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PT NIPRO INDONESIA JAYA PAGE 1 OF 1
LEMBAR RANGKUMAN CATATAN SEJARAH PRODUK SUB ASSY KE INTERMEDIATE
SUMMARY HISTORY RECORD SHEET OF SUB ASSY PRODUCT TO INTERMEDIATE

MODEL: NO LOT: QTY:
ONE CELL SUB ASSY
INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY A LOT:
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:
APPROVED BY WRITE BY
BT-063-1-001-02 Rev 01 M . Fajar Chesari

M. Fajar Nurul Hafidah


MODEL: A003(M1) / V612(M1) NO LOT: QTY:
ONE CELL SUB ASSY
DR 2 RED WITH CAP 100 FL ASSY 1A 300 DR 1 A2 OTT 39 DR 2 RED WITH CAP 100
DR 2 RED WITH CAP 100 FL ASSY 1A 300 DR 1 A2 OTT 39 DR 2 RED WITH CAP 100
FL ASSY 1A 300 DR 1 A2 OTT 39 DR 2 RED WITH CAP 100
FL ASSY 1A 300 DR 1 A2 OTT 39
FL ASSY 1A 300 DR 1 A2 OTT 39
DR 1 A2 OTT 39
INJ RED PROCESS: LOT:
INJ RED
INJ RED
NP 44 67 1500 PROCESS: RE ASSY 1A LOT:
NP 44 67 1500 LC RED
NP 44 67 1500 LC RED
NP 44 67 1500 LC RED
FL ASSY 1V 500 PROCESS: DR ASSY V LOT:
FL ASSY 1V 500 DR 1 M6 DR 2 BLUE WITH CAP 100
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
INJ BLUE PROCESS: RE ASSY 1V LOT:
INJ BLUE LC BLUE
INJ BLUE LC BLUE
MAIN TUBE 4.4X6.6X200 PROCESS: LOT:
MAIN TUBE 4.4X6.6X200


MODEL: A025(M1) / V612 (M1) NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 1A 300 DR 1 C6 DR 2 RED WITH CAP 100
DR 1 C6 DR 2 RED WITH CAP 100
DR 1 C6
INJ RED PROCESS: RE ASSY 1A LOT:
INJ RED LC RED
LC RED
DR 1 M6 DR 2 BLUE WITH CAP 100
DR 1 M6
DR 1 M6
INJ BLUE LC BLUE
INJ BLUE LC BLUE
INJ BLUE LC BLUE
INJ BLUE


MODEL: A031(PERU2) / V608(P) NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 2A 750 DR 1 Q5 FL ASSY 2A 750
FL ASSY 2A 750 FL ASSY 2A 750
AL ASSY A 100 PROCESS: RE ASSY 1A LOT:
AL ASSY A 100 LC RED
LC RED
LC RED
MAIN TUBE 4.4X6.6X300 PROCESS: DR ASSY V LOT:
MAIN TUBE 4.4X6.6X300 DR 1 M6 DR 2 BLUE WITH CAP 100
MAIN TUBE 4.4X6.6X300 DR 1 M6 DR 2 BLUE WITH CAP 100
MAIN TUBE 4.4X6.6X300 DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
INJ RED PROCESS: LC BLUE LOT:
INJ RED LC BLUE
INJ RED LC BLUE
INJ RED
FL ASSY 2V 400 PROCESS: LOT:
FL ASSY 2V 400
FL ASSY 2V 400
INJ BLUE PROCESS: LOT:
INJ BLUE
INJ BLUE


MODEL: A209Y / V803 NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 2A 500 DR 1 P2 OTT 45 DR 2 RED WITH CAP 100
DR 1 P2 OTT 45 DR 2 RED WITH CAP 100
DR 1 P2 OTT 45 DR 2 RED WITH CAP 100
INJ RED PROCESS: AL ASSY A LOT:
INJ RED AL ASSY A 100
INJ RED
PRIMING SET PROCESS: RE ASSY 1 LOT:
PRIMING SET LC RED
PRIMING SET LC RED
PRIMING SET LC RED
PRIMING SET LC RED
LC RED
FL ASSY 2V 300 DR 1 L2 OT 25 DR 2 BLUE WITH CAP 100
DR 2 BLUE WITH CAP 100
INJ BLUE LC BLUE
INJ BLUE LC BLUE
INJ BLUE LC BLUE
INJ BLUE LC BLUE
LC BLUE


