ALKES KOSONG TGL 12 APRIL 2019

REALISASI
NO NAMA BARANG USULAN JUMLAH
JAN
1 HYPAFIX 5CM X 5 M 004(96),037(96),179(1000) -
2 PLESTER NA/ TRANSPORE 1/2 X 10 YARD 053(120),180(288) -
3 Tutup Kepala Disp.Wanita (Doos Isi 100) 179(90) 30
4 VENFLON 18 G /Venflon Pro 033(100),190(300) -
5 VENFLON 20 G /Venflon Pro 033(200),190(500) -
6 VENFLON 22 G /Venflon pro 037(250),190(500)
180/IF-03/XI/18 -
7 PEN NEEDLE 31GX5 NORDIC/BD MICROFINE 1800 -
005/IF-03/I/19 400 -
8 DISP NEEDLE 18 G NIPRO 038/IF-03/II/19
180/IF-03/XI/18 2000 -
9 DISP NEEDLE 18 G TERUMO 22000 -
009/IF-03/I/19
180/IF-03/XI/18 500 -
10 LAMINARIA STICK L 5-
005/IF-03/I/19
180/IF-03/XI/18 12 -
11 SILK 3/0 CUTT DS 24 400 -
037/IF-03/II/19
180/IF-03/XI/18 75 -
12 VICRYL CTD 2/0 25MM 0.5C O W 9121 60 -
005/IF-03E/III/19
180/IF-03/XI/18 36 -
13 COLOSTOMY CONVATEC 20922 250 -
037/IF-03/II/19
180/IF-03/XI/18 60 -
14 E T T NO 4.0 PORTEX 140 -
003/IF-03/I/19
180/IF-03/XI/18 40 -
15 E T T NO 3.0 PORTEX 79 -
052/IF-03/III/19
180/IF-03/XI/18 24 -
16 E T T CUFF 7.5 PORTEX 20 -
003/IF-03/I/19
180/IF-03/XI/18 12 -
17 THERMOVENT - T 86 -
025/IF-03/I/19
180/IF-03/XI/18 24 -
18 THERMOVENT O2 20 -
037/IF-03/II/19 10 -
19 OMNIFIX LUER LOCK 30 ML 017/IF-03E/X/18
180/IF-03/XI/18 5000 -
20 INFUSION SET TYPE 500 180/IF-03/XI/18 3800 -
21 EXTENSION TUBE 1 13300 -
033/IF-03/II/19
180/IF-03/XI/18 3700 -
22 CLOSE SUCTION PAED FR 10 bioteq 60 -
036/IF-03/II/19
180/IF-03/XI/18 20 -
23 CHAMBER INFANT HUMIDIFICATION ,VHC10 255 -
052/IF-03/III/19 60 -
24 FOLLEY CATH FR 16 NORTA 017/IF-03E/X/18
180/IF-03/XI/18 140 -
25 SUCTION CATH. FR 10 hospitech 1000 -
031/IF-03/II/19
180/IF-03/XI/18 300 -
26 MANSET NEONATAL SIZE 3 240 -
 004/IF-03/I/19
180/IF-03/XI/18 70 -
27 MANSET NEONATAL SIZE 2 2-
005/IF-03/I/19 2-
036/IF-03/II/19
180/IF-03/XI/18 1-
28 FMT NELLCOR COMP.DISP Sp02 SENSOR 400 -
031/IF-03/II/19 112 -
005/IF-03/I/19
180/IF-03/XI/18 112 -
29 MANSET NEONATE NIBP CUFF # 5 180/IF-03/XI/18 60 -
30 PRIME SENSOR PSF - 1121 SPO2 180/IF-03/XI/18 240 -
31 CERTOFIX MONO PAED + ACCES 179/IF-03/XI/18 189 -
32 HYPAFIX 5CM X 5 M 1000 -
33 SURPLUG 20 CM LOCK 017/IF-03E/X/18 50 -
005/IF-03E/III/19 100 -
34 SURPLUG TERUMO 017/IF-03E/X/18 100 -
180/IF-03/XI/18
35 VICRYL CTD 5/0 16MM 0.5C O W 9105 180/IF-03/XI/18 72
36 SILK 2/0 W.O NEEDLE 13X60 72
 REALISASI
FEB MAR APR
96 96 -
- - -
- - -
- 40 -
- - -
- 250 -
- - -
- - -
500 - 2000
- - -
- - -
- 12 -
- - -
- - 75
- - -
- - -
- - -
- 60 -
- - -
- - -
- - -
- - 24
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 2500 -
- - -
3700 -
- -
- 20
- - -
- - -
- - -
- 140 -
- 300 -
- - -
- - -
- - -
- - 8
- - -
- - -
- 112 -
- - -
- - -
- - -
- - -
- - -
96 96 -
45 - -
- - -
- - -
 AHP POLIKLINIK GIGI

