form order barang - copy

8/18/2019 Form Order Barang - Copy

1/16

Kode : Biasa

: UrgentJl. Rd Gilap No. 8 Palimanan Cirebon 0231-343405 Jl. Rd Gilap No. 8 Palimanan Cirebon 0231-343405

ORDER PENGADAAN ARANG ORDER PENGA

Tanggal :Des 2015 No : Dec-15

Bagian : Perawatan rawat inap Bagian : Perawatan Rawat Inap

No Jeni! baran" J#mla$ E!%ima!i pen"ambilan No Jeni! baran"

1 Jelly aquosonic 1 Jerigen 11

2 Meise! tip 10 12

" Bloo #ancet teru$o 10 1"

% &o!ta$en ' 1%

5 Recoryl " 15

' Para$ion " 1'

( )quaest 20 1(

* +aslap 12 lusin 1*

, ooy .ag * 1,

10 20

11 21di i!i ole$ lo"i!%i&

/eperawatan #ogisti Pe$oon

eronica &u$arni eronica

isetu3ui

' Ari (#$)idin *


2/16

/a.ag /eu 4 #ogisti


3/16

Kode : Biasa

: Urgent

DAAN ARANG

No :

J#mla$ E!%ima!i pen"ambilan

di i!i ole$ lo"i!%i&

#ogisti

&u$arni

isetu3ui

' Ari (#$)idin *


4/16

/a.ag /eu 4 #ogisti


5/16

Kode : Biasa



Tanggal :D&MBR 2015 No : Dec-15



1 6anscoon M "5 1 #e$

2 Maser 25 2 )$plop .esar

" )lool &wap "0 " /ertas sensus 6arian

% Micropore seang "0 % Persetu3uan pasien

5 Miropore /ecil "0 5 #e$.ar ecg

' )lool (07 1 ltr ' 8or$ #a.

( /assa 2 ( Resep 9$u$

* Detol " * Resep BPJ&

, Bea 2 , &elotip

10 /ayu puti " 10 &tier 10"

11 rool "0 11 Isi 6ecter .esar di i!i ole$ lo"i!%i&

/eperawatan +air ;an Me Pe$oon

eronica r >>>>>>>>>>>>>>>>>>>>>>>>>>>? ' Ari (#$)idin * =>>>>>>>>>>>>>>>>>>>>>>>>>>>>?


6/16

sta!! Bagian #ogisti /a.ag /eu 4 #ogisti sta!! Bagian #ogisti


7/16

Kode : Biasa

: Urgent

DAAN ARANG

No :


5

5

1ri$

250

1 ri$

5

5

10

5

5pa

10di i!i ole$ lo"i!%i&

#ogisti

&u$arni

isetu3ui

' Ari (#$)idin *


8/16

/a.ag /eu 4 #ogisti


9/16

Kode : Biasa



Tanggal : Des 2015 No : Tanggal :Des 2015



1 ooy Bag 5 12 &urat /ontrol

2 Bea ta.ur " 1" 8or$ Retur

" 6an soap 2 1% Resep 9$u$

%


10/16



11/16

Kode : Biasa

: Urgent

DAAN ARANG

No :


200

100

10

10

250

1 ri$

5 .s

2%

1 ri$

1RIM

"di i!i ole$ lo"i!%i&

)tasan #angsung

=>>>>>>>>>>>>>>>>>>>>>>>>>>>>>?

isetu3ui

' Ari (#$)idin *


12/16


13/16

Kode : Biasa



Tanggal :Dese$.er 2015 No : Tanggal : Des 2015



1 /ulas ecil 1 12 /o$puter

2 Troly 1 1" /a.el Rool

" Baso$ $ani pA "0 1% Dispenser

% /eran3ang o.at pasien "5 15 Pe$.olong

5 BoA !ail * 1' Ra !ail

' Map &tatus Mera 20 1( Manset P $onitor

( Map &tatus 6i3au 20 1* Balon tensi

* Map status /uning 20 1, &PC2

, Tape Dispenser " 20 lucosure

10 6ecter .esar " 21 Tensi Meter

11 6ecter /ecil " 22 &tetoscop #it$an.iasadi i!i ole$ )an" memin%a di i!i ole$ lo"i!%i& di i!i ole$ )an" memin%a

Pe$oon )tasan #angsung Pe$oon

=>eronica>>>>>>>>>>>>>>>>>>>>>>>>>>? =>>>>>>>>>>>>>>>>>>>>>>>>>>>>>? =>eronica +>>>>>>>>>>>>>>>>>>>>>>>>>>?

isetu3ui

=>>>>>>>>>>>>>>>>>>>>>>>>>>>>? ' Ari (#$)idin * =>>>>>>>>>>>>>>>>>>>>>>>>>>>>?



14/16


K d Bi


15/16

Kode : Biasa

: Urgent

DAAN ARANG

No :


1

"

1

"

"

%

%

"

2

"

2-)pr di i!i ole$ lo"i!%i&

)tasan #angsung

=>>>>>>>>>>>>>>>>>>>>>>>>>>>>>?

isetu3ui

' Ari (#$)idin *

/a.ag /eu 4 #ogisti


16/16

/a.ag /eu 4 #ogisti

form order barang - copy

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