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  • Nama: .. Alamat: ... : Ma'Had Karangasem Al-Islamy

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    Rskh Abdurrahman Syamsuri
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    This document appears to be a medical supply request form from Dr. RS Kh Abdurrahman Syamsuri of RS ARSY MA'HAD KARANGASEM AL-ISLAMY in Paciran, Lamongan. It lists various medical supplies including blood collection supplies, catheters, IV bags, antibiotics, and vitamins. Blank lines are included for the requester to fill in their name, address, and specifics on requested supplies and quantities.

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    This document appears to be a medical supply request form from Dr. RS Kh Abdurrahman Syamsuri of RS ARSY MA'HAD KARANGASEM AL-ISLAMY in Paciran, Lamongan. It lists various medical supplies including blood collection supplies, catheters, IV bags, antibiotics, and vitamins. Blank lines are included for the requester to fill in their name, address, and specifics on requested supplies and quantities.

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    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
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    3 views1 page

    Nama: .. Alamat: ... : Ma'Had Karangasem Al-Islamy

    Uploaded by

    Rskh Abdurrahman Syamsuri
    This document appears to be a medical supply request form from Dr. RS Kh Abdurrahman Syamsuri of RS ARSY MA'HAD KARANGASEM AL-ISLAMY in Paciran, Lamongan. It lists various medical supplies including blood collection supplies, catheters, IV bags, antibiotics, and vitamins. Blank lines are included for the requester to fill in their name, address, and specifics on requested supplies and quantities.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    RS KH ABDURRAHMAN SYAMSURI Dokter

    (RS ARSY)
    MA’HAD KARANGASEM AL-ISLAMY
    -------------------------------
    Jl.Raya Deandles Km.70 Paciran
    Lamongan 62264 -----------------------------
    Hp. 081232870229/085730845336

    Paciran,

    Bloodset
    Surflo 20
    Spuit 3 cc
    Spuit 10 cc
    Spuit 1 cc
    Cateter 16
    Urin bag
    Leukomed
    Kassa steril
    Ringer Laktat (RL)
    D5
    Pz 100 cc
    Aqua bides
    Tirdicef injeksi
    Vit K injeksi
    Antibiotik/……………...
    Asmef /………………….
    Lactamor
    ………………………….
    …………………………..
    ………………………….
    …………………………..
    ………………………….
    …………………………..
    ………………………….
    …………………………..
    ………………………….
    …………………………..
    ………………………….

    Nama : …………………………………..
    Alamat :……………………………………...

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