{"text_format":"3","workbook":"xlsx","n_sheets":1,"sheets":["Zestawienie druków"],"not_rendered":{"defined_names":1},"read":"whole","date_system":"1900"}

{"sheet":"Zestawienie druków","index":0,"n_rows":209,"n_cols":14,"rows_kept":209,"merged":[[207,0,207,6],[208,0,208,10]]}
[null,"Załącznik nr 1 do zapytania ofertowego na dostawę druków medycznych i powszechnego użytku na 2022r"]
[null,"ZESTAWIENIE ILOŚCIOWO-WARTOŚCIOWE "]
["Lp","Nazwa druku","Symbol","j.m.","Wymagana ilość","Ilość w opakowaniu","Ilość opakowań","Cena jedn. netto za opakowanie (zł)","Wartość netto (zł)","Vat (%)","Wartość brutto (zł)"]
["1","Badanie przesiewowe 4-latka, format A-5 jednostronny","Wg wzoru","Szt","200",100,{"$f":"E4/100","v":2},null,{"$f":"H4*G4","v":{"v":0,"d":"0.00"}},{"v":0.23,"d":"23%"},{"$f":"I4*1.23","v":{"v":0,"d":"0.00"}}]
["2","Bilans płynów, format A-4 dwustronny","Wg wzoru","Szt",2000,100,{"$f":"E5/100","v":20},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["3","Bilans zdrowia dziecka 2-letniego   2x A-5","Mz/D/2","Szt",100,100,{"$f":"E6/100","v":1},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["4","Dobowa indywidualna karta zleceń lekarskich ODDZIAŁ PEDIATRYCZNY, format A-4 dwustronny","Wg wzoru","Szt",5000,100,{"$f":"E7/100","v":50},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["5","Dziennik położnej cz. I A-4/24k","Mz/K-I","Zeszyt","1",1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["6","Dziennik położnej cz. III A-4/100k","Mz/K-lb","Książka","1",1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["7","Dziennik pracy konserwatorów. A-4/100k","Wg wzoru","Książka",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["8","Historia choroby 2xA-5","Mz/Og-2","Szt",7000,100,{"$f":"E11/100","v":70},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["9","Historia choroby poradni zdrowia psychicznego 2XA-4","Mz/3-90/Ps-l","Szt",200,100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["10","Historia pielęgnowania w Stacji Dializ, 2xA-4","Wg wzoru","Szt",1300,100,13,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["11","Indywidualna  karta badań z wyjątkiem badania przedmiotowego i podmiotowego ODDZIAŁ PEDIATRYCZNY, A-4 dwustronny","Wg wzoru","Szt",1200,100,12,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["12","Indywidualna karta opatrunków , A-4 jednostronny","Wg wzoru","Szt",2500,100,25,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["13","Indywidualna karta obserwacji pacjenta , A-4 dwustronny","Wg wzoru","Szt",20000,100,200,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["14","Indywidualna Karta Opieki Pielęgniarskiej , A-3 dwustronny","Wg wzoru","Szt",3000,100,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["15","Indywidualna karta pielęgnacji pacjenta .format A-3","Wg wzoru","Szt",22000,100,220,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["16","Indywidualna karta pielęgnacji pacjenta Oddział Pediatryczny , format A-3","Wg wzoru","Szt",1300,100,13,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["17","Informacja dla lekarza kierującego/POZ ( wzór NFZ 2008 ). format A-4 samokopiujące Oryginał + kopia  , 1+1","Wg wzoru","BI",30,1,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["18","Informacja dotycząca szczepienia ochronnego , A-6","Mz/Hsz-17","BI","1",1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["19","Karta badania rozwoju i zdrowia dziecka 2-letniego / Badanie przesiewowe dziecka 2- letniego,   A-5 jednostronny","Wg wzoru","Szt",100,100,{"$f":"E22/100","v":1},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["20","Karta badania rozwoju i zdrowia dziecka 6-letniego, A-5","Mz/Hsz-12","Szt","200",100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["21","Karta badań pacjenta z OZW Oddziału Kardiologii Inwazyjnej, A-4 jednostronny","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["22","Karta badań profilaktycznych A-5 ( najnowszy wzór wg rozp. Min. Zdr. Z 29 lipca 2010r)","Wg wzoru","Kpl",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["23","Karta bilansowa ODDZIAŁ PEDIATRYCZNY, A-4 dwustronny","Wg wzoru","Szt","500",100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["24","Karta badań do celów epidemiologicznych  ,  format  2xA-5","Kr-Że-41","szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["25","Karta