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Dental Depertment
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Dental Supply Request Form
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Employee Name:ali mahmood aliEmployee number:12535
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Clinic Number:1Facility:المزروعية
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Request Date:8/10/2026
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NetworkFacilityMOH CODE Item DescriptionQuantity
Approved Need
Unit Cost (SARTotal Cost
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المزروعيةMouth mirror Front surface autoclavable, metric simple stem, size 5 (12 / box) - compatble with 126650226
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Tweezer,College serrated pattern 15 cm long Stainless Steel - compatble with 226650238
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Explorer single end bayonet shaped Series Stainless Steel - compatble with 226650232
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Probe, Stainless Steel Williams Goldman fox double ended. - compatble with 226650236
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Scaler, Goldman fox universal scaler size GF-1 - Large size diameter and special round Stainless Steel hollow handle provide a stress free grip,-Grade 440 Series Stainless Steel (high carbon content and a certa - compatble with 226710048
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EXCAVATOR DISCOID 1.8MM - compatble with 226650784
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BURNISHER BALL DOUBLE ENDED - compatble with 226650770
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INSTRUMENT TEMPORARY FILLING FLAT END MEDIUM DOUBLE ENDED - compatble with 226650791
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Plastic filling instrument set for composite restorative - compatble with 126750642
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Plastic Filling Instrument, Stainless Steel, Double Ended, Small/ Medium. - compatble with 266600039
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HANDLE FOR DENTAL MIRROR SIMPLE STEM . - compatble with 226750269
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15 UNC PERIODONTAL PRB 025030.1 BEDAYA (15 UNC PERIODONTAL PROBE STAINLESS STEEL COLOR CODED )
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CARVER INTERPROXIMAL LONG DOUBLE ENDED - compatble with 226650773
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Forceps for lower deciduous molars Stainless Steel.fig 6 - compatble with 226660031
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Forceps for upper deciduous incisorsand cuspid Stainless Steel,fig 37- compatble with 226660018
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Forceps for upper deciduous molar teeth (right) Series Stainless Steelfig.39 R - compatble with 226660020
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Forceps for upper incisors, canines (wide) fig1Stainless Steel . - compatble with 226660004
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Forceps for lower wisdom teeth sharp beaks Stainless Steel.fig 79 - compatble with 226660028
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Forceps for lower incisors canine and bicuspids (narrow)Stainless Steel fige 74 N - compatble with 226660025
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Forceps for upper incisors, bicuspids(narrow) fig2 Stainless Steel. - compatble with 226660002
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Forceps for upper bicuspids (Premolar),fig7Stainless Steel - compatble with 226660006
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Forceps for upper right molars , stainless steel,fig17 - compatble with 226660010
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Forceps for upper anterior roots (narrow beak) Stainless Steel .fig29 - compatble with 226660008
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Forceps for lower molars, Stainless Steel Fig 73 - compatble with 226660027
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Forceps - compatble with 226660112
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Elevator, Apical straight elevator Stainless Steel - compatble with 226660034
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Handpiece Contra-angle E-type connection internal air and water cooling gear,ration 1:1 for RA type burs with triple spray. - compatble with 226650314
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Hand piece Air turbine with fiber-optic high speed contra angle hand piece light weight and high torque autoclavable up to 135c quick connection coupling With water flow regulator to fit mid-west 4 holes and tr - compatble with 226650311
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BUR:Carbide, RA, ISO No.500-204-010-001-018, Inverted Cone, Size 1.8mm. - compatble with 126750630
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BUR:Carbide, HP, ISO No.500-104-194-190-040, Tapered, Round End, Medium Cutting, Size 4mm. - compatble with 126730410
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BUR:Carbide, HP, ISO No.500-104-292-191-023, Cylindre, Beveled End, Size 2.3mm. - compatble with 126730412
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BUR:Diamond, FG, ISO No.806-313-197-534-023, Tapered, Round End, Short Shank, Size 2.3mm. - compatble with 126720190
