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Surat Jalan

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Surat Jalan

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Rizka Maulanie124

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SURAT JALAN

Kepada Yth.
Ibu Ethy Friseva
Di
RSUD Kota Kalampangan

No Nama Barang Jumlah Keterangan

1 Baygon Aerosol 750ml 10 Btl
2 Stella Aerosol 15 Btl
3 Cling 10 Btl
4 Daia 770 gr 15 Bks
5 Keset Kain 15 Pcs
6 Keset Karet 6 Pcs
7 Sikat Toilet 15 Pcs
8 Handuk Kecil 10 Pcs

Pengantar Penerima

( ) ( )

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