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KOP PERUSAHAAN NO NAMA BARANG VOLUME KET

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: : : 1 NEBULIZER 5 Unit TECHNICAL Features :

a. Full transparent structure of ultrasonic working parts, beautifully shaped and in a novel style

b. Automized fog feeding bellows to be bent freely in any angle, easy in use by patient

c. Various protection functions such as automatic water cut protection for the tank and water level indicating optically

d. Full plastic enclosure, and closed duct, etc. Principal technical data :

* Ultrasonic frequency : 1.7MHZ ± 10% * Continuous working time : 4 hours * Consumed power : 50 VA * Maximum capacity of small atomizing cup: 150mL * Maximum capacity of big atomizing cup: 350mL * Maximum atomizing rate : 4mL/min * Power supply voltage : ~220V, 50Hz

* Timing range : stepless adjustable 0~60min

* Water tank capacity : 300mL (observed by water level line) * Safety Class : Class II, B Type

KET Kegiatan

Pekerjaan Tahun Anggaran

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2 HEMOGLOBIN METER ELECTRIC 5 Unit TECHNICAL 1 Measurement range : 0 ~ 200 (g/L) 2 Dilute Ratio : 1 : 251 3 Sample Quantity : 3mL 4 Measurement Time : 8s 5 Wavelength : 540nm 6 Linear : r0.99

7 Space : no more than 1 g/L 8 Accuracy : 30g/L ~ 100g/L, ±3g/L

101g/L ~ 200g/L, 3% 9 Crossed Contamination rate : no more than 2%

10 Precision : 30g/L ~ 100g/L, SD3g/L 101g/L ~ 200g/L, CV1.5% 11 Stability Deviation : no more than 5g/L

12 Environment Condition : atmospheric pressure 76Kpa ~ 106Kpa Temperature : 5°C ~ 40°C

relative humidity <80%RH 13 Power source : AC220V±22V, 50HZ±1HZ 14 Input power : 12VA

3 MINOR SURGERY SET 10 Set

CONSIST OF

1 Dissecting Forceps, standard pattern 14.5cm 2 Buah

2 Tissue Forceps, 1:2 Teeth straight 14.5cm 2 Buah

3 Backhaus Towel Forceps 13cm 1 Buah

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5 Halstead – mosquito haemostatic forceps, curved 1:2teeth 12cm 2 Buah

6 Hand gloves surgeon / Surgical gloves @ 50 pairs 1 Box

TECHNICAL

* Size 7 is available * Box of 50 pairs * Hypoallergenic * Natural rubber latex * Bisque finish for anti-slip

* Lightly powdered with USP absorbable starch * Specified to BS 4005/ASTMD-3577 standards * Sterilised by Gamma irradiation

* Single use only * 100% inspected

7 Scalpel Handle Size 3, for blades size 10-15 2 Buah

8 Surgical Blades 1 Box

TECHNICAL

* Size 10 is available * Sterile

* Single Use

* Made of stainless steel * Box of 100pcs

* Sterilized by GAMMA radiation 25KGY

9 Mathieu Needle Holder, standard 14cm 2 Buah

10 Probe grove director 14.5cm 1 Buah

11 Catgut Plain 2 Pack

TECHNICAL

* Size 2/0 * Sterile, 150cm * Single Use * Box of 12 pcs

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12 Silk Braided 2 Pack TECHNICAL * Size 2/0 * Sterile, 150cm * Single Use * Box of 12 pcs

13 Suture needle surgical curved, cutting edge 1/2 circle 2 Sachet 14 Suture needle surgical curved, cutting edge 3/8 circle 2 Sachet

15 Operating scissors str, sharp/blunt 14cm 2 Buah

16 Operating scissors cvd, sharp/blunt 14cm 2 Buah

17 Instrument tray, 305 x 205 x 50mm 1 Buah

4 FETAL DOPPLER 6 Unit

INTRODUCTION

* Doppler Fetal Heart Rate (FHR) Detectors apply with the ultrasonic Doppler principle to detect the fetal heart beat. The units are compact, lightweight, easy to operate and are stable in performance and have high dependability.

* With LCD display, it can read out the FHR clearly while hearing the sound. It also has charging mode / power left / warning of abnormal FHR function.

