BPH Oxygen Tank

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REQUISITION AND ISSUE SLIP

Province Of Batangas
Provincial Health Office

Division: Responsibility Center RIS No.: Date:


Office: Code: PO E2021- 009E SAI No.: Date:
Requisition Issuance
Stock No. Unit Description Quantity Quantity Remarks
tanks Medical Oxygen Tanks with Complete Accessories and 43 43
Content

Purpose: For use of BATANGAS PROVINCIAL HOSPITAL

Requested by: Approved by: Issued by: Received by:


Signature :
ROSVILINDA M. OZAETA, MD.
Printed Name : MPH., FPSMSI
SHARON G. BENITEZ
Designation : Provincial Health Officer II ADMIN OFFICER1
Date :

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