8 TMO FUUL 83218 5 BH x 1 GANTI x 208.000 = 1.040.000 9 MATERIAL BALANCING 1 BH x 1 GANTI x 51.999 = 51.999 10 SPORING 1 BH x 1 GANTI x 220.000 = 220.000 11 ELEMENT ASSY 1 SET x 1 GANTI x 61.000 = 61.000 12 ELEMENT F OLI 1 SET x 1 GANTI x 191.000 = 191.000 13 BRAKE FUID 1 SET x 1 GANTI x 67.000 = 67.000 14 SPARGG PUG 1 SET x 1 GANTI x 270.000 = 270.000 15 PAT KID DIST 1 SET x 1 GANTI x 1.750.000 = 1.750.000 16 PAT KIT DIST IN 1 BH x 1 GANTI x 1.174.000 = 1.174.000 17 TGGO DIFT GEAR OLI 1 SET x 1 GANTI x 225.000 = 350.000 g. Nissan Navara 1 Oli Mesin 7 LTR x 45.000 = 315.000 (Harga Belum PPN) 2 Filter Oli = 150.000 3 Oli Gardan Belakang 3 LTR x 146.000 = 438.000 4 Oli Transfer 4 LTR x 81.000 = 324.000 5 Oli Gardan Depan 2 LTR x 59.500 = 119.000 6 Oli Transmisi (MT) 5 LTR x 81.500 = 407.500 7 Oli Transmisi (A/T) 8 LTR x 82.000 = 656.000 8 Shock Depan = 1.423.500 9 Shock Belakang = 975.500 10 Filter Udara = 188.500 11 Filter AC = 643.500 12 Kopling Jet = 2.500.000 13 Kampas Rem Depan = 866.500 14 Kampas Rem Belakang = 725.500 15 Tune Up = 400.000 h. Toyota Alphard 1 Service Berkaca 60.000 KM = 966.900 2 Sporing = 220.000 3 Ganti Padkit + Shokit = 284.000 4 Elemen Kit Oil Filter = 106.000 5 Castrol Edge Sw 40 (6X) = 1.188.000 6 Nulon Break Clener = 58.900 7 Padkit Disc Break FR = 1.744.001 8 Padkit Disc Break = 1.095.001 9 Shoe Assy RH No 2 = 255.000 10 Shoe A/S Park Brake = 559.999 11 Shoe Assy LH No 2 = 255.000 12 Balance Ext Consumable = 51.999 13 Fog Lamp 2 PCS = 2.100.000 i. Ban 1 BUS VVIP II MERCEDES BENZ R22,5 R150 = 5.212.000 2 BUS MERCEDES BENZ UK 1000 = 6.600.000 3 BUS MERCEDES BENZ UK 825 = 3.193.000 4 HINO UK 750 = 2.486.000 5 ELF UK 235 / 75 R15 = 1.507.000 6 FORTUNER 265/65 R17 = 2.275.000 7 L 200 265/70 R16 = 1.844.000 8 HILUX 30 x 9.5 R15 = 1.839.000 9 TRUK 750 16 / 14 = 2.363.000 10 ROCKY 235/70 R15 = 1.349.000 11 SEDAN CAMRY 215/60 R16 = 1.567.000 12 ALTIS 205/55 R16 = 1.394.000 13 INNOVA 205/65 R15 = 1.337.000 14 SEDAN CROWN 195/65 R15 = 1.273.000 15 NAV I 205/60 R16 = 1.464.000 16 HILINE 700/15/R16 = 1.571.000 17 MITSUBISHI L 300 175 R13 = 800.000 18 AVANZA 185/70 R14 = 946.000 19 ALPHARD 215/65 R16 = 1.572.000 3. a. Biaya Pemeliharaan. 1. Kantor / Gedung : 12

Belanja Barang Rutin dan Pemeliharaan 2016 Gedung / Kantor / Taman / Pekarangan b. Biaya Pemeliharaan Inventaris Kantor c. Harga perkiraan sendiri Tahun 2016 - Pekerjaan kebersihan Gedung Pemprov Kaltim - Kebersihan Gedung 36.000/m 2 /tahun 2. Halaman / Pekarangan - Kebersihan Halaman 33.600/m 2 /tahun 1. SSB 1.000.000/thn 2. Mesin tik, mesin hitung 100.000/thn 3. Mesin stencil 200.000/thn 4. IBM 200.000/thn 5. AC/Unit 420.000/thn 6. Telepon dan sebagainya 50.000/thn 7. AC Sentral p.m. 8. Komputer per buah 500.000/thn 9. Mesin absen Anamo p.m. 10. Kas register 1.250.000/thn 1. Lantai karpet (m 2 ) 3.500 2. Lantai keramik (m 2 ) 3.250 3. Lantai granite (m 2 ) 3.000 4. Plafond, AC & kap lampu (m 2 ) 1.600 5. Kaca dinding dalam (m 2 ) 1.250 6. Kaca partisi, dinding partisi (m 2 ) 1.250 7. Kaca jendela dan pintu (m 2 ) 1.250 8. Kaca sekat (m 2 ) 1.250 9. Dinding partisi sekat (m 2 ) 1.250 10.Dinding walpaper (m 2 ) 900 11.Toilet (m 2 ) 4.250 12. Pembersihan Dag (m 2 ) 800 13. Musholla (m 2 ) 2.500 14. Tangga (m 2 ) 1.500 15. Dinding Kayu (m 2 ) 1.500 16. Lantai Kayu (m 2 ) 1.500 17. Peralatan & perlengkapan kantor : - Sofa meja/administrasi (unit) 1.750 - Kursi (unit) 1.300 - Lemari/filling kabinet (unit) 1.300 - Komputer (unit) 1.300 18. Pekerjaan taman : - Tanaman Pembatas (m 2 ) 4.500 - Tanaman keras (pohon) 7.500 - Rumput Paving block (m 2 ) 1.750 - Pemotongan rumput (m 2 ) 2.000 Sesuai dengan tingkat kerusakan/ perbaikan 13

Tunjangan Honorarium Pengelola Keuangan 2016 Tunjangan/Honorarium Pengelola Keuangan 14

Tunjangan Honorarium Pengelola Keuangan 2016 V. Tunjangan Honorarium Pengelola Keuangan No. Uraian 0 10 M 10 25 M 25 50 M 50 75 M > 75 M (1) (2) (3) (4) (5) (6) (7) I. SKPD 1 Pengguna Anggaran (PA) 3.500.000 4.000.000 4.500.000 5.000.000 5.500.000 2 Kuasa Pengguna Anggaran 3.000.000 3.500.000 4.000.000 4.500.000 5.000.000 (KPA) 3 Bendahara Penerimaan 2.250.000 2.500.000 2.750.000 3.000.000 3.250.000 Anggaran 4 Bendahara Pengeluaran 2.250.000 2.500.000 2.750.000 3.000.000 3.250.000 5 Pejabat Penatausahaan 2.250.000 2.500.000 2.750.000 3.000.000 3.250.000 Keuangan (PPK) 6 Pejabat Pelaksana Teknis 2.500.000 3.000.000 3.500.000 4.000.000 4.500.000 Kegiatan (PPTK) 7 Staf Pembantu PPK 1.200.000 1.300.000 1.400.000 1.500.000 2.000.000 8 Staf Pembantu PPTK 1.200.000 1.300.000 1.400.000 1.500.000 1.600.000 9 Pembantu Bendahara Penerimaan a. Kasir 1.200.000 1.300.000 1.400.000 1.900.000 2.500.000 b. Pembuat Dokumen 1.200.000 1.300.000 1.400.000 1.900.000 2.500.000 Penerimaan 10 Pembantu Bendahara Pengeluaran a. Kasir 1.200.000 1.300.000 1.400.000 1.900.000 2.500.000 b. Pembuat Dokumen 1.200.000 1.300.000 1.400.000 1.900.000 2.500.000 Pengeluaran Uang c. Penyiapan SPP Gaji/Pembuat Daftar Gaji 1.200.000 1.300.000 1.400.000 1.900.000 2.500.000 II. UPTD 1 Kuasa Pengguna Anggaran 3.000.000 3.500.000 4.000.000 4.500.000 5.000.000 2 Bendahara Penerimaan 2.000.000 2.250.000 2.500.000 2.750.000 3.000.000 Pembantu 3 Bendahara Pengeluaran 2.000.000 2.250.000 2.500.000 2.750.000 3.000.000 Pembantu 4 Pejabat Penatausahaan 2.000.000 2.250.000 2.500.000 2.750.000 3.000.000 Keuangan (PPK) 5 Pejabat Pelaksana Teknis 2.500.000 3.000.000 3.500.000 4.000.000 4.500.000 Kegiatan (PPTK) 6 Pembantu Penerimaan a. Kasir 1.100.000 1.200.000 1.300.000 1.500.000 1.800.000 b. Pembuat Dokumen 1.100.000 1.200.000 1.300.000 1.500.000 1.800.000 Penerimaan 7 Pembantu Bendahara Pengeluaran a. Kasir 1.100.000 1.200.000 1.300.000 1.700.000 2.000.000 b. Pembuat Dokumen 1.100.000 1.200.000 1.300.000 1.700.000 2.000.000 Pengeluaran Uang c. Penyiapan SPP Gaji/Pembuat Daftar Gaji 1.100.000 1.200.000 1.300.000 1.700.000 2.000.000 15

Tunjangan Honorarium Pengelola Keuangan 2016 VI. Tunjangan Honorarium Pejabat Pengadaan Barang/Jasa (Orang/Paket) Nilai Pagu (1 org) No Uraian > 20 s/d 50 (Juta Rp.) > 50 s/d 200 (Juta Rp.) > 200 (Juta Rp.) (1) (2) (3) (4) 1. Pejabat Pengadaan Barang dan Jasa 1.000.000 1.250.000 (Konstruksi) 2. Pejabat Pengadaan Barang 500.000 1.000.000 1.250.000 3. Pejabat Pengadaan Jasa Lainnya 500.000 1.000.000 4. Pejabat Pengadaan Jasa Konsultansi 1.250.000 Catatan : - Jika diperlukan, Pejabat Pengadaan dapat dibantu oleh Tenaga Ahli sesuai spesifikasi barang. - Honorarium Unit Layanan Pengadaan diatur dalam Perarturan Gubernur secara terpisah - Untuk e-purchasing/e-catalogue cukup ditangani oleh 1 orang pejabat pengadaan (walaupun nilainya lebih dari Rp 200 juta VII. Honorarium Kelompok Kerja Unit Pelayanan Pengadaan (Orang/Paket) 1 Pek Kontruksi/Barang/ Jasa Lainnya Rp 200 jt -Rp 500 jt Rp 500 jt - Rp 1 M Rp 1 M -Rp 2,5 M Rp 2,5 M -Rp 5 M Rp 5 M -Rp 15 M Rp 15 M -Rp 50 M Rp 50 M -Rp 100 M Rp 100 M - Ketua Pokja 3.000.000 3.500.000 4.000.000 4.500.000 5.000.000 6.000.000 7.000.000 8.000.000 - Sekretaris Pokja 2.500.000 3.250.000 3.750.000 4.250.000 4.750.000 5.750.000 6.750.000 7.750.000 - Anggota Pokja 2.250.000 3.000.000 3.500.000 4.000.000 4.500.000 5.500.000 6.500.000 7.500.000 2 Pekerjaan Jasa Konsultasi Rp 50 jt - Rp 200 jt Rp 200 jt - Rp 1 M Rp 1 M - Rp 3 M Rp 3 M - Ketua Pokja 4.000.000 5.000.000 6.000.000 10.000.000 - Sekretaris Pokja 3.750.000 4.750.000 5.750.000 9.750.000 - Anggota Pokja 3.500.000 4.500.000 5.500.000 9.500.000 VIII. Tunjangan Honorarium Pejabat/Panitia Penerima Hasil Pekerjaan (Orang/Paket) No Uraian < 100 (Rp jt)/ 1 Org 100 JT- < 200 JT / 1 Org 200 JT- < 1 M / 3 Org 1 M- < 2,5 M / 3 Org 2,5 M- < 5 M / 3 Org 5 M- < 10 M / 3 Org 10 M- < 20 M / Maks 5 Org 20 M- < 100 M / maks 7 Org 100 M / maks 7 Org 1 Pekerjaan Kontruksi 2 Pengadaan Barang 3 Pekerjaan Jasa Lainnya 800.000 900.000 1.500.000 2.000.000 2.500.000 3.000.000 4.000.000 4.500.000 5.000.000 600.000 700.000 1.000.000 1.200.000 1.500.000 2.000.000 3.000.000 3.500.000 4.000.000 600.000 700.000 1.000.000 1.200.000 1.500.000 2.000.000 3.000.000 3.500.000 4.000.000 No Uraian < 50(Rp jt)/ 1 Org 50 JT - < 200 JT / 1 Org 200 JT - < 0,5 M /Maks 3 Org 0,5 M - < 1 M /Maks 3 Org 1 M - < 2,5 M /Maks 3 Org 2,5 M - < 5 M /Maks 3 Org 5 M - < 10 M / Maks 5 Org 10 M/ maks 5 Org Pekerjaan Jasa 1 800.000 1.200.000 1.500.000 2.000.000 2.500.000 3.000.000 4.000.000 5.000.000 Konsultansi Catatan : - Jika diperlukan, Pejabat/Penerima Hasil Pekerjaandapat dibantu oleh Tenaga Ahli sesuai spesifikasi barang/jasa 16

Standardisasi Biaya Diklat/Bimtek 2016 Standardisasi Biaya Diklat/Bimtek 17

Standardisasi Biaya Diklat/Bimtek 2016 IX. Standardisasi Biaya Diklat/Bimtek No Uraian Standard (1) (2) (3) I. TUNJANGAN BUKU A. Lemhanas... 2.500.000/ selama kursus B. Diklat Struktural : 1. Diklat Pimpinan Tingkat I... 2. Diklat Pimpinan Tingkat II... 3. Diklat Pimpinan Tingkat III... 4. Diklat Pimpinan Tingkat IV... 2.000.000/ selama kursus 1.500.000/ selama kursus 1.000.000/ selama kursus 750.000/ selama kursus C. Diklat Teknis Fungsional : 1. TOT untuk berbagai substansi bagi para Widyaiswara... 2. Diklat / Orientasi teknis bagi para pejabat struktural... D. Lain lain Diklat/ Kursus 650.000/ selama kursus 600.000/ selama kursus 600.000/ selama kursus II. III. PRAKTIK KERJA LAPANGAN : A. Lemhanas... B. Diklat Struktural : 1. Diklat Pimpinan Tingkat I... 2. Diklat Pimpinan Tingkat II... 3. Diklat Pimpinan Tingkat III... 4. Diklat Pimpinan Tingkat IV... C. Diklat Teknis Fungsional : 1. TOT untuk berbagai substansi bagi para Widyaiswara... 2. Diklat / Orientasi teknis bagi para pejabat struktural... HONOR INSTRUKTUR / PENGAJAR / PENDAMPING PERKULIAHAN / PEMBUAT NASKAH : A. Honor Instruktur / Pengajar 1. Honor Widyaiswara... 2. Honor Tenaga Ahli... 3. Honor pendamping perkuliahan... B. Honor Penyusun Naskah Pembelajaran Diklat C. Honor Instruktur pembinaan mental peserta diklat D. Honor petugas kesehatan peserta diklat 3.000.000/ selama kursus 3.000.000/ selama kursus 2.500.000/ selama kursus 2.250.000/ selama kursus 1.750.000/ selama kursus 1.000.000/ selama kursus 1.000.000/ selama kursus 250.000/ jp 500.000/ jp 100.000/ jp 500.000/ naskah 100.000/OH 100.000/OH IV. PERJALANAN DINAS PESERTA DIKLAT DI LUAR DAERAH A. Diklat dengan setoran : - Perjalanan dinas dari tempat kedudukan ke tempat diklat (pp) + lumpsum 2 hari + biaya lainnya (tidak termasuk biaya pondokan dan transport lokal)... Sesuai standardisasi perjalanan dinas B. Diklat tanpa setoran : - Perjalanan dinas dari tempat kedudukan ke tempat diklat (pp) + lumpsum 2 hari + biaya lainnya... Sesuai standardisasi perjalanan dinas V. TRANSPORT LOKAL : A. Transportasi lokal di dalam daerah : 1. Pengajar... 2. Penyelenggara... B. Transport lokal peserta kursus di dalam daerah C. Transport lokal peserta kursus ke luar daerah 75.000/ hari 75.000/ hari 75.000/ hari 100.000/ hari VI. UANG SAKU PESERTA A. Uang saku peserta kursus/diklat/bimtek 1. Diklat Kepemimpinan... 18

Standardisasi Biaya Diklat/Bimtek 2016 No Uraian Standard (1) (2) (3) a. Tingkat I b. Tingkat II c. Tingkat III d. Tingkat IV 2. Diklat Teknis/Fungsional... 3. Diklat Prajabatan... 4. Lain-lain Diklat... 300.000/ hari 200.000/ hari 150.000/ hari 125.000/ hari 100.000/ hari 100.000/ hari 100.000/ hari VII. VIII. IX. X. XI. PAKAIAN SERAGAM/PAKAIAN OLAH RAGA (BAJU KAOS, CELANA PANJANG, SEPATU) DALAM DAERAH : A. Diklat Kepemimpinan... B. Diklat Pra Jabatan... C. Diklat Teknis/Fungsional/Lainnya... PEMBUATAN SURAT TANDA TAMAT PELATIHAN DAN PENDIDIKAN : 1. Biaya mencetak + Pembuatan Cover... 2. Biaya Penulisan/pengetikan... BIAYA MAKAN DAN MINUM A. Standard makan + minum untuk DiklatTeknis Fungsional (Bimtek) : 1. Snack... 2. Makan... B. Standard makan + minum untuk DiklatKepemimpinan dan Diklat Prajabatan (diinapkan) : 1. Snack... 2. Makan... BIAYA OBAT-OBATAN DIKLAT/KURSUS DALAM DAERAH : A. Diklat Kepemimpinan... B. Diklat Pra Jabatan... C. Diklat Teknis/Fungsional/Lainnya... ALAT/PERLENGKAPAN KEGIATAN DIKLAT : A. Tanda Pengenal Peserta... B. Modul/Buku Pegangan... C. Tas Peserta... D. Buku Tulis dan Ballpoint... 500.000/ paket 500.000/ paket 500.000/ paket 50.000/ lembar 40.000/ lembar Mengikuti standard yang berlaku (rapat) Mengikuti standard yang berlaku (rapat) 5.000.000/paket 4.000.000/paket 4.000.000/paket 20.000/ peserta 400.000/ set / peserta 200.000/ peserta 30.000/ peserta 19

Standardisasi Biaya Mahasiswa Ijin Belajar 2016 Standardisasi Biaya Mahasiswa Ijin Belajar 20

Standardisasi Biaya Mahasiswa Ijin Belajar 2016 X. Standardisasi Biaya Mahasiswa Ijin Belajar No Uraian Biaya (1) (2) (3) A. SARJANA/DIPLOMA I. Diploma I ( D I ) a. Besarnya Bantuan maksimal (dari semester I s/d selesai ) b. Pengurusan baru masuk semester II atau penyusunan laporan dibantu II.Diploma II ( D II ) a. Bantuan maksimal (dari semester I s/d selesai ) b. Bantuan maksimal (dari semester II/III s/d selesai) c. Bantuan maksimal (dari semester IVatau pada saat penyusunan laporan) III. Diploma III ( D III ) a. Bantuan maksimal (dari semester I s/d selesai ) b. Bantuan maksimal (dari semester II/III s/d selesai) c. Bantuan maksimal (dari semester IV/V s/d selesai) d. Bantuan maksimal (dari semester VI atau penyusunan laporan) IV. SARJANA (S1)/Diploma IV ( D IV ) a. Bantuan maksimal (dari semester I s/d selesai ) b. Bantuan maksimal (dari semester II/III s/d selesai) c. Bantuan maksimal (dari semester IV/V s/d selesai) d. Bantuan maksimal (dari semester VI/VII s/d selesai) e. Bantuan maksimal (dari semester VIII s/d selesai) f. Bantuan maksimal pada saat penelitian atau penyusunan laporan 2.000.000 1.000.000 4.000.000 2.500.000 1.500.000 7.500.000 6.500.000 5.000.000 1.500.000 18.000.000 15.000.000 11.000.000 8.500.000 6.500.000 3.500.000 B. C. PASCA SARJANA (S 2) a. Bantuan maksimal (dari semester I s/d selesai ) b. Bantuan maksimal (dari semester II/III s/d selesai) c. Bantuan maksimal (dari semester IV) d. Bantuan maksimal pada saat penelitian e. Bantuan maksimal pada saat penyusunan laporan DOKTOR (S 3) a. Bantuan maksimal (dari semester I s/d selesai ) b. Bantuan maksimal (dari semester II/III s/d selesai) c. Bantuan maksimal (dari semester IV/V s/d selesai) d. Bantuan maksimal (dari semester VI/VII s/d selesai) e. Bantuan maksimal (dari semester VIII s/d selesai) f. Bantuan maksimal pada saat penelitian g. Bantuan maksimal pada saat penyusunan laporan 42.000.000 36.000.000 24.000.000 18.000.000 12.000.000 120.000.000 105.000.000 85.000.000 60.000.000 42.000.000 30.000.000 21.000.000 21

Standardisasi Biaya Mahasiswa Pegawai Tugas Belajar 2016 Standardisasi Biaya Mahasiswa Pegawai Tugas Belajar 22

Standardisasi Biaya Mahasiswa Pegawai Tugas Belajar 2016 XI. Standardisasi Biaya Mahasiswa Pegawai Tugas Belajar Jenjang Pendidikan No Uraian Biaya Keterangan D III S1 S2 S3 (1) (2) (3) (4) (5) (6) (7) 1 Biaya Seleksi 385.000 462.000 539.000 616.000 1 x sel. pend. 2 Biaya perjalanan ke tempat 1.500.000 1.500.000 1.500.000 1.500.000 1 x sel. pend. pendidikan 3 Biaya matrikulasi * * * * - 4 SPP * * * * - 5 Pengembangan fakultas/yang * * * * - sejenis 6 Praktik * * * * - 7 Buku 1.870.000 1.870.000 1.870.000 2.200.000 Per semester 8 Pondokan (Luar Daerah) 1.500.000 1.500.000 1.500.000 1.500.000 Per bulan Pondokan (Dalam Daerah) 1.000.000 1.000.000 1.000.000 1.000.000 Per bulan 9 Tunjangan belajar 2.000.000 2.500.000 3.000.000 3.500.000 Per bulan, tidak mendapatkan TPP selama belajar 10 Biaya penelitian 1.650.000 2.200.000 3.300.000 3.850.000 1 x sel. pend. 11 Biaya penyusunan 1.540.000 2.310.000 3.080.000 3.850.000 1 x sel. pend. TA/skripsi/thesis/disertasi 12 Biaya wisuda 1.540.000 2.310.000 3.080.000 3.850.000 1 x sel. pend. 13 Biaya perjalanan ke tempat 1.500.000 1.500.000 1.500.000 1.500.000 1 x sel. pend. asal/kepulangan 14 Biaya pelatihan khusus (komputer, 1.320.000 1.320.000 1.320.000 1.320.000 1 x sel. pend. Bahasa Inggris, dll) 15 Biaya magang/kkn/on the job training 1.650.000 2.200.000 2.750.000 3.300.000 1 x sel. pend. *) Menyesuaikan besaran biaya yang berlaku pada masing-masing Perguruan Tinggi 23

Standardisasi Pelaksanaan Diklat 2016 Standardisasi Pelaksanaan Diklat 24

Standardisasi Pelaksanaan Diklat 2016 XII. Standardisasi Pelaksanaan Diklat No Uraian Standard Biaya (Rp) (1) (2) (3) 1. Pakaian seragam olah raga (Baju kaos + Celana panjang + Sepatu) per orang (Diklatpim Tk II, III dan IV, dan Prajabatan) 605.000/ orang 2. Transport Lokal Peserta Diklat Kepemimpinan (Luar Daerah) 3.630.000 / paket 3. Uang Saku Peserta Diklat Kepemimpinan 7.260.000 / paket 4. Bantuan Penyusunan Laporan Akhir Peserta Diklat Kepemimpinan (Luar daerah) 5. Medical Check Up (MCU) Peserta Diklat Kepemimpinan (Luar Daerah) biasanya hasil MCU dilampirkan bersama dengan persyaratan berkas lainnya sebelum diklat dilaksanakan 1.210.000 / paket 1.500.000 / paket 6. Pakaian Sipil Lengkap (PSL) khusus untuk peserta diklat 1.815.000 / orang 7. Pakaian Batik khusus untuk peserta diklat 484.000 / orang 8. Biaya riset/penelitian peserta Diklat Kepemimpinan 3.025.000 / orang A. Rincian Standard Biaya Umum (SBU) Diklat PNS Tahun 2014 Sesuai dengan Peraturan Kepala LAN No. 20 Tahun 2013 Tentang Standard Biaya Umum Pendidikan Dan Pelatihan Pegawai Negeri Sipil Tahun 2014 B. Rincian Standard Biaya Umum (SBU) Diklat Prajab Calon PNS Sesuai dengan Surar Edaran Deputi Bidang Diklat Aparatur Nomor 2763/D.2/HKM.04.2Tentang Pembiayaan Pendidikan Dan Pelatihan Prajabatan Calon Pegawai Negeri Sipil Golongan I, Golongan II, dan Golongan III yang Diangkat dari Tenaga Honorer Kategori 1 dan/atau Kategori 2, Calon Pegawai Negeri Sipil Golongan III, dan Golongan I dan II 25

Standardisasi Pelaksanaan Diklat 2016 Standardisasi Bantuan Pegawai 26

Standardisasi Pelaksanaan Diklat 2016 XIII. Standardisasi Bantuan Pegawai Diatur dengan SK Gubernur tersendiri 27

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-Obatan 28

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 XIV. Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) A. BENIH PADI DAN PALAWIJA 1 Benih Dasar Padi Sawah (BD) kg 8.500 UPTD BBI Padi dan Palawija 2 Benih Pokok Padi Sawah (BP) kg 7.500 sda 3 Benih Sebar Padi Sawah (BR) kg 7.500 Penangkar benih padi wilayah kaltim 4 Benih Padi Lokal (Ladang/Sawah) kg 17.000 Tingkat Petani 5 Benih Padi Hibrida kg 57.000 Sang Hyang Sri 6 Benih Padi Inbrida kg 9.500 PT. Pertani 7 Benih Jagung Komposit (BD) kg 13.000 UPTD BBI Padi dan Palawija 8 Benih Jagung Komposit (BP) kg 10.000 sda 9 Benih Jagung Komposit (BR) kg - - 10 Benih Jagung Hibrida (Pertiwi 3) kg 50.000 Bintang Permata Tani 11 Benih Jagung Hibrida (Pioner P21) kg 76.500 Bursabibit.com 12 Benih Kedelai (BD) kg 14.000 UPTD BBI Padi dan Palawija 13 Benih Kedelai (BP) kg 12.000 sda 14 Benih Sebar Kedelai kg 17.000 PT. Pertani 15 Benih Kacang Tanah (polong) kg 15.000 UPTD BBI Padi dan Palawija 16 Benih Kacang Hijau kg 15.000 sda B. PUPUK BERSUBSIDI 1 Urea kg 1.800 PT. Pertani 2 SP 36 kg 2.000 tetap 3 ZA kg 1.400 tetap 4 NPK Organik kg 2.300 tetap 5 NPK Pelangi kg 2.300 PT. Pertani 6 NPK Phonska kg 2.300 PT. Pertani C. PUPUK NON SUBSIDI 1 Pupuk Urea Non Subsidi kg 6.000 Distributor/Toko/UD. pertanian 2 Pupuk Urea (Daun Buah) - GD. Samarinda kg 4.662 PT. Pupuk Kaltim - GD. Balikpapan kg 5.700 tetap 3 Pupuk Urea Prill/tablet kg 5.600 PKT/PT. Petrokimia 4 Pupuk SP-36 Non Subsidi (Petro) kg 6.500 PT. Petrokimia 5 Pupuk KCl ex. Rusia kg 7.500 PT. Pertani 6 Pupuk KCl - Manunggal kg 2.500 Bintang Permata Tani 7 Pupuk TSP- Mahkota kg 6.750 sda 8 Pupuk TSP- China kg 6.750 PT. Pertani 9 Pupuk ZA - Import kg 4.800 PT. Pertani 10 Pupuk ZK kg 6.100 tetap 11 Zink Phosphat 50 kg 60.000 tetap 12 NPK Pelangi (15:15:15) kg 6.500 PT. Pertani 13 NPK Pelangi 20:10:10 kg 4.600 tetap 14 NPK Pelangi 20:6:6 kg 5.000 tetap 15 NPK Phonska (15:15:15) kg 6.500 PT. Pertani 16 NPK Pelangi (16:16:16) kg 6.750 PT. Pertani 17 NPK Phonska (15:15:15) kg 6.500 PT. Pertani 18 NPK Kebomas (16:16:16) kg 6.750 PT. Pertani 19 NPK Yara (16:16:16) kg 9.900 Bintang Permata Tani 20 Pupuk NPK 16:16:16 Mutiara kg 10.000 Toko pertanian / UD./ 29

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) Distributor 21 NPK Bintang Kuda Laut 15:7:8 kg 5.000 tetap 22 NPK Kujang kg 2.300 tetap 23 Pupuk NPK Organik Non Subsidi kg 5.600 tetap 24 Pupuk SP 18 - Bintang Kuda Laut/BKL kg 3.500 PT. Pertani 25 Kiserite - Mahkota/China kg 3.300 Bintang Permata Tani - China kg 2.300 PT. Pertani 26 Borate - USA/Turkey/Cap Tawon kg 12.000 PT. Pertani - cap tawon kg 25.000 Bintang Permata Tani 27 Rock Phosphat - Mahkota kg 2.800 Bintang Permata Tani 28 Rock Phosphat ex. Mesir kg 2.300 tetap 29 Pupuk Organik Granul (POG) - POG BKL kg 2.850 PT. Pertani - POG Bintang Kuda Laut kg 2.400 tetap 30 Pupuk Organik Cair (POC) - BKL ltr 65.000 PT. Pertani - Cakra Borneo ltr 80.000 UD. Tani Baru - Boi sugih petani ltr 75.000 Bintang Permata Tani 31 Pupuk Daun - Gandasil D/B 100 gr 100 gr 8.000 Toko pertanian / UD. - Gandasil D/B 500 gr 500 gr 31.000 sda - Bayfolan 5 liter 5 ltr 190.000 Bintang Permata Tani - Growquick 100 ml 100 ml 40.000 sda - Growmore 500 gr 500 gr 32.500 sda 32 Pupuk Organik/Kandang kg 1.700 tetap 33 Tanah Pupuk @ 5 kg 5 kg 10.000 FS. Amelia Indah Jaya di Jln. Kesejahteraan 34 Pupuk Kandang Tanaman @ 1.5 kg 1.5 kg 10.000 Paris Garden Vorvoo 35 Sekam Bakar @ 2 kg 2 kg 15.000 sda 36 Pupuk Bokasi kg 5.000 tetap 37 Pupuk Hayati Organik Ltr 65.000 tetap 38 Pupuk Hayati Organik- Symbiosis Ltr 66.000 tetap 39 Pupuk Kompos kg 1.100 tetap 40 PT Kompos kg 20.000 tetap 41 Pupuk Kompos @ 20 kg kg 1.750 Bintang Permata Tani 42 Agen Hayati /Biota Max (tablet) tablet 65.000 tetap 43 Pupuk Hayati -Kayabio @ 5 kg kg 18.000 UD. Tani Baru 44 Pupuk Organik Granul Plus kg 2.500 tetap 45 ZPT - Atonik 500 ml 500 ml 49.000 Toko pertanian / UD. - Greener 250 ml 250 ml 25.000 tetap - Greentonik 500 ml 500 ml 8.250 Toko pertanian / UD. 46 Kapur Pertanian - Procals kg 12.500 PT. Pertani - Dolomit kg 960 tetap - Mesh 60 kg 860 Toko pertanian / UD./ Distributor - Mesh 80 kg 960 PT. Pertani - Mesh 100 kg 1.225 D. PESTISIDA/HERBISIDA 1 Basmilang 480 AS 1 ltr 58.000 Toko pertanian / UD./ Distributor Toko pertanian / UD./ Distributor 30

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 2 Gramoxon -Gramoxon Kemasan 0,50 liter 0.5 ltr 33.500 Bintang Permata Tani - Gramoxon Kemasan 1 liter 1 ltr 60.000 sda - Gramoxon Kemasan 5 liter 5 ltr 282.900 sda - Gramoxon Kemasan 20 liter 20 ltr 1.000.000 Toko pertanian / UD. 3 Roundup ltr 72.500 Toko pertanian / UD./ Distributor 4 Applaud 10 WP 0.25 ltr 130.000 sda 5 Bitop 531 Sl Kemasan 1 liter ltr 60.000 sda 6 Gramaquat - Gramaquat Kemasan 1 liter 1 ltr 60.000 sda - Gramaquat Kemasan 20 liter 20 ltr 1.140.000 Gunung Kombeng 7 Gempur - Gempur Kemasan 1 liter 1 ltr 55.000 Toko pertanian / UD./ Distributor - Gempur Kemasan 20 liter 20 ltr 1.000.000 Gunung Kombeng 8 Lindas 240 SL Kemasan 1 liter ltr 38.000 Toko pertanian / UD./ Distributor 9 Sida up Kemasan 1 liter ltr 56.500 PT. Pertani 10 - Laris Kemasan 1 liter ltr 27.500 sda 11 Sidaxone 276 SL 1 ltr 51.000 sda 12 Ally 250 gr 135.000 Toko pertanian / UD./ Distributor 13 Starmin 865 SL ltr 80.000 Toko pertanian / UD. E. PESTISIDA/FUNGISIDA 1 Dithane M-45 kg 90.000 Toko pertanian / UD./ Distributor 2 Fungisida/Fenosida 255 EC- 250 ml botol 285.000 PT. Pertani 3 Score 250 EC - Score 250 EC Kemasan 80 ml 80 ml 48.000 Gunung Kombeng - Score 250 EC Kemasan 250 ml 250 ml 140.000 sda 4 Agreb 500 gr 130.000 Bintang Permata Tani 5 Amistartop250 ml 250 ml 180.000 Gunung Kombeng 6 Topsin 70 WP 500 gr 70.000 Toko pertanian / UD. 7 Topsin 500 SC 500 ml 165.000 100 gr 17.500 Indo Tani far Toko pertanian / UD./ Distributor 8 Victori mix 400 gr 400 gr 50.000 sda 9 Benlate 250 gr 250 gr 75.000 sda F. PESTISIDA/INSEKTISIDA 1 Bassa 500 EC 400 ml 32.500 Toko pertanian / UD./ Distributor 500 ml 71.000 PT. Pertani 2 - Tetrin Kemasan 400 ml 400 ml 37.000 Toko pertanian / UD./ Distributor 3 Rudal Kemasan 500 ml 500 ml 41.000 Gunung Kombeng 4 Mipcinta 50 WP - Mipcinta 50 WP Kemasan 100 gram 100 gr 10.000 Toko pertanian / UD. - Mipcinta 50 WP Kemasan 500 gram 500 gr 37.500 Toko pertanian / UD./ 5 Montaf 400 SL 1 ltr 73.000 Distributor Toko pertanian / UD./ Distributor 6 Petrofur 3 G Kemasan 2 Kg 2 kg 24.000 Bintang Permata Tani 7 Curacron 500 EC - Curacron 500 EC Kemasan 100 ml 100 ml 27.000 Gunung Kombeng 31

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) - Curacron 500 EC Kemasan 250 ml 250 ml 66.000 Toko pertanian / UD./ Distributor - Curacron 500 EC Kemasan 500 ml 500 ml 115.000 Gunung Kombeng 8 Supracide 25 WP Kemasan 100 ml 100 ml 50.000 tetap 9 Matador 250 EC - Matador 250 EC Kemasan 80 ml 80 ml 21.000 Bintang Permata Tani - Matador 250 EC Kemasan 250 ml 250 ml 50.000 Gunung Kombeng - Matador 250 EC Kemasan 1 liter 1 ltr 212.000 PT. Pertani 10 Sidador 30 EC 500 ml 82.000 tetap 11 Pegasus Kemasan 80 ml 80 ml 55.000 Gunung Kombeng 12 Sidacron 510 EC 400 ml 400 ml 110.000 tetap 13 Lanate 500 gr 68.500 Bintang Permata Tani 100 gr 22.000 Gunung Kombeng 14 Agrimex 100 ml 150.000 Bintang Permata Tani 15 Stutman 500 SL 500 ml 73.000 tetap 16 Sidatan 420 SL ltr 59.000 tetap G. PESTISIDA/RODENTISIDA 1 Sidarat 0.005 BB 1 kg 30.000 PT. Pertani 2 Petrokum RMB 100 gr 6.000 Bintang Permata Tani 1000 gr 30.000 PT. Pertani 3 Klerat RMB - Klerat RMB Kemasan 1 Kg 1 kg 55.000 Toko pertanian / UD./ Distributor - Klerat RMB Kemasan 5 Kg 5 kg 210.000 Bintang Permata Tani H. PESTISIDA/MOLUSKISIDA 1 Sapokil kg 6.500 Gunung Kombeng 25 kg 185.000 Indo Tanifar 2 Sendene 250 EC 400 ml 160.000 Toko pertanian / UD./ Distributor I. PHT 1 Cendawan Antagonis Trichoderma spp. (Keliau Derma) - PDA (Isolat Murni) padat Tabung 30.000 UPTD Proteksi TPH - Media PDA Isolat Tricho cair Liter 35.000 sda - Media Isolat Tricho padat Kg 40.000 sda 2 Kompos + Starter Trichoderma spp Kg 5.000 sda 3 Bakteri Antagonis Pseudomonas fluoresceens (PF) - Isolat PF cair Liter 45.000 sda - Kompos + cairan PF Kg 6.000 sda 5 kg 25.000 sda 4 PDA Isolat Coryne bacterium (cair) Liter 40.000 sda 5 Cendawan Patogen Serangga Metarrhizium sp. - Starter (padat) 100 gr 12.500 sda - Media PDA Isolat Metarrhizium Liter 40.000 sda - Stater murni padat 100gr/Bks 7.000 sda 6 Cendawan Patogen Serangga Beauveria bassiana - Starter BB padat 100 gr 12.500 sda - Starter murni padat 100 gr 7.000 sda 7 Nematoda Entomopatogen (NEP) - Spon/Tepung Bks 20.000 sda J. ALAT-ALAT BANTU PERTANIAN 1 Cangkul cap Mata Buaya buah 85.000 PT. Pertani 32

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 2 Cangkup cap Mata buah 60.000 tetap 3 Gembor Plastik 10 ltr buah 50.000 Gunung Kombeng 4 Arit biasa buah 50.000 PT. Pertani 5 Parang buah 70.000 Toko pertanian / UD./ Distributor 6 Sabit bergirigi cap siku tani buah 40.000 PT. Pertani 7 Gergaji pangkas buah 100.000 Toko pertanian / UD./ Distributor 8 Gunting stek buah 40.000 Bintang Permata Tani 9 Pisau Okulasi buah 45.000 Bintang Permata Tani 10 Hand Sprayer merk Solo GAT unit 350.000 tetap 11 Hand Sprayer merk Solo Indonesia unit 255.000 Bintang Permata Tani 12 Hand Sprayer merk Solo German unit 365.000 Bintang Permata Tani 13 Hand Sprayer merk Maspion (German) unit 550.000 tetap 14 Hand Sprayer merk Crocodile unit 525.000 tetap 15 Hand Sprayer SP-14 unit 375.000 tetap 16 Hand Sprayer Swan SL-15 unit 270.000 PT. Pertani 17 Hand Sprayer Swan SA-15 unit 410.000 PT. Pertani 18 Kampak buah 65.000 tetap 19 Paket Alat Ubinan Padi Unit 1.840.000 PT. Subur Djaja Teguh K. BENIH SAYURAN 1 Benih Pare Raden 100 gr 41.000 Bintang Permata Tani 2 Benih Buncis Perkasa 500 gr 50.000 sda 3 Benih Melon Okasa bks 90.000 sda 4 Benih Jagung Bonanza 200 gr 58.000 sda 5 Benih Cabe Rawit Dewata F1 bks 90.000 sda 6 Benih Cabe Besar Darmais bks 100.000 sda 7 Benih Cabe Keriting Jenggo bks 34.000 sda 8 Benih Timun Roman bks 90.000 sda 9 Benih Kacang Panjang Parade Tavi bks 172.500 sda 10 Benih Tomat Servo bks 16.000 sda 11 Benih Selada Grand Rapids bks 21.000 sda 12 Benih Oyong/Gambas Prima bks 46.000 sda 13 Benih Labu Suprema 225 gr 18.000 sda 14 Benih Labu Ruma bks 38.000 sda 15 Benih Semangka Biji Torino bks 120.000 sda 16 Benih Semangka Agromas Tanpa Biji bks 28.500 sda 17 Benih Seledri Amigo bks 32.000 sda 18 Benih Terong Ratih Ungu 10 gr/bks 107.000 sda 19 Benih BayamMaestro 500 gr 45.000 sda 20 Benih Kangkung kg 20.000 sda L. BIBIT BUAH - BUAHAN (dijual umum) 1 Bibit durian Okulasi (unggul nasional) Pohon 25.000 Penangkar /Pengecer Bibit Hortikultura 2 - Durian Otong Pohon 20.000 sda 3 - Durian Sitokong Pohon 20.000 sda 4 - Durian Montong Pohon 40.000 5 Bibit durian Okulasi (unggul lokal) Pohon 20.000 sda 6 Bibit durian Okulasi (benih induk) Pohon 93.500 tetap 7 Bibit Lai Durian Pohon 25.000 Penangkar /Pengecer Bibit Hortikultura 8 Durian Unggul (Monoklonel) Pohon 100.000 tetap 9 Bibit rambutan Okulasi (unggul nasional) Pohon 25.000 Penangkar /Pengecer Bibit Hortikultura 10 Bibit Rambutan Rapiah Pohon 25.000 sda 33

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 11 Bibit Rambutan Binjai Pohon 25.000 sda 12 Bibt Rambutan Garuda Pohon 40.000 sda 13 Bibit Rambutan (cangkok) Pohon 50.000 sda 14 Bibit Jeruk Manis (Siam,Keprok okulasi) Pohon 15.000 sda 15 Bibit Sukun Pohon 10.000 tetap 16 Bibit Salak Pohon 30.000 Penangkar /Pengecer Bibit Hortikultura 17 Bibit Mangga Pohon 25.000 sda 18 Pisang (anakan/bibit) Pohon 8.000 sda 19 Pisang (kultur jaringan) Pohon 18.000 sda 20 Bibit rambutan Okulasi (benih induk) Pohon 30.000 tetap 21 Bibit Belimbing buah Pohon 25.000 Penangkar /Pengecer Bibit Hortikultura 22 Bibit Belimbing Denmark Pohon 25.000 sda 23 Bibit Belimbing buah Pohon 25.000 sda 24 Bibit Belimbing Denmark Pohon 25.000 sda 25 Bibit Belimbing Tunjuk Pohon 25.000 Penangkar /Pengecer Bibit Hortikultura 26 Bibit Cempedak Pohon 25.000 sda 27 Bibit Daun Salam Pohon 10.000 sda 28 Bibit Jeruk Manis Pohon 25.000 sda 29 Bibit Jeruk Nipis Pohon 25.000 sda 30 Bibit Jeruk Purut Pohon 25.000 sda 31 Bibit Jeruk Sambel Pohon 25.000 sda 32 Bibit Jeruk Sunkis Pohon 25.000 sda 33 Bibit Jambu Cincalo Pohon 25.000 sda 34 Bibit Jambu kelutuk Pohon 25.000 sda 35 Bibit Kedondong Pohon 25.000 sda 36 Bibit Langsat/duku Pohon 25.000 sda 37 Bibit Manggis Pohon 50.000 sda 38 Bibit Pete Pohon 25.000 sda 39 Bibit Sawo Pohon 50.000 sda 40 Bibit Sirsak Pohon 25.000 sda 41 Bibit Srikaya Pohon 25.000 sda 42 Bibit Jambu Pohon 25.000 sda 43 Bibit Alpukat Pohon 25.000 sda 44 Bibit Kelengkeng Pohon 35.000 sda 45 Bibit Kelengkeng Itoh, tinggi 75-100cm Pohon 135.000 Jawa 46 Bibit Kelengkeng Itoh, tinggi 50-70cm Pohon 115.000 Jawa M.1 BIBIT BUAH - BUAHAN (BF) 1 Benih Jeruk - Benih Sebar (BR) Batang 8.000 UPTD BBI Hortikultura - Benih Pokok (BP) Batang 12.500 sda 2 Benih Durian dan Lai - Benih Sebar (BR) Batang 15.000 sda - Benih Pokok (BP) Batang 17.500 sda - Benih Dasar (BD) Batang 40.000 sda 3 Benih Rambutan - Benih Sebar (BR) Batang 10.000 sda - Benih Pokok (BP) Batang 15.000 sda 4 Benih Duku/Langsat - Benih Sebar (BR) Batang 15.000 sda - Benih Pokok (BP) Batang 17.500 sda 5 Benih Buah Lainnya - Benih Sebar (BR) Batang 10.000 sda 34

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) - Benih Pokok (BP) Batang 15.000 sda 6 Benih Buah (Stek/Anakan) - Benih Sebar (BR) Batang 5.000 sda - Benih Pokok (BP) Batang 10.000 sda 7 Benih Buah Tertentu (biji) Batang 5.000 sda 8 Benih Obat-obatan (rimpang) Kg 12.000 sda 9 Mata Tempel - Blok Fondasi Mata 500 sda - Blok Penggandaan Mata Tempel Mata 250 sda (BPMT) M.2 TANAMAN HIAS ANGGREK (BF) 1 Anggrek botol Botol 25.000 sda 2 Compot anggrek Pot 30.000 sda 3 Single pot anakan anggrek Pot 4.000 sda 4 Anggrek remaja Pot 25.000 sda 5 Anggrek berbunga Pot 35.000 sda 6 Anggrek tanah stek Stek 3.000 sda M.3 TANAMAN HIAS NON ANGGREK (BF) 1 Melati Jakarta Polybag 5.000 sda 2 Karambusa mini Polybag 5.000 sda 3 Brokoli Polybag 5.000 sda 4 Sedap malam Polybag 5.000 sda 5 Agave Polybag 5.000 sda 6 Sabang dara Polybag 5.000 sda 7 Bucai Polybag 5.000 sda 8 Bromolia Polybag 5.000 sda 9 Gusmania Polybag 5.000 sda 10 Bigonia Polybag 5.000 sda 11 Gelombang cinta dalam pot Pot 50.000 sda 12 Gelombang cinta anakan Polybag 5.000 sda 13 Bougenvil dalam pot Pot 50.000 sda 14 Bougenvil stek dalam polybag Polybag 5.000 sda M.4 RETRIBUSI/SEWA PENGINAPAN/ PESANGGRAHAN 1 Sewa pendopo per Hari 300.000 sda 2 Sewa Villa Single per Hari 100.000 sda 3 Sewa Villa Couple per Hari 50.000 sda 4 Sewa saung per Hari 50.000 sda 5 Sewa lokasi camping per Hari 100.000 sda 6 Sewa lokasi pancing per Hari 200.000 sda 7 Karcis masuk kebun buah per Org 2.500 sda N.1. TANAMAN HIAS ANGGREK dan NON Flower shop, Tanaman ANGGREK (dijual umum) hias & Bibit Hortikultura 1 Anggrek Vanda Douglas - Anggrek Vanda Douglas (panas) Pohon 20.000 Taman Tiga Saudara di Vorvoo - Anggrek Vanda Douglas (bangkok) Pohon 30.000 sda 2 Anggrek Dendrobium Pohon 50.000 sda 3 Anggrek Oncidium Pohon 35.000 tetap 4 Anggrek Alam : - Cologine sp (anakan) Pohon 30.000 tetap - Cimbidium (anakan) Pohon 25.000 tetap - Eria sp (anakan) Pohon 25.000 tetap 35

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) - Oncodim (anakan) Pohon 25.000 tetap 5 Dendrobium spektrum (anakan) Pohon 40.000 tetap 6 Catleya Pohon 250.000 Taman Tiga Saudara di Vorvoo 7 Dendrobium sp (anakan) Pohon 65.000 Paris Garden di Vorvoo 8 Spenderlili (anakan) Pohon 30.000 tetap 9 Gusmania (anakan) Pohon 25.000 Taman Tiga Saudara di Vorvoo 10 Palm raja (biji) Pohon 75.000 sda 11 Palm Ambin (bji) Pohon 600.000 tetap 12 Palm Kipas (biji) Pohon 50.000 Taman Tiga Saudara di Vorvoo 13 Palm Serdang (biji) Pohon 1.000.000 Amelia Indah Jaya di Jln. Kesejahteraan 14 Palm Bencong (biji) Pohon 100.000 tetap 15 Crossandra (stek) Pohon 10.000 tetap 16 Lavender (stek) Pohon 7.000 Amelia Indah Jaya di Jln. Kesejahteraan 17 Anggrek Bandung (anakan) Pohon 7.500 Amelia Indah Jaya di Jln. Kesejahteraan 18 Blue Ewyw (stek) Pohon 15.000 tetap 19 Bromolia (stek) Pohon 75.000 Taman Tiga Saudara di Vorvoo 20 Bunga pukul 9 (stek) Pohon 5.000 sda 21 Kucai (anakan) Pohon 5.000 sda 22 Tapak Dara (anakan) Pohon 10.000 sda 23 Melati China (stek) Pohon 10.000 sda 24 Walisongo (stek) Pohon 15.000 sda 25 Glodokan (stek) Pohon 35.000 sda 26 Bunga Merpati (stek) Pohon 15.000 Paris Garden di Vorvoo 27 Palm Ekor Tupai (anakan) Pohon 50.000 Taman Tiga Saudara di Vorvoo 28 Palm Putri (anakan) Pohon 50.000 sda 29 Palm merah (anakan) Pohon 100.000 sda 30 Dracena Tricolor (stek) Pohon 10.000 Paris Garden di Vorvoo 31 Lolipop (anakan) Pohon 15.000 tetap 32 Euphorbia (stek) Pohon 35.000 Taman Tiga Saudara di Vorvoo 33 Hotensia (stek) Pohon 35.000 sda 34 Daun Bahagia (stek) Pohon 35.000 tetap 35 Simbang Dara (stek) Pohon 15.000 Taman Tiga Saudara di Vorvoo 36 Nephenthes (anakan) Pohon 20.000 tetap 37 Akalipa (anakan) Pohon 10.000 Taman Tiga Saudara di Vorvoo 38 Anthurium/Jemani (anakan) Pohon 35.000 sda 39 Gelombang Cinta (anakan) Pohon 35.000 sda 40 Pisang - Pisangan (anakan) Pohon 15.000 sda 41 Heliconia (anakan) Pohon 10.000 sda 42 Karet merah (stek) Pohon 75.000 Paris Garden di Vorvoo 43 Batavia (sambung/grfting) Pohon 18.000 tetap 44 Alamanda (stek) Pohon 15.000 Taman Tiga Saudara di Vorvoo 45 Monstera (stek) Pohon 22.000 tetap 46 Mawar Mini (stek) Pohon 15.000 Paris Garden di Vorvoo 47 Mawar Taman (okulasi) Pohon 25.000 sda 36

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 48 Arachis (stek) Pohon 6.000 tetap 49 Begonia (stek) Pohon 35.000 Taman Tiga Saudara di Vorvoo 50 Asoka (stek) Pohon 5.000 Paris Garden di Vorvoo 51 Tanduk rusa (anakan) Pohon 100.000 sda 52 Tombak Radja (stek) Pohon 50.000 sda 53 Agave (anakan) Pohon 25.000 sda 54 Lidah mertua (anakan) Pohon 10.000 sda 55 Melati (stek) Pohon 10.000 sda 56 Dadap Merah (anakan) Pohon 100.000 sda 57 Bunga Kupu - Kupu (stek) Pohon 100.000 sda 58 Aliander (stek) Pohon 50.000 sda 59 Kamboja (stek) Pohon 50.000 sda 60 Eadenium (sambung/grafting) Pohon 100.000 sda 61 Puring (stek) Pohon 15.000 sda 62 Kembang Septu (stek) Pohon 10.000 sda 63 Bauginville 3 warna (stek) Pohon 50.000 sda 64 Bauginville 1 warna (stek) Pohon 50.000 sda 65 Nusa Indah 3 warna (stek) Pohon 15.000 sda 66 Bayam - Bayaman (stek) Pohon 5.000 sda 67 Nona Makan Sirih (stek) Pohon 15.000 Taman Tiga Saudara di Vorvoo 68 Sirih Gading (stek) Pohon 10.000 Paris Garden di Vorvoo 69 Sari Gading (tanaman bahari) Pohon 750.000 Amelia Indah Jaya di Jln. Kesejahteraan 70 Daun Pilo (stek) Pohon 25.000 Paris Garden di Vorvoo 71 Pilo Marbel Pohon 500.000 Amelia Indah Jaya di Jln. Kesejahteraan 72 Singginium (stek) Pohon 12.000 tetap 73 Sabrina (stek) Pohon 12.000 tetap 74 Nanas Kerang (stek) Pohon 25.000 Paris Garden di Vorvoo 75 Daun Bludru (stek) Pohon 35.000 Taman Tiga Saudara di Vorvoo 76 Janggot Nabi (stek) Pohon 6.000 tetap 77 Kaktus Kodok (stek) Pohon 20.000 Paris Garden di Vorvoo 78 Anggrek Vanda (stek) Pohon 15.000 tetap 79 Kaktus Kecil (stek dan sambung) Pohon 15.000 Paris Garden di Vorvoo 80 Kaktus Ukuran Sedang (stek dan sambung) Pohon 25.000 sda 81 Kaktus Ukuran Besar (stek dan sambung) Pohon 150.000 Taman Tiga Saudara di Vorvoo 82 Kaktus Belimbing (stek dan sambung) Pohon 15.000 tetap 83 Anggrek Phalaenopsis Pohon 140.000 Paris Garden di Vorvoo N.2. TANAMAN OBAT 1 Bibit Jahe Pohon 15.000 Taman Tiga Saudara di Vorvoo 2 Bibit Kunyit Pohon 15.000 sda 3 Bibit Temu Lawak Pohon 15.000 sda 4 Bibit Temu Putih Pohon 15.000 sda 5 Bibit Jahe merah Pohon 15.000 sda 6 Bibit Jahe Putih Pohon 15.000 sda 7 Bibit Kencur Pohon 15.000 sda 8 Bibit Temu Giring Pohon 15.000 sda 9 Bibit Mahkota Dewa Pohon 25.000 Paris Garden di Vorvoo 10 Bibit Mengkudu Pohon 35.000 sda 11 Bibit Sambiloto Pohon 25.000 sda 37

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 12 Bibit Tempuyang Pohon 25.000 sda O. ALAT MESIN PERTANIAN 1 Traktor roda 2 Quick G 1000 + Kubota RD 85 DI - 2S Unit 23.898.000 e-katalog 2 Traktor roda 2 Quick G 3000 Zeva + Kubota RD 85 DI - 2S Unit 24.864.000 e-katalog 3 Traktor roda 2 Quick Zena rotary + Kubota RD 110 DI-2T Unit 33.854.000 e-katalog 4 Traktor roda2 Yanmar Model Revo (8.5 HP) Unit 25.866.303 e-katalog 5 Traktor roda2 Yanmar Tipe rotary Model YZC-L + roda besi Unit 41.660.300 e-katalog 6 Cultivator Honda F 220 (rotary axie + satu roda depan) Unit 16.850.000 e-katalog 7 Cultivator Quicj Cakar Baja + GX 200 T2 GTB + main rotary Blade B.+ ridger Unit 13.613.000 e-katalog 8 Cultivator Quicj Cakar Baja + GX 200 T2 GTB + main rotary Blade J.+ ridger Unit 13.539.000 e-katalog 9 Cultivator Quicj Cakar Baja + GX 200 T2 GTB + main rotary Blade S.+ ridger Unit 13.552.000 e-katalog 10 Cultivator Yanmar Model Te 550 n + Perlengkapan Hex Rotor 700 dan ridger Unit 16.596.100 Subur Rejeki Abadi 11 Pompa air 4 inch Niagara GTO 4 + Diesel merk Kubota RD 85 1S (8.5 HP) Unit 24.407.000 e-katalog 12 Pompa air 3 inch Niagara GTO 4 + Diamond DI 800 H (8.5 HP) Unit 20675000 e-katalog 13 Pompa air 2 inch Ebara Model 50 SQPB (2"), Diesel Engine Yanmar/ Kubota daya Unit 18.750.000 e-katalog 6.5 HP/ 2200 rpm 14 Pompa air 4 inch Ebara Model 100 SQPB (4"), Diesel Engine Yanmar/ Kubota daya Unit 21.950.000 e-katalog 8.5 HP/ 2200 rpm 15 Mesin Perontok Multiguna, merk Agrindo Model TPA 1000 MG + Diessek merk Diamond Model DI 800 H (8 HP) Unit 18.600.000 e-katalog (PT. Rutan) 16 17 18 19 20 21 22 23 Mesin Perontok Multiguna Gunung Biru, Power Thresher Multiguna (TH6=VS) Mesin Perontok Multiguna MBI, Power Thresher Model MBI, PT 1000m/ mesin diessel Yanmar TF 65 R plus corong multiguna. Mesin Perontok Multiguna MBI, Power Thresher Model MBI,PT 1000moi/ mesin bensin Honda, GX 270 plus corong multiguna. Crown Combine Hrvester Model merk Crown Model 7130 Hornet Crown Combine Hrvester Model 790 Tomcat Combine Harvester Futata mesin panen padi multifungsi + Yanmar TF 105 RE. Maxxi Corn Combine Haevester Maxxi G- Automatic Crown Rice Trsnsplanter Model CRT 45 N + penggerak bensin motor Yamaha 5,5 HP di lengkapi Seedding tray 20 brush Unit 18.900.000 Unit 18.100.500 Unit 14.518.400 e-katalog (CV. Adi Setia Utama Jaya) e-katalog (PT. Mitra Balai Industri) e-katalog (PT. Mitra Balai Industri) Unit 154.850.000 e-katalog (PT. Rutan) Unit 88.350.000 e-katalog (PT. Rutan) Unit 109.800.000 Unit 298.000 e-katalog (PT. Om. Hwahaha) e-katalog (PT. Corn Mulia Gemilang) Unit 64.757.500 e-katalog (PT. Rutan) 38

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 24 Rice Transplanter Yanmar Model AP 4 + e-katalog (PT. Yanmar Unit 70.340.750 Nursery Tray 150 pch. Diesel Indonesia) 25 Perontok Padi Hercules EY. 200 Unit 9.000.000 Subur Rejeki Abadi 26 Hand Tractor tanpa rotary Kubota Quick G-3000 Unit 26.000.000 Subur Rejeki Abadi 27 Hand Tractor dengan rotary Yanmar/Kubota Unit 37.000.000 Subur Rejeki Abadi 28 Hand Tractor dan (Bromo Pro V2) + side Hitch Unit 25.000.000 Subur Rejeki Abadi 29 Hand Tractor dan (G-1000 Boxer) + Hitch II Model Baru "L" Unit 25.000.000 Subur Rejeki Abadi 30 Hand Tractor Quick G-1000 Boxer Kubota Unit 22.500.000 tetap 31 Hand Tractor Bromo Pro V2 Unit 25.000.000 Subur Rejeki Abadi 32 Paddy Reaper (alat pemanen padi) Unit 35.000.000 tetap 33 Cultivator paket lengkap Unit 23.500.000 Subur Rejeki Abadi 34 Paddy Reaper YAP-120 Unit 37.950.000 tetap 35 Power Thresher roda 2 Unit 22.000.000 tetap 36 Gandengan Tracktor roda 4 Buah 25.000.000 tetap 37 Gandengan Hand Tracktor Unit 6.500.000 tetap 38 Gandengan Hand Tracktor Unit 9.000.000 39 Pompa air 6 inch - 11.5 HP Buah 37.500.000 tetap 40 Pompa air 4 inch - 8.5 HP Yanmar lengkap pondasi Buah 31.250.000 tetap 41 Pompa air 8 inch - 16 HP Yanmar lengkap pondasi Buah 31.000.000 tetap 42 Tractor roda 4 Unit 400.000.000 tetap 43 Implement Tractor roda 4 (kelengkapan peralatan) Unit 200.000.000 tetap 44 Gandengan Tracktor roda 2 12.500.000 tetap 45 Power Thresher Mobile (roda-3) Unit 42.000.000 tetap 46 Power Thresher Mobile (roda-4) Unit 50.000.000 tetap 47 Power Thresher TH-6 Modifikasi Unit 19.150.000 tetap 48 Pedal Thresher Bermotor (Honda 5.5 HP) Unit 8.000.000 tetap 49 Corn Sheleer (kelobot) Unit 21.000.000 tetap 50 Corn Sheleer (tanpa kelobot) Unit 10.500.000 tetap 51 RMU Mobile 33 HP (mesin China) Unit 45.000.000 tetap 52 Pengaduk dodol kapasitas 40 Kg Unit 36.000.000 tetap 53 Vacum Prayer Unit 60.000.000 tetap 54 Plastik Stiker Buah 360.000 tetap 55 Generator 5 Kw Unit 52.250.000 tetap 56 Generator 10 Kw Unit 110.000.000 tetap 57 Dryer kapasitas 5.5 Ton Unit 150.000.000 tetap 58 Dryer kapasitas 3.5 Ton Unit 120.000.000 tetap 59 Dryer kapasitas 2 Ton Unit 60.000.000 tetap 60 Bed Dryer Unit 75.000.000 tetap 61 RMU lengkap + Polisher Unit 175.000.000 tetap 62 RMU Mobile Unit 145.000.000 tetap 63 Pemoles/pengkristal beras Unit 50.000.000 tetap 64 Perajang keripik pisang/singkong manual 5 PK (satu mata) Unit 6.500.000 tetap 65 Perajang keripik pisang/singkong manual 5 PK (tiga mata) type:beje UIKM 18 Unit 18.000.000 tetap Kapasitas 50-100 kg/jam 66 Plastik/ Sealer Injak (semi otomatis) Unit 4.000.000 tetap 67 Plastik/ Sealer Hand Press Unit 2.000.000 tetap 69 Pemoles Pemutih Beras YPC 220 Unit 11.750.000 tetap 39

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 70 Pemisah Menir (beras) Unit 17.800.000 tetap 71 RMU Satake Unit 26.000.000 tetap 72 Perajang Rumput Mekanis Unit 23.000.000 tetap 73 Alat Penakar Curah Hujan (seng) Unit 3.200.000 tetap 74 Alat Penakar Curah Hujan (stainless) Unit 4.250.000 tetap 75 Penepung beras kering Unit 12.500.000 tetap 76 Penepung umbi-umbian sistem basah Unit 23.500.000 tetap 77 Moisture Tei Ter Unit 5.500.000 tetap 78 Emposan tikus terbaru (alspontan) Unit 1.500.000 tetap 79 Blanding jamur Unit 55.000.000 tetap 80 Alat Pengepres emping melinjo/jagung Unit 10.000.000 tetap 81 Dyer (alat pengering) 3-5 ton Unit 120.000.000 tetap 82 Pompa air 2 inch (Robin) Buah 2.500.000 Subur Rejeki Abadi 83 Pompa air 3 inch (Robin) Buah 2.900.000 Subur Rejeki Abadi 84 Mesin Pemotong Rumput Buah 3.800.000 tetap 85 Terpal Kedap Air A 12 (6x8 meter) Lembar 25.000 tetap Sarana Pasca Panen Ubi Kayu Model Unit 86 - Blaanching Unit 46.000.000 tetap 87 - Instalasi Perendaman dan Enzimatis Unit 45.000.000 tetap 88 - Chipper Unit 22.000.000 tetap 89 - Mesin pencetak beras singkong Unit 35.000.000 tetap 90 - Polisher Unit 38.500.000 tetap - Vacum press/pengemas Unit 15.000.000 tetap 91 - Open solar Dyer Unit 110.000.000 tetap 92 Alat Pengungkit Model APK 100 Unit 1.265.000 tetap 93 Alat Perajang mesin penggerak EM 1 HP/mesin Honda 5.5 HP Unit 11.385.000 tetap 94 Alat Penyawut, mesin penggerak EM 1 HP/ Honda 5.5 HP Unit 12.650.000 tetap 95 Alat Press manual MPM 100 Unit 7.590.000 tetap 96 Mesin Pengering, Oven Stainless, Model OV 100 + LPG (Kap : 10 Rk. 50-100 Unit 25.300.000 tetap kg/shift) 97 Mesin Pengering, Oven Stainless, Model OV 200 + LPG (Kap : 20 Rk. 100-200 Unit 37.950.000 tetap kg/shift) 98 Mesin Pengering (box dryer) Model OV 2400 Stainless + Yanmar 6.5 HP + Blower Unit 63.250.000 tetap + LPG (Kap : 500-1000 kg/shift) 99 Bak Pencuci + sprayer Unit 17.250.000 tetap 100 Gerobak dorong roda 1 Unit 1.150.000 tetap 101 Penepun g Type Grinding, Model DS 23 Stainless Steel, kap. : 20-50 kg/jam, Penggerak : Mesin Bensin Honda GX 160 Unit 16.100.000 tetap (5.5 HP) 102 Mesin Perontok kacang tanah, model PTK 500/ Mesin Bensin Honda 5.5 HP Kap. : Unit 11.385.000 tetap 90-285 kg/jam, 103 Mesin Pengupas kacang tanah, model PMK 500/ Honda 5.5 HP Kap. : 15-30 Unit 11.385.000 tetap kg/jam, 104 Power Thresher Multiguna Model : PT 500-1K, Honda (besin) : GX 160 (5,5 HP) Kap. : 146,5 kg/jam, sistem pengangkutan Unit 9.487.500 tetap : pikul (tanpa roda) 105 Power Thresher Multiguna Model : PT Unit 10.890.000 tetap 40

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 500-1K, Honda (besin) : GX 160 (5,5 HP) Kap. : 146,5 kg/jam, sistem pengangkutan : dengan 2 buah roda 106 Power Thresher Multiguna Model : PT 1000-M,Yanmar (diesel) : 6,5 HP, Kap. padi : 1531,2 kg/jam, Kap. jagung : 1929,6 Unit 21.590.000 Mitra Balai Industri Jkt kg/jam, Kap. kedelai : 472,9 kg/jam, sistem pengangkutan : dengan 2 buah roda 107 Power Thresher Multiguna Model : PT 1000-MG,Honda (bensin) : 9 HP, Kap. padi : 657,4 kg/jam, Kap. jagung : 1989,9 Unit 18.070.200 Mitra Balai Industri Jkt kg/jam, Kap. kedelai : 565 kg/jam, sistem pengangkutan : dengan 2 buah roda 108 Pedal Thresher Bermotor Model : PTB 2500, Penggerak : Mesin Bensin Honda Unit 11.975.700 Mitra Balai Industri Jkt atau Robin (3,5-5,5 HP) 109 Terpal 6m x 6m Unit 683.100 tetap 110 Terpal 8m x 8m Unit 1.214.400 tetap 111 Terpal A12 Kedap Air 6x8 m (korea/hijau) 455.000 tetap 112 Terpal A12 Kedap Air 6x8 m (lokal, biru/silver) 480.000 tetap 113 Terpal A15 Kedap Air 6x8 m (korea/hijau) 575.000 tetap 114 Terpal A15 Kedap Air 6x8 m (lokal, biru/silver) 600.000 tetap 115 Sabit Bergerigi Model : SG 140 Unit 50.600 tetap 116 Alat Panen Type Gendong : Tameng Tembus Pandang Model : TG 260 Unit 2.403.500 tetap 117 Alat Panen Type Gendong : Tameng Tembus Pandang Model : PM 323 Unit 2.909.500 tetap 118 Mesin Pengering Kedelai Model : BP 2400 Kap.: 500 kg/proses, Pemanas : Tungku Biomasa Multi Bahan Bakar (Sekam, Unit 75.900.000 tetap Limbah Organik LPG,dll), Penggerak Genset 3000 w (Diesel Yanmar 6,5 HP) 119 Mesin Pengering Kedelai Model : BP 2400 Kap.: 500 kg/proses, Pemanas : Tungku Biomasa Multi Bahan Bakar (Sekam, Unit 88.550.000 tetap Limbah Organik LPG,dll), Penggerak Genset 3000 w (Diesel Yanmar 6,5 HP) 120 Mesin Pengering Kedelai Model : BP 3600 Kap.: 1000-2000 kg/proses, Pemanas : Tungku Biomasa Multi Bahan Bakar (Sekam, Limbah Organik LPG,dll), Unit 88.550.000 tetap Penggerak Genset 3000 w (Diesel Yanmar 6,5 HP) 121 Mesin Pengering Kedelai Model : BP 3600 Kap.: 1000-2000 kg/proses, Pemanas : Tungku Biomasa Multi Bahan Bakar (Sekam, Limbah Organik LPG,dll), Unit 101.200.000 tetap Penggerak Genset 3000 w (Diesel Yanmar 6,5 HP) 122 Seperator Benih Kedelai Multiguna Model : SKK/J/P-1000/EM 2HP, Kpasitas Pembersihan : a. Kedelai : 953,3 kg/jam, b. Unit 21.275.000 tetap Jadung : 2290,2 kg/jam, Penggerak : Mesin Diesel Yanmar TF 65 R (6,5 HP) 123 Seperator Benih Kedelai Multiguna Model Unit 21.275.000 tetap 41

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) : SKK/J/P-1000/EM 2HP, Kpasitas Pembersihan : a. Kedelai : 953,3 kg/jam, b. Jadung : 2290,2 kg/jam, Penggerak : Elektrik Motor 124 Moister Tester Multi Komoditi padi, jagung, kedelai kacang dan 20 jenis Unit 9.215.000 Mitra Balai Industri Jkt komoditi, Model : TM20 125 Timbangan duduk biasa, Kapasitas 500 kg Unit 3.795.000 Mitra Balai Industri Jkt 126 Timbangan duduk digital, Kapasitas 500 kg, flatform : 500 mm x 500 mm Unit 7.829.000 Mitra Balai Industri Jkt 127 Timbangan duduk digital, Kapasitas 500 kg, flatform : 500 mm x 800 mm Unit 6.325.000 tetap 128 Pemadam Api Portabel @ 6 kg Unit 2.213.750 tetap 129 Sekop SPD-RB 1 Unit 230.000 tetap 130 Mesin jahit karung GK 9 Unit 1.265.000 tetap 131 Mesin jahit karung NP 7 A Unit 3.300.000 tetap 132 Power Thresher Multiguna Model : PT 500, Honda (besin) : GX 160 (5,5 HP) Kap. : 671,5 kg/jam, sistem pengangkutan Unit 9.775.000 tetap : pikul (tanpa roda) 133 Power Thresher Multiguna Model : PT 500, Honda (bensin) : GX 160 (5,5 HP), Kap.: 671,5,4 kg/jam, sistem Unit 11.787.500 tetap pengangkutan : dengan 2 buah roda 134 Power Thresher Multiguna Model : PT 1000-M,Yanmar (diesel) : 6,5 HP, Kap. padi : 1531,2 kg/jam, Kap. jagung : 1929,6 19.607.500 tetap kg/jam, Kap. kedelai : 472,9 kg/jam, sistem pengangkutan : dengan 2 buah roda 135 Alat Panen Model : Reaper Yanmar Type : YAP 120 Unit 37.950.000 tetap 136 Mesin Pengering Padi, Model BP 6000, Kap. : 3000-3500 kg /proses pemanas : Tungku Biomasa Multi Bahan Bakar (sekam, limbah organik, LPG, dll), Unit 157.550.000 tetap Penggerak : Genset 7500 W (diesel Yanmar 10,5 HP), Alat pembalik otomatis. 137 Mesin Pengering Padi, Model BP 6000, Kap. : 3000-3500 kg /proses pemanas : Tungku Biomasa Multi Bahan Bakar (sekam, limbah organik, LPG, dll), Unit 189.750.000 tetap Penggerak : Genset 7500 W (diesel Yanmar 10,5 HP), Alat pembalik otomatis. 138 Paddy Cleaner Bermotor Model : MAG 1000 Kap.: 1522,3 kg/jam EM : 2 HP atau Unit 21.275.000 tetap Honda 5,5 HP 139 Paddy Cleaner PC 3500 Kap.: 3500-6000 kg/jam, Penggerak Diesel Yanmar 6,5 HP Unit 40.250.000 tetap 140 Husker (Pengupas kulit) Model : HW 60 AN/Yanmar TF 85 H (8,5 HP) Kapasitas : Unit 38.426.000 tetap 1000-1200 kg/jam, termasuk Frame 141 Pemutih Beras (Polisher) Model : YCP 220/ Yanmar TF 155 H (15,5 HP) Unit 51.224.450 tetap termasuk Frame 142 Pemutih Beras (Polisher) Model : VCP 220/ Yanmar TS 190 H (15,5 HP) termasuk Frame 55.824.450 tetap 42

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 143 Pemutih Beras (Polisher) Model : YCP 220/ Yanmar TS 230 R (23 HP) termasuk 58.124.450 tetap Frame 144 Seperator Pemisah Kulit Model : MBI- MABP 1000/ Manual Unit 12.650.000 Mitra Balai Industri Jkt 145 Seperator Pemisah Kulit Model : Bermotor, Model MBI-MABP 1000/ EM = 20.350.000.00 Mitra Balai Industri Jkt 0,5 HP 146 Seperator Pemisah Menir Model : MBI- MPM 1000/ Manual Unit 12.650.000.00 Mitra Balai Industri Jkt 147 Seperator Pemisah Menir, Model : Bermotor Model : MPM 1000/ EM 0,5 HP 20.350.000.00 Mitra Balai Industri Jkt 148 Seed Cleaner Model : SC1000/ Yanmar TF 65 R (6,5 HP) Unit 29.325.000.00 tetap 149 Elevator Model : ELF (3 m) / EM 1,5 HP Unit 27.750.000.00 Mitra Balai Industri Jkt 150 Elevator Model : ELF-5 (5 m) / EM 3 HP 32.580.000 Mitra Balai Industri Jkt 151 RMU One Pass Model : YMM 20/ Yanmar TS 230 H (23 HP) termasuk Unit 75.900.000 tetap Frame 152 Moister Tester Multi Komoditi padi, jagung, kedelai, Kacang dan 20 jenis Unit 6.325.000 tetap komoditi, Model : TM 20 153 Timbangan Duduk Biasa Kap.: 500 kg 3.795.000 tetap 154 Timbangan Duduk Digital Kap.: 500 kg, Flatform : 500 mm x 500 mm 5.060.000 tetap 155 Timbangan Duduk Digital Kap.: 500 kg, Flatform : 500 mm x 800 mm 6.325.000 tetap 156 Mesin Jahir Karung GK 9 1.265.000 tetap 157 Mesin Jahir Karung NP 7 A 3.300.000 tetap 158 Traktor Tangan QUICK G 3000 ZEVA + Kubota RD 85 DI-1S Unit 22.126.000 tetap 159 Traktor Tangan QUICK G 3000 ZEVA + Kubota RD 85 DI-2S Unit 22.459.000 tetap 160 Traktor Tangan QUICK G 3000 ZEVA + Kubota RD 110 DI-2T Unit 24.756.000 tetap 161 Traktor Tangan QUICK G 1000 + Kubota RD 85 DI-1S Unit 21.337.000 tetap 162 Traktor Tangan QUICK G 1000 + Kubota RD 85 DI-2S Unit 21.669.000 tetap 163 Traktor Tangan QUICK G 1000 + Kubota RD 110 DI-2T Unit 23.967.000 tetap 164 Traktor Tangan QUICK IMPALA + Kubota RD 65 DI-1S Unit 17.472.000 tetap 165 Traktor Tangan QUICK IMPALA + Kubota RD 65 DI-2S Unit 17.817.000 tetap 166 Traktor Tangan QUICK ZENA ROTARY + Kubota RD 110 DI-2T Unit 31.923.000 tetap 167 HITCH II G 3000 ZEVA Unit 250.000 tetap 168 HITCH II G 31000/ IMPALA Unit 170.000 tetap 169 Penggantian Roda Besi STD G 3000 ZEVA menjadi Roda Besi Tapak Lebar Unit 100.000 tetap (120 mm) 170 Penggantian Roda Besi STD G 3000 ZEVA menjadi Roda Besi Tapak Lebar Unit 60.000 tetap (150 mm) 171 Penggantian Roda Besi STD G 1000 Unit 50.000 tetap 43

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) ZEVA menjadi Roda Besi Tapak Lebar (120 mm) 172 Penggantian Roda Besi STD G 1000 ZEVA menjadi Roda Besi Tapak Lebar Unit 125.000 tetap (150 mm) 173 Bajak Parabola Super G 3000 ZEVA, G 1000 Unit 2.261.000 tetap 174 Paket Rotary 1 Zena Rotary : - Roda besi Vaganza (roda besi double ring 900 mm), - Unit 1.249.000 tetap Extention Roda Besi Vaganza 175 Paket Rotary 2 Zena Rotary : - Roda besi Boom B. (roda besi triple ring 815 mm), - Unit 1.392.000 tetap Tangki peluncur (tipe lebar) 176 Paket Guludan Zena Rotary : - Roda besi G 550 option (roda besi double ring 680 mm), - Ditching Rotor - Ridger - Swing Unit 3.592.000 tetap cover 177 Paket Pembajakan 1 Zena Rotary : - Roda besi Vaganza (roda besi double ring 900 mm), - Bajak Zena - Garu G 1000 (head Unit 2.030.000 tetap diameter 20 mm) 178 Paket Pembajakan 2 Zena Rotary : - Roda besi Vaganza (roda besi double ring 900 mm), - Bajak Zena - Garu G 1000 (head Unit 2.646.000 tetap diameter 20 mm) - Gelebeg G 1000 (head diameter 20 mm) P. Bangunan Tersier per ha/unit Distanprov. Kaltim 1 Cetak Sawah Ha 30.000.000 Kontruksi 2 a. Optimasi lahan Ha 7.500.000 tidak ada benih b. Optimasi lahan dengan benih Ha 8.000.000 dengan benih 3 Pintu air standard Unit 35.000.000 lebar saluran tidak lebih 2 meter 4 Jalan Usahatani (JUT) m lari 150.000 urugan tanah lebar 3m 5 Jalan Produksi m lari 300.000 batu/sirtu lebar 3m 6 Jaringan Irigasi Tersier m lari 100.000 lebar atas 1,25 meter lebar bawah 60-70 cm dalam 75 cm 7 Jaringan irigasi atas (Ferro cement) m lari 750.000 cor rangka besi/kawat per 3m lebar atas 40 cm lebar bawah 30 cm Q. PRODUK HASIL PERTANIAN TPH 1 Beras Ir 64 (Medium) Kg 11.475 Info Pasar bulan Juni 2015 2 Beras Bengawan/Premium Kg 13.075 Info Pasar bulan Juni 2015 3 Kedelai Kuning Lokal Kg 12.000 Info Pasar bulan Juni 2015 4 Kacang Tanah ((OC) Kg 23.950 Info Pasar bulan Juni 2015 5 Jagung Kuning Pipilan Kg 7.500 Info Pasar bulan Juni 2015 6 Kacang Panjang Kg 7.860 Info Pasar bulan Juni 2015 7 Buncis Kg 11.275 Info Pasar bulan Juni 2015 8 Kol Bulat Kg 8.000 Info Pasar bulan Juni 2015 9 Kol Gepeng Kg 12.000 Info Pasar bulan Juni 2015 10 Wortel Kg 12.000 Info Pasar bulan Juni 2015 11 Cabe Merah Besar Kg 30.875 Info Pasar bulan Juni 2015 12 Cabe Tiung Kg 31.675 Info Pasar bulan Juni 2015 13 Cabe Keriting Kg 34.450 Info Pasar bulan Juni 2015 44

Standardisasi Harga Benih/Bibit, Alat Pertanian dan Obat-obatan 2016 No. Uraian Satuan Harga Keterangan (1) (2) (3) (4) (5) 14 Cabe Rawit Kg 37.465 Info Pasar bulan Juni 2015 15 Bawang Merah Kg 38.650 Info Pasar bulan Juni 2015 16 Bawang Putih Kg 21.225 Info Pasar bulan Juni 2015 17 Ketimun Kg 5.250 Info Pasar bulan Juni 2015 18 Tomat Kg 10.000 Info Pasar bulan Juni 2015 19 Pisang Ambon Kg 12.940 Info Pasar bulan Juni 2015 20 Pisang mauli Kg 3.000 Info Pasar bulan Juni 2015 21 Pisang Susu Kg 5.725 Info Pasar bulan Juni 2015 22 Pisang Kepok Kg 10.150 Info Pasar bulan Juni 2015 R. HET Benih Bersubsidi yang dibeli oleh petani 1 Benih bersubsidi padi inbrida kg - Permentan RI Nomor 9/Permentan/OT.140/3/ 2015 2 Benih bersubsidi padi hibrida kg - sda 3 Benih bersubsidi jagung hibrida kg - sda 4 Benih bersubsidi jagung komposit kg - Kepmentan RI Nomor 4340/KPTS/SR.120/6/2013 5 Benih bersubsidi kedelai kg - sda 6 Benih bersubsidi kedelai (kelas BR) kg - 7 Benih bersubsidi kedelai (kelas BR1, BR2, BR3, dan BR4) Permentan RI Nomor 9/Permentan/OT.140/3/ 2015 kg - sda 45

Standardisasi Harga Bahan Tanaman dan Peralatan Perkebunan 2016 Standardisasi Harga Bahan Tanaman dan Peralatan Perkebunan 46

Standardisasi Harga Bahan Tanaman dan Peralatan Perkebunan 2016 XV. Standardisasi Harga Bahan Tanaman dan Peralatan Perkebunan No Uraian Satuan Harga Ket (1) (2) (3) (4) (5) I. BENIH 1 Karet a Benih Karet Okulasi Payung Dua Per Polybag 12.540 Franco Lokasi b Benih Karet Payung Satu Per Polybag 11.220 Franco Lokasi c Stump Mata Tidur Batang 5.940 Franco Lokasi d Entres / m 2 Meter 4.620 Franco Lokasi 2 Kakao a Planlet kakao klonal asal SE Per Planlet 7.590 Franco Lokasi b Benih kakao lindak hibrida F1 hasil persilangan terbuka Per Butir 858 Franco Lokasi c Benih kakao lindak hibrida F1 hasil persilangan buatan Per Butir 2.310 Franco Lokasi d Bibit kakao lindak asal benih bina persilangan terbuka dalam polybeg (siap tanam) Per Batang 5.610 Franco Lokasi e Bibit kakao lindak asal benih bina persilangan buatan dalam polybeg (siap tanam) Per Batang 6.930 Franco Lokasi Bibit kakao klonal asal sambungan f (cabutan) Per Batang 7.920 Franco Lokasi Bibit kakao klonal asal sambungan dlm polybeg (siap tanam) Per Batang 10.560 Franco Lokasi g. 3 Bibit Kelapa Dalam (umur 6 bulan) Per Polybag 23.760 Franco Lokasi 4 Kelapa Sawit (PPKS) a Kecambah hibrida D x P (PPKS) Kecambah 9.900 Franco Lokasi b Kecambah hibrida DY x PD (PPKS) Kecambah 9.900 Franco Lokasi c Bibit kelapa sawit D x P (PPKS) Per Polybag 36.960 Franco Lokasi d Bibit kelapa sawit D Y x PD (PPKS) Per Polybag 38.280 Franco Lokasi e Bibit Kelapa Sawit (umur 9-12 bulan) Per Polybag 42.240 Franco Lokasi 5 Kelapa Sawit (London Sumatera) Kecambah D x P bah lias 1, D x P Kecambah a bah lias 2 13.860 Franco Lokasi b Kecambah D x P bah lias 3, D x P bah lias 4 Kecambah 13.860 Franco Lokasi c Bibit D x P bah lias 1, D x P bah lias 2 (3 bulan) Per Polybag 19.800 Franco Lokasi d Bibit D x P bah lias 3, D x P bah lias 4 (3 bulan) Per Polybag 19.800 Franco Lokasi e Bibit Kelapa Sawit (umur 9-12 bulan) Per Polybag 46.200 Franco Lokasi 6 Kelapa kopyor kelapa dalam (umur Per Polybag Franco Lokasi 6 bulan) 528.000 Kelapa kopyor genjah (umur 6 Per Polybag Franco Lokasi bulan) 1.320.000 7 Kopi 47