MODEL: A025 (M4) NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 2A 300 DR 1 A2 OTT 44 DR 2 RED WITH CAP 100
INJ RED PROCESS: DR 2 ASSY LOT:
AIR LINE TUBE 3.5X5.5X100
LC RED
PROCESS: PILLOW ASSY LOT:
NP 44 100 (400)
NP 44 100 (400)
PROCESS: LOT:
PROCESS: RE ASSY 1 A LOT:
LC RED
PROCESS: LOT:



MODEL: V703 NO LOT: QTY:
ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY V LOT:
FL ASSY 1V 1000 DR 1 M6 AIR LINE TUBE 3.5X5.5X150
FL ASSY 1V 1000 DR 1 M6 AIR LINE TUBE 3.5X5.5X150
FL ASSY 1V 1000 DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
INJ BLUE
INJ BLUE DR 1 M6
INJ BLUE DR 1 M6
INJ BLUE DR 1 M6
DR 1 M6
PROCESS: RE ASSY V LOT:
LC BLUE
LC BLUE
LC BLUE
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:



MODEL: A315 NO LOT: QTY:
ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: FL ASSY 4A LOT:
INJ RED KUCING CAP ASSY 20 DROP
KUCING CAP ASSY 20 DROP
PROCESS: LOT:
PROCESS: RE ASSY 1A LOT: 2010152
LC RED
LC RED
LC RED


MODEL: V602 (B) NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 3V 500 DR 1 R4 DR 2 BLUE WITH CAP 100
FL ASSY 3V 500 DR 1 R4
FL ASSY 3V 500 INJ BLUE
INJ BLUE DR 1 R4
INJ BLUE
INJ BLUE
INJ BLUE
INJ BLUE
PROCESS: RE ASSI V LOT:
LC BLUE
LC BLUE
LC BLUE
LC BLUE
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:


MODEL: A007+ NO LOT: QTY:
ONE CELL SUB ASSY
DR 2 RED WITH CAP 100 DR 1 C6 DR 2 RED WITH CAP 100
NP 44 100 (1400) PROCESS: LOT:
INJ RED PROCESS: FL ASSY 3A LOT:
PROCESS: RE ASSY 1 A LOT:
LC RED
PROCESS: LOT:
PROCESS: LOT:



MODEL: V602 NO LOT: QTY:
ONE CELL SUB ASSY
INJ BLUE DR 1 M6 DR 2 BLUE WITH CAP 100
INJ BLUE DR 1 M6 DR 2 BLUE WITH CAP 100
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
MAIN TUBE 4.4X6.6X200 PROCESS: FL ASSY 3V LOT:
MAIN TUBE 4.4X6.6X200 AIR LINE TUBE3.5X5.5X300
MAIN TUBE 4.4X6.6X200 AIR LINE TUBE3.5X5.5X300
TPPP SURE PROCESS: RE ASSI V LOT:
TPPP SURE LC BLUE
TPPP SURE LC BLUE
TPPP SURE
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:


ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: RE ASSY A LOT:
MAIN TUBE 4.4X6.6X200 LC RED
DR 2 RED WITH CAP 100 PROCESS: LOT:
DR 2 RED WITH CAP 100
AL ASSY A 700 PROCESS: LOT:
AL ASSY A 700
AL ASSY A 700
AL ASSY A 700
AL ASSY A 700
AL ASSY A 700
AL ASSY A 700
AL ASSY A 700
INJ RED
INJ RED
INJ RED
INJ RED
INJ RED
INJ RED
INJ RED
INJ RED
INJ RED
PROCESS: LOT:


MODEL: A105(P) / V671 NO LOT: QTY:
ONE CELL SUB ASSY
NP 44 50 (50) DR 1 A1 OT 25 FL ASSY 3A 300
NP 44 50 (50) DR 1 A1 OT 25 FL ASSY 3A 300
NP 44 50 (50) DR 1 A1 OT 25 FL ASSY 3A 300
NP 44 50 (50)
FL ASSY 2A 500 INJ RED PROCESS: RE ASSY A LOT:
FL ASSY 2A 500 LC RED
FL ASSY 2A 500
FL ASSY 2A 500
AL ASSY A 100 PROCESS: LOT:
AL ASSY A 100
PRIMING SET MAIN TUBE 1600 PROCESS: DR ASSY V LOT:
PRIMING SET MAIN TUBE 1600 DR 1 M6 DR 2 BLUE WITH CAP 100
PRIMING SET MAIN TUBE 1600 DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
FL ASSY 2V 500 BAG ASSY 100 BLUE PROCESS: RE ASSY 1V LOT:
FL ASSY 2V 500 BAG ASSY 100 BLUE LC BLUE
FL ASSY 2V 500 BAG ASSY 100 BLUE LC BLUE
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE
INJ BLUE
INJ BLUE


