PURCHASE ORDER

CLINIC ( SHE Departement )

Project SUMBAWA Site Pangulir
Date : 16 Dec 17
Arrived date :

NO Description Qty UoM Remark

1 Sabu ( serum anti bisa ular ) 5 vial Expired 2020
2 Norit 10 tube
3 combantrin 250 (pirantel pamoat ) tablet 10 box
4 betadine zalf 5g 1 box
5 hansaplast rol kain 1,25 cmx 1m 1 box
6 ringer laktat 10 botol
7 y rins 120 ml 10 botol
8 tensocrepe ( elastic bandace ) 10 buah 7,5 x 4,5 m ( terenta
9 caladin lotion 95 ml 10 botol
10

Prepared by, Aknowledge by,

sarimansyah dr. bejo utomo

MOD DOD
 Remark
Expired 2020

7,5 x 4,5 m ( terentang )

Approved by,

M Aris Setiawan
SHE Dept
PURCHASE ORDER
CLINIC ( SHE Departement )
Project SUMBAWA Site Pangulir
Date : 20 Apr 16
Arrived date :

Injection and Topical

NO Description Qty UoM Remark

Prepared by, Aknowledge by, Approved by,

Sarimansyah dr. Bejo Utomo Mateus

MOD DOD SHE Dept
PURCHASE ORDER
CLINIC ( SHE Departement )
Project SUMBAWA Site Pangulir
Date : 16 Dec 17
Arrived date :

Alkes
NO Description Qty UoM Remark
1 gunting 10 Buah buat p3k
2 tensocrepe elastis bandage 10 Buah 7,5 CM x 4,5 M
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Prepared by, Aknowledge by, Approved by,

dr. Bejo Utomo dr. Bejo Utomo M Aris Setiawan

DOD DOD SHE Dept
Approved by,

Aris Setiawan