Standardisasi Harga Bahan Tanaman dan Peralatan Perkebunan 2016 No Uraian Satuan Harga Ket (1) (2) (3) (4) (5) a. Benih kopi robusta propelegetim Per Butir 231 Franco Lokasi b. Benih kopi arabika Per Butir 264 Franco Lokasi c. Bibit kopi robusta klonal (cabutan) Per Batang 5.280 Franco Lokasi d. Bibit kopi arabika klonal (cabutan) Per Batang 6.600 Franco Lokasi e. Bibit kopi robusta klonal dlm Per Batang polybeg (siap tanam) 7.260 Franco Lokasi f. Bibit kopi arabika klonal dlm Per Batang polybeg (siap tanam) 8.580 Franco Lokasi g. Bibit kopi robusta super (cabutan) Per Batang 7.260 Franco Lokasi h. Bibit kopi arabika super (cabutan) Per Batang 8.580 Franco Lokasi i. Bibit kopi robusta super dlm Per Batang polybeg (siap tanam) 9.240 Franco Lokasi j. Bibit kopi arabika super dlm Per Batang polybeg (siap tanam) 10.560 Franco Lokasi k. Planlet kopi arabika klonal asal SE Per planlet 7.590 Franco Lokasi l. Planlet kopi robusta klonal asal SE Per planlet 6.930 Franco Lokasi 8 Lada a Stek lada 5-7 ruas Per Batang 9.900 Franco Lokasi b Stek lada unggul lokal Per Batang 9.900 Franco Lokasi c Lada dalam polybag Per Polybag 13.200 Franco Lokasi 9 Kemiri (umur 6 bulan) Per Polybag 12.540 Franco Lokasi 10 Pohon Pelindung Tetap Stek 3.300 Franco Lokasi 11 Pohon Pelindung Sementara Stek 3.300 Franco Lokasi II ALAT - ALAT PERTANIAN KECIL 1 Pisau Sadap buah 330.000 Merk Antako 2 Mangkok sadap buah Almunium 11.220 (750 cc) 3 Alat panen kelapa sawit (dodos) buah 105.600 Lokal Tipe Gendong 4 Hand sprayer buah 323.400 (Solo) 5 Parang + Gagang buah 79.200 Lokal/Malays ia 6 Cangkul + Gagang buah 92.400 Cap Mata/Buaya 7 Pisau Okulasi Unit 417.450 Merk Vitorinox 8 Gunting Pangkas / Steak Buah 99.000 Lokal III ALAT - ALAT PENGOLAHAN KECIL 1 Alat Mesin Pengolahan Kakao Kapasitas 40-50 Kg/batch a Kotak fermentasi Unit 4.620.000 b Mesin pengering kakao (dryer) Unit 52.140.000 Kapasitas 750 Kg/batch, penggerak motor diesel c Mesin sangrai kakao (roaster) Unit 26.400.000 d Mesin pembubuk cokelat Unit 54.450.000 Kapasitas 5 Kg/batch Kapasitas 2 Kg/batch 48

Standardisasi Harga Bahan Tanaman dan Peralatan Perkebunan 2016 No Uraian Satuan Harga Ket (1) (2) (3) (4) (5) Pengemas manual tipe e Pengemas manual Unit 7.260.000 injak f Pengemas otomatis (packing roll) Unit 93.588.000 Pengemas otomatis 2 Alat Mesin Pengolahan Kopi a Mesin pengupas kulit buah kopi (pulper) Unit 15.840.000 Kapasitas 50 Kg/jam b Mesin pengering (dryer) Unit 52.140.000 Kapasitas 750 Kg/batch, penggerak motor diesel Kapasitas 5 c Mesin sangrai kopi (roaster) Unit 27.720.000 Kg/batch d Mesin pembubuk kopi sangrai (grinder) Unit 20.130.000 Kapasitas 15 Kg/jam e Pengemas vakum mini Unit 29.766.000 Kapasitas 3 Bungkus/batc h 3 Mesin Pengolahan Lada a Mesin perontok lada Unit 11.220.000 Kapasitas 100 Kg/jam 4 Mesin Pengolahan Karet a Hand mangel batik Unit 5.940.000 Franco bogor b hand mangel polos Unit 5.280.000 Franco bogor Kapasitas 50 liter c Bak pembeku karet Unit 792.000 (almunium) 49

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 Standardisasi Harga Barang dan Sarana Produksi Perikanan 50

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 XVI. Standardisasi Harga Barang dan Sarana Produksi Perikanan No Uraian Harga A. SARANA BUDIDAYA TAMBAK 1 Benih Udang Windu (benur) 125 2 Benih bandeng (Nener) 250 3 Pupuk Urea 7.000 4 Pupuk Urea 7.500 5 Pupuk Kandang 2.500 6 Pakan Udang Import 50.000 7 Pakan Udang dalam Negeri 30.000 8 Pestisida (bubuk) 500.000 9 Stimulan (pupuk tambahan) 500.000 10 Kapur pertanian/kaptan 250.000 11 Dolomit 25.000 12 Bibit Bakau 6.000 B. SARANA BUDIDAYA TAMBAK 1 Benih ikan betutu 5-7 cm 12.500 2 Benih tambakan 5-7 cm 1.000 3 Pakan (pellet) / fattening 15.000 4 Kakaban ukuran 0,05 x 150 50.000 5 Hapa ukuran 2 x 2 x 1 meter 250.000 C. SARANA BUDIDAYA KARAMBA 1 Benih ikan mas ukuran 5-7 cm 1.000 2 Benih ikan gabus ukuran 5-7 cm 1.250 3 Benih ikan nila ukuran 5-7 cm 1.000 4 Benih ikan lele dumbo ukuran 5-7 cm 1.250 5 Benih ikan patin ukuran 5-7 cm 1.750 6 Benih ikan jelawat ukuran 5-7 cm 1.750 7 Benih ikan lempem/tawes 5-7 cm 10.000 8 Pakan ikan 15.000 9 Benih Ikan Gurame 3.000 E. HARGA IKAN HIAS 1 Mas koki 175.000 2 Manfish 110.000 3 Black molly 80.000 4 Oscar 1.000.000 5 Platti 25.000 6 Mas Koki Jambul 275.000 7 Jenis laut (scorpio) 300.000 8 Jenis laut (scorpio, anemon, dll) 300.000 9 Macam akuarium rumah tangga / lengkap 5.000.000-10.000.000 F. SARANA PENANGKAPAN IKAN 1 Purse Seine (skala Kecil) 250.000.000 2 Lampara dasar 3 Mata pancing macam ukuran 3.750.000 4 Tali nylon multi filamen 1.200.000 5 Jala lempar 650.000 51

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga 6 Tali pancing (nylon) 350.000 7 Alat tangkap tradisional perairan umum 300.000 8 Pancing ikan lengkap (sport fishing) 2.000.000 9 Jaring Sumbang 1.750.000 10 Alat Bantu Penangkapan Rumpon 11 Gill Net : Momoi a. Mesh Size 2 Inch - Ø 0,28 ( 70 MD x 80 YDS) 145.000 - Ø 0,30 ( 70 MD x 80 YDS) 160.000 - Ø 0,35 ( 70 MD x 80 YDS) 205.000 b. Mesh Size 2,5 Inch - Ø 0,28 ( 70 MD x 80 YDS) 140.000 - Ø 0,30 ( 70 MD x 80 YDS) 160.000 - Ø 0,35 ( 70 MD x 80 YDS) 205.000 c. Mesh Size 3 Inch - Ø 0,28 ( 70 MD x 80 YDS) 135.000 - Ø 0,30 ( 70 MD x 80 YDS) 170.000 - Ø 0,35 ( 70 MD x 80 YDS) 215.000 - Ø 0,40 ( 70 MD x 80 YDS) 295.000 d. Mesh Size 3 Inch - Ø 0,28 ( 70 MD x 80 YDS) 130.000 - Ø 0,30 ( 70 MD x 80 YDS) 165.000 - Ø 0,35 ( 70 MD x 80 YDS) 210.000 - Ø 0,40 ( 70 MD x 80 YDS) 290.000 e. Mesh Size 4 1/2 Inch - Ø 0,28 ( 70 MD x 80 YDS) 125.000 - Ø 0,30 ( 70 MD x 80 YDS) 160.000 - Ø 0,35 ( 70 MD x 80 YDS) 210.000 - Ø 0,40 ( 70 MD x 80 YDS) 285.000 f. Mesh Size 5 1/2 Inch - Ø 0,35 ( 70 MD x 80 YDS) 210.000 - Ø 0,40 ( 70 MD x 80 YDS) 285.000 g. Mesh Size 7 1/2 Inch - Ø 0,35 ( 70 MD x 80 YDS) 210.000 - Ø 0,40 ( 70 MD x 80 YDS) 285.000 12 MESIN KAPAL a. Ukuran 24 PK - Don- Feng 6.500.000 - Jian-Dong 7.000.000 - Tianli 6.000.000 - Inda 5.800.000 - Misaka 5.500.000 b. Ukuran 26 PK - Don- Feng 6.500.000 - Jian-Dong 7.000.000 - Tianli 6.000.000 - Inda 5.800.000 52

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga - Misaka 5.500.000 c. Ukuran 28 PK - Don- Feng 7.800.000 - Jian-Dong 8.300.000 - Tianli - Inda 7.300.000 - Misaka d. Ukuran 33 PK - Don- Feng 8.300.000 - Jian-Dong 8.800.000 - Tianli - Inda 7.800.000 - Misaka 13 MESIN KETINTING a. Ukuran 5 PK - Yamaha - Honda 6 x 160 2.400.000 - BS - Robin EY20 2.500.000 b. Ukuran 6,5 PK - Yamaha 3.000.000 - Honda 6 x 200 2.900.000 - BS - Robin b. Ukuran 6,5 PK 4.800.000 - Yamaha mz250 4.800.000 - Honda 6 x 270 - BS - Robin EY28 4.800.000 b. Ukuran 13 PK - Yamaha mz250 6.500.000 - Honda 6 x 270 5.500.000 - BS - Robin 14 JARING MILENIUM Mesh size 4"-7" (10 Ply) a. 72 MD size x 160 YDS + 10 kg 1.500.000 b. 72 MD size x 80 YDS + 5 kg 750.000 b. 105 MD size x 80 YDS + 7,5 kg 1.125.000 15 COOL BOX a. Ukuran 200 liter 1.050.000 b. Ukuran 120 liter 750.000 c. Ukuran 50 liter 500.000 d. Ukuran 350 liter 3.000.000 16 TRAMMEL NET : ARIDA a. Mesh size 1 3/4 inch : - Ø 0,20 ( 56 MD x 70 53

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga outer net 11,5 MD, 5 1/2 180.000 b. Mesh size 1 3/4 inch : - Ø 0,15 ( 56 MD x 70 outer net 11,5 MD, 5 1/2 175.000 17 PELAMPUNG a. Y2 700.000 b. Y8 1.250.000 c. Y3 700.000 d. Gabus 10.000 e. Bola 4 " 27.000 6 " 62.000 18 PEMBERAT a. Lempeng 31.000 b. Timah C2 (gondrong) 31.000 c. Timah Rokok 31.000 19 TALI a. PE No. 2 mm + 0,4 kg 30.000 b. No.3 mm + 9 kg 39.000 c. PE No. 4 mm 37.000 G. PERALATAN PERIKANAN PENUNJANG 1 PH meter elektrik untuk air 1.000.000 2 Refractometer (pengukur kadar garam) 6.500.000 3 Salinometer (pengukur kadar garam sederhana) 2.000.000 4 Thermometer air (pengukur suhu air) 250.000 5 Thermometer udara (pengukur suhu udara) 200.000 6 Soil tester (pengukur ph tanah) 5.000.000 7 Water quality kit (pengukur kualitas air) 6.000.000 8 Heater (stabbilisator suhu air) 1.500.000 9 Blower (penambah oksigen dalam air) 10.000.000 10 Pompa air tawar centrifugal diameter 4 inci 10.000.000 11 Pompa air laut centrifugal diameter 4 inci 15.000.000 12 Aoerator listrik (Aquarium) 250.000 13 Aoerator batterey (Aquarium) 20.000.000 14 Kincir air (pedal whell) 45.000.000 15 Saluran kanal tambak dengan vol. 10.000 m3 gali 600.000.000 16 DO meter 12.500.000 Bak Fibre 2 m 10.000.000 Slang Anti Pecah 2.000.000 17 Pintu canal primer ulin 75.000.000 18 Pintu canal sekunder ulin 50.000.000 19 Pintu canal tersier ulin 40.000.000 20 Artenia salina larva udang 1.000.000 21 Freepark 1.250.000 22 Basket plastik angkut ikan 125.000 23 Keranjang angkut ikan 100.000 24 Fish box penampung ikan hidup (kapasitas 100 kg) 3.000.000 25 Pupuk dan obat-obatan untuk pembenihan udang 10.000.000 54

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga 26 Induk udang windu untuk benih 750.000 27 Induk patin (matang telur) 2.500.000 28 Induk ikan mas (matang telur) 1.000.000 29 Induk bandeng (matang telur) 3.000.000 30 Induk lele dumbo (matang telur) 500.000 31 Induk betutu 1.200.000 32 Makanan induk udang untuk pembenihan 50.000 33 Peralatan penunjang untuk pembenihan udang 40.000.000 34 Timbangan duduk 200.000 35 Alat angkut ikan hidup dengan oksigen stereofoam 250.000 36 Tambak 1 Ha ( 10.000 m2) 40.000.000 37 Kolam ( 500 m2) 150.000.000 38 Kapal ikan ukuran 5 GT lengkap ( alat perikanan, peti dan mesin merk Yanmar TF2.6 PK ) 87.450.000 39 Ploating net (darat) ukuran 4 x 6 lengkap dengan rumah jaga I. MEDIA MIKROBIOLOGI 1 Plate count agar 2.946.000 2 Laury typthone broth 2.357.000 3 Lactose broth 2.665.000 4 Brain heart infusion 8.864.000 5 Pottasium tellurite solution 3,5 % 3.423.400 6 Kosser citrate 1.433.000 7 Bair parker agar 3.704.000 8 Ethanol 96 % 788.000 9 Malonate brote 5.919.000 10 Lysine decarboxylase broth 4.573.000 11 Lactose 1.627.000 12 Gealatin for microbiology 1.350.000 13 XLD medium 3.254.000 14 Selenite cystine broth 1.297.000 15 Hectoen enteric agar 5.162.000 16 BGLB 5.302.000 17 TCBS agar 3.253.800 18 EC medium 2.805.000 19 Kligger iron agar 4.124.000 20 Trypthone soy agar 2.496.000 21 Trypthone soy broth 2.497.000 22 Sucrose 1.318.000 23 Bacto peptone 3.703.000 24 L-EMB agar 3.114.000 25 Bismuth sulfit agar 4.713.000 26 Urea borth 4.432.000 27 Arginine gelatine agar - 28 Parafin oil 1.875.000 29 OPNG 897.000 30 Agar medium 5 6.788.100 31 Agar medium 1 4.124.000 32 Bacto agar 3.702.600 55

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga 33 Tetrathionate broth base 2.075.000 34 Lysine Iron Agar 4.125.000 35 Yeas extract 2.384.000 36 Tryptone peptone 3.910.800 37 D-Mannitol 1.767.000 38 Maltose 4.292.000 39 Safranin O 5.788.000 40 Crystal violet 2.126.000 41 Triple sugar iron agar 3.543.000 42 Coagulase plasma EDTA 3.254.000 43 Lysine decarboxylase broth 4.573.000 44 Toluidine blue-dna (O) 12.509.000 45 MR-VP 3.535.000 46 Purple broth base 4.432.000 47 Arginine HCL 1.368.000 48 Salmonella polyvalent flagellar (H) 4.173.000 49 Salmonella polyvalent somatic (O) 4.173.000 50 Vibrio cholera antiserum inaba 4.573.000 51 Vibrio cholera antiserum ogawa 4.574.000 52 Simmons citrate 1.907.400 53 Ornithin 1.076.000 54 L-Arabinose 2.497.000 55 Alkohol 96% 174.900 56 Alkohol 70% 1.175.328 57 Bacto Agar 3.702.600 58 Bacto Peptone 3.703.000 59 Beef Extract 8.387.000 60 Dulcitol 7.518.000 61 Decarboxylase Basal Medium 11.220.000 62 Kovacs Reagen 1.030.000 63 Oxydase test Paper 914.000 64 ph 4 565.000 65 ph 7 550.000 66 ph 9 1.679.000 67 Sensitifitas 0/129 disk 10u g 590.000 68 Sensitifitas 0/129 disk 15u g 1.062.000 J. BAHAN KIMIA 1 Diethyl eter 1.716.000 2 Ammonium oxalat 1.560.900 3 Asam Sulfat 95-97 % 1.073.600 4 Natrium hidroksida 623.700 5 Natrium tetraborat 10-hidrat 4.989.600 6 Asam borat 1.094.000 7 Heptan 2.636.000 8 Toluen 8 % 1.809.000 9 Glyserol 3.264.000 10 HCL 1.250.000 11 Ethanol 788.000 56

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga 12 Pottasium dihydrogen fosfat 2.972.000 13 Asam nitrat 1.790.000 14 Aceton 1.881.000 15 Asam asetat 705.000 16 Kalium dikromat 5.672.000 17 Perak nitrat 2.280.000 18 Formaldehyde 4.229.000 19 Hidrogen peroksida 1.355.000 20 Kalium bikarbonat 731.082 21 Natrium klorida 899.000 22 Silica gel 2.697.000 23 Batu didih 769.560 24 Methylen blue 4.194.300 25 Kjeltah 4.728.000 26 Methylrot 1.357.000 27 Kloroform 763.000 28 Pottasium klorida 660.000 29 Copper (II) sulfat 913.000 30 Trichloracetic acid (TCA) 1.528.000 31 Kalium pemanganat 1.610.000 32 Kalium kromat 3.444.000 33 Methanol 920.000 34 Buttanol 1.822.000 35 Methyl iso butil keton 2.952.000 36 Benzene 2.752.000 37 Indikator phenolptain 1.089.000 38 Indikator methyl orange 1.385.000 39 Asam benzoat 2.174.000 40 Kalium cyanida 2.483.000 41 Water for Liquid Chromatagraphy 1.409.000 42 Methanol for Liquid 1.032.000 43 Ethyl Acetat 1.225.000 44 N-Hexane 2.124.000 J. ALAT LABORATORIUM 1 Jas Laboratorium 291.500 2 Stomacher 64.343.750 3 Vortex Mixer 26.261.200 4 Plastik Steril 4.926.000 5 Kertas Saring Steril 2.608.610 6 Micropipet 3.794.118 7 Silinder Antibiotik - 8 Laminar Air Flow (Portable) 327.060.000 9 Autoclave 146.216.400 10 Hot plate with stier 15.866.928 11 Homogenizer 30.415.730 12 Thermometer Standar 131.000 13 Chlorin Meter Electric 51.304.000 14 Bactery Colony Counter 287.435.000 57

Standardisasi Harga Barang dan Sarana Produksi Perikanan 2016 No Uraian Harga 15 Thermocouple 10.773.840 16 Water Bath 98.760.200 17 Anak Timbangan Standar 5.661.765 18 Saringan Mesh No. 8 2.100.000 19 Saringan Mesh No. 40 2.500.000 20 Forcep 160.325 21 Dissecting Set 740.700 22 Corong Pemisah 962.921 23 Erlenmeyer With Filtering Flask 3.273.195 24 ph Meter 19.239.000 25 Batang Bengkok 833.690 26 Kjedahl Distilation Apparatus 157.239.000 27 Vaccum Pump 19.239.000 28 Chlorin Meter 47.000.000 29 Pipet Dispenser 9.004.494 30 Pipet tips 2.094.400 31 Exhause Fan 2.828.130 32 Pipet 1 ml 70.835 33 Pipet 5 ml 129.309 34 Pipet 25 ml 158.576 35 Erlenmeyer 259 ml 256.520 36 Erlemeyer 500 ml 384.780 37 Erlemeyer 1.000 ml 448.910 38 Rak Tabung Reaksi 453.933 39 Pipet Bulb 256.520 40 Petri Dish 103.371 41 Gelas Ukur 100 ml 85.640 42 Gelas Ukur 250 ml 202.000 43 Gelas Ukur 500 ml 336.680 44 Gelas Ukur 1.000 ml 448.910 45 Beaker glass 250 ml 513.040 46 Beaker glass 400 ml - 47 Beaker glass 600 ml - 48 Beaker glass 800 ml - 49 Beaker glass 1.000 ml 504.494 50 Filter apparatus 5.652.809 51 Magnetic stirer bar 61.236 52 Thermometer digital 4.438.300 53 Analitical Balance 79.160.815 54 Centrifuge 51.396.110 58

Standardisasi Hasil Ikutan Ternak di Rumah Potong Hewan 2016 Standardisasi Hasil Ikutan Ternak di Rumah Potong Hewan 59

Standardisasi Hasil Ikutan Ternak di Rumah Potong Hewan 2016 XVII. Harga Hasil Ikutan Ternak di Rumah Potong Hewan No Jenis Barang Satuan Harga (Rp) Keterangan (1) (2) (3) (4) (5) 1 Sapi Kulit Basah Per - kg 18.360 2 Kerbau Kulit Basah Per - kg 18.360 3 Kambing Kulit Basah Per Lembar 21.600 XVIII. Harga Hewan Ternak Potong Di Penampungan Hewan No Jenis Barang Satuan Harga (Rp) Keterangan (1) (2) (3) (4) (5) 1 Sapi 250 Kg/ekor 11.610.000 2 Kerbau 300 Kg/ekor 11.188.800 3 Kambing 50 Kg/ekor 5.400.000 4 Domba 50 Kg/ekor 2.700.000 5 Babi 150 Kg/ekor 5.400.000 XIX. Harga Ternak dan Hasil Di Pasar No. Jenis Perkiraan Umur Harga ( Rp. ) (1) (2) (3) (4) 1 Daging Murni 2 Ayam 3 Telur Sapi Per - kg 135.000 Kambing Per - kg 151.200 Babi Per - kg 108.000 Ayam Per - kg 54.000 Buras Hidup Per- Ekor 156.600 Broiler (1 kg) Per Ekor 25.380 Ayam Ras Per Butir 1.620 Itik Tawar Per Butir 2.700 Itik Asin Per Butir 4.320 Ayam Buras Per Butir 2.160 60

Standardisasi Hasil Ikutan Ternak di Rumah Potong Hewan 2016 XX. Harga Hewan Ternak Bibit No Jenis Barang Satuan Harga (Rp) Keterangan (1) (2) (3) (4) (5) 1 Sapi : Sapi madura pejantan 24 bulan 19.900.000 Sapi madura betina 18 bulan 15.000.000 Sapi bali pejantan 24 bulan 16.150.000 Sapi bali betina 18 bulan 13.200.000 Sapi bali pejantan unggul 24 bulan 20.650.000 Sapi bc pejantan 24 bulan 28.750.000 Sapi bc bunting 24 bulan 28.750.000 Sapi po pejantan 24 bulan 18.900.000 Sapi po betina 18 bulan 17.600.000 2 Sapi perah : Sapi perah jantan (lokal) 24 bulan 20.156.625 Sapi perah betina (lokal) 18 bulan 17.570.300 3 Kerbau : Kerbau pejantan 30 bulan 22.810.000 Kerbau betina 24 bulan 15.571.625 4 Kambing : Kambing PE pejantan 12 bulan 4.659.758 Kambing PE betina 8 bulan 4.269.378 5 Babi : Babi jantan 20 kg 4.461.950 Babi betina 20 kg 3.400.000 6 Ayam : Ayam nunukan jantan 6 bulan 300.000 Ayam nunukan betina 6 bulan 275.000 7 Itik : Itik jantan 3 bulan 160.000 Itik betina 3 bulan 125.000 61

Standardisasi Hasil Ikutan Ternak di Rumah Potong Hewan 2016 XXI. Harga Makanan Ayam di Kalimantan Timur No. Jenis Perkiraan Umur Harga ( Rp. ) (1) (2) (3) (4) 1 Ayam Petelur Stater (19% Protein) Per - kg 8.640 Grower (15,5 Protein) Per - kg 8.320 Layer (16% Protein) Per - kg 8.100 2 Ayam Potong Stater (21% Protein) Per - kg 8.100 Finisher (19% Protein) Per - kg 8.100 XXII. Harga Bahan Makanan Ayam di Kalimantan Timur No. Jenis Perkiraan Umur Harga ( Rp. ) (1) (2) (3) (4) 1 Dedak Halus Per - kg 5.400 2 Jagung Pipilan Per - kg 9.720 3 Jagung Giling Per - kg 10.800 XXIII. Harga DOC Di Pasar No. Jenis Perkiraan Umur Harga ( Rp. ) (1) (2) (3) (4) 1 Layer Per ekor 15.120 2 Broiler Per - ekor 5.940 62

Tarif Angkutan Penumpang Umum 2016 Standardisasi Tarif Angkutan Penumpang Umum 63

Tarif Angkutan Penumpang Umum 2016 XXIV. Tarif Angkutan Penumpang Umum TARIF ANGKUTAN PENUMPANG UMUM DI JALAN DENGAN MOBIL BUS UMUM DI PROVINSI KALIMANTAN TIMUR No JENIS MUATAN TARIF /orang (Rp. ) KETERANGAN 1 SAMARINDA - BALIKPAPAN 28.500 2 SAMARINDA - BONTANG 27.500 3 SAMARINDA - SANGATTA 40.000 4 BONTANG - SANGATTA 14.000 5 SAMARINDA - SANGKULIRANG 78.500 6 SAMARINDA - BENGALON 63.000 7 SAMARINDA - TANJUNG REDEB 168.000 8 SANGATTA - SANGKULIRANG - TANJUNG REDEB 136.000 9 SAMARINDA - MELAK 100.500 10 SAMARINDA - MUARA ANCALONG 54.500 11 SAMARINDA - KOTA BANGUN 30.500 12 SAMARINDA - SENONI 30.500 13 SAMARINDA - MUARA WAHAU 99.000 14 SAMARINDA - TANJUNG ISUY 63.500 15 SAMARINDA - MUARA MUNTAI 39.000 Angkutan Perintis 16 SAMARINDA - MUARA PAHU 78.000 Angkutan Perintis 17 SAMARINDA - SAMBOJA 22.500 18 SAMARINDA - LONG MESANGAT 54.000 19 PENAJAM - TANAH GROGOT 37.000 20 TANAH GROGOT - BARABAI 61.000 Angkutan Perbatasan 21 TANAH GROGOT - BATU LICIN 62.500 Angkutan Perbatasan 22 PENAJAM - TANJUNG - BARABAI 95.500 Angkutan Perbatasan 23 SAMARINDA - BONGAN 37.500 Angkutan Perintis 24 SAMRINDA - MUARA ALOH 66.000 Angkutan Perintis 25 SAMARINDA BENTIAN BESAR 90.000 Angkutan Perintis 26 BALIKPAPAN - BONTANG (PATAS) 61.000 TARIF ANGKUTAN PENUMPANG UMUM DI JALAN DENGAN MOBIL PENUMPANG UMUM DI PROVINSI KALIMANTAN TIMUR No JENIS MUATAN TARIF /orang (Rp. ) KETERANGAN 1 SAMARINDA - TENGGARONG 16.500 2 SAMARINDA - HANDIL II 38.500 3 SAMARINDA - SEBULU 24.000 4 BONTANG - SANGKULIRANG 112.000 5 SAMARINDA - MUARA WAHAU 150.500 6 BALIKPAPAN - HANDIL II 35.500 7 BALIKPAPAN - SEMOI - SEPAKU 35.500 8 SAMARINAD - MUARA KAMAN 45.000 9 PENAJAM - TANAH GROGOT 54.500 PERATURAN GUBERNUR KALIMANTAN TIMUR NOMOR 11 TAHUN 2015 TENTANG PENETAPAN TARIF JARAK ANGKUTAN PENUMPANG UMUM TRAYEK ANTARKOTA DALAM PROVINSI KELAS EKONOMI DI JALAN DENGAN MOBIL BUS UMUM DI PROVINSI KALIMANTAN TIMUR 64

Tarif Angkutan Air 2016 Tarif Angkutan Air 65

Tarif Angkutan Air 2016 XXV. Tarif Angkutan Air TARIF BATAS ATAS ANGKUTAN PENUMPANG LAUT DALAM NEGERIKELAS EKONOMI No JENIS MUATAN TARIF (Rp.)/ Pnp Dewasa KETERANGAN 1 BALIKPAPAN - NABIRE 775.000 via mks,bau,nml,amb,fak,srg,mwr 2 BALIKPAPAN - JAYAPURA 733.000 via ptl,btg,tnt,srg,mwr,nbr,sri 3 BALIKPAPAN - MANOKWARI 716.000 via mks,bau,nml,amb,fak,srg 4 BALIKPAPAN - KUPANG 689.000 via trk,nnk,blp,pre,mks,mre,lwb 5 BALIKPAPAN - SERUI 689.000 via ptl,btg,tnt,srg,mwr,nbr 6 BALIKPAPAN - NABIRE 670.000 via ptl,btg,tnt,srg,mwr 7 BALIKPAPAN - SORONG 648.000 via mks,bau,nml,amb,fak 8 BALIKPAPAN - MANOKWARI 623.000 via ptl,btg,tnt,srg 9 BALIKPAPAN - SEMARANG 614.000 via grt,blg,bru,btl,sby,spt 10 BALIKPAPAN - LEWOLEBA 607.000 via trk,nnk,blp,pre,mks,mre 11 BALIKPAPAN - BAU BAU 589.000 via trk,nnk,blp,pre,mks 12 BALIKPAPAN - MAUMERE 563.000 via trk,nnk,blp,pre,mks 13 BALIKPAPAN - FAK FAK 550.000 via mks,bau,nml,amb 14 BALIKPAPAN - MAKASSAR 512.000 via trk,nnk,blp,pre 15 BALIKPAPAN - SAMPIT 488.000 via grt,blg,bru,btl,sby,spt 16 BALIKPAPAN - SORONG 473.000 via ptl,btg,tnt 17 BALIKPAPAN - PARE PARE 465.000 via trk,nnk,blp 18 BALIKPAPAN - AMBON 445.000 via mks,bau,nml 19 BALIKPAPAN - NAMLEA 441.000 via mks,bau 20 BALIKPAPAN - BALIKPAPAN 438.000 via trk,nnk 21 BALIKPAPAN - SURABAYA 449.000 via grt,blg,bru,btl 22 BALIKPAPAN - KUPANG 417.000 via pre,mks,mre,lwb 23 BALIKPAPAN - TENATE 403.000 via ptl,btg 24 BALIKPAPAN - SURABAYA 402.000 25 BALIKPAPAN - LEWOLEBA 394.000 via pre,mks,mre 26 BALIKPAPAN - BITUNG 365.000 via ptl 27 BALIKPAPAN - BATULICIN 364.000 via grt,blg,bru 28 BALIKPAPAN - MAUMERE 350.000 via pre,mks 29 BALIKPAPAN - NUNUKAN 348.000 via trk 30 BALIKPAPAN - BAU BAU 304.000 via pre,mks 31 BALIKPAPAN - TARAKAN 251.000 32 BALIKPAPAN - BARRU 221.000 via grt,blg 33 BALIKPAPAN - TOLI TOLI 202.000 via blp,ptl 34 BALIKPAPAN - MAKASSAR 184.000 35 BALIKPAPAN - PARE PARE 168.000 36 BALIKPAPAN - BELANG BELANG 147.000 via grt 37 BALIKPAPAN - PANTOLOAN 111.000 38 BALIKPAPAN - TANAH GROGOT 38.000 Catatan : 1 Anak usia 2-11 tahun tarif = 75 % 2 Bayi tarif = 10 % PERATURAN MENTERI PERHUBUNGAN NOMOR PM 16 TAHUN 2014 TENTANG TARIF BATAS ATAS ANGKUTAN PENUMPANG LAUT DALAM NEGERI KELAS EKONOMI 66

Tarif Angkutan Air 2016 TARIF ANGKUTAN PENYEBERANGAN LINTAS ANTAR PROVINSI BALIKPAPAN TAIPA No JENIS MUATAN SATUAN TARIF (Rp. ) A PENUMPANG 1 EKONOMI # DEWASA per orang 135.000 # ANAK per orang 85.000 B KENDARAAN 1 GOLONGAN I per unit 222.000 2 GOLONGAN II per unit 351.000 3 GOLONGAN III per unit 780.000 4 GOLONGAN IV # KENDARAAN PENUMPANG per unit 2.798.000 # KENDARAAN BARANG per unit 2.529.000 5 GOLONGAN V # KENDARAAN PENUMPANG per unit 5.988.000 # KENDARAAN BARANG per unit 4.172.000 6 GOLONGAN VI # KENDARAAN PENUMPANG per unit 8.333.000 # KENDARAAN BARANG per unit 6.056.000 7 GOLONGAN VII per unit 8.688.000 8 GOLONGAN VIII per unit 10.100.000 9 GOLONGAN IX per unit 15.135.000 TARIF ANGKUTAN PENYEBERANGAN LINTAS ANTAR PROVINSI BALIKPAPAN MAMUJU No JENIS MUATAN SATUAN TARIF (Rp. ) A PENUMPANG 1 EKONOMI # DEWASA per orang 137,500 # ANAK per orang 90,500 B KENDARAAN 1 GOLONGAN I per unit 217,500 2 GOLONGAN II per unit 379,500 3 GOLONGAN III per unit 758,000 4 GOLONGAN IV # KENDARAAN PENUMPANG per unit 2,781,500 # KENDARAAN BARANG per unit 2,674,500 5 GOLONGAN V # KENDARAAN PENUMPANG per unit 5,820,000 # KENDARAAN BARANG per unit 4,599,000 6 GOLONGAN VI # KENDARAAN PENUMPANG per unit 8,703,000 # KENDARAAN BARANG per unit 6,397,000 7 GOLONGAN VII per unit 8,807,500 8 GOLONGAN VIII per unit 10,679,500 9 GOLONGAN IX per unit 16,005,500 67

Tarif Angkutan Air 2016 TARIF ANGKUTAN PENYEBERANGAN LINTAS ANTAR PROVINSI TANJUNG APIAPI - TANJUNG KELIAN No JENIS MUATAN SATUAN TARIF (Rp. ) A PENUMPANG 1 EKONOMI # DEWASA per orang 31.500 # ANAK per orang 21.000 B KENDARAAN 1 GOLONGAN I per unit 52.000 2 GOLONGAN II per unit 88.500 3 GOLONGAN III per unit 174.500 4 GOLONGAN IV # KENDARAAN PENUMPANG per unit 675.500 # KENDARAAN BARANG per unit 610.000 5 GOLONGAN V # KENDARAAN PENUMPANG per unit 1.300.000 # KENDARAAN BARANG per unit 1.071.500 6 GOLONGAN VI # KENDARAAN PENUMPANG per unit 2.204.500 # KENDARAAN BARANG per unit 17.750.003 7 GOLONGAN VII per unit 2.273.500 8 GOLONGAN VIII per unit 3.389.500 9 GOLONGAN IX per unit 5.072.000 TARIF ANGKUTAN PENYEBERANGAN LINTAS ANTAR PROVINSI KARIANGAU GARONGKONG No JENIS MUATAN SATUAN TARIF (Rp. ) A PENUMPANG 1 EKONOMI #DEWASA per orang 116.000 #ANAK per orang 76.000 B KENDARAAN 1 GOLONGAN I per unit 184.000 2 GOLONGAN II per unit 320.000 3 GOLONGAN III per unit 1.401.000 4 GOLONGAN IV #KENDARAAN PENUMPANG per unit 2.244.000 #KENDARAAN BARANG per unit 2.048.000 5 GOLONGAN V #KENDARAAN PENUMPANG per unit 4.921.000 #KENDARAAN BARANG per unit 4.129.000 6 GOLONGAN VI #KENDARAAN PENUMPANG per unit 8.333.000 #KENDARAAN BARANG per unit 6.845.000 7 GOLONGAN VII per unit 8.634.000 8 GOLONGAN VIII per unit 12.902.000 9 GOLONGAN IX per unit 19.338.000 68

Tarif Angkutan Air 2016 TARIF ANGKUTAN PENYEBERANGAN UNTUK PENUMPANG KELAS EKONOMI, KENDARAAN DAN ALAT-ALAT BERAT/ BESAR LINTAS KARIANGAU - PENAJAM No JENIS MUATAN SATUAN TARIF(Rp. ) A PENUMPANG 1 EKONOMI #DEWASA per orang 7.500 #ANAK per orang 4.500 B KENDARAAN 1 GOLONGAN I per unit 7.000 2 GOLONGAN II per unit 2.350 3 GOLONGAN III per unit 42.500 4 GOLONGAN IV #KENDARAAN PENUMPANG per unit 245.000 #KENDARAAN BARANG per unit 175.000 5 GOLONGAN V #KENDARAAN PENUMPANG per unit 415.000 #KENDARAAN BARANG per unit 365.000 #KENDARAAN KHUSUS BBM/LPG 5 TON per unit 665.000 6 GOLONGAN VI #KENDARAAN PENUMPANG per unit 515.000 #KENDARAAN BARANG per unit 570.000 #KENDARAAN KHUSUS BBM/LPG 10 TON per unit 840.000 7 GOLONGAN VII #KENDARAAN GOLONGAN VII per unit 715.000 #KENDARAAN KHUSUS BBM/LPG 16 TON per unit 1.375.000 8 GOLONGAN VIII per unit 1.000.000 9 GOLONGAN IX per unit 1.200.000 PERATURAN MENTERI PERHUBUNGAN NOMOR PM 63 TAHUN 2015 TENTANG TARIF ANGKUTAN PENYEBERANGAN LINTAS ANTAR PROVINSI 69

Retribusi Pengujian Kendaraan Bermotor 2016 Retribusi Pengujian Kendaraan Bermotor 70

Retribusi Pengujian Kendaraan Bermotor 2016 XXVI. Retribusi Pengujian Kendaraan Bermotor Peraturan Daerah Propinsi Kalimantan Timur No 1 Tahun2012 Tentang Retribusi Jasa Umum Struktur dan Besarnya tarif Retribusi Pengujian Kendaraan Bermotor pada Dinas Perhubungan Provinsi Kalimantan Timur No. Jenis Pelayanan Tarif (Rp) Keterangan Pengujian Kapal di perairan Daratan (sungai & Danau : 1. GT s.d 35 a. Pengujian Kapal Setelah Dibangun b. Pengujian kapal secara berkala Rp. 100.000 Rp. 100.000 Satu kali Satukali/ 1 tahun 2. GT > 35 s.d 50 a. Pengujian kapal setelah dibangun b. Pengujian kapal secara berkala Rp. 150.000 Rp.100.000 Satu kali Satukali/ 1 tahun GT> 50.sd 150 a. Pengujian kapal setelah bangun b. Pengujian kapal secara berkala Rp.200.000 Rp.150.000 Satu kali Satukali/ 1 tahun GT> 150 sd 300 a. Pengujian kapal setelah bangun b. Pengujian kapal secara berkala Rp. 250.000 Rp. 200.000 Satu kali Satukali/ 1 tahun 71

Harga Obat 2016 Tarif Angkutan Udara 72

Harga Obat 2016 XXVII. Tarif Angkutan Udara Memperhatikan ketentuan perjalanan dinas yang telah ditetapkan oleh Biro Umum dalam SK Gubernur 73

Harga Obat 2016 74

Harga Obat 2016 XXVIII. STANDARDISASI HARGA PERALATAN LABORATORIUM BIDANG PEKERJAAN LABORATORIUM KONSTRUKSI NO TYPE URAIAN SATUAN HARGA I. SOIL TESTING 1 ST - 100 HAND BOR 1 set 17.028.000 2 ST - 110 STANDAR PENETRATION TEST 1 set 38.940.000 3 ST - 120 DYNAMIC CONE PENETROMETER 1 set 9.174.000 4 ST - 130 PLATE BEARING TEST 1 set 83.820.000 5 ST - 140A DUTCH CONE PENETROMETER 2.5 TON 1 set 55.422.840 6 ST - 140B DUTCH CONE PENETROMETER 5 TON 1 set 66.330.000 7 ST - 150A HYDRAULIC DUTCH CONE PENETROMETER 2.5 TON 1 set 144.540.000 8 ST - 150B HYDRAULIC DUTCH CONE PENETROMETER 5 TON 1 set 171.963.000 9 ST - 150C HYDRAULIC DUTCH CONE PENETROMETER 10 TON 1 set 229.785.600 10 ST - 160 FIELD CBR TEST 1 set 33.000.000 11 ST - 170 PROVING RING PENETROMETER 1 set 10.362.000 12 ST - 180A LIQUID LIMIT TEST 1 set 7.590.000 13 ST - 180B ANALOG LIQUID LIMIT TEST 1 set 8.052.000 14 ST - 180C ELECTRIC LIQUID LIMIT TEST 1 set 11.022.000 15 ST - 190 PLASTIC LIMIT TEST 1 set 1.980.000 16 ST - 200 SHRINKAGE LIMIT TEST 1 set 3.894.000 17 ST - 210 HYDROMETER ANALYSIS TEST 1 set 11.286.000 18 ST - 220 COMPACTION TEST 1 set 8.910.000 19 ST - 230A HAND OPERATED LABORATORY CBR TEST 1 set 34.320.000 20 ST - 230B ELECTRIC LABORATORY CBR TEST 1 set 42.240.000 21 ST - 230C DIGITAL LABORATORY CBR TEST 1 set 77.220.000 22 ST - 2350 AUTOMATIC CBR COMPACTOR 1 set 99.000.000 23 ST - 2360 AUTOMATIC STANDARD PROCTOR COMPACTOR 1 set 114.180.000 24 ST - 2370 AUTOMATIC MODIFIED PROCTOR COMPACTOR 1 set 116.160.000 25 ST - 240 SAND CONE TEST 1 set 3.762.000 26 ST - 250A SPEEDY MOISTURE TESTER - MODEL A 1 set 23.100.000 27 ST - 250B SPEEDY MOISTURE TESTER - MODEL B 1 set 20.460.000 28 ST - 260A HAND OPERATED UNCONFINED COMPRESSION MACHINE TEST 1 set 23.694.000 29 ST - 260B ELECTRIC UNCONFINED COMPRESSION MACHINE TEST 1 set 33.924.000 30 ST - 270 CONSOLIDASION TEST 1 set 14.988.000 31 ST - 280 SPECIFIC GRAVITY HEATING METHOD 1 set 17.028.000 32 ST - 290A SPECIFIC GRAVITY VACUUM METHOD - MODEL A 1 set 16.104.000 33 ST - 300B ELECTRIC DIRECT SHEAR TEST 1 set 38.808.000 34 ST - 310 VACUUM STAND 1 set 24.156.000 35 ST - 320 CONE PENETROMETER METHOD TEST 1 set 14.520.000 36 ST - 330 COMBINATION PERMEAMETER 1 set 57.420.000 37 ST - 340 COMPACTION PERMEAMETER TEST 1 set 7.392.000 38 ST - 350 MOISTURE CONTENT TEST SET 1 set 50.160.000 39 ST - 360 TRIAXIAL TEST - TRITEST 100-080 1 set 196.020.000 40 ST - 370 SAMPLE EXTRUDER 1 set 6.996.000 41 ST - 370A ELECTRIC SAMPLE EXTRUDER 1 set 27.720.000 42 ST - 380 HYDRAULIC UNIVERSAL EXTRUDER 1 set 12.342.000 43 ST - 390 CORPS OF ENGINEER SOIL SURFACE SAMPLERS 1 set 6.732.000 44 ST - 400 TUBE DENSITY SAMPLERS 1 set 7.788.000 45 S212N UNIVERSAL MULTISPEED LOAD FRAME. 50KN CAPACITY 1 set 1.018.116.000 46 S065 DIAL POCKET PENETROMETER 1 set 29.106.000 47 S057 FIELD INSPECTION POCKET VANE TESTER 1 set 59.202.000 48 S133N SOIL COLOUR CHAR 1 set 37.422.000 49 S301 DIGITAL TRIAXIAL LOAD FRAME. 50 Kn 1 set 1.121.670.000 50 S205 UNITRONIC 50 Kn 1 set 791.208.000 UNIVERSAL MULTIPURPOSE COMPRESSION/FLEXURAL AND TENSILE 51 S199 AUTOMATIC. PROGRAMMABLE PROCTOR / CBR COMPACTOR 1 set 770.764.500 WITH MICROPROCESSOR. "HIGH TECHNOLOGY" 52 S059 GEOGAUGE 1 set 1.363.230.000 53 NRD 300 HF RESISTIVITY METER NANIURA 1 set 92.400.000 II. AGGREGAT TESTING AT - 200 U.S. STANDARD TESTING SIEVES SERIES Models available : 54 AT - 201 Sieve Mesh 4" (100 mm) 1 pc 1.663.200 55 AT - 202 Sieve Mesh 3 1/2" (90 mm) 1 pc 1.663.200 56 AT - 203 Sieve Mesh 3" (75 mm) 1 pc 1.663.200 57 AT - 204 Sieve Mesh 2 1/2" (63 mm) 1 pc 1.663.200 58 AT - 205 Sieve Mesh 2" (50 mm) 1 pc 1.663.200 75

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA 59 AT - 206 Sieve Mesh 1 3/4" (45 mm) 1 pc 1.663.200 60 AT - 207 Sieve Mesh 1 1/2" (38.1 mm) 1 pc 1.663.200 61 AT - 208 Sieve Mesh 1 1/4" (31.5 mm) 1 pc 1.663.200 62 AT - 209 Sieve Mesh 1" (25.0 mm) 1 pc 1.663.200 63 AT - 210 Sieve Mesh 7/8" (22.4 mm) 1 pc 1.663.200 64 AT - 211 Sieve Mesh 3/4" (19.0 mm) 1 pc 1.663.200 65 AT - 212 Sieve Mesh 1/2" (12.5 mm) 1 pc 1.663.200 66 AT - 213 Sieve Mesh 5/8" (16.0 mm) 1 pc 1.663.200 67 AT - 214 Sieve Mesh 7/16" (11.2 mm) 1 pc 1.663.200 68 AT - 215 Sieve Mesh 3/8" (9.5 mm) 1 pc 1.663.200 69 AT - 216 Sieve Mesh 5/16" (8.0 mm) 1 pc 1.663.200 70 AT - 217 Sieve Mesh 1/4" (6.3 mm) 1 pc 1.663.200 71 AT - 218 Sieve Mesh No. 4 (4.75 mm) 1 pc 1.524.600 72 AT - 219 Sieve Mesh No. 6 (3.35 mm) 1 pc 1.524.600 73 AT - 220 Sieve Mesh No. 8 (2.36 mm) 1 pc 1.524.600 74 AT - 221 Sieve Mesh No. 10 (2.00 mm) 1 pc 1.524.600 75 AT - 222 Sieve Mesh No. 12 (1.70mm) 1 pc 1.524.600 76 AT - 223 Sieve Mesh No. 14 (1.40 mm) 1 pc 1.524.600 77 AT - 224 Sieve Mesh No. 16 (1.18 mm) 1 pc 1.524.600 78 AT - 225 Sieve Mesh No. 18 (1.00 mm) 1 pc 1.524.600 79 AT - 226 Sieve Mesh No. 20 ( 850 μm) 1 pc 1.524.600 80 AT - 227 Sieve Mesh No. 25 ( 710 μm) 1 pc 1.524.600 81 AT - 228 Sieve Mesh No. 30 ( 600 μm) 1 pc 1.524.600 82 AT - 229 Sieve Mesh No. 35 ( 500 μm) 1 pc 1.524.600 83 AT - 230 Sieve Mesh No. 40 ( 425 μm) 1 pc 1.524.600 84 AT - 231 Sieve Mesh No. 45 ( 355 μm) 1 pc 1.524.600 85 AT - 232 Sieve Mesh No. 50 ( 300 μm) 1 pc 1.524.600 86 AT - 233 Sieve Mesh No. 60 ( 250 μm) 1 pc 1.524.600 87 AT - 234 Sieve Mesh No. 70 ( 212 μm) 1 pc 1.524.600 88 AT - 235 Sieve Mesh No. 80 ( 180 μm) 1 pc 1.524.600 89 AT - 236 Sieve Mesh No. 100 ( 150 μm) 1 pc 1.663.200 90 AT - 237 Sieve Mesh No. 120 ( 125 μm) 1 pc 1.524.600 91 AT - 238 Sieve Mesh No. 140 ( 106 μm) 1 pc 1.524.600 92 AT - 239 Sieve Mesh No. 170 ( 90 μm) 1 pc 1.524.600 93 AT - 240 Sieve Mesh No. 200 ( 75 μm) 1 pc 1.663.200 94 AT - 241 Sieve Mesh No. 230 ( 63 μm) 1 pc 1.663.200 95 AT - 242 Sieve Mesh No. 270 ( 53 μm) 1 pc 1.524.600 96 AT - 243 Sieve Mesh No. 325 ( 45 μm) 1 pc 1.524.600 97 AT - 244 Sieve Mesh No. 400 ( 38 μm) 1 pc 1.524.600 98 AT - 245 Pan & Cover 1 set 1.524.600 99 AT - 250A Sample Spliter 1/2" 1 set 2.442.000 100 AT - 250B Sample Spliter 3/4" 1 set 2.442.000 101 AT - 250C Sample Spliter 1" 1 set 2.442.000 102 AT - 250D Sample Spliter 1 1/2" 1 set 2.442.000 103 AT - 250E Sample Spliter 2" 1 set 2.442.000 104 AT - 250F Sample Spliter 2 1/2" 1 set 2.442.000 105 AT - 250G Sample Spliter 3" 1 set 2.442.000 106 AT - 260C GILSON SAMPLE SPLITER 1 set 18.216.000 107 AT - 270 PRECISSION SAMPLE SPLITER 1 set 4.620.000 108 AT - 280A SIEVE SHAKER 1 set 7.722.000 109 AT - 280B SIEVE SHAKER ELECTRIC 1 set 9.570.000 110 AT - 290 LENGTH GAUGE 1 pc 1.848.000 111 AT - 300 THICKNESS GAUGE 1 pc 1.584.000 112 AT - 311 Wooden Sieve 4". Mesh 101.6 mm opening. 1 pc 4.092.000 113 AT - 312 Wooden Sieve 3 1/2" Mesh 88.9 mm opening. 1 pc 4.092.000 114 AT - 313 Wooden Sieve 3". Mesh 76.2 mm opening. 1 pc 4.092.000 115 AT - 314 Wooden Sieve 2 1/2" Mesh 62.5 mm opening. 1 pc 4.092.000 116 AT - 315 Wooden Sieve 2". Mesh 50.8 mm opening. 1 pc 4.092.000 117 AT - 316 Wooden Sieve 1 3/4" Mesh 44.4 mm opening. 1 pc 4.092.000 118 AT - 317 Wooden Sieve 1 1/2" Mesh 38.1 mm opening. 1 pc 4.092.000 119 AT - 318 Wooden Sieve 1 1/4" Mesh 31.7 mm opening. 1 pc 4.092.000 120 AT - 319 Wooden Sieve 1". Mesh 25.4 mm opening. 1 pc 4.092.000 121 AT - 320 Wooden Sieve 7/8". Mesh 22.2 mm opening. 1 pc 4.092.000 122 AT - 321 Wooden Sieve 3/4". Mesh 19.0 mm opening. 1 pc 4.092.000 123 AT - 322 Wooden Sieve 5/8". Mesh 15.8 mm opening. 1 pc 4.092.000 124 AT - 323 Wooden Sieve 1/2". Mesh 12.7 mm opening. 1 pc 4.092.000 125 AT - 324 Wooden Sieve 7/16". Mesh 11.1 mm opening. 1 pc 4.092.000 126 AT - 325 Wooden Sieve 3/8". Mesh 9.5 mm opening. 1 pc 4.092.000 127 AT - 326 Wooden Sieve 5/16". Mesh 7.9 mm opening. 1 pc 4.092.000 128 AT - 327 Wooden Sieve 1/4". Mesh 6.3 mm opening. 1 pc 4.092.000 129 AT - 328 Wooden Sieve # 4. Mesh 4.75 mm opening. 1 pc 4.092.000 76

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA 130 AT - 330A Wet Washing Sieve. # 200. 8" dia. 4" depth. 1 pc 924.000 131 AT - 330B Wet Washing Sieve. # 200. 8" dia. 8" depth. 1 pc 1.069.200 132 AT - 340 SAND EQUIVALENT TEST 1 set 6.402.000 133 AT - 350 SAND EQUIVALENT SHAKER HAND OPERATED 1 set 5.412.000 134 AT - 360 LOS ANGELES ABRASSION MACHINE 1 set 44.220.000 135 AT - 370 AGGREGATE IMPACT TEST 1 set 8.976.000 136 AT - 380 ABSORPTION OF FINE AGREGATE TEST 1 set 2.640.000 137 AT - 390A AGGREGATE CRUSHING VALUE APPARATUS DIA. 75 MM 1 set 3.775.200 138 AT - 390B AGGREGATE CRUSHING VALUE APPARATUS DIA. 150 MM 1 set 5.299.800 139 AT - 400 BULK DENSITY TEST 1 set 20.064.000 140 AT - 410A SPECIFIC GRAVITY & ABSORPTION MODEL A 1 set 29.832.000 141 AT - 410B SPECIFIC GRAVITY & ABSORPTION MODEL B 1 set 42.108.000 142 AT - 420 ORGANIC IMPURITIES TEST 1 set 20.856.000 143 AT - 430 SOUNDNESS TEST 1 set 1.584.000 143 AT - 440 UNCOMPACTED VOID CONTENT OF FINE AGGREGATE 1 set 10.494.000 144 AT - 450 PROPORTIONAL CALIPER DEVICE 1 set 9.900.000 144 A125 DIGITAL POINT LOAD TESTER (ROCK STRENGTH INDEX) 1 set 211.860.000 145 A150N ELASTIC MODULUS OF ROCK SPECIMENS IN UNIAXIAL 1 set 1.816.056.000 AND TRIAXIAL TESTS 146 A129 PORTABLE ROCK SHEAR BOX ASSEBLY 1 set 1.076.130.000 III. CEMENT TESTING 147 CM - 100 AIR PERMEABILITY OF PORTLAND CEMENT BY FINENESS DEVICE 1 set 2.772.000 148 CM - 110 SPECIFIC GRAVITY OF HYDRAULIC CEMENT TEST 1 set 1.801.800 149 CM - 120 TIME SETTING OF HYDRAULIC CEMENT BY VICAT NEEDLE 1 set 1.960.200 150 CM - 120A TIME SETTING OF HYDRAULIC CEMENT BY GILMORE APPARATUS 1 set 6.582.840 151 CM - 140A COMPRESSIVE SRENGTH OF HYDRAULIC CEMENT MORTAR 1 set 7.788.000 152 CM - 140B ELECTRIC COMPRESSIVE STRENGTH OF HYDRAULIC CEMENT MORTAR 1 set 12.144.000 153 CM - 150A COMPRESSION MACHINE 100 KN 1 set 62.040.000 154 CM - 150B COMPRESSION MACHINE 250 KN 1 set 71.808.000 155 CM - 155A MORTAR MIXER 5 LITERS CAPACITY 1 set 38.940.000 156 CM - 155B MORTAR MIXER 10 LITERS CAPACITY 1 set 48.840.000 IV. CONCRETE TESTING 157 CT - 100 VERTICAL CYLINDER CAPPING SET 1 set 11.015.400 158 CT - 110 HYDRAULIC CONCRETE BEAM TESTING MACHINE 1 set 41.580.000 159 CT - 120 MECHANICAL CONCRETE BEAM TESTING MACHINE 1 set 36.234.000 160 CT - 130 COMPACTING FACTOR APPARATUS 1 set 9.504.000 161 CT - 140 VEBE TIME 1 set 15.048.000 162 CT - 150 AIR CONTENT OF FRESH MIXED CONCRETE 1 set 104.940.000 163 CT - 160 VIBRATING TABLE 1 set 15.840.000 CT - 170 COMPRESSION MACHINE HAND OPERATED SERIES Models available : 164 CT - 170A 500 kn capacity 1 set 81.312.000 165 CT - 170B 1000 kn capacity 1 set 86.974.800 166 CT - 170C 1500 kn capacity 1 set 92.202.000 167 CT - 170D 2000 kn capacity 1 set 102.874.200 168 CT - 170E 2500 kn capacity 1 set 113.256.000 169 CT - 170F 3000 kn capacity 1 set 134.455.200 CT - 180 COMPRESSION MACHINE ELECTRIC SERIES Models available : 170 CT - 180A 500 kn capacity 1 set 85.958.400 171 CT - 180B 1000 kn capacity 1 set 92.202.000 172 CT - 180C 1500 kn capacity 1 set 102.068.340 173 CT - 180D 2000 kn capacity 1 set 123.565.200 174 CT - 180E 2500 kn capacity 1 set 134.237.400 175 CT - 180F 3000 kn capacity 1 set 144.038.400 176 CT - 185A 500 kn capacity 1 set 113.520.000 177 CT - 185B 1000 kn capacity 1 set 118.800.000 178 CT - 185C 1500 kn capacity 1 set 129.360.000 179 CT - 185D 2000 kn capacity 1 set 151.800.000 180 CT - 185E 2500 kn capacity 1 set 161.040.000 181 CT - 185F 3000 kn capacity 1 set 171.600.000 182 CT - 190 HAND OPERATED COMPRESSION TESTER DUAL GAUGE SERIES Models available : 183 CT - 190.1 HAND OPERATED COMPRESSION TESTER DUAL GAUGE 1 set 110.569.800 184 CT - 190.2 HAND OPERATED COMPRESSION TESTER DUAL GAUGE 1 set 116.668.200 CT - 200 ELECTRIC COMPRESSION TESTER DUAL GAUGE SERIES Models available : 185 CT - 200.1 ELECTRIC COMPRESSION TESTER DUAL GAUGE 1 set 122.621.400 186 CT - 200.2 ELECTRIC COMPRESSION TESTER DUAL GAUGE 1 set 128.683.500 77

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA 187 CT - 210 SLUMP TEST SET 1 set 4.158.000 188 CT - 220 CONCRETE TEST HAMMER NORMAL TYPE (PROCEQ-SWITZERLAND) 1 set 46.173.600 189 CT - 230 MODULUS OF ELASTICITY IN CONCRETE TEST 1 set 8.976.000 190 CT - 240 SPLITE TENSILE TEST 1 set 1.914.000 191 CT - 250 SPECIMEN CUTTING MACHINE 1 set 65.208.000 192 CT - 270 LABORATORY CONCRETE MIXER 1 set 17.160.000 193 CT - 280A LABORATORY CONCRETE MIXER PAN TYPE 100 LITERS CAPACITY 1 set 67.584.000 194 CT - 280B LABORATORY CONCRETE MIXER PAN TYPE 250 LITERS CAPACITY 1 set 78.540.000 195 CT - 290.1 CONCRETE CYLINDER MOLD 100 MM DIA X 200 MM HEIGHT 1 set 990.000 196 CT - 290.2 CONCRETE CYLINDER MOLD 150 MM DIA X 300 MM HEIGHT 1 set 1.188.000 197 CT - 300.1 CONCRETE BEAM MOLD 150 X 150 X 600 MM 1 set 2.904.000 198 CT - 300.2 CONCRETE BEAM MOLD 200 X 200 X 800 MM 1 set 3.498.000 199 CT - 310.1 CAST IRON CONCRETE CUBE MOLD 100 X 100 X 100 MM 1 set 1.122.000 200 CT - 310.2 CAST IRON CONCRETE CUBE MOLD 150 X 150 X 150 MM 1 set 1.254.000 201 CT - 320.1 STEEL PLATE CONCRETE CUBE MOLD 100 X 100 X 100 MM 1 set 1.320.000 202 CT - 320.2 STEEL PLATE CONCRETE CUBE MOLD 150 X 150 X 150 MM 1 set 1.584.000 203 TM - 500 TENSILE TEST MACHINE 500 KN 1 set 217.800.000 204 UTM - 1500 UNIVERSAL TESTING MACHINE 1 set 402.600.000 205 FS 400 LV CONCRETE & ASHALT CUTTER / FLOOR SAWING MACHINE 1 set 80.744.400 206 310 01 001 CONCRETE TEST HAMMER ORIGINAL SCHMIDT TYPE N 1 set 46.173.600 207 340 00 202 DIGI-SCHMIDT ND 1 set 135.531.000 208 341 31 000 SILVERSCHMIDT PC TYPE N 1 set 92.664.000 209 326 10 001 PUNDIT LAB 1 set 166.240.800 210 326 20 001 PUNDIT LAB PLUS 1 set 203.860.800 211 391 20 000 PROFOSCOPE PLUS 1 set 112.384.800 212 390 00 054 PROFOMETER 5+ SCANLOG 1 set 300.564.000 213 392 20 001 PROFOMETER PM-630 1 set 268.874.100 214 C390 ANVIL 1 set 40.451.400 215 C399 CRACK DETECTION MICROSCOPE 1 set 84.724.200 216 C363-02 KIT MECHANICAL STRAIN GAUGE. 200MM MEASURING LENGTH. 1 set 226.710.000 DIGITAL GAUGE 217 C089-04N COMPRESSION TESTING MACHINE 2000 kn CAPACITY 1 set 1.604.394.000 CYBER - PLUS OR SERVO - PLUS EVOLUTION TOUCH SCREEN DIGITAL SYSTEM 218 C090-02D FLEXURAL TESTING MACHINE. 150KN CAPACITY. DIGITEC 1 set 1.246.311.000 219 C322 KIT UNIVERSAL ELECTRIC CORE DRILLING MACHINE 1 set 922.878.000 V. BITUMINOUS TESTING 220 BT - 100 SPECIFIC GRAVITY OF SEMI SOLID BITUMINOUS MATERIALS 1 set 2.211.000 221 BT - 110 DISTILATION OF CUTBACK ASPHALTS 1 set 8.976.000 222 BT - 120 WATER CONTENT IN PETROLEUM PRODUCTS 1 set 7.854.000 223 BT - 130 SAYBOLT VISCOSIMETER (COMPLETE WITH THERMOMETER) 1 set 46.464.000 224 BT - 140A GAS CLEVELAND OPEN CUP FLASH AND FIRE POINT TESTER 1 set 7.893.600 225 BT - 140B ELECTRIC CLEVELAND OPEN CUP FLASH AND FIRE POINT TESTER 1 set 12.540.000 226 BT - 150 LOSS ON HEATING / THIN-FILM 1 set 41.712.000 227 BT - 160A MANUAL RING AND BALL SOFTENING POINT APPARATUS 1 set 8.976.000 228 BT - 160B ELECTRONIC RING AND BALL SOFTENING POINT APPARATUS 1 set 14.480.400 229 BT - 170A HAND OPERATED LABORATORY PENETRATION TEST 1 set 14.355.000 230 BT - 170B ELECTRIC LABORATORY PENETRATION TEST 1 set 17.424.000 231 BT - 180 DUCTILITY OF BITUMINOUS MATERIALS TEST 1 set 47.520.000 BT - 190 CENTRIFUGE EXTRACTOR TEST SERIES Models available : 232 BT - 190A HAND OPERATED CENTRIFUGE EXTRACTOR TEST 1 set 15.774.000 233 BT - 190B ELECTRIC CENTRIFUGE EXTRACTOR TEST 1 set 21.780.000 234 BT - 200 REFLUX EXTRACTOR TEST 1 set 12.540.000 235 BT - 205 SOXHLET EXTRACTOR 31.020.000 236 BT - 205 SOXHLET EXTRACTOR 31.020.000 237 BT - 210A MARSHALL TEST 4 INCHES 1 set 57.420.000 238 BT - 210B MARSHALL TEST 6 INCHES 1 set 82.896.000 239 BT - 210C MARSHALL TEST 4 & 6 INCHES 1 set 90.750.000 240 BT - 210AD DIGITAL MARSHALL TEST 4 INCHES 1 set 74.184.000 241 BT - 210BD DIGITAL MARSHALL TEST 6 INCHES 1 set 94.116.000 242 BT - 210CD DIGITAL MARSHALL TEST 4 & 6 INCHES 1 set 117.612.000 243 BT - 220 CORE DRILLING TEST 1 set 46.464.000 244 BT - 230 DIAMONT BIT SERIES (HOFFMAN - USA) Models available : 245 BT - 231 2-1/4" DIAMOND CORE BIT. 1-1/4"-7 ADAPTOR 1 pc 9.900.000 246 BT - 232 4-1/4" DIAMOND CORE BIT. 1-1/4"-7 ADAPTOR 1 pc 11.550.000 247 BT - 233 6-1/4" DIAMOND CORE BIT. 1-1/4"-7 ADAPTOR 1 pc 16.500.000 248 BT - 240 BENKELMAN BEAM 1 set 18.480.000 249 BT - 250 MOT STRAIGHT EDGE 1 set 5.940.000 78

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA 250 BT - 260 AUTOMATIC MARSHALL COMPACTOR 1 set 112.992.000 251 BT - 270 PERCENTAGE REFUSAL DENSITY 1 set 34.848.000 252 B061 KIT KUMAGAWA (SOXHLET) EXTRACTOR 1 LITRE CAPACITY 1 set 56.826.000 253 B072 RING AND BALL SOFTENING POINT APPARATUS 1 set 160.083.000 254 B086 KIT CLEVELAND OPEN CAP FLASH AND FIRE POINT TESTER 1 set 140.382.000 255 B064 KIT ASPHALT OVEN WITH ROTATING SHELF 1 set 438.768.000 256 B054 DUCTILOMETER 1 set 864.072.000 257 B087-01 SAYBOLT DIGITAL VISCOMETER TWO TUBE 1 set 589.446.000 258 B069 KIT DISTILLATION OF CUT-BACK ASPHALTS 1 set 186.516.000 VI. GENERAL TESTING GT - 100 PROVING RING SERIES Models available : 259 GT - 101 Proving Ring 100 kg capacity with certificate calibration 1 pc 7.788.000 260 GT - 102 Proving Ring 250 kg capacity with certificate calibration 1 pc 6.534.000 261 GT - 103 Proving Ring 500 kg capacity with certificate calibration 1 pc 6.534.000 262 GT - 104 Proving Ring 1.000 lbs capacity with certificate calibration 1 pc 8.844.000 263 GT - 105 Proving Ring 2.000 lbs capacity with certificate calibration 1 pc 10.956.000 264 GT - 106 Proving Ring 6.000 lbs capacity with certificate calibration 1 pc 10.956.000 265 GT - 107 Proving Ring 10.000 lbs capacity with certificate calibration 1 pc 13.193.400 GT - 110 DIAL INDICATOR SERIES Models available : 266 GT - 110 Dial Indicator Range 10 mm x 0.01 mm 1 pc 2.376.000 267 GT - 112 Dial Indicator Range 20 mm x 0.01 mm 1 pc 4.224.000 268 GT - 113 Dial Indicator Range 30 mm x 0.01 mm 1 pc 5.478.000 269 GT - 114 Dial Indicator Range 50 mm x 0.01 mm 1 pc 6.732.000 270 GT - 115 Dial Indicator Range 5 mm x 0.001 mm 1 pc 8.184.000 271 GT - 116 Dial Indicator Range 10 mm x 0.001 mm 1 pc 9.477.600 272 GT - 120 DIAL HOLDER 1 pc 1.471.800 GT - 130 SQUARE PAN SERIES Models available : 273 GT - 130 Square Pan 250 x 250 x 50 mm 1 pc 475.200 274 GT - 131 Square Pan 400 x 400 x 50 mm 1 pc 633.600 275 GT - 132 Square Pan 500 x 500 x 75 mm 1 pc 785.400 276 GT - 133 Square Pan 650 x 650 x 750 mm 1 pc 1.089.000 GT - 140 RECTANGULAR PAN SERIES Models available : 277 GT - 140 Rectangular Pan 30 x 20 x 10 cm 1 pc 818.400 278 GT - 141 Rectangular Pan 45 x 30 x 15 cm 1 pc 1.478.400 279 GT - 142 Rectangular Pan 60 x 40 x 25 cm 1 pc 1.768.800 280 GT - 143 Rectangular Pan 90 x 60 x 40 cm 1 pc 2.442.000 281 GT - 150 ROUND PAN 1 pc 244.200 GT - 160 MIXING BOWL SERIES Models available : 282 GT - 160 Mixing Bowl 100 mm diameter approx 1 pc 237.600 283 GT - 161 Mixing Bowl 140 mm diameter approx. 1 pc 316.800 284 GT - 162 Mixing Bowl 200 mm diameter approx. 1 pc 396.000 285 GT - 163 Mixing Bowl 250 mm diameter approx. 1 pc 495.000 286 GT - 170 SAMPLE CAN 1 pc 165.000 GT - 180 THIN BOX SERIES Models available : 287 GT - 181 Thin box. Aluminum. 60 gr capacity 1 pc 46.200 288 GT - 182 Thin box. Aluminum.120 gr capacity 1 pc 118.800 289 GT - 190 GLASS PLATE 1 pc 178.200 Dimension (l x w x h). 300 mm x 300 mm x 10 mm GT - 200 GRADUATED CYLINDER SERIES Models available : 290 GT - 200 Graduated Cylinder 25 ml capacity (PYREX) 1 pc 244.200 291 GT - 201 Graduated Cylinder 50 ml capacity (PYREX) 1 pc 283.800 292 GT - 202 Graduated Cylinder 100 ml capacity (PYREX) 1 pc 415.800 293 GT - 203 Graduated Cylinder 250 ml capacity (PYREX) 1 pc 693.000 294 GT - 204 Graduated Cylinder 500 ml capacity (PYREX) 1 pc 785.400 295 GT - 205 Graduated Cylinder 1000 ml capacity (PYREX) 1 pc 1.089.000 GT - 210 GRADUATED CYLINDER SERIES Models available : 296 GT - 210 Graduated Cylinder 25 ml capacity 1 pc 389.400 297 GT - 211 Graduated Cylinder 50 ml capacity 1 pc 412.200 298 GT - 212 Graduated Cylinder 100 ml capacity 1 pc 627.000 299 GT - 213 Graduated Cylinder 250 ml capacity 1 pc 785.400 300 GT - 214 Graduated Cylinder 500 ml capacity 1 pc 1.320.000 301 GT - 215 Graduated Cylinder 1000 ml capacity 1 pc 1.518.000 79

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA GT - 220 VOLUMETRIC FLASK SERIES (PYREX) Models available : 302 GT - 221 Volumetric Flask 250 ml capacity (PYREX) 1 pc 1.036.200 303 GT - 222 Volumetric Flask 500 ml capacity (PYREX) 1 pc 1.122.000 304 GT - 223 Volumetric Flask 1000 ml capacity (PYREX) 1 pc 1.452.000 GT - 230 BEAKER GLASS SERIES Models available : 305 GT - 230 Beaker Glass 100 ml capacity (PYREX) 1 pc 310.200 306 GT - 231 Beaker Glass 250 ml capacity (PYREX) 1 pc 370.200 307 GT - 232 Beaker Glass 600 ml capacity (PYREX) 1 pc 627.000 308 GT - 233 Beaker Glass 800 ml capacity (PYREX) 1 pc 75.240 309 GT - 234 Beaker Glass 1000 ml capacity (PYREX) 1 pc 897.600 GT - 240 ERLENMEYER FLASK SERIES Models available : 310 GT - 240 Erlenmeyer Flask 125 ml capacity (PYREX) 1 pc 363.000 311 GT - 241 Erlenmeyer Flask 250 ml capacity (PYREX) 1 pc 587.400 312 GT - 242 Erlenmeyer Flask 500 ml capacity (PYREX) 1 pc 838.200 313 GT - 243 Erlenmeyer Flask 1000 ml capacity (PYREX) 1 pc 983.400 314 GT - 244 Erlenmeyer Flask 2000 ml capacity (PYREX) 1 pc 1.267.200 GT - 250 VACUUM FLASK SERIES Models available : 315 GT - 250 Vacuum Flask 125 ml capacity (PYREX) 1 pc 653.400 316 GT - 251 Vacuum Flask 250 ml capacity (PYREX) 1 pc 765.600 317 GT - 252 Vacuum Flask 500 ml capacity (PYREX) 1 pc 884.400 318 GT - 253 Vacuum Flask 1000 ml capacity (PYREX) 1 pc 1.293.600 319 GT - 254 Vacuum Flask 2000 ml capacity (PYREX) 1 pc 1.636.800 GT - 260 DENSITY BOTTLE SERIES Models available : 320 GT - 260 Density Bottle 50 ml capacity 1 pc 349.800 321 GT - 261 Density Bottle 100 ml capacity 1 pc 514.800 GT - 280 FILTER FUNNEL SERIES Models available : 322 GT - 280 Filter Funnel 125 ml capacity 1 pc 488.400 323 GT - 281 Filter Funnel 500 ml capacity 1 pc 686.400 GT - 300 VACUUM DESSICATOR Models available : 324 GT - 301 Dessicator Vacuum Type 210 mm diameter 1 pc 4.818.000 325 GT - 302 Dessicator Vacuum Type 240 mm diameter 1 pc 5.544.000 326 GT - 303 Dessicator Vacuum Type 300 mm diameter 1 pc 6.831.000 GT - 290 NON VACUUM DESSICATOR Models available : 327 GT - 291 Dessicator Non Vacuum Type 210 mm diameter 1 pc 4.092.000 328 GT - 292 Dessicator Non Vacuum Type 240 mm diameter 1 pc 4.752.000 329 GT - 293 Dessicator Non Vacuum Type 300 mm diameter 1 pc 5.280.000 GT - 320 FUNNEL SERIES Models available : 330 GT - 320 Funnel. Plastic. narrow mouth 1 pc 165.000 331 GT - 321 Funnel. Plastic. wide mouth 1 pc 231.000 332 GT - 322 Funnel. Glass. narrow mouth 1 pc 99.000 333 GT - 323 Funnel. Glass. wide mouth 1 pc 145.200 GT - 330 BURRETE SERIES Models available : 334 GT - 330 Burrete. Glass. 10 ml capacity without scale 1 pc 508.200 335 GT - 331 Burrete. Glass. 25 ml capacity without scale 1 pc 646.800 336 GT - 332 Burrete. Glass. 50 ml capacity without scale 1 pc 726.000 337 GT - 333 Burrete Glass. 100 ml capacity without scale 1 pc 765.600 GT - 340 EVAPORATING DISH SERIES Models available : 338 GT - 340 Evaporating Dish 90 mm dia. 100 ml capacity 1 pc 151.800 339 GT - 341 Evaporating Dish 120 mm dia. 250 ml capacity 1 pc 198.000 340 GT - 342 Evaporating Dish 150 mm dia. 350 ml capacity 1 pc 257.400 341 GT - 343 Evaporating Dish 170 mm dia. 500 ml capacity 1 pc 343.200 GT - 350 MORTAR AND PESTLE SERIES Models available : 342 GT - 350 Mortar and Pestle 12 cm diameter approx 1 pc 257.400 343 GT - 351 Mortar and Pestle 15 cm diameter approx 1 pc 363.000 344 GT - 352 Mortar and Pestle 18 cm diameter approx 1 pc 481.800 GT - 360 WASH BOTTLE SERIES Models available : 345 GT - 360 Wash Bottle 250 ml capacity 1 pc 171.600 346 GT - 361 Wash Bottle 500 ml capacity 1 pc 290.400 80

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA 347 GT - 362 Wash Bottle 1000 ml capacity 1 pc 422.400 GT - 370 PIPETTE SERIES & ACCESSORIES Models available : 348 GT - 371 Pipette 5 ml capacity. glass 1 pc 231.000 349 GT - 371 Pipette 10 ml capacity. glass 1 pc 310.200 350 GT - 372 Pipette 15 ml capacity. glass 1 pc 429.000 351 GT - 373 Rubber Bulp. Weight 500 g GT - 380 CRUCIBLES SERIES Models available : 352 GT - 380 Crucibles 13 ml capacity approx 1 pc 184.800 353 GT - 381 Crucibles 18 ml capacity approx 1 pc 211.200 354 GT - 382 Crucibles 25 ml capacity approx 1 pc 244.200 355 GT - 383 Crucibles 40 ml capacity approx 1 pc 270.600 GT - 390 GLASS THERMOMETER SERIES Models available : 356 GT - 390 Glass Thermometer. Range 0-50 C 1 pc 99.000 357 GT - 391 Glass Thermometer. Range 0-100 C 1 pc 99.000 358 GT - 392 Glass Thermometer. Range 0-150 C 1 pc 151.800 359 GT - 393 Glass Thermometer. Range 0-200 C 1 pc 151.800 360 GT - 394 Glass Thermometer. Range 0-300 C 1 pc 429.000 361 GT - 395 Glass Thermometer. Range 0-360 C 1 pc 429.000 GT - 400 POCKET DIAL THERMOMETER SERIES Models available : 362 GT - 400 Pocket Dial Thermometer Range 0-100 C 1 pc 693.000 363 GT - 401 Pocket Dial Thermometer Range 0-200 C 1 pc 917.400 364 GT - 402 Pocket Dial Thermometer Range 0-250 C 1 pc 1.161.600 GT - 410 DIAL THERMOMETER SERIES Models available : 365 GT - 411 Dial Thermometer Range 0-60 C 1 pc 1.221.000 366 GT - 412 Dial Thermometer Range 0-100 C 1 pc 1.221.000 367 GT - 413 Dial Thermometer Range 0-120 C 1 pc 1.221.000 368 GT - 414 Dial Thermometer Range 0-160 C 1 pc 1.221.000 369 GT - 415 Dial Thermometer Range 0-200 C 1 pc 1.511.400 370 GT - 416 Dial Thermometer Range 0-300 C 1 pc 1.557.600 371 GT - 417 Dial Thermometer Range 0-400 C 1 pc 1.584.000 GT - 420 ASTM THERMOMETER (SPECIFIC GRAVITY) 1 pc 1.188.000 Thermometer 12 C. 20 to 102 C. 372 GT - 425 ASTM THERMOMETER 1 pc 1.188.000 Thermometer 63 C. 8 to 32 C. 373 GT - 430 ASTM THERMOMETER (LOSS ON HEATING) 1 pc 1.188.000 Thermometer 13 C. 155 to 170 C. GT - 440 ASTM THERMOMETER (SAYBOLT VISCOSIMETER) SERIES Models available : 374 GT - 441 Thermometer 17 C. 19 to 27 C 1 pc 1.188.000 375 GT - 442 Thermometer 18 C. 34 to 42 C 1 pc 1.188.000 376 GT - 443 Thermometer 19 C. 49 to 57 C 1 pc 1.188.000 377 GT - 444 Thermometer 20 C. 57 to 65 C 1 pc 1.188.000 378 GT - 445 Thermometer 21 C. 79 to 87 C 1 pc 1.188.000 379 GT - 446 Thermometer 22 C. 95 to 103 C 1 pc 1.188.000 GT - 450 ASTM THERMOMETER (SOFTENING POINT) SERIES Models available : 380 GT - 450 Thermometer 15 C. 2 to 80 C 1 pc 1.188.000 381 GT - 451 Thermometer 16 C. 30 to 200 C 1 pc 1.188.000 382 GT - 460 ASTM THERMOMETER (OPEN FLASH) 1 pc 1.188.000 Thermometer 11 C. 6 to 400 C GT - 465 ASTM THERMOMETER (DISTILATION) SERIES Models available : 383 GT - 465.1 Thermometer 7C. 2 to 300 C 1 pc 1.188.000 384 GT -465.2 Thermometer 8C. 2 to 400 C 1 pc 1.188.000 GT - 470 MANOMETER SERIES (YAMAMOTO - JAPAN) Models available : 385 GT - 470 Manometer 0-25 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 5.148.000 386 GT - 471 Manometer 0-60 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 6.468.000 387 GT - 471.A Manometer 0-70 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 6.468.000 388 GT - 472 Manometer 0-150 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 6.468.000 389 GT - 473 Manometer 0-250 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 6.996.000 390 GT - 474 Manometer 0-300 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 6.996.000 391 GT - 475 Manometer 0-500 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 6.996.000 392 GT - 476 Manometer 0-700 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 8.250.000 393 GT - 477 Manometer 0-1000 kg/cm2 capacity. 6" dia (YAMAMOTO - JAPAN) 1 pc 9.240.000 394 GT - 480 VACUUM MANOMETER 1 pc 2.178.000 81

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA 4" dia 0-76 cm HG. For measuring vacuum condition 395 GT - 485 VACUUM PUMP. Rotary type. 220 V-AC 1/4 HP 1 pc 13.464.000 GT - 490 ROUND SCOOP SERIES Models available : 396 GT - 491 Scoop. Round bottom. small size. cast aluminum 1 pc 178.200 397 GT - 492 Scoop. Round bottom. large size. cast aluminum 1 pc 244.200 398 GT - 510 SCOOP PAN 1 pc 521.400 399 GT - 515 AGGREGATE SCOOP 1 pc 462.000 GT - 520 SPATULA SERIES Models available : 400 GT - 520 Spatula 50 mm blade length 1 pc 99.000 401 GT - 521 Spatula 100 mm blade length 1 pc 112.200 402 GT - 522 Spatula 150 mm blade length 1 pc 138.600 403 GT - 523 Spatula 200 mm blade length 1 pc 231.000 404 GT - 530 SCRAPER 1 pc 138.600 100 mm stainless steel blade GT - 540 SPOON SERIES Models available : 405 GT - 540 Spoon. Stainless steel. Small size 1 pc 99.000 406 GT - 541 Spoon. Stainless steel. Large size 1 pc 118.800 GT - 550 TROWEL SERIES Models available : 407 GT - 550 Trowel. Wooden handle. pointed type 1 pc 118.800 408 GT - 551 Trowel. Wooden handle. round type 1 pc 138.600 409 GT - 570 WIRE SAW 1 pc 165.000 410 GT - 573 GAS STOVE 1 pc 561.000 411 GT - 574 LPG GAS TUBE 1 pc 924.000 412 GT - 575 CHISSEL 1 pc 98.340 GT - 580 STRAIGHT EDGE SERIES Models available : 413 GT - 581 Straight Edge 300 mm length 1 pc 99.000 414 GT - 582 Straight Edge 400 mm length 1 pc 112.200 GT - 590 RULLER SERIES Models available : 415 GT - 591 Ruller 30 cm lenght 1 pc 231.000 416 GT - 592 Ruller 100 cm lenght 1 pc 699.600 417 GT - 600 RUBBER MALLET 1 pc 178.200 GT - 610 HAMMER SERIES Models available : 418 GT - 611 Hammer Steel. 1 kg weight 1 pc 231.000 419 GT - 612 Hammer Steel. 5 kg weight 1 pc 455.400 420 GT - 620 STEEL WIRE BRUSH 1 pc 198.000 421 GT - 625 BRASS WIRE BRUSH 1 pc 217.800 422 GT - 630 SOFT BRUSH 1 pc 191.400 GT - 640 TAMPING ROD SERIES Models available : 423 GT - 641 Tamping Rod 16 mm dia. 600 mm length 1 pc 171.600 424 GT - 642 Tamping Rod 20 mm dia. 600 mm length 1 pc 231.000 MECHANICAL BALANCES. ORIGINAL "OHAUS" Models available : 425 GT - 655 CENT-O GRAM BALANCE (OHAUS - USA) 1 pc 7.570.680 311 gr capacity x 0.01 gr sensitivity Four beams. Icludes stainless steel pan. zero adjustment. Weight. 3 kg 426 GT - 660 TRIPLE BEAM BALANCE (OHAUS - USA) 1 pc 7.714.200 2.610 capacity x 0.1 gr sensitivity Includes stainless steel pan. set of weights. Weight. 4 kg. 427 GT - 670 BALANCE OHAUS FIELD TEST SCALES (OHAUS - USA) 1 pc 38.893.920 16 kg capacity x 5 gr sensitivity Bearing plate dia. 254 mm. Complete with set of weights 15 KG 428 GT - 675 HEAVY DUTY SOLUTION BALANCE (OHAUS - USA) 1 pc 49.119.720 20 kg capacity x 1 gr sensitivity Complete with set of weights.. Sliding weight for tare up to 2270 gr. holding plate 280 mm dia. Weight. 20 kg. 429 GT - 680 HARVARD TRIP DUAL PAN BALANCE (OHAUS - USA) 1 pc 10.728.120 2000 gr capacity x 0.1 gr sensitivity The plates are stainless steel Complete with set of weights.. 82

Harga Obat 2016 NO TYPE URAIAN SATUAN HARGA Weight. 6 kg. Models available : 430 GT - 691 DIGITAL BALANCE 1 pc 66.557.400 cap. 260 g x 0.1 mg 431 GT - 692 DIGITAL BALANCE 1 pc 28.058.160 cap. 410 g x 0.001 g 432 GT - 693 DIGITAL BALANCE 1 pc 28.345.200 cap. 810 g x 0.01 g 433 GT - 694 DIGITAL BALANCE 1 pc 32.184.360 cap. 4100 g x 0.01 g 434 GT - 695 DIGITAL BALANCE 1 pc 16.791.840 cap. 6000 g x 0.1 g 435 GT - 698 DIGITAL BALANCE 1 pc 9.723.480 cap. 16000 g x 1 g 436 GT - 699 DIGITAL BALANCE 1 pc 13.526.760 cap. 30 kg x 0.5 g GT - 700 OVEN ( MEMERT - GERMANY ) Models available : 437 GT - 701 Drying Oven 53 ltr cap. 1 pc 42.090.000 438 GT - 702 Drying Oven 108 ltr cap. 1 pc 58.274.640 439 GT - 703 Drying Oven 256 ltr cap. 1 pc 117.440.760 440 GT - 704 Drying Oven 449 ltr cap. 1 pc 155.680.560 441 GT - 705 Drying Oven 749 ltr cap. 1 pc 211.374.600 Models available : 412 GT - 711 Hot Plate Electric 1000 W. 220 V. Single burner plate 1 pc 7.788.000 413 GT - 712 Hot Plate Electric 1500 W. 220 V. Double burner plate 1 pc 9.504.000 414 GT - 720 WATER BATH 1 pc 10.560.000 415 GT - 730 GENERATOR SET 8.580.000 416 GT - 740 BUTANE FIELD HEATER 1 pc 4.224.000 417 GT - 750 BUNSEN BURNER. 1 pc 495.000 418 GT - 760 STATIF RAINED 1 pc 231.000 419 GT - 770 TRIPOD STAND 1 pc 389.400 420 GT - 780 ASBESTOS WIRE GAUZE 160 MM X 160 MM 1 pc 99.000 421 GT - 790 GLASS CLAMP 1 pc 330.000 GT - 800 STOP WATCH Models available : 422 GT - 801 Stop Watch 60 sec. Sweep x 30 min 1 pc 1.122.000 423 GT - 802 Stop Watch 30 sec. Sweep x 10 min 1 pc 1.181.400 GT - 810 VERNIER CALIPER Models available : 424 GT - 811 Vernier Caliper 6" (150 mm) capacity. 1 pc 627.000 425 GT - 812 Vernier Caliper 8" (200 mm) capacity. 1 pc 904.200 426 GT - 813 Vernier Caliper 10" (250 mm) capacity. 1 pc 1.141.800 427 GT - 814 Vernier Caliper 12" (300 mm) capacity. 1 pc 1.452.000 428 GT - 820 LEVELS 1 pc 24.600 429 GT - 825 I - BEAM LEVEL 1 pc 198.000 430 GT - 830 OPEN ENDED SPANNER 1 pc 23.760 431 GT - 850 PIPE WRENCH 1 pc 488.400 432 GT - 880 RUBBER GLOVES 1 pc 211.200 433 GT - 890 LEATHER GLOVES 1 pc 2.574.000 434 GT - 900 ASBESTOS GLOVES 1 pc 2.838.000 Keterangan : - Semua harga belum termasuk biaya instalasi dan training teoritis - Semua barang produksi dalam negeri 83