MODEL: A105(P) / V671 MULTI NO LOT: QTY: 7368
ONE CELL SUB ASSY
NP 44 100 200 AIR LINE TUBE 3.5X5.5X300
NP 44 100 200 AIR LINE TUBE 3.5X5.5X300
NP 44 100 200 Z
NP 44 100 200
NP 44 100 200
NP 44 100 200
NP 44 100 200
FL ASSY 2A 500 INJ RED PROCESS: RE ASSY A LOT:
FL ASSY 2A 500 INJ RED LC RED
FL ASSY 2A 500 INJ RED LC RED
AL ASSY A 100 21B08-82 DR 1 C8 OTT 44 PROCESS: LOT:
AL ASSY A 100 21B08-12 DR 1 C8 OTT 44
DR 1 C8 OTT 44
DR 1 C8 OTT 44
DR 1 C8 OTT 44
DR 1 C8 OTT 44
PRIMING SET MAIN TUBE 1600 PROCESS: DR ASSY V LOT:
PRIMING SET MAIN TUBE 1600 DR 1 M6 DR 2 BLUE WITH CAP 100
DR 1 M6
DR 1 M6
FL ASSY 2V 500 PROCESS: RE ASSY 1V LOT:
FL ASSY 2V 500 LC BLUE
INJ BLUE
INJ BLUE
INJ BLUE
INJ BLUE
INJ BLUE


MODEL: A105(8mm) / V671 (D) NO LOT: QTY: 7368
ONE CELL SUB ASSY
NP 44 100 200 DR 1 C8 OT 32 FL ASSY 3A 300
NP 44 100 200 DR 1 C8 OT 32 FL ASSY 3A 300
NP 44 100 200 DR 1 C8 OT 32 FL ASSY 3A 300
NP 44 100 200 DR 1 C8 OT 32
NP 44 100 200
FL ASSY 2A 500 INJ RED PROCESS: PU ASSY A LOT:
FL ASSY 2A 500 INJ RED
FL ASSY 2A 500
FL ASSY 2A 500
AL ASSY A 100 PROCESS: RE ASSY A LOT:
AL ASSY A 100
AL ASSY A 100
AL ASSY A 100
PRIMING SET PROCESS: DR ASSY V LOT:
PRIMING SET DR 1 M6 DR 2 BLUE WITH CAP 100
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
FL ASSY 2V 500 BAG ASSY 100 BLUE
FL ASSY 2V 500 BAG ASSY 100 BLUE DR 1 M6
BAG ASSY 100 BLUE DR 1 M6
BAG ASSY 100 BLUE
INJ BLUE LC BLUE
LC BLUE
LC BLUE
INJ BLUE


MODEL: A071I / V648I NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 3A 500 DR 1 C8
DR 1 C8
AL ASSY A 100 PROCESS: RE ASSY A LOT:
LC RED
INJ RED PROCESS: DR ASSY A LOT:
INJ RED DR 1 M6 DR 2 BLUE WITH CAP 80
DR 1 M6
DR 1 M6
FL ASSY 2V 500 PROCESS:RE ASSY V LOT:
INJ BLUE
PROCESS: LOT:


MODEL: A315 / V703 NO LOT: QTY:
ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: FL ASSY 4A LOT:
FL ASSY 1X 310 PROCESS: LOT:
FL ASSY 1X 310
FL ASSY 1X 310
MAIN TUBE 4.4X6.6X150 PROCESS: RE ASSY 1A LOT: 2010152
LC RED
LC RED
MAIN TUBE 4.4X6.6X100 PROCESS: DR 1 M6 LOT:
MAIN TUBE 4.4X6.6X100 DR 1 M6 AIR LINE TUBE 3.5X5.5X150
DR 1 M6 AIR LINE TUBE 3.5X5.5X150
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
FL ASSY 1V 300
FL ASSY 1V 300
PROCESS: RE ASSY 1V LOT:
LC BLUE
LC BLUE
LC BLUE


