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Quotation Estimate Nurse in Indonesia Jakarta –Free Word Template Download with AI

MediCare Professional Services Indonesia

Jl. Jend. Sudirman Kav. 52-53, SCBD District, Indonesia Jakarta 12190

Tel: +62-21-5150-8800 | Email: [email protected]

NPWP: 01.234.567.8-011.000 | Business License: 110/0456/B/2024

Quotation Estimate No.: QTE-JKT-2025-00847
Date Issued: 15 June 2025
Valid Until: 15 July 2025
Prepared For: PT. Nusantara Wellness Group
Address: Menara Sentral, Lt. 12, Indonesia Jakarta 12130
Contact Person: Mrs. Dewi Anggraini

This Quotation Estimate is formally issued by MediCare Professional Services Indonesia to provide a comprehensive and transparent cost breakdown for the engagement of a qualified Nurse professional to deliver in-home and on-site healthcare services within the Indonesia Jakarta metropolitan area. This document serves as a binding financial proposal and outlines all associated fees, service inclusions, and operational parameters for the Nurse placement arrangement. The Quotation Estimate has been prepared in full compliance with the Indonesian Ministry of Health regulations (Permenkes No. 11/2024) governing private healthcare staffing and the professional standards set by the Indonesian Nurses Association (Persatuan Perawat Nasional Indonesia - PPNI) for the Indonesia Jakarta region.

The Nurse professional engaged under this Quotation Estimate shall provide the following services exclusively within the Indonesia Jakarta service area, including but not limited to South Jakarta, North Jakarta, Central Jakarta, East Jakarta, and West Jakarta administrative districts:

  • Clinical Care Administration: The Nurse shall perform wound dressing, intravenous (IV) therapy administration, medication management, vital sign monitoring, and post-surgical recovery support at the client's designated residence or facility in Indonesia Jakarta.
  • Patient Assessment & Reporting: Daily clinical assessments, documentation of patient progress, and weekly summary reports submitted to the supervising physician. The Nurse shall maintain all records in accordance with Indonesian medical data privacy law (UU No. 17/2023).
  • Chronic Disease Management: Ongoing monitoring and care coordination for patients with diabetes, hypertension, cardiac conditions, or respiratory disorders, as directed by the attending physician in Indonesia Jakarta.
  • Emergency Response Coordination: The Nurse shall be trained in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) protocols and shall coordinate with the nearest emergency medical services in Indonesia Jakarta in the event of a medical emergency.
  • Health Education & Counseling: Providing patient and family education regarding medication adherence, dietary guidance, and preventive health measures as part of the Nurse's holistic care responsibilities.

The following table presents the detailed financial components of this Quotation Estimate for the Nurse service engagement in Indonesia Jakarta:

Item No. Description Duration Unit Rate (IDR) Amount (IDR)
01 Senior Registered Nurse (Ners) – 24-hour in-home care placement, Indonesia Jakarta 30 days 1,850,000 / day 55,500,000
02 Supervising Clinical Nurse Manager – Weekly on-site visits (4 visits/month) 30 days 2,500,000 / visit 10,000,000
03 Medical supplies & consumables (IV kits, dressings, syringes, PPE) 30 days — 7,200,000
04 Transportation & logistics within Indonesia Jakarta service zone 30 days 350,000 / day 10,500,000
05 Emergency response & after-hours on-call coverage (Nurse standby) 30 days — 4,800,000
06 Administrative & regulatory compliance fees (PPNI registration, BPJS coordination) One-time — 2,500,000
07 Monthly clinical documentation & reporting package 30 days — 1,500,000
Subtotal (IDR) 92,000,000
VAT (PPN) 11% – Indonesia Jakarta jurisdiction 10,120,000
TOTAL QUOTATION ESTIMATE (IDR) 102,120,000

Amount in words: One Hundred Two Million One Hundred Twenty Thousand Indonesian Rupiah only.

  • This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. Beyond this period, all rates for the Nurse service in Indonesia Jakarta are subject to revision based on prevailing market conditions and regulatory adjustments.
  • Payment terms: 50% advance payment upon acceptance of this Quotation Estimate, and the remaining 50% due within seven (7) business days following the completion of the 30-day Nurse service period in Indonesia Jakarta.
  • All payments shall be made via bank transfer to the designated account of MediCare Professional Services Indonesia. No cash payments for the Nurse engagement will be accepted.
  • The Nurse assigned under this arrangement shall hold a valid STR (Surat Tanda Registrasi) issued by the Indonesian Ministry of Health and a current PPNI membership card. Copies of credentials shall be provided prior to commencement of service in Indonesia Jakarta.
  • Any additional services beyond the scope defined in this Quotation Estimate shall be subject to a separate written amendment and additional Quotation Estimate prior to execution.
  • This Quotation Estimate does not constitute a service contract. A formal Service Level Agreement (SLA) and employment/engagement contract for the Nurse shall be executed separately upon mutual acceptance.
  • Force majeure events, including but not limited to natural disasters, government-mandated lockdowns, or public health emergencies affecting Indonesia Jakarta, may result in service interruption without penalty to either party.
Important Note: This Quotation Estimate for Nurse services in Indonesia Jakarta assumes standard operating conditions. If the patient's clinical condition requires specialized ICU-level nursing care, a revised Quotation Estimate with adjusted rates will be issued within 48 hours of the clinical team's assessment.

By signing below, the client acknowledges receipt and acceptance of this Quotation Estimate for the Nurse service engagement in Indonesia Jakarta. This signature authorizes MediCare Professional Services Indonesia to proceed with Nurse recruitment, credentialing, and deployment as outlined herein.

Prepared By (MediCare Professional Services Indonesia)
Dr. Hendra Wijaya, S.Kep., Ners.
Director of Clinical Operations
Date: _______________
Accepted By (Client Representative)
Mrs. Dewi Anggraini
Director, PT. Nusantara Wellness Group
Date: _______________

This Quotation Estimate document (Ref: QTE-JKT-2025-00847) is the property of MediCare Professional Services Indonesia and is intended solely for the named recipient. Unauthorized reproduction or distribution of this Quotation Estimate for Nurse services in Indonesia Jakarta is strictly prohibited. © 2025 MediCare Professional Services Indonesia. All rights reserved.

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