cewnika zewnątrzoponowego ( ZO),  format A-4 dwustronny","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["26","Karta ciąży,  2xA-4","Mz/K-5","Szt","200",100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["27","Karta depozytowa   strona 1/2   / A-4 wszystkie kartki samokopiujące","Wg wzoru","BI",90,1,90,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["28","Karta depozytowa   strona 2/2 (UWAGI) / A-4 wszystkie kartki samokopiujące","Wg wzoryu","BI",20,1,20,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["29","Karta do dużych zabiegów ortopedyczno-urazowych , A-4 jednostronna / samokopiująca  oryginał +kopia (1+1)","Wg wzoru","bl",90,1,90,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["30","Karta do małych zabiegów ortopedyczno-urazowych , A-4 jednostronna, samokopiująca  oryginał + kopia  (1+1)","Wg wzoru","bl",80,1,80,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["31","Karta do skorowidza karton A-7 por. zdrowia psych.","Mz/3-90/Ps-2","Szt",100,100,{"$f":"E34/100","v":1},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["32","Karta dokumentacji postępowania przeciwbólowego, A-4 dwustronna","Wg wzoru","Szt",7000,100,70,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["33","Karta działowa do akt osobowych A-4/karton - twardy biały 250g/m2","Wg wzoru","Szt","500",100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["34","Karta ewidencji pacjenta poradni psych./odwykowej karton A-5","Mz/3-90/Ps-22","Szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["35","Karta gorączkowa ogólna , A-4 dwustronna","Wg wzoru","Szt",23000,100,230,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["36","Karta gorączkowa ogólna ODDZIAŁ PEDIATRYCZNY, A-4 dwustronna","Wg wzoru","Szt",1200,100,12,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["37","Karta gorączkowa PINK Oddziału Kardiologii Inwazyjnej , A-4 dwustronna","Wg woru","Szt",4000,100,40,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["38","Karta informacyjna 1/3A-5 -zaświadczenie o zgonie pacjenta (+ wzór)","Mz/Pr-5","BI",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["39","Karta intensywnej opieki (OIOM) kolorowa , A-3 (wzór 1) Anestezjologia","Mz/Szp-84c","Szt",1800,100,{"$f":"E42/100","v":18},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["40","Karta intensywnej opieki (OIOM) kolorowa , A-3 (wzór 2) kardiol,neurol, kardiol-inwaz GM-Da -30","Wg wzoru","Szt",5000,100,50,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["41","Karta obserwacji kaniul obwodowych ODDZIAŁ PEDIATRYCZNY , A-4 dwustronna","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["42","Karta obserwacji pacjenta z cewnikiem moczowym, A-4 dwustronna","Wg wzoru","Szt",8000,100,80,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["43","Karta obserwacji cewnika ostrego i permanentnego , A-4 dwustronna","Wg wzoru","Szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["44","Karta obserwacji kaniul obwodowych , A-4 dwustronna","Wg wzoru","Szt",24000,100,240,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["45","Karta obserwacji miejsca operowanego, A-4 dwustronna","Wg wzoru","Szt",8000,100,80,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["46","Karta obserwacji miejsca wkłucia i opatrunku uciskowego w Oddziale Kardiologii Inwazyjnej , A-4 dwustronna","Wg wzoru","Szt",3500,100,35,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["47","Karta obserwacji parametrów ODDZIAŁ PEDIATRYCZNY, A-4 dwustronna","Wg wzoru","Szt","1000",100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["48","Karta obserwacji przetoki tętniczo-żylnej, A-4 dwustronna","Wg wzoru","Szt",800,100,8,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["49","Karta obserwacji rurki intubacyjnej lub tracheostomijnej, A-4 dwustronna","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["50","Karta odwiedzin pielęgniarki w środowisku 2xA-5","Mz/Og-7","Szt",100,100,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["51","Karta profilaktyki i pielęgnacji odleżyn, A-4 dwustronna","Wg wzoru","Szt",5000,100,50,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["52","Karta przedoperacyjnego badania anestezjologicznego , A-4 dwustronna","Wg