MC.FR.001 - TAŞINIR İSTEK FORMU (AYNİYAT BİRİMİ)

Doküman Kodu: MC.FR.001
Yayın Tarihi: 13.10.2016
Revizyon Tarihi: 14.10.2022
Revizyon No: 5
Paylaş:
DİKKAT! Buradaki bilgiler sağlık profesyonelleri için hazırlanmıştır. Arama motorları vs. ile bu sayfadaki bilgilere ulaştıysanız, sağlık profesyonellerine danışmadan, sadece buradaki bilgiler ile hareket etmeyiniz.
Doküman Önizlemesi

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Demo Hastanesi (Prokalite.Com) TAŞINIR İSTEK FORMU (AYNİYAT BİRİMİ)
Doküman Kodu: MC.FR.001
Yayın Tarihi: 13.10.2016
Revizyon Tarihi: 14.10.2022
Revizyon No: 5
Sayfa: Otomatik
İstek Yapan Birim...................................................				Tarihi :.../..../....
TAŞINIRIN
SIRA	KODU	MALZEME ADI	ÖLÇÜ BİRİMİ	İSTENİLEN MİK.	KARŞILANAN MİK.
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Birimimiz ihtiyacı için yukarıda belirtilen taşınırların verilmesi arz/rica olunur. İstek Yapan Birim Yöneticisi Adı,Soyadı: Unvan: İmza:			Karşılanan Miktara kayıtlı miktarları teslim edilmiştir. Taşınır Kayıt Yetkilisi: Adı,Soyadı: Unvan: İmza:
Malzeme ve Cihaz Yönetimi bölümündeki diğer form örnekleri

Tümünü gör (15)
MC.FR.001 CİHAZ ENVANTERİ FORMU MC.FR.001 TEKERLEKLİ SANDALYE KONTROL FORMU MC.FR.002 BİYOMEDİKAL DAYANIKLI TAŞINIRLARIN ÇALIŞABİLİRLİK-AKTİF FAALİYET SÜRELERİ TAKİP FORMU MC.FR.002 HASTA KARYOLASI SEDYE VE TEKERLEKLİ SANDALYE KONTROL FORMU MC.FR.003 TIBBİ CİHAZ ARIZA TALEP VE TAKİP FORMU MC.FR.004 BİYOMEDİKAL DAYANIKLI TAŞINIR AKTİF FAALİYET SÜRELERİ ANALİZ FORMU- HİZMET ALIMI İLE MC.FR.005 SPLİT(DUVAR TİPİ) KLİMA BAKIM VE KONTROL FORMU MC.FR.006 MERKEZİ KLİMA SANTRALİ BAKIM VE KONTROL FORMU
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<table style="border-collapse:collapse; height:1100px; width:882px" class=" cke_show_border" cellspacing="0"><tbody><tr><td colspan="3" style="border-color:currentcolor; border-style:none; border-width:medium; height:20px; vertical-align:bottom; width:520px"><span style="font-size:15px"><span style="color:black">İstek Yapan Birim...................................................</span></span></td><td style="border-color:currentcolor; border-style:none; border-width:medium; vertical-align:bottom; width:95px"><br></td><td colspan="2" style="border-color:currentcolor; border-style:none; border-width:medium; vertical-align:bottom; width:257px"><span style="font-size:15px"><span style="color:black">Tarihi :.../..../....</span></span></td></tr><tr><td colspan="6" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:20px; text-align:center; vertical-align:bottom"><span style="font-size:15px"><span style="color:black">TAŞINIRIN</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:16px; text-align:center; vertical-align:top; width:28px"><span style="font-size:15px"><span style="color:black">SIRA</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; height:16px; text-align:center; vertical-align:top; width:157px"><span style="font-size:15px"><span style="color:black">KODU</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; height:16px; text-align:center; vertical-align:top; width:323px"><span style="font-size:15px"><span style="color:black">MALZEME ADI</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; height:16px; text-align:center; vertical-align:top; width:94px"><span style="font-size:14px"><span style="color:black">ÖLÇÜ BİRİMİ</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; height:16px; text-align:center; vertical-align:top; width:117px"><span style="font-size:14px"><span style="color:black">İSTENİLEN MİK.</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; height:16px; text-align:center; vertical-align:top; width:137px"><span style="font-size:14px"><span style="color:black">KARŞILANAN</span> MİK.</span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">1</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">2</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">3</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">4</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">5</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">6</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">7</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">8</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">9</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">10</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">11</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">12</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">13</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">14</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">15</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">16</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">17</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">18</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">19</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:20px; vertical-align:bottom; width:28px"><span style="font-size:15px"><span style="color:black">20</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:157px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:323px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:94px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:117px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; vertical-align:bottom; width:137px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td colspan="3" style="border-color:black currentcolor currentcolor; border-style:solid none none; border-width:1px medium medium; height:107px; text-align:left; vertical-align:top; width:520px"><span style="font-size:15px"><span style="color:black">Birimimiz ihtiyacı için yukarıda belirtilen taşınırların verilmesi arz/rica olunur.<br>İstek Yapan Birim Yöneticisi<br>Adı,Soyadı:<br>Unvan:<br>İmza:</span></span></td><td colspan="3" style="border-color:black currentcolor currentcolor; border-style:solid none none; border-width:1px medium medium; text-align:left; vertical-align:top; width:355px"><span style="font-size:15px"><span style="color:black">Karşılanan Miktara kayıtlı miktarları teslim edilmiştir.<br>Taşınır Kayıt Yetkilisi:<br>Adı,Soyadı:<br>Unvan:<br>İmza:</span></span></td></tr></tbody></table>