36C25220R0001-399.pdf
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36C25220R0001 Appendix A.3 - Project Contents List 2-10-20.pdf
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Projected Year: 2020 Midpoint Year: 2021
VISN: 12 State: WI Station ID: 676 Station Name: Tomah
Installation: VA Medical Center
Project Created: 09 Aug 2019 09:25AM ET by Therrien Dan Space Plan Last Edited: 30 Jan 2020 05:36PM ET by Therrien Dan
Contents List Created: 30 Jan 2020 05:37PM ET by Therrien Dan Contents List Last Edited: 30 Jan 2020 05:37PM ET by Therrien Dan
Report Generated: 30 Jan 2020 05:39PM ET
Project Room Contents Appendix A.3
WASAU CBOC
WASAU, WI
Project Room Contents (30 Jan 2020 05:39PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 2)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: LOBBY / RECEPTION AREA Room Code: SRLW1 Room Area: 50 Agency Room Name: Alcove, Wheelchair Staff: 0 Criteria Room Name: Alcove, Wheelchair Blueprint #:
JSN Content Name Qty Unit of Issue
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
M4705 Wheelchair, Patient Transport, Folding 1 EA 537 537 VV
M4710 Wheelchair, Patient, Bariatric, Transport, Folding 1 EA 1,718 1,718 VV
Total Content Costs for this Room: 2,255
Room Code: RCP03 Room Area: 220 Agency Room Name: Reception Staff: 0 Criteria Room Name: Reception Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 3 EA 0 0 VV
E0130 Workstation, Documentation, OR, L-Shaped 3 EA 13,899 41,697 VV . A
F0205 Chair, Side With Arms 2 EA 557 1,114 VV
F0275 Chair, Swivel, High Back 3 EA 642 1,926 VV F2000 Basket, Wastepaper, Fire Resistant 3 EA 51 153 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 3 EA 1,525 4,575 VV . A
Total Content Costs for this Room: 49,515
Room Code: RCHK2 Room Area: 50 Agency Room Name: Kiosk, Patient Check-In Staff: 0 Criteria Room Name: Kiosk, Patient Check-In Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
Privacy Act – FOR OFFICIAL USE ONLY (Page 3)
A1010 Telecommunication Outlet 1 EA 0 0 VV
M1890 Kiosk, Educational, Stand-Up 2 EA 4,510 9,020 VV . A
Total Content Costs for this Room: 9,020
Room Code: CLSC2 Room Area: 25 Agency Room Name: Workstation, Patient Education Staff: 0 Criteria Room Name: Workstation, Patient Education Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV E0042 Workcenter, Computer, Free Standing, 48" W 1 EA 2,638 2,638 VV
F0280 Chair, Swivel, Low Back 1 EA 494 494 VV
F2000 Basket, Wastepaper, Fire Resistant 1 EA 51 51 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
Total Content Costs for this Room: 4,708
Room Code: RECP5 Room Area: 50 Agency Room Name: Reception, Accessible Staff: 0 Criteria Room Name: Accessible Reception Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV
A6105 Counter, Reception Control, Built-In 1 EA 7,805 7,805 CC . A
F0280 Chair, Swivel, Low Back 1 EA 494 494 VV
Total Content Costs for this Room: 9,875
Privacy Act – FOR OFFICIAL USE ONLY (Page 4)
Room Code: TNPG1 Room Area: 60 Agency Room Name: Toilet, Male Staff: 0 Criteria Room Name: Toilet, Public Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A4995 Table, Diaper Changing, Wall Mounted 1 EA 335 335 CC A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
P3200 Lavatory, Vitreous China, Slab Type w/Sens Op Fauc 1 EA 721 721 CC D
P9050 Toilet, Wall Hung, Siphon Jet 1 EA 831 831 CC B
Total Content Costs for this Room: 2,978
Room Code: WTPC1 Room Area: 1200 Agency Room Name: Waiting, PACT 1 Staff: 0 Criteria Room Name: Waiting, PACT 1 Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 46 46 VV
A5212 Bracket, Television, Wall-Mounted, Tilt/Angle 2 EA 114 228 VV
A5220 Bracket, Television, Wall Backing 2 EA 94 188 CC
A6046 Artwork, Decorative, With Frame 2 EA 521 1,042 VV
F0206 Chair, Side, Bariatric, With Arms 6 EA 748 4,488 VV
F0305 Chair, Waiting Room, Single 45 EA 628 28,260 VV
F2300 Rack, Magazine, Wall Mounted 1 EA 255 255 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 5)
M0512 Television, HDTV, Large Screen, 60" 2 EA 3,920 7,840 VV . A
Total Content Costs for this Room: 42,448