wzoru","Szt",10000,100,100,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["53","Karta rejestracji drobnoustroju alarmowego, A-4 jednostronna","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["54","Karta Zgonu (Zał. do Rozp.Ministra Zdrowia z dnia 11 lutego 2015 poz. 231) 2xA-5","Pu/M-67.15","BI","10",1,"10",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["55","Karta szczepień ochronnych 2/3A-4 karton","Mz/E-II-1","Szt",50,1,50,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["56","Karta uodpornienia / A-4 karton","Mz/3-90/78","Szt",100,1,100,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["57","Karta zabiegu inwazyjnego , A-4 dwustronna","Wg wzoru","Szt",3500,100,{"$f":"E60/100","v":35},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["58","Karta zdrowia dziecka 2xA-5","Mz/D-1","Szt","200",100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["59","Karta zgłoszenia nowotworu złośliwego A-5/papier offsetowy dwustronna","Wg wzoru","Szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["60","Karta Zleceń Lekarskich ,    A-3 dwustronna","Wg wzoru","Szt",22000,100,220,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["61","Koperta indywidualna B-5","Mz/Og-5","Szt",10000,100,100,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["62","Koperty RTG szare 35x25",null,"Szt",8000,100,80,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["63","Koperty RTG szare 45x37",null,"Szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["64","Książka chorych oddziału A-4/100k","Mz/Szp-56","Szt",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["65","Książka ewidencji noworodków A-4/50k","Mz/D-16","Szt","2",1,"2",null,{"$f":"H68*G68","v":{"v":0,"d":"0.00"}},{"v":0.23,"d":"23%"},{"$f":"I68*1.23","v":{"v":0,"d":"0.00"}}]
["66","Książka gabinetu zabiegowego A-4/100k","Mz/Og-9","Szt",30,1,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["67","Książka kontroli środków odurzających i psychotropow7Ch A-4/80k (wzór zgodny z Rozp. Min.Zdr.z dnia 28pażdziernika 2015r poz.1889 Dziennik Ustaw ","Mz/F-5a/2015","Szt",4,1,4,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["68","Książka kontroli środków odurzających i psychotropow7Ch A-4/80k (wzór zgodny z Rozp. Min.Zdr. Z dn.28 października 2015r poz.1889 Dziennik Ustaw)  numerowane strony","Mz/F-5a/2015","Szt",20,1,20,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["69","Książka przyjęć pracowników , książka format A-4 / 100kart.","wg wzoru","szt",2,1,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["70","Książka wizytacji stanowisk pracy , książka format A-4/I00kart.","MZ/Lp-43","szt","1",1,"1",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["71","Księga podejrzeń oraz rozpoznań chorób zawodowych , książka format A-4/ 100kart","wg wzoru","szt","2",1,"2",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["72","Księga udzielonych konsultacji, książka format A-4/ 100kart.","wg wzoru","szt",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["73","Książka pracowni diagnostycznych A-4/100k","Wg wzoru","Szt",23,1,23,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["74","Książka pracy terenowej pielęgniarki A-5/48k","Mz/Og-10","Zeszyt","5",1,"5",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["75","Książka przyjęć i odmów A-4/100k","Wg wzoru","Szt",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["76","Książka raportów lekarskich A-4/100k","Mz/Szp-18","Szt",50,1,"50",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["77","Książka raportów pielęgniarskich A-4/100k","Mz/Szp-15","Szt",120,1,120,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["78","Książka ruchu chorych oddziału A-4/100k","Mz/Szp-61","Szt",25,1,25,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["79","Książka transfuzyjna krwi A-4/100k","Mz/Szp-47","Szt",20,1,20,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["80","Książka zabiegów poradni specjalistycznych A-4/100k","Wg wzoru","Szt",25,1,25,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["81","Książka zgłoszeń awarii A-4/100k","Wg wzoru","Szt",2,1,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["82","Książka zleceń stosowania przymusu bezpośredniego A-4","Wg wzoru","Szt",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["83","Księga dokonanych operacji