8/18/2019 Permintaan Barang Non Farmasi 2015-2016

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PERMINTAAN BARANG NON FARMASIINSTALASI FARMASI

LEMBAR PERMINTAAN

UNIT INSTALASI FARMASINo. Nama Barang Jumlah Satuan Harga

Battery AAA !"#Battery Al$al%ne &'AE &( !"#Baygon #!ray la)en*er +tlBenang ,oll rolBu$u M%rage Be#ar !"#Bol!o%nt #tan*ar* - !"#Form "o!y re#e! !"#Form SP reguler & +u$uI#% Sta!le# $angaro no. - !"#I#ola#% !ut%h +e#ar & rol

/antong 0o$lat NUN 1-- lem+ar/artu Sto"$ '1- lem+ar/erta# 2e!a!er !r%nt 3 !ly & +o4La$+an H%tam +e#ar rolLa+el +e#ar !a"$La+el $e"%l !a"$/ua# !uyer & !"#Lem+ar !erm%ntaan gu*ang '- lem+arPla#t%$ +a5ang tran#!aran -4 1 ' !a"$Sa+un "u"% alat +otolStella re6ll &71 ml !a"$

T%##ue #ee8u $ota$ 1 +o4/eran9ang:ra$ o+at &- $ota$ &----

Sura+aya; &7 No)em+er &- 1/a. In#tala#% Farma#%

/ar%na An*r%an% S; S.Farm.; A!t

8/18/2019 Permintaan Barang Non Farmasi 2015-2016

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PERMINTAAN BARANG NON FARMASIINSTALASI FARMASI

LEMBAR PERMINTAAN

UNIT INSTALASI FARMASINo. Nama Barang Jumlah Satuan Harga

Battery AAA !"#Battery Al$al%ne &'AE &( !"#Baygon #!ray la)en*er +tlBenang ,oll rolBu$u M%rage Be#ar !"#Bol!o%nt #tan*ar* - !"#Form "o!y re#e! !"#Form SP reguler 3 +u$uI#% Sta!le# $angaro no. - !"#I#ola#% !ut%h +e#ar & rol

/antong 0o$lat NUN 1-- lem+ar/artu Sto"$ '1- lem+ar/erta# 2e!a!er !r%nt 3 !ly & +o4La$+an H%tam +e#ar rolLa+el +e#ar !a"$La+el $e"%l !a"$/ua# !uyer & !"#Lem+ar !erm%ntaan gu*ang '- lem+arPla#t%$ +a5ang tran#!aran -4 1 ' !a"$Sa+un "u"% alat +otolStella re6ll &71 ml !a"$

T%##ue #ee8u $ota$ 1 +o4/eran9ang:ra$ o+at &- $ota$ &----Blen*er O+at Shar! #et

8/18/2019 Permintaan Barang Non Farmasi 2015-2016

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8/18/2019 Permintaan Barang Non Farmasi 2015-2016

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/et

ru#a$:tum!ul

untu$ gu*ang o+at

re$on#t%tu#% ant%+%ot%$

Maret &- <a#% Farma#%

% S; S.Farm.; A!t