Room Code: NCWD4 Room Area: 60 Agency Room Name: Alcove, Volunteer Staff: 0 Criteria Room Name: Alcove, Refreshment Center Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 1 EA 1,041 1,041 CC
C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA 710 710 CC
CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 1 EA 730 730 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT030 Countertop, High Pressure Laminate 1 LF 66 66 CC
F2000 Basket, Wastepaper, Fire Resistant 1 EA 51 51 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back 1 EA 1,252 1,252 VV J A
Total Content Costs for this Room: 5,009
Room Code: RCP03 Room Area: 220 Agency Room Name: Reception Staff: 0 Criteria Room Name: Reception Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 3 EA 0 0 VV
E0130 Workstation, Documentation, OR, L-Shaped 3 EA 13,899 41,697 VV . A
F0205 Chair, Side With Arms 2 EA 557 1,114 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 6)
F0275 Chair, Swivel, High Back 3 EA 642 1,926 VV
F2000 Basket, Wastepaper, Fire Resistant 3 EA 51 153 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 3 EA 1,525 4,575 VV . A
Total Content Costs for this Room: 49,515
Room Code: TNPFM Room Area: 80 Agency Room Name: Toilet, Family Staff: 0 Criteria Room Name: Toilet, Non-Patient, Single User, Family Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A4995 Table, Diaper Changing, Wall Mounted 1 EA 335 335 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
P3000 Lavatory, Vitreous China, Straight Back 1 EA 384 384 CC D
Total Content Costs for this Room: 2,641
Agency Room Name: Toilet, Female Staff: 0 Criteria Room Name: Toilet, Non-Patient, Single User, Universal Blueprint #:
Unit Price
Total Price
Acq
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
Privacy Act – FOR OFFICIAL USE ONLY (Page 7)
A4995 Table, Diaper Changing, Wall Mounted 1 EA 335 335 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Room Code: RECP5 Room Area: 50 Agency Room Name: Reception, Accessible Staff: 0 Criteria Room Name: Accessible Reception Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV
A6105 Counter, Reception Control, Built-In 1 EA 7,805 7,805 CC . A
F0280 Chair, Swivel, Low Back 1 EA 494 494 VV
Total Content Costs for this Room: 9,875
Room Code: CLSC2 Room Area: 25 Agency Room Name: Workstation, Patient Education Staff: 0 Criteria Room Name: Workstation, Patient Education Blueprint #:
Unit Price
Total Price
Acq
Privacy Act – FOR OFFICIAL USE ONLY (Page 8)
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV
E0042 Workcenter, Computer, Free Standing, 48" W 1 EA 2,638 2,638 VV
F0280 Chair, Swivel, Low Back 1 EA 494 494 VV
Total Content Costs for this Room: 4,708
Room Code: WTF01 Room Area: 125 Agency Room Name: Waiting, Family Staff: 0 Criteria Room Name: Waiting, Family 4 People Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 46 46 VV
F0250 Chair, Arm, Lounge Type 1 EA 869 869 VV
F0375 Sofa, Upholstered 1 EA 3,000 3,000 VV
Total Content Costs for this Room: 4,016
Room Code: LOB02 Room Area: 130 Agency Room Name: Vestibule Staff: 0 Criteria Room Name: Lobby, Vestibule Blueprint #:
Unit Price
Total Price
Acq
A6046 Artwork, Decorative, With Frame 1 EA 521 521 VV
Total Content Costs for this Room: 521
Total Content Costs for this Functional Area: 200,062
Privacy Act – FOR OFFICIAL USE ONLY (Page 9)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: PEHW2 Room Area: 40 Agency Room Name: Alcove, Height / Weight Accessible Station Staff: 0 Criteria Room Name: Alcove, Height / Weight Accessible Station Blueprint #:
Unit Price
Total Price
Acq
M4045 Scale, Wheelchair, Portable, 1000 lb Capacity 1 EA 3,213 3,213 VV
Total Content Costs for this Room: 3,213
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: EXPA1 Room Area: 120 Agency Room Name: Exam Room, Patient Aligned Care Team (PACT) Staff: 0 Criteria Room Name: Exam Room, Patient Aligned Care Team (PACT) Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1066 Mirror, Float Glass, With SS Frame 1 EA 85 85 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA 589 589 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0206 Chair, Side, Bariatric, With Arms 1 EA 748 748 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 10)