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BUR:Diamond, FG, ISO No.806-314-001-524-014, Round, Medium Coarse, Size 1.4mm. - compatble with 126720152
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BUR:Diamond, FG, ISO No.806-314-107-524-012, Cylindr Short, Flat End, Medium Coarse, Size 1.2mm. - compatble with 126750612
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BUR:Diamond, FG, ISO No.806-314-107-524-016, Cylindr Short, Flat End, Medium Coarse, Size 1.6mm. - compatble with 126750611
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BUR:Diamond, FG, ISO No.806-314-107-524-016, Cylindr Short, Flat End, Medium Coarse, Size 1.6mm. - compatble with 126750611
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BUR:Diamond, FG, ISO No.806-314-165-524-014, Tapered (Needle) Thin, Medium Coarse, Size 1.4mm. - compatble with 126720166
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BUR:Diamond, FG, ISO No.806-314-173-524-023, Tapered Flat End, Medium Coarse, Size 2.3mm. - compatble with 126750632
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BUR:Diamond, FG, ISO No.806-314-173-534-018, Tapered Flat End Long, Coarse, Size 1.8mm. - compatble with 126720170
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BUR:Diamond, FG, ISO No.806-314-199-524-016, Tapered, Round End, Medium Coarse, Size 1.6mm. - compatble with 126720182
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BUR:Diamond, FG, ISO No.806-314-249-524-014, Flame, Medium Coarse, Size 1.4mm. - compatble with 126720200
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BUR:Carbide, FG, Coarse, 18 Fluted, for Removal of Adhesive Residue - compatble with 126500025
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BUR:Acrylic, Flame, Size Small. - compatble with 126690094
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Endo-z-bur FG non cutting save -end bur - compatble with 226680809
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Polisher flame shape for compositeRA, ISOno. (658-204-243- 502 ? 030) - compatble with 126750068
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Elevator, Warwick James straight Stainless Steel - compatble with 226660056
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Elevator, Warwick James left Stainless Steel - compatble with 226660058
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Elevator Warwick James - compatble with 226660057
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Elevator, Langenback elevator 20 cm- Grade 410 - 420 Series Stainless Steel (high carbon content and a certain percentage of chromium) heat treated for greater rigidity - compatble with 226660239
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Elevator, Langenback elevator 17 cm- Grade 410 - 420 Series Stainless Steel (high carboncontent and a certain percentage of chromium) heat treated for greater rigidity. - compatble with 226660238
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Elevator, Langenbeck elevator 16.5 cm- Grade 410 - 420 Series Stainless Steel (high carbon content and a certain percentage of chromium) heat treated for greater rigidity. - compatble with 226660237
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PERIOSTEAL ELEVATOR: PRICHARD PERIOSTEAL ELEVATOR - compatble with 266600027
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PERIOSTEAL ELEVATOR: 16 FREER, Stainless Steel - compatble with 266600009
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PERIOSTEAL ELEVATOR: 14 GOLDMAN FOX, Double Ended, Stainless Steel, - compatble with 266600007
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Elevator, Cryer left side Stainless Seel - compatble with 226660038
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elevator winter left,stainless steel - compatble with 226660800
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PERIOSTEAL ELEVATOR: MINI SELDIN PERIOSTEAL ELEVATOR - compatble with 266600025
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Elevator Rowe zygomatic elevator 216 mm articulated handle & blade - Grade 410 - 420 Series Stainless Steel (high carbon content and a certain percentage of chromium) heat treated for greater rigidity. - compatble with 226660272
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Elevator obwegesser periosteal fig1 - compatble with 226660842
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Elevator obwegesser coronoid stripper - compatble with 226660844
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Elevator kilner malar 178 - compatble with 226660845
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Elevator Coupland size 3.Stainless Steel- compatble with 226660041
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Elevator Coupland size 2 Stainless Steel- compatble with 226660040
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Elevator Coupland size 1.stainless steel - compatble with 226660039
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Elevator bristow malar sharp edge 240 mm - compatble with 226660846
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FINGER RULER: Portable Device for Setting Working Length, Stainless Steel, - compatble with 226650298
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