MODEL: A315(D) / V703 NO LOT: QTY:
ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: AL ASSY A90 LOT:
INJ RED AL ASSY X20 AIR LINE TUBE 90
INJ RED AL ASSY X20
INJ RED AL ASSY X20
PROCESS: FL ASSY 4A LOT:
FL ASSY 1V 1000 PROCESS: RE ASSY 1A LOT:
FL ASSY 1V 1000 LC RED
INJ BLUE PROCESS: DR 1 M6 LOT:
INJ BLUE DR 1 M6 AIR LINE TUBE 3.5X5.5X150
INJ BLUE DR 1 M6 AIR LINE TUBE 3.5X5.5X150
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
PROCESS: DR 1 M6 LOT:
DR 1 M6 20D22-42
LC BLUE
LC BLUE
LC BLUE


MODEL: A016+R / V604R NO LOT: QTY:
ONE CELL SUB ASSY
AL ASSY A100 FL ASSY 1A 700 DR 1 E4 DR 2 RED WITH CAP 100
AL ASSY A100 FL ASSY 1A 700 DR 1 E4 DR 2 RED WITH CAP 100
FL ASSY 1A 700 DR 2 RED WITH CAP 100
INJ RED LC RED
LC RED
MAIN TUBE 4.4X6.6X300 PROCESS:
FL ASSY 1V 600 DR 1 O4 DR 2 BLUE WITH CAP 100
FL ASSY 1V 600 DR 1 O4 DR 2 BLUE WITH CAP 100
FL ASSY 1V 600 DR 1 O4
DR 1 O4
DR 1 O4
INJ BLUE LC BLUE
LC BLUE


MODEL: A186R-V754R-BID NO LOT: QTY:
ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY LOT:
AL ASSY A 100 FL ASSY 3A 500 DR 1 C8 DR 2 RED WITH CAP 100
MAIN TUBE 4.4X6.6X60 PROCESS: RE ASSY 1A LOT:
MAIN TUBE 4.4X6.6X60 LC RED + SPIKE NEEDLE
INJ RED PROCESS: DR ASSY V LOT:
NP 44 50 1000 PROCESS: RE ASSY V LOT:
LC BLUE
INJ BLUE
BAG ASSY 100 BLUE PROCESS: LOT:
FL ASSY 3V 500 20D28-41 CONSURE D PROCESS: LOT:



ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY 22R-1 LOT:
DR 1 Q5 FL ASSY 1A 250
DR 1 Q5 FL ASSY 1A 250
PRIMING SET A197R FL ASSY 1A 250
PRIMING SET A197R
FL ASSY 1A 250 PROCESS:DR ASSY A HARD LOT:
FL ASSY 1A 250 DR 1 P2 OT 95 DR 2 RED WITH CAP 100
DR 1 P2 OT 95 DR 2 RED WITH CAP 100
INJ RED PROCESS: RE ASSY A LOT:
LC RED + SPIKE NEEDLE
CONSURE B
CONSURE B
FL ASSY 1V 250 DR 1 M6 OTT 40 DR 2 BLUE WITH CAP 100
FL ASSY 1V 250 DR 2 BLUE WITH CAP 100
FL ASSY 1V 250 DR 2 BLUE WITH CAP 100
INJ BLUE PROCESS: AL ASSY V LOT:
INJ BLUE AL ASSY V 100
AL ASSY V 100
BAG ASSY 100 BLUE PROCESS: RE ASSY 1V LOT:
BAG ASSY 100 BLUE LC BLUE
EXT PUMP


ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY 22R-1 LOT:
PRIMING SET A196R DR 1 Q5 FL ASSY 1A 250
PRIMING SET A196R
FL ASSY 1A 250 PROCESS:DR ASSY A HARD LOT:
DR 1 P2 OT 95
INJ RED PROCESS: RE ASSY A LOT:
CONSURE B
FL ASSY 1V 250 DR 1 M6 OTT 40 DR 2 BLUE WITH CAP 100
LC BLUE
BAG ASSY 100 BLUE



ONE CELL SUB ASSY
FL ASSY 1 A 500 DR ASSY ARTERI A183R
DR ASSY ARTERI A183R
DR ASSY ARTERI A183R
MAINTUBE 4.4X6.6X100 PROCESS: RE ASSY A
INJ RED PROCESS: DR ASSY V
CONSURE A PROCESS: RE ASSY 1 V
LC BLUE
LC BLUE
FL ASSY 1X 500
MAINTUBE 4.4X6.6X300
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE



ONE CELL SUB ASSY
DR 2 RED WITH CAP 100 DR 2 A 3.0X5.5X100 INJ RED 20D0212-A
DR 2 A 3.0X5.5X100
FL ASSY 1V 400 PROCESS: RE ASSY A LOT:
INJ BLUE PROCESS: AL ASSY 1A 550 LOT:
FL ASSY 1A 550
FL ASSY 1A 550
DRAIN BAG ASSY PROCESS: DR ASSY V LOT:
DRAIN BAG ASSY DR 1 M7 DR 2 BLUE WITH CAP 100
LC BLUE
PROCESS: EXPANSION CHAMBER LOT:
FL ASSY 1 V 550
FL ASSY 1 V 550


MODEL: A254(M) / V779 (M) NO LOT: QTY:
ONE CELL SUB ASSY
AL ASSY A 100 DR 1 A3 DER 2 RED WITH CAP 100
AL ASSY A 100 DR 1 A3
DR 1 A3
NP 44 100 (200) PROCESS:RE ASSY A LOT:
NP 44 100 (200) LC RED
NP 44 100 (200) LC RED
NP 44 100 (200)
NP 44 100 (200)
NP 44 100 (200)
PRIMING SET BTS MAIN TUBE 1600 INJ RED PROCESS: LOT:
PRIMING SET BTS MAIN TUBE 1600
FL ASSY 2V 500 DR 1 M6
DR 1 M6
DR 1 M6
LC BLUE
INJ BLUE
PROCESS: LOT:


MODEL: NS 2060-15 NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 3 500 DR 1 L2 OTT 25 DR 2 RED WITH CAP 100
FL ASSY 3 500 DR 1 L2 OTT 25 DR 2 RED WITH CAP 100
FL ASSY 3 500 DR 1 L2 OTT 25
AL ASSY A100 NP 44 100 (100) PROCESS: RE ASSY 1 A LOT:
AL ASSY A100 NP 44 100 (100) LC RED
NP 44 100 (100) LC RED
NP 44 100 (100)
NP 44 100 (100)
NP 44 100 (100)
INJ RED DR 1 L2 0TT 25 DR 2 BLUE WITH CAP 100
INJ RED DR 1 L2 0TT 25
INJ RED DR 1 L2 0TT 25
PRIMING SET BTS MAINTUBE 1240 PROCESS: RE ASSY 2 V LOT:
LC BLUE
LC BLUE
INJ BLUE
INJ BLUE
FL ASSY 5V 2.59X3.83X800 PROCESS: LOT:
FL ASSY 5V 2.59X3.83X800
FL ASSY 5V 2.59X3.83X800
PROCESS: LOT:


ONE CELL SUB ASSY
MAIN TUBE 4.4X6.6X100 DR 1 Q5 DR 2 RED WITH CAP 100
DR 1 Q5
DR 1 Q5
FL ASSY 2A 500 M PROCESS: RE ASSY 3A LOT:
FL ASSY 2A 500 M LC RED + SPIKE NEEDLE
INJ RED
INJ RED
INJ RED
INJ RED
PRIMING SET PROCESS: DR ASSY V LOT:
PRIMING SET DR 1 M7
PRIMING SET DR 1 M7
FL ASSY 2V 500 CONSURE B PROCESS: RE ASSY V LOT:
FL ASSY 2V 500 CONSURE B LC BLUE
FL ASSY 2V 500 CONSURE B LC BLUE
BAG ASSY 60 BLUE INJ BLUE PROCESS: LOT:
BAG ASSY 60 BLUE INJ BLUE
BAG ASSY 60 BLUE
BAG ASSY 60 BLUE



ONE CELL SUB ASSY
MAIN TUBE 4.4X6.6X100 DR 1 C8 DR 2 RED WITH CAP 100
DR 1 C8 DR 2 RED WITH CAP 100
DR 1 C8
DR 1 C8
FL ASSY 1A 600 PROCESS: RE ASSY A LOT:
AL ASSY A 100 CONSURE B PROCESS: DR ASSY V LOT:
AL ASSY A 100 CONSURE B DR 1 M7 DR 2 BLUE WITH CAP 100
AL ASSY A 100 CONSURE B DR 1 M7 DR 2 BLUE WITH CAP 100
DR 1 M7
DR 1 M7
DR 1 M7
DR 1 M7
PRIMING SET INJ RED PROCESS: RE ASSY V LOT:
PRIMING SET INJ RED LC BLUE
PRIMING SET INJ RED
PRIMING SET
PRIMING SET
PRIMING SET
FL ASSY 1V 600
FL ASSY 1V 600
FL ASSY 1V 600
FL ASSY 1V 600
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE MAIN TUBE 4.4X6.6X300



