Prokalite | FİRMALAR VE KRİTİK TEDARİKÇİLER BİLGİ FORMU

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AD.FR.041 - FİRMALAR VE KRİTİK TEDARİKÇİLER BİLGİ FORMU

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Demo Hastanesi (Prokalite.Com) FİRMALAR VE KRİTİK TEDARİKÇİLER BİLGİ FORMU

Doküman Kodu: AD.FR.041

Yayın Tarihi: 09.12.2016

Revizyon Tarihi: 10.02.2022

Revizyon No: 1

Sayfa: Otomatik

Sıra No				İrtibat Kurulacak Yetkili
Sıra No	Firma veya Tedarikçi İsmi	Konu	Telefon No	Adı Soyadı	GSM No	E-posta

*Not: Varsa protokollerle birlikte kullanılacak

<meta charset="utf-8"/>
<table style="border-collapse:collapse; height:660px; width:1292px" class="cke_show_border" cellspacing="0"><tbody><tr><td rowspan="2" style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:3px double black; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Sıra No</span></strong></span></td><td style="background-color:#c6c8ca; border-bottom:none; border-left:none; border-right:1px solid black; border-top:3px double black; vertical-align:middle"><br></td><td style="background-color:#c6c8ca; border-bottom:none; border-left:none; border-right:1px solid black; border-top:3px double black; vertical-align:middle"><br></td><td style="background-color:#c6c8ca; border-bottom:none; border-left:none; border-right:1px solid black; border-top:3px double black; vertical-align:middle"><br></td><td colspan="3" style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:3px double black; text-align:center; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>İrtibat Kurulacak Yetkili</strong></span></span></td></tr><tr><td style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>Firma veya Tedarikçi İsmi</strong></span></span></td><td style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>Konu</strong></span></span></td><td style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>Telefon No</strong></span></span></td><td style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>Adı Soyadı</strong></span></span></td><td style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>GSM No</strong></span></span></td><td style="background-color:#c6c8ca; border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; text-align:center; vertical-align:middle"><span style="font-size:13px"><span style="color:black"><strong>E-posta</strong></span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><br></td></tr></tbody></table><p><span style="font-size:11pt"><strong><span style="font-size:10.0pt">*Not: </span></strong><span style="font-size:10.0pt">Varsa protokollerle birlikte kullanılacak</span></span></p>