A-4/100k","Mz/Szp-38","Szt",90,1,90,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["84","Księga odwołań od treści orzeczeń A-4 /100k","Wg wzoru","Szt",2,1,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["85","Księga zgonów A-4/100kartek","Wg wzoru","Szt","1",1,"1",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["86","Księga - Rejestr wydanych orzeczeń , książka format A-4 /100kart. ( Rozp. Min. Zdr. z dn. 26 marca 2015r, poz. 457, Załącznik 4 )","Wzór Mz.","książka","4",1,"4",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["87","Lista szczepionych A-3","Mz/E-ll-6","BI","2",1,"2",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["88","Magazyn przyjmie P A-5/samokopiujące","PuGm-116/s","BI",1,1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["89","Magazyn wyda W A-5/samokopiujące","Pu Gm-127/s","BI",1,1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["90","Okładki na listy obecności 2xA-4/ karton","Pu Os-224","Szt","20",1,20,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["91","Oświadczenie ( dla SOR - dotyczące upoważnienia przez pacjenta osoby do uzyskania inform.o stanie jego zdrowia i udzielonych świadczeń zdrowotnych ) A-4 jednostronne","Wg wzoru GM-Da-109","Szt",8000,100,{"$f":"E94/100","v":80},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["92","Oświadczenie (dot. ubezpieczenia GM Da-55N) , A-5 jednostronne","Wg wzoru","Szt",1000,100,{"$f":"E95/100","v":10},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["93","Oświadczenie o zgodzie na leczenie operacyjne , A-4 dwustronne","Wg wzoru","Szt",4000,100,{"$f":"E96/100","v":40},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["94","Paszport techniczny A-5/16k","Mz/Zn/Sm-8","Zeszyt",200,1,200,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["95","Polecenie księgowania A-5","Pu K-167","BI",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["96","Polecenie wyjazdu służbowego A-5","Pu Os 232","BI",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["97","Protokół zabiegu endo/laparoskopowego , A-4 dwustronny","Wg wzoru","Szt",800,100,{"$f":"E100/100","v":8},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["98","Rejestr wypadków przy pracy , format A-4/ 30kart","Mz/Lp-26","zeszyt","1",1,"1",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["99","Roczna karta ewidencji czasu pracy pracownika A-4/karton-twardy biały 250g/m2","Pu Os-228","Szt",100,100,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["100","Roczna karta ewidencji obecności w pracy A-5/karton - twardy biały 250g/m2","Pu Os -227","Szt",2000,100,{"$f":"E103/100","v":20},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["101","Rozliczenie zaliczki A-6","Pu K-114","BI",8,1,8,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["102","Skierow. na bad.w kierunku gruźlicy , A-5 jednostronny","Wg wzoru","Szt",300,100,{"$f":"E105/100","v":3},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["103","Skierowanie na konsultację A-4/samokopiujące Org+Kopia","Wg wzoru","BI",60,1,60,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["104","Skierow. pobranego materiału do bad. bakteriologicznych , A-6 dwustronny","Wg wzoru","BI",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["105","Skierowanie do por. specjalistycznej Wzór NFZ A-5","Mz/Pom-2/1","BI",100,1,100,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["106","Skierowanie do prac. diagnostycznej Wzór NFZ A-5","Mz/Pom-29","BI",100,1,100,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["107","Skierowanie do szpitala Wzór NFZ A-5","Mz/Pom-30/1","BI",60,1,60,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["108","Skierowanie do szpitala psychiatrycznego A-4","MZ/3-90/Ps-7","BI",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["109","Skierowanie na leczenie uzdrowiskowe , A-4 dwustronny  aktualny wzór","Wzór Min. Zdr.","BI",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["110","Skierowanie na zabiegi fizjoterapeutyczne wzór NFZ A-5","Mz/Zlt-1/1","BI",40,1,40,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["111","Skierowanie na badania mikrobiologiczne, A-5 jednostronny","Wg wzoru","Szt",1000,100,{"$f":"E114/100","v":10},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["112","Skorowidz do księgi głównej chorych 2/3 A-4 / I40k","Mz/Szp-44","Szt",1,1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["113","Standard ALLOPLASTYKA ,   A-4 jednostronny","Wg wzoru","Szt","500",100,{"$f":"E116/100","v":5},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["114","Standard ARTROSKOPII , A-4 jednostronny, samokopiujący oryginał +kopia  (1+1)","Wg wzoru","bl",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["115","Świadectwo szczepień 1/2A-6","Mz/E-11-2","BI","1",1,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["116","Wezwanie na szczepienie A-6","Mz/E-II-16","BI","2",1,"2",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["117","Wizyta patronażowa u noworodka,   A-4 dwustronny","Wg wzoru","BI","2",1,"2",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["118","Wizyta patronażowa u położnicy, A-4 dwustronny","Wg wzoru","BI","2",1,"2",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["119","Wizyta położnej / pielęgniarki środowiskowej w 3 / 4 miesiącu życia i 9 miesiącu życia , A-4 jednostronny","Wg wzoru","Szt","200",100,{"$f":"E122/100","v":2},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["120","Wkładka do historii choroby, A-5","Mz/Og-2a","Szt",15000,100,150,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["121","Wkładka do historii choroby poradni zdrowia psych. 2xA-4","Mz/3-90/Ps-la","Szt",200,100,{"$f":"E124/100","v":2},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["122","Wkładka do karty odwiedzin 2xA-5","Mz/Og-7a","Szt","200",100,{"$f":"E125/100","v":2},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["123","Wniosek na zaliczkę A-6","Pu K-113","BI",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["124","Wynik badania EKG , 2xA-5","Mz/Dp-3","BI",40,1,40,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["125","Zabiegi chirurgiczne , A-4 jednostronny","Wg wzoru","Szt",3000,100,{"$f":"E128/100","v":30},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["126","Zaświadczenie lekarskie A-6","Mz/L-1","BI",30,1,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["127","Zaświadczenie o pobycie w szpitalu A-6","Mz/Szp-103","BI",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["128","Zaświadczenie o stanie zdrowia N-9 , format: A-4 dwustronny (dla C. Rej, reh)","Wg wzoru","BI",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["129","Zaświadczenie o zatrudnieniu i wynagrodzeniu A-6/samokopiujące  1+1","Wg wzoru","BI",5,1,5,null,{"$f":"H132*G132","v":{"v":0,"d":"0.00"}},{"v":0.23,"d":"23%"},{"$f":"I132*1.23","v":{"v":0,"d":"0.00"}}]
["130","Zgłoszenie powikłania poprzetoczeniowego A-4","Mz/Szp-41","BI","5",1,"5",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["131","Zgoda pacjenta ( dot. założenia cewnika ), A-4 jednostronny","Wg wzoru","Szt",500,100,{"$f":"E134/100","v":5},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["132","Zgoda pacjenta na przeprowadzenie koronarografii i angioplastyki wieńcowej / Informacja dla pacjenta 2xA-4","Wg wzoru","Szt",4500,100,{"$f":"E135/100","v":45},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["133","Zlec na zaopatrzenie w wyroby medyczne będące przedmiotami ortoped i środki pomocnicze ( z wyłączeniem środków pomocniczych przysługujących comiesięcznie) A-4 ( najnowszy wzór NFZ )","Wg wzoru","BI",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["134","Zlec. na zaopatrz w środki pomocnicze przysługujące comiesięcznie A-4 ( najnowszy wzór NFZ )","Wg wzoru","BI",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["135","Zlec.na zaopatrz, w środki pomocnicze w zakresie optyki okularowej Wzór NFZ A-5","Mz/Ok-2/l/A-5","BI",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["136","Zlecenia  (po operacji) , A-4 dwustronny","Wg wzoru","Szt",7000,100,{"$f":"E139/100","v":70},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["137","Zlecenie na transport sanitarny płatny ,   A-5 jednostronny","Wg wzoru","BI",10,1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["138","Zlecenie na transport sanitarny bezpłatny , A-4 jednostronny","Wg wzoru","BI",15,1,15,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["139","Zlecenie wyjazdu , A-5","Mz/Pr-1","BI",15,1,15,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["140","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w OIT , A-4 dwustronny","Wg