Top Up Jateng 13.12.23

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PERMINTAAN TOP UP JATENG

PT. MEDIKA SEJAHTERA DELAPAN


PERUMAHAN GRAND PANORAMA BLOK D3 No. 7, PUDAK PAYUNG, BANYUMANIK, SEMARANG
Telepon : (021) 22908174 / 0811 - 8385 – 788
Email : [email protected], Website : https://medikasejahteradelapan.com/
Nama RS/PT/DR : PT MEDIKA SEJAHTERA DELAPAN Tanggal : 13 DESEMBER 2023
Perihal : PERMIANTAAN TOP UP JATENG

No. Art No. Nama Barang SIZE QTY


ACETABULUM CUP CEMENTLESS 44/38 3
ACETABULUM CUP CEMENTLESS 46/38 3

FEMORAL HEAD (CoCrMo) 28 M 1


FEMORAL HEAD (CoCrMo) 28L 1

FASTENING SCREW / SCREW HIP 3.0 X 30 6


FASTENING SCREW / SCREW HIP 3.0 X 35 6
FASTENING SCREW / SCREW HIP 3.0 X 25 2

BIO TYPE/FEMORAL STEM CEMENTLESS 1 - 4/129 1


BIO TYPE/FEMORAL STEM CEMENTLESS 2 - 5/131 2

CEMENTED FEMORAL STEM 5 - 150 1

LINER 28/38 4

TIBIA BASE PLATE TRAY C-61/40 2


TIBIA BASE PLATE TRAY D-64/42 2
TIBIA BASE PLATE TRAY E-67/44 2

TIBIA INSERT (P/F-XPE) CD-61/40-08 3

TIBIA INSERT (P/F-XPE) EF-67/44-08 2

FEMORAL COMPONENT (RIGHT) 2R-59/54 2


FEMORAL COMPONENT (RIGHT) 3R-62/57 2
FEMORAL COMPONENT (RIGHT) 4R-65/59 2

FEMORAL COMPONENT (LEFT) 2L-59/54 1


FEMORAL COMPONENT (LEFT) 3L-62/57 1
FEMORAL COMPONENT (LEFT) 4L-65/59 1

GUDANG NOTE : ADMIN PENGIRIM

ALVIN ALVIN

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