Harga Obat 2016 XXIX. DAFTAR STANDARDISASI HARGA PERALATAN LABORATORIUM BIDANG METROLOGI No Jenis Barang Satuan Harga ( Rp ) Keterangan (1) (2) (3) (4) (5) 1 Sarung Tangan Katun Buah 39.600 2 Jas Laboratorium Buah 699.600 3 Sandal Laboratorium Pasang 70.400 4 Bensin Wash Liter 40.150 5 Silica Gell kg 399.850 6 Aquades Liter 14.025 7 Alkohol Liter 69.960 8 Lap Halus Buah 30.250 9 Tisu Dus 52.800 10 Kaca Pembesar Buah 399.850 11 Pinset Buah 15.070 12 Lap Pel Buah 29.700 13 Lap Tangan Buah 14.300 14 Segel Lak Dus 269.500 15 Sticker a. SPBU Lembar 16.500 b. Tangki Ukur Mobil Lembar 14.300 c. Taksi Lembar 14.300 d. Timbangan Lembar 7.150 16 Multi Tester Unit 671.000 17 Stopwatch Unit 671.000 18 Palu 500 g Buah 66.000 19 Palu 100 g Buah 40.150 20 Kikir Segitiga 3 mm Buah 52.800 21 Kikir Bulat 10 mm Buah 69.960 22 Kikir Segiempat 15 mm Buah 200.200 23 Tang Potong Buah 69.960 24 Tang Lancip Buah 69.960 25 Tang Buaya Buah 69.960 26 Kawat Segel Ulir Roll 333.850 27 Timah Batangan kg 399.850 28 Timah Plumbir kg 199.925 29 Kawat Segel Tunggal kg 134.200 30 Kawat Segel Kuningan kg 333.850 31 Ampelas Halus Lembar 19.800 32 Ampelas Kasar Lembar 15.950 33 Ampelas Duco Lembar 20.020 34 Braso Kaleng 40.150 35 Plitur Liter 108.350 36 Cat kg 108.350 37 Lemping Segel Buah 1.001 38 Tang Segel Buah 2.398.770 39 Obeng Besar (-) Set 399.850 40 Obeng Kecil (+) Set 270.050 41 Obeng Besar (+) Set 399.850 42 Obeng Kecil (-) Set 270.050 43 Kunci Inggris Besar Buah 200.200 44 Kunci Inggris Kecil Buah 134.200 45 Kunci Pas Set 200.200 46 Kunci Shock Set 399.850 47 Work Pack Buah 669.680 84

Harga Obat 2016 No Jenis Barang Satuan Harga ( Rp ) Keterangan (1) (2) (3) (4) (5) 48 Gunting Seng Buah 200.200 49 Bor Tangan Set 1.599.400 50 Selang Spiral 3" meter 399.850 51 Selang Spiral 8" meter 599.720 52 Ring Karet untuk Meter Air 3" Buah 40.150 53 Ring Karet untuk Meter Air 6" Buah 53.900 54 Ring Karet untuk Meter Air 1,5" Buah 24.090 55 Ring Karet untuk Meter Air 1" Buah 16.060 56 Ring Karet untuk Meter Air 3/4" Buah 8.030 57 Ring Karet untuk Meter Air 1/2" Buah 8.030 58 Mass Comparator Kap 20 g/0.001 mg Unit 799.568.000 59 Mass Comparator Kap 200 g/0.01 mg Unit 339.816.400 60 Mass Comparator Kap 2 kg/0.1 mg Unit 569.692.200 61 Mass Comparator Kap 30 kg/5 mg Unit 809.562.600 62 Mass Comparator Kap 2300 g/0.01 mg Unit 810.568.000 63 Timbangan Elektronik Presisi Kap 200 g/0.5 mg Unit 11.394.350 64 Timbangan Elektronik Presisi Kap 3200 g/5 mg Unit 70.561.920 65 Timbangan Elektronik Kap 5 kg/50 mg Unit 39.978.400 66 Anak Timbangan Standar Kelas E1 Set 37.979.480 Kap 1mg s/d 500 mg 67 Anak Timbangan Standar Kelas E1 Set 95.948.160 Kap 1g s/d 500g 68 Anak Timbangan Standar Kelas E1 Set 45.975.160 Kap 1 kg s/d 20kg 69 Anak Timbangan Standar Kelas E2 Set 24.454.320 kap 1mg s/d 500mg 70 Anak Timbangan Standar Kelas E2 Set 67.963.280 kap 1g s/d 500g 71 Anak Timbangan Standar Kelas E2 Set 307.833.680 kap 1kg s/d 20kg 72 Anak Timbangan Standar Kelas F1 Set 49.973.000 kap 1mg s/d 500mg 73 Anak Timbangan Standar Kelas F1 Set 49.973.000 kap 1g s/d 500g 74 Anak Timbangan Standar Kelas F1 Set 229.875.800 Kap 1 kg s/d 20kg 75 Anak Timbangan Standar Kelas F2 Set 12.193.500 kap 1mg s/d 500mg 76 Anak Timbangan Standar Kelas F2 Set 47.974.300 kap 1g s/d 500g 77 Anak Timbangan Standar Kelas F2 Set 204.889.300 kap 1kg s/d 20kg 78 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Kuningan Set 6.996.550 kap 1g s/d 500g 79 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Kuningan Set 17.190.800 kap 1kg s/d 20kg 80 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Kuningan Set 99.946.000 81 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Besi Kap 1 kg Unit 5.005.000 82 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Besi Kap 5 kg Unit 10.615.000 83 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Besi Kap 20 kg Unit 14.410.000 84 Anak Timbangan Standar Kelas M1 Silinder dari Bahan Besi Kap 50 kg Unit 30.250 85 Anak Timbangan Standar Kelas M1 Persegi dari Bahan Besi (Bidur) 20 kg Unit 1.339.360 86 Anak Timbangan Standar Kelas M2 Silinder dari Bahan Besi Kap 5 kg dan 10 kg Unit 21.988.120 87 Anak Timbangan Standar Kelas M2 Persegi dari Bahan Besi (Bidur) 20 kg Unit 990 88 Thermo-Hygrograph- Kap 0-100% Unit 21.989.000 89 Desicator Buah 399.850 90 Bantalan Cap Set 1.999.250 85

Harga Obat 2016 No Jenis Barang Satuan Harga ( Rp ) Keterangan (1) (2) (3) (4) (5) 91 Kaki Tiga Dacin Set 1.067.550 UKURAN ARUS : 92 Test Bench kwh Meter (Saku) Unit 53.970.950 93 Test Bench kwh Meter (Portable) Unit 93.949.350 94 Master Meter BBM Digital Unit 1.439.223.500 UKURAN PANJANG 95 Meteran Standar 1 Meter Unit 2.198.900 96 Meteran Depth Tape 10 m Unit 2.698.850 97 Meteran Depth Tape 20 m Unit 5.397.150 98 Mistar Ukur 40 cm Unit 270.050 99 Mistar Baja 40 cm Unit 671.000 100 Meteran Depth Tape 50 m Unit 1.069.750 101 Meteran Stick / Tongkat Duga 2 m Unit 2.398.770 102 Meteran Stick / Tongkat Duga 3 m Unit 3.598.100 103 Meteran Stick / Tongkat Duga 4 m Unit 4.797.650 104 Meteran Stick / Tongkat Duga 5 m Unit 8.995.250 105 Salib Ukur Unit 3.598.100 106 Roll Tester Meter Taksi Unit 79.956.800 107 Jangka Sorong Digital Caliper Unit 6.196.850 108 Ban Ukur 20m Unit 10.994.500 109 Micrometer 0-25 mm Unit 5.997.200 UKURAN VOLUME 110 Test Bench Meter Air (Portable) Unit 79.956.800 111 Instalasi Meter Air Rumah Tangga (Kapasitas Kecil) Unit 479.740.800 112 Instalasi Uji Meter Air Industri (Kapasitas Besar) Unit 2.998.380.000 113 Master Meter Bahan Bakar Minyak Digital Unit 1.599.136.000 114 Instalasi Uji Bejana Ukur Unit 219.881.200 115 Bejana Ukur Standar 2000 Liter (Stainless Steel) Unit 199.892.000 116 Bejana Ukur Standar 500 Liter (Stainless Steel) Unit 93.949.350 117 Bejana Ukur Standar 200 Liter (Stainless Steel) Unit 45.738.000 118 Bejana Ukur Standar 100 Liter (Stainless Steel) Unit 39.978.400 119 Bejana Ukur Standar 50 Liter (Stainless Steel) Unit 19.989.200 120 Bejana Ukur Standar 20 Liter (Stainless Steel) Unit 14.993.000 121 Bejana Ukur Standar 10 Liter (Stainless Steel) Unit 12.993.200 122 Bejana Ukur Stainless Steel 10 Liter (e=0.5 ml) Unit 17.990.500 123 Alat Ukur Strapping TUT Set 19.989.200 124 Alat Strapping TUTSIT Unit 99.946.000 125 Gelas Ukur Set 1.400.300 126 Hydrometer Set 1.400.300 127 Digital Manometer Unit 4.798.200 128 Digital Thermometer Unit 5.397.150 129 Alat Ukur Kelembaban Digital Unit 3.998.500 130 Stopwatch Digital Unit 1.599.400 131 Alat Penahan Getar Unit 2.198.900 86

Harga Obat 2016 No Jenis Barang Satuan Harga ( Rp ) Keterangan (1) (2) (3) (4) (5) 132 Plenes/Pelurus 8 Meter Air Unit 15.991.800 133 Master Meter Air : 2" s/d 4" Unit 93.949.900 6" s/d 8" Unit 107.941.900 10" Unit 133.928.300 134 Waterpass Digital Unit 1.099.450 135 Blood Meter Tester Kap 220 g (e=0.01 mg) Unit 539.708.400 135 Blood Meter Tester Kap 220 g (e=0.01 mg) Unit 539.708.400 136 Mass Comparator Kap 1000 g (e=0.05 mg) Unit 533.711.750 137 Mass Comparator Kap 32.1 kg (e=5mg) Unit 859.535.600 138 Timbangan Elektronik 6100 g (e=0.01mg) Unit 119.935.200 139 Timbangan Elektronik 30 kg (e=500mg) Unit 67.963.500 140 Timbangan Elektronik 5 kg (e=50mg) Unit 47.974.300 87

Harga Obat 2016 XXX. Harga Bahan Kimia No Nama Barang Satuan Kapasitas Merk Harga (Rp) (1) (2) (3) (4) (5) (6) 1. Petroleum Benzine 1 botol 5 Liter Merck 1.484.700 2. Etanol p.a (C2H5OH) 2 botol 2,5 liter Merck 878.700 3. Etanol teknis(c2h5oh) 20 botol 1 liter Merck 101.000 4. EDTA,Tetrasodium Tetrahydrate1PC x 500 GM 1 botol 500 gr Merck 3.131.000 5. Kalium Sulfat(K2SO4) 1 botol 1 kg Merck 984.750 6. Indikator Ferroin [Fe(O-phen)3]SO4 1 botol 100 ml Merck 1.095.850 7. Sodium Sulfate anhydrous (Na2SO4) 1 botol 1 kg Merck 603.980 8. Larutan Karl fischer 1 botol 1 liter Merck 2.752.250 9. Methanol ( CH3OH) 1 botol 2,5 liter Merck 413.090 10. Gliserin (C3H803) 1 botol 1 liter Merck 2.497.730 11. Selenium(Se) 1 botol 1 kg Merck 1.666.500 12. Magnesium nitrat hexahydrat Mg(NO3)2 1 botol 500 gr Merck 1.297.850 13. 1-naftil etilendiamin dihidroklorida NEDA, 1 botol 25 gr Merck 3.676.400 14. Asam Sulfanil (C3H7NO2S1) 1 botol Merck 905.970 15. Asam Klorida pekat(hci) 1 botol 2,5 liter Merck 648.420 16. Zirconium (IV) Oksida Klorida (Zr)C12.8H20) 1 botol 100 gr Merck 4.045.050 17. Natrium arsenit (NaAsO3) 1 botol 1kg Merck 970.610 18. Tio Acetamida GR ( CH3CSNH2) 1 botol 250 gr Merck 7.625.500 19. Asam Florida (HF) 1 botol 2,5 liter Merck 2.341.180 20. Selenium Oksida (SeO2) 1 botol 50 gr Merck 843.350 21. Larutan Wijs 1 botol 1 liter Merck 1.365.520 22. Amly Alcohol(C5H11OH) 1 botol 1 liter Merck 1.954.350 23. Asam sitrat (C6H8O7) 1 botol 1 kg Merck 1.663.470 24. Lauryl Tryptose Broth (LBT) 1 botol 500 gr Merck 1.222.100 25. Simon citrate agar (SCA) 1 botol 500 gr Merck 2.752.250 26. Pereaksi kovacks 1 botol 100 ml Merck 800.930 27. Kristal Violet (C25H30N3Cl)(C.I 42555) 1 botol 25 gr Merck 1.161.500 28. 1-Naphtol GR For Analysis 1 botol 50 gr Merck 909.000 29. Pottasium lodide for analysise emsure 1 botol 250 gr Merck 1.377.640 30. Silicone high vaclium grease (vaselin) 5 buah 100 gr Merck 2.227.050 31. Magnesium chlorida hexahydrate(mgcl2) 1 botol 250 gr Merck 854.460 32. Magnesium nitrat hexahydrat Mg(NO3)2 1 botol 500 gr Merck 1.297.850 33. Buffer Solution ph 4.00 Merk OAKTON 2 botol 1 liter Eutch 1.565.500 34. Buffer Solution ph 7.00 Merk OAKTON 500 ml 2 botol 1 liter Eutch 1.565.500 35. Buffer Solution ph 10.00 Merk OAKTON 500ml 2 botol 1 liter Eutch 1.565.500 36. Kalium klorida bersertifikat (KCI) 1 botol 1 kg Merck 555.500 37. Sodium hydroxide 1 botol 500 gr Merck 479.750 38. Silver nitrate AgNO3 For analysis 1 botol 25 gr Merck 1.717.000 39 Starch/Kanji (C6HIOO5) 1 botol 100 gr Merck 959.500 40 Pottasium lodida (KI) 1 botol 500 gr Merck 1.833.150 41. Asam Sulfat (H2SO4) 1 botol 1 liter Merck 308.050 42. FAS ( Fero ammonium sulfat ) 1 botol 1 kg Merck 2.439.150 43. Boric acid for analysis emsure 1 botol 100 gr Merck 555.500 44. TDS 1500 mg/l Calibration Std mfr.no.rtc, 1 botol 100 gr RTC 3.787.500 45. Total Dissolved solids 1000mg/L Calibration standar, 1 botol 500 ml RTC 3.333.000 46. Conductivity Standart-1412 us/cm.mfr 1 botol 500 ml RTC 2.979.500 47. Conductivity Standart-50 us/cm.mfr 1 botol 500 ml RTC 3.080.500 48 Iodine Resumblimed for analysis ACS 1 botol 100 gr E-Merck 2.323.000 88

Harga Obat 2016 No Nama Barang Satuan Harga( Rp ) Keterangan 1 2 3 4 5 1. Kjel Master Unit 1.055.780.500 (alat destilasi dan titrasi Auto Kjeldahl Nitrogen + tabung distilasi 6 buah) Type : Unit K-375 2. Oil Content Analyzer unit 259.434.250 Type : OCMA-350 with stadard accesoris + 1 pcs solven 3. Funnel shaker (mesin pengocok) Unit 174.225.000 -RS-1 -Motion type:vertical reciprocating - Frequency (RPM) : 50 to 300 - Timer : 60 min or contimuous operation - Vertical stroke length (mm/inc): 40/1.6 4. Speed Digester Unit 334.650.000 ( Alat destruksi + kjedahl scrubber 6 hole) a. Alat destruksi Type : Speed Digestion K- 425 b. Kjeldahl scrubber - Type K-415 Triplescrub 5. Aquadestilator Unit 366.785.600 a. ASTM Type 1 - output 12 l/h -Water dispensing flowrate up to 2 l/ min 6. Moisture analyse + accessories aluminium Unit 102.350.000 sample pans Type HB43 - S 7. Dispensette buah 9.964.750 Proline Prospenser Bottle- Top Dispenser vol 25 ml,increment 0,5 ml 8. Dispensette buah 9.964.750 Proline Prospenser Bottle- Top Dispenser vol 50 ml,increment 1 ml 9. Heating Mantle Unit 52.492.900 Type: EAM-9204-03 Vol : 1000 ml Position : 3 places 10. Kalrl Fisher Unit 81.650.000 703 Ti Stand With stirer an pump 89

Harga Obat 2016 No Nama Barang Satuan Harga( Rp ) Keterangan 1 2 3 4 5 11. Dehumidifier Unit 13.800.000 kapasitas 50 liter / hari 12. Analytical Balance Unit 76.121.500 Type :CPA 2245 13. Spectrofotometer UV-VIS Unit 128.225.000 Type : UV Mini 1280 14. Top Loading Balance Type : 2102-S Unit 46.046.000 15. Mass comparator Unit 858.509.500 Type : MCM2004 16. Single Weight Unit 50.600.000 Type : YCW713-00 17 Single Weight Unit 3.320.600 Type : YCW453-00 18. Thermohygrometer digital Buah 690.000 Type : GL- 99 19. Dehumidifier Unit 209.300.000 Kapasitas 90 liter/hari 20. Corong Pemisah Buah 1.161.500 21. Beaker Glass Buah 69.000 22. Erlenmeyer Tutup Asah Buah 358.800 23. Lampu Holow Katoda Mn Buah 26.965.200 24. Lampu Holow Katoda Krom Buah 26.965.200 25. Heating Mantle 1000 ml + kondensor + labu Unit 35.650.000 didih round bottom (isi 3) 26. Piknometer Buah 494.500 90

Harga Obat 2016 Harga Obat 91

Harga Obat 2016 XXXI. Harga Obat Group : Obat No Nama Item Satuan Harga (Rp) Group: Tablet/Kapsul/Kaplet 1 Adalat Oros 30 mg* Tablet 3.500 2 Adona AC - 17 Tablet 1.386 3 Alloris Tablet 4.323 4 AldisaSR Tablet 3.790 5 Analsik Tablet 1.199 6 Amaryl 3 mg Tablet 6.398 7 Aminoral Tablet 6.270 8 Amoxsan 250 mg Capsul 1.430 9 Amoxsan 500 mg Capsul 3.240 10 Aspar K Tablet 2.248 11 ATP -Dankos Tablet 1.320 12 Avodart* Capsul 7.810 13 Avandia4 mg Tablet 9.075 14 Baquinor Forte 500 mg Tablet 13.536 15 Becom C Tablet 1.287 16 Bekarbon Tablet 22 17 Biosanbe Capsul 957 18 Biolincom500 mg Capsul 3.850 19 Buscopan Tablet 2.307 20 Calos Tablet 748 21 Calcite0,25 mcg Capsul 6.050 22 Cedantron8 mg Tablet 22.990 23 Cedocard 5 mg Tablet 1.080 24 Cefat250 mg Capsul 5.236 25 Cefat500 mg Capsul 10.087 26 Cerini Tablet 3.163 27 Cendo Glaucon Tablet 4.180 28 Cefspan 50 mg Tablet 8.250 29 Celebrex200 mg Capsul 12.018 30 Cirloid 4,5 mg Tablet 4.180 31 Claneksi500 mg Tablet 11.424 32 Clast Tablet 1.500 33 Coffein Serbuk / mg Mg 62 34 Colistine 250 IU Tablet 1.155 35 Colistine 1,5 Juta Tablet 5.610 92

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 36 Concor2,5 mg* Tablet 746 37 Damaben Tablet 320 38 Dansera Tablet 3.300 39 Detrusitol 2 mg Tablet 8.058 40 DialacSachet Sachet 5.280 41 Dramamine Tablet 1.320 42 Doxicor50 mg Tablet 2.530 43 Dulcolax5 mg Tablet 971 44 Duphaston 10 mg Tablet 13.072 45 Elkana Tablet 659 46 Encephabol Forte Tablet 3.604 47 Erytral 400 mg Tablet 2.299 48 Erysanbe 250 mg Tablet 1.073 49 Euphyllin Retard Tablet 3.185 50 Eyevit Tablet 3.080 51 Folavit 1 mg Tablet 1.694 52 Famocid40mg Tablet 5.357 53 Farmasal100 mg Tablet 660 54 Forbetes500 mg Tablet 880 55 Flamar25 mg Tablet 632 56 Flamar50 mg Tablet 1.738 57 Gastrul Tablet 10.450 58 Gravynon 4 mg Tablet 2.787 59 Glurenorm30 mg Tablet 2.288 60 Goxacilin500 mg Tablet 340 61 Hystolan20 mg Tablet 7.667 62 Hiviral Tablet 1.394 63 Imboost Force Tablet 5.748 64 Inclarin Tablet 4.400 65 Interhistin Tablet 620 66 Interdoxin 100 mg Capsul 4.950 67 Isoket10 mg Tablet 572 68 Iretensa 150 mg Tablet 8.800 69 Kalnex500 mg Tablet 2.860 70 Kaltrofen50 mg Tablet 1.980 71 Ketokonazol 200 mg Tablet 338 72 Ketosteril Tablet 7.260 93

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 73 Kutoin Tablet 759 74 Lanabal 500 mg Tablet 1.760 75 Lanaven Tablet 3.080 76 Lapibal500 mg Tablet 1.375 77 Lesichol300 Tablet 8.470 78 Levamisol ( Kam Cek San ) Capsul 261 79 Lipitor10 mg Tablet 16.043 80 Lipitor20 mg Tablet 15.464 81 Lodia 2 mg Tablet 974 82 Lynoral Tablet 1.618 83 Maltron Tablet 14.217 84 Mediamer B6 Tablet 2.580 85 Mefinal250 mg Capsul 539 86 Mefinal500 mg Tablet 1.287 87 Meiact200 mg Tablet 18.040 88 Mertigo 6 mg Tablet 2.742 89 Metrix2 mg Tablet 4.730 90 Mezatrin250 mg Capsul 13.364 91 Methycobal 250 mg Tablet 1.595 92 Moloco B12 Tablet 2.895 93 Mucohexin 8 mg Tablet 429 94 Myonal 50 mg Tablet 6.194 95 Neurontin300 mg Tablet 11.451 96 Neurodial Tablet 669 97 Neurosanbe Tablet 1.007 98 Neurosanbe5000 Tablet 2.178 99 Neurovit - E Tablet 924 100 New Diatab Tablet 484 101 Nilacelin Tablet 1.650 102 Nonflamin Capsul 3.702 103 Norvask10 mg Tablet 12.551 104 Obipluz Capsul 1.613 105 Ossopan800 Tablet 4.789 106 Opibright Capsul 2.860 107 Plavix75 mg Tablet 12.952 108 Pletaal Tablet 7.680 109 PrimolutN* Tablet 2.618 94

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 110 Pregtenol Tablet 3.520 111 Prosogan FD 30 mg Tablet 12.131 112 Profertil 50 mg Tablet 10.340 113 Profungal 200 mg Tablet 3.465 114 Prolepsi300 mg Tablet 7.150 115 Prolic150 mg Tablet 2.750 116 Prolic300 mg Tablet 6.980 117 Prothyra5 mg Tablet 2.450 118 ProvitalPlus Tablet 4.290 119 Pyridium Tablet 2.207 120 Regumen5 mg Tablet 3.245 121 Rhinos SR Capsul 4.455 122 Rimstar4 FDC Tablet 6.179 123 Sanprima Forte Tablet 1.925 124 Santibi Plus Tablet 495 125 Silum5 mg Tablet 3.080 126 Silum10 mg Tablet 4.598 127 Solans20 mg Capsul 11.000 128 Somerol4 mg Tablet 2.717 129 Somerol16 mg Tablet 6.688 130 Spirola25 mg Tablet 1.540 131 Spirola100 mg Tablet 4.400 132 Spiranter500 mg Tablet 4.400 133 Spyrocon100 mg Tablet 17.517 134 Strocain P Tablet 907 135 Tanapres5 mg* Tablet 2.333 136 Tensivask5 mg Tablet 5.720 137 Tioxad Tablet 5.500 138 Tivilac Tablet 1.210 139 Theobron130 mg Tablet 1.210 140 Thyrax100 mg Tablet 1.815 141 Trifed Tablet 1.265 142 Triatec2,5 mg Tablet 6.819 143 Triatec5 mg Tablet 11.305 144 Urispas 200 mg Tablet 3.850 145 V - Bloc25 mg Tablet 6.416 146 V - Bloc6,25 mg Tablet 1.496 95

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 147 Vedium Capsul 4.400 148 Virules400 mg Tablet 2.858 149 VometaFT Tablet 3.366 150 Voxin 500 mg kap Tablet 24.200 151 Vosedon Tablet 2.244 152 Xanax 0,5 mg Tablet 2.733 153 Lapibal 250 mg Capsul 1.210 154 Disflatyl Tablet 555 155 Lacbon Tablet 495 156 Primadol Tablet 880 157 Nadifen50 mg Tablet 200 158 Solasic500 mg Tablet 123 159 Clapharma 500 mg Tablet 15.015 160 Zaldiar Tablet 7.150 161 Mobiflex Tablet 7.150 162 Catanac50 mg Tablet 641 163 Lifen 300 mg cap Tablet 6.600 164 Asthin Force Capsul 6.325 165 Topcillin 500 mg Tablet 429 166 Pondex Forte 500 mg Cap Tablet 100 167 Protofen ( Askeskin ) Capsul 1.228 168 Beta - One 5 mg ( Askeskin ) Tablet 2.310 169 Moxic 7,5 mg ( Askeskin ) Tablet 900 170 Moxic Forte 15 mg ( Askeskin ) Tablet 1.000 171 Pronalges 50 mg Tab Tablet 2.310 172 RIMACTAZID PAED 75/50 TAB Tablet 2.189 173 RIMCURE PAED 75/50/150 TAB Tablet 2.640 174 Brain - Act 500 mg Tab Tablet 12.246 175 Ultracet Tab Tablet 7.829 176 Cefspan 100 mg Tablet 20.900 177 Kaltrofen 100 mg Tablet 4.950 178 Bio ATP Tablet 2.244 179 AMARYL 2MG TAB Tablet 4.849 180 solosa tab 2 mg Tablet 2.304 181 CPG 75 mg Tablet 14.667 182 Crestor 20 mg Tablet 17.290 183 Tensivask 10 mg Tablet 10.450 96

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 184 Sanmol Tablet 275 185 Cataflam 50 mg Tablet 4.749 186 Recolfar tab. Tablet 4.730 187 Zinkid Tablet 2.750 188 DehaF sachet Sachet 8.708 189 Pionix 15 mg Tablet 7.150 190 Zypraz 0,5 mg tab Tablet 2.398 191 Spedifen 400 mg Tablet 5.206 192 Fluimucil Paed 100 mg Sachet 2.475 193 Sibital 50 mg Tablet 1.494 194 Eclid 50 mg Tablet 1.501 195 Galvus 50 mg Tablet 6.875 196 doxicor 100 mg Capsul 4.950 197 Oste Forte Tablet 6.600 198 Matovit AX Tablet 10.450 199 Lifen 200 mg cap Capsul 9.900 200 Mictonorm Tablet 10.648 201 Zolmia Tablet 4.950 202 Vestein 300 mg Capsul 3.850 203 PSIDII500 mg cap Capsul 3.762 204 Co Artem Tablet 4.258 205 Truvaz20mg Tablet 12.705 206 Stator 10 mg Tablet 13.794 207 Nutriflam capsul Capsul 5.445 208 Fluimucil 200 mg capsul Capsul 4.648 209 Azomax Caplet Tablet 31.350 210 Venosmil capsul Capsul 7.975 211 Cepezet 100 mg tablet Tablet 484 212 Probi Sachet Sachet 4.537 213 Interzinc tablet Tablet 1.705 214 Disolf490mg tablet Tablet 7.150 215 Cardismo 20 mg tablet Tablet 2.713 216 Inlacin 100 mg capsul Capsul 4.807 217 Ikalep 250 mg tablet Tablet 4.125 218 Vasotin 25 mg tablet Tablet 501 219 Hytroz 2 mg tab* Tablet 3.659 220 Siran Forte Effervescent Tub 90.750 97

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 221 Cordarone tab. Tablet 5.828 222 Brilinta90 mg Tablet 10.070 223 Plasmin capsul Capsul 8.250 224 Trajenta 5 mg Tablet Tablet 12.184 225 PLAVIX 300 MG Tablet 25.905 226 CRIPSA Tablet 8.236 227 MICARDIS 40 MG* box/20 tab Tablet 3.900 228 ERLAQUIN 250 MG Tablet 296 229 EXJADE 250 MG Tablet 80.000 230 ANTIPLAT 50 MG Tablet 5.114 231 PLATOGRIX 75 MG Tablet 3.400 232 TEMODAL 20 MG Tablet 315.479 233 TEMODAL 100 MG Tablet 1.120.000 234 SPIRIVA 18 MCG (PAKET 10 TAB + ALAT)* BOX 152.543 235 METHERINAL 0.125 MG Tablet 330 236 SEBIVO 600 MG* Tablet 28.500 237 FARSORBID 5MG Tablet 150 238 PROTHYRA 10 MG Tablet 4.829 239 FARSORBID 10 MG Tablet 219 240 DIOVAN FCT 80 MG* Tablet 3.900 241 CASODEX 50 MG* Tablet 44.995 242 ZOLADEX 10.8 MG* Pcs 2.300.000 243 NITROKAF RETARD* Capsul 1.493 244 NITROKAF RETARD FORTE* Capsul 2.171 245 HARNAL OCAS* Tablet 6.800 246 DORNER 20 MG* Tablet 3.600 247 HARNAL D 0.2 MG* Tablet 5.800 248 SANDIMUN NEORAL SOFT 100 MG* Capsul 43.000 249 STALEVO 100 MG* Tablet 8.900 250 REXIDRON TAB* Tablet 1.430 251 THYROZOL 5 MG* Tablet 563 252 TANAPRES 10 MG* Tablet 4.299 253 LEPARSON* Tablet 2.191 254 HERBESSER CD 100 MG* Capsul 4.033 255 HERBESSER CD 200 MG* Capsul 4.417 256 PRADAXA 110 MG* Tablet 12.938 257 CANDERIN 16 MG Tablet 7.013 98

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 258 CANDERIN 8 MG Tablet 4.675 259 ECLID 100 MG Tablet 2.079 260 PROBENID 500 MG* Tablet 1.650 261 SIFROL ER 0.375 MG* Tablet 7.200 262 VIAGRA 100 MG Tablet 117.705 263 GLUCODEX* Tablet 252 264 VALSARTAN 80 MG (VALESCO 80 MG) Tablet 3.630 265 DEPAKOTE ER 250 MG* Tablet 2.793 266 DEPAKOTE ER 500 MG* Tablet 5.450 267 CARDURA 2 MG* Tablet 5.481 268 XARELTO 10 MG* Tablet 23.500 269 XARELTO 15 MG* Tablet 23.500 270 KSR 600 MG* Tablet 1.580 271 NEPATIC 300 MG Capsul 10.230 272 SANDIMUN NEORAL SOFT 25 MG* Capsul 12.000 273 GLICAB 80 MG* Tablet 252 274 MUCYLIN 200 MG (ASETILSISTEIN)* Capsul 1.210 275 TROLIP 100 MG Capsul 3.630 276 ACTOS 15 MG* box/14 tab Tablet 4.000 277 KALIPAR TAB* Tablet 709 278 MESTINON TAB* Tablet 6.952 279 BIOPREXUM 5 MG* Tablet 2.420 280 ASPILETS CHEWABLE* Tablet 160 281 PEHACORT 5 MG Tablet 240 282 ZINNAT 500 MG* Tablet 7.200 283 PROGRAF 0.5 MG* Capsul 11.725 284 MICARDIS 80 MG* box/20 tab Tablet 6.500 285 GLIVEC FCT 100 MG* Tablet 35.167 286 FORANSI 10 MG* Tablet 462 287 DIOVAN FCT 160 MG* Tablet 6.500 288 CEDOCARD RETARD 20 MG Tablet 2.534 289 PROBIOKID SACHET Sachet 12.100 290 ASAM URSODEOXYCHOLIC 250 MG Capsul 4.158 291 NOPRES 20 MG* Tablet 475 292 DIAMICRON MR 30 MG* Tablet 638 293 EUTHYROX 100 MCG* Tablet 850 294 HEPSERA 10 MG* Tablet 30.250 99

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 295 ERYSANBE 500 MG Tablet 1.496 296 HYDROXYUREA MEDAC 500 MG* Capsul 5.940 297 RETAPHYL SR 300 MG* Tablet 1.155 298 DOPAMET 250 MG* Tablet 880 299 Ongliza 5 mg* Tablet 10.318 300 Vermox tab Tablet 7.853 301 SULDOX TAB Tablet 2.420 302 CELLCEPT 500 MG* Tablet 16.000 303 Ritalin tab. Pcs 1.950 304 Simarc 2 mg Tablet 901 305 HEXYMER 2 MG TAB Tablet 334 306 Urotractin 400 mg Capsul 1.815 307 Sulcolon 500 mg Tablet 7.700 308 Seroquel XR 200 mg* Tablet 17.390 309 Heplav tab Tablet 2.200 310 Ulsidex 500 mg* Tablet 477 311 Ericaf tab Tablet 4.281 312 Neo Mercazole tab Tablet 874 313 Spiriva Refil 18 mcg (box 3 x 10 tab)* Tablet 13.867 314 Kalxetin 10 mg (box/30 tab Tablet 3.630 315 ISONAT 5 MG TAB (ISDN)BOX/50 Tablet 968 316 DIAMICRON MR 60 MG Tablet 5.500 317 Twynsta 80 + 5 mg (box / 28 tab) Tablet 16.052 318 Miniaspi 80 mg (asetosal/box/100 tab) Pcs 162 319 Spiriva 2.5 mcg Respimat BOX 674.872 320 Rifamtibi 450 mg Tablet 4.175 321 Rifamtibi 600 mg Tablet 5.544 322 Bamgetol 200 mg Tablet 1.188 323 Xarelto 20 mg* Box/28 Pcs 23.500 324 Glauseta 250 mg 2.500 325 Salofalk 250 mg Capsul 6.722 326 Vitamin A ( Retinol ) 100.000 iu btl/50 kap. Capsul 286 327 Vitamin A ( Retinol ) 200.000 iu btl/50 kap Capsul 505 328 Nexa 500 mg (box/100 tab) Tablet 1.870 329 Fludara 10 mg*box/20 tab Tablet 275.000 330 Niflec Sachet Sachet 176.000 331 Sifrol 0.750 mg* Pcs 11.268 100

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) Group: Suppositaria 1 BorraginolN Buah 6.085 2 Dulcolax Suppositoria Paed. 5 mg Buah 4.490 3 Dulcolax Suppositoria Dws 10 mg Buah 12.822 4 Flagyl Suppositoria 0,5 gr* Buah 3.654 5 Flagyl Suppositoria 1 gr Buah 17.904 6 Pronalges Suppositoria Buah 9.075 7 Fleet Enema* Buah 47.256 8 Dumin Rectal125 mg supp Supp 11.660 9 STOLAX 10 MG SUPP* Supp 6.045 10 PROTOFEN SUPP* Supp 2.790 Group: Sitostatika (Obat Kanker) 1 BLENAMAX15IUInj Vial 387.200 2 CISPLATIN50 MG(KALBE)* Ampul 99.000 3 DACTINOMYCIN Inj (Lyofac Cosmogen) Ampul 119.350 4 DOXORUBICIN 10 MG Inj (KALBE)* Vial 58.300 5 DOXORUBICIN 50 MG Inj (KALBE)* Vial 234.823 6 DOXORUBIN 10 MG Inj (COMBI)* Vial 63.003 7 DOXORUBIN 50 MG Inj (COMBI)* Vial 324.950 8 ENDOXAN 1 G Inj Vial 447.700 9 ENDOXAN 200 MG Inj* Vial 109.000 10 ENDOXAN 500 MG Inj* Vial 256.200 11 FARMITREXAT 2,5 MGTab Tablet 2.421 12 NEOSAR 50 MGTab Tablet 2.653 13 NEOSAR200 MG Inj Ampul 71.500 14 NEOSAR 1 G Inj Vial 247.500 15 SIKLOFOSFAMID 200 mg Inj Vial 77.000 16 TAMOPLEX 10 MG Tab Tablet 2.200 17 TAMOPLEX 20 MG Tab Tablet 2.100 18 VINBLASTIN10 MG / 10 ML Inj (DBL) Vial 246.000 19 VINCRISTINE2 mg/2ml Inj Vial 228.690 20 VINCRISTINE1 mg Inj (KALBE)* Vial 46.000 21 ETOPOSIDE 100 MG/5 ML INJ Ampul 198.000 22 LEUCOVORIN50 mg(kalbe)inj.* Vial 175.450 23 ELOXATIN 50 MG INJ* Vial 550.000 24 REXTA 50 MG INJ* Ampul 550.000 25 Cyclophosphamida 1 g Vial 330.000 101

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 26 Epirubicin Inj. 10 mg* Vial 122.504 27 CISPLATIN 10 MG(KALBE)* Vial 24.000 28 LEUCOGEN 1NJ. Vial 394.999 29 Methotrexate Ebewe 2.5 mg tab Tablet 1.848 30 METHOTREXATE 50 MG inj Kalbe Vial 60.500 31 DACTINOMYCIN 0.5 MG (DTM) INJ. Vial 780.000 32 MERCAPTO 50 MG TAB. Tablet 14.600 33 CYCLOVID 500 MG INJ* Vial 231.000 34 DAUNOCIN NPL 20 MG INJ* Vial 302.465 35 Campto 100 mg / 5 ml Vial 1.640.375 36 LEUNASE 10.000 IU INJ. Vial 1.039.500 37 Cyclophosphamide 50 Mg tab. Tablet 4.714 38 Mitomycin C10 mg inj* Vial 696.999 39 PLATOSIN 10 MG INJ* Vial 32.000 40 PLATOSIN 50 MG INJ* Vial 153.000 41 VINCRISTIN 1 MG INJ. (/COMBI)* Vial 63.802 42 RESCUVOLIN 50 MG INJ* Vial 181.494 43 ANZATAX 30 MGINJ* Vial 265.000 44 ANZATAX 150 MG INJ* Vial 1.400.000 45 Carboplatin inj. 150 mg/15 ml(kalbe)* Vial 264.000 46 Carboplatin inj. 450 mg/45 ml(kalbe)* Vial 412.500 47 POSYD INJ. 100 MG* Vial 85.802 48 EMTHEXATE INJ. 50 MG* Vial 45.100 49 BLEOCIN Inj. 15 mg* Vial 334.000 50 BREXEL 20 MG INJ* Vial 880.000 51 BREXEL 80 MG INJ* Vial 3.858.800 52 FLUTAPLEX250 MG TABLET Tablet 17.765 53 Epirubicin 50 mg inj* Vial 550.000 54 Fluracedyl 500 mg inj* Vial 34.600 55 Cytodrox 500 mg tab. Tablet 10.010 56 PAXUS 100 MG INJ. Vial 2.860.000 57 PAXUS 30 MG INJ. Vial 998.250 58 CURACIL 250 MG INJ* Vial 24.500 59 CURACIL 500 MG INJ* Vial 34.600 60 TAMOFEN 20 MG TAB. Tablet 4.766 61 TAXOTERE 20 MG INJ* Vial 970.211 62 TAXOTERE 80 MG INJ* Vial 3.880.800 102

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 63 TRANSTUZUMAB (HERCEPTIN) 440 MG INJ Vial 19.608.034 64 OXALIPLATIN DBL 100 MG INJ.* Vial 2.700.280 65 OXALIPLATIN DBL 50 MG INJ* Vial 551.000 66 XELODA 500 MG CAP* Capsul 27.500 67 DACARBAZIN DBL 200 MG INJ* Vial 385.100 68 NEUPOGEN INJ* Vial 550.000 69 LEUCOVORIN - DBL 50 MG* Vial 85.000 70 VINCRISTINE - DBL 2 MG* Vial 115.000 71 paclitaxel 30 mg sanbe* Vial 495.000 72 DOXORUBICIN 10 MG SANBE* Vial 58.212 73 VINCRISTINE - DBL 1 MG* Vial 83.600 74 CYTARABINE - DBL 1 G* Vial 575.000 75 ELOXATIN 100 MG/ 20 ML* Vial 1.100.000 76 AVASTIN 100 MG/ 4 ML* Vial 4.803.967 77 CARBOPLATIN - DBL 450 MG* Vial 413.000 78 CARBOPLATIN - DBL 150 MG* Vial 270.050 79 BONDRONAT 6 MG/6 ML* Vial 2.209.000 80 GEMCIKAL 200 MG* Vial 324.500 81 CYMEVENE INJ Vial 399.500 82 CYCLOVID 200 MG* Vial 105.600 83 GEMCIKAL 1000 MG* Vial 1.159.499 84 ARIMIDEX* 32.000 85 TAPROS 1.88 MG* Vial 699.975 86 GEMZAR 1 G* Vial 1.165.472 87 TAMOXIFEN 20 MG* Tablet 2.025 88 LETRAZ 2.5 MG Pcs 41.000 89 MABTHERA 500 MG* BOX 15.824.026 90 IRESSA 250 MG* Tablet 294.957 91 ZOMETA LIVI 4 MG* BOX 900.000 92 TAPROS 3.75 MG* Vial 604.955 93 FEMARA 2.5 MG* Tablet 17.500 94 Paclitaxel 100 mg kalbe* Vial 1.232.000 95 Paclitaxel 30 mg kalbe* Vial 348.700 96 Holoxan 1000 mg inj* Vial 1.329.163 97 Etopul 20 mg/ml 5 ml inj* Ampul 100.887 98 Methotrexate 50 mg/ 2 ml inj sanbe* Vial 35.000 99 Vinblastine 10 mg/10 ml inj (Combi)* Vial 225.000 103

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 100 Uromitexan 400 mg inj* Ampul 74.998 101 Navelbine 10 mg inj Vial 1.229.998 102 Docetaxel 80 mg/ 2 ml Sanbe Vial 3.629.450 103 TYKERB TAB 250 MG Tablet 70.560 Group: Sirup 1 Alco Oral Drops Botol 40.630 2 Cefat 125 mg / 60 ml Botol 40.568 3 Claneksi 125 mg - 31,25 mg/60ml Botol 48.620 4 CefatForte60 ml Botol 68.018 5 ColsancetinSuspensi Botol 8.685 6 Damaben 5 mg/5 ml Botol 7.700 7 Epexol Botol 15.785 8 Flagyl 125 mg / 5 ml Botol 49.067 9 Fenris60 ml Botol 17.490 10 Inpepsa100 ml Botol 50.600 11 Intermoksil Sirup Kering Botol 21.142 12 Imunos60 ml Botol 55.000 13 Kaopectat Botol 20.064 14 Laxadine 60 ml* Botol 12.446 15 Likurmin100 ml Botol 30.800 16 Mucohexin Elixir 120 ml Botol 14.751 17 Neo Kaolana Botol 12.012 18 Nymico Drops Botol 31.900 19 OBH Ciubros 100 ml Botol 2.165 20 Trifed60 ml Botol 20.295 21 Sanprima Botol 23.485 22 Sanmol Drop Botol 14.036 23 Sanmol Syrup 60 ml Botol 11.187 24 Solac120 ml Botol 75.240 25 Theobron Botol 20.900 26 Vometa Drop Botol 40.700 27 Vosedon Suspensi Botol 28.198 28 Fleet Phosphosoda 45 ml* Botol 33.900 29 Neo Kaominal Botol 4.400 30 OBH Tropica Menthol60ml Botol 5.775 31 Alphamol 5.225 32 Alco Plus DMP100 ml Botol 25.300 104

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 33 Erythin syrup 60 ml Botol 28.600 34 Isoprinosine syrup 60 ml Botol 72.380 35 Ranivel Syrup 60 ml Botol 44.000 36 Tracetate Syrup 200 ml Botol 357.500 37 ULSAFATE SUSPENSI 100 ML* Botol 14.450 38 DEPAKENE SYR 120 ML* Botol 41.800 39 ZIRKUM KIDS SYR* Botol 8.140 40 Zinkid 10 mg/ 5 ml syr Botol 27.500 41 ETAFEN SUSPENSI(IBUPROFEN)100MG/5ML Botol 5.850 Group: Salep 1 BactodermOintment 10 Gr Tube 59.400 2 Betason N Tube 10.120 3 Bioplacenton Jelly Tube 12.650 4 Dermazin Cream25 gr Tube 41.250 5 Dermazin Cream50 gr Tube 51.700 6 Decubal Cream 20 g Tube 19.800 7 Digenta Krim Tube 42.619 8 Formyco Cream 10 gr Tube 16.973 9 FusycomCream 5 g Tube 35.200 10 Ichtyol Salep 10 % Pot 1.683 11 Ikamicetin Salep Kulit Tube 6.050 12 Ikamicetin Salep Mata Tube 4.070 13 Noroid cream 80 ml Tube 99.000 14 LanakeloidECream Tube 46.750 15 Levertran (minyak ikan) Salep Pot 1.467 16 Mesone Cream10 g Tube 46.750 17 Nerilon krim Tube 28.875 18 Scabimite Cream 10 g Tube 11.473 19 Scabimite Cream 30 g Tube 58.300 20 Solcoseryl Jelly 10 gr Tube 28.391 21 Solcoseryl Pasta 5 gr Tube 24.200 22 Thrombophob Gel Tube 49.500 23 Mebo Ointment 20 g Tube 77.000 24 Kloramfenikol Salep Mata Erella Tube 1.604 25 Mesone Cream 5 g Tube 19.800 26 Hemolok Gel 15 gr Tube 55.907 27 Bactoderm cream 5 gr Tube 41.250 105

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 28 Kalmicetin Dermatolog Tube 9.075 29 Mediflex cream 30 gr Tube 73.150 30 Asthin Force Gel Tube 66.000 31 Venosmil gel 60 gr. Tube 137.500 32 Burnazin Cream 35 gr Tube 36.802 33 SANOSKIN MELLADERM PLUS 20 G Tube 126.500 34 INERSON SALEP 15 GR Tube 28.187 35 FUCILEX OINTMENT 5 GRAM* Tube 6.750 36 SIBRO 20 G Tube 84.700 37 INTRASITE GEL 15 G / 1 X 10 Tube 93.500 38 ERYMED CREAM 20 GR Tube 26.015 39 MOFACORT CREAM 5 GR Tube 31.625 40 GLIKODERM 8% 20 gr Pot 28.435 41 Estesia 5 g Tube 42.900 42 Glycore 10 SPF 17 Tube 33.000 43 ERLAMYCETIN EO 1% Tube 4.455 44 Gentamycin 0.3% SM (Genoint salep mata) Tube 2.786 Group: Obat lain-lain 1 Alkohol 70 % 100 ml Botol 3.586 2 Betadine Gargle 100 ml Botol 6.600 3 Betadine Gargle 190 ml Botol 14.850 4 Borax Gliserin5 % / 10 ml / GOM Botol 5.005 5 Gentian Violet 1 % / 10 ml Botol 2.440 6 Kapsul oo Pcs 99 7 Kapsul o Pcs 42 8 Kapsul 1 Pcs 47 9 Kapsul 2 Pcs 42 10 P K Pot 6.600 11 RivanolCompres Botol 5.500 12 Salicyl Talk 2 % / 100 gr Kotak 4.400 13 Stardine ( obat merah ) 30 ml Botol 9.900 14 Duvodine Sol 30 ml Botol 4.950 15 KCL Serbuk 1 Kg Kaleng 58.300 16 Coffein Serbuk 1 Kg Kaleng 617.100 17 Salicyl Talk 2%,50 g Kotak 2.860 18 Salicyl Talk 60 gr Kotak 2.847 19 Hemolok 1 % 100 ml Botol 67.320 106

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 20 ZINK SERBUK 1 GRAM G 146 21 IODOSORB POWDER 3 GR SACHET Bungkus 62.700 22 PRONTOSAN SOL ROUNT BOT 350 ML Botol 148.750 23 ASKINA CALGITROL PASTE 15 G Tube 74.250 24 Phisohex Facial Wash 110 ml Botol 28.050 25 PRONTOSAN WOUND GEL Tube 536.250 26 Neostrata prosystem 35% Rejuvenating peel Botol 558.108 27 Neostrata Prosystem 50% Rejuvenating pee Botol 618.503 28 Peel Neutralizer - Refill L 8520 Botol 839.801 29 Prontosan Wound Gel 30 ml Botol 152.625 30 Askina Gel 15 g Tube 80.876 Group: Obat Tetes 1 Baquinor 0,3% ED Botol 31.900 2 Blesidex Ear / Eye drops Botol 36.872 3 Cendo Astenof ED Botol 17.738 4 Cendo Augentonic ED Botol 21.175 5 Cendo Augentonic 0,6 Minidose Strip 18.288 6 Cendo Carpine ED 1 % Botol 17.050 7 Cendo Carpine ED 2 % Botol 20.900 8 Cendo CatarlentED5 ml Botol 19.113 9 Cendo CaterlentED 15 ml Botol 25.850 10 Cendo Caterlent Minidose Strip 16.913 11 Cendo Conver 2% Monodose Strip 17.738 12 Cendo Fenicol 0,5% (Minidose) Strip 21.175 13 Forumen Ear drops 10 ml Botol 24.706 14 Cendo Floxa 0,6 ml Monodose Strip 22.550 15 Cendo Gentamycin ED 0,3 % Botol 23.925 16 Cendo Gentamycin Eye Ointment Tube 40.013 17 Cendo Hervis 3,5 g Cream Botol 40.425 18 Cendo Lyter 15 ml* Botol 15.750 19 Cendo Midriatyl ED1% Botol 40.150 20 Cendo MycosED 5 ml Botol 21.863 21 Cendo Mycetin SM 3,5 g Botol 14.025 22 Cendo Pantocain 0,5% ED Botol 13.338 23 Cendo Pantocain 2% ED Botol 14.575 24 Cendo Polygran 5 ml ED Botol 30.250 25 Sanbe Tearsml ED Botol 19.305 107

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 26 Cendo Timolol Maleat 0,25 % ED Botol 33.550 27 Cendo Timolol Maleat 0,5 % ED Botol 52.525 28 Cendo Tropin 1 % ED Botol 13.750 29 Cendo Tonor 0,5% Monodose Strip 26.813 30 Cendo Tobroson 0,6 ml Minidose Strip 31.900 31 CendoVasacon ED A Botol 24.613 32 Cendo Xitrol ED Botol 29.975 33 Cendo Xitrol Eye Ointment Tube 28.188 34 Otopain Ear Drop Botol 33.825 35 Otopraf Tetes Telinga Botol 19.800 36 Polidemisin Eye Drops Botol 18.480 37 Tarivid Otic Sol 5 ml Botol 74.800 38 Cendo Mydriatil 0,5% 5 cc Botol 22.687 39 Cendo Fenicol 0,5% 5 ml Botol 25.850 40 Cendo Fenicol 1% ( Monodose ) Strip 23.512 41 ISOTIC ADRETOR 0.5%* Botol 10.284 42 CENDO GLAOPEN 0.6 ML MD Strip 109.203 43 ILIADIN DROP 0,025%* Botol 40.357 44 OPTIFLOX 5 ML Botol 24.200 45 Iliadin Spray 0.05% Botol 30.500 46 Isotic Tearin TM Botol 9.834 47 Isotic Neolyson TM Botol 10.208 Group: Narkotika/Psikotropika 1 Codein 10 mg Tab Tablet 550 2 Diazepam2 mg Tablet 32 3 Diazepam5 mg Tablet 48 4 DiazepamInjeksi Ampul 2.631 5 MorfinSulfat10 mg(mst) Tablet 15.620 6 MorfinSulfat15 mg(mst) Tablet 22.990 7 MorfinInjeksi Ampul 9.240 8 PethidinInjeksiPaten Ampul 15.950 9 StesolidRectal5 mgsupp Supp 12.752 10 StesolidRectal10 mgsupp Supp 18.462 11 Valisanbe5 mg Tablet 215 12 ValiumInjeksi Ampul 19.891 13 Valdimex5 mg Tablet 1.150 14 Stesolid Rectal 5 mg ( Askeskin ) Supp 14.500 108

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 15 Stesolid 2 ml Inj Ampul 11.440 16 Fentanyl 2 ml Inj Ampul 37.307 17 Durogesic 25 mu Ampul 168.300 18 Codipront Cum Exp. cap Capsul 9.548 19 Codipront Cum Exp. syr. Botol 55.550 20 Codipront cap. Capsul 7.216 21 Codipront syr. Botol 51.150 22 Fentanyl10 ml Inj Ampul 140.800 23 FENTANYL 10ML/PER CC CC 13.200 24 Codein 20 mg Tab Tablet 1.210 25 Clopedine injeksi 2 ml Ampul 25.850 26 Codein 15 mg Tab Tablet 935 27 SUFENTA 0.005 MG INJ Ampul 247.965 28 CLOZAPINE 100 MG Tablet 2.500 29 Valisanbe 5 mg/1 ml @ 2 ml inj Ampul 14.025 Group: Jelly 1 Xylocain Jelly 2% 10ml Syrige Pcs 46.754 Group: Injeksi/Obat Suntik 1 Acran Ampul 20.207 2 Adrenalin( Ethica ) Ampul 9.499 3 AlinaminFInj Ampul 13.611 4 Alostil500 mg / 2 ml Ampul 80.300 5 Amoxsan 1 gr Vial 21.681 6 Antrain 1 gr Ampul 8.514 7 Aqua Pro Inj. 25 ml (Otsuka) FLS 1.680 8 Atropin Sulfat (Ethica) Ampul 1.366 9 Ari-Xtra 2,5 mg Inj* Ampul 265.833 10 Bactesyn 1,5 g Ampul 165.000 11 Bisolvon 4 mg Ampul 43.942 12 Brain - Act 250 mg Inj Ampul 45.100 13 BricasmaInj Ampul 18.241 14 Bucain Spinal Ampul 44.000 15 Buscopan Ampul 21.758 16 Bunascan Spinal 0,5% Heavy Ampul 46.400 17 CACL 2 Ampul 9.460 18 Calcium Gluconas 10%* Ampul 7.800 19 Catapres Ampul 33.550 109

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 20 Cedantron 4 mg Ampul 28.710 21 Cedocard Inj Ampul 74.844 22 Cefazol 1 gr Vial 93.500 23 Cefmetazone Vial 104.500 24 Chinin Antipirin (CAP ) 25 % Ampul 3.271 25 Chirocaine 1% Ampul 99.000 26 Colsancetine 1 gr Vial 9.416 27 Cordarone Ampul 14.160 28 Cortidex inj Ampul 6.044 29 Cinam1,5 g Vial 138.863 30 Dextrose 40 % Ampul 1.980 31 Decain 4 ml Inj Ampul 50.160 32 Dobuject 250 mg / 5 ml Ampul 131.670 33 Dopac 5 ml Inj Ampul 46.200 34 Duvadilan Ampul 27.706 35 Dynacef 1 gr Vial 88.000 36 Dynastat40 mg Vial 98.538 37 Efedrin HCl Ampul 55.000 38 Epidosin8 mg Ampul 21.450 39 Esmeron 50 mg Inj * Ampul 46.539 40 Extrace 200 Inj Ampul 10.000 41 Farmin 20% 100 ml Botol 1.760.000 42 Fosmycin1 g Ampul 82.225 43 Fortum1 g Ampul 148.000 44 Globulin iv Vial 1.650.000 45 Heparin 5000 IU Vial 49.500 46 HumulinN100 IU* Vial 138.000 47 HumulinR100 IU* Vial 138.000 48 Imogam Rabies Syring 570.000 49 Impugan 2 ml inj Ampul 8.140 50 Inviclot* Vial 48.398 51 Induxin 1 ml Ampul 8.800 52 Isoptin Ampul 26.500 53 Kedacillin 1 gr Vial 35.560 54 Kalnex 250 mg Ampul 9.900 55 KetaminHameln 500 mg Vial 143.550 56 Kutoin Inj Ampul 78.113 110

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 57 Lanoxin Ampul 29.535 58 Lidodex 5 % Ampul 27.500 59 Lovenox 60 mg / 0,2 ml* Ampul 110.000 60 Magnesium Sulfat 40 % (MgSO4) FLS 6.050 61 Medixon125 mg Ampul 77.000 62 Medixon500 mg Ampul 166.100 63 Methycobal 500 mg Ampul 17.708 64 Meylon 8,4 %25 ml FLS 6.820 65 Moraxine 1 gr Vial 33.000 66 Myomergin Ampul 2.195 67 Myotonik Inj Ampul 8.250 68 NACL 0,9%25 CC FLS 1.630 69 Neurosanbe Ampul 4.670 70 Neurotam1 g Ampul 17.050 71 Neurotam3 g Ampul 50.242 72 Neo K 2 mg/ml Ampul 10.841 73 OMZ40mg Vial 66.759 74 Ottogenta 80 mginj Ampul 9.900 75 Paradryl Vial 7.040 76 Paramidon Vial 7.507 77 Pehacain Ampul 3.113 78 Penicillin G (Pen-Proc 3 juta) Vial 10.780 79 Plasbumin 25%100 ml Botol 2.156.000 80 Potasium Chlorida 7,46 % (KCL) FLS 2.255 81 Procain 4 % Ampul 3.751 82 Pronalges50 mg Ampul 25.410 83 Prostigmine 0,5 mg / 1 ml Ampul 15.890 84 Recofol 10 mg/ml1 % 20 cc Ampul 65.450 85 Remopain3%Inj Ampul 34.320 86 Relivan Ampul 3.400 87 Ronem1 gr Vial 423.500 88 Ronem 0,5 gr Vial 209.000 89 Sagestam Vial 9.229 90 Sanpicillin 1 gr Vial 14.410 91 Sharox 750 mg Vial 71.500 92 Sedacum 5 mg Ampul 44.000 93 Sedacum 1 mg Ampul 17.820 111

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 94 Serum Anti Bisa Ular (SABU) 5 ml Vial 471.718 95 Serum Anti Diphteri (ADS) 20.000 SI Vial 962.167 96 Serum Anti Tetanus (ATS) 1.500 SI Ampul 123.338 97 Serum Anti Tetanus (ATS ) 20.000 SI Vial 517.275 98 Soholin Ampul 37.620 99 Stabixin1 g Vial 154.000 100 Streptase 1,5 Juta Iu Dexa Vial 3.971.000 101 Stilamin3000 Mcg Vial 1.085.608 102 Streptomycin SO4 Meiji 1 gr Vial 5.060 103 Succinil Asta Siccum 100 mg Vial 154.687 104 Succinil Asta Siccum 500 mg Vial 368.500 105 Sulperazon Vial 187.000 106 TaxegramInj Vial 138.655 107 Tetagam P 250 IU Ampul 169.999 108 Terfacef1 g Vial 204.952 109 Tetanus Toxoid / Vaksin Jerap Tetanus Vial 77.897 110 Vaksin Jerap Tetanus Unijec 0,5 ml Vial 6.270 111 Tracrium 2,5 ml Ampul 40.326 112 Tracrium5 ml Ampul 36.665 113 Tradosik Ampul 15.631 114 Tomit Inj 2 ml Ampul 7.509 115 Ulcumet Ampul 5.280 116 Ulsikur Ampul 7.480 117 Vascon Ampul 28.050 118 VerorabInj Syring 146.108 119 Venimun 2,5 mg Ampul 2.194.500 120 Lidocain 2%Berno Ampul 950 121 Primperan Ampul 9.900 122 Kamadol Ampul 2.114 123 Artem 80 mg Ampul 19.250 124 Claneksi 1 g Vial 88.660 125 Atracurium Hameln 25 mg Ampul 44.000 126 Fosmidex 1 g inj Vial 84.150 127 Ceftiz Vial 134.750 128 Nitrocine 10 mg Inj Ampul 49.500 129 Mikasin 500 mg Vial 170.500 130 Farmabes Ampul 99.000 112

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 131 Serum Anti Rabies 100 IU 20 ml Vial 938.850 132 Pitogin S Ampul 2.000 133 Ditranex250 mg Ampul 2.918 134 Plasbumin 20%, 100 ml Vial 1.848.000 135 Ketamin Hameln / mg Mg 287 136 Alba - Pure 20%, 50 ml* Ampul 432.000 137 Sopirom 1g Vial 261.250 138 TragesikInj Ampul 5.457 139 Hexer Inj Ampul 2.495 140 Exepime 1 g Ampul 251.900 141 ALBA - PURE 20% 100 ML* Botol 819.280 142 Vaksin PPDRT 23 Vial 684.684 143 Plasmanat 250 ml Botol 1.134.815 144 Cepezet 50 ml Inj Ampul 7.150 145 Fargoxin Inj Ampul 24.259 146 Roculax 5 ml Inj Ampul 112.750 147 Stabactam Vial 165.000 148 Cernevit Vial 148.500 149 Kalfoxim 1 gr Vial 137.500 150 InsulatardFlexpen Syring 144.716 151 Yazon Inj. Vial 132.000 152 Panso 40 mg Vial 132.000 153 Atracurium Hameln 50 mg Ampul 75.900 154 Zibac inj. Vial 44.000 155 Buvanest 0,5 %20ml Vial 70.400 156 Nokoba inj. Ampul 77.000 157 Adona AC - 17 INJ. Ampul 22.880 158 Verapamil inj. Ampul 70.625 159 Duradryl Vial 3.740 160 Beriplast P Combiset 1 ml BOX 2.640.000 161 Torasic 30 mg Ampul 34.650 162 Guardix Sol Syring 830.775 163 Vaksin PPDRT 23 ( 0.15 CC ) CC 70.224 164 Toramine 30 mg Ampul 24.200 165 Sibital inj. Ampul 9.405 166 Fresofol 10 mg/ml 1 %20cc* Ampul 16.236 167 Hypobhac 150 mg / 1,5 ml Ampul 144.207 113

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 168 PerOssal pellets 233.750 169 Neostigmin 0,5 mg / ml Ampul 9.900 170 Ostim 352 ml Syring 2.871.000 171 EDEMIN INJ* Ampul 2.904 172 Octalbin 20 % 100 ml* Botol 825.000 173 Plasbumin 20 % 50 ml* Botol 414.000 174 Tripenem inj. 1 gr* Vial 220.000 175 Xylomidon Vial 6.050 176 Farelax injeksi Ampul 57.750 177 Koate DVI 480-600 IU Inj.* Vial 1.597.020 178 Koate DVI 380 IU Inj* Vial 1.255.542 179 Albumin Behring 20 % 100 ml* Botol 819.280 180 Vitka Infant inj. (Phapros) Ampul 8.250 181 Koate DVI 260-280IU Inj* Vial 1.290.054 182 Aqua Pro Inj. 10 ml (Berno) Ampul 1.650 183 Somatostatin inj. 250 mcg Vial 300.300 184 Perdipine Inj. 10 mg* Ampul 135.000 185 Tranexid 500 mg Inj. Ampul 6.930 186 VAXCEL HEP 5000 IU INJ Vial 58.800 187 Hemapo 3000 UI* Syring 127.999 188 ALBUMIN HUMAN 25% 100 ML (ALBUMINAR)* Botol 1.526.250 189 ALBUMIN HUMAN 20% 100 ML (ALBUMAN) Botol 814.919 190 CARDIOPLEGIA - DBL 20 ML Vial 158.400 191 GLYCERYL TRINITRAT - DBL 50 MG/10 ML Vial 147.785 192 ECRON 10 MG INJ Vial 169.290 193 METOLON 5 MG INJ Ampul 5.940 194 TIARYT INJ Ampul 24.750 195 ALBUMIN HUMAN BIOTEST 20% 100 ML BTG 819.000 196 LANTUS SOLOSTAR* Syring 85.000 197 APIDRA SOLOSTAR* Syring 87.080 198 FAPRESOR INJ Ampul 77.000 199 NOVORAPID VIAL 10 ML* Vial 200.000 200 TIOXAD 20 MG INJ Ampul 22.000 201 NOVORAPID FLEXIPEN* Syring 85.345 202 NOVOMIX FLEXIPEN* Syring 106.000 203 RECORMON PFS 2000 IU INJ* Syring 139.500 204 KANAMYCIN 1 G INJ Vial 4.851 114

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 205 INOVAD 10 ML INJ Vial 242.000 206 MYCAMINE INJ* Vial 260.000 207 LEVEMIR FLEXIPEN INJ* Syring 109.676 208 GLYBOTIC 500 MG* Vial 50.500 209 PROTAMIN INJ (BJ) Ampul 121.838 210 HYPERHEB 0.5 ML INJ* Syring 1.320.000 211 AAFACT 500 IU INJ* Vial 1.594.192 212 NONAFACT 100 IU/ML INJ* Vial 5.142.638 213 EPREX PROTECS 2000 IU* Syring 147.223 214 XYLOCARD 100 MG Ampul 130.400 215 DORMICUM 5 MG/5 ML* Ampul 6.119 216 SOTATIK INJ* Ampul 2.798 217 NEFROFER 100 MG / 5 ML Ampul 114.400 218 INSUMAN RAPID 5 ML INJ* Vial 72.000 219 SANTAGESIK INJ Ampul 5.779 220 UDOPA 40 MG INJ* Ampul 10.044 221 DIALIFER INJ* Ampul 57.328 222 MILOZ INJ* Ampul 6.024 223 NOTRIXUM 2.5% INJ* Ampul 14.456 224 VENODENOL 3 PCT AP. 2 ML Ampul 44.000 225 FARSORBID 10 ML INJ* Ampul 36.960 226 Cofact 500 IU + Pelarut 20 ml Vial 5.445.000 227 PROSOGAN 30 MG INJ* Vial 82.034 228 Marcain 0.50 % PDF 20 ml Vial 32.000 229 Rinofer inj* Ampul 57.200 230 Ventavis inj Ampul 350.000 231 DOPAMIN GUILINI INJ* Ampul 10.045 232 Pegasys PFS 180 mcg inj + Copegus 200 mg box/42 tab.(paket) Set 1.248.220 233 Omevell 40 mg inj (Omeprazol 40 mg) Vial 34.650 234 TRADOSIK INJ * Ampul 5.500 235 Serum Anti Bisa Ular (Biosave) 5 ml Pcs 461.175 236 Timoc 1 g inj (cefotaxime 1 gram) Vial 38.841 237 OXYTOCYN INJ* Ampul 2.420 238 Actilyse 50 mg inj Vial 3.800.000 239 Methylergometrine inj*box/100 amp 3.500 240 Triacef 1 g inj (ceftriaxone) Vial 43.350 241 Humalog Kwipen 3 ml Syring 82.495 115

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 242 Ceftriaxone 1 g Inj *** Vial 17.000 243 Cefxon 1 G inj (Ceftriaxone) Vial 78.905 244 Bonviva IV 3 mg / 3 ml inj Syring 1.313.915 245 Mabthera 100 mg * (box/2 vial) Vial 3.164.805 246 Taxegram 1 g inj *** Vial 59.996 247 Terfacef 1 g inj *** Pcs 77.000 248 Taxecap 1 g inj Vial 37.027 249 Zyprexa 10 mg inj Vial 120.000 Group: Inhalasi 1 Berotec200 mcg / puff Botol 96.580 2 Meptin Air Inhaler 10 ml Botol 101.640 3 Forane250 ml Botol 1.320.000 4 Forane250 ml / cc CC 5.280 5 Fluothane 250 ml Botol 1.017.556 6 Fluothane 250 ml / cc CC 4.070 7 Flixonase Nasal Spray CAN 14.080 8 Halothane 250 ml Botol 1.265.000 9 Halothane1 ml CC 5.060 10 Inflamid100 mcg Botol 109.780 11 SEVO - rane 250 ml Botol 2.420.000 12 SEVO - rane CC 9.680 13 VentolinNebulyzer2,5 mg* Ampul 7.260 14 Xylocain Spray Botol 298.356 15 Flixotide Nebules 2 ml* Vial 14.208 16 Terrel 250 ml Botol 1.540.000 17 Terrel100 ml* Botol 269.984 18 Terrel 100 ml / cc* CC 2.700 19 Berotec 100 mcg HFA* Botol 72.900 20 SOJOURN 250 ml Botol 1.319.890 21 SOJOURN 1cc CC 5.280 22 Isofluran250 ml Botol 1.430.000 23 ISOFLURANE 1 ML/CC CC 5.720 24 Sevoflurane Baxter 250 ml Botol 2.530.000 25 SEVOFLURANE BAXTER 1 CC CC 10.120 26 TERREL 250 ML / CC ml 6.160 27 NASACORT AQ* Botol 90.000 28 PULMICORT RESP 0.5 MG/ 1 INJ 20 ML* Ampul 8.899 116

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 29 SERETIDE DISKUS 250* Botol 124.667 30 VENTOLIN INHALER CFC FREE/CAN* Botol 70.125 31 SEVODEX 250 ML Botol 2.150.500 32 SEVODEX 250 ML/ ML ml 8.602 33 SERETIDE DISKUS 100* CAN 110.917 34 AVAMYS NASAL SPRAY* Botol 102.661 35 FLUTIAS 50 MCG* CAN 99.000 36 Obucort Swinghaler* CAN 106.000 37 Aerrane 250 ml Botol 1.196.580 38 Aerrane 250 ml/ ml CC 4.786 Group: Infus 1 Aminofusin L 600 Botol 71.500 2 Aminofusin Hepar Botol 75.350 3 Aminoleban Botol 167.645 4 Aminovel 600 Botol 68.623 5 Amiparen Botol 75.912 6 Aqua Steril 1 Liter (Wida / Otsuka) Botol 15.400 7 Asering Botol 9.000 8 Comafusin Hepar Botol 64.900 9 Ciprox 200 mg / 100 ml Botol 46.000 10 Dextran 70 %in0,9%nacl Botol 69.630 11 Dextrose 5%DP (Sanbe) Botol 18.084 12 Dextrose 5% + 1/4 NS (Otsuka) Botol 10.570 13 Dextrose 5% + 1/2 NS (Otsuka) Botol 8.470 14 Dumozol Botol 60.500 15 LM Dextran 40 Botol 76.616 16 FARNAT Botol 69.300 17 FIMA HES 200 Botol 52.000 18 KAEN 1 B Botol 15.660 19 KAEN 3 A Botol 15.660 20 KAEN 3 B Botol 10.000 21 KAEN 4 A Botol 18.480 22 KAEN MG 3 Botol 18.150 23 Manitol 250 Botol 36.245 24 Manitol 500 Botol 65.889 25 Martos 10, 500 ml Botol 32.083 26 NACL 3 % 500 ml (Otsuka) Botol 15.400 117

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 27 NACL 0,9% 500 ml DP(Sanbe) Botol 16.467 28 NEUROTAM 12 g Botol 225.500 29 OTSUTRAN 40 Botol 88.694 30 PAN AMIN G Botol 41.905 31 Piggy Bag NS 100 ml Botol 10.010 32 Piggy Bag D5 % 100 ml Botol 11.110 33 Renxamin 200 ml Infus Botol 88.000 34 Aminofusin Paediatrik 250 ml* Botol 46.000 35 NOVAMET Botol 6.991 36 Ringer Laktat Otsuka(Harga Generik) Botol 5.600 37 Tridex 27 B 500 ml (Sanbe) soft bag 18.491 38 Ring AS Softbag 500 ml Botol 10.914 39 VOLUVEN 6 % 500 ML* Botol 56.100 40 Clinimix N9G 15E 1 L* Botol 199.000 41 Ivelip 20% 100 ml* Botol 89.800 42 Benutrion Botol 95.518 43 Dumozol ( Gakin ) Botol 19.800 44 Nacl 0,9% 500 ml Otsuka (Harga generik) Botol 5.170 45 Dextrose 5% Otsuka (Harga Generik ) Botol 5.800 46 Aminovel 600 ( Gakin ) Botol 68.623 47 Widahes Infus Botol 180.720 48 NACL 0,9% 1000 ML (Wida) Botol 7.150 49 TOTILACINFUS* Botol 87.000 50 Dextrose 5% + 1/2 NS (Wida) Botol 8.470 51 Dextrose 5% + 1/4 NS (Wida) Botol 8.470 52 Nootropil Infus 12 gr Botol 250.250 53 Tridex 27B ( Sanbe ) Botol 20.405 54 Ring AS ( Sanbe ) DP Botol 19.904 55 Ceremax Inf Botol 291.500 56 Farmadol100 mlinf. Botol 60.500 57 Nacl 0,9 % 1000 ml (B.Braun) Botol 7.007 58 Dextrose 10 %Otsuka(Harga Generik ) Botol 6.300 59 Haemacel infus Botol 187.000 60 M-20 ( Sanbe ) INFUS soft bag 39.000 61 Tamolivinfus Botol 52.250 62 Dextrose 5 % + 1/2 NS Sanbe SP (Rutin) soft bag 7.850 63 Dextrose 5 % + 1/4 NS Sanbe SP (Rutin) soft bag 7.780 118

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 64 Ringerfundin infus 500 ml Botol 12.650 65 GELOFUSINE 500 ML Botol 88.500 66 COMBIFLEX INFUS soft bag 308.275 67 TUTOFUSIN OPS* Botol 37.500 68 AMINOFLUID L 500 ML* soft bag 67.760 69 EAS PFRIMMER 250 ML* Botol 51.260 70 DIAZOLE NR 500 ML Botol 8.000 71 RINGER LAKTAT 500 ML (B.BRAUN) Botol 3.994 72 RINGER SOLUTION 500 ML OSTU-RS Botol 10.295 73 OTSU - RS Botol 10.294 74 SYMBICORT TURB 160 MCG* Botol 117.600 75 FUTROLIT INFUS* soft bag 36.496 76 KABIVEN PERIPHERAL 1440 ML* soft bag 295.240 77 DEXTROSE 10% 500 ML (B.BRAUN) Botol 5.500 78 LIPOFUNDIN MCT/LCT 100 ML* Botol 105.499 79 AMINOSTERILE INFANT 6% 100 ml Botol 36.667 80 Aqua Steril 1000 ml Sanbe (softbag) soft bag 11.010 81 Intralipid 20% 100 ml Botol 60.500 Group: Generik 1 AMOXICILLIN 1 g INJ Vial 8.250 2 AMPICILIN1 G. INJ Vial 4.600 3 CEFOTAXIM1 G INJ Vial 3.500 4 CEFTRIAXON 1 GR INJ Vial 3.900 5 CHLORPROMAZIN5 MG INJ Ampul 376 6 CHLORPROMAZIN25 MG INJ Ampul 1.210 7 DEXAMETHASONE 5 MG/ML INJ Ampul 1.544 8 DIFENHIDRAMININJ Ampul 1.056 9 FUROSEMID10 MG/ML INJ Ampul 2.012 10 GENTAMICIN 80 MG/2 ML INJ Ampul 3.739 11 KETAMIN20 MG Ampul 11.020 12 LIDOCAINE2% INJ Ampul 1.472 13 LIDOCAINE COMP 2% INJ Ampul 1.135 14 METOKLOPRAMID 5 Mg INJ Ampul 914 15 PIRACETAM 1 g INJ Ampul 6.897 16 PIRACETAM 3 g INJ Ampul 21.780 17 PHENOBARBITALINJ Ampul 1.980 18 RANITIDININJ Ampul 1.091 119

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 19 SEFUROKSIM 750 MgInj Vial 12.540 20 CEFTAZIDIME 1gINJ Vial 18.766 21 STREPTOMISINInJ 1,5 g Vial 1.828 22 TRAMADOLInj ( 100 mg/2 ml ) Ampul 6.000 23 CIPROFLOXACININFUS Botol 18.000 24 DEXTROSE5% INFUS Botol 5.720 25 DEXTROSE10% INFUS Botol 6.270 26 NACL 0,9% 500 ml (OGB) Botol 5.170 27 RINGER LACTAT INFUS (Wida OGB) 500 ML Botol 5.720 28 METRONIDAZOLINFUS Botol 12.981 29 ACYCLOVIR200 MG Tablet 388 30 ACYCLOVIR400 MG Tablet 571 31 ALLOPURINOL100 MG Tablet 132 32 ALPRAZOLAM0,5 MG Tablet 460 33 AMBROXOL30 MG Tablet 125 34 AMINOPHILIN200 MG Tablet 89 35 AMITRIPTYLINE25 MG Tablet 123 36 AMOXICILLIN250 MG Tablet 288 37 AMOXICILLIN500 MG Tablet 279 38 AMPICILIN500 MG Tablet 411 39 ANTALGIN500 MG Tablet 128 40 ANTASIDA DOEN Tablet 162 41 ASAM FOLAT1 MG Tablet 48 42 ASAM MEFENAMAT250 Tablet 75 43 ASAM MEFENAMAT500 Tablet 149 44 ASETOSAL100 MG Tablet 127 45 BISOPROLOL5 MG Tablet 2.321 46 CAPTOPRIL12,5 MG Tablet 67 47 CAPTOPRIL25 MG Tablet 97 48 CAPTOPRIL50 MG Tablet 141 49 CARBAMAZEPIN200 MG Tablet 266 50 CEFADROXIL500 MG Tablet 547 51 CEFADROXIL250 MG Tablet 489 52 CEFIKSIM 100 MG CAP Capsul 899 53 CETIRIZINE10 MG Tablet 189 54 CHLORAMPHENICOL 250 Tablet 266 55 CHLOROQUIN150 MG Tablet 85 120

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 56 CHLORPHENIRAMIN/ CTM Tablet 26 57 CHLORPROMAZIN25 MG Tablet 24 58 CIMETIDIN200 MG Tablet 80 59 CIPROFLOXACIN500 MG Tablet 265 60 CLOBAZAM 10 MG Tablet 950 61 CLONIDINE 0,15 Tablet 224 62 CLINDAMYCIN 150 MG Capsul 405 63 CLINDAMYCIN 300 MG Capsul 580 64 COTRIMOXAZOLE 480 Tablet 150 65 DEXAMETHASONE 0,5 MG Tablet 79 66 DEXTROMETHORPHAN HBR 15 MG Tablet 104 67 DIGOXIN 0,25 MG Tablet 142 68 DILTIAZEM30 MG Tablet 151 69 DIMENHIDRINAT50 MG Tablet 96 70 DOMPERIDON Tablet 173 71 DOXYCYCLINE100 MG Tablet 252 72 EPHEDRIN25 MG Tablet 51 73 ERGOTAMIN + CAFFEIN Tablet 134 74 ERYTHROMYCIN 250 MG Capsul 504 75 ERYTHROMYCIN 500 MG Tablet 594 76 ETHAMBUTOL500 MG Tablet 573 77 FAMOTIDIN20 MG Tablet 113 78 FERO SULFAT 300 MG/SF Tablet 22 79 FUROSEMID40 MG Tablet 96 80 GEMFIBROZIL300MG Tablet 312 81 GLIBENKLAMID5 MG Tablet 61 82 GLISERIL GUAIACOLAT 100 Tablet 27 83 GLIMEPIRID2 MG Tablet 447 84 GLIMEPIRID3 MG Tablet 414 85 GRISEOVULFIN125 MG Tablet 123 86 HALOPERIDOL5 MG Tablet 136 87 HALOPERIDOL 0,5 MG Tablet 62 88 HALOPERIDOL 1,5 MG Tablet 92 89 H.C.T. 25 MG Tablet 36 90 I N H100 MG Tablet 41 91 I N H300 MG Tablet 116 92 ISDN5 MG Tablet 97 121

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 93 IBUPROFEN200 MG Tablet 96 94 KALK Tablet 52 95 KALIUM DIKLOFENAK25 MG Tablet 390 96 KALIUM DIKLOFENAK50 MG Tablet 446 97 LANSOPRAZOL Tablet 497 98 LINCOMISIN500 MG Tablet 722 99 LORATADINE10 MG Tablet 170 100 MELOKSIKAM7,5 MG Tablet 234 101 METFORMIN 500 MG Tablet 110 102 METIL PREDNISOLON 4 mg Tablet 229 103 METIL PREDNISOLON 8 mg Tablet 706 104 METIL PREDNISOLON 16 mg Tablet 875 105 METHYL ERGOMETRIN 0,125 mg Tablet 121 106 METRONIDAZOL 250 Mg Tablet 143 107 METRONIDAZOL 500 Mg Tablet 171 108 METOCLOPRAMID10 MG Tablet 110 109 NA DIKLOFENAC25 MG Tablet 167 110 NA DIKLOFENAC50 MG Tablet 193 111 NIFEDIPIN 10 Mg Tablet 110 112 OFLOXACIN 200 MG Tablet 340 113 OMEPRAZOL20 MG Tablet 278 114 PAPAVERIN40 MG Tablet 63 115 PARACETAMOLSTRIP Tablet 99 116 PHENOBARBITAL30 MG Tablet 34 117 PHENOBARBITAL100 MG Tablet 141 118 PIROXICAM10 MG Tablet 83 119 PIROXICAM20 MG Tablet 116 120 PIRACETAM800 MG Tablet 337 121 PIRACETAM400 MG Tablet 496 122 PIRACETAM1200 MG Tablet 1.423 123 PREDNISON5 MG Tablet 62 124 PRIMAQUIN15 MG Tablet 30 125 PROPANOLOL10 MG Tablet 76 126 PROPANOLOL40 MG Tablet 114 127 P T U100 MG Tablet 297 128 PYRANTEL125 MG Tablet 216 129 PYRAZINAMID500 MG Tablet 234 122

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 130 QUININE222 MG Tablet 244 131 RANITIDIN150 MG Tablet 125 132 RESERPIN0,25 Tablet 61 133 RIFAMPISIN300 MG Capsul 479 134 RIFAMPISIN450 MG Tablet 802 135 RIFAMPISIN600 MG Tablet 922 136 SALBUTAMOL2 MG Tablet 84 137 SALBUTAMOL4 MG Tablet 97 138 NATRIUM BICARBONAT 500 MG Tablet 110 139 TETRACYCLIN250 MG Tablet 81 140 THIAMPHENICOL 500 MG Capsul 615 141 TRAMADOL50 MG Capsul 329 142 TRIHEXYFENIDIL2 MG Tablet 41 143 VITAMIN A( Retinol ) 20.000 IU Tablet 308 144 VITAMINB 12 50 mg Tablet 13 145 VITAMIN B610 MG Tablet 40 146 VITAMIN B150 MG Tablet 38 147 VITAMIN C (Ascorbid Acid) 50 mg Tablet 32 148 VITAMIN E ( L Tocoferol ) 50 mg Tablet 261 149 VITAMIN K10 MG (Phitomenadion) tab. Tablet 748 150 VITAMIN B COMPLEX Tablet 22 151 VERAPAMIL80 MG Tablet 220 152 AMBROXOL15 MG/ML SYR Botol 3.049 153 AMOXICILLIN 125 MG/5 ML SYR Botol 3.700 154 AMPICILLIN125 MG/5 ML SYR Botol 4.400 155 ANTASIDA DOEN SYR Botol 3.850 156 CEFADROKSIL 125 MG SYR Botol 5.510 157 CEFIKSIM SYRUP 100 MG /5ML Botol 9.400 158 DMP10 MG/5 ML SYR Botol 2.865 159 DOMPERIDONESIRUP 5 ML Botol 3.489 160 ERYTHROMYCIN 200/5 ML SYR Botol 8.091 161 KLORAMPENICOL125 MG SYR Botol 4.500 162 KOTRIMOXAZOLE 240 MG SYR Botol 2.297 163 PARACETAMOLSYR Botol 3.494 164 METOKLOPRAMID SYR 60 ML Botol 2.132 165 ASIKLOVIR 5%, 5 CREAM Tube 3.000 166 BETAMETASON CREAM 0,1%, 5 Tube 1.558 123

