Lamp. Ba Penerimaan Barang

8/13/2019 Lamp. Ba Penerimaan Barang

1/18

DAFTAR LAMPIRAN BERITA ACARA PENERIMAAN BARANG

NOMOR : /BAP/RSUD/ /2009

NO. JENIS BARANG PEKERJAANKONTRAK JUAL BELI SKO/SPMU JUMLAH

KET

TGL NOMOR TGL NOMORBANYAKNYA HARGA SATUAN JUMLAH HARGA

BARANG (Rp.) (Rp.)

. G!"#"$ %&' % N*. 000 +D","-"'

2009

N*. 00/PPKALAT

PERUB/2009

1 !% 21.000 319.000

2. G!"#"$ %&' % N*. 00 1 !% 21.000 319.0001. G!"#"$ %&' %, N*. 0 1 !% 21.000 319.000

. G!"#"$ %&' %, N*. 1 !% 21.000 319.000+. G!"#"$ %&' %, N*. 2 1 !% 21.000 319.000

3. G!"#"$ %&' %, N*. 1 1 !% 21.000 319.000

4. G!"#"$ %&' %, N*. 1 !% 21.000 319.000

5. R"6$"7 H%--"' !% 49.000 13.0009. G$!8*", !% 490.000 490.000

0. I$$!-&%*' !% .4+0.000 .4+0.000. E#*'%8"%$ !" I 4 !% 1+.000 2.20+.000

2. E#*'%8"%$ !" II 4 !% 1+.000 2.20+.000

1. E#*'%8"%$ !" III 4 !% 1+.000 2.20+.000

. E#*'%8"%$ !" I; 4 !% 1+.000 2.20+.000+. E#*'%8"%$ !" ; 4 !% 1+.000 2.20+.000

3. E#*'%8"%$ !" ;I 4 !% 1+.000 2.20+.0004. E#*'%8"%$ !" ;II 4 !% 1+.000 2.20+.000

5. E#*'%8"%$ !" ;III 4 !% 1+.000 2.20+.000

9. E#*'%8"%$ !" I< 4 !% 1+.000 2.20+.000

20. E#*'%8"%$ !" < 4 !% 1+.000 2.20+.000

2. E#*'%8"%$ !"


2/18


KETTGL NOMOR TGL NOMOR

BANYAKNYA HARGA SATUAN JUMLAH HARGA

BARANG (Rp.) (Rp.)

2+. B%= P'"%,!'" 3 !% 192.000 2.1+2.00023. T%!= O>=" K"8&$

T%!= I,& R"=!$%*' T'*$

!& (2,")

+.000.000 +.000.000

24. K*"7*' T%!= G%, !% 9+5.000 9+5.000JUMLAH 45.949.000

K!#!,? 2 D","-"' 2009

Y%= -""'&-%Y%= -""'%7%

PT. BHAKTI CAHAYASIHB"#%%'%% A$% K","%%/K"#*7"'%

R!-% S%7& U-!- D%"'% K%. K!#!,

MAGDALENA EKA AMBARSARI NUR PRAPTOD&'"7!' U%-% NIP. 93+24 9901 009


3/18



NO. JENIS BARANG PEKERJAAN

KONTRAK JUAL BELI SKO/SPMU JUMLAHKET.


BARANG (Rp.) (Rp.)

. A'"'& 7$"- 8&'!'=&, + O7*"'2009

N*. 00/PPKALAT/2009

2 !% 3.000 22.000

2. B"=7*7 21 !% 5.000 .0.0001. B%7 ,p!& ,"#%= @ !!p 0 !% 51.000 510.000

. E, C!p !% 1.000 2.000+. G!"#"$ %&' % N*. 000 !% 2.000 5+3.0003. G!"#"$ %&' % N*. 00 !% 2.000 5+3.000

4. G!"#"$ %&' %, N*. 0 !% 2.000 5+3.000

5. G!"#"$ %&' %, N*. 1 !% 2.000 32.000

9. G!"#"$ %&' %, N*. 2 1 !% 2.000 32.0000. G!"#"$ %&' %, N*. 1 !% 2.000 5+3.000

. G!"#"$ %&' %, N*. 1 !% 2.000 32.000

2. G!=&= "'% + !% 35.000 10.0001. G!=&= %'&=% 4 !% 35.000 43.000

. G!=&= %66 %& 2 !% 42.000 .000

+. H%"-*-""' 2 !% +95.000 .93.0003. I'&=%*' L%"-" 2 !% +33.000 .12.000

4. I,'!-" %7 7"8&$ 1 !% 51.000 29.000

5. I,'!-" %7 ,"#%= + !% 2.000 40.000

9. I,'!-" %7 ",%' 2 !% 213.000 42.00020. K!',& '*#% + !% .45.000 4.190.000

2. M%," ",& %& 2 !% +.000 .052.00022. M%," ",& %%7 2 !% +.000 .052.000

21. M%," ",& #"%,% 0 !% +.000 +.0.000

2. M%*-""' *>&=" + !% +33.000 2.510.000

2+. M*'&' ,%-p"' 3 !% +1.000 15.00023. N%$# 6*"#"' 3 !% 9.000 +3.000

24. R"7%$ !" B/2? S/2? K/2 3 !% 54+.000 +.2+0.000

25. R"6$"7 %--"' 2 !% 50.000 30.00029. S"*,8*p %& 2 !% +33.000 .12.000

10. S"*,8*p %%7 2 !% +33.000 .12.000


4/18


KET.TGL NOMOR TGL NOMOR

BANYAKNYA HARGA SATUAN JUMLAH HARGA

BARANG (Rp.) (Rp.)