MODEL: A372R-V858R-BID DINCH NO LOT: QTY:
ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT PROCESS: FL ASSY 1 A & AL ASSY 100 LOT:
PU ASSY TP LSG
PU ASSY TP LSG
PU ASSY
PU ASSY
PU ASSY AIR LINE TUBE 3.5X5.5X100
PU ASSY
PU ASSY
INJ RED LC RED
INJ RED
INJ RED
INJ RED
INJ BLUE PROCESS: DR ASSY V LOT:
INJ BLUE DB 33
INJ BLUE DB 33
INJ BLUE
ORIFICE 536X7.8X32 (POINTED)
ORIFICE 536X7.8X32 (POINTED)
EL LUER SURE PROCESS: FL ASSY 1 V LOT:
EL LUER SURE TP LSG
TP LSG
MAIN TUBE 3.5X5.5X300 PROCESS: RE ASSY 1V LOT:
LC BLUE
PROCESS: EXTENTION LINE LOT:
LC BLUE
LC BLUE
LC BLUE
LC BLUE




ONE CELL SUB ASSY
DR 1 C8
DR 1 C8
FL ASSY 2A 500 PROCESS: RE ASSY A LOT:
LC RED
AL ASSY A 100 NP 44 50 1000 PROCESS: DR ASSY V LOT:
AL ASSY A 100 NP 44 50 1000 DR 1 M6 DR 2 BLUE WITH CAP 100
AL ASSY A 100 NP 44 50 1000 DR 1 M6 DR 2 BLUE WITH CAP 100
AL ASSY A 100 NP 44 50 1000 DR 1 M6
NP 44 50 1000 DR 1 M6
NP 44 50 1000 DR 1 M6
DR 1 M6
DR 1 M6
INJ RED DR 1 M6
INJ RED
INJ RED
FL ASSY 1V 500 PROCESS: RE ASSY V LOT:
INJ BLUE
INJ BLUE
INJ BLUE


ONE CELL SUB ASSY
INJ RED DR 1 A2 OT 25 AIR LINE TUBE 3.5X5.5X20
INJ RED DR 1 A2 OT 25
INJ RED
INJ RED
INJ RED
FL ASSY 5V 600 PROCESS: FL ASSY 6 A LOT:
FL ASSY 5V 600 AIR LINE TUBE 3.5X5.5X20
FL ASSY 5V 600 AIR LINE TUBE 3.5X5.5X20
FL ASSY 5V 600
INJ BLUE PROCESS: DR 2 ASSY RED LOT: 2011161
INJ BLUE AIR LINE TUBE 3.5X5.5X20
INJ BLUE AIR LINE TUBE 3.5X5.5X20
INJ BLUE
MKAIN TUBE 4.4X6.6X200 PROCESS: RE ASSY 1 A LOT: 2011171
MKAIN TUBE 4.4X6.6X200
PROCESS: DR ASSY V LOT:
DR 1 F2 OT 25 AIR LINE TUBE 3.5X5.5X20
DR 1 F2 OT 25 AIR LINE TUBE 3.5X5.5X20
DR 1 F2 OT 25
DR 1 F2 OT 25
DR 1 F2 OT 25
DR 1 F2 OT 25
PROCESS: RE ASSY 1 V LOT:
LC BLUE
LC BLUE
LC BLUE



MODEL: A291R V802R NO LOT: QTY:
ONE CELL SUB ASSY
FL ASSY 1A 550 DR ASSY ARTERI
FL ASSY 1A 550 DR ASSY ARTERI
DR ASSY ARTERI
INJ RED PROCESS: Y ASSY A LOT:
FL ASSY 1A 650
FL ASSY 1A 650
AL ASSY A 100 PROCESS: EXPANSION CHAMBER A LOT:
EXPANSION CHAMBER A
EXPANSION CHAMBER A
INJ BLUE PROCESS: RE ASSY 3A LOT:
INJ BLUE LC RED
BAG ASSY 100 BLUE PROCESS: DR ASSY V LOT:
PROCESS: RE ASSY 1 V LOT:
LC BLUE



ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY A HARD LOT:
FL ASSY 1 A 300 DR 1 P2 0TT 95 DR 2 RED WITH CAP 100
INJ RED
AL ASSY A 100 PROCESS: DR R 1 LOT:
DR 1 Q5 FL ASSY 1 A 300
DR 1 Q5 FL ASSY 1 A 300
FL ASSY 1 V 300 PROCESS: DRIP CHAMBBER 2 WAY LOT:
FL ASSY 1 V 300 FL ASSY 1 V 300
FL ASSY 1 V 300
INJ BLUE PROCESS: RE ASSY 3A LOT:
LC RED WITH SPIKE NEEDLE
BAG ASSY 100 BLUE PROCESS: DR ASSY V LOT:
BAG ASSY 100 BLUE DR 1 M7 OTT 40 DR 2 BLUE WITH CAP 100
DR 1 M7 OTT 40 DR 2 BLUE WITH CAP 100
PRIMING SET CONSURE A PROCESS: RE ASSY 1V LOT:
LC BLUE 20G1322-A



ONE CELL SUB ASSY
FL ASSY 1A 550 FL ASSY 1A 350
FL ASSY 1A 550
INJ RED PROCESS: AL ASSY A 100
AL ASSY A 100
AL ASSY A 100
AL ASSY A 100
AL ASSY A 100 PROCESS: RE ASSY 1A
LC RED
LC RED
INJ BLUE PROCESS: DR ASSY V
DR 1 M6
DR 1 M6
BAG ASSY 100 BLUE PROCESS: AL ASSY V LOT:
BAG ASSY 100 BLUE AL ASSY V 100
FL ASSY 1V 350 PROCESS: RE ASSY 1 V LOT:
FL ASSY 1V 350
FL ASSY 1V 350



ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: LOT:
INJ RED PROCESS: RE ASSY 1A LOT: 2007226
INJ RED LC RED
LC RED
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:
PROCESS: LOT:
BT-063-1-001-02 Rev 01
M . Fajar Chesari

ONE CELL SUB ASSY
MAIN TUBE 4.4X6.6X300 DR 1 Q5 FL ASSY 1 A 400
MAIN TUBE 4.4X6.6X300 DR 1 Q5 FL ASSY 1 A 400
MAIN TUBE 4.4X6.6X300 DR 1 Q5
DR 1 Q5
DR 1 Q5
FL ASSY 1X 500
FL ASSY 1X 500
FL ASSY 1X 500
AL ASSY A 100 CONSURE A PROCESS: RE ASSY 1 A
AL ASSY A 100 CONSURE A LCR+ SPIKE NEEDLE
LCR+ SPIKE NEEDLE
LCR+ SPIKE NEEDLE
INJ RED PROCESS: DR ASSY V
INJ RED DR 1 M6
DR 1 M6
DR 1 M6
DR 1 M6
FL ASSY 2X 500 PROCESS: RE ASSY 1 A
FL ASSY 2X 500 LC BLUE
FL ASSY 2X 500 LC BLUE
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE




ONE CELL SUB ASSY
FL ASSY 2 A 300 DR 2 RED WITH CAP 100 DR 1 B2 OTT 45 DR 2 RED WITH CAP 100
DR 1 B2 OTT 45
INJ RED PROCESS: RE ASSY 1 A LOT: 2010276
LC RED
LC RED
MAIN TUBE 4.4X6.6X90 PROCESS: DR ASY V LOT:
MAIN TUBE 4.4X6.6X90 DR 1 L2 OT 25 DR 2 BLUE WITH CAP 100
MAIN TUBE 4.4X6.6X90 DR 1 L2 OT 25 DR 2 BLUE WITH CAP 100
DR 1 L2 OT 25
DR 1 L2 OT 25
DR 1 L2 OT 25
PRIMING SET NP 44 100 (400) PROCESS: RE ASSY 1 V LOT: 2010276
PRIMING SET NP 44 100 (400) LC BLUE
PRIMING SET NP 44 100 (400) LC BLUE
PRIMING SET NP 44 100 (400)
NP 44 100 (400)
FL ASSY 2V 300 INJ BLUE PROCESS: LOT:
INJ BLUE
INJ BLUE
MAINTUBE 4.4X6.6X200 PROCESS: LOT:




ONE CELL SUB ASSY
PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY LOT:
AL ASSY A 100 FL ASSY 1X 600 DR ASSY ARTERI A188R
AL ASSY A 100 FL ASSY 1X 600 DR ASSY ARTERI A188R
MAIN TUBE 4.4X6.6X100 PROCESS: RE ASSY 1A LOT:
INJ RED DR 1 M7
DR 1 M7
PRIMING SET A188R MAIN TUBE 4.4X6.6X300 PROCESS: RE ASSY V LOT:
PRIMING SET A188R LC BLUE
PRIMING SET A188R
PRIMING SET A188R
PRIMING SET A188R
BAG ASSY 100 BLUE PROCESS: LOT:
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE
BAG ASSY 100 BLUE
FL ASSY 1X 600 CONSURE A PROCESS: LOT:
FL ASSY 1X 600