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 167 GENTAMYCIN S04 0,1% SK Tube 1.468 168 GENTAMYCIN TTS MATA 0,3% Botol 3.200 169 HIDROKORTISON2,5% SK Tube 3.000 170 KETOKONAZOLE 2%KRIM Tube 4.675 171 KLORAMFENIKOL SLP MATA Tube 1.604 172 MICONAZOLE SALEP KULIT Tube 3.075 173 METHYL PREDNISOLON 125 MG Inj Vial 22.000 174 METHYL PREDNISOLON 500 MG Inj Vial 121.000 175 PIRACETAM INFUS 12 G Botol 55.055 176 AMOXICILLIN FORTE SYRUP Botol 9.350 177 SULFADOXIN PIRIMETHAMIN Tablet 525 178 CO - AMOXICLAV Tablet 5.050 179 PHENITOIN100 MG (Ikapharm) Capsul 605 180 QUINIDINE200 MG Tablet 223 181 VITAMINK (Phitomenadion) inj. Ampul 3.753 182 VITAMIN K3 INJ ( KF ) Ampul 1.450 183 ASAM TRANEKSAMAT 250 INJ. Ampul 4.070 184 PHENITOIN INJ.( Ikapharm ) Ampul 42.004 185 PHENOBARBITAL 50 MG Tablet 47 186 MELOKSIKAM 15 MG Tablet 348 187 SIMVASTATIN 10 MG Tab Tablet 189 188 KETOROLAC30 MG INJ Ampul 2.666 189 ONDANSETRON 4 MG INJ Ampul 2.400 190 AMLODIPIN 5 MG TAB. Tablet 252 191 POVIDON IODIDA 10%, 30 ml Botol 2.400 192 ANTIHEMORRHOID SUPP Buah 3.300 193 NYSTATIN VAGINAL TAB Tablet 528 194 KETOPROFEN 100 MG TAB Tablet 638 195 BETAHISTIN 6 MG TAB Tablet 647 196 LEVOFLOXACIN 500 MG Tab Tablet 1.153 197 RISPERIDONE2 MG Tablet 2.612 198 GLIQUIDONE 30 MG Tablet 1.045 199 ASAM ASKORBAT 250 MG Tablet 74 200 ALBENDAZOL 400 MG Tablet 406 201 QUININE 25%2 ML Ampul 1.346 202 SITIKOLININJ Ampul 14.300 203 ASAM TRANEKSAMAT 500INJ. Ampul 5.775 124

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 204 SALEP 2-4 Tube 1.325 205 MELOKSIKAM 15 MG SUPPO Buah 6.600 206 ASAM TRANEKSAMAT 500 mg TABLET Tablet 870 207 CEFAZOLIN 1 G Vial 25.007 208 ETAMBUTOL250 MG Tablet 321 209 MEROPENEM 1 GR INJ Vial 67.375 210 VITAMIN K 10 mg tablet ( KF ) Tablet 65 211 LEVOFLOXACIN INFUS Botol 43.120 212 GLIMEPIRID 1 MG TAB. Tablet 272 213 SPIRONOLACTON 25 MG TAB. Tablet 350 214 SPIRONOLACTON 100 MG TAB. Tablet 1.000 215 FAMOTIDINE 40 MG TAB. Tablet 176 216 TERAZOSIN 2 MG TAB. Tablet 6.445 217 MEROPENEM 0.5 GR INJ. Vial 50.992 218 GRISEOFULVIN 500 MG Tablet 1.235 219 ATROPIN SULFAS INJ Ampul 1.263 220 AMIKASIN 500 MG INJ. Vial 101.640 221 ATORVASTATIN20 MG Tablet 4.400 222 PHENITOIN INJ.(PHAPROS) Ampul 20.750 223 CEFOPERAZONE 1 G INJ. Vial 13.965 224 ALLOPURINOL 300 MG Tablet 205 225 AMLODIPIN 10 MG TAB. Tablet 335 226 ONDANSETRON 4 MG TABLET Tablet 1.540 227 OBH 100 ML SYRUP Botol 1.925 228 ONDANSETRON 8 MG TABLET Tablet 1.343 229 OMEPRAZOL 40 MG INJ. Vial 41.551 230 SULFAZALAZINE 500 MG Tablet 455 231 IBUPROFEN 400 MG Tablet 157 232 IBUPROFEN 100 mg/5 ml Syr Botol 3.497 233 ZINC20 MG Tablet Tablet 521 234 SIMVASTATIN 20 MG Tab Tablet 480 235 FLUCONAZOLE 150 MG TAB. Tablet 24.200 236 PARACETAMOL INFUS Pcs 28.985 237 AMIKASIN 250 MG INJ Vial 86.248 238 IBUPROFEN 200 MG/5 ML SYR Botol 4.949 239 LISINOPRIL 10 MG Tablet 575 240 LISINOPRIL 5 MG Tablet 334 125

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 241 IRBESARTAN 150 MG Tablet 1.567 242 IRBESARTAN 300 MG Tablet 2.717 243 DESOKSIMETASONE 0.25% KRIM Tube 9.983 244 SPIRAMYCIN 500 MG Tablet 1.464 245 CEFEPIME 1 G Vial 128.700 246 AZITROMYCIN 500 MG Tablet 4.613 247 GLIMEPIRID 4 MG Tablet 441 248 RAMIPRIL 2.5 MG Tablet 300 249 RAMIPRIL 5 MG Tablet 635 250 ACARBOSE 100 MG Tablet 990 251 ACARBOSE 50 MG Tablet 978 252 CLOPIDOGREL 75 MG Tablet 3.049 253 CANDESARTAN 8 MG Tablet 3.410 254 PARACETAMOL DROP Botol 5.275 255 CETIRIZINE SYR Botol 10.440 256 ACETYLCYSTEIN 200 MG Capsul 1.045 257 PANTOPRAZOLE 40 MG INJ Vial 45.375 258 CANDESARTAN 16 MG Tablet 5.388 259 AMINOPHYLIN 24 MG/ML INJ (PHAPROS) Ampul 4.200 260 DOCETAXEL 20 MG/0.5 ML sanbe Vial 963.270 261 EPINEFRIN 0.1% INJ* Ampul 8.910 262 PAPAVERIN 40 MG/ML INJ Ampul 1.274 263 PROPOFOL LIPURO 1% Ampul 52.800 264 CILOSTAZOL 100 MG Tablet 7.150 265 FENOFIBRATE 100 MG Tablet 1.074 266 RAMIPRIL 10 MG Tablet 912 267 FENOFIBRATE 300 MG Tablet 1.375 268 Kifluzol 150 mg (Flukonazol 150 mg) Capsul 28.985 269 KETOPROFEN 50 MG Tablet 704 270 Streptomycin 1 gr inj Ampul 4.015 271 Phenytoin Sodium 100 mg inj (OGB/Mersi) Ampul 20.857 Group: Barang Radiologi 1 BARIUM EZ CAT 764 Botol 126.500 2 BARIUM ENEMA BAG FORCOLON Polibar ACB Botol 160.417 3 GARAM INGGRIS ( MgSO4 ) Sak 2.750 4 IOPAMIRO 37010 ML Botol 102.300 5 IOPAMIRO 37030 ML* Botol 146.998 126

Harga Obat 2016 Group : Obat No Nama Item Satuan Harga (Rp) 6 IOPAMIRO 370 50 ML* Botol 199.000 7 IOPAMIRO 370100 ML * Botol 368.971 8 UROGRAFIN76 % 20 ML Botol 41.252 9 OMNISCAN 0,5 mmol / 10 ml INJ Botol 331.430 10 IOMERON400 / 50 ml Botol 346.500 11 BARIUM SULFAT@ 100 gr Bungkus 30.643 12 ULTRAVIST 370 / 50 ML Botol 150.307 13 ULTRAVIST 370 / 100 ML Botol 299.010 14 OMNIPAQUE 350 mcl / 50 ML Vial 198.697 15 OMNIPAQUE 350 mcl / 100 ML Botol 367.840 16 OMNIPAQUE 300 mcl / 20 ML Botol 121.000 17 MULTIHANCE 10 ML Vial 330.000 18 VISIPAQUE 320 MG/ 100 ML Botol 742.500 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) Group: Plester 1 SEMILLAS NON WOVEN IV DRESSING Lembar 1.820 Group: Haemodialisa I 1 TRANSFER SET (CPD) Set 219.540 2 ULTRACLAMP ( 2 UNIT ),( CPD ) Pcs 30.099 3 TITANIUM ADAPTOR ( CPD ) Pcs 792.000 4 TENCKOFF KATETER ( CPD ) Pcs 830.500 5 DIANEAL TWINBAG ( CPD ) soft bag 41.800 6 MINICAP ( CPD ) Unit 4.222 Group: Barang Laboratorium 1 GLUCOSE HK3-1900T Kit 4.305.180 2 CURVED CDH 33 A 33 MM Pcs 4.963.750 3 PERICAN EPID NEEDLE G 18 Pcs 112.200 4 SPINAL BRACE OPPO uk. S Pcs 984.500 5 EXTENTION TUBE 150 CM TERUMO Pcs 33.330 6 THORASIC CATHETER WITH TROCAR 24 Pcs 176.715 7 THORASIC CATHETER WITH TROCAR 28 Pcs 176.715 8 THORASIC CATHETER WITH TROCAR 32 Pcs 176.715 9 LINEAR CUTTER 75 MM RELOAD Pcs 836.000 10 LINEAR CUTTER 100 MM RELOAD Pcs 1.149.500 11 LOMBACARE MOTION ACTIMOVE BLACK M Pcs 798.650 12 THORASIC CATHETER STRAIGHT NO.16 CH.BC Pcs 77.000 13 THORASIC CATHETER STRAIGHT NO 28 CH.BC Pcs 77.000 14 THORASIC CATHETER STRAIGHT NO 32 CH.BC Pcs 77.000 15 Optime 2/0 18S30E Pcs 76.446 Group: Alat Kesehatan 1 BALON KATETER (NORTA) NO.6 Pcs 61.410 2 BALON KATETER (NORTA) NO.8 Pcs 63.571 3 BALON KATETER ( NORTA ) NO. 10 Pcs 61.410 4 BALON KATETER ( NORTA ) NO. 12 Pcs 22.000 5 BALON KATETER (RUSCH)12 Pcs 22.000 6 BALON KATETER ( NORTA ) NO. 14 Pcs 14.346 7 BALON KATETER (RUSCH)14 Pcs 15.400 127

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 8 BALON KATETER ( NORTA ) NO. 16 Pcs 14.851 9 BALON KATETER ( NORTA ) NO. 18 Pcs 14.851 10 BALON KATETER ( NORTA ) NO. 20 Pcs 14.364 11 BALON KATETER (RUSCH)20 Pcs 22.000 12 BALON KATETER (NORTA)NO.24 TRIWAY Pcs 53.784 13 BLOOD ADM. SET ( OTSUKA) Pcs 17.160 14 BLOOD ADM. SET ( NIPRO ) Pcs 16.038 15 BONE WAXW 810 Pcs 51.333 16 CAT GUT CHROMIC NO. 0 Casset 771.703 17 CAT GUT CHROMIC NO. 1 Casset 825.049 18 CAT GUT CHROMIC 1W 469 Pcs 96.252 19 CAT GUT CHROMIC NO.1 (48 G) Sachet 79.695 20 CAT GUT CHROMIC NO. 2 Casset 712.313 21 CAT GUT CHROMIC 2W 728 Sachet 60.005 22 CAT GUT CHROMIC NO. 2/0 Casset 987.581 23 CAT GUT CHROMIC2/0W 441 Sachet 47.905 24 CAT GUT CHROMIC2/0W 113 Sachet 15.813 25 CAT GUT CHROMIC 2 Demetech 50 BO Sachet 57.200 26 CAT GUT CHROMIC NO. 3 Casset 963.600 27 CAT GUT CHROMIC NO. 3/0 Casset 956.894 28 CAT GUT CHROMIC 3/0 W 447 Pcs 51.785 29 CAT GUT CHROMIC NO. 4/0 Casset 1.009.800 30 CAT GUT PLAIN NO. 0 Casset 771.724 31 CAT GUT PLAIN NO. 1 Casset 825.048 32 CAT GUT PLAIN NO. 2 Casset 712.371 33 CAT GUT PLAIN NO. 2 /0 Casset 987.581 34 CAT GUT PLAIN NO. 2/0 G 364 T Sachet 46.970 35 CAT GUT PLAIN NO. 2/0 W 2003 Sachet 14.905 36 CAT GUT PLAIN NO. 2/0 W 439 Sachet 48.786 37 CAT GUT PLAIN 2/0 Demetech 2 Sachet 46.200 38 CAT GUT PLAIN NO. 3 Casset 963.600 39 CAT GUT PLAIN NO. 3/0 Casset 1.232.330 40 CAT GUT PLAIN NO. 3/0 W 2002 Sachet 13.860 41 CAT GUT PLAIN 4/0 H 819 T Sachet 58.410 42 CAT GUT PLAIN 4/0 HR 26 (SMI) Pcs 46.750 43 CAVAFIKMT. 134 Pcs 350.075 44 CAVAFIK NO. 257 G 16 45 CM Pcs 253.000 45 CAVAFIXNO.275G 16 70 CM Pcs 275.000 46 CAVAFIK NO. 375 G 14 70 CM Pcs 275.000 47 CERTOFIXMONO NO. 14 G/ V 420 pcs 418.000 48 CERTOFIK MONO NO. 18 G/ V 220 Pcs 423.500 49 CERTOFIK MONO NO. 22 G/ S 110 Pcs 653.125 50 COLOSTOMY BAG DANSAC 2 pcs 23.282 51 CURASPON 80 x 50 x 10 MM pcs 66.550 52 CUTTINGLOOP ( SR ) Pcs 1.283.333 53 DARYANTULLE Lembar 8.140 54 DERMAFIX10 x 25 CM Buah 7.920 55 DERMALON 2/0 1727-51 Buah 48.913 56 DERMALON2/0 1799-51 Buah 63.800 57 DERMALON 3/0 1756-41 Buah 50.050 58 DERMAFILM23,5 x 8,5 CM Buah 19.800 59 DERMAFILM9,5 x 8,5 CM Buah 12.100 60 DERMALON3/0 1757-41 Buah 60.500 61 DERMALON 4/0 1756-31 Buah 53.350 62 DERMALON 5/0 1756-21 Buah 55.000 63 DEXONNO.09828-61 Buah 79.200 128

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 64 DEXONNO.19828-71 Buah 79.750 65 DEXONNO. 2/09828-51 Buah 76.450 66 DEXONNO. 3/09825-41 Buah 72.087 67 DISPOSIBLE NEEDLE NO. 21 G Pcs 1.100 68 DISPOSIBLE NEEDLE NO. 23 G Pcs 1.100 69 DISPOSIBLE NEEDLE NO. 27 G pcs 1.100 70 ENDOTRACHEAL TUBE 4.5(Rusch) pcs 77.000 71 ENDOTRACHEAL TUBE3,5 (Rusch) pcs 77.000 72 ENDOTRACHEAL TUBE 4 (Rusch) pcs 77.000 73 ENDOTRACHEAL TUBE ORAL 7 (Rusch) pcs 77.000 74 ENDOTRACHEAL TUBE ORAL 7,5 (Rusch) pcs 77.000 75 ETT KINGRUSCH KARET MERAH 8,5 Pcs 44.000 76 ENDOTRACHEAL TUBE 6(Rusch) Pcs 77.000 77 ELASTIS VERBAN 4" / TENSOCREPE Roll 60.996 78 ELASTIS VERBAN 6" / TENSOCREPE Roll 81.719 79 ELASTOMULL HALF 10 cm x 4 m Roll 36.182 80 ELASTOMULL HALF 12 cm x 4 m Roll 43.697 81 ELASTOMULL HALF 8 cm x 4 m Roll 31.212 82 ETHIBOND 1 W 969 Sachet 87.407 83 ETHIBOND 1 x 425 H Sachet 77.512 84 ETHILON 0 W 740 Buah 98.358 85 ETHILON 1 W 748 Buah 78.045 86 ETHILON 1 W 749 Buah 70.442 87 ETHILON 10/0 W 2810 Sachet 161.287 88 ETHILON 10/0U 7003 Sachet 215.050 89 EXTENTION TUBE 75 CM Terumo Pcs 9.366 90 FEEDING TUBE NO. 3,5 (Terumo) Pcs 13.513 91 FEEDING TUBE NO. 5,40CM (UNO) X-Ray Pcs 46.200 92 FEEDING TUBE NO. 5,40CM (TERUMO) Pcs 18.810 93 FEEDING TUBE NO. 5, 100 CM (UNO) Pcs 8.800 94 FEEDING TUBE NO. 6, 40 CM (JMS) Pcs 15.246 95 FEEDING TUBE NO. 8, 100 CM (UNO) Pcs 8.800 96 FEEDING TUBE NO.8 (Terumo) Pcs 8.842 97 FEEDING TUBE NO.10 (Pharma) Pcs 6.930 98 FEEDING TUBE NO.10 (Terumo) Pcs 14.347 99 FEEDING TUBE NO.5 (Phasco) Pcs 12.100 100 FEEDING TUBE NO.6 (Phasco) Pcs 12.100 101 FEEDING TUBE NO.8 (Phasco) Pcs 12.100 102 FEEDING TUBE NO.10 (Phasco) Pcs 12.100 103 GASTROSHESISNO. 7,5 CM Buah 3.630.000 104 GYPSONA 4"/ LEUCODURE Roll 35.083 105 GYPSONA 6"/ LEUCODURE Roll 47.625 106 INFUS SET MICRO BURET M270LA Pcs 63.635 107 INFUS SET DEWASA (TERUMO) Pcs 7.319 108 INFUS SET PAED ( TERUMO ) Pcs 13.585 109 INFUS SET Y TYPEOI-64 C Pcs 9.350 110 INFUS PUMP NIPRO Pcs 34.539 111 INFUS PUMP PU300L Pcs 28.314 112 INJECTION PLUG Buah 9.570 113 KASA STERIL 16 X 16 Kotak 7.569 114 KAWAT GIGI ARCH BAR (U/GIGI) PER-CM 5.913 115 KAWAT ARCH BAR (U/BEDAH) PER-CM 7.480 116 KAWATSOFTWIRE 0,4 MM (U/GIGI) PER-CM 66.100 117 KAWAT SOFTWIRE 0,9 MM (U/BEDAH) PER-CM 41.300 118 KONDOM CATHETERL Pcs 4.400 119 KONDOM CATHETERM Pcs 4.400 129

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 120 LEUCOBAN 4" /ARTIFLEX /SOFTBAND Roll 18.982 121 LEUCOBAN 6" /ARTIFLEX/SOFTBAND Roll 27.983 122 LEUKOMED T PLUS 10 x 25 cm Pcs 20.599 123 LEUKOMED T PLUS 10 x 30 cm Pcs 23.100 124 MANOMETER LINE 33-001012-00 Pcs 23.780 125 MASKER Pcs 825 126 MASKER REBREATING (DWS) Pcs 48.400 127 MASKER NON REBREATING(DWS) Pcs 48.400 128 MASKER REBREATING PAED. Pcs 124.300 129 MASKER NON REBREATING PAED. Pcs 124.300 130 MEDICATH/ABBOCATHNO.14 pcs 17.600 131 MEDICATH/ABBOCATHNO.16 Pcs 21.670 132 MEDICATH/VENFLON NO.18 Pcs 22.687 133 MEDICATH/VENFLON NO.20 Pcs 21.347 134 MEDICATH/VENFLON NO.22 Pcs 21.347 135 MEDICATH/SURFLO FLASH NO.24 Pcs 16.660 136 MERSILK2W 936 Pcs 63.888 137 MERSILK 2/0 W 213 Pcs 66.467 138 MERSILK 3/0 W 328 H Pcs 39.600 139 MERSILK 3/0 W 546 Pcs 36.838 140 MERSILK 3/0 W 587 ROUND Pcs 49.610 141 MERSILK 4/0W 549 H Pcs 55.027 142 MERSILEN NO.5( RS 21 ) Pcs 470.580 143 SURGICRYL 910 NO.1 HR 48 Pcs 104.500 144 MONOCRYL 0 Y 318 H Sachet 83.016 145 MONOCRYL 1 Y 399 H Buah 119.542 146 MUCUS EXTRACTOR Buah 22.440 147 NALD HEATING KULIT K/S/B Buah 6.875 148 NALD HEATING OTOT K/S/B Buah 11.000 149 DACLON2/0 DS 24 Pcs 60.500 150 DACLON3/0 DS 24 Pcs 60.500 151 OPSITE15 x 28 Pcs 38.808 152 POLYHESIVE /Ty SURO HRAS Buah 44.000 153 PROLENE 2/0 W 295 Buah 83.425 154 PROLENE3/0 8558 Buah 141.936 155 PROLENE 5/0 W 8556 Buah 135.675 156 PROLENE 6/0 8617 G Buah 124.602 157 PROLENE 7/0W 8702 Buah 205.562 158 PROLENE 8/0W 2775 Buah 337.700 159 PROLENE MESH PMH (15 X 15) Pcs 885.500 160 PROLENE MESH PML (30 X 30) Buah 1.925.000 161 PDS II 6/0 W 9858 T Buah 164.450 162 PROFEEL ORTHOPEDI8 PASANG 23.650 163 PROFEEL ORTHOPEDI7,5 PASANG 23.650 164 PGA 0 35 BO DEMETECH Pcs 89.375 165 PGA 1 40 BO DEMETECH Pcs 96.250 166 PGA 3/020 BO DEMETECH Pcs 82.500 167 PGA 4/017 BO DEMETECH Pcs 71.500 168 PGA 3/0 DEMETECH Pcs 66.550 169 PGA 4/0 ( Polyglicaprone 25 ) DEMETECH Pcs 84.013 170 REDON DRAIN SET CH12 Pcs 211.200 171 RECTAL TUBE NO. 14 Rush Pcs 6.600 172 RECTAL TUBE NO. 16 Rush Pcs 6.600 173 RECTAL TUBE No.32 ( Pahsco ) Pcs 17.600 174 RECTAL TUBE No.28 ( Pahsco ) Pcs 17.600 175 SARUNG TANGAN PANJANG Buah 13.200 130

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 176 SLANG OKSIGENDewasa Buah 17.600 177 SLANG OKSIGEN 265 cm Buah 17.600 178 SLANG OKSIGEN BAYI Buah 11.000 179 SLANG OKSIGEN ANAK Buah 11.000 180 SOFT CUP NEO/MANSET NO. 2 Buah 238.700 181 SOFT CUP NEO/MANSET NO. 4 Buah 238.700 182 SOFT CUP NEO/MANSET NO. 5 Buah 240.900 183 SPINOCAN NO. 20 Buah 31.900 184 SPINOCAN NO. 25 Pcs 35.530 185 SPINOCAN NO. 27 Pcs 43.650 186 SPINOCAN NO. 29 Pcs 64.790 187 SPINAL 25 G x 1TERUMO Buah 82.225 188 SPINAL NEEDLE NO. 27 BD Buah 31.625 189 SPUIT 1 ML TUBERCULIN/TERUMO Buah 2.200 190 SPUIT 1 ML INSULIN/TERUMO Buah 2.420 191 SPUIT 2,5 / 3 ML/TERUMO Buah 1.914 192 SPUIT 5 ML/TERUMO Buah 2.310 193 SPUIT 10 ML/TERUMO Buah 1.969 194 SPUIT 20 ML/TERUMO Buah 3.080 195 SPUIT 50 ML (Lubang Samping)/TERUMO Buah 11.677 196 SPUIT 50 ML + CATHETER TIP/TERUMO Buah 33.000 197 STOMAG TUBE NO. 12 ( UNO ) Buah 16.500 198 STOMAG TUBE NO.12 TERUMO Buah 19.800 199 STOMAG TUBE NO.14 TERUMO Buah 10.010 200 STOMAG TUBE NO.16 TERUMO Buah 10.010 201 STOMAG TUBE NO.18 TERUMO Buah 19.800 202 STOMAG TUBE NO.12 (Phasco) Buah 12.100 203 STOMAG TUBE NO.14 (Phasco) Buah 12.100 204 STOMAG TUBE NO.16 (Phasco) Buah 12.100 205 STOMAG TUBE NO.18 (Phasco) Buah 12.100 206 STOMAG TUBE NO.20 (Phasco) Buah 12.100 207 SUCTION CATHETER 10 Remedi Buah 6.600 208 SUCTION CATHETER NO.12 (Pahsco) Pcs 15.400 209 SUCTION CATHETER NO. 8 (Pahsco) Pcs 15.400 210 SUCTION CATHETER NO. 6 (Pahsco) Buah 15.400 211 SUCTION CATHETER NO.10 (Pahsco) Buah 15.400 212 SUCTION TUBE 14 (Pharma) Buah 13.200 213 SURGICAL GLOVES NO. 7 PASANG 3.300 214 SURGICAL GLOVES NO. 7,5 PASANG 3.300 215 SURGICAL GLOVES NO. 8 PASANG 3.300 216 Surgical Gloves Ansel Gammex 6,5 PASANG 9.900 217 Surgical Gloves Ansel Gammex 7 PASANG 9.900 218 Surgical Gloves Ansel Gammex 7,5 PASANG 9.900 219 Surgical Gloves Ansel Gammex 8 PASANG 13.563 220 SURGICEL W 1913 T Pcs 77.293 221 SPALAK 100 x 10 x 8 cm Pcs 41.140 222 SPALAK 70 x 7 x 5 cm Pcs 33.660 223 SPALAK 60 x 7 x 5 Pcs 11.000 224 SPALAK 50 x 7 x 5 cm Pcs 16.500 225 SPALAK 30 x 7 x 5 Pcs 7.150 226 SPALAK 25 x 4 x 4 Pcs 6.380 227 SPALAK 20 x 5 x 3 cm Pcs 12.100 228 SPALAK15 x 4 x 4 Pcs 6.930 229 TERUGLOVENO. 7 Buah 6.600 230 TERUGLOVENO. 7,5 Buah 6.600 231 Three Way Stop Cock (Terumo) Buah 15.594 131

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 232 Three Way Stop Dgn Ekor JMS Buah 36.300 233 THORACIC CATHETERNO. 24 Malinkroft Pcs 101.200 234 THORACIC CATHETERNO. 32 Buah 108.293 235 T - TUBENO. 6RUSCH Buah 325.600 236 T - TUBENO. 5RUSCH Buah 325.600 237 URINE BAG 2000 CCSTERIL Buah 4.950 238 VENOCATH18 Buah 49.500 239 VICRYL 0 W 9420 Buah 91.080 240 VICRYL 1 W 9465 Buah 77.660 241 VICRYL 2/0 J 532 H Buah 120.780 242 VICRYL 2/0 W 9522 T Buah 81.276 243 VICRYL 2/0 RAPID W 9962 Buah 65.611 244 VICRYL 3/0 RAPID W 9931 T Buah 69.740 245 VICRYL 3/0 RAPID W 9923 Buah 73.925 246 VICRYL 3/0 W 9130 ROUND BODY Buah 66.653 247 VICRYL 3/0 W 9890 Buah 85.066 248 VICRYL 4/0 W 9113 Buah 68.787 249 VICRYL 5/0 W 9505 T Buah 88.426 250 VICRYL 6/0 W 9500 T Buah 129.983 251 VICRYL 8/0 W 9560 Buah 250.525 252 VERBAN 4 " 10 CM Roll 1.980 253 WING NEEDLE NO. 21 G x 3/4 Buah 9.900 254 WING NEEDLE NO. 23 G x 3/4 Buah 9.900 255 WING NEEDLE NO. 25 G x 3/4 Buah 9.900 256 WING NEEDLE NO. 27 G x 1/2 Buah 9.900 257 WEBRIL KENDALL ( 4 IN ) Buah 51.700 258 WEBRIL KENDALL ( 3 IN ) Buah 50.600 259 ZEIDE NO. 0/ SILK Casset 486.827 260 ZEIDE NO. 1/ SILK Casset 504.001 261 ZEIDE NO. 2/ SILK Casset 728.970 262 ZEIDE NO. 2-0/ SILK Casset 446.320 263 ZEIDE NO. 3/ SILK Casset 508.200 264 ZEIDE NO. 3-0/ SILK Casset 409.064 265 ZEIDE SILK3/0DEMETECH 17 Casset 39.600 266 DERMAFIX 10 x 10 CM Buah 3.410 267 GUEDEL 4 ( AirWay ) Pcs 20.350 268 GUEDEL 5 ( AirWay ) Pcs 20.350 269 GUEDEL 6 ( AirWay ) Pcs 24.200 270 GUEDEL 7 ( AirWay ) Pcs 18.700 271 GUEDEL 8 ( AirWay ) Pcs 30.030 272 MASKER REBREATING ANAK Pcs 38.500 273 MASKER NON REBREATING ANAK Pcs 71.500 274 MONOSOF2/0 SN 664 Sachet 46.200 275 MASKER SEDRHANA ( BAYI ) Pcs 27.500 276 OPSITE ID 30 x 28 CM Pcs 62.700 277 OPSITE 45 x 55 Pcs 140.250 278 NELATON CATHETER NO. 8 Buah 9.350 279 MONOSOF3/0 SN 665 Sachet 45.100 280 MONOSOF4/0 SN 644 Sachet 47.850 281 TOPI OPERASI BOUFANT Pcs 605 282 DELTA LITE CONFORMABLE 4' Buah 179.685 283 DELTA LITE CONFORMABLE 5' Buah 206.305 284 GELITASPON 80 x 50 x 10 Buah 66.000 285 ETHILON 4/01612 T Sachet 83.490 286 ETHILON 5/0 W1616 T Sachet 60.720 287 COLOSTOMY BAG LAPACKC 100 Pcs 11.000 132

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 288 COLOSTOMY BAG LAPACKC 125 Buah 16.500 289 THREE WAY STOP COCK M3RLC Buah 57.200 290 MEDICATH/SURFLO FLASH 20 Pcs 22.825 291 MEDICATH/SURFLO FLASH 22 Pcs 22.825 292 ETHILON3/0 W 320 Sachet 43.642 293 PEN NEEDLE NOVOLET 4MM Pcs 2.734 294 VELBAND 6 " Roll 31.185 295 TRICOFIX10 x 4 CM Buah 53.084 296 TRICOFIX10 x 6 CM Buah 78.303 297 ELASTICON Roll 128.370 298 SOFSILK 4/0 V 58 71 Buah 42.350 299 RECTAL TUBE NO.24 (Pahsco) Pcs 12.100 300 GUEDEL 10 ( DAR ) Pcs 40.700 301 GUEDEL 11 ( Airway ) Pcs 20.350 302 ELASTIS VERBAN 3 "/ TENSOCREPE Roll 51.713 303 SUCTION CATHETER NO.14 (Pahsco) Pcs 15.400 304 PROFEEL ORTHOPEDI 6,5 PASANG 23.650 305 ENDOTRACHEAL TUBE 2,5 (Rusch) pcs 133.100 306 Three Way Stop Cock Tanpa Ekor JMS Buah 29.700 307 CERVICAL COLLAR L Buah 126.500 308 PROFEEL ORTHOPEDI 7 PASANG 23.650 309 BD SOLOMED SPUIT 5 CC Buah 2.475 310 CERVICAL COLLARM Buah 226.600 311 VICRYL PLUS 1 ANTIBACTERIAL VCP 347 H Pcs 101.658 312 VICRYL PLUS 2/0 ANTIBACTERIAL VCP 317 H Pcs 84.375 313 VICRYL 2/0 W 9360 Buah 71.885 314 MERSILK 3/0 W 570 Pcs 50.600 315 PROLENE 6/0 W 8307 Buah 187.225 316 VICRYL PLUS 4/0 ANTIBACTERIAL VCP 392 H Pcs 74.842 317 MERSILK 2/0 W 327 Pcs 46.557 318 GYPSONA 3' / LEUCODURE Roll 25.941 319 VASOFIXG 18 Safety Buah 33.000 320 VASOFIXG 22 Safety Buah 30.800 321 NEOFLON24 G Pcs 25.616 322 BD SOLOMED SPUIT 3 cc Buah 2.035 323 POLIBAN 7,5 CM 4'(Natural) Roll 20.900 324 MERSILK 5/0 W 595 Pcs 154.000 325 MERSILK 5/0 W 581 Pcs 53.240 326 CAT GUT CHROMIC 2/0 G 164 T Buah 52.181 327 CAT GUT CHROMIC 3/0 G 182 T Buah 55.200 328 CAT GUT CHROMIC 2/0 G 123 T Buah 59.455 329 TENSOPLAST STK CHILD 2" Roll 70.722 330 TENSOPLAST STK ADULT 3" Roll 96.849 331 CAT GUT CHROMIC 0 G 128 T Buah 54.337 332 CAT GUT CHROMIC 2/0 G 127 T Buah 54.337 333 CAT GUT PLAIN 3/0 G 322 T Buah 52.900 334 LEUKOMED IV Lembar 1.837 335 BACTIGRAS 10 x 10 CM Pcs 12.705 336 REDON DRAIN CH10 Pcs 211.200 337 REDON DRAIN CH14 Pcs 211.200 338 Monosyn 4/0 DS 24 Pcs 121.566 339 Monosyn 3/0 DS 24 Pcs 124.850 340 TENSOPLAST EAB 7,5 CM x 4,5 M ESRETCHED Roll 51.150 341 MONOSYN NO.1 HR 48 VIOLET Pcs 129.591 342 SAFILQUICK 3/0 DS 24 Pcs 95.370 343 SAFIL 1HR 48 VIOLET Pcs 116.518 133

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 344 VICRYL 5/0 W 9105 Buah 88.916 345 E.T.T TUBE PLAIN 2 PORTEX Pcs 80.410 346 JACKSON REES ANAK INTERSURGICAL 2121 Pcs 572.000 347 SLANG O2 DEWASA ( Bryan ) Buah 13.860 348 KASA 55, 10 CM x 3,6 M Roll 2.904 349 CERTOFIX DUO PAED S.513 Pcs 757.625 350 COLOSTOMY BAG NO.3 (Phoenix) Buah 9.504 351 CUTICELL 10 x 10 cm Buah 8.182 352 OPSITE POST OP 6,5 x 5 Pcs 7.920 353 SAFIL 4/0 DS 19 ( 45 cm ) Violet Pcs 94.095 354 OTSUCATH NO. 16 G Pcs 9.680 355 BALON KATETER (RUSCH) NO. 24 TRIWAY Pcs 74.800 356 SILKAM 4/0 HR 17 Black Pcs 70.385 357 BONE WAX B - BRAUN Pcs 56.430 358 LYOSTYPT 3 x 5 CM Pcs 68.750 359 GUEDEL 10( Airway ) Pcs 30.030 360 CUTTING LOOP 24 CH (Murindo) Pcs 1.705.000 361 GUEDEL 00 ( DAR ) Pcs 40.700 362 JACKSON REES DWS INTERSURGICAL 2105 Pcs 302.500 363 GUEDEL 9(AirWay) Pcs 30.030 364 DELTA LITECONFORMABLE 3' Buah 159.721 365 IVENA 20 G PINK Pcs 23.980 366 IVENA 22 G DEEP BLUE Pcs 23.980 367 CUTIMED SORBACT PAD 10 x 10 CM Sachet 77.790 368 CUTIMED SORBACK PAD 10 x 20 CM Sachet 123.477 369 PDS II 5/0 W 9733 T Buah 159.390 370 POLYVED SET NO.10 Pcs 385.000 371 POLYVED SET NO.12 Pcs 385.000 372 POLYVED SET NO.14 Pcs 385.000 373 URINE BAG 2500ML TERUMO(UROGARD) Pcs 73.920 374 Cutimed Sorbact7 X 9cm Pcs 46.200 375 PDS II 5/0 Z 1013 H Pcs 108.386 376 ETT CLEAR RUSCH NO.5 Pcs 89.100 377 Tracheostomy Tyco 5,0 4DCT Pcs 430.100 378 MEDICATH/SURFLO FLASH No.26 ( surflo W ) Pcs 37.620 379 Colostomy Bag (Onemed) No.3 Pcs 5.500 380 Colostomy Bag (Onemed) Pcs 11.550 381 Softban 3' Roll 14.695 382 Ivena 16 G Pcs 23.980 383 PDS 6/0 Z 432 H Pcs 143.452 384 Extention Tube JMS 150 cm Pcs 33.000 385 Masker O2 Trachea dewasa Pcs 45.760 386 Bionext5 X 5 cm lbr 66.000 387 ETT 5,5MURPHY Pcs 43.560 388 ETT7MURPHY Pcs 43.560 389 CERVICALCOLLER ACTIMOV S Pcs 82.500 390 CERVICALCOLLER ACTIMOVM Pcs 80.439 391 CERVICALCOLLER ACTIMOVL Pcs 88.000 392 ETT4,5Muphy Pcs 77.000 393 ETT5Murphy Pcs 43.560 394 STOMAG TUBENO. 20 ( JMS ) Pcs 17.600 395 LEUKOMED T PLUS8 X 15 CM Pcs 13.330 396 LEUKOMED T PLUS 10 X 35 CM Pcs 25.669 397 LEUKOMED T PLUS 8 X 10 CM Pcs 9.526 398 VASOFIX G 20 Safety Pcs 35.200 399 Surgical Gloves Ansel Gamex6 PASANG 9.900 134

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 400 Masker O2 + Selang (Anak) Pcs 24.200 401 ENDOTRACHEAL TUBE 3 (Rusch) Pcs 77.000 402 Arterial Blood Sampler Pcs 44.000 403 ENDOTRACHEAL TUBE 5 (Rusch) Pcs 77.000 404 Underpad 60 x 90 Onemad Pcs 6.600 405 Handschoen (Maxter) S Pep. BOX 79.200 406 DERMALON4/0 1757-31 Pcs 61.600 407 DAFILON2/0DS 24 Pcs 73.673 408 Sensi Exam GloveS. Pep. BOX 77.000 409 Connector Spiral(Radiologi) Pcs 176.000 410 DAFILON3/0 DS 19 Pcs 50.683 411 Intrafix Safeset IS Pcs 13.613 412 Handschoen ( Maxter ) Uk. M BOX 62.700 413 Handschoen ( Maxter ) Uk. S BOX 62.700 414 Surgical Gloves BEST CARE (M) BOX 66.000 415 Surgical Gloves BEST CARE ( S ) BOX 66.000 416 CUTISORB STERILE 10 X 10 CM Pcs 9.240 417 Handscoen(Maxter ) M Pep. BOX 79.200 418 Masker O2 + Selang (dewasa) Pcs 24.200 419 Cutimed Sorbact Swab 7 x 9 cm Pcs 46.194 420 CUTTING LOOP SINGLE 24 CH Pcs 1.705.000 421 PROLENE BLUE 2/0 W 8026 T Pcs 92.125 422 BALON KATETER (RUSCH) NO.20 3 WAY Pcs 82.500 423 ULTRAFIX10 X 5 (PLESTER) Roll 40.150 424 DERMALON 5/0 1741-21 Pcs 63.800 425 Surgical Ansel Gamex 6 ( PF ) PASANG 15.345 426 Surgical Ansel Gamex 7 ( PF ) PASANG 15.345 427 Surgical Ansel Gamex 7,5 ( PF ) PASANG 15.345 428 Surgical Ansel Gamex 8 ( PF ) PASANG 15.345 429 ETT6MURPHY Pcs 43.560 430 Silikon Nasogastric Fr. 16 Pcs 66.000 431 PLASTIK MASK FOR VISORSHIELD Pcs 30.250 432 ST GYNAECOLOG REMEDI7 PASANG 19.800 433 ST GYNAECOLOG REMEDI 7,5 PASANG 19.800 434 ST GYNAECOLOG REMEDI 8 PASANG 20.900 435 VISOR SHIELD W PLAST MASK Set 93.500 436 DOKTER KIT STERIL Pcs 80.964 437 APRON PLASTIK SEDANG Set 5.610 438 BAJU OPRS STERIL HOGY LL Set 98.230 439 BAJU OPRS STERIL HOGY XL Set 102.850 440 DUK STERIL UNIVERSALHOGY Set 677.600 441 ENCORE ORTHOPEDI PF 7 PASANG 26.730 442 ENCORE ORTHOPEDI PF 7,5 PASANG 26.730 443 ENCORE ORTHOPEDI PF 8 PASANG 26.730 444 ENCORE ORTHOPEDI PF 6,5 PASANG 26.730 445 MUCUS EXTRACTOR EUROPLAST Pcs 13.310 446 DAFILON5/0DS 16 Pcs 57.530 447 SAFIL 3/0 DS 24 Pcs 87.258 448 ETT 3.5 Flexy Pcs 43.560 449 PEDI-LIM(Anestesi Breat.Circuits) ANAK Pcs 313.500 450 UNI-LIM (Anestesi Breat.Circuits) DEWASA Pcs 313.500 451 Surgical Ansel Gamex 6,5 ( PF ) PASANG 13.640 452 WUNDRESN10 X 10 Pcs 70.400 453 SILKAM 3/0 HR 17 Pcs 57.998 454 CERTOFIX DUO V 720 16 G Pcs 715.825 455 CERTOFIX DUO HF V 1220 11 G Pcs 1.044.750 135

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 456 WUNDRESB10 X 10 pcs 61.600 457 ARM SLING L (GENDONGAN TANGAN) Pcs 60.500 458 BLOOD SET B.BRAUN (SANGOFIX ES) Pcs 26.620 459 CONNECTOR INJECT (BLACK)B.BRAUN Pcs 55.000 460 CONNECTOR WHITE B.BRAUN Pcs 41.800 461 THORACIC CATHETER (ROMSONS) 24 FG Pcs 297.000 462 TRACHEOSTOMY WITH CUFF 6.5 BICAKCILAR Pcs 236.500 463 TRACHEOSTOMY WITH CUFF8 BICAKCILAR Pcs 236.500 464 ANESTHESIA MASKPAED Pcs 82.500 465 ANESTHESIA MASK ADULT L/M Pcs 82.500 466 WUNDRESF5 X 20 Pcs 154.000 467 SOFTCAT CHROMIC 1 DRN 64 Pcs 107.206 468 TRACHEOSTOMY TYCO 4,0 PDC Pcs 380.270 469 TRACHEOSTOMY TYCO 4,5 PDC Pcs 204.820 470 KONDOM CATHETERS Pcs 4.400 471 NEUROPATCH 4 X 5 CM Pcs 1.581.250 472 ENDOTRACHEAL TUBE 6,5(Rusch) Pcs 77.000 473 TRACHEOSTOMY WITH CUFF 7,5 BICAKCILAR Pcs 236.500 474 NEUROPATCH 4 X 10 CM Pcs 3.162.500 475 ENDOTRACHEAL TUBE 5.5 (Rusch) Pcs 77.000 476 POLYPROPYLENE 7/0 HR 8 Pcs 82.775 477 ENCORE ORTHOPEDI 6 PASANG 26.730 478 ST GYNAECOLOG REMEDI 6,5 PASANG 19.800 479 PROTECT IV CATHETERSAFETY 20 G Pcs 33.440 480 VENFLON BD SAFETY NO.18 Pcs 28.875 481 VENFLON BD SAFETY NO.20 Pcs 28.875 482 VENFLON BD SAFETY NO.22 Pcs 28.875 483 DAFILON5/0DS 12 Pcs 86.735 484 DAFILON4/0DS 19 Pcs 62.700 485 POLYPROPYLENE 6/0 HR 13 Pcs 75.166 486 SILK BLACK 2/0 HR 26 (SMI) Pcs 34.833 487 SILK BLACK 2/0 HR 30 (SMI) Pcs 42.350 488 SURGICRYL MONOFILAMENT 6/0 Pcs 63.250 489 WUNDRESF5 X 5 Pcs 82.500 490 WUNDRESF10 X 10 Pcs 137.500 491 TRACHEOSTOMY CANUL SS 5 MM Pcs 1.265.000 492 CURAPOR 10 X 25 CM Transparan Pcs 33.068 493 SURGICRYL 910 3/0 HR 22 Pcs 79.200 494 SURGICRYL 910 2/0 HR 26 Pcs 78.100 495 CAT GUT PLAIN 2/0 HR 37 (SMI) Pcs 57.200 496 SILICON LARY.MASK (LMA) NO.2 Pcs 419.100 497 SILICON LARY.MASK (LMA) NO.2.5 Pcs 234.016 498 SILICON LARY.MASK (LMA) NO.3 Pcs 223.871 499 SILICON LARY.MASK (LMA) NO.4 Pcs 223.871 500 SURGICRYL 910 3/0 HR 26 Pcs 67.650 501 SURGICRYL 910 4/0 HR 22 Pcs 79.200 502 SURGICRYL 910 NO.1 HR 36 Pcs 86.900 503 NEOFLON 26 G Pcs 33.515 504 CONNECTA PLUS 3, 10 CM Pcs 22.275 505 DELTA DRY7.5 CM X2.4 M Roll 69.916 506 DELTA DRY 10 CM X2.4 M Roll 77.407 507 CAT GUT PLAIN 2/0 HR 26 (SMI) Pcs 53.900 508 SURGICRYL 910 3/0 DS 24 Pcs 90.200 509 SAFIL QUICK 2/0 DS 24 Pcs 93.280 510 SURGICRYL 910 3/0 HR 30 Pcs 77.000 511 T - TUBENO. 4 RUSCH Pcs 291.500 136

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 512 DISPOSIBLE NEEDLENo.22 G Pcs 1.100 513 DISPOSABLE NEEDLENo.26 G Pcs 1.100 514 SILK BLACK NO.0DS 24 (SMI) Pcs 38.500 515 PROLENE10/0W 2794 Pcs 443.895 516 ETT NO.3 Tanpa Balon(Bicakcilar) Pcs 18.287 517 ETT NO.3,5 Tanpa Balon (Bicakcilar) Pcs 18.287 518 ETT NO.2,5 Tanpa Balon (Bicakcilar) Pcs 20.900 519 Ureteral Stent Multi Coil FR 6 (Double J Stent) Pcs 404.800 520 Ureteral Catheter (Urolith) FR 6 Pcs 194.700 521 Ureteral Catheter (Urolith) FR 5 Pcs 194.700 522 Guide Wire Straight Tip Fixed Core Pcs 222.750 523 DISPOSABLE NEEDLE No.25 G Pcs 1.100 524 POLYPROPYLENE MESH 6 X 11 Pcs 851.400 525 SURGICRYL MONOFILAMEN 4/0 Pcs 74.250 526 MUCUS EXTRACTOR ONEMED Pcs 9.900 527 CERVICAL COLLAR RIGID / VERTEBRACEL Pcs 249.700 528 CERVICAL COLLAR RIGID / VERTEBRACEM Pcs 229.724 529 POLYPROPYLENE MESH 15X15 Pcs 990.000 530 SURGICRYL PGA 1HS 36 Pcs 86.350 531 SURGICRYL MONOFILAMENT 1 EP 4 HR 40 Pcs 178.750 532 CERVICAL COLLAR RIGID / VERTEBRACES Pcs 229.724 533 LINEAR CUTTER 100 MM GREEN Pcs 4.125.000 534 CERTOFIX TRIO HF V 1220 Pcs 1.034.650 535 ETT CHETT PORTEXNO.7 Pcs 40.157 536 ETT CHETT PORTEX NO. 7,5 Pcs 40.157 537 POLYPROPYLENE 2/0 DS 24 Pcs 75.900 538 SURGICRYL 910 4/0 DS 19 Pcs 93.500 539 SURGICRYL 910 5/0 DS 19 Pcs 92.400 540 THORACIC CATHETER (ROMSONS) 32 FG Pcs 297.000 541 ETT CHETT PORTEX NO. 4 Pcs 65.583 542 SURGICRYL 910 5/0HR 17 Pcs 68.750 543 SURGICRYL 9100HR 36 Pcs 83.600 544 LINEAR CUTTER 55 MM BLUE Pcs 2.337.500 545 TOPI OPERASI (mob cap) (SMI) Pcs 682 546 DUK STERIL UNIVERSAL SMI Pcs 284.350 547 DACLON NO.1DS 24 Pcs 55.000 548 Guide Wire Cobra Pcs 986.700 549 SURGICRYL MONOFAST 1 HR 48 Pcs 137.500 550 DACLON4/0 DS 19 Pcs 60.500 551 SURGICRYL 910 2/0 HR 36 Pcs 72.600 552 NATURA DURAHASIVE WAFER 70 MM Pcs 174.680 553 NATURA UROSTOMY POUCH 70 MM Pcs 113.300 554 MEDICATH/TROGE PLUS NO.18 Pcs 15.730 555 MEDICATH/TROGE PLUS NO.20 Pcs 15.730 556 MEDICATH/TROGE PLUS NO.22 Pcs 15.730 557 MEDICATH/TROGE PLUS NO.24 Pcs 15.730 558 COROLENE 3/0 20S20H Pcs 115.830 559 FILAPEAU 4/0 F87003 Pcs 43.000 560 OPTIME 3/0 18S20K Pcs 71.000 561 MEDICATH/TROGE PLUS SAFETY NO.20 Pcs 21.227 562 MEDICATH/TROGE PLUS SAFETY NO.22 Pcs 21.227 563 ULTRAPRO MESH UMS3 6 X 11 CM Pcs 715.000 564 IVENA 24 G YELLOW Pcs 23.980 565 Urine Bag troge Pcs 5.376 566 MONOSYN 4/0 DS 19 Pcs 107.076 567 JET NEBULIZER MASK ANAK Pcs 30.800 137

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 568 JET NEBULIZER MASK DEWASA Pcs 38.500 569 SURGICRYL 910 2/0 HR 22 Pcs 79.200 570 SURGICRYL 910 2/0 DS 24 Pcs 90.200 571 SILK BLACK 2/0 W 327 Pcs 40.993 572 IOL INTRAOCULAR LENS (PMMA) NO 21 Pcs 482.548 573 IOL INTRAOCULAR LENS (PMMA) NO 21,5 Pcs 482.548 574 IOL INTRAOCULAR LENS (PMMA) NO 22 Pcs 482.548 575 IOL INTRAOCULAR LENS (PMMA) NO 22,5 Pcs 482.548 576 IOL INTRAOCULAR LENS (PMMA) NO 23 Pcs 482.548 577 FOLDABLE RF22L NO 21 Pcs 1.512.500 578 FOLDABLE RF22L NO 21,5 Pcs 1.512.500 579 FOLDABLE RF22L NO 22 Pcs 1.512.500 580 FOLDABLE RF22L NO 22,5 Pcs 1.512.500 581 FOLDABLE RF22L NO 23 Pcs 1.512.500 582 STAPLER HEMOROID NO 32 Pcs 3.300.000 583 ASSUCRYL 3/0 MS 4574 (MONO SLOW) Pcs 102.487 584 ASSUCRYL 3/0 TS27 4574 (PGA) Pcs 79.860 585 ASSUCRYL 4/0 TS19 L4553 (PGA) Pcs 79.860 586 SURGICAL SKIN MARKER Pcs 77.000 587 ELECTRONIC SURGICAL PENSIL Pcs 121.000 588 IOL INTRAOCULAR LENS (PMMA) NO 25,5 Pcs 482.548 589 IOL INTRAOCULAR LENS (PMMA) NO 24 Pcs 482.548 590 SILK BLACK 2/0 HR 20 Pcs 42.350 591 Masker karet jilbab Pcs 605 592 TOPI OPERASI HIJAU (polybag) SMI Pcs 1.188 593 DAFILON 5/0 DS 19 Pcs 91.300 594 HARMONIC FOCUS 9 CM CURVED SHEAR FCS9 Pcs 8.228.000 595 TRACHEOSTOMY KID BLU NO 7 Pcs 611.600 596 TRACHEOSTOMY KID BLU NO 7.5 Pcs 611.600 597 CUTIMED ALGINATE 10 X 10 CM Pcs 34.922 598 IOL INTRAOCULAR LENS (PMMA) NO 19 Pcs 482.548 599 SURGICAL GLOVES STERIL 7,5 TROGE Pcs 5.995 600 IOL INTRAOCULAR LENS (PMMA) NO 20 Pcs 482.548 601 IOL INTRAOCULAR LENS (PMMA) NO 25 Pcs 482.548 602 TRACHEOSTOMY BLUE LINE 3.0 Pcs 660.000 603 ZEIDE NO. 4/0 / SILK Casset 666.270 604 CURVED CDH 29 A 29 MM Pcs 4.963.750 605 LOMBACARE MOTION ACTIMOVE BLACK L Pcs 810.657 606 SURGICAL GLOVES STERIL 7.5 (SURGIPRO) PASANG 3.300 607 SURGICAL GLOVES STERIL 8 (SURGIPRO) PASANG 3.300 608 CERTOFIX TRIO V 720 Pcs 816.750 609 BALON KATETER (RUSCH) 6 Pcs 170.500 610 LOMBACARE MOTION ACTIMOVE BLACK S Pcs 786.856 611 SIX SHOOTER MULTI BANDLIGATOR Set 4.199.800 612 SPUIT 3 CC/MIRACHEN Buah 698 613 TEGADERM - E Pcs 5.645 614 THORACIC CATHETER STRAIGHT NO.24 Pcs 77.000 615 THORACIC CATHETER WITH TROCAR NO 20 Pcs 176.715 616 THORACIC CHATETER NO.28 MALINCROFT Pcs 101.200 617 OTSUCATH NO. 18 G Pcs 24.200 618 OTSUCATH NO. 20 G Pcs 9.688 619 OTSUCATH NO. 22 G Pcs 24.200 620 ENDOTRACHEAL TUBE CLEAR 8.0 RUSCH Pcs 77.000 621 SPUIT 5 CC /MIRACHEN Pcs 941 622 SPUIT 10 CC /MIRACHEN Pcs 1.154 623 ENDOTRACHEAL TUBE KING CURVED REINFORCED 6.5 Pcs 325.600 138

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 624 ENDOTRACHEAL TUBE KING CURVED REINFORCED 7.0 Pcs 325.600 Group: ALKES BEDAH JANTUNG 1 PLT 1.6 4HL 4 SCW 5MM B16 Pcs 1.899.216 2 PLT 2.0 6HL AND 6SCW 8MM B22 Pcs 2.986.038 3 PLT 2.0 4HL AND 4SCW 10MM B28 Pcs 1.780.020 4 PLT 2.0 6HL 6SCW 10MM B30 Pcs 53.401 5 PTR SILK S25509 1-2PTRS5509 Pcs 59.290 6 PTR SILK S25510 1-2PTRS5510 Pcs 66.550 7 ACIER 31764.USP 6-2PTRA1764 Pcs 693.000 8 COROLENE 20S04D 8/0-2PTRCS04D Pcs 249.480 9 COROLENE 20S05B 7/0-2PTRCS05B Pcs 184.140 10 COROLENE 20S05F 7/0-2PTRCS5F Pcs 356.400 11 COROLENE 20S07D 6/0-2PTRCS07D Pcs 187.110 12 COROLENE 20S10H 5/0-2PTRCS10H Pcs 124.740 13 COROLENE 20S15I 4/0-2PTRCS15I Pcs 136.125 14 OPTIME 18S30G 2/0 2PTROS30G Pcs 82.387 15 CARDIOXYL 73S20A 3/0 2PTRXS20A Pcs 108.900 16 CARDIOXYL 73S30T 2/0-2PTRXS30T Pcs 114.345 17 DRAIN ATRIUM Pcs 1.000.613 18 HANDSWITCHING Pcs 218.497 19 BJ MACRO SUCKER SUCTION 20 FR Pcs 1.089.450 20 FACEMAKER WIRE Pcs 737.404 21 SUFENTA Pcs 385.712 22 BJ CARDIOPLEGIA SET PEDIATRIC LOVELL 280 Pcs 1.980 23 BOOTIES SUTURE Pcs 109.628 24 HORIZON CLIP MEDIUM Pcs 21.680 25 HORIZON CLIP SMALL Pcs 3.739 26 MERSILK W 215 Pcs 78.194 27 MERSILK W 338 Pcs 64.246 28 TIP CLEANER Pcs 34.650 29 BJ AORTIC PUNCH NO.4.0 MM Pcs 940.500 30 HOGY CABE SET Pcs 952.889 31 NEEDLE COUNTER Pcs 104.078 32 COLON HOGY L & COLON Pcs 472.154 33 JOBAN 6651 Pcs 442.025 34 SENTINEL LOOP Pcs 109.628 35 U DRAPE TM 1015 (10 S') Pcs 292.669 36 BJ Y CONNECTOR 3/8 X 3/8 X 3/8 Pcs 103.950 37 BLOWER MEDTRONIC Pcs 1.568.475 38 INTRODUCER CVP Pcs 740.044 39 THERMODILUTION EDWARD (SWAN-GANZ) Pcs 1.825.615 40 MONOMETERLINE Pcs 29.374 41 SURFLO Pcs 12.714 42 BLOOD SET Pcs 25.430 43 OXY TAPIOX Pcs 6.563.809 44 KANULA AORTA Pcs 821.333 45 KANULA VENA Pcs 615.549 46 ANTEGRAIK Pcs 989.349 47 ST THOMAS Pcs 182.023 48 VENICE CHEST DRAIN DUAL VALM EU-3613 ANAK Pcs 1.540.000 49 RIB SHAPP PLATE 16 X 40 MM Pcs 420.000 50 RIB SHAPP PLATE 18 X 40 MM Pcs 462.000 51 RIB SHAPP PLATE 20 X 40 MM Pcs 462.000 52 BJ AORTIC ROOT CANULLA 12 GA 6 FR Pcs 1.265.000 53 BJ BLUE MINI VESSEL LOOPS DC 91000-02 Pcs 165.000 54 BJ DLP AORTIC ROOT CANULLA 12 GA 9 FR Pcs 1.265.000 139

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 55 BJ LEFT HEART VENT CATH NO.20 Pcs 1.430.000 56 BJ MC2 TWO STAGE VENOUS CANULLA NO.34/36 Pcs 1.870.000 57 BJ SUTURE AID BOOTIES WHITE DC 91100-05 Pcs 158.400 58 BJ VENOUS CANNULA NO.22 69322 Pcs 1.650.000 59 BJ VENOUS CANNULA NO.24 69324 Pcs 1.650.000 60 BJ VENOUS CANNULA NO.28 69328 Pcs 1.155.000 61 BJ VENOUS CANNULA NO.30 66130 Pcs 2.750.000 62 BJ CLEAR VIEW BLOWER MISTER KIT 22150 Pcs 2.145.000 63 BJ PERICARDIAL SUMP 1/4 (0.64 MM) CONNECT Pcs 1.650.000 64 BJ SUTURE AID BOOTIES RED DC 91100-03 Pcs 158.400 65 BJ RED MINI VESSEL LOOPS DC 91000-01 Pcs 165.000 66 BJ CARDIOVASCULAR PATCH 3 CM X 6 CM X 0.4 M Pcs CAT 103006004 4.620.000 67 BJ CORONARY OSTIAL CANNULA 10 FR 90 Pcs 1.650.000 68 BJ DLP SNURE SNARE TORNIQUIT SET 79020 Pcs 1.045.000 69 BJ DLP VESSEL CANNULA 3 MM BLUNT TIP 300 Pcs 643.500 70 BJ HEMOCONCENTRATOR FOR PEDIATRIC + TUBE Pcs 2.117.500 71 BJ STRAIGHT TIP ARTERIAL CANNULA NO.18 J Pcs 1.045.000 72 BJ STRAIGHT TIP ARTERIAL CANNULA NO.22 J Pcs 1.045.000 73 BJ STRAIGHT TIP ARTERIAL CANNULA NO.24 J Pcs 731.500 74 BJ TORNIQUET SET 79006 Pcs 715.000 75 BJ Y ADAPTOR 10005 Pcs 1.045.000 76 BJ Y ADAPTOR RECILCULATING 10003 Pcs 1.045.000 77 BJ MINI SUCKER SUCTION 20 FR Pcs 1.485.000 78 BJ STRAIGHT TIP ARTERIAL CANNULA NO.10 J Pcs 1.045.000 79 BJ STRAIGHT TIP ARTERIAL CANNULA NO.12 J Pcs 1.045.000 80 BJ STRAIGHT TIP ARTERIAL CANNULA NO.14 J Pcs 1.045.000 81 BJ STRAIGHT TIP ARTERIAL CANNULA NO.16 J Pcs 627.000 82 BJ VC2 TWO STAGE VENOUS CANNULA NO.34/48 Pcs 1.650.000 83 BJ VENOUS CANNULA NO.16 Pcs 990.000 84 BJ VENOUS CANNULA NO.18 Pcs 1.650.000 85 BJ VENOUS CANNULA NO.20 Pcs 1.650.000 86 BJ BLUE MAXI VESSEL LOOPS Pcs 90.000 87 BJ MISS CARDIOPLEGIA Pcs 1.870.000 88 BJ RED MAXI VESSEL LOOPS Pcs 165.000 89 CARDIONYL 721212 5/0-2PTRN2121 Pcs 172.607 90 OPTIME 18S15L 4/0-2PTR0S15L Pcs 75.141 91 BJ INTEGRAL ANGLED TIP 8 MM/24 FR Pcs 6.737.500 92 BJ RIGHT ANGLE VENOUS RETRUN CATH. NO.24 Pcs 9.020.000 93 BJ RIGHT ANGLE VENOUS RETRUN CATH. NO.26 Pcs 9.020.000 94 BJ RIGHT ANGLE VENOUS RETRUN CATH. NO.32 Pcs 9.020.000 95 BJ RIGHT ANGLE VENOUS RETRUN CATH. NO.28 Pcs 9.020 96 OPTITORQUE TORANOMON CATH. FR 5 Pcs 495.000 97 STOCKING VENOSAN LUTUT 6002 AD UK. XL Pcs 684.000 98 STOCKING VENOSAN PAHA 6002 AGH UK. L Pcs 1.017.500 99 STOCKING VENOSAN PAHA 6002 AGH UK. M Pcs 1.017.500 100 STOCKING VENOSAN PAHA 6002 AGH UK. S Pcs 1.017.500 101 BJ LEFT HEART VENT CATH NO.13 12001 Pcs 1.287.000 102 BJ LEFT HEART VENT CATH NO.16 120016 Pcs 1.287.000 103 BJ VENOUS CANNULA NO.12 67312 Pcs 1.650.000 104 BJ VENOUS CANNULA NO.14 67314 Pcs 1.650.000 105 BJ OXYGENATOR COMPLETE MEDTRONIC MINIMAX Set 5.747.500 106 BJ PERCUTANEOUS SHEATH 8.5 FR Pcs 762.300 107 IOBAN INCISE DRAPE 56X85 CM TM 6651 (10 S') Pcs 490.500 108 BJ EVO COMPACTFLO OXY COMPLETE SET Set 7.282.000 109 BJ HEMOCONCENTRATOR FOR ADULT DHF06 Set 1.958.000 140

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 110 BJ HEMOCONCENTRATOR FOR PED DHF02 Pcs 1.958.000 111 BJ INTEGRAL ANGLED TIP 7 MM/21 FR NA-5537 Pcs 6.737.500 112 BJ MANOMETER LINE PT 84 38-000275-00 Pcs 77.000 113 BJ RETROGRADE CARDIOPLEGIA CANNULA Pcs 7.661.500 114 BJ SMALL CLIP 30 CARTRIDGE (6 STRIP) Strip 22.916 115 BJ CARDIOPLEGIA SET ADULT 32-00097010 Pcs 1.320 116 BJ TRILIUM OXYGENATOR COMPLETE Set 7.351.000 117 BJ MAGNATRON SINGLE 151350 Pcs 11.233.750 118 HOGY CARDIOVASCULAR SET CS 2101 Set 935.440 119 HOGY CARDIOVASCULAR SET CS 2102 Pcs 806.960 120 HOGY CARDIOVASCULAR SET CS 2103 Set 1.251.800 121 HOGY CARDIOVASCULAR SET CS 2105 Pcs 1.233.760 122 BJ HEMOSTATIC CLIP MEDIUM 15180-1 Pcs 137.500 123 BJ HEMOSTATIC SLIP SMALL 11180-1 Pcs 137.500 124 BJ AORTIC PUNCH 3.5 MM 353435 Pcs 9.020.000 125 BJ AORTIC ROOT CANNULA WITH VENT LINE AF Pcs 5.390.000 126 BJ CARDIOPLEGIA SET WITH ALUMUNIUM Set 1.221.000 127 BJ ONE PIECE DUAL STAGE VENOUS RETURN CA Pcs 9.020.000 128 BJ HEMOCONCENTRATOR FOR ADULT TR Set 2.117.500 129 VENICE CHEST DRAIN DUAL VALM EU-3612 Pcs DEWASA 1.540.000 130 BJ STARIGHT TIP ARTERIAL CANNULA NO.12 J Pcs 1.045.000 131 BJ VENOUS CANNULA NO.28 66128 Pcs 2.750.000 132 CAPIOX OXYGENATOR ADULT TERUMO CX*SX18R Pcs 4.568.715 133 BJ ARTERIAL FILTER ADULT TERUMO CX*AF125X Pcs 582.163 134 BJ STRAIGHT PIGTAIL RH-65P0061 Pcs 495.000 135 BJ BLOOD SET WITH 2 CLAVE C 6042 Pcs 118.800 136 BJ HORIZONTAL TI MEDIUM TFI 002200 Pcs 16.843 137 BJ HORIZONTAL TI SMALL TFI 001200 Pcs 14.437 138 BJ STEEL USP 5 PANJANG 4X45 2393-89 Pcs 442.750 139 SUCTION CONECTING TUBE 24CH 350 CM 168435 Pcs 92.400 140 BJ HEMOCONCENTRATOR FOR PEDIATRIC TR Pcs 3.025.000 141 BJ VENOUS CANNULA NO 31 69331 Pcs 1.485.000 142 SIKAT OPERASI STERIL DISPOSIBLE OM Pcs 6.600 143 BJ CAPIOX PEDIATRIC OXYGENATOR (SX10R) Pcs 4.568.714 144 BJ ARTERIAL FILTER PEDIACTRIC (AF-02) Pcs 684.200 145 DACRON TAPE 8618-00 Pcs 81.812 146 INTRODUCER INTROFLEX 8FR EDWARD Pcs 643.076 147 BJ DLP AORTIC ROOT CANULLA 12 GA 9 FR 10012 Pcs 1.265.000 148 BJ DLP AORTIC ROOT CANULLA 12 GA 9 FR WITH Pcs VENT LINE 20012 885.500 149 BJ DLP AORTIC ROOT CANULLA 12 GA 9FR 20012S Pcs WITH VENTLINE WITH 2 CLAMP 1.138.500 150 BJ RETROGRADE CANNULA 15 FR Pcs 1.430.000 151 PRESURE MONITORING KIT (double line) Pcs 825.000 152 STOCKING VENOSAN PAHA AGH 6002 UK.XL Pcs 1.014.200 153 SENTINEL SEAL ATRIUM Pcs 957.108 154 SIKAT OPERASI STERIL PLAIN MEDICAL Pcs 12.870 155 BJ.NEONATE OXYGENATOR (RX05RE) Pcs 7.022.400 Group: ALAT KESEHATAN 1 EYE PROTECTOR PHOTOERAPY Pcs 93.500 2 TRIGYM STD KM SO5 Kit 118.388 3 SILK 1 PTR S25509 Pcs 53.361 4 ARM SLING S (GENDONGAN TANGAN) BOX 60.500 5 ARM SLING M (GENDONGAN TANGAN) BOX 60.500 6 ARM SLING XL (GENDONGAN TANGAN) BOX 60.500 141

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 7 TRI GYM STD KM 805 Pcs 118.388 8 STOCKING VENOSAN LUTUT 6002 AD UK. S Pcs 684.200 9 SACRO LUMBAR 2064 S CAN 638.000 10 SILKAM 0 DS 30 Pcs 86.735 11 CATHETER MOUNT AL-17300 Pcs 36.300 12 ETT NO.4,5 TANPA BALON (BICAKCILAR) Pcs 18.287 13 THORACIC DRAINAGE STRAIGHT 16 ETDC16 Pcs 198.000 14 THORACIC DRAINAGE STRAIGHT 20 STDC20 Pcs 198.000 15 THORACIC DRAINAGE STRAIGHT 24 STDC24 Pcs 198.000 16 STOMACH TUBE SILICONE FR 16 Pcs 56.100 17 JACKSON REES DEWASA AL-0120-0407 Set 288.750 18 JACKSON REES ANAK AL-0420-0407 Set 288.750 19 DISPOSIBLE NEEDLE NO. 18 G Pcs 660 20 ENDOTRACHEAL TUBE PLAIN NO. 4 Pcs 74.800 21 ENDOTRACHEAL TUBE PLAIN NO 4.5 Pcs 74.800 22 STOCKING VENOSAN LUTUT 6002 AD UK. M Pcs 684.200 23 STOCKING VENOSAN LUTUT 6002 AD UK. L Pcs 684.200 24 PTR SILK 0 S25436-2PTRS5436 Pcs 45.738 25 SUCTION TUBE PASHCO (MURINDO) Pcs 49.500 26 SUTUPAK SW 215 Pcs 13.346 27 SUTUPAK SW 214 Pcs 12.833 28 SUTUPAK SW 212 Pcs 12.100 29 EMBOLECTOMY CATH 1480 4F Pcs 1.650.000 30 EMBOLECTOMY CATH 1580 5F Pcs 1.650.000 31 EMBOLECTOMY CATH 1680 6F Pcs 1.650.000 32 EMBOLECTOMY CATH 3380 3F Pcs 1.650.000 33 ACTICOAT 10 X 10 CM Pcs 199.100 34 ALLEVYN ADH 12.5 X 12.5 CM Pcs 113.190 35 ALLEVYN NON ADH 10 X 10 CM Pcs 73.700 36 IOL INTRAOCULAR LENS (PMMA) NO 19,5 Pcs 482.548 37 PREMILENE 7/0 2X75 CM 2XDRC10 blue (panjang) Pcs 448.828 38 PREMILENE 5/0 2XHRC10RP Pcs 215.793 39 PREMILENE 5/0 2XHRT17RP Pcs 141.598 40 PREMILENE 8/0 DRmV8 75 CM Pcs 271.700 41 PREMILENE 5/0 2XHR13RP Pcs 132.193 42 MONOMAX VIOLE 0 150cmHR40S LOOP Pcs 229.900 43 SILKAM 1 HR 37S BLACK 75 CM Pcs 62.178 44 ST STEEL 3/0 HRT 17-GS 65V Pcs 558.030 45 ST STEEL 3/0 HRT 26-GS 65V PASANG 329.698 46 MONOMAX VIOLET 1 HR 40S 90 CM Pcs 179.583 47 PREMICRON 4/0 2XHRT17 G.90 CM Pcs 104.500 48 PREMILENE 7/0 75 CM 2XDRC10RP (pendek) Pcs 240.295 49 CERTOFIX DUO PAED S413 Pcs 757.625 50 CERTOFIX DUO PAED S513 Pcs 757.625 51 PREMILENE 6/0 2XDRC12RP 195.225 52 UNIFLEX 3" Pcs 32.293 53 UNIFLEX 4" Pcs 37.440 54 UNIFLEX 6" Pcs 48.693 55 SPINAL NEEDLE 25 (QUINCKLE TIP) Pcs 17.036 56 ETT NON KING-KING CUFF 4.0 (SUMI) Pcs 202.125 57 ETT NON KING-KING CUFF 4.5 (SUMI) Pcs 202.125 58 ETHIBOND 2/0 W 4843 (BJ) Pcs 50.466 59 NYLON TAPE W 275 (BJ) Pcs 41.232 60 NEEDLE COUNTER WITHOUT BLADE REMOVER (BJ) Pcs 90.172 61 PLEDGET 3 X 3 MM 8675-01 (BJ) Sachet 26.468 62 PREMICRON 2/0 2XHR26 (BJ) Pcs 115.195 142

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 63 TOPI OPERASI TALI Pcs 1.100 64 PREMILENE 4/0 2XHR26RP Pcs 138.462 65 OPTIME R 12S20B 3/0-2PTROR20B Pcs 98.010 66 NYLON TAPE W 275 Pcs 34.540 67 ETHIBOND 2/0 EXCEL X522H GR BR Pcs 115.328 68 ETHIBOND 2/0 W10B52 Pcs 1.447.600 69 PDS II 1 V10 W 9237T Pcs 103.730 70 VICRYL 3-0 + ANTIBACTERIAL VCP452H Pcs 73.088 71 ETHIBOND 2 W 4843 EXCEL Pcs 188.613 72 PDS II 0 V10 W9236T Pcs 103.730 73 ETHIBOND 3/0 W 6552 GRN Pcs 109.853 74 VICRYL 4-0 + ANTIBACTERIAL VCP310H Pcs 73.088 75 SURGICAL GLOVES STERIL 8 TROGE Pcs 5.995 76 OPSITE POST OP 25 X 10 CM Pcs 28.985 77 CERTOFIX TRIO PAED S513 Pcs 778.525 78 STAINLESS STEEL 5 HRS 60 2X7 Pcs 222.062 79 PREMILENE 6/0 2X75 CM 2XDRC12 Pcs 448.827 80 OTSUCATH NO. 24 G Pcs 9.688 81 DOUBLE LUMEN BRONCHIAL TB LEFT 26 21-262 Pcs 1.336.500 82 DOUBLE LUMEN BRONCHIAL TB LEFT 28 21-282 Pcs 1.336.500 83 DOUBLE LUMEN BRONCHIAL TB LEFT 32 21-322 Pcs 1.336.500 84 DOUBLE LUMEN BRONCHIAL TB LEFT 37 21-372 Pcs 1.336.500 85 DOUBLE LUMEN BRONCHIAL TB RIGHT 28 22-2 Pcs 1.393.370 86 DOUBLE LUMEN BRONCHIAL TB RIGHT 32 22-32 Pcs 1.393.370 87 DOUBLE LUMEN BRONCHIAL TB RIGHT 37 22-3 Pcs 1.393.370 88 SLING MESH WITH TENSIONING SUTURE AMS 72 Pcs 14.025.000 89 EQUISPON TAMPON 80X30 MM Pcs 319.440 90 PREMICRON 3/0 2XHR26 G.90 CM Pcs 118.750 91 PREMILENE 3/0 2XHR26RP Pcs 139.507 92 PREMILENE 4/0 2XHR17RP Pcs 150.575 93 PROLENE 6/0 W 8706 Pcs 118.066 94 PROLENE BLUE 4/0 8521 H Pcs 124.716 95 DACLON 0 DS 24 Pcs 44.550 96 DACLON 5/0 DS 16 Pcs 60.500 97 ETT 3.5 MURPHY Pcs 33.687 98 ETT NO.4.0 TANPA BALON (BICAKCILAR) Pcs 18.287 99 ETT NO.5.5 TANPA BALON (BICAKCILAR) Pcs 18.287 100 ETT CUFFED 3.0 (SUMI) Pcs 39.847 101 ETT CUFFED 4.0 (SUMI) Pcs 39.847 102 ETT NO.2.0 TANPA BALON (BICAKCILAR) Pcs 70.000 103 ETT NO.6.0 TANPA BALON (BICAKCILAR) Pcs 18.287 104 ETT TANPA BALON 3.0 (SUMI) Pcs 29.260 105 ETT TANPA BALON 5.0 (SUMI) Pcs 29.260 106 THORASIC CATHETER STRAIGHT NO.20 CH.BC Pcs 77.000 107 PLEDGET 3 X 7 X 1 5 MM Pcs 32.725 108 SURGIPRO 6-0 VP703X Pcs 140.525 109 CUTIMED SORBACT GEL 7.5 X 7.5 CM Pcs 74.086 110 SURGIPRO 7-0 VP713X Pcs 162.663 111 THORACIC CATHETER (ROMSONS) 28 FG Pcs 297.000 112 COROLENE 20S10B 5/0-2PTRCS10B Pcs 148.500 113 STEELWIRE M654G Pcs 357.133 114 PROLENE SUTURE 24 EP8741H Pcs 363.000 115 PROLENE BLUE 4/0 8557 H Pcs 124.911 116 ETHIBOND 2/0 W6977 Pcs 110.220 117 ETHIBOND EXCEL X551H Pcs 140.678 118 LOMBACARE MOTION ACTIMOVE BLACK XXL Pcs 229.724 143

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 119 PENCIL POINT SPINAL NEEDLE W/G SPPK2790 Pcs 43.312 120 IOL INTRAOCULAR LENS (PMMA) NO 27 Pcs 482.548 121 LINEAR CUTTER 75 MM RED Pcs 3.685.000 122 CUSHION UK. L KM 3111 (BLUESTAR PLUS) Pcs 109.917 123 CUSHION UK. M KM 3121 (BLUESTAR PLUS) Pcs 109.917 124 NON INVASIVE FACE MASK KIT UK. M KM 312 Pcs (BLUESTAR PLUS) 1.026.698 125 NON INVASIVE FACE MASK KIT UK. L KM 311 Pcs (BLUESTAR PLUS) 874.912 126 MEDICATH/SURFLO 20 Pcs 17.518 127 ETT NON KING KING CUFF 6.5 BICAKCILAR Pcs 158.042 128 SURGIPRO 8-0 VP745X Pcs 382.112 129 VITAL CATH 72 CLOSED SUCT 12 FR Pcs 292.503 130 VITAL CATH 72 CLOSED SUCT 14 FR Pcs 292.503 131 IOL INTRAOCULAR LENS NO.19.0 (ANTERIOR) Pcs 482.548 132 IOL INTRAOCULAR LENS NO.19.5 (ANTERIOR) Pcs 482.548 133 IOL INTRAOCULAR LENS NO.20.0 (ANTERIOR) Pcs 482.548 134 N CIRCLE TIPLESS STONE EXTRACTOR Pcs 4.939.000 135 MEDICATH/SURFLO FLASH 14 Pcs 18.662 136 PERICAN EPIDURAL CATH 18 G(PERIFIX 400 FILTER Set SET) 287.375 137 MEDICATH/SURFLO 22 Pcs 17.518 138 PROLENE 4/0 W 8521 Pcs 124.740 139 COROLENE 20S05G 7/0-2PTRCS05G Pcs 219.780 140 PREMICRON 2/0 2XHRT17 G.8X75 cmp 7X3 Pcs 1.047.613 141 PREMILENE 6/0 2XDRC 10 2X75 CM Pcs 1.340.213 142 MERSILK 3/0 W 212 Pcs 50.967 143 URETERAL STENT CLOS FR 5 Pcs 404.800 144 PREMICRON 2/0 2XHRT17 G.8X75 CM 3X3 Pcs 1.340.213 145 BJ AORTIC PUNCH 3.5 MM AP.535 Pcs 940.500 146 MEDTRONIC ATS VALVES MITRAL UK. 31 500DM31 Pcs 17.600.000 147 IOL OPTIMA POSTERIOR POWER NO. 16,00 Pcs 346.500 148 COROLONE 20S20E 3/0-2PTRCS20E Pcs 129.789 149 SPUIT 100 ML + CATHTETER TIP Pcs 57.915 150 GABBAY-FRATER SUTURE GUIDE TELEFLEX Pcs 1.011.285 151 Y CONN 3/8 X 3/8 X 3/8 CSS Pcs 65.481 152 IOL OPTIMA POSTERIOR POWER NO. 21,50 Pcs 346.500 153 IOL OPTIMA POSTERIOR POWER NO. 22,00 Pcs 346.500 154 IOL OPTIMA POSTERIOR POWER NO. 23,00 Pcs 346.500 155 IOL OPTIMA POSTERIOR POWER NO. 20,00 Pcs 346.500 156 IOL OPTIMA POSTERIOR POWER NO. 13,50 Pcs 346.500 157 IOL OPTIMA POSTERIOR POWER NO. 23,50 Pcs 346.500 158 IOL OPTIMA POSTERIOR POWER NO. 24,00 Pcs 346.500 159 IOL OPTIMA POSTERIOR POWER NO. 25,50 Pcs 346.500 160 SPINAL BRACE OPPO uk. XL Pcs 984.500 161 COROLENE 4/0 20S15H Pcs 130.680 162 UROSTOMY BAG Pcs 105.600 163 IOL OPTIMA POSTERIOR POWER NO. 18,00 Pcs 346.500 164 IOL OPTIMA POSTERIOR POWER NO. 20,50 Pcs 346.500 165 IOL OPTIMA POSTERIOR POWER NO. 17,50 Pcs 346.500 166 MEDICATH/SUPERCATH NO. 18 G Pcs 18.700 167 MEDICATH/SUPERCATH NO. 20 G Pcs 18.700 168 IOL OPTIMA POSTERIOR POWER NO. 22,50 Pcs 346.500 169 ETT NON KING-KING CUFF 7.0 (SUMI) Pcs 202.125 170 ETT NON KING-KING CUFF 7.5 (SUMI) Pcs 202.125 171 BALON KATETER NO.8 SILICON (RUSCH) Pcs 281.600 144

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 172 BALON KATETER NO.10 SILICON (RUSCH) Pcs 281.600 173 BALON KATETER NO.16 SILICON (RUSCH) Pcs 121.500 174 CHEST DRAINAGE 2500 ML TELEFLEX A7000 Pcs 848.925 175 OPSITE 84 X 56 Pcs 140.250 176 IOL OPTIMA POSTERIOR POWER NO. 17,00 Pcs 346.500 177 IOL OPTIMA POSTERIOR POWER NO. 18,50 Pcs 346.500 178 IOL OPTIMA POSTERIOR POWER NO. 14,00 Pcs 346.500 179 MASKER TALI WITH VISORSHILD Pcs 6.820 180 Medifix Manometer Scale Pcs 204.298 181 MEDICATH/SUPERCATH NO. 22 G Pcs 18.700 182 STOCKING VENOSAN PAHA AGH 6003 UK. M / OPEN Pcs 1.017.500 183 STOCKING VENOSAN PAHA AGH 6003 UK. S / OPEN Pcs 1.017.500 184 IOL OPTIMA POSTERIOR POWER NO. 21,00 Pcs 346.500 185 CHEST DRAINAGE 2500 ML TELEFLEX A8000 Pcs 811.800 186 SPINAL NEEDLE 27 (QUINCKE TIP) Pcs 20.790 187 IOL OPTIMA POSTERIOR POWER NO. 19.50 Pcs 346.500 188 UMBILICAL CATH 3.5 FR 1270.03 VYGON Pcs 246.400 189 UMBILICAL CATH 5 FR 1270.05 VYGON Pcs 198.000 190 Silkam 5/0 HR 17 Pcs 50.578 191 Y CONN 3/8 X 3/8 /1/4 CSS Pcs 263.243 192 CATHETER TUBE HYPOSPADIA NO. 6 Pcs 357.500 193 CATHETER TUBE HYPOSPADIA NO. 8 Pcs 357.500 194 Uterin Dilaktator (set 8 pcs)businasi Set 275.000 195 FOLDABLE NO. 30 Pcs 1.512.500 196 ETT NON KING-KING CUFF 6.5 (SUMI) Pcs 202.125 197 Arteriotomy Cannula 3 mm tip (1.3 in) Pcs 1.155.000 198 Polysorb 2/0 CL 811 Pcs 76.519 199 Polysorb 4/0 SL 691 Pcs 102.025 200 Surgipro 5-0 VP556X Pcs 128.975 201 Single stage Venous Cannula No.32 66132 Pcs 1.650.000 202 Flexible arch arterial cannula 24 fr DLP Pcs 627.000 203 CE Perimount Magma Ease Pericardial Aortic 27 mm Pcs 49.995.000 204 Carp. Edward Cosgrove Annuloplasty System 26 mm Pcs 9.504.000 205 Carp. Edward Cosgrove Annuloplasty System 28 mm Pcs 9.504.000 206 Thoracic Catheter (romsons) straight no 20 Pcs 132.000 207 Thoracic Catheter (romsons) straight no 28 Pcs 132.000 208 Surgical Gloves steril 7 Troge Pcs 5.995 209 SILICON LARY.MASK (LMA) NO.1,5 Pcs 1.939.557 210 THORACIC CATHETER (ROMSONS) 20 FG Pcs 297.000 211 IOL OPTIMA POSTERIOR POWER NO. 26,00 Pcs 346.500 212 Surgicryl Rapid 3/0 DS 24 Pcs 87.450 213 Optime 2/0 18S30J Pcs 92.565 214 Vascular Graft 18 x 20 mm Pcs 10.560 215 Vascutek Bifurcated 18 x 9 mm, 45 cm Pcs 13.684.000 216 Actimove Genumotion Knee uk. XL (keni lutut) Pcs 1.270.500 217 VICRYL 2-0 + ANTIBACTERIAL VCP339H Pcs 86.557 218 Filapeau 2/0 2PTRF7499 Pcs 53.762 219 Optime 3/0 18S20F Pcs 77.137 220 Yellow Mini Vessel loop Pcs 158.400 221 Goretex Suture CV-5 Pcs 616.000 222 Medicath/Surflo 18 Pcs 11.580 223 Medical Tubing 1/4 x 1/16 CSS Pcs 106.465 224 Aortic Cannula Arco7 Andocoor Pcs 772.554 225 Retrograde Canulla RCC01 Andocoor Pcs 2.973.696 226 Carp. Edward Physio Ring 26 mm Pcs 9.504.000 227 Cardioxyl 2/0 73P30A Pcs 1.131.350 145