wzoru","Szt",500,100,{"$f":"E143/100","v":5},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["141","Profilaktyka żylnej choroby zatorowo-zakrzepowej Zmodyfikowany model oceny ryzyka Capriniego , A-4 jednostronny","Wg wzoru","Szt",12000,100,{"$f":"E144/100","v":120},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["142","Karta znieczulenia, A4 - samokopiująca strona 1","Mz/Szp-84/s","bl",220,1,220,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["143","Karta znieczulenia , A4 - samokopiująca   strona 2","Mz/Szp-84/s","bl",220,1,220,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["144","Książka pobytu pacjentów w Sali Pooperacyjnej , A-4 lOOkartek","Wg wzoru","Szt",12,1,12,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["145","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Kardiologicznym , A-4 dwustronny","Wg wzoru","Szt",2500,100,{"$f":"E148/100","v":25},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["146","Ocena ryzyka związanego ze stanem odżywiania NUTRITIONAL RISK SCORE, NRS , A-4 jednostronny","Wg wzoru","Szt",12000,100,{"$f":"E149/100","v":120},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["147","Karta kwalifikacji do żywienia pozajelitowego lub dojelitowego , format A-4 jednostronny","Wg wzoru","Szt",2500,100,25,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["148","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Kardiologii Inwazyjnej , A-4 dwustronny","Wg wzoru","Szt",1000,100,{"$f":"E151/100","v":10},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["149","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Pediatrycznym, A-4 dwustronny","Wg wzoru","Szt",1300,100,13,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["150","Subiektywna globalna ocena stanu odżywiania (SGA), A-4 dwustronny","Wg wzoru","Szt",1200,100,12,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["151","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Chorób Wewnętrznych , A-4 dwustronny","Wg wzoru","Szt",3000,100,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["152","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Urologicznym , A-4 dwustronny","Wg wzoru","Szt",3000,100,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["153","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Chirurgicznym , A-4","Wg wzoru","Szt",4000,100,40,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["154","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Neurologicznym z Pododdziałem Udarowym , A-4 dwustronny","Wg wzoru","Szt","3000",100,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["155","Indywidualny Multidyscyplinarny Plan Opieki Nad Pacjentem w Oddziale Neurochirurgicznym , A-4 dwustronny","Wg wzoru","Szt",3000,100,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["156","Historia choroby Poradnia Odwykowa 2xA-4","MZ//Alk-l","bl","10",1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["157","Wkładka do historii choroby. Por. Odwykowej 2xA-4","Mz/Alk-la","bl","10",1,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["158","Sesje Terapii Indywidualnej, A-4 dwustronny","Wg wzoru","Szt",500,100,{"$f":"E161/100","v":5},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["159","Diagnoza Nozologiczna, 2xA-4","Wg wzoru","Szt","500",100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["160","Sesje Terapii Grupowej , A-4 jednostronny","Wg wzoru","Szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["161","Karta zakończenia leczenia szpitalnego , A-4 dwustronny","Wg wzoru","Szt",4000,100,40,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["162","Skala punktowa opracowana przez Polską Grupę Roboczą na podstawie skali Josepha Capriniego dotycząca oceny stopnia zagrożenia rozwojem powikłań zakrzepowo-zatorowych w chirurgii, A-4 dwustronny","Wg wzoru","Szt",8000,100,80,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["163","Karta pielęgnacji wkłucia centralnego , A-4","Wg wzoru","Szt",500,100,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["164","Informacja o endoskopowej sfinkterotomii, A-4 dwustronny","Wg wzoru","Szt",200,100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["165","Karta kwalifikacji do endoskopii w warunkach szpitalnych , A-5 jednostronny","Wg