NO NAMA BARANG USULAN JUMLAH

1 Alginate Impression material
2 Cement Posphate / Elite Cement
3 Cold Curing Orthodontic Acrylic Resin 500 gr
4 Composite Filtex Z 350 6018 A 2
5 Composite Filtex Z 350 6018 C 3 181/IF-03/XI/18
6 Intra Oral Elastic / Chipmunk isi 15 12
7 Intra Oral Elastic / Rabbit isi 15
8 Elastic Thread / Power tread grey
9 Karet ortho 1/8 3 OZ
10 Karet ortho 3/16 3.OZ
11 Karet ortho dolphin 5/16 3.OZ
12 Matrix Band / Tab Matrix 5,5mm/4,5mm/7mm
13 Niti wire 016 x 022 Upper
14 Nitinol Super Elastic 014 Low 296-913
15 Nitinol Super Elastic 016 x 022 upper 181/IF-03/XI/18
16 Open Coil Spring 4
17 Polibyb/Disposible Bibs
18 Arch Wire SS 016 X 016 upper
19 Arch Wire SS 016 Upper
20 Arch Wire SS 016 x 022 Upper
21 Chlorhexidine Gel/ Aloclair Gel
22 Guttap Point No. 30 : Exll 136 2
23 Chlorhexidine 350 ml mouth Rinse 132 120
 AHP CSSD

USULAN
NO NAMA BARANG KEBUTUHAN
NO JUMLAH
1 Kertas Printer Autocl Udono BU 80(isi 2 Set) 164/IF-03/XI/18 4 4
2 Wipak Sterilizer R 41 164/IF-03/XI/18 10 10
3 Wipak Sterilizer R 44 164/IF-03/XI/18 100 8
4 Wipak Sterilizer R 47 164/IF-03/XI/18 48 10
Wipak Steriking Tyvek Roll 25 cm x 100 m - 3
Wipak Steriking Tyvek Roll 40 cm x 100 m 164/IF-03/XI/18 20 3
Wipak Steriking Tyvek Roll 7.5 cm x 100 m 001/IF-03E/I/19 12 1
Autoclave Tape 164/IF-03/XI/18 360 100
Alkazyme ( 1 Pack 25 sachet) 017/IF-03E/X/18 100 25
Septalkan Spray 750ml-ALKTSP01 133/IF-02/X/18 300 72
Steranios 2% 5L 133/IF-02/X/18 85 10
H2O2 STERILIZING SOLUTION ST 450 133/IF-02/X/18 18 6
Gaas Perut 8 Play Uk 35 x 35 cm x-ray detected - 8
Roll Gaas 8 Play 90 x 12 cm x-ray detected - 5
KAPAS LIDI 164/IF-03/XI/18 5000 30000
Kasa Kecil Uk 6 cm x 6 cm 164/IF-03/XI/18 300000 10000
Kasa sedang/ Uk 7,5cm x 7,5cm 164/IF-03/XI/18 60000 20000
Kasa Sedang Uk 7.5 x 7.5 cm X-Ray 164/IF-03/XI/18 30000 10000
Dental Cotton roll Wellnes 164/IF-03/XI/18 7200 20
Depper Kacang uk.2 x 1,5 cm 164/IF-03/XI/18 15 5
Interlog Label Indikator Plasma 164/IF-03/XI/18 3 1