F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
M1825 Printer, Computer 1 EA 816 816 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
M7401 Light, Exam, Mobile, Spotlight, Mobile Stand 1 EA 1,135 1,135 VV . A M9025 Table, Examination/Treatment, With Cabinet 1 EA 1,875 1,875 VV . A
Total Content Costs for this Room: 18,179
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: TPG01 Room Area: 60 Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Total Content Costs for this Room: 2,306
Privacy Act – FOR OFFICIAL USE ONLY (Page 11)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: EXW01 Room Area: 125 Agency Room Name: Exam Room, Women's Health Staff: 0 Criteria Room Name: Exam Room, Women's Health Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0205 Chair, Side With Arms 1 EA 557 557 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 440 440 VV
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Total Content Costs for this Room: 16,239
Privacy Act – FOR OFFICIAL USE ONLY (Page 12)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: TRPR1 Room Area: 180 Agency Room Name: Procedure Room, General Staff: 0 Criteria Room Name: Procedure Room, General Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 VV
A1011 Telephone, Desk, 1 Line 1 EA 0 0 VV
A1132 Rail, Accessory Mounting, Length As Required 1 LF 100 100 VC . . . . . J 6530
A1203 Lift System, Overhead, Bariatric 1 EA 14,628 14,628 CC . F . . . J
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 22 FT 7 154 VV
C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA 710 710 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D 1 EA 3,874 3,874 VV
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2000 Basket, Wastepaper, Fire Resistant 1 EA 51 51 VV
F3010 Board, Bulletin, 48 x 48 1 EA 144 144 VV F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0750 Flowmeter, Air, Connect w/50 PSI Supply 1 EA 95 95 VV . . K . . . 6530
M0755 Flowmeter, Oxygen, Low Flow 1 EA 79 79 VV . . A . . . 6680
M0765 Regulator, Vacuum 2 EA 310 620 VV . . B . . . 6515
M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA 1,923 1,923 VV . A
Privacy Act – FOR OFFICIAL USE ONLY (Page 13)
M3070 Hamper, Linen, Mobile, w/Lid 1 EA 540 540 VV
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 440 440 VV
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
M4255 Stand, IV, Adjustable 1 EA 428 428 VV
M4655 Stretcher, Mobile, CRS, 9 Position 1 EA 5,684 5,684 VV
M7415 Light, Exam, Wall Mounted 1 EA 2,602 2,602 CC . A
M7710 Electrocardiograph, 12 Lead, Portable 1 EA 14,026 14,026 VV . A
M8810 Stand, Mayo 1 EA 745 745 VV
Total Content Costs for this Room: 57,425
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: TPB01 Room Area: 70 Agency Room Name: Toilet, General Procedure Room Patient Staff: 0 Criteria Room Name: Toilet, General Procedure Room Patient Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 2 EA 157 314 CC A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
P3005 Lavatory, Vitreous China, Bariatric 1 EA 5,062 5,062 CC D
P9056 Toilet, Floor Mounted, Bariatric 1 EA 461 461 CC B
Total Content Costs for this Room: 6,771
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Privacy Act – FOR OFFICIAL USE ONLY (Page 14)
Room Code: WRTM2 Room Area: 100 Agency Room Name: Tele-Health Room Staff: 0 Criteria Room Name: Tele-Health Room Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1132 Rail, Accessory Mounting, Length As Required 1 LF 100 100 VC . . . . . J 6530 A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 46 46 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 9 FT 7 63 VV