wzoru","Szt",1500,100,15,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["166","Karta przebiegu ciąży    (w formie  książeczki  format A-6, 8stron / z kartonu )","wg wzoru","Książka",120,1,120,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["167","Karta Rejestracji Zakażenia Zakładowego , format A-4 jednostronny","Wg wzoru","Szt","1000",100,{"$f":"E170/100","v":10},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["168","Rejestr wydanych zaświadczeń do celów sanitarno – epidemiologicznych - format A-4/ KSIĄŻKA 100 kart.","Wg wzoru","Książka",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["169","Skierowanie na realizację zleceń pozostających w zakresie zadań pielęgniarki POZ   (zał. Nr 5 do zarządzenia nr 69/2013/DSOZ Prezesa Narodowego Funduszu Zdrowia z dn. 27 listopada 2013r) , format A-4 jednostronny","Wzór NFZ","Szt",100,100,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["170","Deklaracja wyboru świadczeniodawcy udzielającego świadczeń z zakresu podstawowej opieki zdrowotnej oraz lekarza podstawowej opieki zdrowotnej, pielęgniarki podstawowej opieki zdrowotnej i położnej podstawowej opeki zdrowotnej  ( Zał. nr  4  do rozp. Min. Zdr. Z dn. 12 czerwca 2018r , poz.1295 ) format A-4 , dwustronny","wzór Min Zdr","Szt",1200,100,{"$f":"E173/100","v":12},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["171","Książeczka narzędziowa , format A-6, (16 kartkowa )","Pu Nrz-2/8","Szt",15,1,15,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["172","Profil Glikemii skrócony , format A-4 jednostronny","Wg wzoru","Szt",500,100,{"$f":"E175/100","v":5},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["173","Karta zabiegów fizjoterapii , format A-4","Wg wzoru","Szt",200,100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["174","Karta żywienia pozajelitowego Karta metaboliczna , format A-4 jednostronny","Wg wzoru","Szt",1000,100,{"$f":"E177/100","v":10},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["175","Dokumentacja pacjenta NiŚOZ , format A-4 jednostronny","Wg wzoru","BI",50,1,50,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["176","Księga Zabiegów Ambulatoryjnych dla Nocnej i Świątecznej Opieki Zdrowotnej Lekarskiej i Pielęgniarskiej, format A-4/100kartek","Wg wzoru","Książka",12,1,12,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["177","Księga Porad Ambulatoryjnych dla Nocnej i Świątecznej Opieki Zdrowotnej Lekarskiej i Pielęgniarskiej , format A-4 /100kartek","Wg wzoru","Książka",20,1,20,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["178","Księga Zgłoszeń Telefonicznych dla Nocnej i Świątecznej Opieki Zdrowotnej Lekarskiej i Pielęgniarskiej, format A-4/100kartek","Wg wzoru","Książka","10",1,"10",null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["179","Orzeczenie lekarskie nr... wydane na podstawie skierowania na badania lekarskie z dn. ... (Zal. Nr 1 do Rozp. MZ z dn. 26.03 2015r. poz.457) DRUK SAMOKOPIUJĄCY 1 + 1 FORMAT A-5","wzór Min Zdr","BI",30,1,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["180","Orzeczenie lekarskie nr... wydane na podstawie skierowania na badania lekarskie z dn. ... (Zal. Nr 2 do Rozp. MZ z dn. 26.03.2015r. poz.457) DRUK SAMOKOPIUJĄCY 1 + 1 FORMAT A-4","wzór Min Zdr","BI",5,1,5,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["181","Karta Rehabilitacyjna, format A-4 dwustronny (Oddz. Ortop.)","wg wzoru","szt",300,100,{"$f":"E184/100","v":3},null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["182","Karta obserwacji centralnego cewnika naczyniowego  , format A-4   dwustronny  (Załącznik nr 6g do Zarządzenia Nr 89/2013/DSOZ Prezesa Narodowego Funduszu Zdrowia z dnia 19grudnia 2013r)","Wg wzoru","Szt",3000,100,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["183","Orzeczenie lekarskie dotyczące kształcenia i nauki zawodu , format A-6","Mz/Hsz-18","bl",2,1,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["184","Karta oceny stanu pacjenta wg zmodyfikowanej skali Barthel , format A-4 jednostronny       ( zał. nr 12 do zarządzenia nr 69/2007/DSOZ z dnia 25 września 2007r Prezesa Narodowego Funduszu Zdrowia ) ","Wg wzoru","Szt",400,100,4,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["185","Karta przetoczenia krwi i jej składników , format A-4 dwustronny ","Wg