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 228 Polysorb 3/0 GL 182 Pcs 81.813 229 Optime 1 18S40E Pcs 85.366 230 Optime 1 18S40G Pcs 89.012 231 Advantime 1 15S40E Pcs 90.508 232 WALKER SHIMA TDK BERODA SM-8052 Unit 473.000 233 Suture Aid Booties Blue DC91100-04 Pcs 158.400 234 Cardioplegia Set Adult Hospitech Pcs 1.540.000 235 Balon Kateter no. 14 silicon (Rusch) Pcs 183.012 236 HEMOLOK CLIPS 6/CART 544230 - Hijau Pcs 89.833 237 Thoracic Catheter (romsons) straight no 32 Pcs 132.000 238 Foldabel No. 20 Pcs 1.512.500 239 Silicon Lary. Mask (LMA) No. 1 Pcs 1.939.557 240 IOL Optima Posterior Power No. 24.50 Pcs 346.500 241 Surgical Gloves Steril 6 Troge Pcs 5.995 242 VISISTAT SKIN STAPLER Pcs 192.500 243 STOMAHESIVE POWDER Botol 277.200 244 STOMAHESIVE PASTA Tube 364.980 245 STOMADRESS PLUS 19-64 Pcs 48.180 246 STOMAHESIVE S BARIER 4X4 Pcs 145.992 247 ACTIVE LIFE IPC PAED Pcs 159.390 248 ACTIVE LIFE IPC D/P CUSTOM Pcs 74.151 249 DUODERM EXTRA THIN 4X4 Pcs 56.364 250 Stomach Tube Silicon FR. 14 Pcs 279.400 251 Balon Kateter No. 18 Silicon (rusch) Pcs 121.000 252 Tracheostomy Kid Blu No 6 Pcs 968.000 253 Presure Monitoring KIt Single Pcs 412.500 254 Needle Counter Aspen NC-1010 Pcs 99.000 255 IOL Optima Posterior Power No. 27.00 Pcs 346.500 256 IOL Optima Posterior Power 2.00 Pcs 346.500 257 Hemolok Clips 6/cart 544240 - Ungu Pcs 44.688 258 Clearview Shunt 1.50 mm Pcs 1.716.000 259 Clearview Shunt 1.75 mm Pcs 1.716.000 260 Clearview Shunt 2.00 mm Pcs 1.716.000 261 Straight Tip Arterial Canulla 20 Fr Pcs 731.500 262 Arteriotomy Cannula 2 mm tip (1.3 in) Pcs 1.155.000 263 Cardioxyl 2/0 73P30O Pcs 1.131.350 264 Cardioxyl 2/0 73P30Q Pcs 1.542.750 265 Thoracic Catheter (romsons) Straight no 24 Pcs 132.000 266 COLOSTOMY BAG ALCARE 50MM Pcs 16.500 267 ETT Non King king cuff 7.5 Bicakcilar Pcs 180.620 268 Medicuth/Surflo 16 Pcs 19.305 269 Optime 2/0 18S30P Pcs 94.622 270 ETT NON KING KING CUFF 7,0 BICAKILAR Pcs 158.043 271 IOL Optima Posterior Power no. 19.00 Pcs 346.500 272 Securestrap 5 mm Absorb Pcs 4.030.400 273 Askina Calgitrol Ag 10x10 cm Pcs 137.499 274 Collacure 50x50x5 mm Pcs 297.990 275 Collacure 120x40x3 mm Pcs 519.750 276 Foldable no. 20.5 Pcs 1.512.500 277 Assucryl 2/0 HR 27 4255 Pcs 65.516 278 Assucryl 2/0 TS 27 4575 Pcs 65.516 279 Nylon 2/0 TS 27 5575 Pcs 39.637 280 Harmonic Focus 17 cm Curved Shear FCS17 Pcs 9.196.000 281 GIA 60-3.8 Single use Loading Pcs 1.168.750 282 Balon kateter No. 6 Silicon (rusch) Pcs 281.600 283 Corolene 7/0 20N05B Black Pcs 456.280 146

Harga Obat 2016 Group : Alat Kesehatan No Nama Item Satuan Harga (Rp) 284 ETT Non king-king cuff 6.0 (sumi) Pcs 202.125 285 Assucryl 4/0 HR 17 Pcs 65.516 286 Assucryl 5/0 HR 17 Pcs 65.516 287 Assucryl 5/0 TS 17 Pcs 65.516 288 Nylon 6/0 TS 12 Pcs 48.045 289 Balon Kateter No. 12 Silicon (Rusch) Pcs 144.100 290 Histoacryl Pcs 233.750 291 GIA 60-4.8 Single Use Loading Pcs 1.168.750 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) Group: Alat Konservasi Gigi 1 TEMPORARY CROWN / MAHK.SEMENTARA Pcs 82.500 2 JAKET AKRILIK Pcs 825.000 3 INLAY / ONLAY / FCR Pcs 825.000 4 INLAY / ONLAY / PORCELAIN Pcs 893.750 5 PORCELAIN PFM STANDAR Pcs 1.650.000 6 PORCELAIN PFM ESTHETHIC Pcs 1.787.500 7 ALL PORCELAIN Pcs 2.062.500 8 PASAK DOWEL / TUANG Pcs 893.750 Group: Alat Implant Orthopedi 1 Austin Moore prosthesis Straight stem42 mm pcs 4.840.000 2 Locking screw interlocking nail pcs 550.000 3 Bone graft C7ChronOs ß-TCP Granules 1.4-2.8mm/10cc/porosity 60%. (isi fragment tulang hilang) pack 2.458.746 4 cortical screw 4,5 mm. pcs 45.650 5 DHS set 140/145/150 derajad 6hole pcs 5.808.000 6 Distal femoral nail noncanulated pcs 3.894.550 7 Locking proximal humeral plate 5 hole pcs 3.688.121 8 Lateral tibial head buttress left/right 7 hole pcs 1.375.000 9 SynCage-C, wedge shaped, size 10,0 green (pelvic) pcs 5.135.987 10 Cortical screw 3,5mm. pcs 40.700 11 Cortical screw 4,0mm. pcs 223.522 12 Shanz screw 110 mm.a39 pcs 461.422 13 cortical screw 2.4mm, self tappering14-40mm pcs 225.151 14 K wire 1,0-2,0mm (10 buah) pack 514.250 15 Bone cement (CEMFIX) pack 1.210.000 16 Cemented stem 11X120 pcs 8.440.148 17 T plate 5 hole pcs 688.449 18 Concellous screw 6,5mm fullthreat pcs 97.350 19 Narrow plate 10 hole pcs 314.050 20 Solid tibial nail UTN pcs 4.063.638 21 Clavicle hook plate 135 12 hole pcs 3.521.572 22 Clavicular S plate 9 hole pcs 457.600 23 Shanz screw 180mm. pcs 461.422 24 Acrylicbotol botol 165.000 25 Small bone type B plate 6 hole pcs 140.250 26 Volar radial distal plate pcs 1.364.000 27 Mont Dupley prosthesis pcs 17.968.500 28 Shanz screw 75 mm. pcs 461.422 29 Chamley hemiarthroplasty hip pcs 13.310.000 30 CS Locking plate 4.0/4.35,level 4.hole spacing 84mm,L92mm pcs 2.911.215 31 Cortical screw 2,7 14 mm pcs 33.000 32 Cortical screw 2,7 16 mm pcs 33.000 33 Cortical screw 2,7 18 mm pcs 33.000 34 Full threat concellous screw 3,5 20mm pcs 48.950 147

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 35 Full threat concellous screw 3,5 22mm pcs 48.950 36 Full threat concellous screw 3,5 24mm pcs 48.950 37 Full threat concellous screw 3,5 26mm pcs 48.950 38 Full threat concellous screw 6,5 25mm pcs 40.150 39 Full threat concellous screw 6,5 30mm pcs 40.150 40 Full threat concellous screw 6,5 35mm pcs 40.150 41 Full threat concellous screw 6,5 40mm pcs 50.050 42 Full threat concellous screw 6,5 45mm pcs 97.350 43 Full threat concellous screw 6,5 50mm pcs 109.560 44 Full threat concellous screw 6,5 55mm pcs 139.700 45 Full threat concellous screw 6,5 60mm pcs 192.500 46 Full threat concellous screw 6,5 65mm pcs 225.151 47 Full threat concellous screw 6,5 70mm pcs 225.151 48 Full threat concellous screw 6,5 75mm pcs 225.151 49 Full threat concellous screw 6,5 80mm pcs 225.151 50 Full threat concellous screw 6,5 85mm pcs 225.151 51 Full threat concellous screw 6,5 90mm pcs 225.151 52 Full threat concellous screw 6,5 95mm pcs 225.151 53 Full threat concellous screw 6,5 100mm pcs 225.151 54 Full threat concellous screw 6,5 105mm pcs 225.151 55 Half threat concellous screw 6,5 10mm pcs 24.750 56 Half threat concellous screw 6,5 15mm pcs 29.700 57 Half threat concellous screw 6,5 20mm pcs 34.650 58 Half threat concellous screw 6,5 25mm pcs 40.150 59 Half threat concellous screw 6,5 30mm pcs 40.150 60 Half threat concellous screw 6,5 35mm pcs 40.150 61 Half threat concellous screw 6,5 40mm pcs 50.050 62 Half threat concellous screw 6,5 45mm pcs 50.050 63 Half threat concellous screw 6,5 50mm pcs 109.560 64 Half threat concellous screw 6,5 55mm pcs 139.700 65 Half threat concellous screw 6,5 60mm pcs 192.500 66 Half threat concellous screw 6,5 65mm pcs 225.151 67 Half threat concellous screw 6,5 70mm pcs 225.151 68 Half threat concellous screw 6,5 75mm pcs 225.151 69 Half threat concellous screw 6,5 80mm pcs 225.151 70 Half threat concellous screw 6,5 85mm pcs 225.151 71 Half threat concellous screw 6,5 90mm pcs 225.151 72 Half threat concellous screw 6,5 95mm pcs 225.151 73 Half threat concellous screw 6,5 100mm pcs 225.151 74 Half threat concellous screw 6,5 105mm pcs 225.151 75 1/3 threat concellous screw 6,5 10mm pcs 24.750 76 1/3 threat concellous screw 6,5 15mm pcs 29.700 77 1/3 threat concellous screw 6,5 20mm pcs 34.650 78 1/3 threat concellous screw 6,5 25mm pcs 40.150 79 1/3 threat concellous screw 6,5 30mm pcs 40.150 80 1/3 threat concellous screw 6,5 35mm pcs 40.150 81 1/3 threat concellous screw 6,5 40mm pcs 50.050 82 1/3 threat concellous screw 6,5 45mm pcs 50.050 83 1/3 threat concellous screw 6,5 50mm pcs 109.560 84 1/3 threat concellous screw 6,5 55mm pcs 139.700 85 1/3 threat concellous screw 6,5 60mm pcs 192.500 86 1/3 threat concellous screw 6,5 65mm pcs 225.151 87 1/3 threat concellous screw 6,5 70mm pcs 225.151 88 1/3 threat concellous screw 6,5 75mm pcs 225.151 89 1/3 threat concellous screw 6,5 80mm pcs 225.151 90 1/3 threat concellous screw 6,5 85mm pcs 225.151 148

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 91 1/3 threat concellous screw 6,5 90mm pcs 225.151 92 1/3 threat concellous screw 6,5 95mm pcs 225.151 93 1/3 threat concellous screw 6,5 100mm pcs 225.151 94 1/3 threat concellous screw 6,5 105mm pcs 225.151 95 Malleolar screw 20mm pcs 39.050 96 Malleolar screw 25mm pcs 39.050 97 Malleolar screw 30mm pcs 39.050 98 Malleolar screw 35mm pcs 39.050 99 Malleolar screw 40mm pcs 67.535 100 Malleolar screw 45mm pcs 45.100 101 Malleolar screw 50mm pcs 45.100 102 Malleolar screw 55mm pcs 51.700 103 Malleolar screw 60mm pcs 51.700 104 Malleolar screw 65mm pcs 51.700 105 Narrow plate DCP 4hole pcs 110.000 106 Narrow plate DCP 5hole pcs 152.900 107 Narrow plate DCP 7hole pcs 234.850 108 Narrow plate DCP 8hole pcs 255.750 109 Narrow plate DCP 9hole pcs 255.750 110 Narrow plate DCP 10hole pcs 310.750 111 Narrow plate DCP 11hole pcs 594.000 112 Narrow plate DCP 12hole pcs 722.700 113 Narrow plate DCP 13hole pcs 962.500 114 Narrow plate DCP 14hole pcs 1.375.000 115 Narrow plate DCP 15hole pcs 1.375.000 116 Narrow plate DCP 16hole pcs 1.375.000 117 Narrow plate DCP 17hole pcs 1.375.000 118 Narrow plate DCP 18hole pcs 1.375.000 119 Narrow plate DCP 19hole pcs 1.375.000 120 Narrow plate LC DCP 4hole pcs 110.000 121 Narrow plate LC DCP 5 hole pcs 152.900 122 Narrow plate LC DCP 6 hole pcs 234.850 123 Narrow plate LC DCP 7 hole pcs 255.750 124 Narrow plate LC DCP 8 hole pcs 255.750 125 Narrow plate LC DCP 9 hole pcs 310.750 126 Narrow plate LC DCP 10 hole pcs 594.000 127 Narrow plate LC DCP 11 hole pcs 722.700 128 Narrow plate LC DCP 12 hole pcs 962.500 129 Narrow plate LC DCP 13 hole pcs 1.375.000 130 Narrow plate LC DCP 14 hole pcs 1.375.000 131 Narrow plate LC DCP 15 hole pcs 1.375.000 132 Narrow plate LC DCP 16 hole pcs 1.375.000 133 Narrow plate LC DCP 17 hole pcs 1.375.000 134 Narrow plate LC DCP 18 hole pcs 1.375.000 135 Narrow plate LC DCP 19 hole pcs 1.375.000 136 Broad Plate DCP 4hole pcs 217.800 137 Broad Plate DCP 5hole pcs 253.000 138 Broad Plate DCP 6hole pcs 379.500 139 Broad Plate DCP 7hole pcs 379.500 140 Broad Plate DCP 8hole pcs 379.500 141 Broad Plate DCP 9hole pcs 379.500 142 Broad Plate DCP 10hole pcs 379.500 143 Broad Plate DCP 11hole pcs 825.000 144 Broad Plate DCP 12hole pcs 1.045.000 145 Broad Plate DCP 13hole pcs 1.100.000 146 Broad Plate DCP 14hole pcs 1.375.000 149

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 147 Broad Plate DCP 15hole pcs 1.595.000 148 Broad Plate DCP 16hole pcs 1.595.000 149 Broad Plate DCP 17hole pcs 1.595.000 150 Broad Plate DCP 18hole pcs 1.705.000 151 Broad Plate LC DCP 4hole pcs 218.350 152 Broad Plate LC DCP 5hole pcs 218.350 153 Broad Plate LC DCP 6hole pcs 218.350 154 Broad Plate LC DCP 7hole pcs 218.350 155 Broad Plate LC DCP 8hole pcs 285.450 156 Broad Plate LC DCP 9hole pcs 313.500 157 Broad Plate LC DCP 10hole pcs 334.400 158 Broad Plate LC DCP 11hole pcs 353.100 159 Broad Plate LC DCP 12hole pcs 385.000 160 Broad Plate LC DCP 13hole pcs 1.100.000 161 Broad Plate LC DCP 14hole pcs 1.375.000 162 Broad Plate LC DCP 15hole pcs 1.595.000 163 Broad Plate LC DCP 16hole pcs 1.595.000 164 Broad Plate LC DCP 17hole pcs 1.595.000 165 Broad Plate LC DCP 18hole pcs 1.575.000 166 Tibial distalplate (ormed) 7 hole pcs 710.050 167 Tibial distalplate (ormed) 8 hole pcs 710.050 168 Tibial distalplate (ormed) 9 hole pcs 710.050 169 Tibial distal plate (ormed) 10 hole pcs 710.050 170 small bone type B4hole pcs 121.550 171 small bone type B5hole pcs 132.550 172 small bone type B6hole pcs 140.250 173 small bone type B7hole pcs 152.350 174 small bone type B8hole pcs 162.250 175 small bone type B9hole pcs 162.250 176 small bone type B 10hole pcs 165.385 177 Small DCP plate 6 hole (SB type A) pcs 134.200 178 Small DCP plate 7 hole (SB type A) pcs 144.100 179 Small DCP plate 8 hole (SB type A) pcs 162.250 180 Small DCP plate 9 hole (SB type A) pcs 162.250 181 Small DCP plate 10 hole (SB Type A) pcs 162.250 182 One third small DCP tipis4hole pcs 91.850 183 One third small DCP tipis5hole pcs 99.550 184 One third small DCP tipis6hole pcs 107.525 185 One third small DCP tipis7hole pcs 114.950 186 One third small DCP tipis8hole pcs 114.950 187 One third small DCP tipis9hole pcs 121.715 188 One third small DCP tipis10hole pcs 122.650 189 Semi tubuler plate 4hole pcs 110.000 190 Semi tubuler plate 5hole pcs 110.000 191 Semi tubuler plate 6hole pcs 110.000 192 Semi tubuler plate 7hole pcs 110.000 193 Semi tubuler plate 8hole pcs 110.000 194 Semi tubuler plate 9hole pcs 110.000 195 Semi tubuler plate 10hole pcs 166.100 196 Semi tubuler plate 11hole pcs 175.450 197 Semi tubuler plate 12hole pcs 175.450 198 Semi tubuler plate 13 hole pcs 195.250 199 Semi tubuler plate 14 hole pcs 204.600 200 Small T plate 3hole pcs 465.850 201 Small T plate 4hole pcs 581.350 202 Small T plate 5hole pcs 587.400 150

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 203 Small T plate 6hole pcs 585.750 204 Small T plate 7hole pcs 591.195 205 Small T plate 8hole pcs 616.000 206 Small T plate 9 hole pcs 627.000 207 Clavicular plate kiri 5 hole pcs 400.290 208 Clavicular plate kiri 6 hole pcs 429.000 209 Clavicular plate kiri 7 hole pcs 457.600 210 Clavicular plate kiri 8 hole pcs 479.050 211 Clavicular plate kanan 5 hole pcs 400.290 212 Clavicular plate kanan 6 hole pcs 429.000 213 Clavicular plate kanan 7 hole pcs 457.600 214 Clavicular plate kanan 8 hole pcs 479.050 215 L plate left4hole pcs 395.450 216 L plate left5hole pcs 401.500 217 L plate left6hole pcs 407.550 218 L plate left7hole pcs 407.550 219 L plate left8hole pcs 411.279 220 L plate left9 hole pcs 415.139 221 L plate right4hole pcs 415.139 222 L plate right5hole pcs 395.450 223 L plate right6hole pcs 401.500 224 L plate right7hole pcs 401.500 225 L plate right8hole pcs 411.400 226 L plate right9 hole pcs 415.250 227 Osteo Condylar screw 6 hole pcs 419.650 228 Angle Blade Plate 95 4hole pcs 220.550 229 Angle Blade Plate 95 5hole pcs 446.600 230 Angle Blade Plate 95 6hole pcs 458.700 231 Angle Blade Plate 95 7hole pcs 469.700 232 Angle Blade Plate 95 8hole pcs 566.500 233 Angle Blade Plate 95 9hole pcs 590.964 234 Angle Blade Plate 95 10hole pcs 590.964 235 Angle Blade Plate 95 11hole pcs 594.292 236 Angle Blade Plate 95 12hole pcs 594.292 237 Angle Blade Plate 95 15hole pcs 627.992 238 Angle Blade Plate 135 4hole pcs 506.000 239 Angle Blade Plate 135 5hole pcs 446.600 240 Angle Blade Plate 135 6hole pcs 506.000 241 Angle Blade Plate 135 7hole pcs 506.000 242 Angle Blade Plate 135 8hole pcs 519.750 243 Angle Blade Plate 135 9hole pcs 519.750 244 Angle Blade Plate 135 10hole pcs 506.000 245 Angle Blade Plate 135 11hole pcs 506.000 246 Angle Blade Plate 135 12hole pcs 506.000 247 Angle Blade Plate 135 15hole pcs 506.000 248 Femoral Kuntcher nail 7/42 pcs 220.000 249 Femoral Kuntcher nail 8/38 pcs 220.000 250 Femoral Kuntcher nail 9/32 pcs 220.000 251 Femoral Kuntcher nail 9/36 pcs 220.000 252 Femoral Kuntcher nail 9/38 pcs 220.000 253 Femoral Kuntcher nail 9/40 pcs 220.000 254 Femoral Kuntcher nail 9/42 pcs 220.000 255 Femoral Kuntcher nail 10/34 pcs 220.000 256 Femoral Kuntcher nail 10/36 pcs 220.000 257 Femoral Kuntcher nail 10/38 pcs 220.000 258 Femoral Kuntcher nail 10/40 pcs 220.000 151

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 259 Femoral Kuntcher nail 10/42 pcs 220.000 260 Femoral Kuntcher nail 10/44 pcs 220.000 261 Femoral Kuntcher nail 11/26 pcs 135.068 262 Femoral Kuntcher nail 11/28 pcs 135.068 263 Femoral Kuntcher nail 11/32 pcs 135.068 264 Femoral Kuntcher nail 11/36 pcs 220.000 265 Femoral Kuntcher nail 11/38 pcs 220.000 266 Femoral Kuntcher nail 11/40 pcs 220.000 267 Femoral Kuntcher nail 12/38 pcs 220.000 268 Femoral Kuntcher nail 12/40 pcs 220.000 269 Femoral Kuntcher nail 13/42 pcs 220.000 270 Tibial Kuntcher nail 9/26 pcs 220.000 271 Tibial Kuntcher nail 9/28 pcs 220.000 272 Tibial Kuntcher nail 9/29 pcs 220.000 273 Tibial Kuntcher nail 9/30 pcs 220.000 274 Tibial Kuntcher nail 9/32 pcs 220.000 275 Tibial Kuntcher nail 10/26 pcs 220.000 276 Tibial Kuntcher nail 10/28 pcs 220.000 277 Tibial Kuntcher nail 10/30 pcs 220.000 278 Tibial Kuntcher nail 10/32 pcs 220.000 279 Tibial Kuntcher nail 11/26 pcs 220.000 280 Tibial Kuntcher nail 11/28 pcs 220.000 281 Tibial Kuntcher nail 11/30 pcs 220.000 282 Tibial Kuntcher nail 11/32 pcs 220.000 283 Luque rod 120mm pcs 693.000 284 Luque rod 130mm pcs 693.000 285 Luque rod 140mm pcs 693.000 286 Luque rod 150mm pcs 693.000 287 Luque rod 160mm pcs 693.000 288 Luque rod 170mm pcs 693.000 289 Luque rod 180mm pcs 693.000 290 Snar wire 0,8 roll 1.606.000 291 Snar wire 1,5 roll 788.920 292 Snar wire 1,4 roll 788.920 293 Snar wire 1,25 roll 788.920 294 Snar wire 1,0 roll 1.507.000 295 Allograft pack 137.500 296 Steinmann pin 200mm pcs 116.600 297 Steinmann pin 250mm pcs 129.250 298 Acrylic set set 420.000 299 Reconstruction plate straight screw 4,5mm pcs 1.375.000 300 Reconstruction plate straight screw 3,5mm pcs 375.342 301 Reconstruction plate lengkung screw 3,5mm pcs 375.342 302 Reconstruction plate lengkung screw 4,5mm pcs 1.375.000 303 Y plate besar/condylar humeral plate 4 hole pcs 479.600 304 Y plate besar/condylar humeral plate 5 hole pcs 499.400 305 Y plate besar/condylar humeral plate 6 hole pcs 519.200 306 Y plate besar/condylar humeral plate 7 hole pcs 519.200 307 Y plate besar/condylar humeral plate 12 hole pcs 660.000 308 Trochanteric plate osfix 6 hole pcs 786.500 309 Trochanteric plate osfix 10 hole pcs 786.500 310 Trochanteric plate osfix 15 hole pcs 786.500 311 Trochanteric plate 10 hole pcs 786.500 312 Trochanteric plate ormed 6 hole pcs 786.500 313 Trochanteric plate ormed 7 hole pcs 786.500 314 Trochanteric plate ormed 8 hole pcs 639.210 152

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 315 Trochanteric plate ormed 9 hole pcs 639.210 316 Trochanteric plate ormed 10 hole pcs 757.900 317 Trochenteric plate ormed 15 hole pcs 1.025.310 318 Condylar butress plate kiri 4 hole pcs 598.950 319 Condylar butress plate kiri 5 hole pcs 509.850 320 Condylar butress plate kiri 6 hole pcs 509.850 321 Condylar butress plate kiri 7 hole pcs 509.850 322 Condylar butress plate kiri 8 hole pcs 509.850 323 Condylar butress plate kiri 9 hole pcs 509.850 324 Condylar butress plate kiri 10 hole pcs 509.850 325 Condylar butress plate kanan 4 hole pcs 509.850 326 Condylar butress plate kanan 5 hole pcs 509.850 327 Condylar butress plate kanan 6 hole pcs 509.850 328 Condylar butress plate kanan 8 hole pcs 509.850 329 Condylar butress plate kanan 9 hole pcs 509.850 330 HTO plate 2 hole pcs 1.210.000 331 HTO plate 4 hole pcs 1.210.000 332 Jewet nail 1 hole pcs 737.000 333 Jewet nail 2 hole pcs 737.000 334 Washer/ring concellous hole pcs 24.890 335 Spinal rectangle 100 mm pcs 577.500 336 Spinal rectangle 120 mm pcs 577.500 337 Spinal rectangle 130 mm pcs 693.000 338 Spinal rectangle 140 mm pcs 693.000 339 Spinal rectangle 150 mm pcs 577.500 340 Spinal rectangle160 mm pcs 577.500 341 Spinal rectangle 170 mm pcs 577.500 342 Collar brace S (Philadelphia) pcs 825.000 343 Collar brace M (Philladelphia) pcs 880.000 344 Collar brace L (Philadelphia) pcs 935.000 345 Hemiarthroplasty set set 5.885.000 346 Cemented stemphemiarthroplasty set set 10.128.178 347 Chamley hemiarthroplasty set set 13.310.000 348 Bipolar MDP set 17.968.500 349 Femoral bone loss set set 4.310.096 350 Proximal femoral set set 6.890.400 351 Proximal humeral set set 4.569.840 352 Femoral nail set set 4.673.460 353 Crutchfield set set 550.000 354 Tibial plateau set set 4.361.344 355 Tibial bone loss set set 3.798.594 356 Tibial nail set set 4.876.365 357 Clavicular set set 3.874.200 358 Pelvic fracture set set 8.030.431 359 Spinal set set 6.244.830 360 Femoral externalfixatie set set 7.150.242 361 Humeral external fixatie. set 3.868.535 362 Radius external fixatie set set 4.642.242 363 Fibular set set 3.838.725 364 Antebrachii set distal set 4.143.600 365 Pinning set set 553.707 366 Antebrachii set set 4.947.250 367 Tibial external fixatie set set 6.134.535 368 Ulnar external fixatie set set 3.868.535 369 Ulnar set set 3.498.750 370 Radial set set 3.848.625 153

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 371 Supracondyler set set 4.831.200 372 Epiphyseolysis femur distal set set 3.322.242 373 French osteotomy set set 3.907.827 374 Hand set set 2.604.888 375 Foot set set 2.377.157 376 Total Knee Replacement (TKR)/ Pengganti sendi lutut Pcs 34.650.000 377 Spinal rod titanium 5,5 X 80 Pcs 1.100.000 378 Spinal rod titanium 5,5 X 100 Pcs 1.210.000 379 Spinal rod titanium 5,5 X 120 Pcs 1.320.000 380 Spinal rod titanium 5,5 X 160 Pcs 1.540.000 381 Spinal rod titanium 5,5 X 180 Pcs 1.650.000 382 Spinal rod titanium 5,5 X 200 Pcs 1.760.000 383 Cross link Length 60 mm Pcs 1.980.000 384 Cross link Length 80 mm Pcs 1.980.000 385 Fixation axis screw pure titanium 5,0 X 30 Pcs 1.980.000 386 Fixation axis screw pure titanium 5,0 X 35 Pcs 1.650.000 387 Fixation axis screw pure titanium 5,0 X 40 Pcs 1.650.000 388 Fixation axis screw pure titanium 5,5 X 35 Pcs 1.650.000 389 Fixation axis screw pure titanium 5,5 X 40 Pcs 1.650.000 390 Fixation axis screw pure titanium 6,0 X 40 Pcs 1.650.000 391 Fixation axis screw pure titanium 6,0 X 45 Pcs 1.650.000 392 Fixation axis screw pure titanium 6,5 X 40 Pcs 1.650.000 393 Fixation axis screw pure titanium 6,5 X 45 Pcs 1.650.000 394 Fixation axis screw pure titanium Pcs 1.100.000 395 Multiaxial screw pure titanium 5,0 X 30 Pcs 2.200.000 396 Multiaxial screw pure titanium 5,0 X 35 Pcs 2.200.000 397 Multiaxial screw pure titanium 5,0 X 40 Pcs 2.200.000 398 Multiaxial screw pure titanium 5,5 X 35 Pcs 2.200.000 399 Multiaxial screw pure titanium 5,5 X 40 Pcs 2.200.000 400 Multiaxial screw pure titanium 6,0 X 40 Pcs 2.200.000 401 Multiaxial screw pure titanium 6,0 X 45 Pcs 2.200.000 402 Multiaxial screw pure titanium 6,5 X 45 Pcs 2.200.000 403 Multiaxial screw pure titanium 6,5 X 50 Pcs 2.200.000 404 Break off Multi axial pure titanium 5,0 X 40 Pcs 3.036.000 405 Break off Multi axial pure titanium 6,0 X 41 Pcs 3.036.000 406 Spinal rod set satu level Set 16.700.496 407 Shoulder prosthesis set Set 8.987.492 408 Elbow prosthesis set Set 8.987.492 409 Total Hip Replacement Cementless smith&nephew Set 52.393.000 410 Y Fork Plate Pcs 1.364.000 411 Total Knee Replacement (TKR) RC/ Pengganti sendi lutut Set 38.720.000 412 Cortical screw self tappering 24-60mm 4,5 mm Pcs 225.151 413 Clavicular S plate 9-14 hole Pcs 1.364.000 414 Small bone type B plate 6-12 hole Pcs 570.625 415 Clavicular plate kanan/kiri 6 hole Pcs 1.364.000 416 femoral bone loss set panjang Set 6.679.200 417 Proximal femoral porotik set Set 7.854.162 418 Proximal humeral porotik set Set 6.644.920 419 Femoral interlocking nail set Set 9.608.746 420 Tibial plateau porotik set Set 5.440.815 421 Tibial bone loss set panjang Set 6.722.000 422 Tibial interlocking nail set Set 9.608.746 423 Antebrachii set panjang Set 5.644.276 424 Ultra fast fix ACL Reconstrution Pcs 5.116.289 425 Knot pusher/suture cutter ACL Reconstrution Pcs 7.003.631 426 Endobutton cl ultra ACL Reconstruction Pcs 12.094.328 154

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 427 Endobutton dirrect ACL Reconstruction Pcs 10.320.681 428 X tendonbutton fixation device ACL Reconstruction Pcs 6.594.328 429 Biosure-HA ACL Reconstruction Pcs 3.979.335 430 3,5 dan 4,5 mm full radius Arthroscopy shavers Pcs 3.228.946 431 3,5 dan 4,5 Incisor plus elite Arthroscopy shavers Pcs 3.524.555 432 3,5 dan 4,5 incisor arthroscopy shavers Pcs 3.228.946 433 4,0 dan 5,5 mm Acromionizer Arthroscopy shavers Pcs 3.228.946 434 Total Hip Replacement Cemented Smith&Nephew Set 38.962.000 435 Patellar tension band set/olecranon TBW/malleolus TBW Set 3.907.827 436 Total Hip Replacement UnCemented corail-pinnacle ceramic on metal set 67.351.680 437 Total Hip Replacement UnCemented corail-pinnacle ceramic on metal set 76.802.880 438 Dual vis pcs 1.716.000 439 Electroda venoplus pcs 396.000 440 Platelet Rich Plasma pcs 2.750.000 441 Bongros pack 2.508.000 442 Perosal granul pack 2.640.000 443 Perosal pasta btl 2.772.000 444 Cortical screw 3,5 self tapping 12-24mm pcs 52.800 445 Concellous screw 4,0 mm full threat 16-40 mm pcs 268.227 446 Mini cortex S, 1,5 diameter 8 pcs 56.928 447 Mini cortex S, 1,5 diameter 10 pcs 56.928 448 Mini cortex S, 1,5 diameter 12 pcs 56.928 449 Mini cortex S, 1,5 diameter 14 pcs 56.928 450 Mini cortex S, 2,0 diameter 06 pcs 56.928 451 Mini cortex S, 2,0 diameter 08 pcs 56.928 452 Mini cortex S, 2,0 diameter 10 pcs 56.928 453 Mini cortex S, 2,0 diameter 12 pcs 56.928 454 Mini cortex S, 2,0 diameter 14 pcs 56.928 455 Mini cortex S, 2,0 diameter 16 pcs 56.928 456 Mini cortex S, 2,0 diameter 18 pcs 56.928 457 Mini cortex S, 2,0 diameter 20 pcs 56.928 458 Mini T plate 1,5 mm 2 hole pcs 56.928 459 Mini T plate 1,5 mm 3 hole pcs 56.928 460 Mini T plate 1,5 mm 4 hole pcs 56.928 461 Mini T plate 1,5 mm 5 hole pcs 56.928 462 Mini T plate 1,5 mm 2 hole pcs 56.928 463 Mini T plate 1,5 mm 3 hole pcs 56.928 464 Mini T plate 1,5 mm 4 hole pcs 56.928 465 Mini T plate 1,5 mm 5 hole pcs 56.928 466 Mini T plate 2,0 mm 2 hole pcs 56.928 467 Mini T plate 2,0 mm 3 hole pcs 56.928 468 Mini T plate 2,0 mm 4 hole pcs 293.263 469 Mini T plate 2,0 mm 5 hole pcs 293.263 470 Mini T plate 2,0 mm 2 hole pcs 293.263 471 Mini T plate 2,0 mm 3 hole pcs 293.263 472 Mini T plate 2,0 mm 4 hole pcs 293.263 473 Mini T plate 2,0 mm 5 hole pcs 293.263 474 Mini L plate kiri 1,5 mm 2 hole pcs 293.263 475 Mini L plate kiri 1,5 mm 3 hole pcs 293.263 476 Mini L plate kiri 1,5 mm 4 hole pcs 293.263 477 Mini L plate kiri 1,5 mm 5 hole pcs 293.263 478 Mini L plate kanan 1,5 mm 2 hole pcs 293.263 479 Mini L plate kanan 1,5 mm 3 hole pcs 293.263 480 Mini L plate kanan 1,5 mm 4 hole pcs 293.263 155

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 481 Mini L plate kanan 1,5 mm 5 hole pcs 293.263 482 Mini L plate kiri 1,5 mm 2 hole pcs 293.263 483 Mini L plate kiri 1,5 mm 3 hole pcs 293.263 484 Mini L plate kiri 1,5 mm 4 hole pcs 293.263 485 Mini L plate kiri 1,5 mm 5 hole pcs 293.263 486 Mini L plate kanan 1,5 mm 2 hole pcs 293.263 487 Mini L plate kanan 1,5 mm 3 hole pcs 293.263 488 Mini L plate kanan 1,5 mm 4 hole pcs 293.263 489 Mini L plate kanan 1,5 mm 5 hole pcs 293.263 490 Mini L plate kanan 2,0 mm 3 hole pcs 318.476 491 Mini L plate kanan 2,0 mm 4 hole pcs 318.476 492 Mini L plate kiri 2,0 mm 3 hole pcs 318.476 493 Mini L plate kiri 2,0 mm 4 hole pcs 318.476 494 Mini L plate kanan 2,0 mm 4 hole pcs 318.476 495 Mini L plate kiri 2,0 mm 4 hole pcs 318.476 496 Mini plate 1,5mm 3 hole pcs 318.476 497 Mini plate 1,5mm 4 hole pcs 318.476 498 Mini plate 1,5mm 5 hole pcs 318.476 499 Mini plate 1,5mm 6 hole pcs 318.476 500 Mini plate 1,5mm 7 hole pcs 318.476 501 Mini plate 1,5mm 16 hole pcs 318.476 502 Mini plate 1,5mm 22 hole pcs 318.476 503 Mini plate 1,5mm 3 hole pcs 318.476 504 Mini plate 1,5mm 4 hole pcs 318.476 505 Mini plate 1,5mm 5 hole pcs 318.476 506 Mini plate 1,5mm 6 hole pcs 318.476 507 Mini plate 1,5mm 7 hole pcs 318.476 508 Mini plate 1,5mm 16 hole pcs 318.476 509 Mini plate 1,5mm 22 hole pcs 318.476 510 Mini plate 2,0, 3hole pcs 318.476 511 Mini plate 2,0, 4hole pcs 318.476 512 Mini plate 2,0, 5hole pcs 318.476 513 Mini plate 2,0, 3hole pcs 318.476 514 Mini plate 2,0, 4hole pcs 318.476 515 Mini plate 2,0, 5hole pcs 318.476 516 Mini plate titan 2,0, 22h (lebih kecil dari atas) pcs 318.476 517 Canulated screw dia 7,0 16th L 50 pcs 221.918 518 Canulated screw dia 7,0 16th L 55 pcs 221.918 519 Canulated screw dia 7,0 16th L 60 pcs 221.918 520 Canulated screw dia 7,0 16th L 65 pcs 221.918 521 Canulated screw dia 7,0 16th L 70 pcs 221.918 522 Canulated screw dia 7,0 16th L 75 pcs 221.918 523 Canulated screw dia 7,0 16th L 80 pcs 221.918 524 Canulated screw dia 7,0 16th L 85 pcs 221.918 525 Canulated screw dia 7,0 16th L 90 pcs 221.918 526 Canulated screw dia 7,0 16th L 95 pcs 221.918 527 Canulated screw dia 7,0 16th L 100 pcs 221.918 528 Canulated screw dia 7,0 32th L 50 pcs 221.918 529 Canulated screw dia 7,0 32th L 55 pcs 221.918 530 Canulated screw dia 7,0 32th L 60 pcs 221.918 531 Canulated screw dia 7,0 32th L 65 pcs 221.918 532 Canulated screw dia 7,0 32th L 70 pcs 221.918 533 Canulated screw dia 7,0 32th L 75 pcs 221.918 534 Canulated screw dia 7,0 32th L 80 pcs 221.918 535 Canulated screw dia 7,0 32th L 85 pcs 221.918 536 Canulated screw dia 7,0 32th L 90 pcs 221.918 156

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 537 Canulated screw dia 7,0 32th L 95 pcs 221.918 538 Canulated screw dia 7,0 32th L 100 pcs 221.918 539 Narrow locking plate 4hole pcs 221.918 540 Narrow locking plate 5 hole pcs 221.918 541 Narrow locking plate 6 hole pcs 221.918 542 Narrow locking plate 7 hole pcs 221.918 543 Narrow locking plate 8 hole pcs 221.918 544 Narrow locking plate 9 hole pcs 221.918 545 Narrow locking plate 10 hole pcs 221.918 546 Narrow locking plate 11 hole pcs 221.918 547 Narrow locking plate 12 hole pcs 221.918 548 Narrow locking plate 13 hole pcs 221.918 549 Narrow locking plate 14 hole pcs 221.918 550 Narrow locking plate 15 hole pcs 221.918 551 Narrow locking plate 16 hole pcs 221.918 552 Narrow locking plate 17 hole pcs 221.918 553 Narrow locking plate 18 hole pcs 221.918 554 Narrow locking plate 19 hole pcs 221.918 555 Broad locking plate 4hole pcs 221.918 556 Broad locking plate 5hole pcs 221.918 557 Broad locking plate 6hole pcs 221.918 558 Broad locking plate 7hole pcs 221.918 559 Broad locking plate 8hole pcs 221.918 560 Broad locking plate 9hole pcs 221.918 561 Broad locking plate 10hole pcs 221.918 562 Broad locking plate 11hole pcs 221.918 563 Broad locking plate 12hole pcs 221.918 564 Broad locking plate 13hole pcs 221.918 565 Broad locking plate 14hole pcs 221.918 566 Broad locking plate 15hole pcs 221.918 567 Broad locking plate 16hole pcs 221.918 568 Broad locking plate 17hole pcs 221.918 569 Broad locking plate 18hole pcs 221.918 570 Broad locking plate 19 hole pcs 221.918 571 Tibial distalplate (ormed) 4 hole pcs 221.918 572 Tibial distalplate (ormed) 5 hole pcs 221.918 573 Tibial distalplate (ormed) 6 hole pcs 221.918 574 Tibial distalplate (ormed) 7 hole pcs 627.000 575 Tibial distalplate (ormed) 8 hole pcs 693.000 576 Tibial distalplate (ormed) 9 hole pcs 759.000 577 Tibial distal plate (ormed) 10 hole pcs 910.800 578 Tibial distal plate (ormed) 11 hole pcs 943.800 579 Tibial distal plate (ormed) 12 hole pcs 995.280 580 Tibial distal plate (ormed) 13 hole pcs 1.013.760 581 Proximal humerus plate kiri 3 hole pcs 1.013.760 582 Proximal humerus plate kiri 4 hole pcs 1.013.760 583 Proximal humerus plate kiri 5 hole pcs 1.013.760 584 Proximal humerus plate kiri 6 hole pcs 1.013.760 585 Proximal humerus plate kiri 7 hole pcs 1.013.760 586 Proximal humerus plate kiri 8 hole pcs 1.013.760 587 Proximal humerus plate kiri 9 hole pcs 1.013.760 588 Proximal humerus plate kiri 10 hole pcs 1.013.760 589 Proximal humerus plate kanan 3 hole pcs 1.013.760 590 Proximal humerus plate kanan 4hole pcs 1.013.760 591 Proximal humerus plate kanan 5 hole pcs 1.013.760 592 Proximal humerus plate kanan 6 hole pcs 1.013.760 157

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 593 Proximal humerus plate kanan 7 hole pcs 1.013.760 594 Proximal humerus plate kanan 8 hole pcs 1.013.760 595 Proximal humerus plate kanan 9 hole pcs 1.013.760 596 Proximal humerus plate kanan 10 hole pcs 1.013.760 597 Lateral tibial head buttres kiri 4 hole pcs 1.013.760 598 Lateral tibial head buttres kiri 5 hole pcs 1.013.760 599 Lateral tibial head buttres kiri 6 hole pcs 1.013.760 600 Lateral tibial head buttres kiri 7 hole pcs 1.013.760 601 Lateral tibial head buttres kiri 8 hole pcs 1.013.760 602 Lateral tibial head buttres kiri 9 hole pcs 1.013.760 603 Lateral tibial head buttres kiri 10 hole pcs 1.013.760 604 Lateral tibial head buttres kiri 11 hole pcs 1.013.760 605 Lateral tibial head buttres kiri 12 hole pcs 1.013.760 606 Lateral tibial head buttres kanan 4 hole pcs 1.013.760 607 Lateral tibial head buttres kanan 5 hole pcs 1.013.760 608 Lateral tibial head buttres kanan 6 hole pcs 1.013.760 609 Lateral tibial head buttres kanan 7 hole pcs 1.013.760 610 Lateral tibial head buttres kanan 8 hole pcs 1.013.760 611 Lateral tibial head buttres kanan 9 hole pcs 1.013.760 612 Lateral tibial head buttres kanan 10 hole pcs 1.013.760 613 Lateral tibial head buttres kanan 11 hole pcs 1.013.760 614 Lateral tibial head buttres kanan 12 hole pcs 1.013.760 615 T plate 3hole pcs 1.013.760 616 T plate 4hole pcs 1.013.760 617 T plate 5hole pcs 1.013.760 618 T plate 6hole pcs 1.013.760 619 T plate 7hole pcs 1.013.760 620 T plate 8hole pcs 1.013.760 621 T plate 9hole pcs 1.013.760 622 T plate 10 hole pcs 1.013.760 623 T plate 11hole pcs 1.013.760 624 T plate 12 hole pcs 1.013.760 625 T plate 13 hole pcs 1.013.760 626 T plate 14 hole pcs 1.013.760 627 Small T plate oblique kanan 3 hole pcs 488.400 628 Small T plate oblique kanan 4 hole pcs 488.400 629 Small T plate oblique kanan 5 hole pcs 488.400 630 Small T plate oblique kanan 7 hole pcs 488.400 631 Small T plate oblique kiri 3 hole pcs 488.400 632 Small T plate oblique kiri 4 hole pcs 488.400 633 Small T plate oblique kiri 5 hole pcs 488.400 634 Small T plate oblique kiri 7 hole pcs 488.400 635 Small T plate with triangular hole on plate 3hole pcs 488.400 636 Small T plate with triangular hole on plate 4hole pcs 488.400 637 Small T plate with triangular hole on plate 5hole pcs 488.400 638 Small T plate with triangular hole on plate 6hole pcs 488.400 639 Small T plate with triangular hole on plate 7hole pcs 488.400 640 Small T plate with triangular hole on plate 8hole pcs 488.400 641 Small T plate with triangular hole on plate 9hole pcs 488.400 642 Dynamic hip screw4hole pcs 488.400 643 Dynamic hip screw5hole pcs 488.400 644 Dynamic hip screw6hole pcs 488.400 645 Dynamic hip screw7hole pcs 488.400 646 Dynamic hip screw8hole pcs 488.400 647 Dynamic hip screw 10hole pcs 488.400 648 Dynamic hip screw 12hole pcs 488.400 158

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 649 LC Dynamic hip screw4hole pcs 1.401.840 650 LC Dynamic hip screw5hole pcs 1.401.840 651 LC Dynamic hip screw6hole pcs 1.401.840 652 LC Dynamic hip screw7hole pcs 1.401.840 653 LC Dynamic hip screw8hole pcs 3.389.760 654 LC Dynamic hip screw 10hole pcs 3.389.760 655 LC Dynamic hip screw 12hole pcs 3.389.760 656 Dynamic hip screw 60 mm pcs 660.000 657 Dynamic hip screw 65 mm pcs 660.000 658 Dynamic hip screw 70 mm pcs 660.000 659 Dynamic hip screw 75 mm pcs 660.000 660 Dynamic hip screw 80 mm pcs 660.000 661 Dynamic hip screw 85 mm pcs 660.000 662 Dynamic hip screw 90 mm pcs 660.000 663 Small Lock Pin 4,0 X 40mm pcs 660.000 664 Small Lock Pin 4,0 X 45mm pcs 660.000 665 Small Lock Pin 4,0 X 50mm pcs 660.000 666 Small Lock Pin 4,0 X 55mm pcs 660.000 667 Long stem AMP 38 mm pcs 2.310.000 668 Long stem AMP 41 mm pcs 2.310.000 669 Long stem AMP 42 mm pcs 2.310.000 670 Long stem AMP 43 mm pcs 2.310.000 671 Long stem AMP 44 mm pcs 2.310.000 672 Long stem AMP 45 mm pcs 2.310.000 673 Long stem AMP 46 mm pcs 2.310.000 674 Long stem AMP 47 mm pcs 2.310.000 675 Long stem AMP 48 mm pcs 2.310.000 676 Long stem AMP 49 mm pcs 2.310.000 677 Long stem AMP 50 mm pcs 2.310.000 678 Long stem AMP 51 mm pcs 2.310.000 679 Short stem AMP 38 mm pcs 2.310.000 680 Short stem AMP 39 mm pcs 2.310.000 681 Short stem AMP 40 mm pcs 2.310.000 682 Short stem AMP 41 mm pcs 2.310.000 683 Short stem AMP 42 mm pcs 2.310.000 684 Short stem AMP 43 mm pcs 2.310.000 685 Short stem AMP 44 mm pcs 2.310.000 686 Short stem AMP 45 mm pcs 2.310.000 687 Short stem AMP 46 mm pcs 2.310.000 688 Short stem AMP 47 mm pcs 2.310.000 689 Short stem AMP 48 mm pcs 2.310.000 690 Short stem AMP 49 mm pcs 2.310.000 691 Short stem AMP 50 mm pcs 2.310.000 692 Short stem AMP 51 mm pcs 2.310.000 693 Short stem AMP 52 mm pcs 2.310.000 694 Bipolar hemiarthroplasty 39mm pcs 2.310.000 695 Bipolar hemiarthroplasty 40mm pcs 2.310.000 696 Bipolar hemiarthroplasty 41mm pcs 2.310.000 697 Bipolar hemiarthroplasty 42mm pcs 2.310.000 698 Bipolar hemiarthroplasty 43mm pcs 2.310.000 699 Bipolar hemiarthroplasty 44mm pcs 2.310.000 700 Bipolar hemiarthroplasty 45mm pcs 2.310.000 701 Bipolar hemiarthroplasty 46mm pcs 2.310.000 702 Bipolar hemiarthroplasty 47mm pcs 2.310.000 703 Bipolar hemiarthroplasty 48mm pcs 2.310.000 704 Bipolar hemiarthroplasty 49mm pcs 2.310.000 159

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 705 Bipolar hemiarthroplasty 50mm pcs 2.310.000 706 Bipolar hemiarthroplasty 51mm pcs 2.310.000 707 Bipolar hemiarthroplasty 52mm pcs 2.310.000 708 Bipolar hemiarthroplasty 53mm pcs 2.310.000 709 LC Angle Blade Plate 95 4hole pcs 958.320 710 LC Angle Blade Plate 95 5hole pcs 958.320 711 LC Angle Blade Plate 95 6hole pcs 958.320 712 LC Angle Blade Plate 95 7hole pcs 966.240 713 LC Angle Blade Plate 95 8hole pcs 1.037.520 714 LC Angle Blade Plate 95 9hole pcs 1.100.880 715 LC Angle Blade Plate 95 10hole pcs 1.100.880 716 LC Angle Blade Plate 95 11hole pcs 1.100.880 717 LC Angle Blade Plate 95 12hole pcs 1.100.880 718 LC Angle Blade Plate 95 15hole pcs 1.100.880 719 LC Condylar butress plate kiri 5 hole pcs 1.298.880 720 LC Condylar butress plate kiri 6 hole pcs 1.298.880 721 LC Condylar butress plate kiri 7 hole pcs 1.298.880 722 LC Condylar butress plate kiri 8 hole pcs 1.298.880 723 LC Condylar butress plate kiri 9 hole pcs 1.298.880 724 LC Condylar butress plate kiri 10 hole pcs 1.298.880 725 LC Condylar butress plate kiri 11 hole pcs 1.298.880 726 LC Condylar butress plate kiri 12 hole pcs 1.409.760 727 LC Condylar butress plate kiri 13 hole pcs 1.425.600 728 LC Condylar butress plate kiri 14 hole pcs 1.441.440 729 LC Condylar butress plate kiri 15 hole pcs 1.457.280 730 LC Condylar butress plate kanan 4 hole pcs 1.298.880 731 LC Condylar butress plate kanan 5 hole pcs 1.298.880 732 LC Condylar butress plate kanan 6 hole pcs 1.298.880 733 LC Condylar butress plate kanan 8 hole pcs 1.298.880 734 LC Condylar butress plate kanan 9 hole pcs 1.298.880 735 LC Condylar buttres plate kanan 10 hole pcs 1.298.880 736 LC Condylar buttres plate kanan 11 hole pcs 1.393.920 737 LC Condylar buttres plate kanan 12 hole pcs 1.393.920 738 LC Condylar buttres plate kanan 13 hole pcs 1.393.920 739 LC Condylar buttres plate kanan 14 hole pcs 1.425.600 740 LC Condylar buttres plate kanan 15 hole pcs 1.457.280 741 Pinnacle can Bone screw 6,5 X20 pcs 1.980.000 742 Deg Poly Liner pcs 4.620.000 743 Articul Tht ball pcs 3.861.000 744 Corail all size pcs 18.876.000 745 Pinnacle bantom aceabular pcs 11.220.000 746 Monoaxial screw T1 6,0X55 pcs 1.980.000 747 LC Trochanteric Buttres plate 11 hole pcs 982.080 748 LC Trochanteric Buttres plate 12 hole pcs 1.050.720 749 LC Trochanteric Buttres plate 13 hole pcs 1.077.120 750 Total Hip Replacement UnCemented corail-pinnacle ceramic on poly set 59.959.680 751 Bur, Round, 5,0MM X 59MM pcs 2.359.500 752 Bur, Round Diamon, 4,0 X 59 MM pcs 4.032.600 753 Bur,Round Diamon, 4,5X59MM pcs 4.032.600 Group: Alat Implant Onkology 1 SET IMPLANT MANDIBULA Set 3.300.000 2 SET SCREW MANDIBULA Pcs 220.000 3 MULTI RECONTRUCTION 25 HOLE Set 8.250.000 4 MINI SCREW 2.0 MM L 8 MM Pcs 357.500 5 Plate Mandibula Pcs 8.250.000 160

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 6 Mini Screw Pcs 357.500 Group: Alat Implant Bedah Umum 1 PAKET B20 Set 2.189.761 2 PAKET B22 Set 3.284.641 3 PAKET B24 Set 2.396.345 4 PAKET B26 Set 3.953.963 5 PAKET B28 Set 1.958.022 6 PAKET B30 Set 2.937.033 7 PAKET B16 Set 2.089.137 8 PAKET B162 Set 3.133.706 9 PAKET B16L Set 3.363.703 10 PAKET B16Y Set 3.363.703 11 10 HOLE STRAIGHT PLT 2.0 MM 210-0032 A30007 Pcs 3.035.588 12 AUTO-DRIVE SCREW 2.0 MM X 8 MM 211-2008 A30078 Pcs 451.935 13 SCREW 2.0 MM X 10 MM 202-2010 A30080 Pcs 424.710 14 24 GA STAINLSS STL WIRE 207-0120R3M A30486 Pcs 381.150 15 ARCHBAR SPLINT W-HOOKS 207-0121 A30810 Pcs 381.150 16 16 HOLE STRAIGHT PLATE 210-0034 A30012 Pcs 3.179.880 17 3X3 HL ANGLED FRAC PLT 214-0220 A30325 Pcs 4.856.940 18 2.4MMX10MM SCREW 206-2410 A30096 Pcs 626.175 19 MINI 6 HOLE STR PLT 1.0 MM 210-1031 A30020 Pcs 2.047.320 20 10 HOLE CURVED PLATE 213-0004 Pcs 1.655.280 21 1.6MM X 8MM AUTO DRIVE SCREW 211-1608 A30084 Pcs 451.935 22 FRAC PLT,4 HOLE DCP 32 MM 214-0210 A30300 Pcs 3.963.960 23 SCREW 2.0 X 8 MM 202-2008 A30095 Pcs 317.988 24 AUTO DRIVE SCREW 1.6 MM X 5 MM 211-1605 A30076 Pcs 451.935 25 MINI 4 HOLE STR PLT 10 MM 210-1030 A30019 Pcs 1.949.310 26 MINI 8 HOLE STR PLATE 1.0 MM 210-1032 A30031 Pcs 2.722.500 27 10 HOLE STRAIGHT PLT 1.6 MM 218-0038 A30006 Pcs 1.415.700 28 FRCTR PLT 8 HOLE DCP 59 MM 214-0216 A30348 Pcs 5.564.790 29 MICRO 8 HOLE STRAIGHT PLT 212-1032 A30041 Pcs 1.873.080 30 1.2 MM X 10 MM SCREW 204-1210 A30357 Pcs 544.500 31 10 HOLE STRAIGHT PLT 1.6 MM 218-0038 A30006 Pcs 1.415.700 32 1.6 MM X 4 MM AUTO-DRIVE SCREW 211-1604 A30075 Pcs 361.548 33 2.0 MM X 12 MM SCREW 202-2012 A30082 424.710 34 2.0 X 8 MM MMF AUTO-DRW SCRW 209-2008 A30493 Pcs 958.320 35 10 HOLE STR RIGID PLT 210-0232 A30035 Pcs 2.417.580 36 2X2 HL ANGLED FRAC PLT 214-0219 A30428 Pcs 4.650.030 37 2.4 x 12 MM SCREW 206-2412 A30090 Pcs 622.175 38 MINI 16 HOLE STR PLT 1.0 MM 210-1036 A30023 Pcs 4.750.763 39 SHORT 4 HOLE BSSO PLATE 214-0084 A30343 Pcs 2.613.600 40 1.6 X 6 MM AUTO DRIVE SCREW 211-1606 A30077 Pcs 451.935 41 FRAC PLT,6 HL DCP 49 MM 214-0214 A30306 Pcs 6.425.100 42 FRAC PLT,6 HL DCP 52 MM 214-0215 A30305 Pcs 6.588.450 43 SCR RG 1.5 x 4 mm SCR-1222 A31144 Pcs 5.305.782 44 MSH PLT 1.5mm 7x7 HL PLT-1030 A31153 Pcs 16.068.938 45 40 HL STR PLT 210-0050 A30005 Pcs 6.806.250 46 13MM LEFT L PLT 1,6 MM 213-0001 A30036 Pcs 2.015.650 47 15MM LEFT L PLT 213-003 A30015 Pcs 2.014.650 48 22MM RIGHT L PLT 213-0004 A30025 Pcs 2.014.650 49 2.0 mm x 6 mm AT-DRV Screw 211-2006 A30079 Pcs 451.935 50 10 HL plt 2.0 mm plt-1016 A31132 Pcs 5.305.782 51 SCR 2.0 mm x 9 mm SCR-1284 A31148 Pcs 4.699.407 52 SCR 2.0 mm x 11 mm SCR-1285 A31149 Pcs 4.699.407 53 SCR RG 2.0 MM X 5 MM SCR-1224 A31146 Pcs 4.396.219 54 FRAC PLT,6 HL DCP 47MM214-0213 A30302 Pcs 6.180.075 161

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 55 6HL PLT 1,5MM PLT-1006 A31124 Pcs 3.234.000 56 SCR RG 2,0MM X 7MM SCR1225 A31147 Pcs 4.396.219 Group: Alat Implant Bedah Syaraf 1 SET V P SHUNT Set 5.280.000 2 SET VENTRICULAR DRAINACE (VED) Set 2.062.500 3 SET OMAYA Set 3.300.000 4 SET POLYAXIAL Screw 8 Pcs + 2 Rod + 1 Cross Link (GS) Set 42.713.000 5 SET Pedicle Screw 6 Pcs + 2 Rod + 1 Cross Link (Orthomedic) Set 20.746.000 6 SET POLYAXIAL Screw 4 Pcs + 2 Rod + 1 Cross Link (GS) Set 23.353.000 7 SET TEFLON / TFE Polymer Pledget (PCP20) Set 660.000 8 SET Pedicle Srew 4 Pcs + 2 Rod + 1 Cros Link (Orthomedic) Set 14.696.000 9 PEDICLE SCREW MONO AXIAL GS (ALL SIZE) Pcs 3.630.000 10 PEDICLE SCREW POLY AXIAL GS (ALL SIZE) Pcs 4.356.000 11 LONG ARM MONOAXIAL ATAU POLYAXIAL (GS) Pcs 4.356.000 12 ROD UNION 40 MM - 100 MM (GS) Pcs 968.000 13 ROD UNION > 100 MM(GS) Pcs 1.936.000 14 CROSSLINK (GS) Pcs 3.993.000 15 PLATE CERVICAL 8 HOLE (ULRICH) Unit 9.196.000 16 SCREW CERVICAL Pcs 2.162.875 17 GESCO CERVICAL Pcs 15.881.250 18 PEDICLE SCREW MONOAXIAL (DMS) Pcs 2.783.000 19 PEDICLE SCREW POLYAXIAL (DMS) Pcs 3.133.900 20 PEDICLE SCREW LONG ARM MONOAXIAL (DMS) Pcs 3.133.900 21 PEDICLE SCREW LONG ARM POLYAXIAL (DMS) Pcs 3.133.900 22 ROD UNION (DMS) Pcs 3.630.000 23 CROSSLINK (DMS) Pcs 3.630.000 24 PEDICLE SCREW MONOAXIAL (IRENE) Pcs 2.200.000 25 PEDICLE SCREW POLYAXIAL (IRENE) Pcs 2.200.000 26 PEDICLE SCREW LONG ARM MONOAXIAL (IRENE) Pcs 2.200.000 27 PEDICLE SCREW LONG ARM POLYAXIAL (IRENE) Pcs 2.200.000 28 ROD UNION (IRENE) Pcs 1.650.000 29 CROSSLINK (IRENE) Pcs 1.650.000 30 POWER LINE BALLOON 1.5 X 15 MM (ASK/BPJS) Pcs 5.400.000 31 CERVICAL PEEK CAGE Pcs 8.699.900 32 TRIHA ( BONE GRAFT ) Pcs 4.600.200 33 AUTO-DRIVE SCREW 1.6 X 4 MM Pcs 451.935 34 AUTO-DRIVE SCREW 1.6 X 5 MM Pcs 451.935 35 AUTO-DRIVE SCREW 1.6 X 6 MM Pcs 451.935 36 SMALL BUR HOLE PLATE 1.6 mm 218-0032 Pcs 1.188.000 37 LARGE BUR HOLE PLATE 1.6 MM 218-0034 Pcs 1.481.040 38 PRE-FORMED OSTEOFORM MESH PLATE 165 x 95 mm A30107 2182005 Pcs 20.691.000 39 PRE-FORMED OSTEOFORM MESH PLATE 90 X 90 MM A30367 2182006 Pcs 13.068.000 40 AUTO-DRIVE SCREW 1.2 X 3 MM Pcs 361.548 41 AUTO-DRIVE SCREW 1.2 X 4 MM Pcs 361.548 42 AUTO-DRIVE SCREW 1.2 X 5 MM Pcs 361.548 43 STRAIGHT PLATE 18 HOLE Pcs 2.178.000 44 EXTENDED X PLATE Pcs 2.178.000 45 EXTENDED DOUBLE Y PLATE Pcs 2.286.900 46 MEDIUM 2 HOLE STRAIGHT PLATE 212-0130 A30331 Pcs 1.089.000 47 LONG 2 HOLE STRAIGHT PLATE 1.2 MM 212-0132 A30070 Pcs 1.157.063 48 CURVED PLATE 12 HOLE Pcs 2.090.880 49 SMALL BUR HOLE PLATE 1.2 MM 212-0140 Pcs 2.352.240 162

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 50 LARGE BUR HOLE PLATE 1.2 MM 212-0142 Pcs 2.613.600 51 MESH PLATE 74 X 100 MM Pcs 7.448.760 52 MICRO MESH 74 X 50 MM Pcs 4.791.600 53 5 HOLE STRAIGHT PLATE 1.2 MM 212-0038 Pcs 1.807.740 54 RIGID STRAIGHT PLATE 1.6 MM 10 HOLE Pcs 1.393.920 55 LONG 2 HOLE STRAIGHT PLATE 1.6 MM 218-0026 A30009 Pcs 653.400 56 5 HOLE STRAIGHT PLATE 1.6 MM 218-0030 Pcs 1.905.750 57 DOUBLE Y PLATE Pcs 1.219.600 58 CERVICAL PLATE 8 HOLE Pcs 2.500.000 59 SCREW (ULRICH) Pcs 1.000.000 60 ADD (ANTERIOR DISTRACTION DEVICE) Pcs 13.500.000 61 BONE CEMENT (SALSABILA) Pcs 1.045.000 62 ABC CERVICAL PLATE 6 HOLE Pcs 5.958.150 63 ABC SELF LOOCKING CERVICAL SCREW Pcs 2.871.550 64 CESPACE PEEK CAGE Pcs 13.915.000 65 SKY RECONSTRUCTION CERVICLE SCREW Pcs 2.860.000 66 POLYAXIAL SCREW Pcs 2.870.725 67 DUAL ROOD Pcs 1.179.750 68 CROSS LINK Pcs 2.359.500 69 INTEGRA SHUNT SET Set 5.280.000 70 Posterior Lumbar Pedicle srew 1 level Pcs 33.000.000 71 Ajustable Cross Connector Pcs 12.844.400 72 Lumbar Cage Pcs 20.640.000 Group: Alat Implant Bedah Mulut 1 SET FRAKTUR MANDIBULA Set 1.787.500 2 SET FRAKTUR MAXILLA Set 1.787.500 3 SET FRAKTUR DENTOALVEOLA Set 1.787.500 4 SET FRAKTUR ZIGOMATIKUS Set 1.787.500 5 SET FRAKTUR OBTURATOR Set 1.787.500 6 SET FRAKTUR CONDILER Set 1.787.500 7 Mini Srew 2.4 x 8 mm Pcs 357.500 8 Mini Srew 2.4 x 10 mm Pcs 357.500 9 Mini Plate 2.4 per Hole Pcs 330.000 10 Archbar Dental 1 meter Pcs 150.000 11 Kawat 0,40 mm Pcs 22.000 12 Mahkota Gigi Set 880.000 13 5 Hole,Curved-shape Pcs 1.001.000 14 4 Hole,L-shape,Left, 90* Pcs 929.500 15 4 Hole,L-shape,Right, 90* Pcs 929.500 16 4 Hole,L-shape,Right,100* Pcs 929.500 17 18 Holes,L-shape, Rigid Pcs 2.860.000 18 4 Holes,Straight,Blue Pcs 1.001.000 19 5 Holes, Y-shape Pcs 1.215.000 20 2.0 x 4 mm mini Screw Pcs 357.500 21 2.0 x 6 mm mini Screw 211-2006 A30079 Pcs 451.935 22 2.0 x 10 mm mini screw 202-2010 A30080 Pcs 424.710 23 2.0 x 8 mm mini screw 211-2008 A30078 Pcs 451.935 24 2.0 x 12 mm mini screw 202-2012 A30082 Pcs 424.710 25 2.0 x 14 mm mini screw Pcs 357.500 26 2.0 x 16 mm mini screw Pcs 357.500 27 2.0 x 18 mm mini screw Pcs 357.500 28 2.0 x 20 mm mini screw Pcs 357.500 29 Kawat 0,50 mm Meter 22.000 30 Framev Rahang RB Pcs 880.000 31 Valplast Komb 67 Pcs 605.000 163

Harga Obat 2016 Group : Alat Orthopedi No Nama Item Satuan Harga (Rp) 32 Valplast Saddle RA Pcs 715.000 33 Valplast Saddle RB Pcs 715.000 34 Maryland bridges Chrome Cobalt CAD/CAM Pcs 1.870.000 35 Full Metal Frame Unit 1.430.000 36 Partial Metal Frame Unit 1.320.000 37 Unilateral/Saddle Unit 1.210.000 38 Valpast Bilateral (max. 2 gigi) Unit 1.100.000 39 Valpast Saddle (max 1 gigi) Unit 880.000 40 Tambahan 1 unit Buah 165.000 41 Valpast Kombinasi Frame (1 gigi pertama/,tidak termasuk Frame) Unit 495.000 42 Reparasi Tambah Gigi Unit 660.000 43 Relining/rebasing Unit 550.000 44 Mouth Guard Acrylic Unit 660.000 45 Porcelain Fused to Nickel Chrome Unit 1.210.000 46 Porcelain Margin Unit 330.000 47 Pink Porcelain Tissue Replacement Unit 330.000 48 E-Max Press/CAD (Crown/bridge/inlay/onlay/veneer Unit 1.870.000 49 Ceramege (inlay/onlay) Unit 1.210.000 50 Brafunctional Prosthetic System (arcrylic) Unit 1.980.000 51 10 HL STR PLT 1,6 MM 218-0038 A30006 Pcs 1.415.700 52 10 HL CURVED PLT 213-0011 A300026 Pcs 2.069.100 53 13 MM LEFT L PLT 1,6 MM 213-0001 A30036 Pcs 2.014.650 54 15 MM LEFT L PLT 213-0003 A30015 Pcs 2.014.650 55 15 MM RIGHT L PLT 213-0002 A30032 Pcs 2.014.650 56 13 MM RIGHT L PLT 213-0000 A30038 Pcs 2.014.650 57 1,6 X 4 MM AT-DRV SCRW 211-1604 A30075 Pcs 451.935 58 1,6 X 5 MM AT-DRV SCRW 211-1605 A30076 Pcs 451.935 59 1,6 X6 MM AT-DRV SCRW 211-1606 A30077 Pcs 451.935 60 1,6 X 8 MM AT-DRV SCRW 211-1608 A30084 Pcs 451.935 61 10 HL STR PLT 2,0 MM 210-0032 A30007 Pcs 3.035.588 62 16 HL STR PLT 210-0034 A30012 Pcs 3.974.850 63 MINI16 HL STR PLT 1,0 MM 210-1036 A30023 Pcs 4.750.763 64 MINI 8 HL STR PLT 1,0 MM 210-1032 A30031 Pcs 2.722.500 65 SHORT 4HL BSSO PLT 214-0084 A30343 Pcs 451.935 66 FRAC PLT,6HL DCP 47MM 214-0213 A30302 Pcs 6.181.075 67 FRAC PLT,6HL DCP 49MM 214-0214 A30306 Pcs 6.395.400 68 FRAC PLT,6HL DCP 52MM 214-0215 A30305 Pcs 6.588.450 69 2x2 HL ANGLED FRAC PLT 214-0219 A30428 Pcs 6.588.450 70 3x3 HL ANGLED FRAC PLT 214-0220 A30325 Pcs 6.017.175 71 2,4 X 8 MM SCRW 206-2408 A30092 Pcs 571.725 72 2,4 X10 MM SCRW 206-2410 A30096 Pcs 571.725 73 2,4 X12 MM SCRW 206-2412 A30090 Pcs 571.725 74 TCH BLOCK 15X15X20 CM K40420B A31247 Pcs 4.400.000 75 TCP BLOCK 15X20X30 MM K43120B-E A31269 Pcs 4.840.000 76 TCP GRANULES 2-3MM,5CCK43105G-E A31248 Pcs 3.465.000 77 TCP GRANULES 2-3MM,10CC K43110G-E A31249 Pcs 4.400.000 Group: Alkes Jantung 1 Balloon sapphire II 2.5 x 12 mm Pcs 2.970.000 2 Biometrix Flex 3.00 x 11 mm Pcs 13.000.000 Group: Alat Inplan Bedah Jantung 1 Closurefast Catheter 7F (bisawi) Pcs 15.400.000 2 Introducer Sheath (bisawi) Pcs 220.000 3 Tumasent Disposible (bisawi)tubing Set Pcs 275.000 Group : Bahan Habis Pakai 164

Harga Obat 2016 No Nama Item Satuan Harga (Rp) Group: Sarung Tangan Steril 1 Handschoen (Maxter) Uk.s Kotak/100 59.400 2 Handschoen ( Maxter ) Uk M BOX 59.400 3 Handschoen ( Makter ) Uk L BOX 59.400 4 Handschoen (maxter) uk m putih BOX 40.700 5 Handschoen (Maxter ) uk s Pepermint BOX 82.500 6 S.Tangan best care uk m BOX 66.000 7 S.Tangan Best Care uk s BOX 66.000 8 Handschoen (Maxter) Uk.s /pasang PASANG 1.166 9 S.TANGAN SENSI GLOVES UK. S BOX 64.900 10 S.T SENSI GLOVES UK. S PER PASANG PASANG 1.298 Group: Poli Gigi 1 Amalgam SDI 30 g Botol 304.090 2 Articulating Paper Part DC/DOUBLE CHECK Pcs 160.600 3 Bor Alpin CA / Jet Pcs 33.000 4 Bor Diagumset Forcellen Finishing 758 Set 240.960 5 Bor Diamond FG 208 Pcs 26.400 6 Bor Diamond FG 3440 S Pcs 13.220 7 Bor Diamond FG 3440 SB Pcs 13.220 8 Bor Diamond FG Intensiv Set 159.500 9 Bor Diamond Fissure 117 Pcs 37.430 10 Bor Diamond Inverted 216 Pcs 26.400 11 Bor Diamond Inverted FG 202 Pcs 26.400 12 Bor Diamond Round FG 200 Pcs 26.400 13 Bor Diamond Round FG 201 Pcs 26.400 14 Bor FG 117 Pcs 33.000 15 Bor FG 200 S Pcs 33.000 16 Bor FG 201 Pcs 33.000 17 Bor FG 202 Pcs 33.000 18 Bor FG 216 Pcs 33.000 19 Bor Fraser Bulat (K) Meisinger Pcs 48.400 20 Bor Fraser Bulat (S) Meisinger Pcs 66.000 21 Bor Fraser Fissure (B) Meisinger Pcs 74.020 22 Bor Fraser Fissure (K) Meisinger Pcs 51.700 23 Bor Fraser Flame (S) Meisinger Pcs 66.000 24 Bor Poles Kenda Pack 209.000 25 Bor Tulang Fissure JOTA Pcs 96.260 26 Mani Burs BR 41 Pack/3 s 75.350 27 Mani Burs SI 46 Pack/3 s 75.350 28 Mani Burs CD 55 F Pack/3 s 75.900 29 Mani Burs CD 56 F Pack/3 s 75.900 30 Mani Burs CD 57 F Pack/3 s 75.900 31 Mani Burs EX 11 Pack/3 s 75.900 32 Mani Burs EX 12 Pack/3 s 75.900 33 Mani Burs FO 20 EF Pack/3 s 78.100 34 Mani Burs FO 32 EF Pack/3 s 75.900 35 Mani Burs FO 42 EF Pack/3 s 61.600 36 Mani Burs TF 11 Pack/3 s 75.900 37 Mani Burs TF 12 Pack/3 s 75.900 38 Mani Burs TF 12 EF Pack/3 s 61.600 39 Mani Burs TF S20 Pack/3 s 75.900 40 Mani Burs TC 11 Pack/3 s 75.900 41 Mani Burs TC 11 C Pack/3 s 79.200 42 Mani Burs TC 21 Pack/3 s 75.900 43 Mani Burs TC 21 EF Pack/3 s 61.600 44 Mani Burs TC 26 Pack/3 s 79.200 45 Mani Burs TR 11 Pack/3 s 75.900 165

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 46 Mani Burs TR 12 Pack/3 s 75.900 47 Mani Burs TR 13 Pack/3 s 75.900 48 Mani Burs TR 14 Pack/3 s 75.900 49 Mani Burs TR 11 EF Pack/3 s 61.600 50 Mani Burs TR 13 EF Pack/3 s 61.600 51 Mani Burs RS 11 Pack/3 s 75.900 52 Mani Burs RS 21 Pack/3 s 75.900 53 Mani Burs SO 21 Pack/3 s 75.900 54 C.File 21 mm Box 141.480 55 Clinpro Sealent L 12647 Pcs 217.800 56 Composit 3M Z250 Pcs 242.000 57 CurasponGigi (10x10x10) C S310 Buah 440.000 58 Dentorit 25 g Botol 187.000 59 Dentorit 25 g Botol 93.500 60 Elite Cement 100 Powder 125 g Botol 398.200 61 Email Preparator Tube 78.100 62 File 15/40 25 mm Pack 99.000 63 File 45/80 25 mm Pack 99.000 64 Filtek Flow Z350 6031 AL Kit 1.105.500 65 Fletcher Liquid Botol 49.500 66 Fletcher Powder 100 gr Botol 17.610 67 Fuji I 35 G Box 607.220 68 Fuji II GC-1-1 PKG Set 962.500 69 Fuji IX GP Box 809.600 70 Fuji Vanish Mini Pack Pack 77.000 71 Gips Biru Dental Stone 1 Kg Bungkus 49.500 72 Gips Putih Dental 1 Kg Bungkus 5.500 73 Glacier SDI 40 g Pcs 137.500 74 Guttae Percha 15/40 Pack 46.200 75 Guttae Percha 45/80 Pack 46.200 76 Hero Shaper Set 517.000 77 Heliobond 6 g Botol 1.540.000 78 Hillon Liquid 120 ml Botol 112.200 79 Hillon Powder Pink Botol 141.900 80 Matrix Ban Hadel 582/2 Martin Pcs 64.480 81 Matrix Ban Hadel 585/3 Martin Pcs 64.480 82 Matrix Ban Hadel 597 Martin Pcs 481.260 83 Matrix Holder IV Pcs 110.000 84 Matrix Strip Straight Pack 181.500 85 Protaper Set 777.930 86 Rubber Cup Putih Pcs 38.500 87 Singputty Standard Box 407.000 88 TKF Gamex Botol 77.000 89 Wax Anchor Pack 19.800 90 Glyde file prep - intro package BOX 1.024.100 91 Pro taper handuse starter kit 21 mm BOX 1.061.500 92 Bor mani br 40 Kotak 104.500 93 High strength posterior rest 9 BOX 627.000 94 solare complet kit Kotak 1.188.000 95 Topical anesthetic strw suction Botol 104.500 96 bor mani ex-26 Kotak 88.000 97 bor mani RS-11 Kotak 75.350 98 bor mani RS-21 Kotak 104.500 99 bor mani So-21 Kotak 104.500 100 bor mani TF-14 Kotak 104.500 101 bor mani TF-21 Kotak 75.350 166

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 102 bor mani TR-26 Kotak 104.500 103 bor mani wr-13 Kotak 88.000 104 endomethasone powder Kotak 75.350 105 ENDOMETHASON 12GR SEPTODONT Botol 533.500 106 gutta percha 15 Kotak 27.500 107 alganak Buah 82.500 108 singputty/swisetec putty BOX 508.200 109 Curaspon Gigi ( 10x10x10 ) C 5310 Set 8.250 110 jarum carpule 0,3 x 16mm BOX 154.000 111 bor mani tf 43 Kotak 75.350 112 Metapek Pcs 464.200 113 jarum bone mareau 1/2 A Buah 973.500 114 bor mani s1 48 Kotak 88.000 115 bor mani Tc 26 Kotak 88.000 116 bor mani so 20 Kotak 75.350 117 Exaflex putty injection b/c Kotak 508.750 118 Fuji 1x ART universal BOX 418.000 119 Bor Mani BR 41 Buah 93.500 120 Bor Mani BR 31c Buah 104.500 121 SOLARE GC 4 GRA2 Buah 398.200 122 Solare GC 4GR A3 Buah 392.700 123 unimetric trt post i mm 210 Pack 440.000 124 unimetric trt post 1mm 310 Pack 440.000 125 unimetric trt post 1mm 500 210 Pack 440.000 126 unimetric trt post 1mm 210 Pack 440.000 127 unimetric 310 Pack 440.000 128 unimetric 500/210 Pack 440.000 129 composit 3 Pcs 358.600 130 EUGENOL 20 gr BIODINAMIKA camet Botol 66.000 131 SOLARE P 4,7 GR A 2 Kotak 313.500 132 saliva ejektor / Cup suction Pack 88.000 133 saliva ejektor clear Pack 88.000 134 SOLARE 4,7GR A 3 Pcs 313.500 135 Solare GC 4GR A3,5 Pcs 392.700 136 cavit 3m 28GR 44030 BOX 198.000 137 Gutta percha protaper universal f2 Pcs 474.100 138 Exaplek Putty Kotak 1.018.600 139 ExaplekInjeksi bc Kotak 508.750 140 Elite Cement 100 g liquid Buah 363.000 141 Scandonest 2% BOX 564.300 142 Barber broaches SVENSKA 3195 Kotak 203.500 143 FUJI 11-1 35 GR /25 GR Kotak 855.800 144 KACA MULUT NO.4 Pcs 20.900 145 TANGKAI MULUT Pcs 20.900 146 PINSET DENTAL Pcs 24.200 147 MICRO BRUSH SVENSKA (EACTHING) Pcs 176.000 148 Gutta percha protaper universal f1 Kotak 474.100 149 gutta percha protapper universal f3 Kotak 474.100 150 unimetric titanium 1mm set Set 2.491.500 151 BOR TULANG JOTA C33T.104.16 Pcs 126.500 152 ALVOGYL SEPTODENT Kotak 467.500 153 SCANDONEST 3 % BOX 564.300 154 ETCHING GEL SDI LIQUID Tube 385.000 155 SOLARE P 4,7GR A3,5 Kotak 313.500 156 AQUASIL SOFT PUTTY STD PAK 2 Pack 2.062.500 157 ESTHET FLOW I-SYR REFFIL A2 Pcs 458.700 167

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 158 ESTHET FLOW I SYR REFFILL A3 Pcs 374.000 159 ESTHET FLOW I SYR REFFIL A 3,5 Pcs 267.300 160 KALZINOL POWDER Pcs 302.500 161 BOR FRAISER DOUBLE Pcs 46.200 162 PAPER POINT SPIDENT 15/40 Pack 57.200 163 CRESOPHENE Botol 665.500 164 APPLICATOR TIP 100S Pack 140.800 165 ENCHANCE FINISHING CUP REFFIL 10 S Pack 289.300 166 ENCHANCE FINISHING DISC REFILL 10 S Pack 289.300 167 ENCHANCE FINISHING POINT REFILL 10 S Pack 289.300 168 BOR MANI BR 40 EF Kotak 104.500 169 BOR MANI FO 30 EF Kotak 104.500 170 BOR MANI FO 42 EF Kotak 104.500 171 BOR MANI TF 12 EF Kotak 104.500 172 BOR MANI TR 11 EF Kotak 104.500 173 BOR MANI SF 41 Kotak 104.500 174 pro tapper handuse kit 25 mm Kotak 1.061.500 175 METRONINDAZOLE GEL PLUS T1 BOX 297.000 176 DYCAL / HYCAL BOX 149.600 177 ENDO ACCES BUR FG IPC (M12) Pcs 132.000 178 BOR MANI FO 32 Kotak 104.500 179 BOR MANI TF-22 Kotak 104.500 180 PAPER POINT INLINE 15 Pack 46.200 181 UNIMETRIC T RT POST 1 MM C215T.SOO.310 Pack 550.000 182 FUJI IX GC 1-1 BOX 1.086.800 183 ENDOMETHASON 14GR SEPTODONT BOX 605.000 184 BOR MANI EX 24 Pack 93.500 185 BOR MANI TR 15 Pack 93.500 186 BOR MANI SI 47 Pack 104.500 187 BOR MANI TF 13 Pack 93.500 188 ENDOFILL ROOT CANAL FILLING BOX 558.800 189 PAPER POINT INLINE 45/80 Pack 46.200 190 BARBER BROADCHES/EXTERPANTRE 3777 Pcs 60.500 191 JARUM CARPULE 0,3 x 16mm DOCHEM BOX 112.200 192 UNIMETRIC TITANIUM 0,8 MM SET Set 2.910.600 193 ROCKLES SOLUTION 13ML Botol 539.000 194 LEM ORTHO AMERICA set 990.000 195 POWER O Pack 435.600 196 POWER CHAIN BUBLEGUM Roll 396.000 197 LINGUAL BUTTON SHORT PCS 369.600 198 OPEN COIL SPRING Pack 422.400 199 ELASTIC GORILLA Pack 13.200 200 ELASTIC FALCON Pack 13.200 201 ELASTIC HYNA Pack 13.200 202 LIGATURE WIRE Pack 528.000 203 BREKET LOW PROFILLE 0,22 Set 792.000 204 BUCAL TUBE LOW PROFILLE 0,22 Set 237.600 205 NITI 0,12 UPPER Pack 475.200 206 NITI 0,16 UPPER Pack 475.200 207 NITI 0,16 LOW Pack 475.200 208 NITI 0,16 X 0,22 UPPER Pack 633.600 209 NITI 0,16 X 0,22 LOW Pack 633.600 210 K - FILES 45/80 21 MM Kotak 168.300 211 K - FILES COLORINOX 15/40 21 MM Kotak 154.000 212 K-FILES COLORINOX 8 2L MM Box 154.000 213 EUGENOL 10 ML Botol 31.900 168

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 214 K-FILES COLORINOX 10 21 MM BOX 148.500 215 COE PACK REGULAR PERIODENTAL PACK 841.500 216 MICRO BRUSH DOCHEM BOX 82.500 217 G.COAT PLUS BOX 1.361.250 218 K-FILES 45/80 21 MM PAck 116.600 219 K-FILES COLORINOX 8 25 MM BOX 154.000 220 K-FILES COLORINOX 10 25 MM BOX 148.500 221 K-FILES COLORINOX 15/40 25 MM BOX 154.000 222 K-FILES COLORINOX 45/80 21 MM BOX 220.000 223 K-FILES COLORINOX 45/80 25 MM BOX 220.000 224 PULPERYL SEPTODONT PCS 269.500 225 ULTRACAL 1,2 ML SYRING 233.200 226 BOR ZEKRYA FG28 Pcs 183.700 227 TIPS INTRACANA / ENDODONTIC IRRIGATION Pack 473.000 228 PAPER POINT INLINE 20 pack 46.200 229 Elite Cement mint pack 1-1 35/30 BOX 234.300 230 JARUM CARPULE MORITA 16MM BOX 165.000 231 SOLARE X A2 Kotak 392.700 Group: Plester 1 Hansaplast (SR) Kotak/100 26.950 2 Fixomull Strecth15 cm X 5 m Roll 129.181 3 Fixomull Transparan 5 cm X 10 m Roll 173.800 4 Fixomull Transparan15 cm x 10 m Roll 466.076 5 Leucoplast5 x 2(1624-04) Roll 25.956 6 PLESTERIN BOX 64.350 7 LEUKOPOR 2,5cm X 9,2 cm Roll 23.208 8 LEUKOPOR 1,25 CM X 9,2 M Roll 11.236 9 LEUKOSAN STRIPS Pcs 1.210 10 MICROPORE Roll 10.164 11 MICROPORE 1535 UK BSR Roll 40.656 Group: Pisau Bedah 1 Surgical Blade No.10 Buah 2.420 2 Surgical Blade No.11 Buah 2.420 3 Surgical Blade No.15 Buah 2.420 4 Surgical Blade No.20 Buah 2.420 5 Surgical Blade No.21 Buah 2.420 6 Surgical Blade No.22 Buah 2.420 7 Surgical Blade No.23 Buah 2.420 8 Surgical Blade No.24 Buah 2.420 9 Pisau Scin Graf No.671431 Medicon Buah 99.000 10 surgical blade bb gb 228R BOX 2.412.300 11 Pisau bedah BB 228 R 10s Buah 217.140 12 surgical blade no.12 Pcs 2.200 Group: Obat Teratai 1 Goal klik Pcs 5.500 2 blood onemed Kotak 22.000 Group: Obat BHP ( lain-lain) 1 Garam Dapur Bungkus 660 2 Minyak Kayu Putih 100 ml Botol 9.217 3 Talk Powder 100 g Bungkus 3.300 4 Talk Powder 1 kg Bungkus 8.250 5 Albothyl Const 100 ml Botol 236.500 6 Ethyl Chloride Spray Botol 141.350 7 Berotec Sol 01 % 50 ML Botol 198.880 8 Softnolime 5 L Gallon 770.000 9 Soft Lime /menit Menit 641 169