C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA 710 710 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV F0205 Chair, Side With Arms 1 EA 557 557 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2000 Basket, Wastepaper, Fire Resistant 1 EA 51 51 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M0508 Telemedicine Station, Mobile Cart 1 EA 20,926 20,926 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA 1,923 1,923 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Privacy Act – FOR OFFICIAL USE ONLY (Page 15)
Total Content Costs for this Room: 36,122
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Agency Room Name: Toilet, Women's Health Exam Room Patient Staff: 0 Criteria Room Name: Toilet, Women's Health Exam Room Patient Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: WRTM3 Room Area: 100 Agency Room Name: Tele-Retinal Room Staff: 0 Criteria Room Name: Tele-Retinal Room Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1132 Rail, Accessory Mounting, Length As Required 1 LF 100 100 VC . . . . . J 6530
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5077 Dispenser, Hand Sanitizer, Hands-Free 1 EA 46 46 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 16)
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 9 FT 7 63 VV
C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 1 EA 710 710 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0205 Chair, Side With Arms 1 EA 557 557 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2000 Basket, Wastepaper, Fire Resistant 1 EA 51 51 VV F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA 1,923 1,923 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
M6050 Retinal Imaging System, Fluoroscein/Indocyanine 1 SY 41,692 41,692 VV . A
Total Content Costs for this Room: 56,888
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: CLSC4 Room Area: 300 Agency Room Name: Shared Medical Appointment Room Staff: 0 Criteria Room Name: Shared Medical Appointment Room Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 VV
A5212 Bracket, Television, Wall-Mounted, Tilt/Angle 1 EA 114 114 VV
A5220 Bracket, Television, Wall Backing 1 EA 94 94 CC
Privacy Act – FOR OFFICIAL USE ONLY (Page 17)
E0945 Cart, Computer, Mobile 2 EA 1,940 3,880 VV
F0295 Chair, Stacking 16 EA 76 1,216 VV
F0435 Cabinet, Storage, Multi Media 1 EA 1,504 1,504 VV
F0860 Table, Mobile 4 EA 947 3,788 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
F3060 Whiteboard, Projection Screen Combination 1 EA 625 625 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA 1,525 3,050 VV . A
Total Content Costs for this Room: 15,055
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: SRE01 Room Area: 80 Agency Room Name: Storage, Shared Medical Appointment Room Staff: 0 Criteria Room Name: Storage, Shared Medical Appointments Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 4 EA 854 3,416 VV
Total Content Costs for this Room: 3,416
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: RCA06 Room Area: 20 Agency Room Name: Alcove, Medication Staff: 0 Criteria Room Name: Alcove, Medication Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
Privacy Act – FOR OFFICIAL USE ONLY (Page 18)
CT020 Countertop, Solid Surface 1 LF 180 180 CC
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA 1,923 1,923 VV . A
M3150 Distribution System, Medication, Automatic 1 EA 46,746 46,746 VV B A
R6200 Refrigerator, U/C or F/S, 5 Cu Ft 1 EA 1,975 1,975 VV . A
Total Content Costs for this Room: 53,860
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: WRTM1 Room Area: 240 Agency Room Name: Team Work Area Staff: 0 Criteria Room Name: Team Work Area Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 4 EA 7,677 30,708 VV . A
F0275 Chair, Swivel, High Back 4 EA 642 2,568 VV
F0420 Cabinet, Filing, Lateral, Half Height 2 EA 625 1,250 VV
F2000 Basket, Wastepaper, Fire Resistant 4 EA 51 204 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 4 EA 1,525 6,100 VV . A
Total Content Costs for this Room: 40,880
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: OFA07 Room Area: 56 Agency Room Name: Workstation, Extended Team Staff: 0 Criteria Room Name: Workstation, Extended Team Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 19)
