PERMINTAAN TOP UP JATENG
PT. MEDIKA SEJAHTERA DELAPAN
                        PERUMAHAN GRAND PANORAMA BLOK D3 No. 7, PUDAK PAYUNG, BANYUMANIK, SEMARANG
                                            Telepon : (021) 22908174 / 0811 - 8385 – 788
                             Email : Medics8@yahoo.com, Website : https://medikasejahteradelapan.com/
      Nama RS/PT/DR : PT MEDIKA SEJAHTERA DELAPAN                                                  Tanggal            : 13 DESEMBER 2023
      Perihal       : PERMIANTAAN TOP UP JATENG
No.      Art No.                                Nama Barang                                               SIZE           QTY
                                     ACETABULUM CUP CEMENTLESS                                             44/38          3
                                     ACETABULUM CUP CEMENTLESS                                             46/38          3
                                         FEMORAL HEAD (CoCrMo)                                             28 M           1
                                         FEMORAL HEAD (CoCrMo)                                             28L            1
                                      FASTENING SCREW / SCREW HIP                                        3.0 X 30         6
                                      FASTENING SCREW / SCREW HIP                                        3.0 X 35         6
                                      FASTENING SCREW / SCREW HIP                                        3.0 X 25         2
                                 BIO TYPE/FEMORAL STEM CEMENTLESS                                        1 - 4/129        1
                                 BIO TYPE/FEMORAL STEM CEMENTLESS                                        2 - 5/131        2
                                        CEMENTED FEMORAL STEM                                             5 - 150         1
                                                     LINER                                                 28/38          4
                                          TIBIA BASE PLATE TRAY                                           C-61/40         2
                                          TIBIA BASE PLATE TRAY                                           D-64/42         2
                                          TIBIA BASE PLATE TRAY                                           E-67/44         2
                                           TIBIA INSERT (P/F-XPE)                                       CD-61/40-08       3
                                           TIBIA INSERT (P/F-XPE)                                       EF-67/44-08       2
                                      FEMORAL COMPONENT (RIGHT)                                          2R-59/54         2
                                      FEMORAL COMPONENT (RIGHT)                                          3R-62/57         2
                                      FEMORAL COMPONENT (RIGHT)                                          4R-65/59         2
                                       FEMORAL COMPONENT (LEFT)                                          2L-59/54         1
                                       FEMORAL COMPONENT (LEFT)                                          3L-62/57         1
                                       FEMORAL COMPONENT (LEFT)                                          4L-65/59         1
        GUDANG     NOTE :                                                                               ADMIN         PENGIRIM
         ALVIN                                                                                           ALVIN