* This Doppler has a Ni-MH rechargeable battery inside, which can be used repeatedly after recharging. The gallus can make it convenient to carry.

* Normative collocation : unit, charger, stethoscope, gel, bag and operation manual * Safety Classification : BF / Class II / Internal power.

Specification :

* Overall sensitivity : 90 dB * Target velocity and display range: 60 - 210 bpm * EMC testing data (annexe II)

* Working frequency : 2.5MHz - 10% * Output power : 10m W/cm² * Spatial-peak temp-peak acoustic pressure: 0.1 Mpa * Effective area of transducer : 4.0 ± 0.5cm²

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* Adapter input voltage : 220VAC, 50Hz * Adapter input consumer (recharging): 5VA

* Adapter output voltage : DC 12V, 300mA * Battery : 9.6V Ni-MH batteries * Audio output power : 1.8W

* Coupling medium impedance : 1.5 - 1.6 (10⁵g/cm².s) * Doppler frequency : 0-3000Hz

* Working time (after recharged): 5 hours * Environment temperature : 10 ~ 40°C Function :

This doppler can be used for detecting the FHR from twelve week.

5 PALU PENGUKUR REFLEX 10 Buah

6 SPEKULUM VAGINA BESAR 10 Buah

7 SPEKULUM VAGINA SEDANG 10 Buah

8 SPEKULUM VAGINA KECIL 10 Buah

9 STETHOSCOPE JANIN 10 Buah

10 SUDIP LIDAH 10 Buah

11 PIPET TETES 10 Buah

TECHNICAL

1 Terbuat dari bahan plastik 2 Ukuran : 3ml

3 Bulb terbuat dari bahan karet

12 ALAT PENGHISAP LENDIR 4 Buah

TECHNICAL

1 Sterilized by E.O.GAS

2 Sterility Guaranteed Unless Package has been opened or damaged 3 Discard After single use

Size : 10FR Vol : 25CC

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13 RESUSITATOR INFANT 5 Set

14 KATETER LOGAM No. 12 10 Buah

15 KLEM TAMPON UTERUS (Bozeman) 10 Buah

16 KLEM TAMPON UTERUS (Scroder) 10 Buah

17 PARTUS SET 4 Set

CONSIST OF

1 Instrument box, 305 x 205 x 50 mm

2 Grave Vaginal Speculum size1, 75 x 20 mm 3 Grave Vaginal Speculum size2, 95 x 35 mm 4 Grave Vaginal Speculum size3, 105 x 37 mm

5 Foester Spong Holding Forceps, straight, serrated 25 cm 6 Bozemann Uterine Dressing forceps, straight 26 cm 7 Schoeder Tenaculum Forceps, 25cm

8 Sims Uterine Sound, Gradated in 32 cm 9 Tissue Forceps, straight, 1:2 teeth, 18 cm 10 Dressing Forceps, straight 18 cm

11 Winter Placenta Forceps, straight, size 2 12 Mayo Hegar Needle Holder, 18 cm

13 Crile Haemostatic Forceps, straight 14 cm

14 Rochester-Pean Haemostatic Forceps, straight 14 cm 15 Female Catheter 15cm, 14 charr

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18 SONDE UTERUS 10 Buah

19 PERLAK TEBAL LUNAK 10 Buah

TECHNICAL

1. Made of plastic 2. Soft color

3. Size : 200 x 90cm

20 BAKI LOGAM TEMPAT ALAT STERIL 10 Buah

21 MANGKOK UNTUK LARUTAN 21 Buah

22 MEJA INSTRUMENT ALAT 4 Unit

TECHNICAL

1. Construction : Made of steel painted

2. Consist of : - Two shelves, made of steel sheet - Push handle on left and right 3. Castor : Four castor 2", swivel castor 4. Dimension : 600L x 400W x 850H mm

23 SILINDER KORENTANG STERIL 10 Buah

24 KURSI TUNGGU 4 Unit

TECHNICAL

1 Construction : Made of stainless steel 2 Consist of : Four seat

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25 WASKOM LENGKUNG 10 Buah

26 WASKOM CUCI 10 Buah

27 TIANG INFUS, 10 Unit

TECHNICAL

1 Upper stand : Made of stainless steel pipe, four hooks, adjustable height with lock 2 Lower stand : Made of stainless steel pipe

