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    Form Belanja Dapur

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    Anjar Bayu Pratiwi
    This document is a request for food supplies for hospital patients. It includes a list of food items needed, such as rice, sugar, eggs, cooking oil, vegetables, fruits, and seasoning. The quantities, unit prices, and total amounts are provided for each item. At the bottom, the document is signed by the person who prepared the request, their manager, and the finance manager for approval of the purchases.

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    Form Belanja Dapur

    Uploaded by

    Anjar Bayu Pratiwi
    34 views3 pages
    This document is a request for food supplies for hospital patients. It includes a list of food items needed, such as rice, sugar, eggs, cooking oil, vegetables, fruits, and seasoning. The quantities, unit prices, and total amounts are provided for each item. At the bottom, the document is signed by the person who prepared the request, their manager, and the finance manager for approval of the purchases.

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    This document is a request for food supplies for hospital patients. It includes a list of food items needed, such as rice, sugar, eggs, cooking oil, vegetables, fruits, and seasoning. The quantities, unit prices, and total amounts are provided for each item. At the bottom, the document is signed by the person who prepared the request, their manager, and the finance manager for approval of the purchases.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as rtf, pdf, or txt
    34 views3 pages

    Form Belanja Dapur

    Uploaded by

    Anjar Bayu Pratiwi
    This document is a request for food supplies for hospital patients. It includes a list of food items needed, such as rice, sugar, eggs, cooking oil, vegetables, fruits, and seasoning. The quantities, unit prices, and total amounts are provided for each item. At the bottom, the document is signed by the person who prepared the request, their manager, and the finance manager for approval of the purchases.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
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    of 3

    PENGAJUAN BELANJA

    INSTALASI GIZI

    Untuk Konsumsi Pasien Tanggal : .......... s.d ......... Bulan ................................ 20


    Jumlah Nama Barang Harga Realisasi Jumlah Nama Barang Harga Realisasi
    Bahan Makanan Pokok Lauk Pauk
    Kg Beras kg Ayam kecil
    Kg Gula Pasir kg Ayam Besar
    Kg Gula Merah kg Telur
    Kg Tepung Beras Biji Tahu
    Kg Tepung Terigu Biji Tempe
    Btl Kecap Manis Kg Daging
    Btl Saus Tiram Toples Sosis
    Pak Teh
    Sachet Kopi
    Sachet Susu Bubuk
    Kaleng Susu Kental Manis Bumbu dan Rempah-rempah
    Pak Garam Kg Bawang Merah
    Pak Bihun Kg Bawang Putih
    Kg Makroni Kg Bawang Bombay
    Sachet Agar-agar Kg Daun Seledri
    Bungkus Roti Tawar Kg Bawang Prei
    Cup Selai Bungkus Bumbu Soto Ayam
    Liter Minyak Goreng Bungkus Bumbu soto Daging
    Sachet Kecap Bungkus Bumbu Rawon
    Bungkus Ketumbar Bubuk
    Sayuran Bungkus Merica bubuk
    Kg Wortel Kg Lengkuas
    Kg Kentang Kg Kunyit
    Kg Tauge Kg Jahe
    Kg Tauge soto Kg Kunci
    Ikat Sawi Putih Kg Kemiri
    Ikat Sawi Hijau
    Kg Labu
    Kg Jagung Bahan Mentah dan Lain-lain
    Ikat Bayam Sachet Sunlight 800 ml
    Kg Gambas Tabung Elpiji 12 kg
    Kg Tomat Lusin Mika Plastik
    Ikat Kacang Panjang Pak Tusuk Buah
    Pak Plastik ½ kg
    Buah-buahan Pak Plastik 1 kg
    Kg Pisang Pak Plastik 2 kg
    Kg Melon Pak Plastik Wraping
    Kg Pepaya Pak Tisu
    Kg Jambu Pak Handscoon
    Kg Sirsak Pak Sendok Plastik
    Kg Alpukat Parkir
    Kg Apel Transport
    Kg Pir 30% Biaya Tak Terduga
    Kg Semangka Sisa belanja terakhir
    Kg Jeruk

    Jumlah
    Kesamben, ...............................................20
    Disiapkan oleh, Mengetahui Disetujui oleh,

    Eka Wulan Suci Rahayu, Amd.Gz Dr. H. Dwi Prasetyo OAW Dr. Ilham Wahid
    Ahli Gizi Manager Yanmed Manager Keuangan

    PENGAJUAN BELANJA
    INSTALASI GIZI

    Untuk Konsumsi Pasien Tanggal : .......... s.d .........


    Bulan ................................ 20

    NAMA
    JUMLAH HARGA
    BARANG
    Kg Beras
    Kg Gula Pasir
    Box Aqua
    Kg Telur
    Sachet Sunlight 800 ml
    Pak Plastik Wraping
    Pak Tisu
    Jumlah

    Kesamben, ...........................................20
    Disiapkan oleh, Mengetahui, Disetujui oleh,

    Eka Wulan Suci Rahayu, Amd, Gz Dr. H. Dwi Prasetyo OAW Dr. Ilham Wahid
    Ahli Gizi Manager Yanmed Manager Keuangan

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