E0123 Workstation, Straight, Free Standing, 72" W 1 EA 7,677 7,677 VV . A
F0275 Chair, Swivel, High Back 1 EA 642 642 VV
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 625 625 VV
Total Content Costs for this Room: 10,520
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: UCCL1 Room Area: 60 Agency Room Name: Utility Room, Clean Staff: 0 Criteria Room Name: Utility Room, Clean Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D 2 EA 2,443 4,886 VV
E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D 2 EA 3,068 6,136 VV
E0912 Locker, Supply, Med Surg, Wall Mtd 2 EA 3,419 6,838 VV
E1500 Rail, MOD, W/MNTD, HX144XD 1 EA 733 733 VV
Total Content Costs for this Room: 18,644
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: SRE01 Room Area: 120 Agency Room Name: Storage, Medical Equipment Staff: 0 Criteria Room Name: Storage, Medical Equipment Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves 4 EA 854 3,416 VV
Total Content Costs for this Room: 3,416
Privacy Act – FOR OFFICIAL USE ONLY (Page 20)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: SL001 Room Area: 220 Agency Room Name: Lounge, Staff Staff: 0 Criteria Room Name: Lounge, Staff Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV A1080 Mirror, Posture, Wall Mounted 1 EA 387 387 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5210 Bracket, Television, Wall Mounted, w/Adjust Arm 1 EA 224 224 VV
A5220 Bracket, Television, Wall Backing 1 EA 94 94 CC
C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 1 EA 866 866 CC
C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 1 EA 1,041 1,041 CC
C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 1 EA 743 743 CC
CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 2 EA 730 1,460 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 7 LF 180 1,260 CC F0225 Chair, Dining Room 4 EA 257 1,028 VV
F0795 Table, Dining 1 EA 690 690 VV
F2015 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors 1 EA 266 266 VV
F3065 Whiteboard/Bulletin Board, Combination 1 EA 352 352 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back 1 EA 1,252 1,252 VV J A
K4665 Oven, Microwave, Consumer 1 EA 288 288 VV . A
M0515 Television, HD, 40" Class 1 EA 520 520 VV . A . . . M
R7250 Refrigerator/Freezer, 20 Cubic Feet 1 EA 1,348 1,348 VV . A
Total Content Costs for this Room: 13,000
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Privacy Act – FOR OFFICIAL USE ONLY (Page 21)
Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A4995 Table, Diaper Changing, Wall Mounted 1 EA 335 335 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: LR001 Room Area: 60 Agency Room Name: Locker, Staff Personal Property Staff: 0 Criteria Room Name: Locker, Staff Personal Property Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1030 Locker, 2 Person, Over/Under 12 EA 288 3,456 VV
A1080 Mirror, Posture, Wall Mounted 1 EA 387 387 CC
Total Content Costs for this Room: 3,843
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: LR001 Room Area: 60 Agency Room Name: Locker, Staff Personal Property Staff: 0 Criteria Room Name: Locker, Staff Personal Property Blueprint #:
Privacy Act – FOR OFFICIAL USE ONLY (Page 22)
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1030 Locker, 2 Person, Over/Under 12 EA 288 3,456 VV A1080 Mirror, Posture, Wall Mounted 1 EA 387 387 CC
Total Content Costs for this Room: 3,843
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Agency Room Name: Toilet, Staff Staff: 0 Criteria Room Name: Toilet, Staff Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A4995 Table, Diaper Changing, Wall Mounted 1 EA 335 335 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq
Privacy Act – FOR OFFICIAL USE ONLY (Page 23)
F0275 Chair, Swivel, High Back 1 EA 642 642 VV
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 625 625 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 4 EA 7,677 30,708 VV . A
F0275 Chair, Swivel, High Back 4 EA 642 2,568 VV
F0420 Cabinet, Filing, Lateral, Half Height 2 EA 625 1,250 VV
