| A 1 | B 2 |
| Sıra No | Mal Kaleminin Adı ve Kısa Açıklaması | Birimi | Miktarı | Teklif Edilen Birim Fiyat (Para birimi belirtilerek) | Tutarı (Para birimi belirtilerek) |
| 1 | SERBEST IPEK.1 17X45 | adet | 1.200 | | |
| 2 | SERBEST IPEK 2/0 17X45 | adet | 2.000 | | |
| 3 | SERBEST IPEK 3/0 17X45 | adet | 1.800 | | |
| 4 | SERBEST IPEK 4/0 17X45 | adet | 600 | | |
| 5 | İPEK KESKİN NO:1 26-35 MM 75CM | adet | 1.800 | | |
| 6 | İPEK KESKİN 2/0 24-26MM 75CM | adet | 12.000 | | |
| 7 | İPEK KESKİN 4/0 26MM 75CM | adet | 600 | | |
| 8 | İPEK YUVARLAK 1 75CM 26-30MM | adet | 1.200 | | |
| 9 | İPEK 2/0 YUVARLAK 26MM 75CM | adet | 900 | | |
| 10 | İPEK 3/0 YUVARLAK 20- 26MM 75CM | adet | 3.000 | | |
| 11 | İPEK YUV. 4/0 75CM 16-20MM | adet | 600 | | |
| 12 | İPEK 5/0 10-13 MM 3/8 DAİRE YUVARLAK45- 75 CM | adet | 300 | | |
| 13 | POLYDIOXANONE PDS 4/0 KESKİN 24-26MM 75CM | adet | 600 | | |
| 14 | POLYDIOXANONE PDS 5/0 KESKİN 13MM 45CM | adet | 1.800 | | |
| 15 | POLYDİOXANONE PDS 0 LOOP 35-40MM 150CM | adet | 240 | | |
| 16 | POLYDİOXANONE PDS 1 LOOP 40MM 150CM | adet | 3.000 | | |
| 17 | POLYDİOXANONE PDS NO:1 30MM 75CM YUV.TEK.İĞNE | adet | 2.400 | | |
| 18 | POLYDİOXANONE PDS 2/0 YUV.26-30MM75CM | adet | 5.000 | | |
| 19 | POLYDİOXANONE PDS 3/0 YUVARLAK İĞNE .20-26 MM 75CM | adet | 5.000 | | |
| 20 | POLYDİOXANONE PDS 4/0 YUV.20MM 75CM | adet | 4.000 | | |
| 21 | POLYDİOXANONE PDS 5/0 YUV.13MM 45CM | adet | 2.400 | | |
| 22 | POLYGLYCOLIC A(VICRYL)2/0 KESK.26MM 75CM | adet | 1.200 | | |
| 23 | POLYGLACTIN(VICRYL)3/0 KESK.26MM 75CM | adet | 4.000 | | |
| 24 | POLYGLACTIN VICRYL 4/0 K. 16MM 75CM | adet | 3.600 | | |
| 25 | POLYGLACTIN VICRYL 5/0 K 13MM 45 CM | adet | 600 | | |
| 26 | POLYGLACTIN(VICRYL) 1 YUVARLAK 26-30MM 75CM | adet | 12.000 | | |
| 27 | POLYGLACTIN(VICRYL) 2/0 YUVARLAK 26MM 75CM | adet | 8.000 | | |
| 28 | POLYGLACTIN(VICRYL) 3/0 YUVARLAK 26MM 75CM | adet | 8.000 | | |
| 29 | POLYGLACTIN(VICRYL) 4/0 YUVARLAK 16MM 75CM | adet | 3.600 | | |
| 30 | POLYGLACTIN(VICRYL) 5/0 YUVARLAK 13MM 75CM | adet | 1.200 | | |
| 31 | POLYGLACTIN(VICRYL)2/0 SERBEST 12X45CM | adet | 600 | | |
| 32 | POLYGLACTIN(VICRYL)3/0 SERBEST 12X45CM | adet | 900 | | |
| 33 | PROLENE 3/0 KESKİN 26MM 75CM | adet | 600 | | |
| 34 | PROLENE 4/0 KESKİN 16MM 45CM | adet | 900 | | |
| 35 | PROLENE 2/0 TEK YUV. 26 MM 75CM | adet | 300 | | |
| 36 | PROLENE 3/0 TEK YUV. 26 MM 75CM | adet | 300 | | |
| 37 | PROLENE 4/0 TEK YUV. 26 MM 75CM | adet | 300 | | |
| 38 | PROLENE 5/0 ÇİFT YUV.13MM 75CM ORGAN NAKLİ | adet | 1.200 | | |
| 39 | PROLENE 5/0 TEK YUV.13MM 45-75CM | adet | 600 | | |
| Toplam Tutar (K.D.V Hariç) | |