Surabaya, 29 Juli 2022

Hospital & Medical Supplier To: RSUD. H. Hanafie

ka Muara Bungo

JAMBI
SURAT JALAN

No. Nama Implant Satuan Jumlah

Cortex Screw 4,5mm L=26mm (TITANIUM) Pcs 5

Cortex Screw 4,5mm L=28mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=30mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=32mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=34mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=36mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=38mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=40mm (TITANIUM) Pcs 5
Cortex Screw 4,5mm L=42mm (TITANIUM) Pcs 5

LC Screw 5,0mm L=26mm (TITANIUM) Pcs 5

LC Screw 5,0mm L=28mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=30mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=32mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=34mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=36mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=38mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=40mm (TITANIUM) Pcs 5
LC Screw 5,0mm L=42mm (TITANIUM) Pcs 5

LC Cancellous Screw 5,0mm L=40mm (TITANIUM) Pcs 3

LC Cancellous Screw 5,0mm L=45mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=50mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=55mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=60mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=65mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=70mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=75mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=80mm (TITANIUM) Pcs 3
LC Cancellous Screw 5,0mm L=85mm (TITANIUM) Pcs 3

LCP Lateral Tibia 05 Holes Left (TITANIUM) Pcs 1

LCP Lateral Tibia 06 Holes Left (TITANIUM) Pcs 1
LCP Lateral Tibia 07 Holes Left (TITANIUM) Pcs 1
LCP Lateral Tibia 08 Holes Left (TITANIUM) Pcs 1
LCP Lateral Tibia 09 Holes Left (TITANIUM) Pcs 1
LCP Lateral Tibia 10 Holes Left (TITANIUM) Pcs 1
LCP Lateral Tibia 11 Holes Left (TITANIUM) Pcs 1
LCP Lateral Tibia 12 Holes Left (TITANIUM) Pcs 1

LCP Lateral Tibia 05 Holes Right (TITANIUM) Pcs 1

LCP Lateral Tibia 06 Holes Right (TITANIUM) Pcs 1
LCP Lateral Tibia 07 Holes Right (TITANIUM) Pcs 1
LCP Lateral Tibia 08 Holes Right (TITANIUM) Pcs 1
LCP Lateral Tibia 09 Holes Right (TITANIUM) Pcs 1
LCP Lateral Tibia 10 Holes Right (TITANIUM) Pcs 1
LCP Lateral Tibia 11 Holes Right (TITANIUM) Pcs 1
LCP Lateral Tibia 12 Holes Right (TITANIUM) Pcs 1
 INSTRUMENT
Drill Bit 3,2MM Pcs 2
LC LCP Drill Bit 4,3MM Pcs 2
LC LCP Drill Sleeve 5,0MM Pcs 2
Screw Driver Torque 5.0mm Handle Pcs 1
Shaft Screw Driver 5.0mm Pcs 1
Bone Tapper 4,5MM Pcs 1
Depth Gauge (Large) Pcs 1

Yang Menerima Approved Yang Menyerahkan