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Date : 16 Mei 2023

Form No :
User Requisition Division :

PT Mira Bell Hospital Page :

No. Item Name Remark Qty Unit Status

1 Re-Sertifikasi AE-LIFT 630kg / 8 Person 1


2 Re-Sertifikasi Penangkal Petir 1
3 Re-Sertifikasi Generator Set 125-150 kVA 1

Required for : untuk pemenuhan syarat akreditasi Klinik MiraBell 2023/2024 dalam kriteria Keselamatan
Kerja
Requested by Checked by Acknowledged by: Approved by

: Randy Setiawan Logistic Purchasing

Date :

Form No :
User Requisition Division :

PT Mira Bell Hospital Page :

No. Item Name Remark Qty Unit Status

Required for :
Requested by Checked by Acknowledged by: Approved by

Logistic Purchasing

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