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 10 Minyak kayu putih 120 ml Botol 32.340 11 Bisolvon sol Botol 209.572 12 Underpad 60 x 90 onemed lbr 6.600 13 CARBACHOL ( CATACOL) Vial 82.500 14 VISCO ELASTIS SOLUTION/survics BOX 340.560 15 SURVISE COVER 3% 1 ML botol 644.600 16 GLUCOLIN Kaleng 36.300 17 METHYLEN BLUE Botol 74.800 18 VASELIN ALBUM 1 KG Pot 110.000 19 VASELIN ALBUM 1 GRAM PER GRAM 110 20 MEDISORF TWINPACK 4,5 KG Gallon 440.000 21 GLUKOSE IMPORT 1 KG Kaleng 66.000 22 TEN CONDUCTIVE ELECTRODE PASTE Tube 1.355.200 23 NUTREP SKIN PREP GEL Tube 1.242.266 24 UNDERPAED SENSI ALAS lbr 2.684 Group: Kertas 1 Autoclave Tape 3/4" x 60 Y Buah 124.300 2 Autoclave Tape 1/2" x Buah 94.248 3 Elektrode ECG (Blue Sensor) Dewasa Pack/25 s 192.500 4 ECG Electrode Adult/R-00-S Pack 110.000 5 Elektrode ECG (Blue Sensor) Anak NF-00-S Pack/25 s 149.050 6 Elektrode ECG (Silvertrace) Pack/30 s 121.660 7 Kertas Lakmus Universal MN PH 0-14 Pack/100 s 275.000 8 Paper ECG50 mm x 30 m(fukuda) Roll 19.250 9 Paper ECG63 mm x 30 m(fukuda) Rim 86.900 10 Paper ECG IFM 500 Byosis Rim 446.600 11 Paper ECG Hellige 226 16702 Rim 144.320 12 Paper ECG Evertrace FQS 63-3-75 Roll 181.500 13 Paper ECG Mitsubishi K 65 HM-CE Roll 299.200 14 Paper ECG MitsubishiCk.900 S Roll 1.375.000 15 Paper EEG FV345-300 Rim 759.000 16 Paper EEGP 10105 Roll 26.960 17 Paper USG Sony UPP-110-HG Roll 231.000 18 Paper USG Sony UPC -21-L Roll 2.420.000 19 Paper Treadmill Burdick007868 Rim 660.000 20 Paper Treadmill HPM 1709 A Rim 569.260 21 Paper Treadmill Quinton 036868-001 Box 931.700 22 Universal Return Elektrode HRA ( Tyco) Pcs 44.000 23 kertas FR ELI Lembar 660.000 24 Thermal paper 5,7cm x 30 Roll 66.000 25 Pape FQS 150-2-7-90 org Pack 409.200 26 Paper FQS 150-2-90 org Pack 409.200 27 Elektrode 3 M Pack 286.164 28 Paper CTG for Bistos Pack 341.000 29 Kertas EKG Mac 400 Pack 170.500 30 Paper ECG 60mm X30m (fukuda) lbr 137.500 31 PAPER ECG CARDIOLINE AR 600 Roll 128.700 32 PAPER EKG PHILIPS M2483 A Rim 616.000 33 PAPER EKG PHILLIPS M1913 AVALON Rim 187.000 34 PAPER SONY UPP 210 HD Roll 946.500 35 PAPER FUKUDA 63X100X500 Rim 88.000 36 KERTAS EKG MAC 400 MARQUETTE Pack 99.000 37 PAPER TREADMILL MARQUETTE 215X280X300 Pack 495.000 38 PAPER TREADMILL BURDICK QUINTON (ENDOS) Pack 379.500 39 KERTAS USG MATA DURICO Roll 203.500 170

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 40 PAPER CK 30L MITSUBISHI Box 1.980.000 41 KERTAS EKG MAC 1200 Rim 539.000 42 KERTAS UROFLOWMETRY URODYN Roll 343.750 43 PAPER MITSUBISHI CK30L UTK CP Pack 2.035.000 Group: Kapas 1 KAPAS PEMBALUT 0,5 KG ( Lyn ) Kg 31.372 2 KASA BIRU 42 x 110 CM (Propax) Roll 658.504 3 KASA HYDROFIL 40x80(MERAPI) Roll 148.500 4 KASA HYDROPYL 40 x 80 CM ( ENSEVAL ) Roll 154.000 5 KASA HYDROFIL 34X42Y (RNI) Roll 501.600 6 KASA LIPAT OK XRAY Lembar 2.057 7 KASA HYDROFIL 40X80 (KF) Roll 143.390 8 KASA HYDROFIL 36M X 80 RNI Roll 144.000 Group: Jelly 1 JELLY LUBRICATING / AQUAGEL LUBRICAN Tube 38.500 2 JELLY USG / AQUASONIC JELLY Gallon 385.000 3 JELLY USG/SIGNA GEL PARKER Tube 90.200 4 JELLY EEG/ECO SUPERCREAM Tube 33.000 5 JELLY EEG/ECO SUPERGEL Tube 30.695 6 JELLY ECG ELEKTRODE Botol 33.000 7 JELLY ENDOSCOPI/XYLOCAIN JELLY Tube 59.670 8 K - YJELLY 82 gr Tube 41.382 9 K - YJELLY 42 gr Tube 19.140 10 PASTA EEG ELEFIK NIHON Pot 814.000 11 INSTILAGEL Tube 66.000 12 jely elefix nihon Pot 208.276 13 jelly gel ultra sonique Gallon 275.000 14 jelly gel ultrasonic 250ml (onomed) Tube 27.500 15 jely Gel Besmed 5 liter Gallon 330.000 16 CIdek OPA Gallon 732.050 17 Cidezyme Gallon 786.500 18 STARLON VISCOELASTIS SOLUTION 1,5% Kotak 308.000 Group: Jarum Bedah 1 Nald Heacting Kulit / Otot (Mani) Lusin 121.000 2 Nald Heacting Kulit / Otot (Accufirm) Lusin 165.000 3 bor tulang jota ag Buah 132.000 4 Jarum Carpule 03 x 12mm Buah 115.500 Group: Inhalasi 1 berotec 0,1 % Botol 198.880 Group: Haemodialisa Jamkesmas 1 HD SET NIPRO Set 264.000 2 AV FISTULA 16 G x 1 NIPRO Pcs 8.690 3 AV FISTULA 16 G x 1 BAXTER Pcs 9.204 4 AV FISTULA 16 G x 1 1/4 NIPRO Pcs 8.690 5 AV FISTULA 16 G x 1 1/4 BAXTER Pcs 9.204 6 BLOOD LINE NIPRO Pcs 73.700 7 BLOOD LINE BAXTER Pcs 94.155 8 HOLLOW FIBER NIPRO (Eceran) Pcs 124.385 9 HOLLOW FIBER BAXTER PCS 132.000 10 HD SET BAXTER Set 321.372 11 HD SET NIPRO + ( HOLLOW FIBER ) Set 418.000 12 BIASOL ACID CONC 10 LTR Botol 165.358 13 BICARBONAT SOLUTION Gallon 84.398 Group: Haemodialisa I 1 FILTER ANTIBACTERIAL 10inc 15 MICRON Pcs 209.000 2 FILTER ANTIBACTERIAL 10inc 10 MICRON Pcs 209.000 171

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 3 FILTER BAKTERI 10 INCHI 10 MICRON Roll 99.000 4 FILTER ANTI 10 INCHI 20 MICRON Roll 99.000 5 HD PACK Set 44.000 6 DIANEAL PD-4 1,5% DEXTWIN BOX 41.800 7 DIANEAL PD-4 2,5% DEXTWIN BOX 41.800 8 MINICAP DISONNECT CAP Pcs 4.220 Group: Haemodalisa 1 HD SET Set 484.000 2 RE USE HD SET Set 401.500 3 AV FISTULA16 G x 1 NIPRO Buah 9.900 4 AV FISTULA16 G x 1 BAXTER Buah 9.920 5 AV FISTULA16 G x 1 1/4 NIPRO Buah 11.000 6 AV FISTULA16 G x 1 1/4BAXTER Buah 9.920 7 BLOOD LINE NIPRO Buah 108.900 8 BLOOD LINE BAXTER Buah 99.608 9 BICARBONAT POWDER Bungkus 77.000 10 CAIRAN ASETAT BAXTER Gallon 165.000 11 HOLLOW FIBER NIPRO (Eceran) Buah 183.700 12 HOLLOW FIBER BAXTER Buah 172.240 13 FILTER 1 MICRON Buah 75.141 14 FILTER 5 MICRON Buah 104.500 15 FILTER 10 MICRON Buah 104.500 16 RENALIND10 LITER Gallon 4.620.000 17 FILTER 20 MICRON Buah 104.500 18 ACID CITRIT 1 KG Bungkus 44.000 Group: Gas 1 NO 2 Tabung 1.540.000 2 CO 2 Tabung 275.000 3 O 2 Tabung 66.000 4 O 2 / liter Liter 152 5 N 2 O/liter Liter 434 Group: Desinfektan 1 BETADINE LITER Liter 130.900 2 CIDEX 5 LITER Gallon 253.000 3 HAVOX2,5LITER Gallon 22.000 4 HIBICETLITER Liter 133.100 5 HIBICET5 LITER Gallon 665.500 6 HIBISCRUBLITER Liter 173.030 7 HIBISCRUB 5 LITER Gallon 865.152 8 ISODINE SKIN CLEANCER 1 L Botol 209.000 9 ISODINE SKIN CLEANCER 4,5 L Gallon 742.500 10 KARBOL WANGI Botol 6.875 11 MIKROSHIELD 5 LITER Gallon 847.000 12 MIKROSHIELDLITER Liter 169.400 13 PRESEPT DESINFEKTAN TAB Tablet 3.542 14 BAYCLIN 1 L Botol 12.100 15 BAYCLIN 2 L Botol 13.200 16 BAYCLIN 500 ML Botol 4.950 17 HEMOLOK 100 ML Botol 66.000 18 LYSORIN Botol 5.239 19 MIKROSHIELD 500 ml Botol 104.500 20 perhidrol 50 % 30 L Gallon 1.155.000 21 perhidrol 50 %800 ml Botol 26.400 22 cidek 1 liter Liter 66.000 23 Extradine Sol 5 L Gallon 540.540 24 BSS 500 ML Pcs 264.000 172

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 25 formalin 20 L Gallon 357.500 26 ANIOS DDSH 750 ML Botol 446.875 27 BRAUNOL 1L Botol 185.499 28 perhidrol 50% 35 L Gallon 1.320.000 Group: Barang Radiologi 1 STELLANT STERIL DISP.SYRINGE Pcs 605.000 2 SPECTRIS SOLARIS ( Check Valve ) Pcs 110.000 3 Film Drystar DT 2B 20 x 25 Lembar 28.930 4 Creatinine DIALINE 2230015 Kit 6.531.800 5 STAPHAUREX KIT Kit 2.328.700 Group: Barang Laboratorium 1 ADP Reagent Kit OF (2x1 ml) No.Cat.5366 Kotak 746.900 2 Albumin DSINo.Cat:102209983026(6x100) Kit 618.200 3 Albumin DSL No.Cat:60031082(6x100) Kit 618.200 4 ALP Randox Ap.502 (6x30) = Alk. Phosfatase Kit 1.320.550 5 ALP Randox Ap.502 (10x10) = Alk. Phosfatase Kit 1.210.000 6 Anti A dan B Kit 159.500 7 Anti HCV Rapid Test Kit 3.025.000 8 Aquabidest 1 L Botol 41.250 9 Arterial Blood Sampler Pcs 44.000 10 AST / GOT No.Cat:10851124216 Pack 2.585.000 11 ALT / GPT No.Cat:10851132216 Pack 2.585.000 12 AUSAB (IMX) Kit 3.539.360 13 AUSAB HBSAg IMX Kit 3.188.520 14 Autoclik Lancet GEA Pcs 24.200 15 Base Mould Kotak 1.808.950 16 BHCG (Acon) Kit 132.000 17 Bil-D Sys Pcs 2.105.400 18 Bil-T DPD Sys.1 Pcs 1.958.000 19 Billirubin T Clr Tes 2x1 Pak 617.100 20 Blue Tip Onemed 500 s Pack 71.500 21 Buffer Diluent MEIA (IMX) Botol 373.120 22 Calibrator CD 1600 Botol 628.870 23 Calibrator Gas BGA (AVL) Kit 1.633.500 24 CEA (IMX) Kit 6.117.100 25 Cell Cleaner Sysmex CL.50 Botol 1.457.500 26 Cell Pack Sysmex @ 30 Liter Gallon 2.640.000 27 CKMB DSINo.Cat:60033201(5x20) Kit 3.666.300 28 CKMB FS No.Cat:116819983021 Kit 3.666.300 29 Combur 10-M100 strip Kotak 414.700 30 Combur 10 Parameter Kotak 385.000 31 Control HBSAg IMX Kit 957.000 32 Cover Glass 18 x 18 Kotak 13.200 33 Cover Glass 20 x 20 Kotak 30.800 34 Cover Glass 22 x 22 Kotak 50.600 35 Cover Glass 24 x 24 Kotak 796.950 36 Cover Glass 40 x 40 Kotak 407.000 37 Creatinin 2x125ml stanbio Kit 1.082.400 38 Creatinin DSL No.Cat:7574(5x80) Kit 630.300 39 Creatinin FS No.Cat:117119983026 Kit 880.000 40 Creatinin Advia Kit 3.765.685 41 Dengue IgG,IgM (Cortez) A 25 Kotak 2.667.500 42 Detergen CD 1600 Gallon 3.053.160 43 Diluent CD 1600 Gallon 3.024.450 44 Diluent Buffer Botol 324.500 45 Eosin Acid Botol 954.525 173

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 46 Elektrode Chlorida Pcs 10.384.000 47 Entelen 500 ml Botol 1.833.260 48 GGT Roche sys 1 Kit 3.162.500 49 GOL DARAH ANTI A 10 ML PLASMATIC Set 160.600 50 GPT ( Alat ) 100193 (8x40) Pack 1.091.640 51 GOT ( Asat ) 100293 (8x40) Pack 1.091.640 52 Glukosa Randox GL 2614 (2x500) Kit 1.940.510 53 Halogen Lamp 4020 12V / 20W Buah 215.610 54 Halogen Lamp Hitachi 902 PN Buah 2.530.000 55 Halogen Lampu Assy Pcs 2.530.550 56 HBA 1C Roche No.Cat:11822039216gen 3 Kit 3.007.400 57 HBSAg Stick Cortez 50 Tes Kotak 715.000 58 HBSAg (V2) IMX Kit 2.820.950 59 HBSAg IMX Kit 3.131.260 60 HBSAg Strip Cortez IMX Kit 3.131.260 61 HCG Kotak 214.500 62 HDL Plus Roche No.Cat: 03030024-122(6x21) Kit 268.400 63 HDL -C Plus Sys.1Gen 2 Pcs 2.689.170 64 Haris A dan B Set 1.017.534 65 Histoplast Kotak 411.125 66 Hitergent Pcs 2.523.400 67 HTSH Ultrasen IMX Kit 3.286.580 68 Instan Eosin Botol 610.575 69 Ise Snap Pack Kit 4.735.500 70 Kertas Printer Analyzer 902 Rol 37.260 71 Kertas Printer BGA (AVL)HP.0070 Box 1.082.400 72 Kertas Printer CD 1600 Kotak 302.500 73 Kertas Printer ElektrolitHP.0028 Roll 1.342.000 74 Kolesterol Elitex CHSL 0500 (6x100) Kit 2.371.170 75 Lancet Onemed 55 Box 35.200 76 Lancet Onemed 100 pls 26 G Box 20.900 77 Larutan Wright 500 cc Botol 1.067.000 78 Lyse CD 1600 Botol 3.387.038 79 Lytic Reagent Coulter Botol 2.101.000 80 M.H (Mueller Hinton) cm 0337 500 gr Botol 1.655.500 81 Mac.Conkey (Oxoid) cm 0007 500 gr Botol 2.134.000 82 Medisafe Blood Glucosa Tes Tip Kotak/30 s 151.250 84 Medisafe Lancet Kotak/30 s 29.645 85 Mode I Calibration TSH IMX Kit 1.676.070 86 Multiclean Roche No.Cat:11929178216 Kit 493.900 87 Multiclean 2000 ml 2x2 Pcs 917.400 88 Neoulus 25 G x 1 (Terumo) Kotak 71.500 89 Needle 30 G x 7/8(Terumo) Box 198.000 90 Object Glass Brand 7101 (Merah) Kotak 20.350 91 Object Glass Frosted Sailbrand 7105 Kotak 22.000 92 Optic Cassetes BGA (AVL) E-Cl Kit 3.811.500 93 Orange Green Botol 1.018.875 94 Peristaltic Pump Opti BGA Buah 4.649.700 95 Pisau Disposible Pcs 2.145.000 96 Pipet Digital Fixed Volume 1000 µl = Clinipette Pcs 2.964.500 97 Pipet Digital Fixed Volume 200 = Clinipette Pcs 2.964.500 98 Pipet Volume Vixed 500 µl(socorex) Buah 1.969.000 99 Pipet Filler Bulb Pcs 82.500 100 Pot Salep 200 g = Pot Sputum Buah 4.730 101 Pot Salep 100 g = Pot Sputum Buah 2.200 102 Pot Salep 50 g = Pot Sputum Buah 2.090 174

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 103 PP Test (Isi 50 pcs) Kotak 128.700 104 Precinorm Roche No.Cat.10651257922 Kit 935.000 105 Precinorm U 20x5 ml QCS Kit 2.035.000 106 Printer Paper Electrolyte box/10 rol 1.409.100 107 Printer Paper9,5x 11 inch Box 214.500 108 Probee Cleaning Solution(IMX) Kit 1.188.000 109 Probe Sampler Hitachi 902 = Nozzle S Pcs 8.926.500 110 Proses Cover Pcs 1.628.055 111 Rak Clinipette Pcs 401.500 112 Rak Objek Glass Buah 58.300 113 Rak Westergreen BBS 10 TAB Dolphin Buah 495.000 114 R/ Wright 500 ml Botol 852.500 115 Rapid Stanning 500ML Set 1.512.500 116 Reaction Cells @ 100 biji(imx) Kotak 1.693.450 117 Reagen Hemoglobin (Human 1075/Kit) Kit 1.086.800 118 Rheumatoid Factor (Rapid Test)RF2716 Kotak 1.787.429 119 Sikat Tabung Rx Buah 3.300 120 Stromatolyser Sysmex4 DL FFD-200 A Gallon 7.590.000 121 Stromatolyser Sysmex4 DS FFS-800 A Sachet 3.630.000 122 Stromatolyser Sysmex FB (FB 200 A) Gallon 2.855.600 123 Sulfolyzer Sysmex Botol 1.235.300 124 T3(IMX) Kit 3.286.580 125 T4(IMX) Kit 4.297.530 126 Tabung Esbach albuminimeter Dengan Kaki Pcs 220.000 127 Tabung Esbach Albuminimeter Tanpa Kaki Pcs 55.000 128 Tabung Reaksi 13-100 + TTP 13 Pyrex Set 27.500 129 Tabung Reaksi 16-100 + TTP 15 Pyrex Set 33.000 130 Tabung Reaksi 16-100 Pyrex Pcs 8.800 131 Tabung Reaksi Luaki 13-100 Pyrex Pcs 5.500 132 Tabung Vacuette K3 EDTA Box 271.700 133 Thermal Paper Printer HP0070 box/10 rol 1.270.500 134 Tissue Casset Kotak 1.394.250 135 Total Protein ADVIA DSLNo.Cat:600332(5x80) Kit 2.637.580 136 Total Protein FSNo.Cat:123119983026 Kit 1.162.810 137 Tree Level Control High CD 1600 Seri 623.480 138 Trigliseride DSLNo.Cat:60031105 (6x500) Kit 2.307.800 139 Trigliseride DSLNo.Cat:1571009983026 (6x500) Kit 2.307.800 140 Urea Randox UR 107 (5x100) Kit 2.695.000 141 Uric Acid(10x50) Kit 3.035.230 142 Venoject 10 cc Plain = Vacutainer Pcs 4.015 143 Venoject 5 cc Plain = Vacutainer Pcs 3.300 144 Ven. 22 G x 1,5 ( Multi ) Pcs 2.695 145 Yellow Tip 1000S Pak 121.000 146 vidas anti hbs Kit 3.223.000 147 vidas hbsag ultra Kit 3.184.830 148 pp test isi 50 ACON BOX 132.000 149 vidas anti hbs total 60 Kit 5.444.081 150 vidas hbsag ultra Kit 2.722.500 151 vidas T3 60 tests Kit 4.151.400 152 vidas T4 tests 60 Kit 4.136.000 153 vidas TSH 60 test Kit 3.884.100 154 Benzodiazepin isi 50 Kotak 786.599 155 PEPTONE WATER BUFFERED Kotak 984.500 156 barbiturate isi 50 Kotak 925.031 157 amphetamin isi 50 Kotak 804.375 158 Methampetamin Kotak 825.000 175

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 159 Ven 22 G x 1-1/2 ( multi ) Pcs 3.685 160 lugol Botol 49.500 161 hemolysing reagent hbaic BOX 678.150 162 oki data Kotak 302.500 163 cat gram 100 ml Botol 231.000 164 cat gram 100 ml Botol 231.000 165 spuit henke 10 ml Buah 341.000 166 spuit henke 20 ml Buah 440.000 167 Lysis Coulter 1 L BOTOL 2.416.150 168 Codman Disposible Perforator BOX 2.937.000 169 Codman Cranio Blade BOX 4.692.600 170 sensi exam glove m BOX 40.700 171 sensi exam glove L BOX 40.700 172 sulfolyser Botol 1.100.000 173 lysis coulter 1 liter Botol 2.416.150 174 enzymatic cleaner Kit 1.212.860 175 CHECK VALVE MEDIUM Pcs 533.500 176 WIDAL O Botol 162.800 177 WIDAL H Botol 162.800 178 WIDAL AO Botol 162.800 179 WIDAL AH Botol 162.800 180 WIDAL AH Botol 132.000 181 WIDAL BO Botol 162.800 182 WIDALBO Botol 132.000 183 WIDAL BH Botol 162.800 184 WIDAL LO Botol 132.000 185 WIDAL CH Botol 162.800 186 CRP RANDOX Kotak 2.756.218 187 CHECK VALVE MEDIUM Pcs 533.500 188 CHOKE BROWN PLASTIC Pcs 533.500 189 CUVETTE FIBRIN TIMER 11 500 S BOX 6.531.250 190 ERLENMEYER 500 ML PYREX Buah 73.700 191 holegen lamp Kit 2.530.550 192 CFAS BOX 998.580 193 Disc ticarrcillin 231619 BOX 484.000 194 Disc polymyxim 231324 BOX 462.000 195 Disc tobramycin 231569 BOX 462.000 196 Disc ofloxacin 231672 BOX 631.400 197 Disc levofloxacin BOX 261.800 198 Vortex mixer thermolyne m376 BOX 7.700.000 199 Sil rub T 21D x 1 x 5 M Pcs 356.950 200 Seal piece 1.5 upper 7141568477001 Pcs 186.450 201 Seal piece 5.5 upper 7141568493001 Pcs 186.450 202 Seal piece 5.5 lower 7141568507001 Pcs 186.450 203 Press piece 1.5 71412821568523001 Pcs 393.690 204 Press piece 5.5 71412911568531001 Pcs 372.460 205 universal return electrode -split Bungkus 220.000 206 barbed broac hes 21 mm maillefer Pack 102.300 207 etching gel blue mix( tube ) Tube 110.000 208 cholesterol elitech Kit 2.155.670 209 cartidgeprinter epson Buah 24.500 210 pita printer epson l x 300 refill 8757 Buah 13.750 211 kapas steril Pack 220.000 212 tabung westergreen Pcs 36.300 213 E coli o antiserum 0157 serol test Kit 3.300.000 214 proteus poly antiserum bd 240940 Vial 1.760.000 176

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 215 Sthaphylase test 100 test (ktk) Kotak 1.496.000 216 Tabung Centrifuge 15ml pyrek Pcs 28.600 217 Devitalizing fibre w /arsenic BOX 578.600 218 zeilnelsen Kit 110.000 219 pump belt panjang Pcs 596.280 220 pump belt pendek Pcs 579.568 221 micropipette 200 ul huawei Buah 1.842.500 222 Masker 17064 Lembar 11.000 223 surfolyser Botol 1.047.200 224 Torniquetrenz Buah 15.400 225 aquabidest 20 liter Gallon 121.000 226 sample cup Bungkus 220.000 227 iron ferozine 12x50 ml sys 1 Kit 2.180.200 228 pipet Buah 30.800 229 disc ampicilin BOX 770.000 230 disc clindamycin BOX 489.500 231 disc gentamycin S.R BOX 770.000 232 disc trimetrophin BOX 407.000 233 disc cefotaxime BOX 489.500 234 disc efepime BOX 462.000 235 cotton buds Bungkus 7.150 236 hcv strip divice Kit 804.375 237 WIDAL CO Botol 162.800 238 HBA1C Nycocard control 24 test Kit 2.376.000 239 cat neisser Kit 137.500 240 esbach Botol 60.500 241 disc amikacin BOX 690.745 242 disc erytromycin BOX 489.500 243 Hemolysing Reagent For HBAIC Kit 729.300 244 micropipet dgt clr fix 50 ul Buah 2.200.000 245 Dengue IGG IGM ACON BOX 2.667.500 246 Spuit 20 cc BOX 247.500 247 Albumin 102209983026 Kit 618.200 248 VDRL Antigen MR Dsi 2540005 Botol 165.000 249 THC CARD Kotak 800.415 250 Vidas AFP BOX 5.897.100 251 Vidas anti Hbsag Buah 2.722.500 252 pewarna 100 cc Set 265.100 253 pipet volume 10 ml pyrex Buah 46.200 254 Rak tabung vacum k3 BOX 220.000 255 Tb stain kit zn BD 212520 Kit 1.320.000 256 Diaton CD 1600 Gallon 3.137.200 257 Diarinse Gallon 3.163.160 258 Dialyse Gallon 3.520.000 259 Membranes revlise Buah 753.500 260 Magnesium ( randox ) Kit 535.700 261 Rhematoid factor Kit 973.500 262 Venoject needle 22G x 1 1/2 Pcs 2.695 263 Gamma GT DSI Kit 585.000 264 TIBC Kit 757.350 265 Opi one step opiate test device (urin) Kotak 704.000 266 Printer paper For u Kotak 114.400 267 xylol Botol 874.087 268 Hb sasli asistant BOX 385.000 269 rees ecker 250 Botol 128.700 270 kertas saring whatman 41 Pack 562.100 177

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 271 D 3 Pack Kit 2.846.250 272 Cuvet wash solution lokal Kit 1.331.000 273 ACCU - CHECK 50 TEST BOX 210.000 274 ACCU - CHECK SOFTCLIX 200 BOX 127.050 275 OPTIUM G 3 AH 100 BOX 528.586 276 Accu - Chek Test / 1 buah Buah 5.544 277 Accu - Chek Softclix / 1 buah Buah 803 278 Optium / 1 buah Buah 5.286 279 GIEMSA500ML MERCK Botol 1.210.000 280 dics tetraciclyn Buah 403.700 281 disc vancomycin Buah 727.100 282 kamar hitung Buah 374.000 283 Lipase Kit 4.345.000 284 Hemoglobin Kit 717.200 285 urea advia Tablet 7.904.930 286 tisue nice Pack 19.800 287 miicarl test BOX 495.000 288 kertas multi paper Buah 305.800 289 D3 Pack Kit 3.289.000 290 Differential BLOOD CELL COUNTER DBC9 Pcs 3.300.000 291 larutan natrium clorida 0,9 % Liter 47.300 292 Imersion oil 500 ml Botol 1.768.800 293 Dengeu Igg Igm cortes Kotak 2.667.500 294 disc cloxacillin Buah 489.500 295 Tabung Vacuate Sml +get 100s BOX 632.500 296 micropipet 10 ul Buah 1.856.250 297 micropipet 25 u Buah 1.485.000 298 micropipet 250 Buah 1.856.250 299 micropipet 25 Buah 1.485.000 300 micropipet 200 ul Buah 1.485.000 301 ise buffer advia Kit 9.208.200 302 urea uv sys 1 Kit 1.986.600 303 urea biomeriuk Kit 539.000 304 Bola lampu Holegen 12v 20w 0554871 Buah 310.200 305 sensor 707-0303 Pcs 1.815.000 306 HDL c plus sys 2 generation Kit 2.689.170 307 hematest reagen tablet bayer Kotak 1.287.000 308 SGOT advia Kit 7.629.050 309 Total bilirubin 2 advia Kit 4.570.170 310 Triglycerid advia Kit 8.230.444 311 Calsium randox Kit 962.280 312 disc cefadroxil Kit 770.000 313 DISC CEFTAZIDINE Kit 489.500 314 disc ceftrazone Kit 403.700 315 disc cefoperazone Kit 407.000 316 disc chlorampenicol Kit 612.260 317 DISC DOXYCICLINE Kit 489.500 318 disc tetracyline Kit 556.600 319 cholesterol advia Kit 4.570.170 320 alkaline phosphatase advia Kit 7.912.190 321 GGt advia new pin Kit 12.545.280 322 disc meropenem Buah 489.500 323 disc Norfloxacin Buah 727.100 324 disc meropenem AAM Buah 727.100 325 tabung Durham Buah 2.200 326 Dengeu Igg Igm isi10 (acon ) Kotak 877.800 178

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 327 tabung vacum 10 ml BOX 264.000 328 lysol lab Liter 68.200 329 Albumin Advia Botol 2.192.630 330 Assayed (Hemistry) Lev 1 Advia Kit 393.250 331 Assayed chemis try lev 2 Advia Kit 891.700 332 valve tubing set complet Kit 5.280.000 333 Fun Aoerobic Cal /balt/alert F4 Kit 5.222.800 334 Laucognost Mixture of fixatives merck 11 Botol 863.500 335 Mayers hemalium solution for microscopy 1 Botol 715.000 336 SRC level 3 Buah 2.420.000 337 SRC level 1 Buah 2.420.000 338 disc ciprofloxacin Kotak 489.500 339 Tabung Reaksi 12-75 pyrek Pcs 5.500 340 Alkaline Phospatase (10 x 10 ml) Kit 1.832.600 341 calibrator Free T4 Kit 1.676.070 342 Dia Rinse Gallon 3.307.000 343 Enzimatic cleaner CD 1600 Botol 1.394.745 344 Enzimatic Cleaner Kit 1.212.860 345 Amylase ( randok ) 20 x 5 ml Kit 3.373.920 346 Entelan Botol 1.210.000 347 HBAIC DF-105 Kit 2.461.800 348 METHANOL 2,5 LITER Botol 401.500 349 Osmocel diluent20 liter Gallon 1.739.650 350 tissue klenex 10 rol Pack 19.800 351 Glukose Hexokinas Advia Kit 4.348.666 352 SGPT ( ALT ) advia Kit 7.629.050 353 Tina Quant A HBAIC I liter BOX 2.796.750 354 UREA ( Randox ) 10 x 50 m Kit 2.881.450 355 Micropipet fix 500 ul Buah 1.233.375 356 Mueiler Hinton Buah 1.336.500 357 UIBC BOX 2.436.500 358 STomalyser wh 200 Botol 1.540.000 359 Kapas lemak 500G Roll 20.900 360 Tabung Vacumk3 3ml Kotak 271.700 361 PInset Anatonis 14 cm Buah 11.000 362 Tabung Vacuete 8 ml Buah 632.500 363 Sodium electrode condiotioner BOX 952.875 364 cuvette Conditioner Kit 5.220.100 365 kovacs Botol 731.500 366 Slidex Staph Plus BOX 1.617.000 367 Glukose RANDOX 364 10 x 100 Kit 1.940.510 368 Staphylase Kotak 1.903.000 369 HDL C Plus sys1 Gen 3 Kit 2.891.900 370 urine analysis 10-G mission acon Tube 363.000 371 POt salep 75Gr Pcs 1.650 372 disc Amoxycilin Buah 489.500 373 disc Gentamycin Buah 556.600 374 cea calibrator Kotak 3.108.490 375 disc fosfomycin Buah 489.500 376 disc cefedime Buah 396.000 377 Hologen lamp assy Buah 2.530.550 378 Glukose randox GL 2623 ( 6x100) Kit 1.028.390 379 Glukose stanbio 1x250 ml Kit 605.000 380 MORPHINE STRIP acon Kit 800.415 381 mikral test urine BOX 495.000 382 Micral test 30 BOX 495.000 179

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 383 Bak instrument sh Buah 63.800 384 disc Ticarcilin Buah 407.000 385 Tempat korentang Pcs 144.375 386 Blue tip 1000s Delta lab Pack 183.700 387 Duk bolong Lembar 28.600 388 Yellow tip kima 1000s Pack 149.600 389 Glukose PAP Kit 1.270.500 390 Color Gram Buah 10.010.000 391 Ldh uv test scem 100491 Pack 1.093.730 392 HDL cholesterol Kit 754.710 393 Larutan Sublimat jenuh 5 % Botol 1.870.000 394 Microbact reagent kovc indol Botol 660.000 395 CEA Assay Kit 6.117.100 396 ziehl nelson 100ml Set 110.000 397 glukose god fs Kit 971.300 398 Dispenser dgtl Kit 5.238.200 399 disc cefpirome Buah 489.500 400 MRVP Buah 1.802.900 401 chemistry calibrator advia Kit 5.395.500 402 Mannose F Biochemistry Botol 712.800 403 Assayed chemistry control advia Kit 393.250 404 Assayed Chemistry control Advia 1 Kit 892.100 405 Asayed Chemistry control Advia 2 Kit 731.500 406 Glukose Hexokinass Buah 4.348.630 407 bola lampu focusline philips 6v 20 w Pcs 597.300 408 Condenser assy for ch20/c21 Pcs 1.344.200 409 objek glass frosted citoglas Kotak 38.500 410 Yellow tips 1000s Delta lab Pack 181.500 411 objek glass 7101 citoglas Kotak 20.350 412 Objek Glass Frosted 7105 citoglas Kotak 22.000 413 Maasker N95 onemed 8810 Pcs 13.750 414 Masker N 95 onomed 8810 Pcs 13.750 415 printer paper for urysis BOX 114.400 416 disc ceftriaxone aam Kotak 511.500 417 Klinger iron agar 500gr Botol 2.997.500 418 LowTemperatur Catalyst Botol 2.220.625 419 Anearobic indicator ( resazurin ) Buah 1.386.000 420 Anaerobic Gas Generating kits Kit 632.500 421 Morfin test Cassette BOX 990.000 422 Methamphetamine test Cassette BOX 990.000 423 None Clean 1 liter Botol 222.750 424 One Clean 1 liter Botol 22.000 425 Pandy 100 cc Botol 88.000 426 Pinset Anatomis 10,5cm Buah 16.500 427 Needle 22G kima BOX 264.000 428 Hb Cal BGA Pcs 2.420.000 429 Incubation bath oil BOX 25.410.000 430 Gamma GT Fs 128019983026 Kit 2.931.500 431 Disc Metronidazole Pcs 511.500 432 Disc Nalidixic Acid Pcs 511.500 433 Disc Sulphamethox Trimethoprim Pcs 770.000 434 Flustest GLU 4341 Biocon Kit 1.125.300 435 Reaction Cuvette For H Cell BOX 10.120.000 436 Creatinin plus sys 1 BOX 2.605.077 437 Phosphate FS 152119983021 Kit 550.000 438 Viscometer ostwarld Kit 93.500 180

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 439 beker glass 100 ml Pcs 57.750 440 Tabung reaksi 10-75 pyrek Pcs 5.088 441 Cal cassette Pcs 2.420.000 442 Choleste enz clr tes 4x10 Pack 1.936.000 443 cholrhex 2 pct 500 ml Botol 110.000 444 Pathrominsloqgs29 Kit 4.991.800 445 Thromborels ( ouhp29) Kit 2.268.750 446 Direct Bilirubin 2 advia Kit 6.344.030 447 Opiate test device (acon) Kotak 825.000 448 Sabourd dextrose agar 500 gr Buah 1.163.800 449 Rak objek glass 25 OM Buah 1.320 450 Micropipet fix HTL 1000 ul Buah 1.233.375 451 Gol darah anti AB 10ml Plasmetic Botol 176.000 452 Mcropipet FixHTL 100 ul Buah 1.856.350 453 Micropipet Fix HTL 50 ul Buah 1.842.500 454 Alginate Aroma Normal / Fast Pack 154.000 455 Caviton Pink / white Kotak 143.000 456 Denacav Pink Pcs 99.000 457 Micropipet fix HTL 100 ul Buah 1.233.375 458 Columbia agar 500 G Botol 1.147.300 459 Calsium AS Fs 111309983021 Kit 841.500 460 CUVETTE RRV Advia Kit 11.979.000 461 Sensi Gloves S BOX 77.000 462 Ck Nac FS Kit 1.833.700 463 Lampu spritus 250 Buah 38.500 464 Spinal needle 25G X1 terumo Pcs 82.225 465 Nitrofurantoin ( F300 ) CT36B BOX 407.000 466 Spiritus 1 L Bratachem Botol 49.500 467 RF Slide 7440 Botol 999.900 468 Uric Acid TBHBA ( 4 X 50 ml- 2 x 25ml ) Dialine Kit 1.836.780 469 Barbiturate (DBA-102) ( acon ) Kotak 948.750 470 cleaning sol Botol 1.247.400 471 Alginate alligat regular 45gr Pack 133.100 472 Research fix 1000 ul Buah 2.145.000 473 Research fix 200 ul Buah 2.145.000 474 Research fix 20 ul Buah 2.145.000 475 Research fix 50 ul Buah 2.145.000 476 Urisys thermo printer paper BOX 123.200 477 EDTA Titriplex 1kg merck Botol 1.723.700 478 TABUNG CENTRIFUGE + Scala plastik 15ML Buah 5.500 479 tabung vacum sml + gel 100s KIMA BOX 539.000 480 venoject holder Pcs 2.200 481 Dis Cefsulodin 5 x50 Kotak 407.000 482 Disk Piperacillin /tazobact Kotak 407.000 483 Seleroid Value For Coulter Pcs 1.892.000 484 Cled Agar 500 G Buah 1.732.500 485 Micropipet fik htl 20 ul Buah 1.233.375 486 Research fix 100ul Kit 2.145.000 487 Parafin Pcs 777.563 488 Disc Aztreonam BOX 407.000 489 Disc Cefepime BOX 770.000 490 Dispenser sensi Disc self tamping Buah 8.800.000 491 Sodium elektrode Buah 16.170.000 492 Potssium elektrode Buah 10.384.000 493 Baterai Kering Panasonic 12 Volt Buah 445.500 494 HCL 0,1 N Botol 28.875 181

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 495 Sample cup (5000 pcs) Pack 109.395 496 Standar referense cass lever 3 Kit 2.420.000 497 Uric Acid Advia 03051305 new pin Kit 12.584.000 498 Ise Serum STD advia Kit 6.653.790 499 Probe wash2 advia Kit 8.416.100 500 Protein advia Kit 2.611.180 501 Filter membrane advia Pcs 5.082.000 502 Filter RO advia Pcs 198.000 503 vidas cea 60 test Kit 8.250.300 504 Beker Glass 250 ml Pcs 57.750 505 Botol kaca coklat 60 cc Buah 1.430 506 disc cefuroxime Pack 434.500 507 Disc Novobiocin Buah 770.000 508 Cuvette Conditioner lokal Kit 2.662.000 509 Dengeu IGG Kotak 327.800 510 Pscudomonas Acruginosa ATCC 27853 Pack 1.251.800 511 Staphylococcus Aurcus Subsp Atcce 0360p Pack 1.251.800 512 Indicator tape 25mm Roll 91.740 513 Elektrode Kalium Kit 10.384.000 514 TROPONIN ( serum rapid TEST ) Kit 2.750.000 515 chlorhex 2pct 500ml Botol 110.000 516 probe RPP1 & RPP2 Pcs 45.375.000 517 Discs ONPG Pack 330.000 518 Thromborels Kit 2.268.750 519 VDRL / SYd - RPR Kit 1.481.643 520 Aso (100 test ) Kit 3.513.403 521 Lifase ( Randox ) Kit 1.629.210 522 EKtran Alkaline 2,5 liter Merck Botol 1.194.600 523 Sodium chloride Bacteriological 500 gr Botol 214.500 524 Glucose H II (GLUH) Advia Kit 4.305.180 525 LYP ASSAY CHEMISTRRYADVIA Q1 Botol 393.250 526 LYP ASSAY CHEMISTRY ADVIA Q2 Botol 393.250 527 Roche Cardiac T Quant.10test BOX 1.035.100 528 Roche Cardiac CK-MB 10 test BOX 770.000 529 Extran Alkaline 2,5 L Merck Botol 1.353.000 530 Pediatric aerob cult BOX 5.665.000 531 Stericide 4 liter Gallon 849.860 532 Lidi kapas sterile Pack/100 s 242.000 533 UreaUV 4x125ml Stanbio Kit 5.566.000 534 Spinal Needle 25Gx3 1/2 Pcs 19.437 535 Needle Terumo 25Gx1 Pcs 1.100 536 Ose Kaca Lurus (pyrex LKL) Pcs 12.100 537 Pengaduk kaca 30cm (Pyrex LKL) Pcs 13.750 538 Cotton swab sterile 100s Pack 678.700 539 Larutan Neisser 100 cc Set 110.000 540 Potassium biphtha lette crystal Pack 1.468.500 541 Sterile cotton swab 100 BOX 837.100 542 Petridish 100x15 normax Buah 20.900 543 Color Gas 2 R3 Decolorizer Kit 2.253.900 544 Kaca Mata DR Gigi Buah 66.000 545 APTT (ckprest 2) 6x5 +ACTV Stago 00598 Kit 2.475.000 546 Cuvette PT/Apit Stago 150x4 38876 BOX 6.531.250 547 PT (Neoplastine cl+2) 6x2ml Stago 00374 Kit 1.382.865 548 STEEL Ball Stago Botol 9.247.700 549 Larutan Tsuciya 100ml bio Botol 203.500 550 Nozle s (Needle) BOX 8.926.500 182

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 551 Kimased Plastic Vacum Tube 100s Pack 495.000 552 REF Elektrode BOX 8.360.000 553 REF ELektrode Housing BOX 8.525.000 554 Golongan Darah Anti B Kotak 160.600 555 Alpha Amylase Kit 3.115.200 556 Kimased na citrate 0,4 ml 100s Pack 495.000 557 Disc Cuture swab plus amies BOX 786.500 558 Vidas ft 4 tests Kit 7.026.800 559 Alkalin Phosphatase optimized BOX 980.100 560 Slidek stepto kit 50 Kit 2.393.600 561 Amoxicilin 4 Cartidge Kit 453.200 562 Triglyxerid 4x100 ml 116392 Pack 2.795.100 563 Calibrator for Auto sys 10x3ml BOX 1.073.600 564 Microcentrifuge 1,5 ml 1000s delta Pack 660.000 565 SETPOINT CHEMISTRY CALIBRATOR ADVIA Kit 5.394.400 566 kasa asbes 14 x14 cm Buah 6.600 567 Alkaline phospatase IFCC Dialine Kit 5.797.000 568 Albumin DIALINE 2115022 Kit 4.262.500 569 Bilirubin Total DIALINE 2141052 Kit 8.584.400 570 Bilirubin Direct DIALINE 2151052 Kit 8.584.400 571 Cholesterol DIALINE 2185022 Kit 10.106.800 572 Glucose HK DIALINE 2249052 Kit 6.394.300 573 GOT/ASAT/AST IFCC DIALINE 2251052 Kit 6.470.200 574 GPT/ALAT/ALT IFCC DIALINE 2261052 Kit 6.470.200 575 GAMMA GT DIALINE Kit 11.158.400 576 Total Protein DIALINE Kit 3.302.000 577 Triglycerides DIALINE 2365022 Kit 15.977.500 578 Urea UV DIALINE 2371052 Kit 6.470.200 579 Uric Acid TBHBA DIALINE 2385052 Kit 5.810.200 580 HBSAG strip (acon) IHBSAG -301 Kotak 600.875 581 LANCET NEDILANCE 100S 28G Kotak 19.800 582 BIO CAL DIALINE 2438002 Vial 442.200 583 BIO NORM ASSAYED DIALINE 2443003 Vial 654.500 584 OBJECT GLASS (7105) Kotak 40.755 585 ACIDIC WASHING SOLUTION DIALINE Botol 2.640.000 586 ALKALINE WASHING SOLUTION Botol 2.200.000 587 albumin CLR TES GM 100 Pack 683.650 588 Fan pediatric aerobic Cult Kotak 5.665.000 589 FILTER SEDIMEN Pcs 73.700 590 TONG SPATULA KAYU Pack 20.900 591 TONG SPATULA STAINLESS Pcs 8.800 592 CACL 2 1X15 ML STAGO Botol 283.470 593 disc cephalexin 770.000 594 STROMATOLYSER FB Gallon 2.475.000 595 PRECINORM HBA1C QCS BOX 597.300 596 OFLOXACIN 4X50 Pack 453.200 597 TABUNG VAC.HEPARIN 0,5 ML box 242.000 598 TABUNG VACULAB 10 ML 100S BOX 348.700 599 FILTER 340 NM MICROLAB Pcs 10.182.150 600 FILTER 546 NM MICROLAB Pcs 5.836.435 601 BIO OFLOXACIN 5UG OFX5 Pack 453.200 602 ZIEHL NELSON @100 ml bio 3S Set 268.400 603 SPATULA PAPER AYRE KAYU Pack 79.200 604 disc ceftizoxime Kit 770.000 605 THERMAL PAPER PT/APT Roll 106.700 606 HBA1C NYCOCARD AXIS SHIELD Kit 3.008.500 183

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 607 ERLENMEYER 250 ML Buah 84.700 608 ERLENMEYER 1000 ML Buah 119.900 609 METHANOL R.G REAG ACS 2,5 LT Botol 291.500 610 SLIDEX MRSA DETECTION Kit 6.777.100 611 ZIEHL NELSON @100ML BIO 4S Set 245.300 612 RAK OBJECT GLASS 100 S Buah 79.200 613 RAK OBJECT GLASS 50S Buah 38.500 614 SALMONELLA SHIGELLA AGAR BIOMERIUX BOX 1.534.500 615 TOTAL PROTEIN 100 M Pack 847.000 616 VANCOMYCIN 4 CART/PACK BOX 434.500 617 TABUNG VAC.K3EDTA 3ML GD020EK BOX 220.000 618 TABUNG VAC.NA CITRATE 1,8 ML BOX 220.000 619 TABUNG VAC.NA CITRATE 2,7 ML BOX 220.000 620 DISC BACITRACIN BOX 770.000 621 PETRIDISH 60 x 15 mm2399040 Pcs 16.500 622 SABAROUD CHLOR2 AGAR Kaleng 1.254.200 623 FILTER CARBON Pcs 1.512.500 624 MEMBRAN RO MERLIN Pcs 5.500.000 625 GIOLTI CANTONI BROTH MERCK 110675 Botol 2.035.000 626 CELEMEK PLASTIK Lembar 33.000 627 COAG CONTROL N+P 24X1 ML STAGO Kit 10.175.000 628 FULLMARK RIBBON EPSON Buah 41.250 629 NEEDLE FLASHBACK 22G BD BOX 167.200 630 CORONG KACA 7,5CM PYREX LKL Pcs 24.200 631 UREA KIT S 180 Kit 1.012.000 632 kertas saring biasa Lembar 22.000 633 MAGNESIUM XL FS DSI Kit 928.400 634 PIPET PASTEUR15CM IWAKI Pcs 3.300 635 BIODICS AMIKACIN 30UG Kit 231.000 636 SELANG PERISTALTIC PUMP ELECTROLYTE Pcs 940.500 637 PUMP ROLLER ELECTROLYTE Buah 1.210.000 638 PIPET PASTEUR BULB Pcs 13.200 639 COLIFORM SELECTIVE AGAR 500GR Botol 11.682.000 640 TODD HEWWIT BROTH 500GR Botol 3.300.000 641 BIODISCS NORFLOXACIN BOX 453.200 642 TABUNG EPENDROF Pack 808.500 643 DIRECT BILLIRUBBIN F.HIT BOX 979.000 644 THERMAL PAPER 110MM X 30 M Roll 55.000 645 WING NEEDLE TERUMO 27 Pcs 9.900 646 WING NEEDLE TERUMO 27G Pcs 11.110 647 OSE GAGANG STAINLESS Pcs 82.500 648 PLASTIK 25X35 Pack 11.000 649 AGAR BACTERIOLOGICAL (AGAR NO.10 500GR Botol 2.420.000 650 ALAT PRINTER ELEKTROLIT BP5004 Pcs 4.620.000 651 MANNITOL SALT AGAR BOTTLE Botol 484.000 652 PROSEN SECTION MEDIUM PSM Botol 413.050 653 ALKALINE WASHING SOLUTION DIALINE Botol 2.640.000 654 BILLIRUBIN TOTAL FS Kit 584.100 655 CRYSTAL PHENOL MERCK Botol 1.503.700 656 KERTAS LENSA Pack 18.700 657 SEALING FILM M PARAFILM 4 IN X 124FT Roll 452.100 658 GELAS UKUR 100 ml pyrex iwaki Pcs 110.000 659 DISCK NYSTATIN NS100 CT0073B Kit 770.000 660 BOLA LAMPU HALOGEN TRX7010 TYPE A Pcs 7.700.000 661 RAK MICROPIPET STAND 6 ACCUMAX PRO Pcs 570.900 662 CKMB 4X10CC DIALAB Kit 1.210.000 184

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 663 CLOT ACTIVATOR RED CAP BOX 187.000 664 TABUNG VACULAB 7 ML BOX 169.400 665 LYSINE DECARBOYLASE BROTH 500gr Botol 1.870.000 666 RAPID DETERMINE HIV Kit 5.587.340 667 TABUNG REAKSI 16-100 IWAKI Pcs 8.800 668 HDL CHOLESTEROL STANBIO Kit 279.400 669 MAG STIR F60 WT HEATING BOX 7.480.000 670 GLUCOSE MURNI 75 GR Sachet 6.050 671 KOVACKS INDOLE REAGENT MERCK Botol 852.500 672 PIPET UKUR 20 ML Pcs 66.000 673 WING NEEDLE TERUMO NO.25 Pcs 11.110 674 REAGENT PACK BGA PHOXPLUS Kit 23.210.000 675 SAMPLE CUP 0,5 ML Pack 440.000 676 PRINTER PAPER BGA AVL Pcs 4.675.000 677 CARTRIDGE PERISTALTIC PUMP Pcs 4.895.000 678 CREATININ SYS 1 ROCHE BOX 913.770 679 COTTON SWAB STERILLE PLASTIK Pack 176.000 680 EPP R PLUS 1000U/MICROPIPET EPENDROF Pcs 3.289.000 681 CHUSHAVAN L 35MMX35MM BOX 522.720 682 SIM MEDIUM 500 GR MERCK Botol 2.922.700 683 SIMMON CITRATE AGAR 500GR MERCK Botol 2.885.300 684 MICROTAINER LITHIUM HEPARIN 0,5 ML 100S Pack 242.000 685 MALTOSA 500 GR DIFFCO Botol 1.760.000 686 EOSIN METHYLENE BLUE AGAR 500GR MERCK Botol 2.633.100 687 MUELLER HINTON AGAR 500GR CM00337 SUMBER REJEKI Botol 1.527.900 688 BOLA LAMPU HALOGEN ADVIA 073009901 Pcs 19.412.800 689 RESEARCH 10 UL Pcs 3.135.000 690 BOTOL BALSEM BSR Pcs 2.970 691 CANADA BALSAM 100 ML MERCK Botol 4.768.500 692 PLATE COUNT AGAR 500 GR MERCK Botol 1.707.200 693 GLYCERINE 1L MERCK 10904 Botol 2.310.000 694 UREA AGAR 500G MERCK Botol 3.041.500 695 LANCET ONEMED SS STEENLIES BOX 44.000 696 PIPET PLASTIK BERSKALA 3CC Pcs 1.100 697 GOLONGAN DARAH ANTI A (AULIA) Botol 141.570 698 GOLONGAN DARAH ANTI B (AULIA) Botol 141.570 699 MIX 20 VIBRA MIXER TUBES Kit 4.070.000 700 NA + ELECTRODE ANALYZER AVL Kit 16.170.000 701 CL - ELECTRODE ANALYZER AVL Kit 10.384.000 702 BD FACSFLOW SHEATH FLUID 20 L Gallon 5.263.500 703 LAMPU HOLOGEN 554871 RAJAWALI Pcs 380.050 704 BOLA LAMPU HALOGEN 5010 CAT 554871 Pcs 544.500 705 WING NEEDLE NIPRO 27G Pcs 9.130 706 LAMP.COOLANT ADVIA Kit 4.235.000 707 PITA PRINTER EPSON LX 501556 REFILL Pcs 27.500 708 RPR Kit 1.155.000 709 BROMOTHYMOL BLUE INDICATOR 5GR MERCK Botol 1.031.800 710 DISC FOSFOMYCIN AAM BOX 556.600 711 FILTER ANTIBACTERIAL 10inc 5 MICRON Pcs 209.000 712 QUO TEST A1C REAGENT KIT Pcs 95.150 713 GOLONGAN DARAH ANTI D Botol 176.880 714 VALVE LUBRICANT SEALANT Kit 352.000 715 CELL CLEANER D3 PACK/HEMATOLOGI CLEANER Kit 462.000 716 MALARIA P.F PAN(WHOLE BLOOD) Kit 884.812 717 ptfe cylstro 6 x 10 mm Pcs 110.000 185

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 718 ptfe triangstr 8 x 12 mm Pcs 220.000 719 DISC CEFIXIME S.R BOX 231.000 720 DISC COLISTIN CL-1O AAM BOX 690.745 721 DISC NITROFURANTOIN F 30O AAM BOX 556.600 722 CFAS HBA1C 3X2 ML (CALIBRATOR) BOX 1.242.505 723 IGM SALMONELLA RAPID TEST Kotak 797.500 724 CONTROL D3 PACK (HIGH,LOW,NORMAL) Set 2.860.000 725 COAG CONTROL N+P 1 ML STAGO Pcs 572.000 726 WING SET 25X75 BOX 544.500 727 PRECI CONTROL CLIN MULTI BOX 3.311.000 728 COLOMBIA BLOOD AGAR BASE 500 GR Botol 2.897.400 729 LANCET STAINLESS VENACO 100S BOX 39.600 730 ANTI HAV Kit 1.925.000 731 VIDAS IPSA Kit 7.910.100 732 CKMB 4X50 2X25ML DIALINE Kit 14.121.800 733 CK.NAC 4X50 2X25 ML DIALINE Kit 9.240.000 734 DISC POLYMYXINS.R Kit 489.500 735 DISC COLISTIN SULPHATE S.R Kit 407.000 736 LARUTAN EOSIN 1% Botol 440.000 737 LARUTAN /REAGEN SITO KIMIA Botol 2.035.000 738 TABUNG VAC.K2 EDTA BOX 344.300 739 THERMAL PAPER (4X5 roll,50mm) BOX 440.000 740 DILUENT 20 L MINDRAY Gallon 2.420.000 741 LYSE 500ML MINDRAY Botol 2.090.000 742 RINSE 20L MINDRAY Gallon 2.922.150 743 STREPTOCOCAL GROUPING KIT BOX 5.390.000 744 REAGEN PACK B PHOX Kit 18.876.000 745 METHYLRED INDICATOR 25GR MERCK Botol 1.287.000 746 REAGENT PACK NOVA 5 Kit 21.714.000 747 CREATININ CNETIQUE 2X80 Kit 1.100.000 748 GLUCOSERTU 4X100 ML Kit 1.045.000 749 CREATININ 2X 250 ML STANBIO Kit 3.509.000 750 PROBE CLEANSER 17 ML MINDRAY Botol 242.000 751 CONTROL HEMATOLOGY MINDRAY Botol 880.000 752 DENGUE DX IgG/IgM Kit 1.916.750 753 DENGUE DX NS I ANTIGEN Kit 4.101.900 754 TABUNG HEMATOKRIT HEPARIN NESCO Botol 33.000 755 DISC CEFTRIAXONE S.R BOX 489.500 756 CRYOMATRIX Pcs 509.438 757 SALMONELLA TYPHY IgM RAPID Kit 1.980.000 758 TABUNG VACULAB 3 ML GLASS BOX 159.500 759 TEST FOB FDI 255 FOCUS BOX 1.976.700 760 BUFFER SOLUTION PH 7 1L Botol 429.000 761 SAMPLE CUP FOR ANALYSER 1000S Pack 605.000 762 GOLONGAN DARAH ANTIAB Botol 176.000 763 IGG/IGM ANTI HAV Kit 3.368.750 764 POT PLASTIK SPUTUM 30 ML Pcs 2.200 765 PROBE WASH 1 Kit 726.000 766 TES KEHAMILAN ONEMED 50'S BOX 72.600 767 POT URINE STERILLE TUTUP MERAH 60 ML Pcs 3.300 768 FOB ( FECAL OCCULT BLOOD ) BOX 1.976.700 769 ANTI HUMAN SERUM 10 ML TULIP Botol 154.000 770 BOVINE ALBUMIN 10 ML TULIP Botol 141.900 771 GOLONGAN DARAH ANTI A 10 ML TULIP Botol 143.000 772 GOLONGAN DARAH ANTI B 10 ML TULIP Botol 143.000 773 GOLONGAN DARAH ANTI D 10 ML TULIP Botol 225.500 186

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 774 COVER GLASS 18 X 18 ( AULIA ) Kotak/20 440.000 775 COVER GLASS 20 X 20 ( AULIA ) Kotak/20 569.250 776 COVER GLASS 22 X 22 ( AULIA ) Kotak/20 645.150 777 DILUENT MYTHIC 18 ( 10 LITER ) Gallon 4.620.000 778 LYTIC MYTHIC 18 ( 1 LITER ) Botol 5.170.000 779 ENZYMATIC CLEAN MYTHIC 18 ( 1 LITER ) Botol 2.970.000 780 HEMATOLOGY CLEANER Botol 1.980.000 781 CONC.MYTHIC 2 ML ( HIGH,LOW,NORMAL) Set 924.000 782 ID-DILUENT2 Botol 3.135.000 783 ID-LISS/COMMBS CARD 24 X 12 BOX 32.450.000 784 PIPET PLASTIK BERSKALA 1CC Pcs 1.100 785 LIQ.HEMATOLOGI TRILEVEL (L,N,H) Set 2.310.000 786 TEST HIV 1/2/0 CARD WB ABON 40S BOX 1.166.000 787 WHITE TIP 1000S Pack 352.000 788 BRAIN HEART INFUSIN 500 GR CM1135B Botol 1.512.500 789 URIC ACID RANDOX Kotak 922.790 790 LARUTAN ALSERVER 500 ML Botol 302.500 791 BIO PLATE 20S BOX 294.800 792 LYOTROL glucosa N (Normal) Kit 3.069.000 793 TEST DENGUE 10 DEVICE ABON (S.R) BOX 877.800 794 CHUSHAVAN M Kotak 422.400 795 CHUSHAVAN S Kotak 495.000 796 CONTROL NORMAL 1X2,5 ML Botol 1.188.000 797 CONTROL HIGH 1x2 ML Botol 1.188.000 798 CONTROL LOW 1x2 ML Botol 1.188.000 799 MALARIA CARD (25 TEST) ABON BOX 1.016.400 800 DENGUE IGG, IGM 10 TEST FOCUS Kotak 1.650.000 801 ALBUMIN KIT Kit 1.584.000 802 PP TEST (TEST KEHAMILAN) 50 TEST CORE Kotak 110.000 803 STAPHYTEC PLUS 100 T Kotak 5.121.600 804 URIC ACID 4 X 100 ML RANDOX Kit 2.517.148 805 PRINTER PAPER PHOTOMETER 5010 Roll 19.250 806 LIQ.HEMATOLOGY-16 LV NORMAL 3 ML Botol 707.667 807 DISC LEVOFLOXACIN AAM BOX 612.260 808 DISC CHLORAMFENICOL S.R. BOX 489.500 809 COAG CONTROL NORMAL STAGO Botol 541.750 810 BIO PATH 20X5 ML DIALINE Vial 524.700 811 CONTROL TEST M 50 BOX 325.600 812 HIV 1/2/0 TRILINE 40 TEST ABON Kit 927.465 813 ALKALINE PHOSPHATASE PLUS INDIKO Kit 1.540.000 814 HDL CHOLESTEROL PLUS 6 X 2 INDIKO Kit 8.140.000 815 BILLIRUBIN TOTAL 4 X 6 INDIKO Kit 6.490.000 816 CHOLESTEROL 12 X 20 ML INDIKO Kit 3.850.000 817 CREATININ (ENZYMATIC) 4X INDIKO Kit 6.160.000 818 GAMMA GT 10 X 20 ML INDIKO Kit 3.850.000 819 GLUKOSA 8 X 20 ML INDIKO Kit 2.860.000 820 TOTAL PROTEIN PLUS 12 X 20 ML INDIKO Kit 2.530.000 821 TRIGLYCERIDE 12 X 20 ML INDIKO Kit 5.280.000 822 UREA 12 X 20 ML INDIKO Kit 4.070.000 823 URIC ACID 8 X20 ML INDIKO Kit 3.630.000 824 E.CAL 5 X 3 ML INDIKO Kit 1.771.000 825 LIPOTROL 5 X 3 ML INDIKO Kit 2.909.500 826 NORTROL 10 X 5 ML INDIKO Kit 2.783.000 827 SAMPLE CUPS 2 ML Pack 1.210.000 828 TENCELL CUVETTES Kit 8.096.000 829 CAT GRAM HUCKER Set 474.100 187

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 830 CELL PACK PK.30 LT XS.800I Gallon 4.125.000 831 STOMATOLYSER 4 DL XS.800I Botol 7.040.000 832 SULFOLYSER XS.800I Botol 1.760.000 833 WASHING SOLUTION 4,58 4 X 20 ML Botol 770.000 834 TEST HIV BOX/100 5.390.000 835 COVER GLASS 22 X 22 (LYNDAWAN) PACK/50 53.900 836 TEST METAMPHETAMINE ABON DEVICE BOX/40 825.000 837 POT URINE STERILLE 60 ML TUTUP KUNING Pcs 3.300 838 TEST MORPHINE ABON DEVICE BOX/40 825.000 839 DIRECT BILLIRUBBIN DF 25 TAWADA BOX 1.437.480 840 SAMPLE CUPS 1,5 ML DSC4 TAWADA Pack 1.514.436 841 THERMAL PRINTER PAPER TAWADA Roll 110.000 842 CHOLESTEROL DF 27 TAWADA BOX 2.758.800 843 TRIGLYCERIDE DF 69 A TAWADA BOX 2.827.044 844 ALKALINE PHOSPHATASE DF 15 A TAWADA BOX 1.669.800 845 ASPARTATE AMINOTRANSFARE DF41A TAWADA BOX 1.597.200 846 GAMMA GT DF 451 TAWADA BOX 1.884.696 847 TOTAL BILLIRUBIN DF 67 A TAWADA BOX 1.742.400 848 URIC ACID DF 77 TAWADA BOX 2.555.520 849 CREATININ DF 33 A TAWADA BOX 1.887.600 850 BLOOD UREA NITROGEN DF21 TAWADA BOX 2.323.200 851 GLUCOSE DF40 TAWADA BOX 5.771.700 852 ALBUMIN DF13A TAWADA BOX 1.742.400 853 CHEM II CALIBRATOR DC20 TAWADA BOX 3.500.772 854 CHOL CALIBRATOR DC16 TAWADA BOX 2.445.168 855 CHEM I CALIBRATOR DC188 TAWADA BOX 3.497.868 856 ENZYME VERIVER TAWADA DC19 BOX 4.673.988 857 BILLIRUBIN CALIBRATOR TAWADA DC17 BOX 1.836.780 858 ABSORBANCE TEST TAWADA DF79 BOX 445.764 859 CUVETTE CARTIDGE TAWADA D828 BOX 5.507.436 860 AHDL FLEX REAGENT TAWADA DF48B BOX 8.414.340 861 DIMENSION ALTI (GPT) TAWADA DF143 BOX 1.045.440 862 LYP ASSAY CHEMISTRY CONTROL LEVEL1 TAWADA Vial 632.500 863 LYP ASSAY CHEMISTRY CONTROL LEVEL 2 Vial 632.500 864 DIMENSION ENZYME II CALIBRATOR FOR ALT BOX 1.659.240 865 TOTAL PROTEIN DF73 TAWADA BOX 2.032.800 866 UREA-4032 T Kit 7.186.300 867 BIO CAL HBA1C 5X1 ML DIALINE Kit 6.867.300 868 HBAC 4X5 2X10 DIALINE BOX 15.099.700 869 BIO NORM HBAC1C 1 ML Vial 1.717.700 870 HEMOLYSING SOL HBA1C 500ML DIALING Kit 1.842.500 871 TEST BENZODIAZEPINE ABON DEVICE BOX/40 825.000 872 TEST THC ABON DEVICE BOX/40 825.000 873 TEST BARBITURATE ABON DEVICE BOX/40 825.000 874 FILTER BAKTERI 10" 1 MIKRON PCS 99.000 875 FILTER BAKTERI 10" 3 MIKRON PCS 99.000 876 TEST AMPHETAMIN ABON DEVICE BOX/40 907.500 877 ALB/TP CALIBRATOR DC 31 TAWADA BOX 3.977.028 878 ALT/GTP 8X20 ML INDIKO Kit 3.850.000 879 AST/GOT 8X20 ML INDIKO Kit 3.850.000 880 BILLIRUBIN DIRECT 20X4 ML INDIKO Kit 2.860.000 881 E-CHECK XS 3 S ( CONTROL ) SET 3.729.000 882 TEST HIV DETERMINE BOX/100 5.390.000 883 ALKALINE PHOSPHATASE ( Newdian ) Kit 7.192.900 884 CUVETTE CONDITIONER SOL ( Newdian ) Botol 5.222.360 885 SAMPLE CUV ADVIA ( Newdian ) Pack/500 2.007.500 188

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 886 CELL CLEAN CL.50 XS.800i Botol 2.035.000 887 AHDL CAL DC48 BOX 2.443.716 888 DISC AMIKASIN S.R BOX 489.500 889 DISC TETRACYCLIN S.R Buah 489.500 890 GLUCOSE ANHYDROUS 250G MERCK Botol 638.000 891 LYOTROL NORMAL 1X5 ML Kit 396.000 892 ABTROL 10X5 Kit 2.783.000 893 STOMATOLYSER 4 DS XS.800I Sachet 6.600.000 894 STOMATOLYSER 4 DL XS.800I Botol 7.040.000 895 URIC ACID-4020 T Kit 11.440.000 896 CHOLESTEROL 2-2120 T Kit 4.570.170 897 BILLIRUBIN TOTAL 2688 T Kit 4.232.580 898 SCAL 10X3 ML INDIKO Kit 2.024.000 899 ALBUMIN BCG 8X20 ML INDIKO Kit 1.760.000 900 TEST OPIAT ABON DEVICE BOX/40 825.000 901 TRIGLYCERIDE-1800T Kit 8.148.140 902 ALBUMIN-928 T Kit 2.170.740 903 TOTAL PROTEIN-2800 T Kit 2.611.180 904 SPATULA AYRE Kotak 275.000 905 CYTOBRUSH Kotak 170.500 906 WASH FLUID 8X20 ML Kit 935.000 907 TEST HIV DEVICE BOX/40 825.000 908 TABUNG VAC.COAGULAN 1,8 ML BOX 231.000 909 HDL/LDL CHOL CALIBRATOR INDIKO BOX 3.542.000 910 AST/SGOT - 4020 T Kit 7.629.050 911 ALT/SGPT - 4020 T Kit 6.935.000 912 BILLIRUBIN DIRECT - 2688 T Kit 5.767.300 913 CREATININ - 4032 T Kit 3.728.010 914 CUVETTE WASH SOLUTION (NEW DIAN) Botol 2.662.000 915 GLUCOSE HK3-1900 T Kit 3.913.000 916 GGT REAGENT - 2700 T Kit 11.404.800 917 LYPOCHECK DIABETES CONTROL TAWADA BOX 6.655.000 918 VIDAS TROPONIN Kit 11.493.955 919 DISC CEFOPERAZONE/SULBACTAM Pack 489.500 920 COLOR GS 2,R2 LUGOL PVP Kit 1.293.600 921 ISE TROL Kit 3.234.000 922 LARUTAN XYLOL 100CC MERCK Botol 60.500 923 NONE 100CC Botol 325.600 924 LARUTAN TURK 100 CC Botol 25.300 925 PROPANOL 2,5 L Botol 796.510 926 ETHANOL 2,5 L Botol 579.150 927 BILLIRUBIN TOTAL 4X20 ML INDIKO Kit 2.288.000 928 GAMMA GT ADVIA Kit 12.545.280 929 QUALITY CONTROL QC L1 12X5 ML Kit 5.577.000 930 QUALITY CONTROL QC L2 12X5 ML Kit 5.577.000 931 BD FASCOUNT CD 3/4 Kit 4.869.282 932 GAMMA GT 15X5 ML INDIKO Kit 1.870.000 933 EIGHTCHECK XT1800 3S Set 3.960.000 934 BOVINE ALBUMIN 10 ML PLASMTEC Botol 504.900 935 TAB.VAC.LITHIUM HEPARIN 0,5 ML Box 705.100 936 REAGENT KIT CD4/CD3 Kit 6.957.500 937 TEST HIV SD BOX/30 1.617.000 938 POT SALEP 30 GR PCS 1.320 939 PROBE WASH 1 ADVIA ( NEWDIAN ) BOX 6.356.900 940 MAC CONKEY W/OUT CRYSTA.V PCS 1.881.000 941 KENDALL STERILLE WATER BTL 44.220 189

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 942 DISC NORFLOXACIN S.R BOX 489.500 943 DISC VANCOMYCIN S.R BOX 489.500 944 LARUTAN/REAGENT SITO KIMIA SBB A,B,C SAFR SET 8.245.600 945 HDL C.DIRECT 4X50 2X25ML DIALINE KIT 16.307.500 946 MICROPIPET EPENDROF 100-1000UL BOX 7.040.000 947 HBSAG STRIPS 25 FOCUS BOX 488.400 948 ACCU-CHECK SOFTCLIX 100LC PCS 93.170 949 GN.TET VTK20 CARDS 21341 KOTAK 2.750.000 950 GP.TET VTK20 CARDS 21342 KOTAK 2.750.000 951 VITEX AST N100 KIT 1.919.500 952 VITEX AST ST01 KIT 2.750.000 953 VITEX 2 AST GP67 CARDS KOTAK 2.750.000 954 DIMENSION TBI/DBI BILL.CALIBRATOR BOX 4.646.400 955 DIMENSION HBA1C/HEMOGLOBIN A1C BOX 16.843.200 956 BILLIRUBIN TOTAL 4X60 ML INDIKO KIT 6.490.000 957 FEBRILLE ANTIGEN H FOCUS 5ML / VIAL Vial 147.312 958 DENGUE IGG/IGM 25 TES FOCUS BOX/25 3.294.500 959 VIDAS TOXO IGG Kit 4.550.205 960 VIDAS TOXO IGM 60 TES Kit 4.550.205 961 VIDAS PCT Kit 16.958.906 962 ACT REAGENT TUBE CELITE Kit 3.300.000 963 PETRIDISH DISP 90 X 20 PCS 3.850 964 LARUTAN EOSIN 2% Botol 387.200 965 LYPOCHECK DIABETES CONTROL BILEVEL Vial 1.331.000 966 VITEK2 TEST TUBE 12X75 MM BOX 7.579.000 967 ACCUMAX WHITE TIP 200 UL Pack 214.500 968 ACCUMAX BLUE TIP 100-1000 UL Pack 241.313 969 ALBUMIN LIQ 2X250 ML STANBIO Kit 484.000 970 CONTROL HEMATOLOGY MINDRAY 3X3 ML Set 2.123.000 971 AHG MONOSPESIFIK C3 10 ML Botol 407.000 972 AHG MONOSPESIFIK IGG 10 ML Botol 407.000 973 ZIEHL NELSON 4X100 ML INDOREAGEN Set 368.500 974 PIPETTE TIPS 100-1000 UL Box 231.000 975 STERILE 10 UL LOOPS Box 3.080.000 976 VIDAS CA 125 Kit 4.088.700 977 BIO CAL UIBC DIALINE Vial 1.717.000 978 IRON 4X20 2X10 DIALINE Kit 2.060.300 979 DISC OFLOXACIN 5X50 S.R Kit 770.000 980 UIBC 4X20 2X10 ML DIALINE Kit 2.146.100 981 PIPETTE TIPS 0,5 250 UL Box 192.500 982 AMPHETAMINE DEVICE INST.ANSWER Box 765.600 983 BENZODIAZEPINE DEVICE INST.ANSWER Box 765.600 984 HUMATROL N 6X5 Kit 1.174.800 985 COLOMBIA + 5% SHEEP BLOOD Box 676.500 986 VIDAS RUB IGG Kotak 5.142.500 987 VIDAS CMV IGG 60 TES Kotak 4.550.205 988 VIDAS CMV IGG 30 TES Kotak 3.478.750 989 VIDAS CA. 15.3 Kotak 5.908.100 990 REAGENT STONE ANALYSIS Kit 10.572.000 991 POT PLASTIK 7CM X 5 CM Pcs 3.850 992 UREA LIQUDCOLOUR HUMAN KIT 3.531.000 993 ZIEHL NELSON 5X100 ML INDOREAGEN Set 458.700 994 HBSAG STRIP TEST 50'S ABON box 495.000 995 CONTROL NORMAL HEMA MINDRAY Botol 707.685 996 COVER GLASS 24X50 ( AULIA ) Kotak 605.000 997 COVER GLASS 24 X 24 ( AULIA ) Kotak 398.475 190

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 998 OPTOCHIN DISC Box 473.000 999 THC DEVICE INT.ANSWER Box 765.600 1000 MOP DEVICE INST.ANSWER PcS 19.140 1001 PH METER EP NEW HANNA PCS 1.531.200 1002 MET INST.ANSWER PCS 19.140 1003 NaH2po4 BOTOL 2.125.750 1004 Na2HPO4 BOTOL 1.093.125 1005 BONDTM WASH SOLUTION 10X-1L BOTOL 8.260.091 1006 BONDTM DEWAX SOLUTION 1L Botol 2.491.097 1007 BONDTM EPITOPE RETRIEVAL 2 Botol 5.244.633 1008 VITEX SALINE 0,45% kit 3.069.000 1009 TUBEX TF Kotak 3.608.385 1010 DENGUE DS NS 1 ANTIGEN FOCUS Kotak 4.474.800 1011 PARAFIN 1 KG Pcs 268.125 1012 AUTOMATED TIBC TAWADA Box 2.025.540 1013 IRN-IRON TAWADA Box 2.003.760 1014 IBCT CALIBRATOR - 1.852.752 1015 IRN/TIBC CALIBRATOR Box 2.416.128 1016 ALKOHOL 100% ABSOLUT 3,8L Botol 937.500 1017 BONDTM EPITOPE RETRIEVAL 1 Botol 4.851.491 1018 HOLDER VENOJECT GP Botol 2.860 1019 DIRUI REAGENT (MIKROALBUMIN) Kit 506.000 1020 HBSAG STRIP INST. ANSWER PCS 9.240 1021 CONTROL CD4/CD3 BD KIT 6.546.100 1022 ROCHE CARDIAC D- DIMER BOX 1.182.500 1023 BUFFER SOLUTION PH 7 (SJHTRA) Botol 485.375 1024 BOND TM POLYMER REFINE DETECTION Gallon 27.534.325 1025 APEX SUPERIOR ADHESIVE SLIDE box 1.018.749 1026 OPTI CASSETE BGA LAKTAT box 3.811.500 1027 LARUTAN ALSERVER 520 ML Botol 475.200 1028 FILTER RO 5 MICRON pcs 99.000 1029 HCG DEVICE INST.ANSWER Pcs 13.833 1030 BIO CAL HDL/LDL 3X3 ML DIALINE Vial 2.576.200 1031 BIO NORM L 3ML Vial 1.659.900 1032 ROCHE CARDIAC D DIMER CONTROL Box 1.147.300 1033 ESCHCRICHIA COLI ATCC Box 1.743.500 1034 Pscudomonas Acruginosa ATCC 27853 Box 1.743.500 1035 VIDAS RUBB.IGM 30 TEST Kit 3.931.400 1036 SALMONELLA TYPHY IGM FOCUS Kit 1.963.500 1037 DENGUE IGG/IGM HUMASIS box/25 1.787.500 1038 SALMONELLA TYPHY IGM FOCUS KIT 1.650.000 1039 DENGUE NS1 ANTIGEN HUMASIS Box 2.541.000 1040 BARBITURATE INST ANSWER Box 765.600 1041 URIC ACID 4X100 ML ( RNI ) Kit 1.730.000 1042 HEXAGON OB SCREEN HMAN Kit 1.677.500 1043 HARIS HEMATOXYLIN Box 612.499 1044 NAOH 1 N Botol 1.046.375 1045 PARAFIN / PARAPLAST 1 KG Bungkus 199.980 1046 TISSUE PROCESSING CASSETE Box 1.501.500 1047 COVER GLASS BIO 24 X 40 KOTAK/1000 1.430.000 1048 COVER GLASS BIO 24X60 KOTAK/1000 1.540.000 1049 LARUTAN BCB 1% 100 ML Botol 825.000 1050 COVER GLASS 22X22 ASSISTANT BOX 30.800 1051 EOSIN QUARTS Botol 393.750 1052 XYLENE GALLON Botol 1.187.499 1053 MICROTOME BLADE LOW PROFILLE 819 Box 2.200.000 191

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 1054 VITEX 2 NH Box 1.919.500 1055 OG.6 ( ORANGE GREEN ) Botol 493.750 1056 EA.50 ( EOSIN ACID ) Botol 412.500 1057 RPR CARBON FORTREES Kit 513.920 1058 ASPO/LATEX FORTRESS Kit 887.040 1059 RF LATEX FORTRESS Kit 716.320 1060 AST-GN93 Kit 2.585.000 1061 MICROTOME BLADE 35/80 MM Box 2.090.000 1062 HBSAG STRIPS SMART Box/25 229.075 1063 VIKIA HIV 1/2 Kit 935.000 1064 DIRUI REAGENT H10-800 Kit 506.000 1065 DIRUIREAGENT SHEATH Kit 18.480.000 1066 BUFFER SOLUTION MERCK 1 L Botol 451.000 1067 LARUTAN WRIGHT 100 CC BIO Botol 253.000 1068 ENTELAN NEW RAPID Botol 630.300 1069 HCV STRIPS INST ANSWER Pcs 13.200 1070 BACTALERT FA PLUS BOX 6.831.000 1071 SALMONELLA TYPHOID IGG/IGM BOX 1.524.600 1072 IGM ANTI HAV INST ANSWER BOX 1.870.000 1073 DIRUI REAGENT NEG CONTROL BOX 127.600 1074 DIRUI REAGENT POS CONTROL BOX 127.600 1075 MAC CONKEY 500 G CM0007B Botol 2.640.000 1076 DENGUE IGG/IGM INST ANSWER BOX 2.310.000 1077 HCV STRIPS SMART BOX 329.175 1078 VIDAS HCG 60 TEST KIT 4.757.665 1079 AHG COOMBS SERUM 10 ML Botol 407.000 1080 AST N317 BOX 2.585.000 1081 TABUNG VAC.5 ML GAL+ACT BOX 410.300 1082 DIRUI REAGENT FOCUS Kit 2.200.000 1083 DIRUI REAGENT SEDIMENT NEGATIF KIT 2.200.000 1084 DIRUI REAGENT SEDIMENT POSITIF KIT 2.200.000 1085 DIRUI CLEANING LIQUID KIT 990.000 1086 BIL D GEN SYS 1 KIT 1.740.200 1087 RTU CD 20(7ML) BOTOL 5.011.270 1088 RTU CB 11 (HER2) 7ML BOTOL 6.410.108 1089 MALARIA PF STRIP ANSWER PCS 24.780 1090 BACTALERT PF PLUS STRIP 6.831.000 1091 CRP LATEX FORTRESS KIT 715.000 1092 FOB DEVICE RIGHT SIGN BOX 385.000 1093 OPI DEVICA RIGHT SIGN BOX 478.500 1094 DENGUE IGM/IGM DEVICE INST. ANSWER BOX/100 715.000 1095 BD FACS RINSE GALLON 2.145.000 1096 BD FACS CLEANS GALLON 2.145.000 1097 TABUNG VAC 3,5 ML SST BD BOX 349.800 1098 POT URINE non STERILE 60 ML TUTUP KUNING PcS 2.750 1099 GOLONGAN DARAH ANTI A ERYCLONE Botol 214.500 1100 GOLONGAN DARAH ANTI B ERYCLONE Botol 214.500 1101 GOLONGAN DARAH ANTI D RHOFINAL Botol 280.500 1102 PANBIO DENGUE DUO CASSETE Box 2.080.900 1103 PANBIO DENGUE EARLY RAPID Box 2.602.710 1104 BIO CAL HDL/LDL 3X12 ML DIALINE Kit 2.241.800 1105 STREPTOCOCCUS AGAR CM0701B Botol 5.121.600 1106 DENGUE IGM/IGM DEV.10 SMART ONESTOP Box 693.000 1107 FOB CASSETE SMART DIAGNOSTIC Box 1.100.000 1108 XYLENE 2,5 L SCHARLAU Gallon 1.100.000 1109 NEUTRAL BUFFERED FORMALIN 10% Botol 825.000 192

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 1110 STA OWREN KOLLER 24X15 Kit 7.068.050 1111 DECALCIFIER 946 ML Botol 462.500 1112 FIBRI PREST AUTOMATE 12X2X ML Kit 16.654.770 1113 PORTAGREM AMIES AGAR Box 1.534.500 1114 DIRUI REAG DETERGENT Kit 5.225.000 1115 VIDAS FERITIN 60TEST Kit 5.376.800 1116 HAV IGM DALF 25 box 1.567.500 1117 SHANDON HIGH ROLIFE BLADE box 2.200.000 1118 CALIBRATOR ADVIA box 5.395.390 1119 HEMATOXYLIN JT.BAKER Botol 1.897.500 1120 FORMALIN 10%neutralizd JT.BAKER Botol 1.581.250 1121 ALTL INTEGRA COBAS BOX 1.762.896 1122 ALP INTEGRA COBAS BOX 610.120 1123 ASTL INTEGRA COBAS BOX 1.762.896 1124 BILL. D GEN 2 INTEGRA COBAS BOX 677.587 1125 BILL.T GEN 3 INTEGRA COBAS BOX 1.259.838 1126 GAMMA GT INTEGRA COBAS BOX 1.413.836 1127 ALB GEN 2 INTEGRA COBAS BOX 500.124 1128 CHOL2 INTEGRA COBAS BOX 1.786.360 1129 CREP2 INTEGRA COBAS BOX 1.953.554 1130 GLUKOSA HK GEN 3 INTEGRA BOX 2.330.485 1131 TP GEN 2 INTEGRA COBAS BOX 761.184 1132 TRIGLI INTEGRA COBAS BOX 1.049.963 1133 UREAL INTEGRA COBRAS BOX 2.550.476 1134 URIC ACID UA2 INTEGRA BOX 1.182.109 1135 SMS INTEGRA COBAS BOX 189.200 1136 NACL 9% DIL. INTEGRA COBAS BOX 201.300 1137 NAOH D/BASIC WASH 2X1,8 ML BOX 1.289.200 1138 NAOH + DETERGENT 12X70 ML BOX 502.700 1139 PRECI CONTROL CLIN MULTI 2 BOX 3.666.300 1140 CFAS LIPID 3X1 ML BOX 731.500 1141 CALIBRATOR FOR AUTO SYS 12X3 ML BOX 1.073.600 1142 RAPID-CHROME PAPANICOLAOU STAINING KIT 4.070.000 1143 INSTAN HENATOXYLIN KIT 2.695.000 1144 SMS SOLUTION FOR HIT 917 KOTAK 562.100 1145 NAOH- D COBAS C Kit 248.600 1146 URIC ACID MLIQ2X250 ML STANBIO Kit 5.566.000 1147 RF LATEX FORTRESS 50'S Kit 358.160 1148 CRP FORTREES 50'S BOTOL 357.500 1149 GOLONGAN DARAH ANTI D RHOFINAL BOTOL 214.500 1150 GOLONGAN DARAH ANTI AB FORTREES BOTOL 151.800 1151 HCL 0,1 L BIO BOTOL 115.500 1152 LARUTAN NAOH 0,1N 100 ML BIO BOTOL 27.500 1153 FLASHBACK BLOOD NEEDLE 22G BDI BOX 170.500 1154 ALKOHOL 1005 ETANOL MERCK BOTOL 775.500 1155 KIT DENSICHECK PLUS STD BOX 4.400.000 1156 COVER GLASS 22X50 (ENSEVAL) KOTAK 121.000 1157 SLIDE MICROSCOPE WHITE FR KOTAK 27.500 1158 MICROTOME BLADE MX35 KOTAK 1.925.000 1159 TISSUE EMBEDING CASSETE KOTAK 1.320.000 1160 SPIRITUS 1L ONEMED BOTOL 39.600 1161 MICROTAINER LITH.HEPARIN 0,5 ML 100S GREINER 705.100 1162 SOLUTION NA/K/CL 400 ML Pack 9.350.000 1163 COC DEVICE INST. ANSWER Box 765.600 1164 COC STRIPS INST. ANSWER Box 739.200 1165 BENZODIAZEPINE STRIPS INST. ANSWER Box 739.200 193

