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DH.FR.012 - HEMŞİRE DEVİR TESLİM DEFTERİ

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Demo Hastanesi (Prokalite.Com) HEMŞİRE DEVİR TESLİM DEFTERİ

Doküman Kodu: DH.FR.012

Yayın Tarihi: 29.11.2016

Revizyon Tarihi: 17.08.2022

Revizyon No: 1

Sayfa: Otomatik

BÖLÜM

TARİH:…/…./……

NÖBET

YEŞİL VE KIRMIZI REÇETEYE TABİ İLAÇLARIN DEVİR TESLİMİ

NARKOTİK İLAÇLAR

ALDOLAN

DEVİR ALINAN MİKTAR

ECZANEDEN GELEN MİKTAR

KULLANILAN MİKTAR

DEVİR EDİLEN MİKTAR

DİAZEM

DEVİR ALINAN MİKTAR

ECZANEDEN GELEN MİKTAR

KULLANILAN MİKTAR

DEVİR EDİLEN MİKTAR

CONTROMAL

DEVİR ALINAN MİKTAR

ECZANEDEN GELEN MİKTAR

KULLANILAN MİKTAR

DEVİR EDİLEN MİKTAR

MALZEMELERİN DEVİR TESLİMİ

MALZEME ADI

ADEDİ

ÇALIŞIR

ARIZALI

ASPİRATÖR

ATEŞ ÖLÇER

MONİTÖR

GLUKOMETRE

STETESKOP

POLSİOKSİMETRE

SEYYAR O2 TÜPÜ

TANSİYON ALETİ

LARENGOSKOP

AMBU SETİ

KÜVÖZ

NST CİHAZI

RADYAN

TESLİM EDEN

TESLİM ALAN

SERVİS SORUMLUSU

SAĞLIK BAKIM HİZM.MÜD.

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<table style="border-collapse: collapse; width: 882px;" class=" cke_show_border" cellspacing="0"><tbody><tr><td colspan="18" style="border-bottom:none; border-left:none; border-right:none; border-top:none; height:21px; text-align:left; vertical-align:middle; width:451px"><span style="font-size:15px"><strong><span style="color:black">BÖLÜM</span></strong></span></td><td colspan="8" style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:center; vertical-align:middle; width:200px"><span style="font-size:15px"><strong><span style="color:black">TARİH:…/…./……</span></strong></span></td></tr><tr><td rowspan="11" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:231px; text-align:center; vertical-align:middle; width:26px"><span style="font-size:15px"><strong><span style="color:black">NÖBET</span></strong></span></td><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span><br></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="25" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:middle; width:625px"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="26" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black">YEŞİL VE KIRMIZI REÇETEYE TABİ İLAÇLARIN DEVİR TESLİMİ</span></span></td></tr><tr><td rowspan="15" style="border-bottom:.7px solid black; border-left:1px solid black; border-right:none; border-top:none; height:315px; text-align:center; vertical-align:middle; width:26px"><span style="font-size:15px"><strong><span style="color:black">NARKOTİK İLAÇLAR</span></strong></span></td><td colspan="7" style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:left; vertical-align:middle; width:175px"><span style="font-size:15px"><strong><span style="color:black">ALDOLAN</span></strong></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">DEVİR ALINAN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:1px dashed black; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">ECZANEDEN GELEN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:1px dashed black; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">KULLANILAN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">DEVİR EDİLEN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:none; border-left:none; border-right:none; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:15px"><strong><span style="color:black">DİAZEM</span></strong></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">DEVİR ALINAN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:1px dashed black; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">ECZANEDEN GELEN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:1px dashed black; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">KULLANILAN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">DEVİR EDİLEN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:none; border-left:none; border-right:none; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:15px"><strong><span style="color:black">CONTROMAL</span></strong></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">DEVİR ALINAN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:1px dashed black; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">ECZANEDEN GELEN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px dashed black; border-left:none; border-right:.7px solid black; border-top:1px dashed black; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">KULLANILAN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="4" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:100px"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:none; height:21px; text-align:left; vertical-align:middle; width:175px"><span style="font-size:11px"><strong><span style="color:black">DEVİR EDİLEN MİKTAR</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:50px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="26" style="border-bottom:none; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:middle; width:651px"><span style="font-size:13px"><span style="color:black">MALZEMELERİN DEVİR TESLİMİ</span></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:center; vertical-align:middle; width:126px"><span style="font-size:13px"><strong><span style="color:black">MALZEME ADI</span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black">ADEDİ</span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black">ÇALIŞIR</span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black">ARIZALI</span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">ASPİRATÖR</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">ATEŞ ÖLÇER</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">MONİTÖR</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">GLUKOMETRE</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">STETESKOP</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">POLSİOKSİMETRE</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">SEYYAR O2 TÜPÜ</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">TANSİYON ALETİ</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">LARENGOSKOP</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">AMBU SETİ</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">KÜVÖZ</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">NST CİHAZI</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:left; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black">RADYAN</span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="5" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:center; vertical-align:middle; width:126px"><span style="font-size:13px"><span style="color:black"> </span></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td><td colspan="7" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:175px"><span style="font-size:13px"><strong><span style="color:black"> </span></strong></span></td></tr><tr><td colspan="13" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:21px; text-align:center; vertical-align:middle; width:326px"><span style="font-size:15px"><span style="color:black">TESLİM EDEN</span></span></td><td colspan="13" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:325px"><span style="font-size:15px"><span style="color:black">TESLİM ALAN</span></span></td></tr><tr><td colspan="13" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:30px; text-align:center; vertical-align:middle; width:326px"><span style="font-size:15px"><span style="color:black"> </span></span></td><td colspan="13" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:325px"><span style="font-size:15px"><span style="color:black"> </span></span></td></tr><tr><td colspan="13" style="border-bottom:none; border-left:none; border-right:none; border-top:none; height:21px; text-align:center; vertical-align:middle; width:326px"><span style="font-size:15px"><span style="color:black">SERVİS SORUMLUSU</span></span><br></td><td colspan="13" style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:center; vertical-align:middle; width:325px"><span style="font-size:15px"><span style="color:black">SAĞLIK BAKIM HİZM.MÜD.</span></span></td></tr></tbody></table>