Lembar Serah Terima BARANG

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Jakarta 6 Desember 2017

LEMBAR SERAH TERIMA ALAT

Telah diserahkan satu perangkat monitor merk Edan dari R.ICU ke HD terdiri dari :

 Monitor : 1 buah
 Kabel AC Adapter : 1 buah
 Kabel plus cuff tensi meter : 1 buah
 Kabel EKG : 1 buah
 Kabel temperature : 1 buah
 Kabel SPO2 : 1 buah

Yang menyerahkan Yang menerima

( Ns. Frakassona. K, Skep ) ( Ida Cik Amk.)

Ka.Ru ICU Ka.Ru HD

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