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 1166 MET STRIPS INST. ANSWER Box 739.200 1167 THC STRIPS INST. ANSWER Box 739.200 1168 THC STRIPS INST. ANSWER Box 739.200 1169 MOP STRIPS INST. ANSWER Box 739.200 1170 MORPHINE STRIPS INST. ANSWER Box 739.200 1171 AMPHETAMINE SMART DIAGNOSTIC Box/25 311.575 1172 COCAINE SMART DIAGNOSTIC Box/25 311.575 Group: BHP RADIOLOGI 1 DEVELOPER LIQUID 2 GALON 1.255.320 2 FIXER LIQUID 2 GALON 1.255.320 3 FILM MAMOGRAFI 18 x 24 CM Lembar 5.148 4 FILM X-RAY 24 x 30 CM lbr 10.769 5 Film X-Ray30 x 40 cm lbr 17.809 6 Film x ray 35 x 35 cm lbr 19.527 7 Film MRI 35 x 43 cm Lembar 44.000 8 Film CT SCAN 35 x 43 cm Lembar 57.200 9 Film GIGI 3x4 DENTUS lbr 11.322 10 Film PANORAMIC 15 X30 lbr 8.401 11 Film Agfa DT 2B 35x43 Lembar 57.200 12 Film Agfa 35x43 biasa Lembar 21.945 13 FILM DVB KODAK 125 SH 35 X 43 Lembar 60.192 14 FILM DVB KODAK 125 SH 28 X 35 Lembar 41.184 15 FILM DVB KODAK 125 SH 20 X 25 Lembar 22.176 16 FILM AGFA 2 B 8X10 Lembar 23.311 Group: Antiseptik 1 Alkohol70% 1 L Botol 27.500 2 Alkohol95%1 L Botol 47.300 3 Alkohol Swab One Med Box 13.050 4 Betadine 5 L Liter 132.000 5 Betadine 4,5 L Gallon 687.500 6 Braunoderm 1 L Botol 115.500 7 First Aid 5 L Gallon 923.890 8 Formalin Cair 37-40% 1 L Botol 66.000 9 Formalin Tablet 635 10 Gliserin 1 L Botol 70.400 11 Pastik BOX 28.600 12 Perhidrol 3% (H2O2) 1 L Botol 26.400 13 Perhidrol 37% (H2O2) 1 L ml 90 14 Septadine 5 L Gallon 472.525 15 Stardine 5 L Gallon 319.000 16 Sapta-Man L 1 L Botol 99.825 17 Avagard 5 L Gallon 838.200 18 isodine sol Liter 132.000 20 first aid Liter 178.500 21 Avagard Liter 167.640 22 braunoderm 250 ml Botol 77.000 23 SOFTAMAN 1000 ML Botol 132.000 24 septadin Liter 103.906 25 CUTI SOFT HAND 5 L Gallon 892.478 26 satrdine Liter 121.000 27 stardine Liter 123.200 28 polyaids Liter 132.000 29 betadin spray 55 mg Botol 55.000 30 SODASORB UNGU 5 L Gallon 374.000 31 Stabimed Botol 619.999 32 Stabimed 1 cc CC 880 194

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 33 Isodine solution4550 Gallon 687.500 34 Alkohol 70 % Cap Gajah Botol 87.087 35 Alkohol 95 % cap gajah Botol 117.700 36 One Scrub 500 ml Botol 104.500 37 Viorex Liquid 5L Gallon 1.154.340 38 Viorex No Rinse Pink 4 L Gallon 922.570 39 SURFANIOS LEMON FRESHNES Gallon 5 l 1.628.000 40 HYDREX SURGICAL SCRUB Gallon 1.056.000 41 ANIOSYME DD1 Gallon 2.323.475 42 STERANIOS 2 % Gallon 886.875 43 SAPTAMAN 500ML Botol 54.450 44 ALKOHOL 96% 30 LT Gallon 2.091.375 Group: Alkes BHP (lain-lain) 1 Coulter Mata/disposible courter Buah 269.500 2 Masker Karet Telinga Box 41.800 3 Masker Tali Ekonomi Box 38.500 4 Oxygen Sensor V.300 Kaleng 3.326.895 5 Flow Sensor Paediatric Pcs 924.350 6 GYPSONA SPLINT SYSTEM 3 IN Roll 1.461.973 7 GYPSONA SPLINT SYSTEM 5 IN Roll 1.751.186 8 GYPS SPLINT 3'' PER-CM 2.293 9 GYPS SPLINT 5'' PER-CM 2.747 10 Stab knife jc 215 Pcs 158.400 11 Cresent knife je 2 Pcs 158.400 12 kwatum je -1 Pcs 92.400 13 TQM Blue Pcs 59.400 14 stopwatch jarum diamond Buah 302.500 15 Disposable ophtaimic knife Kotak 792.000 16 Gypsona splint system 4 iin Buah 1.591.987 17 GYPS SPLINT 4'' PER-CM 2.497 18 Caulter mata aaron Buah 176.000 19 Cauter mataaaron Buah 290.400 20 Gluco DR Strip 50s BOX 300.000 21 underpead children ply Buah 4.290 22 Coagulating Elektrode 24R27040L Pcs 1.697.300 23 Cougalating Elektrode 24R27040N Pcs 1.697.300 24 Adultrem polyhesive E7507 Pcs 144.375 25 Bor Mani 31c Pack 88.000 26 Anprolene cartridge BOX 12.595.000 27 Exposure Indicator BOX 1.650.000 28 SR Gussetted type 100 MM x 100MM Roll 700.700 29 SR Gussetted Type 150MM x100mm Roll 821.040 30 Codman Cranio Blade Buah 938.520 31 DOP MATA Pcs 11.000 32 EYE DRAPE Pcs 55.000 33 LANCE TIP KNIFE JE 2-15 Pcs 132.000 34 CERATOME KNIFE JE 1 Pcs 200.213 35 MOUTHPIECE MICROMEDICAL Pcs 6.600 36 GLUCO DR LANCET Kotak/100 22.000 37 KNIFE STRAIGHT KARL STROZ Pcs 3.104.200 38 Disposable slit knife BOX 792.000 39 NEONATAL REM POLYHESIVE Pcs 298.375 40 CATAGEL Vial 198.000 41 ROCKER SWITCH PENCIL (KOULTER) Pcs 139.564 42 GIGLI SAW Pcs 365.200 43 POUCHES STERIL FLAT 10 CM x 200 M Roll 880.000 195

Harga Obat 2016 Group : Bahan Habis Pakai No Nama Item Satuan Harga (Rp) 44 POUCHES STERIL FLAT 25 CM X 200 M Roll 1.815.000 45 POUCHES STREIL FLAT 15 CM X 200 Roll 1.265.000 46 ELEKTRODA SKINTACT Pack 75.350 47 STERILLE ECO 5 CM X 200M (MBS) Roll 325.416 48 STERILLE ECO 15 CM X 200M Roll 1.015.300 49 LEUKOFIX Roll 13.267 50 STARVICS VISCOELASTIS SOLUTION Kotak 175.692 51 NUCLEUS HYDRODISECTION CANNULA 25G X1 Pcs 70.400 52 IRRIGATING VECTIS 25GA Pcs 205.567 53 ELEKTRODA HEALTHCARE GE PEDIATRIC Pack 220.000 54 TIP CLEANER Pcs 35.612 55 WING SET 25G BD Pcs 4.840 56 STERILLE ECO 25 CM X 200 M Roll 1.677.500 57 LIGATURE RUBBER RINGS/KARET LEGASI Pcs 7.062 58 LIGACLIP TITANIUM BOX/108 3.080.000 59 LIGACLIP TITANIUM per pcs Pcs 28.519 60 PAMPERS DR.P BASIC L-8 Pack 9.350 61 PROBE COVER GENIUS Pack 47.300 62 CRESENT KNIFE EAGLE Pcs 200.213 63 STAB KNIFE EAGLE Pcs 200.213 64 HARUM PATIENT PLATES NON CABLE Pack 108.900 65 TEST HIV BOX/100 5.390.000 66 INFANT POLYHESIVE E7510 Pack 168.437 67 TEST HIV BOX/100 5.280.000 68 INFUSION SLEEVE SILICONE Pcs 1.702.800 69 SINGLE USE CASSETE MEGATRON BOX 1.131.119 70 INFUSION SLEEVE SILICON BLUE G242100 Pcs 832.499 71 MEGA ULTRASONIC TIP TITANIUM BOX 17.999.999 72 SENSI POPOK DEWASA/PAMPERS Pcs 4.823 73 TEST HIV Pcs 5.280.000 74 DISP.ELECTROSURGICAL EVERSHINE PACK 137.500 75 TEGADERM - E Pcs 5.578 76 VERSATOME SLIMLINE 365 LUMINES (FIBER LASER) Pcs 493.293 77 VERSATOME SLIMLINE 550 LUMINES (FIBER LASER) Pcs 591.951 78 GIGLI MEDIKON Pcs 440.000 79 GIGLI WIRE SAW FH414 Pcs 311.300 80 SIX SHOOTER MB LIGATOR ONLY Set 1.639.440 Group: Alat Kesehatan 1 SR. FLAT TYPE 300MM x 200MM Roll 2.805.000 2 SR. FLAT TYPE 150MM x 200MM Roll 1.210.000 3 SR. FLAT TYPE 250MM x 200MM Roll 1.925.000 4 Trypan Blue solution BOX 90.750 5 RESPIFLO 325 ML ( WATER & Adpt Humid ) Pcs 44.220 6 ZEIDE / SILK BLACK NO.5/0 Casset 580.140 Group:Jarum Suntik BHP 1 Disposible Needle No.21G terumo Pcs 1.210 Group:ALAT KESEHATAN 1 SILK NO.2/0 100 M (RNI) Casset 715.000 2 SILK NO.2 100 M (RNI ) Casset 825.000 Group:KASA 1 KASA BUNTUT X RAY 15X27 CM Casset 3.850 196

Harga Peralatan Medis/Non Medis 2016 Harga Peralatan Medis/Non Medis 197

Harga Peralatan Medis/Non Medis 2016 XXXII. Harga Peralatan Medis/Non Medis No Uraian Satuan Harga (Rp) 1 Bahan Habis Pakai Sero Survey HIV AIDS PT 5.000.000 2 Bahan Habis Pakai HIV AIDS PT 30.000.000 3 Reagen HIV AIDS PT 88.349.000 4 Reagen Sero Survey HIV AIDS PT 20.000.000 5 Kelambu Berinsektisida Buah 300.000 6 Mesin Fogging Portable Unit 7 Rapid Diagnose Tes Demam Berdarah Dengue (RDT DBD) Buah (test pack) 120.000 8 Rapid Diagnose Tes Malaria (RDT Malaria) Buah (test pack) 87.000 9 Rapid Diagnose Tes Hepatitis B Buah (test pack) 120.000 10 Abate Themepos 1% Kg 85.000 11 Vaksin Anti Rabies Buah 700.000 12 Biskuit MP-ASI 12-24 Bulan Kg 40.000 13 Taburia Kg 29.000 14 Pot Sputum Buah 6.000 15 Kaca Slide Box 46.000 16 Kaca Slide Frosted Box 46.000 17 Tuberkulin Test Vial 950.000 198

Alat Tulis Kantor 2016 Alat Tulis Kantor 199

Alat Tulis Kantor 2016 XXXIII. Alat Tulis Kantor No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 1 Amplop Ceasing Samson S/F Pack 50.000 2 Amplop Ceasing Samson Folio (D) Pack 55.000 3 Amplop Ceasing Samson Kuarto (c) Pack 45.000 4 Amplop Ceasing Samson B (super kabinet) Pack 25.000 5 Amplop Samson A( kabinet (A) Unit 20.000 6 Amplop Air Mail Tali kecil Folio lembar 2.000 7 Amplop Jaya kabinet Pack 27.500 8 Bantalan Stempel No.0 Air Line Unit 17.500 9 Bantalan Stempel No.1 Air Line Unit 45.000 10 Bantalan Stempel No.2 Air Line Unit 75.000 11 Baterai Besar Unit 6.500 12 Baterai Kecil Unit 2.500 13 Baterai Sedang Unit 5.000 14 Bag Name Unit 1.500 15 Binder Clip 107 Box 9.000 16 Binder Clip 111 Box 10.000 17 Binder Clip 155 Box 12.500 18 Binder Clip 200 Box 15.000 19 Binder Clip 260 Box 20.000 20 Box File Keranjang Unit 30.000 21 Buku Agenda Surat Unit 22.500 22 Block Note ½ Folio Unit 5.000 23 Block Note Kwarto Unit 7.500 24 Buku Expedisi Unit 10.000 25 Buku Folio Isi 100 Unit 15.000 26 Buku Folio Isi 200 Unit 27.500 27 Buku Kwarto Isi 100 Unit 10.000 28 Buku Kwarto Isi 200 Unit 20.000 29 Baterai Alkaline Kecil Set 15.000 30 Buku Kas Folio 3 Kolom Isi 100 Unit 25.000 31 Buku Kas Kwarto 2 Kolom Isi 100 Unit 17.500 32 Buku Kas Kwarto 3 Kolom Isi 100 Unit 15.000 33 Buku Kiki Kwarto Isi 100 Unit 17.500 34 Buku Kiki Folio Isi 100 Unit 25.000 35 Buku Kwitansi Bussines Unit 6.500 36 Clip Kertas SeaGull Unit 3.000 37 Cutter L-100 Kenko Unit 7.500 38 Cutter L-100 Bagus Unit 7.500 39 Cutter L-500 Biasa Unit 10.000 40 Isi Cutter L-100 Unit 2.500 41 Isi Cutter L-500 Unit 5.000 42 Kaset DVD Keping 8.500 43 Pulpen g2 pilot lusin 180.000 44 Gunting Savoi Besar Unit 12.500 45 Isi Pen Pentel Unit 25.000 46 Isi Pen Parker Roller Unit 30.000 47 Kapur Tulis Box 2.000 48 Karbon Daito Folio Pack 45.000 49 Karbon Daito Double Folio Pack 94.000 50 Kertas CD (buram) rim 25.000 51 Kertas Coklat Ceasing Plano Lembar 3.500 52 Kertas Manila Plano Lembar 3.000 53 Kertas Buffalo Folio Pack 35.000 54 Kertas Glosy stker Rim 45.000 55 Kertas Duplikator Isi 300 Lembar Rim 35.000 56 Kertas Glosy paper 260 gram (foto) Pack 40.000 57 Kertas HVS 70 Gram D/F Isi 500 Lembar Rim 102.000 58 Kertas HVS 70 Gram Folio isi 500 lbr Rim 55.000 59 Kertas HVS 70 Gram Kwarto isi 500 lbr Rim 48.000 200

Alat Tulis Kantor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 60 Kertas HVS 60 Gram Kwarto Rim 40.000 61 Kertas HVS 80 Gram Folio isi 500 Rim 65.000 62 Kertas HVS 80 Gram Kwarto isi 500 Rim 60.000 63 Kertas D/F Bergaris Isi 100 Rim 20.000 64 Kertas D/F Bergaris Isi 200 Rim 40.000 65 Kertas HVS 70 Gram Warna Rim 67.500 66 Pulpen Signo Lusin 405.000 67 Pulpen G2 Pilot Lusin 205.000 68 Kertas Sheet Stensil Unit 95.000 69 Lem Glukol Besar Unit 10.500 70 Lem Glukol Sedang Unit 5.000 71 Lem Glukol Kecil Unit 2.000 72 Lem Povinal Tanggung Unit 10.000 73 Lem Povinal Kecil Unit 5.000 74 Lem 1Kg Unit 22.500 75 Lem Castol Tanggung Unit 7.500 76 Map Batik Tipis Kertas buah 5.000 77 Map Dokumen Celper Isi 20 buah 20.000 78 Map Dokumen Cever Isi 40 buah 25.000 79 Map Hasan (Buku Samping) buah 7.500 80 Map Lapangan Clip File buah 22.500 81 Map Folio Kertas buah 1.000 82 Map Fujita Folio buah 4.000 83 Map Jepit plastic buah 8.600 84 Map Lucky File buah 22.500 85 Map Snelhecter Kertas buah 1.000 86 Odner Gungyu 401 buah 22.500 87 Odner Gungyu 402 buah 22.500 88 Odner Gungyu 403 buah 22.500 89 Fanfix 1x72 Yead Roll 30.000 90 Fanfix 1/2x1/2 Yead Roll 15.000 91 Pelubang Kertas No.85 buah 85.000 92 Pelubang Kertas No.40 XL buah 37.500 93 Pulpen Baliner Lusin 210.000 94 Pulpen G-1 Grip Lusin 175.000 95 Pulpen Boxy Unibal Unit 155.000 96 Pulpen Pilot BPTP Asli buah 36.000 97 Pulpen Snowman BP7 buah 35.000 35 Pen Sheet Katsuwa lusin 90.000 99 Penggaris Besi 30 cm buah 10.000 100 Penggaris Besi 50 cm buah 15.000 101 Penggaris Mica 30 cm buah 2.500 102 Penggaris Mica 60 cm buah 7.500 103 Penggaris Mica 100 cm buah 22.500 104 Penghapus WhiteBoard buah 7.500 105 Pensil buah 4.000 106 Pita Computer 8750 Lengkap buah 35.000 107 Pita Computer 7754 Lengkap buah 40.000 108 Pita Computer 8758 Isi buah 12.500 109 Pita Computer 7755 Isi buah 12.500 110 Pita Computer Epson LQ-1170/LQ-2180 buah 105.000 111 Pita Computer LQ-2170 Isi buah 37.500 112 Pita Mesin Ketik Daito buah 22.500 113 Plakband Coklat OPP Plastik buah 15.000 114 Plakband Nashua 2x30 buah 15.000 115 Plakband Tanggung Kenko Roll 12.500 116 Plakband Kecil Kenko Roll 7.500 117 Plakband Besar hitam Roll 17.500 118 Plakband OPP Bening 2x100 Roll 15.000 119 Double Tape 1 Inch Roll 10.000 120 Double Tape 2 Inch Roll 15.000 121 Plastik Jilid Folio buah 5.000 201

Alat Tulis Kantor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 122 Plastik Transparant Yasica Pack 52.500 123 Pita Mesin Ketik Swallow roll 22.500 124 Rautan Pensil Angel buah 100.000 125 Rautan Pensil Kecil buah 1.500 126 Remover buah 17.500 127 Spidol White Board buah 8.500 128 Plastik Laminating F4 pack 187.500 129 Spidol Kecil Eceran pack 2.000 130 Stabilo Boss buah 10.500 131 Staples No.10 max buah 17.500 132 Staples No.3 max buah 65.000 133 Staples Isi No.10 kotak 3.500 134 Staples Isi No.3 kotak 5.500 135 Staples Isi No.1210 kotak 25.000 136 Staples Isi No.1213 kotak 27.500 137 Staples Isi No.1215 kotak 32.500 138 Staples Isi No.1217 kotak 35.000 139 Stip Pensil Steadler Besar B.20 buah 10.000 140 Stip Pensil Steadler besar B 30 buah 4.500 141 Stip Pensil Steadler besarb.40 buah 3.500 142 Tinta Rotring buah 75.000 143 Tinta Stempel Pad Ink buah 12.500 144 Tinta Sheet Daito buah 55.000 145 Tipe Ex Re Type buah 10.000 146 Tissue Besar Box 15.000 147 Tissue Sedang Box 12.000 148 Tali id Id card buah 4.500 149 Pencil mekanik Feber castel set 20.000 150 stempeltrodot btl Unit 40.000 151 Tinta Spidol White Board Snowman Unit 18.750 152 Penggaris Besi 100 cm buah 35.000 153 Pulpen Faster Box 39.000 154 Stopmap Buffalo buah 2.500 155 Odner Bantex 403 Unit 35.000 156 Buku Tabelaris 18 Kolom Bh 65.000 157 Odner Bantex 401 Bh 35.000 158 Spidol OHP Snowman Isi 4 Set 52.500 159 Tinta HP 51645A/HP 45 Unit 405.000 160 Tinta HP C 678D/HP 78 Unit 563.000 161 Tinta HP C6614(20)/HP 20 Unit 453.500 162 Tinta HP C6615D Black (15) Unit 475.000 163 Tinta HP C6525A Colour (17) Unit 425.000 164 Tinta HP 51649A colour Unit 445.000 165 Tinta HP 56 Unit 485.000 166 Tinta HP 57 Unit 465.000 167 Toner Laser Jet Q2612A Unit 1.050.000 168 Toner Laser Jet Q5949A Unit 1.050.000 169 Toner Laser Jet C7115A Unit 1.145.000 170 Toner Laser Jet 4096A Unit 1.110.000 171 Toner Laser Jet C3900A Unit 1.050.000 172 Toner Laser Jet C3903F Unit 1.050.000 173 Toner Laser Jet 4092A Unit 1.100.000 174 Toner Laser Jet C3906P Unit 1.050.000 175 Isi Toner Laser Jet 340 Gram Botol 275.000 176 Cartridge Canon 21 Color Unit 55.000 177 Cartridge Canon 21 Black Unit 55.000 178 BC Canon 03 Buah 285.000 179 BC BC 05 Buah 310.000 180 BC Canon PG 40 (IP 1700) Unit 285.000 181 BC Canon DL 41 (IP1700) Unit 305.000 182 BCI Canon 24 Black (Pixma IP1000) Unit 105.000 183 BCl Canon 24 Colour (Pixma IP 1000) Unit 105.000 202

Alat Tulis Kantor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 184 Tinta Mipo Black / Colour Unit 30.000 185 Tinta Data Print Hitam Unit 35.000 186 Tinta Canon 200 ml colour Unit 55.000 187 Tinta Epson Stylus T038 Unit 97.000 188 Tinta Epson Stylus T039 Unit 168.000 189 Tinta Epson Stylus TO 461 Unit 112.000 190 Tinta Epson Stylus TO 473 Unit 112.000 191 Tinta Epson Stylus TO 474 Unit 112.000 192 Tinta Epson Stylus TO 472 Unit 112.000 194 CD/R Keping 5.000 195 CD/RW Keping 6.500 197 Kaset DVD Keping 8.500 198 Flashdisk 4 GB Bh 155.000 199 Flashdisk 8 GB Bh 175.000 200 Tempat CD Bh 3.000 201 Tpt isolasi bening/dispenser tape Bh 60.000 202 Plastik Laminating F4 Pack 187.000 203 Tip Ex Pentel Bh 30.000 204 Tipe ex kertas kenko buah 15.000 206 Continous Form UK. 9 1/2 x 11 : 1 Ply HVS 2000 Sheet/Box 215.000 207 Continous Form UK. 9 1/2 x 11 : 2 Ply HVS 1000 Sheet/Box 295.000 208 Continous Form UK. 9 1/2 x 11 : 3 Ply HVS 1000 Sheet/Box 475.000 209 Continous Form UK. 9 1/2 x 11 : 4 Ply HVS 500 Sheet/Box 335.000 210 Continous Form UK. 9 1/2 x 11 : 5 Ply HVS 500 Sheet/Box 425.000 211 Continous Form UK. 14 7/8 x 11 : 1 Ply HVS 2000 Sheet/Box 335.000 212 Continous Form UK. 14 7/8 x 11 : 2 Ply HVS 1000 Sheet/Box 712.500 213 Continous Form UK. 14 7/8 x 11 : 3 Ply HVS 1000 Sheet/Box 335.000 214 Continous Form UK. 14 7/8 x 11 : 4 Ply HVS 500 Sheet/Box 494.250 215 Continous Form UK. 14 7/8 x 11 : 5 Ply HVS 500 Sheet/Box 654.750 216 Continous Form UK. 9 1/2 x 11 : 2 Ply NCR 1000 Sheet/Box 285.000 217 Continous Form UK. 9 1/2 x 11 : 3 Ply NCR 1000 Sheet/Box 431.250 218 Continous Form UK. 9 1/2 x 11 : 4 Ply NCR 500 Sheet/Box 243.250 219 Continous Form UK. 9 1/2 x 11 : 5 Ply NCR 500 Sheet/Box 376.500 220 Continous Form UK. 9 1/2 x 11 : 6 Ply NCR 500 Sheet/Box 471.000 221 Continous Form UK. 14 7/8 x 11 : 2 Ply NCR 1000 Sheet/Box 443.250 222 Continous Form UK. 14 7/8 x 11 : 3 Ply NCR 1000 Sheet/Box 682.500 223 Continous Form UK. 14 7/8 x 11 : 4 Ply NCR 500 Sheet/Box 509.750 224 Continous Form UK. 14 7/8 x 11 : 5 Ply NCR 500 Sheet/Box 597.000 203

Percetakan 2016 Percetakan 204

Percetakan 2016 XXXIV. Percetakan No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 1 HVS Folio/Kwarto 60 gr Dicetak : 1 (satu) Muka s/d 200 Lembar 253,59 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 253,59 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 210,13 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 188,38 Dicetak : 2 (dua) Muka s/d 200 Lembar 275,33 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 253,59 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 253,59 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 217,37 2 HVS D. Folio/D. Kwarto 60 gr Dicetak : 1 (satu) Muka s/d 200 Lembar 289,81 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 289,81 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 253,59 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 217,37 Dicetak : 2 (dua) Muka s/d 200 Lembar 326,05 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 326,05 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 289,81 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 253,59 3 HVS Folio/Kwarto 70 gr Dicetak : 1 (satu) Muka s/d 200 Lembar 326,05 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 326,05 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 289,81 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 275,33 Dicetak : 2 (dua) Muka s/d 200 Lembar 362,29 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 362,29 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 362.29 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 326,05 4 HVS D. Folio/D. Kwarto 70 gr Dicetak : 1 (satu) Muka s/d 200 Lembar 398,49 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 398.49 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 391,24 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 391,24 Dicetak : 2 (dua) Muka s/d 200 Lembar 470,96 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 470,96 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 434,73 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 434,73 5 HVS Folio/Kwarto 80 gr Dicetak : 1 (satu) Muka s/d 200 Lembar 434,73 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 434.73 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 398,50 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 456,47 Dicetak : 2 (dua) Muka s/d 200 Lembar 456,47 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 434.73 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 420,22 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 420,22 6 HVS D. Folio/D. Kwarto 80 gr Dicetak : 1 (satu) Muka s/d 200 Lembar 507,18 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 507,18 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 507,18 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 507,18 Dicetak : 2 (dua) Muka s/d 200 Lembar 507,18 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 507,18 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 492,70 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 492,70 7 HVS Folio/Kwarto 60 gr Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 398,50 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 398,50 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 362,28 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 362,28 205

Percetakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) Dicetak : 2 (dua) Muka s/d 200 Lembar 420,22 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 420,22 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 398,50 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 398,50 8 HVS D.Folio/D.Kwarto 60gr Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 579,64 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 579,64 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 565,14 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 565,14 Dicetak : 2 (dua) Muka s/d 200 Lembar 608,63 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 608,63 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 594,13 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 594,13 9 HVS Folio/Kwarto 70 gr Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 434,73 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 434.73 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 434.73 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 434.73 Dicetak : 2 (dua) Muka s/d 200 Lembar 456,47 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 456,47 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 449,21 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 449,21 10 Dorslag Folio/Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 239,09 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 239,09 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 231,84 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 231,84 11 Dorslag D. Folio/D. Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 289,81 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 289,81 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 239,09 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 224,59 12 Blanko/Kartu BC Super/Bufalo Uk. Folio/Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 2.680,86 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 2.680,86 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 2.173,66 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 2,173,66 Dicetak : 2 (dua) Muka s/d 200 Lembar 3.622,77 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 3.622,77 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 2.680,86 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 2.680,86 13 Blanko/Kartu BC Super/Bufalo Uk. D. Folio/D. Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 6.086,26 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 6.086,26 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 5.071,89 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 5.071,89 Dicetak : 2 (dua) Muka s/d 200 Lembar 7.245,55 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 7.245,55 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 6.520,99 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 6.520,99 14 Blanko/Kartu bhn BC Bandung Uk. Folio/Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 1.594,02 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 1.594,02 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 1.594,02 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 1.594,02 Dicetak : 2 (dua) Muka s/d 200 Lembar 1.594,02 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 1.594,02 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 1.594,02 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 1.594,02 206

Percetakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 15 Blanko/Kartu bhn BC Bandung Uk. D. Folio/D. Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 5.144,34 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 4.854,53 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 4.600,92 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 4.492,24 Dicetak : 2 (dua) Muka s/d 200 Lembar 5.506,62 Dicetak : 2 (dua) Muka 201 s/d 500 Lembar 5.216,80 Dicetak : 2 (dua) Muka 501 s/d 1000 Lembar 5.144,34 Dicetak : 2 (dua) Muka Lebih 1000 Lembar 5.144,34 16 Bahan Kertas Kunstruk 80 gr Uk. Folio/Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 4.318,34 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 4.318,34 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 4.057,51 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 4.057,51 17 Bahan Kertas Kunstruk 80 gr Uk. Folio/Kwarto 2 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 4.311,09 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 4.311,09 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 3.405,41 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 3.332,95 18 Bahan Kertas Kunstruk 80 gr Uk. Folio/Kwarto 3 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 4.782,06 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 4.782,06 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 3.695,24 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 3.695,24 19 Bahan Kertas Kunstruk 80 gr Uk. Folio/Kwarto 4 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 7.970,11 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 7.970,11 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 6.810,82 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 6.810,82 20 Bahan Kertas Kunstruk 100 gr Uk. Folio/Kwarto Dicetak : 1 (satu) Muka s/d 200 Lembar 4.311,09 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 4.311,09 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 4.202,41 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 4.202,41 21 Bahan Kertas Kunstruk 150 gr Blok Cetak 1 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 8.477,31 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 8.042,57 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 7.644,06 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 7.644,06 22 Bahan Kertas Kunstruk 150 gr Blok Cetak 2 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 9.419,22 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 9.419,22 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 8.839,57 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 8.839,57 23 Bahan Kertas Kunstruk 150 gr Blok Cetak 3 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 10.288,69 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 10.288,69 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 9.745,28 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 9.745,28 24 Bahan Kertas Kunstruk 150 gr Blok Cetak 4 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 11.266,83 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 11.266,83 207

Percetakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 10.868,34 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 10.868,34 25 Bahan Kertas Ivory 150 gr 1 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 5.941,35 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 5.941,35 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 9.651,53 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 9.651,53 26 Bahan Kertas Ivory 150 gr 2 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 5.651,53 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 5.651,53 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 5.325,48 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 5.325,48 27 Bahan Kertas Ivory 150 gr 3 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 6.376,09 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 6.376.09 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 6.086,26 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 6.086,26 28 Bahan Kertas Ivory 150 gr 4 Warna Dicetak : 1 (satu) Muka s/d 200 Lembar 7.970,11 Dicetak : 1 (satu) Muka 201 s/d 500 Lembar 7.970,11 Dicetak : 1 (satu) Muka 501 s/d 1000 Lembar 7.535,38 Dicetak : 1 (satu) Muka Lebih 1000 Lembar 7.535,38 29 Sampul Imitasi 1/2 Folio/Kwarto Buku 6.303,63 30 Sampul Imitasi Folio Buku 6.303,63 31 Sampul Imitasi Kwarto Buku 6.303,63 32 Amplop Dinas Bahan Samson Uk. 12 x 28 cm Lembar 1.449,10 33 Amplop Dinas Bahan Samson Uk. 14 x 27,5 cm Lembar 1.883,83 34 Amplop Dinas Bahan Samson Uk. 18 x 28 cm Lembar 2.753,31 35 Amplop Dinas Bahan Samson Uk. 27 x 40 cm Lembar 3.043,12 36 Amplop Dinas Bahan Samson Model Kantong Uk. 27 x 40 cm Lembar 3.043,12 37 Amplop Dinas Bahan Cassing Uk. 12 x 28 cm Lembar 1.159,29 38 Amplop Dinas Bahan Cassing Uk. 14 x 27,5 cm Lembar 1.267,97 39 Amplop Dinas Bahan Cassing Uk. 18 x 28 cm Lembar 2.101,22 40 Amplop Dinas Bahan Cassing Uk. 27 x 40 cm Lembar 2.572,16 41 Amplop Dinas Bahan Cassing Model Kantong Uk. 27 x 40 cm Lembar 2.572,16 42 Amplop Dinas Bahan HVS 80 gr Lembar 724,54 43 Stop Map Bahab BC Super Folio 1 Warna Lembar 2.898,22 Bahan BC Bandung 1 Warna Lembar 2.898,22 Bahan Bufalo Folio 1 warna Lembar 6.883,28 Bahan Ivory Blok 4 Warna/Hotprint Lembar 27.533,13 Bahan BC Concorde Lembar 12.317,44 44 Blanko Bahan Kertas NCR Folio 1 Warna Lembar 579,64 Bahan Kertas NCR Folio 2 Warna Lembar 652.10 Bahan Kertas NCR Folio 3 Warna Lembar 724,54 Bahan Kertas NCR Folio 4 Warna Lembar 797,16 45 Kertas Sticker Cetak 1 Warna Uk. 10 x 10 Cm Lembar 2.463,48 Cetak 2 Warna Uk. 10 x 10 Cm Lembar 3.043,12 Cetak 3 Warna Uk. 10 x 10 Cm Lembar 3.767,68 Cetak 4 Warna Uk. 10 x 10 Cm Lembar 797,16 Cetak 4 Warna Scot Light Uk. 10 x 10 Cm Lembar 46 Kop surat Gubernur kertas concord Rim/200 Lbr 434.733,75 folio logo warna emas (Hot Print) 208

Percetakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 47 Kop surat Gubernur kertas HVS folio Rim/500 Lbr 144.9111,25 logo tanpa warna 48 Kopsurat Gubernur kertas concord 1/2 Rim/200 Lbr 217.366,87 folio logo warna emas (Hot Print) 49 Kop surat Gubernur 1/2 folio HVS Rim/500 Lbr 108.683,43 tanpa warna 50 Kop surat Setda folio HVS logo warna Rim/500 Lbr 253.594,68 51 Kop surat Setda folio HVS logo tanpa warna Rim/500 Lbr 144.911,25 52 Kop surat Setda 1/2 folio HVS logo Rim/500 Lbr 108.683,43 tanpa warna 53 Amplop kabinet kop surat Setda logo warna Pak/100 Lbr 123.174,55 54 Amplop kabinet kop Gubrnur kertas concord Pak/100 Lbr 217.366,87 warna emas (Hot Print) 55 Amplop kabinet kop Setda 80 gr Pak/100 Lbr 108.683,43 56 Amplop kabinet kop Gubernur 80 gr Pak/100 Lbr 108.683,43 57 Amplop coklat folio kop Setda Pak/100 Lbr 159.402,37 58 Amplop coklat folio kop Gubernur Pak/100 Lbr 159.402,37 59 Amplop coklat folio kop Setda tanggung Pak/100 Lbr 101.437,87 60 Amplop coklat folio kop Gubernur Tanggung Pak/100 Lbr 130.420,12 61 Blanko SPPD Folio NCR Rim/400 Lbr 224.612,43 62 Kartu kendali surat masuk NCR Blok/50 Shet 43.473,37 63 Kartu kendali surat keluar NCR Blok/50 Shet 43.473,37 64 Lembar pengantar surat masuk NCR Blok/100 Shet 86.946,7 65 Lembar pengantar surat keluar NCR Blok/100 Shet 86.946,7 66 Lembar Pengantar 1/2 folio NCR Blok/100 Shet 86.946,7 67 Lembar Disposisi 1/2 folio NCR Blok/100 Shet 86.946,7 68 Blank surat pengantar HVS 60 gr Rimk/400 Lbr 105.060,6 69 Blanko riwayat kepangkatan golongan Rimk/400 Lbr 105.060,6 70 Map DIKDA full color Lembar 27.533,13 71 Blanko SKO lembar 1 dan Lembar 2.608,39 72 Blanko DIKDA Lembar 2.608,39 73 Kartu pengawasan kredit rutin BC import Lembar 3.985.05 74 Blanko SKO halaman 1, 2, dan 3 Buku 202.875,75 75 Map SKO Buku 13.042,07 76 Kartu pengawasan kredit pembangunan Lembar 4.057,51 77 Buku register SKO d/f cetak BB Buku 565.153,87 78 Buku ekspedisi d/f cetak BB HVS 250 Buku 565.153,87 79 Pengantar SPP bend. 1 folio NCR 5 ply Blok/50 shet 304.313,62 80 Surat permintaan model BT. BND. 2 NCR /FAL 5 ply Blok/50 shet 304.313,62 81 Surat permintaan model Bs. BND. 3 NCR /FAL 5 ply Blok/50 shet 304.313.62 82 Buku kas umum Bend. 10 d/f 5 ply Blok/50 shet 499.943,80 83 Blanko bend. 12 (buku pembantu) HVS Rim/400 Lbr 398.505,80 84 Bukti setor UUDP 1/2 folio NCR Blok/500 Lbr 311.559,18 85 Bukti setor pajak PPH pasal 22 1/2 folio NCR Blok/500 Lbr 311.599,18 86 Pajak SPP folio NCR Blok/250 Lbr 304.313,62 87 Surat bukti (kwitansi) 1/2 folio NCR Blok/250 Lbr 195.630,18 88 SPMU rutin gaji NCR /FAL 6 ply / 50 Set 355.032,55 89 Map belanja pegawai BUFALLO LOGO WARNA Lembar 26.084,02 90 Daftar gaji manual Lembar 11.158,15 91 Kartu induk Lembar 11.013,75 92 Blanko SKKP Hvs. Fal Buku 246.349,12 93 Advis gaji Hvs. Fal Buku 246.349,12 94 SPMU rutin pembangunan NCR Fal. 6 ply / 50 Set 352.134,33 95 Kartu pengawasan Lembar 14.056,38 96 Buku register B.1 Buku 724.556,25 97 Buku register SKO Buku 724.556,25 98 Kartu register beban sementara (UUDP) Lembar 10.868,34 99 Map belanja pembangunan Lembar 25.649,28 100 Map belanja rutin Lembar 25.649,28 101 Kartu register UUDP (B.II) Lembar 11.158,15 209

Percetakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 102 SPMU rutin non-gaji NCR Fal. 6 ply / 50 Set 355.032,55 103 Blanko SK. CPNS Guru SD dan penjaga sekolah Lembar 10.578,51 104 Blanko SK. Gubernur tentang Pensiun, Lembar 5.941,35 cuti besar dan bebas tugas 105 Kartu kendali perjalanan dinas HVS 80 gr Lembar 5.941,35 106 Sampul internet kertas kinstrik 120 gr Set 14.636,02 107 Blanko isian data perkembangan Lembar 23.185,8 penyelenggaraan pemerintahan desa 108 Undangan Pemprop. Isi Lembar 11.013,25 109 Amplop undangan Lembar 18.838,45 110 Buletin membangun Buku 65.210,05 111 Map Biro Buffalo Logo Warna Lembar 25.360,06 112 Memperbanyak dan menjilid buku Buku 547.764,32 standarisasi harga barang dan jasa 113 Daftar rencana kebutuhan barangunit (RKBU) Isi (400)FAL Buku 362.278,12 114 Buku selayang pandang Buku 173.893,5 115 Map kop Gubernur kertas concord 1/2 folio Lembar 23.185,8 116 Map kop Gubernur kertas concord folio Lembar 33.329,58 117 Kertas kop Gubernur kertas concord quarto Rim/400 Lbr 555.010,08 118 Buku album pembangunan keluarga sejahtera Buku 507.189,37 119 Kartu lebaran Gubernur + amplop Lembar 26.084,02 120 Kartu lebaran Wakil Gubernur + amplop Lembar 26.084,02 121 Kartu lebaran Sekda + amplop Lembar 26.084,02 122 Kartu lebaran Asisten + amplop Lembar 26.084,02 123 Blanko laporan inventaris model Inv. 1 Lembar 7.970,11 124 Kartu inventaris brang lainnya model Inv. 3 Lembar 7.970,11 125 Kartu inventaris tanah model Inv. 4 Lembar 7.970,11 126 Kartu inventaris gedung model Inv. 5 Lembar 7.970,11 127 Kartu inventaris kendaraan model Inv. 6 Lembar 7.970,11 128 Kartu inventaris ruangan model Inv. 7 Lembar 7.970,11 129 Blanko laporan mutasi barang model Inv. 8 Lembar 7.970,11 130 Daftar rekapitulasi model Inv. 9 Lembar 7.970,11 131 Buku permintaan BBM Hvs. ¼ Fal (100 lbr) Blok 25.794,20 132 Kartu label oli Lembar 7.245,55 133 Kartu BBM Lembar 7.245,55 134 Buku perawatan perbaikan 200 /lbr Buku 232.582,54 135 Blanko permintaan foto copy NCR 200 /lbr Blok 232.582,54 136 Blanko nota foto copy NCR 200 /lbr Blok 232.582,54 137 Blanko surat pengeluaran barang NCR 200 /lbr Blok 232.582,54 138 Blanko surat pesanan barang NCR 200 /lbr Blok 232.582,54 139 Blanko surat perintah kerja NCR 200 /lbr Blok 232.582,54 140 Map penyerahan hak Pemprop. Lembar 26.084.02 141 Map kontrak jual beli rumah Lembar 26.084.02 142 Map permohonan jual beli rumah Lembar 26.084.02 143 Blanko panitia penaksir Lembar 2.898,22 144 Blanko panitia penilai Lembar 2.898,22 145 Blanko pelepasan hak lembar 1 dan 2 Lembar 2.898,22 146 DP3 cetak d/f BB Lembar 12.027.63 147 Kartu Natal dan Th Baru Gubernur Lembar 26.084,02 148 Kartu Natal dan Th Baru Wakil Gubernur Lembar 26.084,02 149 Kartu Natal dan Th Baru Sekda Lembar 26.084,02 150 Kartu Natal dan Th Baru Asisten Lembar 26.084,02 152 Blanko DIPDA pengesahan hal 1 dan 2 Lembar 4.057,51 153 Kulit dalam DIPDA Lembar 13.766,56 154 Kulit luar DIPDA Lembar 13.766,56 155 Buku pengantar SPP bend. 1 NCR folio (500) Buku 156 Leaflet ukuran 85 x 11 cm kertas Art paper Lembar 65.210,05 157 Buku hasil pengadaan barang pakai habis Buku 384.014,80 dan inventaris model Bend. 29 folio 158 Map revisi DIKDA konstruk/blok Lembar 37.676,92 210

Percetakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 159 DIKDA halaman 1 dan 6 Lembar 19.563,01 160 DIKDA halaman 10 Lembar 7.245,55 161 SK. DIKDA lembar 1 anggaran murni Lembar 4.348,43 162 SK. DIKDA lembar 1 anggaran perbahan Lembar 4.348,43 163 SK. DIKDA lembar 1 cabang dinas Lembar 4.348,43 164 SKO lampiran 1 dan 4 Lembar 4.348,43 165 Blanko daftar penguji Hvs. Fal (400/lbr) Blok 331.846,75 166 Buku ekspedisi penerimaan SPP Hvs. Fal (400/lbr) Blok 331.846,75 167 Blanko SKPP Hvs. Fal (400/lbr) Blok 331.846,75 168 Buku APBD pendapatan (A.I) Blok 71.006,50 169 Buku APBD pendapatan (A/I) Blok 71.006,50 170 Buku APBD rutin (A/2/R) Blok 63.760,95 171 Buku APBD rutin (A/II/R) Blok 172 Nota keuangan APBD NCR 250/LBR Blok 304.313,62 173 Cover lampiran Buah 14.491,12 174 Cover pendapatan Buah 14.491,12 175 Cover belanja rutin Buah 14.491,12 176 Buku perhitungan APBD pendapatan (C-I) Hvs. 200/Lbr Buku 138.390,24 177 Buku perhitungan APBD pendapatan (C/I) Hvs. 200/Lbr Buku 138.390,24 178 Buku per APBD belanja rutin (C-1/R) Hvs. 200/Lbr Buku 138.390,24 179 Buku per APBD belanja pembangunan (C- 1/R) Hvs. 200/Lbr Buku 138.390,24 180 Buku per APBD belanja pembangunan (C- 1/P) Hvs. 200/Lbr Buku 138.390,24 181 Nota keuangan perhitungan APBD Hvs. 200/Lbr Buku 138.390,24 182 Surat teguran SPJ Ncr 200/lbr Blok 236.205,33 183 Daftar penerimaan SPMU belanja rutin Hvs Rim 239.103,55 184 Daftar penerimaan SPMU BT belanja rutin Hvs Rim 239.103,55 185 Daftar rencana pembangunan UUDP NCR folio 250/lbr Blok 304.313,62 186 Bend. 24 NCR folio 250/lbr Blok 304.313,62 187 Buku bank NCR 250/lbr Blok 304.313,62 188 Buku pajak NCR 250/lbr Blok 304.313,62 189 Register SPP NCR d/f 250/lbr Blok 550.662,75 190 Register SPMU NCR d/f 250/lbr Blok 550.662,75 191 Register pengeluaran NCR d/f 250/lbr Blok 550.662,75 192 Register penutupan kas NCR folio 250/lbr Blok 304.313,62 193 Buku pengeluaran barang inventaris bend. 21 250/lbr Buku 304.313,62 194 Buku pengeluaran barang pakai habis 250/lbr Buku 304.313,62 195 Buku pengadaan barang inventaris Bend. 20 250/lbr Buku 304.313,62 196 Buku hasil pengadaan barang 250/lbr Buku 304.313,62 inventaris Bend. 20. A 197 Buku hasil pengadaan barang pakai habis 200/ Lbr Buku 550.662,75 198 Buku barang inventaris dan pakai habis Bend. 19 200/Lbr Buku 550.662,75 199 Kartu barang inventaris dan pakai habis Bend. 23 Lembar 13.295,60 200 Laporan triwulan barang inventaris Bend. 27 300 Lbr Buku 654.998,85 201 Laporan triwulan barang pakai habis Bend. 28 300 Lbr Buku 654.998,85 202 Laporan pengadaan barang Bend. 29 250 Lbr Buku 547.764,52 211

Perlengkapan Kantor 2016 Perlengkapan Kantor 212

Perlengkapan Kantor 2016 XXXV. Perlengkapan Kantor No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 1 Kursi Kantor Chairman BC 04 Unit 8.261.200 BC 02/TC 932 Unit 7.560.000 BC 0308 Unit 7.560.000 EC 36 Unit 7.254.200 EC 58 Unit 5.170.900 FRISIO/B 115 Unit 4.986.200 GYPSY/A 077 Unit 4.309.100 EC 088 Unit 4.172.500 EC 18 Unit 3.707.900 EC 27 Unit 3.073.100 EC 30 Unit 2.877.800 EC 26 Unit 2.856.700 EC 29 Unit 2.957.700 EC 22 Unit 2.451.300 MI 08 Unit 1.916.000 OC CHEETAH Unit 2.770.100 OC LEOPARD Unit 2.847.000 OC PANTHER Unit 2.493.100 OC PUMA Unit 2.924.000 OC ORYX Unit 2.160.700 OC TIGER Unit 2.077.600 WINNER 01 Unit 1.930.400 WINNER 02 Unit 2.034.300 OC SHIRO/BH 308 Unit 1.385.100 OC A 62-1 Unit 1.050.300 OC A 63 Unit 1.050.300 OC 67 Unit 1.136.900 OC 77 Unit 1.417.000 MI 01 Unit 1.627.000 MI 02 Unit 1.535.000 OCS 08 Unit 1.160.000 OCS 09 Unit 1.160.000 OCS 03 Unit 956.500 OCS 04 Unit 956.500 OC ATHENA Unit 1.168.600 OCS 01 Blue Unit 1.021.500 OCS 01 Gray Unit 1.021.500 CC HUGO Unit 1.846.700 SCHDA 0212 Unit 695.400 KSA 3 Unit 510.700 KK 101 Unit 743.000 YZ 5002 Unit 252.500 PARTISI 02 Unit 10.503.300 PARTISI 03/A7-01 Unit 11.141.900 PARTISI 05 Unit 14.773.800 YA 04 WITH PAD Blue, Red 54x66.5x100 Unit 9.868.400 II MEJA KERJA Meja Samping (4seat) SOFA AMANDA Coklat Unit 6.001.800 FPC Black, Silver 215x57,5x71 Unit 4.328.300 KP 01 Yellow, Green, Orange Unit 1.828.500 OD MP 0688 & Unit 1.122.500/ Cherry 120x60x75/38x32x39 HP 629.000 MP 0188 Cherry 39x62x48 Unit 935.000 OD MP 0888 & HP MP 0888 Cherry 160x70x75/38x45x39 Unit 1.846.800/ 695.400 213

Perlengkapan Kantor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) III. LEMARI Green, Beige, Red Locker 03 & Locker 38x45x180(3)/38.5x45x180(4) 0w4 Unit 1.774.600/ 1.852.500 VI. VII. RANJANG Ranjang Spring Bed MEJA Meja Makan Meja Komputer Meja Eksekutif Drawer Padestal 04 White 90x40x97 Unit 1.933.300 Drawer Padestal 06 White 90x40x97 Unit 1.933.300 BC MP 0588 Cherry 77x41x67 Unit 1.060.500 BC MP 0788 Cherry 77x41x105 Unit 1.278.300 BC MP 0588 K Cherry 77x41x67 Unit 1.147.000 BC MP 0788 K Cherry 77x41x105 Unit 1.465.900 BC MP 0988 K Cherry 77x41x179 Unit 2.229.100 Dark Brown 160x42x200 Unit 7.540.800 Walnut 86x39x200 Unit 5.103.100 Walnut 80x35x180 Unit 3.093.300 Allura Set Blue Set 7.322.300 DT+DC Bella Black 120x80x70 Set 6.023.391 DT+DC Vigaro Silver 120x80x70 Set 6.365.035 DT+DC Bravo Black 120x80x70 Set 6.762.080 ED 037 Dark Brown 200x98x77 Unit 10.907.200 ED 2013 Dark Brown 200x98x76 Unit 9.579.900 ED 30 Dark Brown 200x100x76 Unit 9.891.500 ED 1801 Dark Brown 180x85x75 Unit 8.333.400 ED 2010 Dark Brown 200x98x76 Unit 9.579.900 OD FL 02 Walnut 162x120x76 Unit 2.712.400 SOCRATES Walnut 320x140x76 Unit 17.285.300 PLATO Walnut 300x145x76 Unit 19.452.200 ED 038 Walnut 200x98x78 Unit 9.983.800 JT 180-88/½ Cherry 148x74x75 Unit 1.232.100 Lingkaran JT 90-88/¼ Cherry 70x25x75 Unit 669.000 Lingkaran HF 510 Cherry 58x68x116 Unit 588.700 CD 710 Cherry 81x73x124 Unit 549.300 Cherry 120x60x74 Unit 1.367.800 Cherry 90x48x74 Unit 666.600 214

Perlengkapan Pegawai 2016 Perlengkapan Pegawai 215

Perlengkapan Pegawai 2016 XXXVI. Perlengkapan Pegawai No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) Peci Nasional Bahan : Bludru Buah 30.000 Warna : Hitam Tinggi : PM Topi Pet Dinas hansip Lengkap Dengan Lambang Buah 150.000 Ikat Pinggang Lapis Emas Standar hankam Buah 30.000 Bahan : Nylon Warna : Hitam Gesper : Kuningan Berlogo Ukuran : 80cmx3,5cm Tebal : 1mm Ikat Pinggang Slep Standard Hankam Buah 30.000 Bahan : Nylon Warna : Hitam Gesper : Kuningan Berlogo Ukuran : 80cmx3,5cm Tebal : 1mm Ikat Pinggang mikron Standard Hankam Buah 30.000 Bahan : Nylon Warna : Hitam Gesper : Kuningan Berlogo Ukuran : 80cmx3,5cm Tebal : 1mm Kopel Rim Bahan Nylon Buah 50.000 Ring : Kuningan Ukuran : 115cm x 6cm Sepatu Pria Bata, standard ABRI Pasang Bahan : Kulit atas pakai Tali Warna : Hitam Hak : Karet Sepatu Laras Panjang Standard ABRI Pasang 265.000 Bahan : Kulit Warna : Hitam Pakai Kaitan Pengikat Masker kain Bahan : Kain Buah 7000 Badge Logo Kaltim, Tulisaan Kaltim, dibordir Kualitas Komputer Set 7000 Tanda Nama Didada Bahan : Ebonit Uk. 2,5x8cm Buah 10.000 Tanda Jabatan Camat /Lurah/ Bahan : Logam Buah 30.000 Kepala Desa Warna : Perak & Perunggu Ukuran :Jari-jari Lingkaran Dalam : 1,5cm Lingkaran Luar : 3cm Lencana KORPRI Bahan : Logam Warna Buah 45.000 Kuning Emas Borgol Dengan sarung kulit Bahan : Ex Lokal Pasang 65.000 Tanda Nama Didada Model :Dibordir Buah 10.000 Sarung Tangan Lapangan Bahan :Kain Rajut standarddinas Kebersihan Pasang 30.000 Tali Koor / Tali Pluit Bahan :Nylon Pakai lis + Pluit Buah 18.000 Tali Koor / Tali Pluit Bahan :Nylon Pakai Komando Gantungan Buah 18.000 Veldfless Tempat Minum Bahan :Plastik Buah 175.000 Atribut Pakaian Hansip : Bordir Kualitas Computer Set - Badge Lambang Hansip 5000 - Badge Lambang Depdagri 5000 - Tulisan Pertahanan Sipil 5000 Atribut Pakaian Polisi Pamong Praja Bata/Kulit/811-6042 Set 149.900 Sepatu Kulit Pria Bata/Kulit/882-4323 Pasang 259.900 Sepatu Kulit Pria Bata/Kulit/851-4080 Pasang 199.900 Sepatu Kulit Pria Bata/Kulit/831-7043 Pasang 299.900 Sepatu Kulit Pria Bata/Kulit/801-6366 Pasang 299.900 216

Perlengkapan Pegawai 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) Sepatu Kulit Pria Bata/Oscar/831-6090 Pasang 299.900 Sepatu Kulit Pria Bata/Oscar/859-6001 Pasang 299.900 Sepatu Kulit Pria Bata/Oscar/801-4353 Pasang 299.900 Sepatu Kulit Pria Bata/Oscar/851-3016 Pasang 299.900 Sepatu Kulit Pria Bata/Oscar/851-6016 Pasang 299.900 Sepatu Kulit Pria Bata/Oscar/851-4106 Pasang 349.900 Sepatu Kulit Wanita Bata/Kulit/651-7043 Pasang 229.900 Sepatu Kulit Wanita Bata/Kulit/501-2080 Pasang 259.900 Sepatu Kulit Wanita Bata/Kulit/501-4080 Pasang 229.900 Sepatu Olah Raga North Star/Tali/809-6031 Pasang 149.900 Sepatu Olah Raga North Star/Tali/809-6032 Pasang 149.900 Sepatu Olah Raga North Star/Tali/889-6012 Pasang 299.900 Sepatu Olah Raga North Star/ Tanpa Tali/589-6140 Pasang 249.900 Sepatu Olah Raga North Star/ Tanpa Tali/589-6031 Pasang 299.900 Sepatu Olah Raga North Star/ Tanpa Tali/589-6001 Pasang 299.900 Sepatu Olah Raga North Star/ Tanpa Tali/889-9063 Pasang 229.900 Sepatu Olah Raga Power / 881-1037 Pasang 259.900 Sepatu Olah Raga Power / 881-1039 Pasang 299.900 Sepatu Olah Raga Power / 881-6026 Pasang 229.900 Sepatu Olah Raga Power / 581-6117 Pasang 149.900 Sepatu Olah Raga Power / 889-6108 Pasang 299.900 Sepatu Olah Raga Power / 881-1037 Pasang 299.900 Sepatu Olah Raga Power / 489-6032 Pasang 149.900 Sepatu Olah Raga Power / 589-6097 Pasang 299.900 217

Peralatan Rumah Tangga 2016 Peralatan Rumah Tangga 218

Peralatan Rumah Tangga 2016 XXXVII. Peralatan Rumah Tangga No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) Plastik Air Pot Japan 2,5 Ltr L5 Buah 245.000 Bak Mandi Bayi Oasis GL Buah 95.000 Box Air/Jumbo Kera Mas 30 L Buah 70.000 Cangkir Melamin+Tutup Onyx Buah 39.000 Ember Plastik L5 PC 11 Buah 128.000 Centong Nasi GL Buah 3.500 Centong Nasi Hawai Buah 6.000 Centong Nasi Atari Buah 2.500 Centong Nasi VP Buah 6.900 Erus Cooktail FL HU 1011-08 Buah 19.900 Erus Cooktail FL P 2216 Buah 17.900 Eskan Onix Frosty Buah 44.900 Eskan Air L5 2L Buah 39.900 Fanily Drink Set WD Hawai Buah 29.900 Eskan Air L5 SAN-X Savana 1,6 L Buah 57.900 Family Drink Set WD Shinil Buah 160.000 Food Case LS SW-28 Buah 29.900 Food Case LS Piaza Store Buah 82.900 Frame FG 1007 4FI-3D Buah 73.500 Frame FG 5020 10x40 Buah 172.500 Gantungan Baju L5 304/3 Buah 35.000 Gantungan Baju Woden Hanger W1 Buah 26.000 Gantungan Baju Ken Master 3 pcs Buah 14.900 Gantungan Baju Febrina 9pc Buah 23.900 Gantungan Baju Eagle 6pc Buah 29.000 Gantungan Baju Green leaf Grovine 12 pc Buah 86.000 Gentong GL G2LTR Buah 160.000 Jepitan baju L/S star Buah 19.000 Jepitan baju Nagata 12pc/021 Buah 20.500 Jerigen Putih 10 L Buah 20.000 Jerigen 30 Liter (Putih) Buah 45.000 Keranjang Buah GL Benio L 742 B Buah 22.900 Keranjang Buah Claris Volander Buah 32.900 Keranjang Laundry GL Crescent 1517 Buah 88.900 Keranjang Pakaian Luna 940 Buah 128.000 Keranjang belanja Nagata ngt 207 Buah 59.000 Keranjang Sampah C-31 20LTRLion Star Buah 57.000 Kitchen Mate set LS 7PCS KP-99 Buah 325.000 Kitchen Set FC 10PC 7012 Buah 143.500 Kotak Kue Lion Star klip to keep 1.5l Buah 45.900 Kotak sekolah Tehnoplas SW 207 Buah 27.900 Kursi Lion Star/espana high stool Buah 114.000 Kursi Green Leaf/bangku phoenix 1195 Buah 104.000 Mangkok FL 13.5 cm Buah 14.900 Mangkok Kocokan Telor New Ocean 980 IP Buah 29.900 Meja Taman Buah Nampan 555 Segi 35cm Buah 55.000 Nampan 555 Segi 30cm Buah 50.000 Nampan 555 Segi 25cm Buah 45.000 Parutan 4 Muka FL Grater 376 Buah 52.900 Pot Bunga GL Pot Rosya 6462 Buah 59.900 Pot Bunga GL Pot Roman 6322 Buah 27.900 Rak Nagata Buah 175.000 Skrop Sampah LS Beta DP-1 Buah 39.900 Skrop Sampah Scotch Brite 10-44 Buah 98.900 Tempat Surat Microdat Letter Tray Buah 229.000 Tempat Tissue Calista Buah 7.990 Tempat Sampah LS C-6 Buah 48.900 Toples Lion Star Luxor OVL JAR 50 Buah 29.900 Wakul Telor Bulat + Tutup Canna Buah 16.000 219

Peralatan Rumah Tangga 2016 No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) Elektronik Beauty Warmer (Rice Miyako MCM-638 Buah 301.000 Cooker+Magic Jar) Blender Miyako BL 151 PF/AP Buah 306.000 Blender Cosmos CB-289 Buah 395.000 Box Fan Maspion JF 1221 Buah 451.000 Box Fan 12" JF 2110 T Buah 419.000 Dry Iron Phillip HI 115 Buah 279.000 Dry Iron Phillip HD 1172 Buah 310.000 Gas Cooker Rinai 602 AG Buah 493.000 Hair Dryer Miyako HD 550 B/G Buah 110.000 Magic Jar Cosmos CRJ 602 Buah 418.000 Magic Com Yong Ma / YMC 13AB Buah 609.000 Presto Maxim / 7 Liter Buah 522.000 Rak ELPIJI Besi Buah 115.000 Rice Box LS RB-7 28 Kg Buah 579.000 Senter ABC Senter LED Buah 44.500 Senter Eveready Buah 60.900 Mixer Comb HR 1530 Philips Buah 507.000 Mixer Philips, HR.1538 Buah 599.000 STANLESS STELL Baskom Stainles Stell 22 cm Buah 52.900 Baskom Stainles Stell 24 cm Buah 62.900 Garpu Stainless DOLL 6pc Buah 37.900 GarpuMakan DOLL 6pc Buah 52.900 Gunting JOYKO Buah 18.900 Gunting Rambut Maped 13 cm Buah 35.500 Gunting Rambut Panjang Maped 18 cm Buah 28.500 Kettel Simply Living 5S 20 Buah 189.000 Panci Maspion 24cm Aluminium Buah 37.900 Panci Stock Pot 20cm Maxim Casablanca Buah 184.900 Pisau Steak FL 5 Buah 19.900 Pisau Golok Kecil 8 FL Buah 44.900 Pisau Buah Pearl Life Buah 17.900 Pisau Dapur Kecil FL 3 Buah 17.900 Pisau Dapur Tanggung FL 8 Buah 27.900 Pisau stainless Steel FL 6 Buah 22.900 Pisau stainless Steel FL 7 Buah 29.900 Rantang Bakso stainless SEA GULL / 4 susun Buah 275.000 Saringan Penggorengan Stainless Stell Ukuran 18 cm Gaya Buah 62.900 Saringan Teh Kecil FL Buah 22.900 Sendok Sayur Stainless Steel Cuterly Buah 40.000 Sotil 555 besar Buah 82.900 Tempat Tissue ONYX MBB20 Buah 12.990 Termos LS Airpot 2,5 Buah 139.900 Termos Air Panas Stainless 0,75 L Buah 139.900 Steel Wajan Maspion, Wonder Wook 33 Buah 72.900 Wajan Maxim 30 cm Valentino Buah 157.900 Wajan Aluminium Bima 36 cm Buah 195.000 Waskom Stainless Steel 24 cm 555 Buah 62.900 PECAH BELAH Cangkir HOMECA 6PCS Set 37.900 Cangkir + Lepek ST.YVES 8 PCS Dusin 149.900 Cangkir Dari Keramik 6 Buah Bistro Dos 125.000 Cangkir Kembang + Tatakan BRL CUP & Saucer Dos 124.990 Gelas KIG Royalex 6 PCS Set 54.900 Gelas KIG Stemware 6 PCS Set 72.900 Gelas Lumirarc tumbler vigne Buah 29.900 Gelas Luminarc Sterling Buah 27.900 Gelas Ukur Tangkai 1 L GL Buah 37.500 220

Peralatan Rumah Tangga 2016 No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) Gelas Ukur Tanpa Tangkai Diana, 300 ml Buah Lepek Homeline Dusin 102.000 Mangkuk Luminarc Evolution Buah 52.900 Piring Homeline Buah 15.000 Piring Kue SKI Simplicity Buah 34.900 Tea Set Vicenza 15 PCS Set 270.000 LAIN-LAIN Baki Kayu S 23 Buah 52.900 Corong Minyak Nagata Buah 4.900 Dinner Plate Kembang 11" SKI Simplicity Buah 47.900 Enthong sayur Milamin Vanda Buah 10.000 Ice Cream Cup FL Buah 27.900 Jumbo Air Minum Pakai Isi 20 Liter Buah 165.000 Kran Kain Lap Piring dari katun Ukuran : 55 cm x 55 cm Set 44.900 Kain lap tangan Kotak-kotak Ukuran : 60 cm x 60 cm Set 39.900 Kompor gas RINAI 522 a Buah 440.000 Rak Dinding 3 Pintu MSP Wall Cabinet MK-2 Buah 154.900 Rak Kamar Mandi MSP WMKW-29 Buah 94.900 Rantang Besar sanats plastik 45 Set 52.500 Sikat Badan PL 08 Buah 54.900 Timbangan Camri Bath Scale BR 9201 Buah 199.900 Timbangan Kue LS Buah 122.900 Timbangan S/S SD 10 FL Electronic Scale Buah 179.900 Vakum Flask S/S 1Lt Yoshikawa 1L Buah 149.900 221

Peralatan Pertukangan/Keterampilan 2016 Peralatan Pertukangan/Keterampilan 222

Peralatan Pertukangan/Keterampilan 2016 XXXVIII. Peralatan Pertukangan/Keterampilan No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) Batu Asah SH 8" Buah 24.300 Batu Gurinda Potong Ukuran 4" x 3 A3OP NR GR. Wheel 4 x2 AC.60 Buah 14.200 13.500 Batu Gurinda Tangan N.Resibon Buah 11.900 Betel Besar Lokal Buah 92.700 Betel Sedang Lokal Buah 86.000 Betel Kecil Lokal Buah 74.800 Bor Listrik Tetap Hitachi, B-23SA Volt : 230/380 Buah 8.100.000 Bor Listrik Tetap (baja) Merk Bosch GBM 32-2 Buah 8.098.500 Benang Tampar 1 m Lokal Buah 4.400 Cetok Super Buah 11.100 Electric Drill Untuk Kayu Bosch, GBM 350 RE Buah 553.500 Gagang Gergaji Besi Ukuran 12" Ex. RRC Buah 43.800 Gagang Pacul Bahan Kayu Petai China P.70 Buah 10.000 Garpu Buah 15.000 Gergaji Gorok Diamond, Uk. 14 Buah 27.900 Gergaji Gorok Diamond, Uk. 20 Buah 141.000 Gergaji Besi Mata Buah 43.800 Gunting Seng Ex. RRC, Uk.Standard 10" - Buah 102.500 Lurus Kacamata Las Swan, Type 41 Buah 17.900 Kampak Buah 48.000 Kapi Kayu Diamond, Uk. 2 Buah 10.600 Kasutan Lokal Buah 13.000 Kikir Segitiga Kecil 4" Buah 27.000 Kuas 700, Uk. 3/4 Buah 1.200 Kuas 700, Uk. 1 Buah 1.300 Kuas 700, Uk. 4 Buah 4.700 Kuas 700, Uk. 5 Buah 28.050 Kuas Vernis 7451, Uk. 1 Buah 2.600 Kuas Vernis 7451, Uk. 1 1/2 Buah 3.400 Kuas Vernis 7451, Uk. 2 Buah 5.700 Kuas Vernis 7451, Uk. 2 1/2 Buah 5.000 Lot Tukang Buah 9.000 Linggis Kecil Lokal Buah 30.500 Linggis Besar Lokal Buah 54.000 Pahat Kayu Sandvik Ukuran 3/8 Buah 97.600 Pahat Kayu Sandvik Ukuran 1/4 Buah 93.700 Palu Kondesanvik 479-16 Buah 52.800 Palu Khusus Tukang 1/2 Pon Buah 40.700 Pensil Buah 2.000 Sekop Pasir komplit Dengan Pegangan Buah 60.800 Tang kombinasi Diamond ukuran 8" Buah 50.900 Tang Lancip Sallery 6" Buah 58.000 Meteran Roll Imundex Eslon Japan, Panjang 100 M Buah 185.500 Meteran Roll Imundex Eslon Japan, Panjang 50 M Buah 101.300 Meteran Roll Eslon Japan, Panjang 30 M Buah 77.900 Meteran Roll Eslon Japan, Panjang 3 M Buah 44.400 Obeng Biasa (-) Biasa 6mm Ukuran 20 cm, Unique Buah 24.100 Obeng Kembang (+) 6mm Ukuran 20 cm, Unique Buah 27.000 Obeng Set 147.200 Sarung tangan Set 2.600 Selang Timbang Diamond, Uk. 5/16 Meter 5.000 Siku Diamond, Uk.12 Buah 16.200 Tang Kombinasi Diamond, Uk.8" Buah 50.900 Diamond Tang Kombinasi Kecil Ex. RRC Ukuran Standard, Buah 27.600 Tang Lancip Ex. RRC Ukuran Standard, Buah CTC 58.900 223

Peralatan Pertukangan/Keterampilan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) Tang Pembengkok Gergaji Diamond, Bhn Dari Baja Buah 95.500 Timba Cor plastik Ukuran 12 Super Buah 7.500 Water Pas 18 Buah 64.800 LAIN LAIN Bor Listrik Uk. 13/8 m/m Merk Bosch GBM 13-2 (Baja) Buah 1.256.500 Daun Gergaji Besi Sundflex Mt Gergaji 12" 18 TPI Buah 4.000 Hammer Drill/Makita HP. 1500 ALAT PERTUKANGAN MAKITA Maktec, MT 811 13mm (1/2)/Wipro Unit 603.800 Angel Grinder/Makita DA. 3000V Maktec, MT 950 100mm (4")/Wipro Unit 3.651.500 Cutter Maktec, MT 410 110mm (4-3/8") Unit 862.500 Planner Makita, 1100/1140 Unit 5.651.500 Planner Makita, N 1923 B Unit 2.674.000 Circular Saw Makita, 5201 N Unit 6.612.500 Circular Saw Makita, 5800 NB Unit 2.645.000 Groove Cutter Makita, 3501 N Unit 7.360.000 Chain saw Makita, 3501 B Unit 4.370.000 Recipro Saw Makita, JR 3000 V Unit 2.242.500 Jig saw Makita, 4300 BV Unit 3.335.000 Router Makita, 3612 Unit 4.312.500 Trimmer Makita, N 3701 Unit 1.466.500 Finishing Sander Makita, BO 3700 Unit 834.000 Mitter Saw Makita, LS 1040 Unit 4.715.000 Cut Off Makita, 2414 NB/Metamo Unit 2.415.000 Hammer Drill Makita, NHP 1300 S Unit 2.271.500 224

Alat Kebersihan 2016 Alat Kebersihan 225

Alat Kebersihan 2016 XXXIX. Alat Kebersihan No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 1 Alat Pel Clean Sumbu Clean Matic Buah 124.990 2 Alat Pel Putar Wpel Smart Mop Kuning Buah 87.900 3 Bak Cucian USA 22 BA 24 Inci Buah 95.500 7 Bak Sampah Lion Star Sampah Injak Bundar 10 lc-11 Buah 109.990 9 Bak Sampah TPT Sampah/Keranjang Buah 17.990 10 Bak Sampah Gl geo 90 ltr Buah 349.990 11 Bak Sampah Lion Star HC-1/injak 38 lt Buah 109.900 15 Bayclin Fresh Botol 200ml ONYX Buah 4.290 16 Bayclin lemon Botol 200ml Buah 4.290 18 Bayclin Botol 1000 ML Buah 13.890 19 Sunclin pemutih btl 1000 ML Buah 8.590 22 Bulu rafia Besar RRC Buah 34.500 24 Bulu Ayam mcsa Rotan Coklat Buah 57.990 25 Cairan Pencuci Piring Sun Light 200 ml Buah 5.390 26 Cairan Pencuci Piring Sun Light 400 ml Bungkus 8.590 27 Cairan Pencuci Piring Sun Light 800 ml Bungkus 12.790 28 Cairan Pencuci Piring Sunlight gel 200 ml Buah 7.490 29 Cairan Pencuci Piring Mama Lime 400 ml Buah 8.590 30 Cairan Pencuci Piring Mama Lime 800 ml Buah 12.790 31 Cairan Pencuci Tangan Antis 250 ml Botol 21.175 32 Cairan Pencuci Tangan Detol 50 ml Botol 12.625 33 Cairan Pencuci Tangan Lifebouy 200 ml Botol 17.975 34 Cairan Pencuci Tangan Hand Soap 410 ml (Dede) Yuri Btl 24.050 36 Cikrak Plastik Lion Star Buah 37.990 40 Dettol 125 Gram Buah 6.075 41 Ember Ember+tutup sipi 50 t 50 l Buah 128.900 43 Ember Plastik Ls g GLN Buah 101.900 44 Ember Plastik Gl Value Plus Buah 42.500 46 Gayung Air VP Buah 6.250 47 Gayung Air Lion star Buah 20.900 48 Geplok Kasur Rotan Buah 19.990 49 Gunting Dahan Garden 07 Buah 79.900 50 Gunting Rumput Sellery sll 66-173 Buah 144.900 51 Handuk Grand H/TWL Buah 94.990 52 Handuk Polos 34 x 80 Buah 22.990 53 Handuk 70x140 Jasmine Buah 79.990 54 Handuk Handuk baby Buah 60.000 55 Handuk strip 70 x 140 J Buah 69.990 56 Handuk strip 60x120 Buah 54.990 58 Handuk Cottom club Buah 104.990 59 Handuk exclusive Buah 109.990 60 Handuk Besar 70x140 Buah 69.990 62 Handuk Kecil 35 x 80 Buah 24.990 69 Kain Lap Piring Motif : Kotak-kotak Buah 29.900 70 Kain Pel Biru Hero save Buah 15.500 71 Kain Pel Biru & Putih Jumbo Herosave biru Buah 24.900 72 Kain Pel Polos Besar Hero save 60 x 80 Buah 24.900 73 Kain Pel Putih Clen matic Buah 20.900 75 Kain Penyerap Polytex Buah 11.900 78 Kamper Bagus 300 gram Bks 18.190 79 Kamper Bagus 150 gram Bks 8.590 80 Kamper Swalow / Full Colour 150 gram Bks 8.590 81 Kamper Swan 500 gr Bks 29.990 82 Kamper Bagus 300 gr Bks 18.190 226

Alat Kebersihan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 83 Kamper Bagus 150 gr Bks 8.590 84 Kamper Bagus Toilet Bks 15.125 86 Kamper Swallow Toilet BT S-101 Bks 15.900 87 Kamper Swallow 300 gr Bks 18.000 88 Kamper Swallow 150 gr Bks 6.275 90 Kamper Swan 500 gr Bks 27.890 92 Kamper Gantung Swallow jumbo Kotak 14.050 93 Kamper Gantung Bagus Kotak 25.690 94 Kamper Gantung Swallow Deodorizer 150 gr Buah 11.790 95 Kamper Gantung Dahlia Buah 11.225 96 Kamper Gantung Seagull/ harumi Buah 7.800 97 Kamper Gantung Swan Harumi Buah 5.090 98 Kamper Gantung Swalow S-107 Buah 8.800 99 Kamper Gantung Bagus lily Besar JUMBO Buah 11.175 102 Karbol Wipoll 450 ml Bungkus 9.850 103 Karbol Wipoll 900 ml Botol 16.975 105 Karbol Super Sol 900 ml Botol 17.400 109 Karbol Soklin 2 L Botol 55.900 110 Keranjang Cucian Green Leaf 2261 Buah 128.900 111 Keranjang Cucian Basket Loundry green leaf Buah 88.900 117 Keset Handuk 40 x 60 Buah 44.990 118 Keset Dormod Buah 89.990 120 Keset Funlife Doormat 45 x 70 Buah 94.990 123 Keset Welcome 45 x 60 Buah 57.500 124 Keset Ijuk Sedang Buah 34.900 125 Keset Ijuk Besar Buah 66.900 126 Keset Buah 49.990 127 Keset Buah 69.990 129 Korok WC Plastik Buah 27.990 134 Lilin Lilin Lampu "RODA" 8'S Pak 42.900 135 Lilin Hero Save 6'S Pak 15.750 136 Mop Head Sumbu / Alat Pel Buah 78.900 137 Mop Head Sumbu / Alat Pel Buah 57.900 141 Obat Nyamuk Cair Baygon 1,75 liter Kaleng 43.550 142 Obat Nyamuk Cair Baygon 0,90 liter Botol 43.550 143 Obat Nyamuk Cair HIT 700 ml Kaleng 28.290 146 Obat Nyamuk Spray Baygon Jumbo 400 ML Botol 20.390 149 Obat Nyamuk Spray VAPE 600 Ml Botol 35.790 150 Obat Nyamuk Cair HIT 300 Ml Botol 25.590 151 Obat Nyamuk Spray Baygon LAVENDER 600 ML Botol 35.990 152 Obat Nyamuk Spray Raid 700 ML Botol 45.390 153 Obat Nyamuk Spray Raid 420 ML Botol 27.625 154 Obat Nyamuk Spray HIT 750 ML AEROSOL Botol 40.990 156 Pasta Gigi Smile Up 105 Gram Buah 10.900 157 Pasta Gigi Ciptadent 120 Gram Buah 5.390 158 Pasta Gigi Ciptadent 190 Gram Buah 7.625 159 Pasta Gigi Ciptadent Fresh Mint 190 Gr Buah 8.000 160 Pasta Gigi Ciptadent Baking Soda 105 Gr shiny white Buah 9.890 161 Pasta Gigi Formula 190 gr active whaite Buah 12.550 162 Pasta Gigi Formula extra sensitive Buah 20.450 163 Pasta Gigi Formula Fresh 75 Gram extra sensitive Buah 4.290 164 Pasta Gigi Formula Fresh 120 Gram active carity Buah 7.100 165 Pasta Gigi Formula Fresh 190 Gram Buah 10.050 168 Pasta Gigi Close Up Crystal 65 Gram Menthol Buah 9.090 169 Pasta Gigi Close Up Crystal 160 Gram Buah 19.590 170 Pasta Gigi Close Up Coolmint 160 Gram Buah 19.590 171 Pasta Gigi Pepsodent Herbal 190 Gram Buah 14.690 227

Alat Kebersihan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 172 Pasta Gigi Pepsodent Herbal 120 Gram Buah 10.290 173 Pasta Gigi Pepsodent Herbal 75 Gram Buah 6.950 174 Pasta Gigi Pepsodent Family 75 Gram Buah 4.275 175 Pasta Gigi Pepsodent Family 120 Gram Buah 6.725 176 Pasta Gigi Pepsodent Family 190 Gram Buah 16.090 177 Pasta Gigi Pepsodent Complete Care 65 Gr Buah 8.790 179 Pasta Gigi Pepsodent Complete Care 160 Gr Buah 24.390 180 Pasta Gigi Enzim 100 ml Buah 23.190 181 Pasta Gigi Enzim 50 ml Buah 12.290 182 Pasta Gigi Anti Plaque 180 gram Buah 38.590 184 Pasta Gigi Pepsodent 75 gr Buah 6.490 185 Pasta Gigi Pepsodent 190 gr Buah 16.090 191 Pembersih Kaca Clear Light Pump 425 ml Lemon Botol 10.690 192 Pembersih Kaca Clear Besar 500 Ml Mr Muscle Botol 12.000 194 Pembersih Kaca Clear 500 ml lemon Mr Muscle Pump 9.870 195 Pembersih Kaca Value Plus 450 ml Pump 4.350 196 Pembersih Kaca Yuri 410 ml bks 4.990 199 Pembersih Kayu Lemon Pladge 350 gr Botol 16.900 200 Pembersih Kayu Lemon Pladge 240 gr Botol 29.000 201 Pembersih Kayu Pladge Polls 450 ml Refill 14.325 202 Pembersih Lantai Wipol 800ml Botol 19.290 204 Pembersih Lantai sleek 900 ML Botol 9.675 205 Pembersih Lantai Semerbak 450 ml bebek kloset Botol 8.150 206 Pembersih Lantai Porstex 700 ml Botol 13.890 209 Pembersih Lantai Vixal 800 ml Botol 12.375 210 Pembersih Lantai Vixal 4 L Botol 55.900 211 Pembersih Lantai Yuri 1000 ml Botol 27.200 213 Pembersih Lantai SO Klin 1600 ml bks 19.290 214 Pembersih Lantai Porstex 2000ml Botol 33.190 216 Pembersih Logam Brasso Kecil 100 MI Botol 12.578 217 Pembersih Logam Brasso Besar 200 MI Botol 19.500 218 Pembersih Logam STP Botol 58.990 219 Pembersih Logam Sanpoli Botol 37.900 220 Pembersih Piring Cair Sunlight 800 ml Botol 21.390 221 Pembersih Porselin Wing wpc 800 ml Botol 23.000 225 Pengharum Cucian Molto Blue Reffil 900 ml Buah 24.490 227 Pengharum Cucian Molto Blue pch 300 ml Buah 9.690 228 Pengharum Cucian Molto Blue Ukuran 30 ml Buah 1.100 231 Pengharum Cucian Molto Pink pch 300 ml Buah 10.690 232 Pengharum Cucian Molto Pink pch 900 ml Buah 19.190 233 Pengharum Cucian Molto Pink Ukuran 30 ml Buah 1.100 234 Pengharum Cucian Softener soklin 450 ml Buah 9.690 235 Pengharum Cucian Softener soklin 900 ml Buah 24.590 236 Pengharum Lemari Glade 70 gram Buah 9.690 237 Pengharum Lemari Stella 20 gram Buah 7.190 240 Pengharum Lemari Fogo 30 gr Buah 7.190 245 Pengharum Ruangan Glade Besar 350 gram Botol 22.490 246 Pengharum Ruangan Glade Kecil 250 gram Botol 16.090 247 Pengharum Ruangan Glade P Porry / aerosol 350 ml Botol 23.000 250 Pengharum Ruangan By Fresh kecil 225 Gr Botol 16.090 251 Pengharum Ruangan By Fresh kecil 320 Gr Botol 19.090 252 Pengharum Ruangan Glade 70 Gr Buah 10.690 253 Pengharum Ruangan Glade Taolet fresh Besar Buah 23.000 254 Pengharum Ruangan Glade Taolet fresh Kecil Buah 19.000 255 Pengharum Ruangan Bay Fresh 80 Gr Bungkus 12.890 257 Pengharum Ruangan Bay Fresh Diva 320 ml Botol 19.290 258 Pengharum Ruangan Glade Diamond Sensual aerosol Botol 23.400 228

Alat Kebersihan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 259 Pengharum Ruangan Stella - Sky Line 70 ml Buah 24.900 260 Pengharum Ruangan Ambipur Car 8 ml Botol 49.290 261 Pengharum Ruangan Ambipur Elic Farfum sport car Botol 42.090 262 Pengharum Ruangan stella Clips Sky Line 250 ml Botol 16.090 263 Pengharum Ruangan Stella solid 80 gr AC Botol 12.890 264 Pengharum Ruangan stella All In One 70 gr Botol 11.090 267 Penyegar Udara Glade spa 25 ml Botol 25.500 268 Penyegar Udara Untuk Mobil Ber AC ambi pur Botol 39.990 269 Penyegar Udara Glade 2 in 1 250 ml Botol 33.190 270 Penyegar Udara Stella Aers 250 ml Botol 16.090 271 Penyegar Udara Stella Aers 400 ml Botol 22.490 273 Polos Sabut Nylon (Spon Hijau) Polytex Buah 3.000 274 Porstex 1000 ml Btl 19.290 277 Sabun Batangan Sun Light 350 gram Bks 6.490 278 Sabun Batangan Extra Active 210 gram Bks 1.690 281 Sabun Colek B 29 300 gram Cup 5.390 282 Sabun Colek B 29 750 gram Cup 5.300 286 Sabun Colek Sublight 350 gram Bks 6.490 288 Sabun Colek Ekonomi750 gram Bks 6.990 289 Sabun Colek Ekonomi 300 gram Bks 3.190 290 Sabun Colek Ekonomi 3 Kg Kaleng 31.090 291 Sabun Colek Wing 340 gram Cup 5.390 292 Sabun Colek Wing 800 gram Bks 20.390 294 Sabun Detergen Bubuk Attack 800 gr Kg 19.290 295 Sabun Detergen Bubuk Attack 450 gr clean maxi Kg 11.790 298 Sabun Detergen Bubuk Surf 900gr Kg 16.450 299 Sabun Detergen Bubuk Surf 1800gr Kg 17.190 300 Sabun Detergen Bubuk Daia 900gr Kg 13.490 301 Sabun Detergen Bubuk Rinso 900gr Antinoda Kg 17.900 302 Sabun Detergen Bubuk Rinso 1,8 Kg Antinoda Kg 33.190 303 Sabun Detergen Bubuk Soklin 900 gram Higienis Kg 18.190 304 Sabun Detergen Bubuk Soklin 1.8 Kg Kg 28.590 305 Sabun Detergen Bubuk B29 320 gr Buah 8.900 307 Sabun Ditergen Attack smart 900gr Bungkus 16.090 308 Sabun Ditergen Attack 450 gr clean maxi Buah 11.790 310 Sabun Ditergen Total 800 gr Buah 13.000 311 Sabun Ditergen Value Plus 900 gr Buah 15.200 312 Sabun Ditergen Surf 1,8 Kg Buah 26.500 313 Sabun Ditergen Daia 1,8 Kg Buah 25.990 314 Sabun Ditergen Rinso color 800gr Buah 18.090 315 Sabun Ditergen Rinso total 900 gr Buah 24.590 316 Sabun Ditergen Soklin smart color 900 gr Buah 18.190 317 Sabun Ditergen Bu Krim 900 gr Buah 29.300 318 Sabun Cream Wing 800 gram bks 6.190 319 Sabun Mandi Lux 85 gram Buah 3.190 320 Sabun Mandi Bee& flower 125 gram Buah 5.000 322 Sabun Mandi Citra 75 gram Buah 2.490 323 Sabun Mandi Fresh 80 gram Buah 1.690 325 Sabun Mandi Cussons Imperial Leather 85 gr Buah 2.300 327 Sabun Mandi Medicare 110 gram Buah 2.490 328 Sabun Mandi Nuvo Family 80 gram Buah 2.190 329 Sabun Mandi Nuvo Premium 90 gram Buah 2.725 330 Sabun Mandi Lifebouy 85 gr Buah 2.690 331 Sabun Mandi Biore 250 ml Buah 13.390 332 Sabun Mandi JF Sulfur 65 gr Buah 8.590 333 Sabun Mandi Dettol 120 gram Buah 6.890 334 Sabun Mandi Nivea 10 gr Buah 7.690 229

