8/19/2019 Form Inventaris Alkes

http://slidepdf.com/reader/full/form-inventaris-alkes 1/4

Inventaris Baran

UPT. Puskes

Bagian / Poli : ........................

Inventaris Barang Bulan .............................. Tahun ......

No Nama Barang masuk  

 jumlah

inventaris

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

8/19/2019 Form Inventaris Alkes

http://slidepdf.com/reader/full/form-inventaris-alkes 2/4

23

24

25

ket:

* Barang Masuk di lampirkan Berita acara serah terima arang dan di tulis tangg

8/19/2019 Form Inventaris Alkes

http://slidepdf.com/reader/full/form-inventaris-alkes 3/4

g Alat Kesehatan

mas Petang I

..............

kondisi

merek ketbaik

rusak rusak  

ringan berat

8/19/2019 Form Inventaris Alkes

http://slidepdf.com/reader/full/form-inventaris-alkes 4/4

al penerimaan n!a

Penanggung Jaab Bagian / Poli

"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""  #$%