1. S"*,8*p #"%,% 1 !% +33.000 .395.000

12. S"%7 p%/p&,p* ,*'*7 0 !% +4.000 +40.00011. T",&-""' H= R"&,"' + !% 2.2.000 0.+30.000

1. T"'-*-""' #&=&%$ !% 43.000 .03.000

1+. T*=!" Sp%"$ + !% 42.000 .050.00013. T'*-*$ =%%, 7"8&$ !% 251.000 .12.000

14. T'*-*$ =%%, ,"#%= 1 !% 42.000 .3.000

15. T'*-*$ =%%, ",%' 2 !% +33.000 .12.00019. T!'&!& 2 !% 12.000 15.000

0. T&-%=% %& 2 !% +33.000 .12.000

. '&= !% +5.000 312.000JUMLAH +9.15.000

K!#!,? 1 N*p"-"' 2009

Y%= -""'&-%Y%= -""'%7%C;. DAYA PRIMA

B"#%%'%% A$% K","%%/K"#*7"'%R!-% S%7& U-!- D%"'% K%. K!#!,

DHANY ISKANDAR IDAGDO? ST.MT NUR PRAPTOD&'"7!' U%-% NIP. 93+24 9901 009


5/18





BARANG (Rp.) (Rp.)

1 . COMPUTED RADIOGRAPHY/ CR !& 324.0.000 324.0.000Spesifikasi :

902009N*. 00+/PPK

ALKES/ 2009. R"%#"' U&C%,,"" ,%87"' : (,&=$",$*)

C*,*$":

M*&*' -& : LCD 4 *!8,8""

I-%=&= P$%" (IP) #"=%!7!'%

:

5>2 8-? 2>10 8-? 1+>1+ 8-?1+>1 8-? +>10 8-

IP 8%,,"" #"=% !7!'%:

5>2 8-? 2>10 8-? 1+>1+ 8-?1+>1 8-? +>10 8-

B%'8*#" '"%#"' : Y",

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P*"' :

,&=$" p%," +030 H 0020; +A -%>

2. *'7 S%&*

CPU :

C*'" 2 D!* 2.1 GH

M"-*' : 1 GB


6/18



BARANG (Rp.) (Rp.)

HDD (%'# D&,7) :

30 GB SATA 1.0 GB/S"8

M*&*' :

LCD 4 F$% P%"$

K"*%'# @ M*!,"

D'&" :

D;D C*-* ('&"'@R"%#"')SATA 3>

S*6 %'" "'p%,%= : *,


7/18



BARANG (Rp.) (Rp.)

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R",*$!&*12+ #p& (,(* laser !iel !erInc')

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A!*-%&8


8/18



BARANG (Rp.) (Rp.)C*"8/D&,8*"8

2. S*6%'" L

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H%'# #&,7 : 20 GB IDE

Op"'%&= S,"- *,


9/18



BARANG (Rp.) (Rp.)4. P*&8 S&-!$%*'

F$%, R%":

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E$"8'*&8 B**7-%'7, 6*'#&,p$% %# p'&&=.


10/18



BARANG (Rp.) (Rp.)P'*='%--%$" P"'&*#&8R"8*'#&=,. S&-!$%"*!,M*&*'&= %# R"&".

DATASHARE PSG ;&""'

3. ELECTRO MYO GRAPHY 5 CHANNELS EVOKED POTENTIAL !& 405.00.000 405.00.000Sp",&6&7%,& :

. AMPLI FIER

N!-"' *6 8%"$, : + & 6'"" -*!%=" * !p *2 &p!,

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11/18



BARANG (Rp.) (Rp.)(EMG) * 12 & (EP)

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12/18



BARANG (Rp.) (Rp.)

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13/18



BARANG (Rp.) (Rp.)

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14/18



BARANG (Rp.) (Rp.)R"8*'#&= E$"8'*#" S"8*-p*,"#: *6

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15/18



BARANG (Rp.) (Rp.)

6. R"p*' G""'%*' S*6%'"

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6. Op"'%&= S,. :*,


16/18



BARANG (Rp.) (Rp.)'"8*'#&= %# '"p$%.

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17/18



BARANG (Rp.) (Rp.)RAM : +2 MB

D&,p$% : + TFT LCD

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R!-% S%7& U-!- D%"'% K%. K!#!,

A H Y U D I NUR PRAPTONIP. 93+24 9901 009


18/18



BARANG (Rp.) (Rp.)

COMPUTED RADIOGRAPHY/ CR !& 324.0.000 324.0.000Spesifikasi :

902009N*. 00+/PPK

ALKES/ 2009SEEPSCAN / POLYSOMNOGRAPHY / PSG

!&.024.9+

0.000.024.9+0.0

00Sp",&6&7%,& :

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405.00.000

405.00.000

Sp",&6&7%,& :

TRANSCRANIAL DOPPLER 2 CHANNELS / TCD !&

4+.000.000

4+.000.000

Sp",&6&7%,&

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