5. pembelian barang mei format jkn

8/16/2019 5. Pembelian Barang Mei Format Jkn

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PEMERINTAH KABUPATEN KLUNGKUNG

DINAS KESEHATAN

UPT PUSKESMAS KLUNGKUNG I

Nomor : 43/order/Pusk.Klk.I/!"#

L$m%&r$' : (

Per&)$l : Bel$'*$ +$)$' o+$, o+$,$' d$' %$k$&

)$+&s

Ke%$d$:

-,). PT MAHIMA DEATA SUR-A

NUSANTARA

l. Pul$u B$0$' No "! S$'1l$)

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+$$) &'& :

No Nama BarangBanyaknya

Satuan KeteranganAngka Huruf

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Gel1el; Me& !"#Ke%$l$ UPT Puskesm$s Klu'1ku'1 I

drg. Ida Bagus Putra Dwipayana

NIP. "85!4 !!3" " !!5


2/6

N9TA

Ke%$d$

-,). Ke%$l$ UPT Puskesm$s Klu'1ku'1 I

d& 2 Gel1el

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K$dek Edd D&


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T$)u' A'11$r$' : !"#Kode Reke'&'1 : ".!.!"."#.!#.5...!.!4

N o m o r :

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U',uk Pem+$$r$' : Bel$'*$ %e'1$d$$' +$)$' o+$, o+$,$' d$' %$k$& )$+&s d$r& $s$

S$r$'$ D$'$ K$%&,$s& KN d& UPT Puskesm$s Klu'1ku'1 I P$d$

ke1&$,$' Re@&,$l&s$s& S&s,em Kese)$,$' sesu$& de'1$' Perme'kes Nomor "8 T$)u' !"4 sesu$& order d$' 'o,$ ,erl$m%&r.

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4/6

PEMERINTAH KABUPATEN KLUNGKUNG

DINAS KESEHATAN

UPT PUSKESMAS KLUNGKUNG I

Nomor : 44/order/Pusk.Klk.I/!"#

L$m%&r$' : (

Per&)$l : Bel$'*$ +$)$' o+$, o+$,$' d$' %$k$&

)$+&s

Ke%$d$:

-,). PT SATRIA IN=9 SEATI

l. G' S$r& I 'o. 3 Te1$l H$rum

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Mo)o' d&sed&$k$' +$)$' o+$, o+$,$' d$' %$k$& )$+&s sesu$& de'1$' ke,e',u$' $'1 ,er0$',um d&

+$$) &'& :

No Nama BarangBanyaknya

Satuan KeteranganAngka Huruf

" H$'d s$'&,&er C ,em%$, "! Se%ulu) B&*&

Gel1el; 3 Me& !"#Ke%$l$ UPT Puskesm$s Klu'1ku'1 I

drg. Ida Bagus Putra Dwipayana

NIP. "85!4 !!3" " !!5


5/6

N9TA

Ke%$d$

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d& 2 Gel1el

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N o m o r :

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U',uk Pem+$$r$' : Bel$'*$ %e'1$d$$' +$)$' o+$, o+$,$' d$' %$k$& )$+&s d$r& $s$

S$r$'$ D$'$ K$%&,$s& KN d& UPT Puskesm$s Klu'1ku'1 I P$d$

ke1&$,$' Re@&,$l&s$s& S&s,em Kese)$,$' sesu$& de'1$' Perme'kes

Nomor "8 T$)u' !"4 sesu$& order d$' 'o,$ ,erl$m%&r.

Ter+&l$'1 : R%. ".55!.!!!;(

Pe*$+$, Pel$ks$'$ Tek'&s Ke1&$,$';

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NIP. "8##"""5 "8>!3 !!

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K$dek Edd D&

5. pembelian barang mei format jkn

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