wzoru","Szt",300,100,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["186","Okołooperacyjna karta kontrolna, A-4 jednostronna  w kolorach    ( GM-Da 86.2G )","Wg wzoru","Szt",8000,100,80,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["187","Protokół  likwidacyjny (depozyt szpitalny ) , format A-4 samokopiujący 1+1","Wg wzoru","bl",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["188","Standard zabiegów neurochirurgicznych , A-4 jednostronny ,                            samokopiujący  oryginał +kopia (1+1)","Wg wzoru","bl",90,1,90,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["189","Indywidualna karta opieki pielęgniarskiej , format A-4 dwustronna","Wg wzoru","Szt",20000,100,200,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["190","Protokół zdawczo-odbiorczy  , format A-5  ,                                                              samokopiujący,  oryginał + 3 kopie-każda w innym kolorze (  1+3 )                GM Da -159G1","wg wzoru ","bl",400,1,400,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"},null,null," "]
["191","Rejestr narzędzi i sprzętu medycznego poddawanego procesom  sterylizacji  , format A-4 , dwustronny ( obie strony takie same)","Wg wzoru","Szt",900,100,9,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["192","Rejestr narzędzi i sprzętu medycznego czyszczonego i dezynfekowanego manualnie  , format A-4 , dwustronny ( obie strony takie same)","Wg wzoru","Szt",600,100,6,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["193","Audyt kontroli efektywności sprzątania , format A-4  jednostronny ","Wg wzoru","Szt",1000,100,10,null,{"$f":"H196*G196","v":{"v":0,"d":"0.00"}},{"v":0.23,"d":"23%"},{"$f":"I196*1.23","v":{"v":0,"d":"0.00"}}]
["194","Konsultacja epidemiologiczna , format A-4 dwustronny ","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["195","Zlecenie na transport specjalistyczny karetka ,,S'' z lekarzem , format A-4 samokopiujący , oryginał +kopia ,   1+1 ","wg wzoru ","bl",20,1,20,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["196","OŚWIADCZENIE przedstawiciela ustawowego/opiekuna faktycznego pacjenta małoletniego lub posiadającego orzeczenie o znacznym stopniu niepełnosprawności, format A-4  jednostronny","Wg wzoru","Szt",1000,100,10,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["197","Karta informacyjna szpitalnego oddziału ratunkowego , format A-4 , samokopiująca ,      wszystkie strony samokopiujące","wg wzoru ","bl",30,1,30,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["198","Czynniki ryzyka przy przyjęciu do Szpitala Zachodniego , format A-4 , jednostronny","Wg wzoru","Szt",25000,100,250,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["199","Orzeczenie lekarskie do celów sanitarno-epidemiologicznych , format A-5  , samokopiujący   oryginał + kopia  ( 1+1 )                                                                      ( Dz. U z 2020r , poz.1845)","Wg wzoru","bl",8,1,8,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["200","Zgoda pacjenta na przeprowadzenie przezskórnego zabiegu zamknięcia ASD/PFO  , Informacja dla pacjenta  ,  format  2xA-4","Wg wzoru","Szt",100,100,1,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["201","Skierowanie na krew do pilnej transfuzji  , format A-6","Mz/Szp-48","bl",4,1,4,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["202","Karta profilaktycznego badania lekarskiego ucznia kończącego szkołę ponadpodstawową  , format druku: A- 5 dwustronny ","Mz/Hsz-14","Szt",200,100,2,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
[203,"Księga Druków Ścisłego Zarachowania , format A-4/25kartkowa","RR-20","Szt",3,1,3,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
[204,"Kwestionariusz Rodzinnego Wywiadu Środowiskowego   część I              Dziennik Ustaw poz.893  zgodne z Rozporządzeniem Ministra Rodziny i Polityki Społecznej  z dnia 8 kwietnia 2021r , poz 893  ,                                                                         format    8xA-4 dwustronny = 16stron","wg wzoru ","kpl",100,1,100,null,{"v":0,"d":"0.00"},{"v":0.23,"d":"23%"},{"v":0,"d":"0.00"}]
["      ",{"$nulls":7},{"$f":"SUM(I4:I207)","v":{"v":0,"d":"0.00"}},{"v":0.23,"d":"23%"},{"$f":"SUM(K4:K207)","v":{"v":0,"d":"0.00"}}]
[{"$nulls":8},{"$f":"SUM(I4:I207)","v":0},null,{"$f":"SUM(K4:K207)","v":0}]