Alat Kebersihan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 335 Sabun Pemutih Shinzui 95 gram Kantong 3.800 336 Sampo Pntene 200 ml btl 26.390 337 Sampo Clear 90 ml Botol 11.190 338 Sampo Clear 360 ml Botol 44.390 339 Sampo Emeron 270 ml Botol 24.990 340 Sampo Emeron 180 ml Botol 13.190 345 Sampo Sunsilk 90 ml Botol 9.890 346 Sampo Sunsilk 180 ml Botol 19.090 347 Sampo Sunsilk 360 ml Buah 35.990 348 Sampo Lifebouy 90 ml Botol 6.090 349 Sampo Lifebouy 180 ml Botol 14.390 351 Sampo Urang Aring Sunsilk 180 ml Botol 17.890 352 Sapu Ijuk Gunung Sewu Buah 29.990 353 Sapu Ijuk VP Buah 29.990 355 Sapu Ijuk Pendek Mobil Lion Star Buah 32.990 357 Sapu Lidi + Stick Lokal Batang 41.900 360 Semir Sepatu Kiwi 50 ml Kaleng 12.850 364 Sebuk Pembersih Vim 500 gram Botol - 366 Sebuk Pembersih Kiff 650 gram Buah - 368 Serok Sampah / Cikrak SHINPO Buah 59.900 370 Shampo Rejoice 180 MI Rich Botol 18.590 373 Sikat Botol Susu Nagata Buah 48.990 376 Sikat Ijuk Pakai Tangan Livina Buah 34.900 379 Sikat Tangan Plastik Master Deluxe Buah 23.500 382 Super Pel Revil 800 ml Extra shine pine Buah 10.690 384 Tang Pel Biasa Sponge Buah 45.900 388 Tempat Sabun Lion Star Buah 9.990 389 Tempat Sabun Helena Buah 5.990 390 Tempat Sabun Joy Buah 14.990 391 Tempat Sabun HW Buah 12.990 396 Tempat Sikat Gigi Besar / LS Buah 27.990 399 Tissue Basah Mitu 70 s Kaleng 18.890 400 Tissue Basah Bagus 60 s Bungkus 14.990 401 Tissue Basah Mitu Kecil Travel pack Bungkus 3.390 402 Tissue Kotak Passeu 150's Pcs 11.590 404 Tissue Kotak Tessa 120's Pcs 10.090 406 Tissue Kotak Tessa 260's Dos 18.290 407 Tissue Pocket Passeu 6 S Pcs 8.590 408 Tissue Pocket Tessa 6's+D267 Pcs 6.890 409 Tissue Toilet NICE 6 s Pcs 19.290 411 Tissue Toilet Kleenex 6 s Pcs 24.590 416 Tissue Toilet Tessa 6 s Roll 26.790 419 Vixal Kuat Harum Blue 800 ml Buah 14.000 420 Waskom USA 27 pls Buah 83.900 230

Perlengkapan Olah Raga 2016 Perlengkapan Olah Raga 231

Perlengkapan Olah Raga 2016 XL. Perlengkapan Olah raga No Ko de Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) CAB. OLAH RAGA SEPEDA 1 Sepeda Di Tempat AIBO Magnetic BIKE Unit 2.600.000 2 Sepeda Di Tempat AIBO X-BIKE 810 Unit 2.250.000 3 Sepeda Di Tempat Orbitrac 802 AIBO Unit 4.000.000 CAB. BULU TANGKIS 1 Raket YONEX (Oarbonex) 21 Sp + BG-66 + Grip RS Buah 1.473.500 2 Raket YONEX (Nanoray) 03 TOUR + BG-66 + Grip RS Buah 914.500 3 Raket YONEX (Arc Saber) 001 + BG-66 + Grip RS Buah 514.000 4 Raket YONEX (Nanoray) 99 TOUR SP + BG- 66 + Grip RS Buah 1.013.000 5 Raket 25 SP + BG 66 Buah 160.000 6 Raket Nano Speed 6600 Buah 965.000 7 Raket Nano Speed 500 Buah 520.000 10 Shuttle Cock Cock Memory Hitam Slof 70.000 11 Shuttle Cock Mikasa Gold Slof 87.500 12 Shuttle Cock Memori Biru Slof 73.000 13 Shuttle Cock Mikasa Silver Slof 77.500 CAB. TENIS LAPANGAN 1 Raket Tennis Dunlop DTF Force 105 G2 HL Buah 2.890.000 2 Raket Tennis Dunlop DTF R6.0 Revolution NT G2 HL Buah 3.080.000 4 Raket Tennis Dunlop DTF S8,1 Lite G2 HL Buah 3.465.000 5 Raket Tennis Head You 1 G Speed MP 315 Buah 2.525.000 6 Raket Tennis Babolat Aero Pro Drive Buah 2.575.000 7 Raket Tennis Dunlop Aero Gel Buah 2.000.000 8 Raket Tennis Dunlop Biomimetic S.60 Lite Buah 2.360.000 9 Raket Tennis Wilson Prostaff Ninery Buah 2.250.000 10 Raket Tennis Dunlop Biomimetic Team G2 HL Buah 2.150.000 11 Raket Tennis Pro Open Buah 600.000 12 Raket Tennis HH Fair Lady Pink Buah 450.000 13 Raket Tennis Wilson Hyper Chrom Buah 650.000 14 Raket Tennis Dunlop Biomimetic S50 Lite G2 Buah 2.360.000 15 Raket Tennis Wilson Five Two Buah 2.325.000 16 Raket Tennis Dunlop Biomimetic S80 Lite G2 HH Buah 2.650.000 17 Raket Tennis Dunlop + Senar Biomimetic 600 G2 Buah 2.200.000 232

Perlengkapan Olah Raga 2016 No Ko de Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) MACAM-MACAM NET 1 Net Tennis Lapangan GTO Tas Merah Buah 55.000 2 Net Tennis Lapangan GTO Tas Hitam Buah 45.000 3 Net Bola Volley Mikasa Gold Buah 220.000 4 Net Bola Volley Champion Buah 65.000 5 Net Bola Volley Mizuno Buah 45.000 6 Jaring Gawang Soccer Lokal, Sedang 3 MM Pasang 465.000 7 Net Ring Basket Lokal, Double Pasang 285.000 8 Net Ring Basket Lokal, Single Pasang 225.000 9 Net Badminton Yonex BN 193-A Buah 85.000 10 Net Badminton GTO Lokal T & T8 Buah 95.000 11 Net Badminton Yonex 188 Buah 100.000 12 Net Badminton Hart 3901 Buah 100.000 13 Net Badminton Lining AXKG 018-1 Buah 179.000 14 Net Badminton Yonex BN 139 Buah 125.000 MACAM-MACAM BOLA 1 Bola Basket Molten GK 7 Buah 260.000 2 Bola Basket Molten GG 7 Buah 900.000 3 Bola Basket Mikasa Competition 1000 Buah 755.000 4 Bola Basket Mikasa BR 1150 Buah 295.000 5 Bola Basket Nolten Libertria Buah 800.000 6 Bola Ping - Pong Warna kuning DHS GPCS 1 Kotak lusin 35.000 7 Bola Ping - Pong Nittaku 3 Kuning 1 Kotak 10.000 8 Bola Ping - Pong Double Fish 1 Kotak Pcs 35.000 9 Bola Ping - Pong DHS Isi 3 Pcs 7.500 10 Bola Ping - Pong Thibar Isi 3 Pcs 52.500 11 Bola Ping - Pong Butterfly Isi 3 1 Kotak 20.000 12 Bola Tennis Lapangan Dunlop Kaleng Hijau / Fort Premium Isi 4 Tin 73.000 13 Bola Tennis Lapangan Dunlop Volley Isi 4 Kaleng 70.000 14 Bola Volley Mikasa MVA 350 Buah 275.000 15 Bola Volley Mikasa MVA 390 Buah 390.000 16 Bola Volley Mikasa ( Berwarna) MV 2200 Gold Buah 265.000 17 Bola Volley Mikasa ( Biasa) VIOL 2113 (Putih) Buah 285.000 18 Bola Volley Molten V5M 3500 Buah 385.000 19 Bola Volley Mikasa MV 2200 Super 9011 Buah 300.000 20 Bola Volley Mikasa MVA 330 Buah 255.000 21 Bola Kaki Adidas T-50 Buah 249.000 233

Perlengkapan Olah Raga 2016 No Ko de Nama Barang Merk/Ukuran Satuan (1) (2) (3) (4) (5) (6) Harga (Rp) 22 Bola Kaki Adidas Champion Buah 199.000 23 Bola Kaki Nike CR 7 Buah 269.000 24 Bola Kaki Nike Mercurial Buah 179.000 1 Meja Billiard Marmer, Lokal/7 Fit Set 8.950.000 2 Meja Billiard Marmer, Lokal/9 Fit Set 23.950.000 3 Stick Billiard Lokal Terusan Buah 45.000/65.0 00 4 Stick Billiard Lokal Terusan Buah 45.000/65.0 00 5 Stick Billiard Lokal Sambungan 1 Predator Buah 550.000 6 Stick Billiard Taiwan Potongan 1(Carbon) Buah 575.000 7 Stick Billiard Taiwan Potongan 1(Carbon) Buah 675.000 8 Stick Billiard Taiwan Potongan 2 (Titanium) Buah 125.000 9 Stick Billiard Taiwan Potongan 2 (Titanium) Buah 145.000 CAB. OLAH RAGA GOLF 1 Kereta Golf Golf Trolley Sun Son Deluxe SAS 303 Buah 845.000 2 Stick Golf Set Taylor Mode buah 4.590.000 3 Stick Golf Set Mizuno buah 5.252.000 4 Stick Golf Set Xxio buah 5.590.000 CAB. OLAH RAGA BELA DIRI 1 Baju Karate Karate Adidas Potong 210.000 2 Baju Karate Karate Tokaido Potong 160.000 3 Baju Karate Karate Butterfly Potong 165.000 4 Baju Karate Karate Adidas Potong 350.000 CAB. OLAH RAGA CATUR 1 Papan Catur Lokal Biasa Kayu 1 Uk. Besar Pcs 70.000 2 Papan Catur Lokal Biasa Kayu 2 Uk. Kecil Pcs 40.000 3 Papan Catur Lokal Biasa Kayu 3 Uk. Sedang Pcs 95/75/55/45 /35 4 Jam Catur Insa RRC Buah 675/575/47 5 5 StopWatch Cozta 100 Memory Buah 285.000 6 StopWatch Rox SW 2013 Buah 85.000 7 StopWatch Rox 100 Memory Buah 345.000 8 StopWatch Leap PC 3860 60 Memory Buah 295.000 CAB. OLAH RAGA RENANG 1 Baju Renang Speedo Muslim Endurance + DIVE Potong 350.000 2 Baju Renang Padilla Dewasa Panjang + Topi Potong 324.900 3 Baju Renang Lee Vierra Potong 428.900 234

Perlengkapan Olah Raga 2016 No Ko de Nama Barang Merk/Ukuran Satuan (1) (2) (3) (4) (5) (6) Harga (Rp) 4 Baju Renang Boykeg Potong 199.500 5 Celana Renang Speedo Potong 42.500 6 Celana Renang Padilla Potong 149.900 7 Celana Renang Lee Vierra MPS 365 Potong 198.000 8 Celana Renang Lee Vierra MPS 377 Potong 297.000 9 Kacamata Renang Speedo Buah 75.000 10 Kacamata Renang Dunlop Buah 95.000 11 Kacamata Renang Swans Buah 275.000 12 Topi Renang Spedo Buah 30.000 13 Topi Renang Adidas Buah 79.000 SEPAK TAKRAW 1 Bola Sepak Takraw Marathon UT 201 Buah 125.000 2 Bola Sepak Takraw Bahan Rotan Buah 20.000 3 Bola Sepak Takraw Bahan Plastik ( Pro X-Tion) Buah 60.000 235

Piala/Bendera/Vandel 2016 Piala/Bendera/Vande l 236

Piala/Bendera/Vandel 2016 XLI. Piala/Bendera/Vandel No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 1 Trophy Kaki Satu Bahan : Plastik, Tinggi : 35-45 cm Set 1.000.000 2 Trophy Kaki Satu Bahan : Plastik, Tinggi : 40-50 cm Set 1.250.000 3 Trophy Kaki Satu Bahan : Plastik, Tinggi : 25-35 cm Set 865.000 4 Trophy Kaki Satu Bahan : Plastik, Tinggi : 30-40 cm Set 795.000 5 Trophy Kaki Satu Bahan : Plastik, Tinggi : 25-30 cm Set 365.000 6 Trophy Kaki Satu Bahan : Plastik, Tinggi : 35-50 cm Set 1.500.000 7 Trophy Kaki Satu Bahan : Plastik, Tinggi : 35-45 cm Set 1.145.000 8 Trophy Kaki Satu Bahan : Crystal, Tinggi : 18-22 cm Set 1.550.000 9 Trophy Kaki Satu Bahan : Crystal, Tinggi : 18-22 cm Set 2.100.000 10 Trophy Kaki Satu Bahan : Crystal, Tinggi : 19-23 cm Set 1.800.000 11 Trophy Kaki Satu Bahan : Crystal, Tinggi : 20-24 cm Set 2.850.000 12 Trophy Kaki Satu Bahan : Crystal, Tinggi : 30-34 cm Set 4.800.000 13 Trophy Kaki Satu Bahan : Crystal, Tinggi : 25-29 cm Set 4.050.000 14 Trophy Kaki Satu Bahan : Crystal, Tinggi : 20-24 cm Set 3.400.000 15 Trophy Kaki Dua Besar Bahan : Plastik, Tinggi : 85 cm Set 1.450.000 16 Medali Bahan : Mken-Tembaga-Emas Set 210.000 17 Plakat Kuningan 125-500 Buah 18 Plakat Kuningan 1x1x2 Buah 200.000 19 Plakat Kuningan 1x1x3 Buah 300.000 20 Plakat Kuningan 1x1x5 Buah 500.000 21 Plakat Kuningan 1x1x10 Buah 1.000.000 24 Bendera 60x90 Buah 36.000 25 Bendera 80x120 Buah 50.000 26 Bendera Plastik 15x20 isi 100 Cap Kuda Laut Pak 9.000 237

Alat Peraga Sekolah 2016 Alat Peraga Sekolah 238

Alat Peraga Sekolah 2016 XLII. Alat Peraga Sekolah No Uraian Barang Satuan Harga (Rp) I ALAT PERAGA MATEMATIKA PUMULA (DASAR) 1 Mata rantai 1 set 25.000 Manik & pola 1 set 25.000 Kubus berkait 1 set 40.000 Bangun datar dan bingkainya 1 set 85.000 Macam-macam bangun datar 1 set 85.000 Bangun 3 demensi 1 set 115.000 Muka jam /jam analog 1 set 100.000 Jam digital 1 set 100.000 Blok logika 1 set 100.000 Mistar dan jangka 1 set 175.000 Tabel penjumlahan 1 pcs 155.000 Tabel perkalian 1 pcs 155.000 Kartu bilangan 1 s.d 10 1 set 175.000 Kartu bilangan 11 s.d 20 1 set 175.000 Kartu operasi bilangan 1 set 175.000 Kartu gambar 1 set 175.000 Papan peraga (bonus 1 buah untuk setiap 2 set mapel) 1buah/2set mapel 170.000 Permainan tali lilitan 1 set 260.000 Papan pecahan 1 set 142.500 Kotak alat 1 buah 142.500 Lantai permainan elektronik ( bonus 1 buah untuk setiap 2 set mapel) 1buah/2set mapel 1.070.000 Buku petunjuk penggunaan E eksemplar 50.000 II ALAT PERAGA MATEMATIKA (PERMAINAN) Bangun ruang transparan 1 set 700.000 Jaring jaring bagun ruang 1 set 33.000 Bagun kerangka 1 set 16.000 PERMAINAN PECAHAN; Pecahan persegi 1 set 47.500 Pecahan lingkaran 1 set 47.500 Model statistik 1 set 95.000 Blok logika 1 set 106.250 MENGIHUNG MASA Timbngan wadah 1 set 36.250 Timbangan lengan 1 set 125.000 Membuat koordinat 1 set 67.500 MENGHITUNG JARAK DAN WAKTU Model jam 1 set 115.000 Stop watch 1 buah 150.000 Meteran gulung 1 buah 5.000 Buku petunjuk 5 eksemplar 12.000 Tempat penyimpanan 1 buah 125.000 ALAT PERAGA ILMU PENGETAHUAN ALAM III (IPA)/SAINS Penumpu cermin datar 2 buah 7.500 Pejepit selang 4 buah 4.750 Dinamo motor 1 buah 117.500 Bola lampu 2 buah 3.000 Tali pada roda 1 roll 3.750 Spiral pin 20 buah 7.450 Kabel penghubung pendek 7 buah 2.679 Kabel penghubung panjang 7 buah 2.679 Katrol ɸ7 cm 1 buah 23.750 Katrol ɸ3,5 cm 1 buah 23.750 239

Alat Peraga Sekolah 2016 No Uraian Barang Satuan Harga (Rp) Dudukan poros 2 buah 18.750 Jepit buaya merah 1set 10.000 Jepit buaya hitam 1 set 10.000 Katrol ganda 1 buah 23.000 Katrol tunggal 1 buah 14.250 Tempat baterai 1 buah 35.000 Pipa plastik 1 buah 7.500 Cincin tiga kaki 1 buah 10.000 Saklar tekan on/of 1 buah 23.750 Meter listrik 1 buah 17.000 Penumpu bentuk A 2set 8.500 Jepit penumpu 2 buah 9.500 Dudukan lilin 1 buah 11.750 Layar 1 buah 35.750 Dudukan layar 1 buah 11.750 Dudukan lampu 2 buah 17.500 Penumpu papan serbaguna 4 buah 6.250 Filter warna merah 1 buah 13.750 Filter warna hijau 1 buah 13.750 Filter warna biru 1 buah 13.750 Filter warna kuning 1 buah 13.750 Lempeng cermin datar 1 buah 24.000 Tabung reaksi 1 buah 6.000 Penjepit tabung 1 buah 6.000 Siring besar 1 buah 6.000 Siring kecil 2 buah 5.375 Kaca pembesar 1 buah 47.500 Pipa aluminium + 14 cm, ɸ 8 mm 2 buah 32.500 Pipa aluminium + 12 cm ɸ 8 mm 1 buah 32.500 Pipa aluminium + 7 cm ɸ8 mm 1 buah 32.500 Papan serbaguna 1 buah 47.500 Lembar plastik warna 1 buah 50.000 Lembar karet 1 buah 10.000 Balon 1 buah 3.000 Cermin cekung besar 1 buah 13.750 Prisma siku-siku 1 buah 50.000 Thermometer 1 buah 7.000 Lilin /plastisin 1 buah 3.000 Tabung kapsul 1 buah 23.750 Tutup senter 1 cerah 1 buah 13.750 Tabung kaleidoskop 1 buah 12.500 Tabung penyambung kaleidoskop 1 buah 12.500 Tabung obyek keleidoskop 1 buah 12.500 Penutup tabung kaleidoskop 1 buah 7.500 Cermin kaleidoskop 3 buah 23.000 Lembar lingkaran + ɸ 3.7 cm palstik solid hitam 1 buah 7.500 Lembar lingkaran + ɸ3.7 cm palstik bening kuning 1 buah 7.500 Lembar lingkaran + ɸ 3.7 cm palstik bening merah 1 buah 7.500 Manik-manik 1 set 6.000 Mangkok neraca 1 buah 6.000 Tuas/neraca dengan penyeimbang 1 buah 6.000 Jepit tuas/ dudukan neraca 1 buah 6.000 Penggantung mangkok neraca 1 buah 3.000 Bak plastik 1 buah 14.250 cakram 2 warna ɸ 5 cm 1 buah 3.750 Cakram 2 warna ɸ 3 cm 1 buah 3.750 Cakram 6 warna ɸ 5 cm 1 buah 3.750 240

Alat Peraga Sekolah 2016 No Uraian Barang Satuan Harga (Rp) Cakram 6 warna ɸ 3 cm 1 buah 3.750 Cakram 2 warna (elektrik) 1 buah 3.750 Cakram 6 warna (elektrik) 1 buah 3.750 Pemukul 1 buah 12.500 Baling baling 1 buah 17.500 Batang bayang bayang I 1 buah 7.500 Batang bayang bayang II 1 buah 7.500 Papan skala 1 buah 14.250 Garpu tala 1 buah 6.000 Corong plastik 2 buah 7.500 Selang plastik 1 gulung 23.750 Booser /speaker 1 buah 13.750 Penggaris 1 buah 12.000 Busur derajat 1 buah 30.000 Tali/karet 1 buah 55.000 Resistor/hambatan tetap 100 Ω 1 buah 6.000 Lempeng kuningan 1 buah 6.000 Lempeng tembaga 1 buah 6.000 Lempeng seng 1 buah 3.000 Lempeng plastik 1 buah 3.000 Lempeng aluminium 1 buah 3.750 Lempeng kayu 1 buah 3.750 Lempeng karet 1 buah 3.750 Lempeng karton 1 buah 1.750 Neraca pegas 1 buah 14.250 Periskop 2 buah 7.500 Cermis periskop 2 buah 5.000 Stop watch digital 1 buah 65.000 Beban pemberat (bandul) 4 buah 9.375 Karet 3 buah 2.667 Pengait cermin 1 buah 3.000 Lilin sumbu 1 buah 3.000 Kotak peralatan kecil 4 buah 23.500 Kawat tembaga 1 roll 13.750 Lampu senter 1 buah 35.000 Baterai 4 buah 5.313 Klip kertas 5 buah 1.200 Sterofoam 1 buah 2.500 Magnit batang 1 pasang 11.750 Plat bentuk L 2 buah 3.250 Plat bulat 1 buah 6.500 Kontrol ɸ 2 cm 1 buah 8.500 Lampu LED 1 buah 11.750 Gelas ukur 100 ml 1 buah 46.000 Kotak persegi panjang 1 buah 35.000 Doble Tip 1 buah 23.000 Serbuk/pasir besi 25 gram 850 Amplas 1 lembar 4.250 Kompas 1 buah 46.750 Snar gitar 1 buah 8.500 Ring plastik 1 buah 4.250 Kertas saring 1 buah 8.500 Penyelam & pelampung 1 set 11.750 Ring poros bulat 1 buah 4.250 Karton bercelah 1 buah 4.250 Kawat melingkar 1 buah 5.000 Bola sterofoam 1 buah 6.000 241

Alat Peraga Sekolah 2016 No Uraian Barang Satuan Harga (Rp) Solar sel 1 buah 750.000 Dudukan wadah 1 set 70.000 Kotak alat 1 buah 125.000 Buku manual 1 eksemplar 16.000 Buku panduan pembelajaran IPA 1 eksemplar 35.000 ALAT PERAGA IPBA Model planetarium 1 set 750.000 Model peta langit 1 set 75.000 Model tata surya 1 set 42.500 Landasan 1 buah 105.000 Buku petunjuk 1 eksemplar 31.250 Dudukan alat 1 buah 55.000 Kotak alat 1 buah 55.000 Buku panduan pembelajaran IPA 1 eksemplar 31.250 ALAT PERAGA SIMULASI FASE BULAN Alat peraga simulasi fase bulan 3 buah 160.000 Poster fase penampakan bulan 1 buah 76.000 Poster gerhana matahari 1 buah 76.000 Poster gerhana bulan 1 buah 76.000 Buku panduan pelajaran IPA 1 eksemplar 76.000 IV KIT IPS GEJA ALAM & BENTANG ALAM MEMAHAMI KIT GELAJALA ALAM Model gunung berapi 1 set 462.000 Model patahan 1 set 117.250 Model lipatan 1 set 96.250 Poster peta sebaran gunung berapi Indonesia 1 set 69.250 Poster gunung berapi 1 set 69.250 Poster peta sebaran daerah gempa di Indonesia 1 set 69.250 Poster peta sebaran rawan sunami di Indonesia 1 set 69.250 Model pembelajaran 1 set 18.750 Lembar kerja siswa 1 set 18.750 Tempat pnyimpanan 1 set 110.00 KIT TENTANG BENTENG ALAM Peta 3 demensi tentang benteng alam 1 set 170.000 Relief daratan 1 set 360.000 Model relief dasar laut 1 set 360.000 Poster gelombang laut 1 set 69.250 Poster zona kedalaman laut 1 set 69.250 Poster batas laut Indonesia 1 set 69.250 Poster tentang benteng alam 1 set 69.250 Poster irisan kulit bumi 1 set 69.250 Modul pembelajaran 1 set 18.750 Lembar kerja siswa 1 set 18.750 Tempat penyimpanan 1 set 115.000 V ILMU PENGETAHUAN SOSIAL (IPS) Peta asean physical 1 set 33.000 Peta afrika physical 1 set 33.000 Peta amerika physical 1 set 33.000 Peta asia physical 1 set 33.000 Peta australia & selandia baru physical 1 set 33.000 Peta dunia besar physical 1 set 33.000 Peta Indonesia physical 1 set 33.000 ALAT PERAGA BAHASA INDONESIA 242

Alat Peraga Sekolah 2016 No Uraian Barang Satuan Harga (Rp) VI INTERAKTIF DASAR Kotak alat peraga siswa 1 buah 64.000 Lembar peraga mengenal abjad 1 buah 325.000 Lembar peraga mengenal kata 1 buah 325.000 Lembar keping (Badge) huruf kecil 48 buah 5.313 Lembar keping (bagde) gambar 26 buah 9.577 Lembar keping (bagde)kosakata 26 buah 8.519 Lembar keping (bagde) suku kata 190 buah 7.447 Papan klasikal 1 buah 298.000 Tiang penyangga papan klasikal 1 buah 394.000 Buku petunjuk guru 1 eksemplar 35.000 Buku Petunjuk pengayaan 5 eksemplar 37.000 CD Bentuk guru 1 cd 58.500 CD petunjuk pengayaan 3 cd 58.333 ALAT PERAGA BAHASA INGGRIS Kotak alat peraga siswa 1 set 85.000 Papan klasikal 1 set 138.250 Buku-buku BOS merujuk pada https://e-katalog.lkpp.go.id/e-catalogue/ 243

Peralatan Kesenian 2016 Peralatan Kesenian 244

Peralatan Kesenian 2016 XLIII. Peralatan Kesenian No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) AMPLIFIER 1 Ampli Guitar Laney TF 320 Buah 6.800.000 2 Ampli Keyboard Peavy USA KB A 100 Buah 6.530.333 DRUM DAN CYMBAL 1 Drum Tama Rock Star + Cymbal.S.S Set 15.000.000 2 Drum Roling PD - 2005 + Cymbal Set 3.850.000 3 Drum Yamaha GIG Maker Set 11.300.000 4 Drum Yamaha Stage Custom Set 17.800.000 5 Drum TAMA Swingstar Drum Sets Set 7.320.000 6 Drum TAMA Imperialstar Drum Set Set 10.880.000 7 Drum TAMA VBG Silverstar Set Set 16.100.000 Set 19.900.000 8 Drum TAMA Superstar Hyper-Drive Drum Set 9 Drum Non Cymbal Phil Collin 7 Ton Set 7.000.000 10 Bongo Set Fiber Meini FGB-100/MFB-100 Set 3.800.000 11 Bongo Set Wood Meini MB 150 Set 12 Cymbal Set 2.350.000 ZILDJIAN PZ4PK Planet Z Cymbal Set 13 Cymbal ZILDJIAN ZBTP390 Cymbal Varienty Set 4.000.000 Package 14 Cymbal ZILDjian ZHT Cymbal Box Set Set 5.050.000 15 Cymbal SABIAN Solar Performance Set Set 2.530.000 16 Cymbal Set 4.540.000 SABIAN B8 Performance Set 2+Softcase 17 Cymbal Set 5.650.000 SABIAN B8 Pro Promotional Set 2+Softcase GUITAR DAN BASS 1 Guitar Yamaha C - 390 Buah 1.550.000 2 Guitar Klasik Bahan Kayu di Vernis. Yamaha Buah 3 Guitar Electric Aria STG 003 Buah 2.500.000 4 Guitar Electric Fender Jazz Bass (Japan) W / Hard Buah 8.500.000 5 Guitar Electric Fender Std Stratocaster USA W / H Buah 8.550.000 Case USA 7 Guitar Electric Ibanez GRX 70 Buah 5.950.000 8 Guitar Electric Ibanez RG 270 DX Buah 3.451.000 10 Guitar Electric Ibanez GA X 70 Buah 3.500.000 12 Guitar Electric Ibanez RG 320 FA. WN Buah 11.000.000 13 Guitar Electric Ibanez GRG 270 Buah 3.451.000 14 Guitar Electric Ibanez Korea RG 270 DX Buah 4.000.000 15 Guitar Electric Palmer SJ III SBC Buah 3.500.000 16 Gitar Bass Ibanez 205 GSR Buah 3.807.700 17 Gitar Bass Ibanez BTB 400 QM Buah 3.000.000 18 Gitar Bass Samick LB 10 / YB.35 Buah 5.500.000 19 Gitar Classic Yamaha C-390 Buah 1.550.000 20 Gitar Classic Yamaha C-315 Buah 860.000 21 Gitar Classic Yamaha CG102 Buah 1.660.000 22 Gitar Classic Yamaha CX40 Buah 1.580.000 23 Gitar Akustic Yamaha F-310 Buah 1.240.000 24 Gitar Akustic Yamaha F-350 Buah 1.720.000 25 Gitar Akustic Yamaha FX-310 Buah 1.720.000 26 Gitar Elektrik Yamaha Pacifica PAC 11 Buah 2.480.000 27 Gitar Elektrik Yamaha RGX121Z Buah 2.740.000 245

Peralatan Kesenian 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 28 Gitar Elektrik Yamaha RGXA2 Buah 5.200.000 29 Gitar Elektrik Yamaha TRBX174 Buah 2.840.000 30 Gitar Elektrik Yamaha RBX4A2 Buah 6.840.000 31 Gitar LANEY LV200 LiVe Amplifier 1x12 Buah 5.220.000 65watt 3-Channel 32 Gitar LANEY LV300T LiVe Amplifier 2x12 Buah 7.440.000 120watt Tube Fusion Combo 33 Gitar LANEY LX120H+LANEY LX412A Buah 10.310.000 Amplifier 120watt 34 Gitar LANEY LX120T Combo Amplifier 2x12 Buah 6.360.000 120watt w/effects 35 Gitar Bass YAMAHA C-390 Guitar Classic Buah 1.540.000 36 Gitar Bass FENDER Standard J-Bass Rosewood Buah 9.200.000 Fingerboard Black 37 Gitar Bass FENDER Standard J-Bass Rosewood Buah 9.430.000 Fingerboard Brown Sunburt 38 Gitar Bass FENDER American Standard J-Bass 2012 Buah 17.900.000 Maple Black 39 Gitar Bass FENDER American Standard J-Bass Maple Buah 18.680.000 Charcoal Frost Metallic 40 Gitar Bass FENDER American Standard J-Bass V Buah 19.870.000 Rosewood 3-Color Sunburst 41 Gitar Bass FENDER American Standard J-Bass Maple Buah 17.900.000 Fretboard 0190662706. Black 42 Gitar Bass IBANEZ GRX40PB GRX Series. Pastel Blue Buah 1.480.000 43 Gitar Bass IBANEZ GRX55 RD GRX Series. Red Buah 1.990.000 44 Gitar Bass IBANEZ GRG270JB Electric Guitar GRG Buah 4.340.000 Seried Jewel-Blue 45 Gitar Bass IBANEZ GAX30 DW GAX Series. Dark Buah 2.780.000 Wine Red 46 Gitar Bass IBANEZ GSA60-BKN Electric Guitar Buah 6.020.000 Tremolo 47 Gitar Bass IBANEZ SR300 ROM SR Series. Roadster Buah 4.900.000 Orange Metallic 48 Gitar Bass IBANEZ SR305 E. Bass Buah 5.560.000 49 Gitar Bass IBANEZ SR400PB-CNB E Guitar Buah 5.020.000 Jatoba/Bubunga Nec 50 Gitar Bass IBANEZ SR500 E. Bass Buah 6.890.000 51 Gitar Bass IBANEZ SR500 BM SR Fretless Series. Buah 8.110.000 Brown Mahogany 52 Gitar Bass IBANEZ SR505 BM SR Series. Brown Buah 7.790.000 Mahogany 53 GitarBass IBANEZ SR600 NTF SR Standard Series. Buah 8.400.000 Natural Flat 54 Gitar Bass IBANEZ BTB200 E. Bass 4 str Buah 3.490.000 55 Gitar Bass IBANEZ BTB200IPF Bass 4 String.Agathis Buah 3.490.000 Body.Med Frets.Iron Pewer 56 Gitar Bass IBANEZ BTB205 E. Bass 5 str Buah 3.800.000 57 Gitar Bass IBANEZ BTB300 Guitar Flamed Maple Buah 4.940.000 Top/Mahogany Body KEYBOARD 1 Keyboard Kualitas Standar Buah 2 Keyboard Yamaha PSR 450 Buah 2.950.000 3 Keyboard Korg PA 80 Buah 14.500.000 4 Keyboard Casio CTK 811 / WK.1800 Buah 3.500.000 5 Keyboard PEAVEY KB2 2 Channel Keyboard Amplifier 1x12 80 watt Buah 6.480.000 246

Peralatan Kesenian 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 6 Keyboard PEAVEY KB3 3 Channel Keyboard Buah 9.600.000 Amplifier 1x15 75 watt 7 Keyboard PEAVEY KB4 4 Channel Keyboard Buah 11.580.000 Amplifier 2x10 150 watt 8 Keyboard YAMAHA PSR-E 233 Keyboard Buah 1.630.000 9 Keyboard YAMAHA PSR-E 323 Keyboard Buah 2.750.000 10 Keyboard YAMAHA PSR-E 333 Keyboard Buah 2.220.000 11 Keyboard YAMAHA PSR-E 343 Portable Keyboard Buah 2.600.000 12 Keyboard YAMAHA PSR-E 433 Portable Keyboard Buah 5.170.000 13 Keyboard YAMAHA PSR-S 550 B Keyboard Buah 7.980.000 14 Keyboard YAMAHA PSR-S 750 Digital Arranger Buah 10.200.000 Workstation 15 Keyboard YAMAHA PSR-S 950 Arranger Workstation Buah 12.900.000 16 Keyboard KORG PA 300 Buah 13.690.000 17 Keyboard KORG PA 500 Buah 15.230.000 18 Keyboard KORG PA 600 Buah 15.690.000 19 Keyboard KORG PA 900 Buah 29.000.000 MICROPHONE 1 Microphone Shure SM 58 (Kabel) Asli RP. 1.200.000 ASPAL Buah 7.000.000 2 Microphone Shure Beta - 58 Buah 7.500.000 3 Microphone Belringen XM 2000 S (Kabel) Buah 3.000.000 4 Microphone Shure SM58-LC Legendary Vocal Buah 1.300.000 Microphone 5 Microphone Shure B52A Kick Drum Mocrophone Buah 2.800.000 6 Microphone Shure MX418D/C Deskop Goosneck Buah 4.465.000 Microphone 18 7 Microphone Shure PG24/PG58 Diversity Handheld SY Buah 5.180.000 8 Microphone Shure PGDMK6XLR Drum Mic.Kit Buah 7.360.000 (1xPG52;3xPG56) 9 Microphone Shure PGX24/Beta58 Vocal Diversity Buah 7.190.000 Handheld System 10 Microphone Shure PGX24/SM58 Vocal Diversity Buah 9.080.000 Handheld System 11 Microphone Shure SLX24/SM58 Handheld Wireless Buah 9.530.000 System 12 Microphone Shure SLX24/SM58 Vocal Diversity Buah 12.600.000 Handheld System 13 Microphone Shure SM57 Instrument Microphone Buah 1.250.000 14 Microphone Shure ULXP24/Beta87 Profesional Handheld Buah 20.450.000 System TAPE RECORDER 1 Tape Recorder/radio Polytron. Kualitas Standar Buah 3.500.000 WAYANG KULIT 1 Wayang Kulit Ukuran : Werkudoro Buah 700.000 2 Wayang Kulit Ukuran : Gatutkoco Buah 850.000 3 Wayang Kulit Ukuran : Kumbo Krano Buah 850.000 4 Wayang Kulit Ukuran : Gunungan / Deder Buah 1.300.000 5 Wayang Kulit Ukuran : Prabu Kresno Buah 800.000 6 Wayang Kulit Ukuran : Srikandi Buah 800.000 7 Wayang Kulit Ukuran : Kera Hanoman Buah 700.000 7 Rebana Qasidah Bahan : Kayu Nangka, Kulit Kambing Dipres Unit 1.800.000 1 set isi 4 247

Peralatan Kesenian 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 8 Musik Samroh 1 unit Terdiri Dari : Unit - Organ PSR 5700 Yamah 1 Buah 6.000.000 - Gitar Akustik C310 Yamaha 1 Buah 1.800.000 - Biola Y Vandoral 2050/2060 2 buah 3.500.000 11 Reog Ponorogo Perlengkapan Reog Ponorogo Unit Terdiri dari : - Dadak Merak 30.000.000 - Kepala Barongan 10.000.000 - Klono Topeng 3.000.000 - Pentulan 100.000 - Angklung 2 Buah 400.000 - Ketipung 500.000 - Kendang 3.000.000 - Kempul Kenong 6.000.000 - Gong 15.000.000 - Awak Barongan 8.000.000 - Terompet 400.000 - Kuda Kepang 500.000 17 Garpu Tala kunci A / C 400.000 18 Harmonika 15 Hole ukuran 154 x 2 x 3,7 cm 72 gram 23 Pianika 20 tuts 2,5 oktaf 250.000 25 Ketipung 2.500.000 26 Seruling 400.000 27 Conga 4.500.000 28 Jimbe 2.500.000 29 Guiro 30 Maracas 200.000 31 Bass Salawatan 700.000 32 Bass Berkaki diameter 22' 1.000.000 PAKAIAN TARI Pakaian Tari Jawa 34 Tmur Lengkap 1 Stel Terdiri Dari : Stel - Tari Pamudyo / Stel 1 Stel 3.000.000 - Tari Sukoretno / Stel 1 Stel 4.500.000 - Tari Gambir Anom / Stel 1 Stel 2.500.000 - Tari Srimpi / Dedet / Stel 1 Stel 2.500.000 Dengan Kelengkapan : - Baju Atasan 500.000 - Kain 200.000 - Selendang 200.000 - Topeng 600.000 - Topi Tari 200.000 - Krincing di Kaki 800.000 - Celana 250.000 Berikut Kelengkapan Lainnya 248

Pemeliharaan dan Perbaikan 2016 Pemeliharaan dan Perbaikan 249

Pemeliharaan dan Perbaikan 2016 XLIV. Pemeliharaan dan Perbaikan No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) PEMELIHARAAN AC 1 Pemeliharaan 1 PK AC Split Unit 75.000 2 Pemeliharaan 2 PK AC Split Unit 75.000 3 Pemeliharaan 1 PK AC Window Unit 75.000 4 Pemeliharaan 2 PK AC Window Unit 75.000 5 Pemeliharaan 2 PK AC Split Multi Unit 250.000 PERBAIKAN AC 1 Ganti Kompresor AC Window 2 PK Buah 4.050.000 2 Ganti Kompresor AC Window 1,5 PK Buah 3.350.000 3 Ganti Kompresor AC Window 1 PK Buah 2.050.000 4 Ganti Kompresor AC Split 1 PK Buah 2.070.000 5 Ganti Kompresor AC Split 1,5 PK Buah 3.400.000 6 Ganti Kompresor AC Split 2 PK Buah 4.100.000 7 Ganti Kompresor AC Split 3 PK Buah 5.900.000 PENAMBAHAN FREON AC 1 AC Split 0,5-1 PK R 22 DUFFON Kg 150.000 2 AC Split 1,5-2 PK R 22 Kg 150.000 3 AC Split 2,5-3 PK R 22 Kg 150.000 4 AC Split 5 PK R 22 Kg 150.000 5 AC Split 10 PK R 22 Kg 150.000 PEMELIHARAAN TELEPON, PENGHANCUR KERTAS, EXHAUST FAN, KOMPUTER, MEJA KURSI 1 Service Telepon Tanpa Ganti Sparepart, Ongkos Kerja Unit 300.000 2 Service Penghancur Kertas Tanpa Ganti Sparepart, Ongkos Kerja Unit 125.000 3 Service Exhaust Fan Tanpa Ganti Sparepart, Ongkos Kerja Unit 700.000 4 Service Computer PC - CPU Tanpa Ganti Sparepart, Ongkos Kerja Unit 125.000 5 Service Key Board Tanpa Ganti Sparepart, Ongkos Kerja Unit 125.000 6 Service Monitor Computer Tanpa Ganti Sparepart, Ongkos Kerja Unit 100.000 7 Service Hard Disk Tanpa Ganti Sparepart, Ongkos Kerja Unit 100.000 8 Service Check All Tanpa Ganti Sparepart, Ongkos Kerja Unit 100.000 9 Service Printer Tanpa Ganti Sparepart, Ongkos Kerja Unit 100.000 10 Service 1 Unit PC Lengkap Tanpa Ganti Sparepart, Ongkos Kerja Unit 200.000 11 Perbaikan Kunci Filling Cabinet Tanpa Ganti Sparepart, Ongkos Per Set 100.000 12 Ganti Kunci Filling Cabinet Kerja Tanpa Ganti Sparepart, Ongkos Kerja 250 Per Unit 100.000

Pemeliharaan dan Perbaikan 2016 No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) Pengecetan Almari Besi 2 Pintu Cat Tanpa Ganti Sparepart, Ongkos 15 Buah 750.000 Duco Kerja Tanpa Ganti Sparepart, Ongkos 17 Pemlituran Almari Sorok Buah 500.000 Kerja Tanpa Ganti Sparepart, Ongkos 18 Plitur Almari Kayu Buah 350.000 Kerja Tanpa Ganti Sparepart, Ongkos 19 Perbaikan Rak Buku Kaca Buah 350.000 Kerja Tanpa Ganti Sparepart, Ongkos 20 Perbaikan Kursi Lipat Buah 250.000 Kerja Tanpa Ganti Sparepart, Ongkos 21 Ganti Anak Kunci Meja Unit 25.000 Kerja Perbaikan Kursi Staf Ganti Kulit, Busa 23 Brown Plitur Buah 350.000 Cat Tanpa Ganti Sparepart, Ongkos 24 Penggantian Kaki Kursi Roda Set 150.000 Kerja 26 Perbaikan Meja Kerja Eselon III Cat Duco, Plitur Buah 750.000 27 Perbaikan Meja Kerja Eselon IV Cat Duco, Plitur Buah 750.000 HARGA SATUAN PEKERJAAN 1 Lantai Karpet Karpet Lebar 2.10 m M2 2.156.000 2 Lantai Keramik Roman 40x40 M2 2.156.000 3 Lantai Granite Indo Gress 60x60 M2 275.000 4 Plafond, AC & Kap Lampu Gip Merk Elepent M2 97.500 5 Kaca Dinding Dalam Kaca 5 mm Polos M2 135.000 6 Kaca Partisi Kaca Polos+Kusen 4 M2 550.000 7 Dinding Partisi Kerangka Holot+Kalsi Bond M2 300.000 8 Dinding Walpaper M2 750.000 9 Toilet Merk Toto Duduk M2 2.750.000 12 Dinding Kayu (Wood Vinyl) M2 575.000 13 Lantai Kayu (fancy Wood) Merk Kendo M2 350.000 14 Peralatan & Perlengkapan Kantor 1.500.000 Lemari/ Filling Kabinet Unit 750.000 251

Pertamanan dan Alat Laboratorium Peternakan 2016 Pertamanan dan Alat Laboratorium Peternakan 252

Pertamanan dan Alat Laboratorium Peternakan 2016 XLV. Pertamanan dan Alat laboratorium Peternakan No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) I. TANAMAN PENUTUP TANAH 1 Rumput Manila Lempengan / ZoyseaMatrella M2 20.000 2 Rumput Golf / Tifion GrasstancorCompressus M2 30.000 3 Rumput Manila Tandur / Zoysea Mayrella M2 40.000 4 Rumput Swiss M2 II. TANAMAN PENUTUP TANAH BERBUNGA 1 Bayam Merah / Iresene Herb I II Pot 3.000 2 Bludru Coklat / Episcia Reptans Pot 5.000 3 Bludru Hijau / Episcia Cuprella Pot 5.000 4 Cocor Bebek Pot 19.550 5 Jengger Ayam Air Mancur Besar Pot 10.000 6 Jengger Ayam Air Mancur Kecil Pot 10.000 7 Mirten Perak Pot 10.000 8 Mirten Rebah Pot 9.000 9 Nenas Kerang / Rhodiscolor Pot 7.000 10 Nenas Merah / Annanas Bracteatus Pot 9.000 11 Pakis Gunung / Oryopterss sp Inolosa Karung 50.000 III. TANAMAN DALAM RUANG 1 Anggrek Bulan / Phalaenopsis Amabilis Pot 150.000 2 Anggrek Douglass Pohon 100.000 3 Apple Blossom / Arahais sp Pohon 70.000 4 Asparagus Panjat / Asparagos sp Pot 29.000 5 Kuping Gajah / Anthurium Crtalinom Pot 150.000 6 Sri Rejeki / Aglaonema Costatum Pot 100.000 IV. TANAMAN PERDU / SEMAK 1 Afganefa 30 cm Pot 20.000 2 Agape Hijau Pohon 100.000 3 Agape Putih 1 cm Pot 90.000 4 Asoka Singapure 30 cm Pot 50.000 7 Kamboja Jepang 1 m Pot 150.000 8 Kana Biasa Pohon 10.000 9 Kuku Macan Pohon 75.000 10 Pakis Boston 25 m Pot 50.000 11 Palem Ekor Tupai Pohon 157.550 12 Rexona (Aglonema) 30 cm Pot 75.000 13 Rumput Manila / Jepang M2 14 Rumput Putih 30 cm Pot 50.000 15 Sepatu Plum 30 cm Pot 40.000 16 Serut Bonsai Pohon 300.000 17 Soko Bangkok Pohon 25.000 18 Soko Jambon Pohon 30.000 19 Soko Pink Pohon 30.000 20 Sri Rejeki 30 cm Pot 57.000 21 Tanah Tanam M3 30.000 253

Pertamanan dan Alat Laboratorium Peternakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) V. TANAMAN MERAMBAT 1 Almanda / Almanda Cathartica Pot 20.000 2 Air Mata Pengantin / Antegonon Leptopus Pot 75.000 3 Flame Of Irian Pot 4 Ipomoaea / Ipomoea Leartii Pot VI. TANAMAN EXOTIS (A) 1 Bakung / Lili sp 0,25 m Pohon 10.000 2 Cemara Norfolk / Araucaria 0,175 m Pohon 150.000/862.5 VII. TANAMAN EXOTIS (B) 1 Beringin Bonsai 1-2 m Pohon 150.000 2 Beringin Bonsai Bentukan 1,5-3 m Pohon 800.000 3 Bonsai Serut 1-1,5 m Pohon 900.000 4 Bonsai Slantou 1-1,5 m Pohon 1.300.000 5 Jambu Bangkok / Psidium sp 0,75 m Pohon 50.000 6 Jeruk Lingkit / Citrus Mitis 0,50 m Pohon 50.000 7 Jaruk Sunkist / Citrus Mayeri 0,40 m Pohon 60.000 8 Palm Ratu / Palm 0,75-2 m Pohon 700.000 IX. TANAMAN POHON PELINDUNG 1 Agape Postar Daun, 2 M Pohon 200.000 2 Agape Postar Daun, 1 M Pohon 100.000 3 Akasia / Accasia Auriculiformis 1-2 M Pohon 50.000 4 Akasia Golden 3 M Pohon 100.000 5 Akasia Golden 2 M Pohon 75.000 8 Asem Londo 3 M Pohon 200.000 9 Asoka Jambon Daun, 1,5 M Pohon 250.000 11 Beringin Diameter 10-30 cm T. 50-80 CM Pohon 1.500.000 12 Beringin (Bulat) 2,5 M Pohon 800.000 13 Beringin / Ficus Benyamina 1-2 M Pohon 900.000 16 Biola Cantik / Fikus Pandurata 1,50-2 M Pohon 1.000.000 20 Bunga Saputangan / Maniltoa Gemmipara 1,5-2 M Pohon 500.000 21 Cassia Glauca 1-1,5 M Pohon 400.000 22 Cemara Angin 5 M Pohon 800.000 23 Cemara Kipas 3,5 M Pohon 900.000 24 Cemara Nurelik Diameter 10-25 cm T. 4-6 M Pohon 2.000.000 25 Cemara Pinus 3 M Pohon 1.000.000 26 Flamboyan 5 M Pohon 1.500.000 27 Flamboyan 3 M Pohon 1.000.000 28 Flamboyan / Delonix Regia 1,50 M Pohon 1.000.000 29 Glondongan Tiang Tinggi 2 M Pohon 300.000 33 Kayu Manis 2 M Pohon 300.000 35 Kayu Putih 2-3 M Pohon 400.000 39 Kembang Sepatu Diameter 8-20 cm T. 3-4 M Pohon 500.000 40 Kemuning Jawa Daun Bulat, 2 M Pohon 600.000 41 Kemuning Jawa Daun Bulat, 1 M Pohon 300.000 45 Sawo Duren / Chrysphyllum Cainito 1,5-2 M Pohon 400.000 46 Sawo Kecik / Manikara Kauri 2 M Pohon 600.000 254

Pertamanan dan Alat Laboratorium Peternakan 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 47 Sono 5 M Pohon 400.000 52 Srigading Berumpun, 2 M Pohon 400.000 53 Tanjung 2 M Pohon 300.000 54 Tanjung / Mimusops Elengi 2,3 M Pohon 400.000 55 Tanjung / Mimusops Elengi 1,50 M Pohon 200.000 X. TANAMAN PALM 1 Palem Sadeng Btg. Keras, 2 M Pohon 1.000.000 2 Palem Sadeng Btg. Keras, 1 M Pohon 900.000 3 Palm Ratu Lokal Btg. Keras, 2 M Pohon 1.000.000 4 Palm Kurma Btg. Keras, 1 M Pohon 1.500.000 5 Palm Uban Btg. Keras, 1 M Pohon 1.500.000 6 Palem Merak Berumpun, 5 M Pohon 2.000.000 7 Palem Merak Berumpun, 3 M Pohon 1.500.000 8 Palem Kol 3 M Pohon 2.000.000 XI. TANAMAN BAMBU / CEMARA 1 Bambu Daging / Bambusa, Venticosa 1,5 M Pohon 2 Bambu Jepang / Phyllosstachis Adrea 2 M Rumpun 400.000 3 Bambu Kuning / Bambusa Multiplex 1,5 M Rumpun 400.000 4 Cemara Angin / Cauarinauis Atipolia 2 M Pohon 300.000 5 Cemara Gembel / Cumpressus Papuana 1,5 M Pohon 500.000 6 Cemara Halus / Araucaria Cuninghami 1,5 M Pohon 500.000 7 Cemara Natal / Cumprssus Sp 1,5 M Pohon 600.000 8 Pinus / Pinus Mercuri 2 M Pohon 500.000 XII. BUNGA POTONGAN 1 Amarilis / Amaryllis Tangkai 20.000 2 Anggrek Macan / Arachnis Sp Tangkai 300.000 3 Anyelir Tangkai 30.000 4 Apple Blossom / Arachnis Sp Tangkai 40.000 5 Aster / Aster Novas Tangkai 20.000 6 Dendrobium / Dendrobium Sp Tangkai 25.000 7 Douglass / Vanda Sp Tangkai 20.000 8 Mawar / Rosa Hybrida Tangkai 28.750 XIII. MATERIAL PELENGKAP 1 Bambu Penunjang / Streger Bambu Bulat 2 M Batang 25.000 PERALATAN KESEHATAN HEWAN 1 Arteri Klem Bengkok Pcs 2 Blood Surgical Pcs 3 Tabung Venoject Pcs 170.000 4 Jarum Suntik Lusin 5 Tabung Venoject Herapin Pcs 6 Mikrotiter Plate Pcs 255

Elektronik 2016 Elektronik 256

Elektronik 2016 XLVI. Elektronik No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (3) (4) (5) (6) AC 1 AC Split LG T-05NLA 0.5 PK Unit 2.559.000 2 AC Split LG ART COOL S-05ACR/G/S 3/4PK (Of 2) Unit 3.505.000 3 AC Split LG ART COOL S-09ACR/G-1 1PK (Of 2) Unit 3.859.000 4 AC Split Toshiba RAS-07SKPX 3/4PK (Of 2) (Premier) Unit 2.860.000 5 AC Split Toshiba RAS-13SKPX 1.5PK (Of 2) (Vitaplasma) Unit 4.275.000 6 AC Split Toshiba RAS-18SKPX 2 PK (Of 2) (Vitaplasma) Unit 5.410.000 7 AC Split Panasonic, CS/CU-PN-7RKJ 3/4 PK (Of 2) Unit 3.219.000 8 AC Split Panasonic, CS/CU-PN-9RKJ 1 PK (Of 2) Unit 3.219.000 9 AC Panasonic Inverter, CSCU-S13PKP 1.5 PK (Of 2) Unit 6.739.000 10 AC Panasonic Inverter, CSCU-S18PKP PK (Of 2) Unit 10.089.000 KAMERA 1 Handy Cam Sony, DCR-DVD650 Buah 2.794.000 2 Handy Cam Sony, DCR-DVD810E Buah 2.000.000 3 Kamera Samsung ES28 Buah 780.000 4 Kamera Canon EOS 500DL Buah 5.380.000 KIPAS ANGIN 1 Box Fan Maspion, JF-2104 RC Buah 449.000 2 Box Fan Maspion, JF - 2101 T Buah 309.000 3 Box Fan Cosmos, 12 BFB Buah 170.000 4 Kipas Angin Cosmos 16 SEN Buah 369.000 5 Kipas Angin Kirin KEF-16SFD Buah 6 Kipas Angin Maspion F-2106RC Buah 459.000 7 Kipas Angin Ventilasi Panasonic FV-20TGU3W Buah 289.000 8 Kipas Angin Ventilasi Panasonic FV-25RUN Buah 389.000 9 Kipas Angin Ventilasi Panasonic FV-25TGU3W Buah 299.000 10 Kipas Angin Ventilasi Panasonic FV-30RUN Buah 411.000 11 Wall Fan Maspion, MWF-41 K Buah 319.000 LASER 1 DVD Sanken SDD 1095 Buah 295.000 2 DVD LG DP 132 Buah 299.000 3 DVD Polytron 2165 Buah 369.000 4 DVD Polytron 2167 Buah 369.000 LEMARI ES 1 Lemari Es LG GNY-201 CH Buah 2.003.000 2 Lemari Es LG GNB-252 SLCL Buah 3.778.000 3 Lemari Es LG GN-B352RLCL Buah 4.259.000 4 Lemari Es LG GNM-492 GLH Buah 5.585.000 5 Lemari Es Panasonic, NR-A1725 H Buah 1.465.000 6 Lemari Es Panasonic, NR-B228FS Buah 2.839.000 7 Lemari Es Sharp, SJ-225MD Buah 2.599.000 8 Lemari Es Sharp, SJ-225SCST Buah 3.039.000 9 Lemari Es Toshiba, GR-Y258JZ Buah 2.999.000 257

Elektronik 2016 No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (3) (4) (5) (6) 10 Lemari Es Toshiba, GR-Y255HI Buah 2.999.000 11 Lemari Es Toshiba, GR-Y255EI Buah 2.899.000 12 Lemari Es Toshiba, GR-N195BC Buah 1.939.000 13 Lemari Es Toshiba, GF-KI69 Viss Buah 2.615.000 14 Lemari Es Toshiba, GF-KI89 Viss Buah 2.889.000 MESIN CUCI 1 Mesin Cuci Panasonic,70BB 4 A/G Buah 1.509.000 2 Mesin Cuci Panasonic, 70FC1B Buah 1.360.000 3 Mesin Cuci Samsung, WA 80 H4000 Buah 2.488.000 4 Mesin Cuci Toshiba, VHE 95 LN Buah 1.899.000 5 Mesin Cuci LG, WDM 1280 DG Buah 5.235.000 6 Mesin Cuci LG, WDM 8971 Buah 3.945.000 7 Mesin Cuci LG, WDM 8060 Buah 3.945.000 FAXIMILE 1 Facsimile Panasonic, KXMB 208 CX Unit 2.545.000 MACAM MICROWAVE 1 Microwave Panasonic, NNSM 322 MTTE Buah 1.125.000 2 Microwave Panasonic, 547 WT Buah 1.820.000 3 Microwave Panasonic, 209WT Buah 996.000 4 Microwave Panasonic, 557 m/st Buah 1.555.000 5 Microwave Panasonic, 557 m Buah 2.005.000 6 Microwave Panasonic, 674 WF Buah 1.520.000 MACAM POMPA AIR 1 Pompa Air Panasonic, GA 200 JAK Buah 7.65.000 2 Pompa Air Panasonic, GA 130 JAK Buah 529.000 PORTABLE/VIDEO/COMPO 1 Radio Polytron GD-512 Buah 978.000 2 Radio National, RF 3750 Buah 3 Speaker Active Polytron, PAS 68 Set 1.328.000 4 Speaker Active Polytron, PAS 07 Set 1.249.000 MACAM RICE COOKER 1 Rice Cooker Miyako, MCM 706 Buah 359.000 2 Rice Cooker Electrolux ERC 2201 Buah 389.000 MACAM TELEVISI 1 Televisi Berwarna SONY, LED 32 (32R300D) Buah 359.000 2 Televisi Berwarna LG 20MT 450 A Buah 1.559.000 3 Televisi Berwarna LG 22 MT 48 Buah 1.669.000 4 Televisi Berwarna LED 32LB 550 A Buah 2.798.000 5 Televisi Berwarna LED 43LF 540 T Buah 4.888.000 6 Televisi Berwarna LED 43LF 630 Buah 6.988.000 7 Televisi Berwarna LED 32LB 530 A Buah 2.678.000 8 Televisi Berwarna LED 47LB 650 T Buah 15.598.000 9 Televisi Berwarna Panasonic 32A 402G Buah 2.778.000 10 Televisi Berwarna Polytron, 24 D550 Buah 1.865.000 11 Televisi Berwarna Polytron, 32 D710 Buah 2.779.000 12 Televisi Berwarna Panasonic, 32 A400 G Buah 3.069.000 258

Elektronik 2016 No Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (3) (4) (5) (6) 13 Televisi Berwarna Panasonic, 24 A402 G Buah 2.778.000 14 Televisi Berwarna Panasonic, TH 40 A403 G Buah 4.728.000 15 Televisi Berwarna Changhong, CH 32 880 Buah 2.865.000 16 Televisi Berwarna Sharp, LC 24 LE 155m Buah 2.033.000 17 Televisi Berwarna Sharp, LC 24 LE 5075 Buah 2.033.000 18 Televisi Berwarna Sharp, LC 32 LE 260m Buah 2.748.000 19 Televisi Berwarna Sharp, LC 19 LE 150m Buah 1.353.000 20 Televisi Berwarna Sharp, LC 32 DX 288I Buah 2.838.000 21 Televisi Berwarna Sharp, LC 32 LE 265m Buah 2.878.000 22 Televisi Berwarna Sharp, LC 32 LE 350m Buah 3.339.000 23 Televisi Berwarna Sharp, LC 40 LE 355m Buah 5.938.000 24 Televisi Berwarna Sharp, LC 40 LE 360x Buah 7.628.000 25 Televisi Berwarna Sharp, LC 32 LE 1071 Buah 2.578.000 26 Televisi Berwarna Sharp, LC 46 LE 450m Buah 8.583.000 27 Televisi Berwarna Samsung, UA 24 H 4053 Buah 1.798.000 28 Televisi Berwarna Samsung, UA 32 J 4053 Buah 3.068.000 29 Televisi Berwarna Samsung, UA 32 J 5500 Buah 4.553.000 30 Televisi Berwarna Samsung, UA 40 H 5003 Buah 4.698.000 VACUM CLEANER 1 Vacum Cleaner Sharp, EC 8304 R Buah 739.000 2 Vacum Cleaner Panasonic, MCCG 331 R 546 Buah 1.039.000 3 Vacum Cleaner Panasonic, MCCG 301 R Buah 860.000 LAIN-LAIN 1 Magic Com Cosmos, CRJ 101 TS Buah 259.000 2 Magic Com Cosmos, CRJ 3233 Buah 279.000 3 Setrika Phillips, HI 115 Buah 249.000 4 Dispenser Miyako, WD 18EX Buah 199.000 259

Mesin Diesel/Generator/Altenator 2016 Mesin Diesel/ Generator/Alternator 260

Mesin Diesel/Generator/Altenator 2016 XLVII. Mesin Diesel/Generator/Alternator No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) YAMAHA 1 Enginer Yamaha, MZ 175 (A) Kevway = SPI (E) Unit 3.400.000 As Thread = Dhat (K) As Tapel = Kerucut 2 Enginer Yamaha, ET 950 Unit 2.575.000 3 Enginer Yamaha, EF 2600 New Unit 6.125.000 4 Enginer Yamaha, EF 6600S Unit 14.000.000 HONDA 1 Generator Honda seb 3000 Unit 6.150.000 2 Generator Honda, seb 7000 Unit 12.950.000 YANMAR 1 Motor Diesel Yanmar, SDA - TS 190 HDI Unit 22.250.000 19Pk/2200rpm 2 Motor Diesel Yanmar, SDA - TS 230 HDI Unit 24.500.000 23Pk/2300rpm 3 Motor Diesel Yanmar, SDA - TS 190 RDI Unit 23.625.000 19Pk/2200rpm 4 Motor Diesel Yanmar, SDA - TS 230 RDI Unit 26.000.000 23Pk/2300rpm 5 Motor Diesel Yanmar, SDA - TF 55 HDI Unit 8.750.000 5Pk/2400rpm 6 Motor Diesel Yanmar, SDA - TF 65 HD 16 Unit 9.650.000 5Pk/2200rpm 8 Motor Diesel Yanmar, SDA - TF 85 HDI Unit 11.000.000 8,5Pk/2200rpm 9 Motor Diesel Yanmar, SDA - TF 105 HDI Unit 14.100.000 10,5Pk/2400rpm 10 Motor Diesel Yanmar, SDA - TF 135 HDI Unit 21.500.000 13,5Pk/2400rpm 11 Motor Diesel Yanmar, SDA - TF 155 HDI Unit 20.750.000 1,5Pk/2400rpm 12 Motor Diesel Yanmar, SDA - TF 300 HDI Unit 35.000.000 30Pk/2400rpm 13 Motor Diesel Yanmar, SDA - TF 55 RD Unit 9.442.000 5,5Pk/2200rpm 14 Motor Diesel Yanmar, SDA - TF 65 RD Unit 12.500.000 6,5Pk/2400rpm 16 Motor Diesel Yanmar, SDA - TF 85 RD Unit 13.000.000 8,5Pk/2200rpm 261

Mesin Diesel/Generator/Altenator 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 17 Motor Diesel Yanmar, SDA - TF 105 RD Unit 16.250.000 10,5Pk/2200rpm 19 Motor Diesel Yanmar, SDA - TF 155 RD Unit 21.000.000 15,5Pk/2200rpm 20 Motor Diesel Yanmar, YST 90 DX Type Plow 8.5 HP Unit 27.500.000 KUBOTA 1 Diesel Lampu Kubota, RD 85 L 8,5 PK/2200 Rpm Unit 12.000.000 MINDU 1 Generator 62,5 KVA CHINA Unit 110.000.000 2 Generator Yamagen 55 KVA Unit 230.000.000 262

Perlengkapan Kendaraan Bermotor 2016 Perlengkapan Kendaraan Bermotor 263

Perlengkapan Kendaraan Bermotor 2016 XLVIII. Perlengkapan Kendaraan Bermotor No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 1 ACCU MOBIL GS, 12 N24-3/4 12V - 26AH Buah 2 ACCU MOBIL GS, NS 40/L 12V - 32AH Buah 567.000 3 ACCU MOBIL GS, NS 40Z/ZL 12V - 35AH Buah 606.000 4 ACCU MOBIL GS, N 50 12V - 50AH Buah 704.000 5 ACCU MOBIL GS, N 60 12V - 50AH Buah 818.000 6 ACCU MOBIL GS, NS 50 ZL 12V - 60AH Buah 818.000 7 ACCU MOBIL GS, NS 70 12V - 65AH Buah 892.000 8 ACCU MOBIL GS, N 70 12V - 70AH Buah 1.016.000 9 ACCU MOBIL GS, N 70Z 12V - 75AH Buah 1.064.000 10 ACCU MOBIL GS, N 100 12V - 100AH Buah 1.369.000 11 ACCU MOBIL GS, N 120 12V - 120AH Buah 1.667.000 12 ACCU MOBIL GS, N 150 12V - 150AH Buah 2.190.000 13 ACCU MOBIL GS, N 200 12V - 200AH Buah 2.850.000 14 ACCU MOBIL GS, N 55530 12V - 55AH Buah 1.081.000 15 ACCU MOBIL YUASA, 12 N24-3/4 12V - 24AH Buah 477.000 16 ACCU MOBIL YUASA, NS 40/L 12V - 32AH Buah 546.000 17 ACCU MOBIL YUASA, NS 40Z/ZL 12V - 35AH Buah 583.000 18 ACCU MOBIL YUASA, NS 60 12V - 45AH Buah 635.000 19 ACCU MOBIL YUASA, N 50 12V - 50AH Buah 678.000 20 ACCU MOBIL YUASA, NS 50Z/ZL 12V - 60AH Buah 789.000 21 ACCU MOBIL YUASA, N 70 12V - 65AH Buah 859.000 22 ACCU MOBIL YUASA, N 70 12V - 70AH Buah 979.000 23 ACCU MOBIL YUASA, N 70Z 12V - 75AH Buah 1.026.000 24 ACCU MOBIL YUASA, N 100 12V - 100AH Buah 1.319.000 25 ACCU MOBIL YUASA, N 120 12V - 120AH Buah 1.606.000 26 ACCU MOBIL YUASA, N 150 12V - 150AH Buah 2.111.000 27 ACCU MOBIL YUASA, N 200 12V - 200AH Buah 2.747.000 28 ACCU MOBIL YUASA, N 55530 12V - 55AH Buah 1.041.000 30 ACCU MOTOR YUASA, 6 N4-2A Buah 73.000 31 ACCU MOTOR YUASA, 6 N4-2A-2 Buah 73.000 33 ACCU MOTOR YUASA, 6 N4-2A-4 Buah 73.000 34 ACCU MOTOR YUASA, 6 N6-3B Buah 78.000 35 ACCU MOTOR YUASA, 6 N6-3B-1 Buah 78.000 36 ACCU MOTOR YUASA, 6 N11-2D Buah 149.000 37 ACCU MOTOR YUASA, 12 N5-3B Buah 113.000 38 ACCU MOTOR YUASA, 55-4B-A Buah 134.000 39 ACCU MOTOR YUASA, 12 N10-3B Buah 207.000 40 ACCU MOTOR YUASA, 12 N10-3B-A Buah 210.000 41 ACCU MOTOR GS, GM4-3B Buah 42 ACCU MOTOR GS, GM5Z- 3B Buah 1 BAN DALAM Bridgstone TUBE, 1000-20 TR-78 Buah 340.000 2 BAN DALAM Bridgstone TUBE, 1100/1200-20 TR-179 A Buah 500.000 3 BAN DALAM Bridgstone TUBE, 1200-24 TR-78 A Buah 600.000 4 BAN DALAM Bridgstone TUBE, 1300-24 TR-77 A Buah 630.000 5 BAN DALAM Bridgstone TUBE, 500/600-12 TR-13 Buah 120.000 8 BAN DALAM Bridgstone TUBE, 650-15 TR-13 Buah 9 BAN DALAM Bridgstone TUBE, H78/710-15 TR-13 Buah 185.000 10 BAN DALAM Bridgstone TUBE, 650-16 TR-76A Buah 200.000 11 BAN DALAM Bridgstone TUBE, 700/750-16 TR-177A Buah 210.000 12 BAN DALAM Bridgstone TUBE, 100-20 TR78A Buah 13 BAN DALAM Bridgstone TUBE, 825-16 TR-177A Buah 325.000 14 BAN DALAM Bridgstone TUBE, 700-12 JS-75 Buah 135.000 15 BAN DALAM Bridgstone TUBE, 650-10 JS-2 Buah 125.000 16 BAN DALAM Bridgstone TUBE, 600-9 JS-2 Buah 105.000 17 BAN DALAM Bridgstone TUBE, 500-8 JS-2 Buah 100.000 19 BAN DALAM Bridgstone TUBE, 155-13 TR-13 Buah 120.000 20 BAN DALAM Bridgstone TUBE, 165-14 TR-13 Buah 150.000 21 BAN DALAM Bridgstone TUBE, 185/70-14 TR-13 Buah 150.000 23 BAN DALAM Bridgstone TUBE, 5-12(TR-13 Buah 25 BAN DALAM Bridgstone TUBE, 825-20 TR-77A Buah 325.000 264

Perlengkapan Kendaraan Bermotor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 26 BAN DALAM Bridgstone TUBE, 900-20 TR-175A Buah 335.000 27 BAN DALAM Bridgstone TUBE, 650/700/750-15JS -75 Buah 195.000 28 BAN DALAM Bridgstone TUBE, 600/640-13 TR-13 Buah 120.000 2 BAN MOBIL Bridgestone, RD Style 185/80 SR B-250T S-248 TECHNO Buah 570.000 3 BAN MOBIL Bridgestone, RD Style 185/80-13 SR B-250T Buah 4 BAN MOBIL Bridgestone, RD Style 195/65-14SR B-250T Buah 850.000 5 BAN MOBIL Bridgestone, RD Style 185/65-14SR B250T Buah 770.000 6 BAN MOBIL Bridgestone, RD Style 185/65-SR-15B-250T Buah 665.000 8 BAN MOBIL Bridgestone, RD Style 175/65-SR-14-B250T Buah 600.000 10 BAN MOBIL Bridgestone, RD Style 195/70 AR 10 T Buah 710.000 11 BAN MOBIL Bridgestone, RD Style155/70HR13 AR-10T Buah 13 BAN MOBIL Bridgestone, RD Style 175- R13 6PR 623T Buah 14 BAN MOBIL Bridgestone, RD Style 185- R14 6PR 623T Buah 15 BAN MOBIL Turanza AR-10 (Seri 60) 205/60 VR.16 Buah 1.055.000 17 BAN MOBIL Turanza AR-10 (Seri 60) 195/60 VR.15 Buah 913.000 19 BAN MOBIL Turanza AR-10 (Seri 60) 195/65 VR.15 Buah 915.000 20 BAN MOBIL Turanza AR-10 (Seri 60) 185/65 HR.14 Buah 790.000 22 BAN MOBIL Turanza AR-10 (Seri 70) 185/70 R.14 Buah 680.000 25 BAN MOBIL Turanza AR-10 (Seri 70) 195/70 HR.14 Buah 710.000 28 BAN MOBIL Techno 80 (5-248) 185/80 SR.14 B-248T Buah 570.000 29 BAN MOBIL Dueler 205/70 SR.15 D-687 2BT Buah 925.000 30 BAN MOBIL Dueler 225/65 SR.17 D-687 T Buah 1.000.000 31 BAN MOBIL D680 215/70 R.16 Buah 2.115.000 32 BAN MOBIL B259 185/70 SR.14 Buah 600.000 35 BAN MOBIL Bridgesstone Of The Road Group 1400-24 Buah 10.000.00 12 PR FG 37 BAN MOBIL Bridgesstone Of The Road Group 1300-24 Buah 9.000.000 10 PR FG 40 BAN MOBIL Bridgesstone Of The Road Group 1100-20 Buah 4.975.000 16 PR VL 41 BAN MOBIL Bridgesstone Industrial Group 825-15 14 PR UL Buah 3.560.000 42 BAN MOBIL Bridgesstone Industrial Group 825-15 12 PR UL Buah 3.370.000 43 BAN MOBIL Bridgesstone Industrial Group 700-12 12 PR UL Buah 1.600.000 44 BAN MOBIL Bridgesstone Industrial Group 650-10 10 PR UL Buah 1.175.000 45 BAN MOBIL Bridgesstone Industril Group 600-9 10 PR UL Buah 1.015.000 46 BAN MOBIL Bridgesstone Industril Group 500-8 8 PR UL Buah 47 BAN MOBIL Bridgesstone Industril Group 825-15 14 PR JL Buah 4.725.000 48 BAN MOBIL Bridgesstone Industril Group 825-15 12 PR JL Buah 4.410.000 49 BAN MOBIL Bridgesstone Industril Group 650-10 10 PR JL Buah 1.350.000 50 BAN MOBIL Bridgesstone Industril Group 600-9 10 PR UL Buah 1.015.000 51 BAN MOBIL Bridgesstone Psr Textile Group 235/75SR15 D- Buah 850.000 689T 52 BAN MOBIL Bridgesstone Psr Textile Group 235/70 D-686T Buah 950.000 54 BAN MOBIL Bridgesstone Psr Textile Group 185/70 Buah 600.000 SR14 B-250T 58 BAN MOBIL Bridgestone Truck and Bus 825-15 12 PR UL Buah 3.370.000 65 BAN MOBIL Bridgestone Truck and Bus 900-20 14 PR VL Buah 2.950.000 66 BAN MOBIL Bridgestone, 900-20 14 PR EMSA Buah 2.450.000 67 BAN MOBIL Bridgestone Truck and Bus 1000-20 16 PR EMS Buah 3.285.000 68 BAN MOBIL Bridgestone Truck and Bus 1000-20 16 PR UL Buah 70 BAN MOBIL Bridgestone Truck and Bus 1000-20 16 PR VL Buah 3.500.000 71 BAN MOBIL Bridgestone, 1000-20-14 PR EMS Buah 3.100.000 72 BAN MOBIL Bridgestone Truck and Bus 1100-20 16 PR VL Buah 4.975.000 73 BAN MOBIL Bridgestone Truck and Bus 1100-20 16 PR EMSA Buah 4.050.000 75 BAN MOBIL Bridgestone, 1100-20-18 PR VL Buah 5.100.000 76 BAN MOBIL Bridgestone, 1200-24-18 PR VLGN Buah 5.900.000 77 BAN MOBIL Bridgestone Truck and Bus 1200-20 18 PR VL Buah 5.750.000 79 BAN MOBIL Bridgestone Light Truck Large 750-16 14 PR MRN Buah 15.000.00 0 80 BAN MOBIL Bridgestone Light Truck Large 750-16 14 PR MRA Buah 1.450.000 81 BAN MOBIL Bridgestone Light Truck Large 750-16 12 PR UL 2 Buah MRN 82 BAN MOBIL Bridgestone Light Truck Large 750-15 12PR SMR Buah 1.125.000 265

Perlengkapan Kendaraan Bermotor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 83 BAN MOBIL Bridgestone Light Truck Large 700-16 14 PR MRD Buah 1.350.000 84 BAN MOBIL Bridgestone Light Truck Large 750-16 12 PR MRD Buah 85 BAN MOBIL Bridgestone Light Truck Large 700-12 12 PR JL Buah 1.800.000 86 BAN MOBIL Bridgestone Light Truck Large 750-15 12 PR MRD Buah 1.200.000 88 BAN MOBIL Bridgestone Light Truck Large 750-15 12 PR MRD Buah 1.200.000 89 BAN MOBIL Bridgestone Light Truck Large 750-14 PR UL2 Buah 90 BAN MOBIL Bridgestone Light Truck Large 750-14 PR SULP Buah 91 BAN MOBIL Bridgestone Light Truck Small 700-15 6 PRJS Buah 1.165.000 93 BAN MOBIL Bridgestone Light Truck Small 700-16 8PR JSD Buah 1.300.000 94 BAN MOBIL Bridgestone Light Truck Small 700-14 MR Buah 750.000 96 BAN MOBIL Bridgestone Light Truck Small 640-13 8 PR MR Buah 650.000 98 BAN MOBIL Bridgestone Light Truck Small 600-13 8 PR MR Buah 700.000 100 BAN MOBIL Bridgestone Light Truck Small 550-13 8 PR MR Buah 525.000 101 BAN MOBIL Bridgestone Light Truck Small 750-16 8 PR JSE Buah 1.350.000 107 BAN MOBIL Bridgestone LVR Steel Group 175 R13 6 PR B601 T Buah 109 BAN MOBIL Good Year Fabric Belted Radial, 185/65 Buah 500.000 HR14 DURAPLUSS 110 BAN MOBIL Good Year Fabric Belted Radial, 195/65 Buah 500.000 HR15 DURAPLUSS 111 BAN MOBIL Good Year Fabric Belted Radial, 185/70 Buah 450.000 HR 14 DURAPLUSS 112 BAN MOBIL Good Year Fabric Belted Radial, 205/65 Buah 550.000 VR 15 NCT-5 DURAPLUSS 113 BAN MOBIL Good Year Fabric Belted Radial, 195/65 Buah 575.000 VR 15 NCT-5E ASSUTANCE 116 BAN MOBIL Good Year Steel Belted Radial,195/60 Buah 575.000 VR 15 ASSURANCE 118 BAN MOBIL Good Year Steel Belted Radial,175/70 Buah 375.000 SR 13 DURAPLUSS 119 BAN MOBIL Good Year Steel Belted Radial,175/70 Buah 370.000 HR 12 DURAPLUSS 121 BAN MOBIL Good Year Steel Belted Radial,185/70 Buah 450.000 HR 13 DURAPLUSS 122 BAN MOBIL Good Year Steel Belted Radial,185/70 Buah 450.000 HR 14 DURAPLUUS 123 BAN MOBIL Good Year Steel Belted Radial,175/70 Buah 375.000 HR 13 DURAPLUUS 124 BAN MOBIL Good Year Steel Belted Radial,195/65 Buah 575.000 HR 14 VUTURA 125 BAN MOBIL Good Year Steel Belted Radial,195/65 Buah 575.000 HR 15 DURAPLUSS 127 BAN MOBIL Good Year Steel Belted Radial,205/60 Buah HR 15 VUTURA 128 BAN MOBIL Good Year Steel Belted Radial,225/75 Buah 860.000 R 15 WRANGLER ATR 129 BAN MOBIL Good Year Steel Belted Radial,235/75 Buah 910.000 R 15 WRANGLER AT/SA 130 BAN MOBIL Good Year Steel Belted Radial,235/70 Buah 830.000 R 15 WRANGLER AT/S 131 BAN MOBIL Good Year Steel Belted Radial,235/70 Buah R 15 WRANGLER AT/S 138 BAN MOBIL Good Year Ultra Light Truck Radial, 165 Buah 420.000 R 13C 6PR WRANGLER DT 139 BAN MOBIL Good Year Ultra Light Truck Radial, 175 Buah 440.000 R 13C 6PR WRANGLER DT 141 BAN MOBIL Good Year Ultra Light Truck Radial, 195/70 Buah 500.000 R 14 GT3 142 BAN MOBIL Dunlop 175-13 SP 70i Buah 380.000 143 BAN MOBIL Dunlop 175-13 SP 490 Buah 440.000 144 BAN MOBIL Dunlop 175-70-13 HIMAX Buah 400.000 145 BAN MOBIL Dunlop 195-65-15 SP 490 Buah 600.000 148 BAN MOBIL Dunlop 235-70-15 TG 30 Buah 775.000 149 BAN MOBIL Dunlop 195-60-14 SP 490 Buah 655.000 266

Perlengkapan Kendaraan Bermotor 2016 No Kode Nama Barang Merk/Ukuran Satuan Harga (Rp) (1) (2) (3) (4) (5) (6) 151 BAN MOBIL Dunlop 550-13-8 PR DR-03 Buah 415.000 152 BAN MOBIL Dunlop 600-13-8 PR DR-03 Buah 153 BAN MOBIL Dunlop 600-14-8 PR DR 2 Buah 650.000 154 BAN MOBIL Dunlop 700-16-14 PR DR 2 Buah 1.075.000 155 BAN MOBIL Dunlop 750-16-4 PR DR 2 Buah 1.275.000 156 BAN MOBIL Dunlop 700-14-8 PR DR 2 Buah 157 BAN MOBIL Dunlop 500-12-8 PR DR 03 Buah 159 BAN MOBIL Dunlop 900-20-14 PR LE Buah 1.925.000 160 BAN MOBIL Dunlop 1000-20-16 PR LEXL Buah 2.590.000 1 BAN MOTOR I R C,3.50-10 VS Buah 124.000 2 BAN MOTOR I R C,3.50-18 TR Buah 3 BAN MOTOR I R C,3.50-18 GSR, GD 45 Buah 4 BAN MOTOR I R C,3.50-19 R Buah 5 BAN MOTOR I R C,3.00-17 SP1M, NR25 Buah 202.000 6 BAN MOTOR I R C,3.00-17 TR Buah 7 BAN MOTOR I R C,3.00-18 NR15M, NR25 Buah 8 BAN MOTOR I R C,3.00-18 TR Buah 11 BAN MOTOR I R C,2.25-17 NF3.NR21 Buah 12 BAN MOTOR I R C,2.50-17 NF6.NR21.NF Buah 131.000 13 BAN MOTOR I R C,2.50-18 NF2.NR25 Buah 14 BAN MOTOR I R C,2.75-17 SP1M, NR25 Buah 170.000 15 BAN MOTOR I R C,2.75-17 NR21 Buah 170.000 16 BAN MOTOR I R C,2.75-18 TRGS 45 Buah 17 BAN MOTOR I R C,2.75-18 NF25 Buah 18 BAN MOTOR I R C,2.75-19 TR Buah 19 BAN MOTOR I R C,2.75-21 TR Buah 20 BAN MOTOR I R C,100/90-18 NR26 Buah 1 BAN PERUT Bridgestonne FLAP, 24 V Buah 575.000 2 BAN PERUT Bridgestonne FLAP, 600-9 Buah 85.000 3 BAN PERUT Bridgestonne FLAP, 700-12 Buah 107.000 4 BAN PERUT Bridgestonne FLAP, 15 KXA Buah 141.000 5 BAN PERUT Bridgestonne FLAP, 16 LX Buah 158.000 6 BAN PERUT Bridgestonne FLAP, 20 N Buah 275.000 7 BAN PERUT Bridgestonne FLAP, 24 R Buah 424.000 8 BAN PERUT Bridgestonne FLAP, 500 8 Buah 76.000 9 BAN PERUT Bridgestonne FLAP, 650-10 Buah 96.000 10 BAN PERUT Bridgestonne FLAP, 825-15 Buah 202.000 11 BAN PERUT Bridgestonne FLAP, 16 K Buah 147.000 267

Kendaraan Bermotor 2016 Kendaraan Bermotor 268

Kendaraan Bermotor 2016 XLIX. Kendaraan Bermotor Tata Cara Pengadaan Kendaraan Bermotor melalui e-purchasing (http://inaproc.lkpp.go.id/v3/public/ekatalog/ekatalog.htm) 1. Daftar harga, spesifikasi dan nama penyedia kendaraan bermotor dapat dilihat melalui katalog elektronik (e-catalogue) yang terdapat di Portal Pengadaan Nasional (INAPROC) 2. PPK dan Panitia melakukan proses pengadaan kendaraan bermotor dengan cara e- Purchasing menggunakan aplikasi e-purchasing Kendaraan Bermotor yang terdapat pada aplikasi SPSE 3. PPK dan Panitia harus melakukan login melalui aplikasi SPSE pada website LPSE dimana PPK dan Panitia tersebut terdaftar agar dapat menggunakan aplikasi e- Purchasing Kendaraan Bermotor 4. Penyedia harus melakukan login melalui aplikasi SPSE pada website LPSE LKPP agar dapat menggunakan aplikasi e-purchasing Kendaraan Bermotor 5. Tata cara penggunaan aplikasi e-purchasing Kendaraan Bermotor selengkapnya dapat dilihat dalam panduan penggunaan aplikasi e-purchasing Kendaraan Bermotor 269

Kendaraan Bermotor 2016 270

Bahan Bangunan 2016 Bahan Bangunan 271