Borrower'S Card: Date Borrowe D Item/S Date Returne D Returned by
Borrower'S Card: Date Borrowe D Item/S Date Returne D Returned by
Borrower'S Card: Date Borrowe D Item/S Date Returne D Returned by
DATE
BORROWE
D
ITEM/S
QTY
HOSPiTAL /
BORROWED BY:
DATE
RETURNE
D
RETURNED BY:
ITEM (S)
COMPANY
REMARKS
DATE
RECEIVED