OWNER ESTIMATE (OE)

TOTAL REKAPITULASI

KEGIATAN : PENGADAAN ALAT KESEHATAN

: BELANJA MODAL PENGADAAN ALAT-ALAT KEDOKT
PEKERJAAN THT - ALAT KEDOKTERAN THT
LOKASI : KABUPATEN KUANTAN SINGINGI

NO NAMA KODE JUMLAH

ENT WORKSTATION

1 ENT WORKSTATION 530.0000.0

1
2 Clipboard 530.0010.0 1
3 Suction system standard 40 I/ min 530.1010.0
1
4 Control and display of suction perfomance 530.1040.0
1
5 Hose rinsing (Hygiene module) with manual filling 530.1050.0
1
6 Automatic secretion container evacuation 530.1070.0 1
7 Ear irrigation module 37° C professional (Hygrotherm) 530.2020.0
1
8 Compressed air module (Integr.air compressor max 2bar) 530.3010.0
1
9 Ear irrigation bowl with separate suction channel 530.2070.0
1
10 Mirror quick heater 530.5010.0 1
Water supply system 530.2050.0
11 1
Water drainage system 530.2060.0
12 1

13 CAMERA SYSTEM 1
TWIN-CAM 1-CCD CAMERA W. LED LIGHTSOURCE 507070FX

FOR RIGID & FLEXIBLE ENDOSCOPY,

CONSISTING OF
CAMERA
-1 CCD (1x1/4" Chip)
- C-mount objective lens 18,5 mm
- camera head w. 2 buttons
- resolution 752 x 585 pixels
-1 video-output Y/C
-1 videoa-output Composite
LED LIGHT-SOURCE
- nominal power 30 Watt
- color temperature 4500°K
- FENTEX/STORZ light connection
- dimensions 300 x 300 x 66 mm
14 FIBER COLD LIGHT CABLE1800X4.9MM, FX/ST 716700FX

15 HI-VIEW SCOPE, 0°, 4MM, WL 180MM, 750100FX

16 HI-VIEW SCOPE, 30°, 4MM e>, WL 185MM 750130FX

17 HI-VIEW TELESCOPE; 0°; 2.7MM 0; WL 110MM 728500FX
19 ANTIFOG "ULTRA-STOP" SOLUTION 25ML, PIP. 863100FX
20 NASO-PHARYNGO-LARYNGO-FIBERS COPE, 700700FX
EMC CHAIR
21 Doctors Chair D (White / Dove-Blue) 503.0740.0 1
22 Patient Chair (White / Dove-Blue) 503.0802.0 1
23 Footrest, rigid 503.0731.0 1

OPTIONAL
24 Monitor LED tv 22 - 26 inc and BNC cable 5 m lokal 2
25 Trolley lokal 1

Teluk Kuantan, Mei 2015

DIBUAT OLEH,
PA/PPK

dr. DAVID OLOAN, MARS

NIP. 19650801 200003 1 001
KEDOKTERAN
OWNER ESTIMATE (OE)
TOTAL REKAPITULASI

KEGIATAN : PENGADAAN ALAT KESEHATAN

: BELANJA MODAL PENGADAAN ALAT-ALAT
PEKERJAAN KEDOKTERAN THT - ALAT KEDOKTERAN THT
LOKASI : KABUPATEN KUANTAN SINGINGI

NO NAMA KODE JUMLAH HARGA

ENT WORKSTATION

1 ENT WORKSTATION 530.0000.0

1 Rp 601,300,000.000
2 Clipboard 530.0010.0 1
3 Suction system standard 40 I/ min 530.1010.0
1
4 Control and display of suction perfomance 530.1040.0
1
5 Hose rinsing (Hygiene module) with manual filling 530.1050.0
1
6 Automatic secretion container evacuation 530.1070.0 1
7 Ear irrigation module 37° C professional (Hygrotherm) 530.2020.0
1
8 Compressed air module (Integr.air compressor max 2bar) 530.3010.0
1
9 Ear irrigation bowl with separate suction channel 530.2070.0
1
10 Mirror quick heater 530.5010.0 1
Water supply system 530.2050.0
11 1
Water drainage system 530.2060.0
12 1

13 CAMERA SYSTEM 1
TWIN-CAM 1-CCD CAMERA W. LED LIGHTSOURCE 507070FX Rp 603,000,000.000
FOR RIGID & FLEXIBLE ENDOSCOPY,
CONSISTING OF
CAMERA
-1 CCD (1x1/4" Chip)
- C-mount objective lens 18,5 mm
- camera head w. 2 buttons
- resolution 752 x 585 pixels
-1 video-output Y/C
-1 videoa-output Composite
LED LIGHT-SOURCE
- nominal power 30 Watt
- color temperature 4500°K
- FENTEX/STORZ light connection
- dimensions 300 x 300 x 66 mm
14 FIBER COLD LIGHT CABLE1800X4.9MM, FX/ST 716700FX

15 HI-VIEW SCOPE, 0°, 4MM, WL 180MM, 750100FX

16 HI-VIEW SCOPE, 30°, 4MM e>, WL 185MM 750130FX

17 HI-VIEW TELESCOPE; 0°; 2.7MM 0; WL 110MM 728500FX
19 ANTIFOG "ULTRA-STOP" SOLUTION 25ML, PIP. 863100FX
20 NASO-PHARYNGO-LARYNGO-FIBERS COPE, 700700FX
EMC CHAIR Rp 205,000,000.000
21 Doctors Chair D (White / Dove-Blue) 503.0740.0 1
22 Patient Chair (White / Dove-Blue) 503.0802.0 1
23 Footrest, rigid 503.0731.0 1

OPTIONAL Rp 27,500,000.000
24 Monitor LED tv 22 - 26 inc and BNC cable 5 m lokal 2
25 Trolley lokal 1

JUMLAH Rp 1,436,800,000.000
PPN 10% Rp 143,680,000.000
TOTAL Rp 1,580,480,000.000

Teluk Kuantan, Mei 2015

DIBUAT OLEH,
PA/PPK

dr. DAVID OLOAN, MARS

NIP. 19650801 200003 1 001