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PT NIPRO INDONESIA JAYA PAGE 1 OF 1

LEMBAR RANGKUMAN CATATAN SEJARAH PRODUK SUB ASSY KE INTERMEDIATE

SUMMARY HISTORY RECORD SHEET OF SUB ASSY PRODUCT TO INTERMEDIATE

ONE CELL SUB ASSY

INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE

PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY A LOT:

BT-063-1-001-02 Rev 01 M . Fajar Chesari

M. Fajar Nurul Hafidah

LEMBAR RANGKUMAN CATATAN SEJARAH PRODUK SUB ASSY KE INTERMEDIATE

SUMMARY HISTORY RECORD SHEET OF SUB ASSY PRODUCT TO INTERMEDIATE

ONE CELL SUB ASSY

INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE

PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY A LOT:

FL ASSY 1A 300 DR 1 A2 OTT 39 DR 2 RED WITH CAP 100

FL ASSY 1A 300 DR 1 A2 OTT 39

FL ASSY 1A 300 DR 1 A2 OTT 39

INJ RED PROCESS: LOT:

NP 44 67 1500 PROCESS: RE ASSY 1A LOT:

FL ASSY 1V 500 PROCESS: DR ASSY V LOT:

FL ASSY 1V 500 DR 1 M6 DR 2 BLUE WITH CAP 100

FL ASSY 1V 500 DR 1 M6 DR 2 BLUE WITH CAP 100

INJ BLUE PROCESS: RE ASSY 1V LOT:

INJ BLUE LC BLUE

INJ BLUE LC BLUE

MAIN TUBE 4.4X6.6X200 PROCESS: LOT:

MAIN TUBE 4.4X6.6X200

BT-063-1-001-02 Rev 01 M . Fajar Chesari

LEMBAR RANGKUMAN CATATAN SEJARAH PRODUK SUB ASSY KE INTERMEDIATE

SUMMARY HISTORY RECORD SHEET OF SUB ASSY PRODUCT TO INTERMEDIATE

ONE CELL SUB ASSY

INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE

PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY A LOT:

FL ASSY 1A 300 DR 1 C6 DR 2 RED WITH CAP 100

FL ASSY 1A 300 DR 1 C6 DR 2 RED WITH CAP 100

FL ASSY 1A 300 DR 1 C6 DR 2 RED WITH CAP 100

DR 1 C6 DR 2 RED WITH CAP 100

INJ RED PROCESS: RE ASSY 1A LOT:

INJ RED LC RED

MAIN TUBE 3.5X5.5X100 PROCESS: LOT:

MAIN TUBE 3.5X5.5X100

FL ASSY 1V 500 PROCESS: DR ASSY V LOT:

DR 1 M6 DR 2 BLUE WITH CAP 100

DR 1 M6 DR 2 BLUE WITH CAP 100

INJ BLUE PROCESS: RE ASSY 1V LOT:

INJ BLUE LC BLUE

INJ BLUE LC BLUE

INJ BLUE LC BLUE

MAIN TUBE 4.4X6.6X200 PROCESS: LOT:

MAIN TUBE 4.4X6.6X200

MAIN TUBE 4.4X6.6X200

BT-063-1-001-02 Rev 01 M . Fajar Chesari

LEMBAR RANGKUMAN CATATAN SEJARAH PRODUK SUB ASSY KE INTERMEDIATE

SUMMARY HISTORY RECORD SHEET OF SUB ASSY PRODUCT TO INTERMEDIATE

ONE CELL SUB ASSY

INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE INTERMEDIATE BY HAND INTERMEDIATE BY MACHINE

PRODUCT LOT NO. PRODUCT LOT NO. PROCESS: DR ASSY A LOT:

FL ASSY 2A 750 DR 1 Q5 FL ASSY 2A 750

FL ASSY 2A 750 DR 1 Q5 FL ASSY 2A 750

FL ASSY 2A 750 DR 1 Q5 FL ASSY 2A 750

FL ASSY 2A 750 FL ASSY 2A 750

AL ASSY A 100 PROCESS: RE ASSY 1A LOT:

AL ASSY A 100 LC RED

MAIN TUBE 4.4X6.6X300 PROCESS: DR ASSY V LOT:

MAIN TUBE 4.4X6.6X300 DR 1 M6 DR 2 BLUE WITH CAP 100