F2000 Basket, Wastepaper, Fire Resistant 4 EA 51 204 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Room Code: RCA06 Room Area: 20 Agency Room Name: Alcove, Medication Staff: 0 Criteria Room Name: Alcove, Medication Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
Privacy Act – FOR OFFICIAL USE ONLY (Page 24)
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
F2000 Basket, Wastepaper, Fire Resistant 1 EA 51 51 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1803 Workstation, Computer, Wall Mounted, Adjustable 1 EA 1,923 1,923 VV . A
M3150 Distribution System, Medication, Automatic 1 EA 46,746 46,746 VV B A
R6200 Refrigerator, U/C or F/S, 5 Cu Ft 1 EA 1,975 1,975 VV . A
Total Content Costs for this Room: 53,860
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Agency Room Name: Toilet, Women's Health Exam Room Patient Staff: 0 Criteria Room Name: Toilet, Women's Health Exam Room Patient Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Privacy Act – FOR OFFICIAL USE ONLY (Page 25)
Room Code: EXW01 Room Area: 125 Agency Room Name: Exam Room, Women's Health Staff: 0 Criteria Room Name: Exam Room, Women's Health Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0205 Chair, Side With Arms 1 EA 557 557 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
M3072 Frame, Infectious Waste Bag w/Lid 1 EA 440 440 VV
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Total Content Costs for this Room: 16,239
Privacy Act – FOR OFFICIAL USE ONLY (Page 26)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Agency Room Name: Toilet, PACT Patient Staff: 0 Criteria Room Name: Toilet, PACT Patient Blueprint #:
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror, Float Glass, ADA Accessible 1 EA 297 297 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV A5082 Dispenser, Paper Towel, Sensor, Hands Free 1 EA 208 208 CC
A5090 Disposal, Sanitary Napkin, SS, Surface Mounted 1 EA 51 51 CC
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 1 EA 31 31 CC
A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd 1 EA 88 88 CC
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1066 Mirror, Float Glass, With SS Frame 1 EA 85 85 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
Privacy Act – FOR OFFICIAL USE ONLY (Page 27)
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA 589 589 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0206 Chair, Side, Bariatric, With Arms 1 EA 748 748 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
M1825 Printer, Computer 1 EA 816 816 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1066 Mirror, Float Glass, With SS Frame 1 EA 85 85 CC
Privacy Act – FOR OFFICIAL USE ONLY (Page 28)
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA 589 589 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0206 Chair, Side, Bariatric, With Arms 1 EA 748 748 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
M1825 Printer, Computer 1 EA 816 816 VV . A M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Privacy Act – FOR OFFICIAL USE ONLY (Page 29)
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 4 EA 7,677 30,708 VV . A
F0275 Chair, Swivel, High Back 4 EA 642 2,568 VV
F0420 Cabinet, Filing, Lateral, Half Height 2 EA 625 1,250 VV
F2000 Basket, Wastepaper, Fire Resistant 4 EA 51 204 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 1 EA 7,677 7,677 VV . A
F0275 Chair, Swivel, High Back 1 EA 642 642 VV
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 625 625 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Privacy Act – FOR OFFICIAL USE ONLY (Page 30)
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 1 EA 7,677 7,677 VV . A
F0275 Chair, Swivel, High Back 1 EA 642 642 VV
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 625 625 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 4 EA 7,677 30,708 VV . A
F0275 Chair, Swivel, High Back 4 EA 642 2,568 VV
F0420 Cabinet, Filing, Lateral, Half Height 2 EA 625 1,250 VV
F2000 Basket, Wastepaper, Fire Resistant 4 EA 51 204 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Privacy Act – FOR OFFICIAL USE ONLY (Page 31)