3 Castor : Four castor 2”, swivel castors

4 Dimensions : Height Max.. 2200mm, Min.1200mm

28 POMPA PAYUDARA UNTUK ASI 10 Buah

TECHNICAL

1 Made of plastic cup and rubber bulb

29 TIMBANGAN DACIN 10 Unit

TECHNICAL

1 Timbangan ini dibuat dengan ketelitian dan keakurasian yang tinggi

2 Badan timbangan dibuat dari pipa kuningan berkualitas baik untuk mendapatkan ketahanan dan kekokohan 3 Bagian-bagian tumpuan diperkeras, pengayun timbangan terbuat dari besi strip plat serta material lainnya

yang berkualitas tinggi sehingga menghasilkan sifat timbangan yang sempurna

4 Pembacaan skala yang mudah dengan menggerakkan bandul pada pipa timbangan (skala maksimum 25kg) 5 Berat maksimal : 25kg

6 Pembagian skala berat : 100gr

30 KURSI RODA 6 Unit

TECHNICAL

1 Fixed Armrest 2 Fixed Footrest 3 Solid Castor 4 Solid Rear Wheel

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31 TROMOL SET 10 Buah

32 TERMOMETER DIGITAL 10 Buah

TECHNICAL

* Measuring Range : 32.0°C - 42.9°C (89.6°F – 109.2°F ) * Measuring time : 1 minute (Oral), 2~5 minutes (Underarm)

* Beep : When thermometer is turned on and after completion of measurement Alarm : Fever alarm beep if the temperature is higher than 37.8°C

Memory : Last memory recal Display : 3 ½ digit LCD display

* Automatic shutt off : after about 8 minute and 40 seconds

33 STETOSKOP 10 Buah

34 TROLLEY INSTRUMENT 6 Unit

TECHNICAL

1 Construction : Made of steel painted

2 Consist of : - Two shelves, made of steel sheet - Push handle on left and right 3 Castor : Four castors 2.5”, swivel castor 4 Dimension : 600L x 400W x 850H mm

35 LEMARI ALAT 4 Unit

TECHNICAL

1 Construction : Made of steel sheet 2 Consist of : Three shelves, adjustable

3 Door : Two with transparent glass, equipped with lock and key 4 Dimension : 900L x 460W x 1700H mm

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36 STERILISATOR 6 Unit TECHNICAL

* Supply voltage : 220V. AC. 1000W * Inner jacket dimensions : 320 x 160 x 105mm³ * Instrument tray dimensions : 295 x 150 x 30mm³ * Overall dimension : 340 x 195 x 215mm³ * Dimensions for transportation: 400 x 275 x 295mm³

* Full weight : 8Kg

ALAT GIGI

37 SONDE GIGI HALF MOON 6 Buah

38 TANG CABUT GIGI CHILD MOLAR 6 Buah

39 TANG CABUT GIGI CHILD RADIX 6 Buah

40 TANG CABUT GIGI DEWASA RADIX ATAS 6 Buah

41 TANG CABUT GIGI DEWASA RADIX BAWAH 6 Buah

42 TANG CABUT GIGI ANAK SET 6 Buah

CONSIST OF

1 Extracting forceps for upper incissors for children 2 Extracting forceps for upper roots for children 3 Extracting forceps for upper molars for children 4 Extracting forceps for lower incissors for children 5 Extracting forceps for lower molars for children 6 Extracting forceps for lower roots for children

43 LEMPENG KACA PENGADUK SEMEN 4 Buah

TECHNICAL

* Terbuat dari bahan kaca (glass) * Lempeng kaca pengaduk semen * Ukuran : 10x7.5x1cm

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44 PENGADUK AMALGAM 6 Buah

45 PINSET GIGI 6 Buah

46 PENAHAN LIDAH 6 Buah

47 BEIN LURUS BESAR 6 Buah

48 BEIN LURUS KECIL 6 Buah

49 MATA BOR LOW SPEED 6 Buah

50 MATA BOR GIGI INTAN HIGH SPEED 6 Buah

51 BURNISER BESAR 6 Buah

52 BURNISER KECIL 6 Buah

53 HANDPIECE LOW SPEED 6 Buah

54 HANDPIECE HIGH SPEED 6 Buah

Tanggal,... Penawar,

Nama Jelas Jabatan

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