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1066 Mirror, Float Glass, With SS Frame 1 EA 85 85 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA 589 589 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0206 Chair, Side, Bariatric, With Arms 1 EA 748 748 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110 M1825 Printer, Computer 1 EA 816 816 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Privacy Act – FOR OFFICIAL USE ONLY (Page 32)
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1066 Mirror, Float Glass, With SS Frame 1 EA 85 85 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA 589 589 CC
CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0206 Chair, Side, Bariatric, With Arms 1 EA 748 748 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
F3025 Board, Bulletin, Wood Framed 1 EA 59 59 VV
F3200 Clock, Battery, 12" Diameter 1 EA 50 50 VV
M0506 Television, Flat Screen 1 EA 542 542 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
Privacy Act – FOR OFFICIAL USE ONLY (Page 33)
M1825 Printer, Computer 1 EA 816 816 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 4 EA 7,677 30,708 VV . A
F0275 Chair, Swivel, High Back 4 EA 642 2,568 VV
F0420 Cabinet, Filing, Lateral, Half Height 2 EA 625 1,250 VV
F2000 Basket, Wastepaper, Fire Resistant 4 EA 51 204 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
Privacy Act – FOR OFFICIAL USE ONLY (Page 34)
F0275 Chair, Swivel, High Back 1 EA 642 642 VV
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 625 625 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 1 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 1 EA 7,677 7,677 VV . A
F0275 Chair, Swivel, High Back 1 EA 642 642 VV
F0420 Cabinet, Filing, Lateral, Half Height 1 EA 625 625 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA 0 0 VV
A1015 Telephone, Desk, Multiple Line 2 EA 0 0 VV
E0123 Workstation, Straight, Free Standing, 72" W 4 EA 7,677 30,708 VV . A
F0275 Chair, Swivel, High Back 4 EA 642 2,568 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 35)
F0420 Cabinet, Filing, Lateral, Half Height 2 EA 625 1,250 VV
F2000 Basket, Wastepaper, Fire Resistant 4 EA 51 204 VV
Department: OUTPATIENT / PACT CLINIC (265) Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1
Unit Price
Total Price
Acq Code Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA 0 0 VV
A1012 Telephone, Wall Mounted, 1 Line 1 EA 0 0 VV
A1066 Mirror, Float Glass, With SS Frame 1 EA 85 85 CC
A5075 Dispenser, Soap, Disposable 1 EA 17 17 VV
A5080 Dispenser, Paper Towel, SS, Surface Mounted 1 EA 89 89 CC
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA 28 28 VV
A5108 Waste Disposal Unit, Sharps 1 CS 213 213 VV
A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible 1 EA 157 157 CC
A5145 Hook, Garment, Double, SS, Surface Mounted 2 EA 31 62 CC
A5180 Track, Cubicle, Surface Mounted, With Curtain 12 FT 7 84 VV
C01Q0 Cabinet, Sink, U/C/B, 1 Door, 36x18x22 1 EA 589 589 CC CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 1 EA 1,033 1,033 CC
CS010 Sink, SS, Single Compartment, 7.5x12x12 ID 1 EA 994 994 CC D
CT020 Countertop, Solid Surface 1 LF 180 180 CC
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA 1,852 1,852 VV
F0206 Chair, Side, Bariatric, With Arms 1 EA 748 748 VV
F0340 Stool, Self Adjusting 1 EA 376 376 VV
F2010 Basket, Wastepaper, Step-On 1 EA 242 242 VV
F2310 Rack, Pamphlet, Wall Mounted 1 EA 175 175 VV
Privacy Act – FOR OFFICIAL USE ONLY (Page 36)
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA 1,525 1,525 VV . A
M1802 Work Station, Computer, Retractable, Wall Mounted 1 EA 1,059 1,059 VV . B . . . D 7110
M1825 Printer, Computer 1 EA 816 816 VV . A
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA 191 191 VV
M4116 Monitor, Vital Signs 1 EA 2,447 2,447 VV . A
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA 1,556 1,556 VV . A
Department: OUTPATIENT / PACT CLINIC (265) Functional Area:…
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