| A | B |
| Sıra No | Mal Kaleminin Adı ve Kısa Açıklaması | Birimi | Miktarı | Teklif Edilen Birim Fiyat (Para birimi belirtilerek) | Tutarı (Para birimi belirtilerek) |
| 1 | BACKHAUS CAMASIR KLEMP 11 CM | adet | 6 | | |
| 2 | BISTURI SAPI 4 NO 13.5 CM | adet | 1 | | |
| 3 | BISTURI SAPI 3 NO 16.5 CM | adet | 1 | | |
| 4 | BISTURI SAPI 4 NO 21.5 CM | adet | 1 | | |
| 5 | STANDART PENSET DUZ 14.5 CM | adet | 1 | | |
| 6 | STANDART PENSET DISLI 13 CM | adet | 1 | | |
| 7 | STANDART PENSET DISLI 16 CM | adet | 1 | | |
| 8 | CUSHING PENSET DUZ 18 CM | adet | 1 | | |
| 9 | MAYO MAKAS EGRI 15.5 CM | adet | 2 | | |
| 10 | METZENBAUM MAKAS EGRI 18 CM | adet | 1 | | |
| 11 | HEGAR PORTEGU 20.5 CM | adet | 1 | | |
| 12 | MAYO HEGAR PORTEGU 18 CM | adet | 1 | | |
| 13 | CRILE-WOOD PORTEGU 16 CM | adet | 1 | | |
| 14 | KOCHER HEMOST.PENS EGRI DIS 18 | adet | 1 | | |
| 15 | KOCHER HEMOST.PENS DUZ DIS 24 | adet | 2 | | |
| 16 | GEMINI DIKIS PENS 18 CM | adet | 1 | | |
| 17 | HALSTED MOS.HEMO.PENS EG.20 CM | adet | 1 | | |
| 18 | CRILE HEMOSTATIK PENS 14 CM | adet | 3 | | |
| 19 | FARABEUF EKARTORU 23X16 MM 15 CM | adet | 2 | | |
| 20 | KIRSCH EKARTOR 60X11MM 21 CM | adet | 1 | | |
| 21 | KIRSCH EKARTOR 60X11MM 21 CM | adet | 1 | | |
| 22 | ENNDER CIKARTICI 40 CM | adet | 1 | | |
| 23 | DOCKHORN EKARTOR 55X14MM 21 CM | adet | 1 | | |
| 24 | VOLKMANN KEMIK EKAR.8.5X19 MM | adet | 1 | | |
| 25 | OLLIER EKARTOR 35X55 MM 23 CM | adet | 2 | | |
| 26 | HOHMANN KEMIK ELEVATOR 26 CM | adet | 1 | | |
| 27 | LANGE HOHMANN KEMIK ELEV.26.5 | adet | 2 | | |
| 28 | SCHUMACHER KEMIK ELEVAT. 35 MM | adet | 1 | | |
| 29 | BLOUNT KEMIK ELEVATORU 27 CM | adet | 1 | | |
| 30 | BLOUNT KEMIK ELEV.38 MM 26 CM | adet | 2 | | |
| 31 | LAMBOTTE OSTEOTOM 20 MM 24.5 CM | adet | 1 | | |
| 32 | LAMBOTTE OSTEOTOM 30 MM 24.5 CM | adet | 1 | | |
| 33 | SITLLE OSTEOTOM EGRI 20 MM 20.5 CM | adet | 1 | | |
| 34 | CIZIL 20MM 24.5 CM | adet | 1 | | |
| 35 | LAMBOTTE RASPA 15 MM 21.5 CM | adet | 1 | | |
| 36 | LANGEBECK ELEVATOR 16 MM 19 CM | adet | 1 | | |
| 37 | MATKAP KLAVUZU 130° | adet | 1 | | |
| 38 | SPINAL KURET 10.5 MM 23 CM | adet | 1 | | |
| 39 | KURET 6.8 MM 25 CM | adet | 1 | | |
| 40 | LUER-STILLE KEMIK RONJUR 22.5 CM | adet | 1 | | |
| 41 | MAYFIELD KEMIK RONJUR 17.5 CM | adet | 1 | | |
| 42 | DESCHAMPS SUTUR ELEV.28 CM | adet | 1 | | |
| 43 | TUTUCU 20 CM | adet | 1 | | |
| 44 | DESCHAMPS SUTUR ELEV. 28 CM | adet | 1 | | |
| 45 | VOLKMANN KEMIK EKARTOR 24.5 CM | adet | 1 | | |
| 46 | CEKIC 16.5 CM | adet | 1 | | |
| 47 | MAIER PENS EGRI 26.5 CM | adet | 1 | | |
| 48 | KERRISON PUNCH DETACHABLE BLACK 3MM 18CM | adet | 1 | | |
| 49 | tas1.0lt.15.0x10.0x7,5cm | adet | 2 | | |
| 50 | BOBREK KUVETI 175X100X35 MM | adet | 1 | | |
| 51 | SEDILLOT RASPA 18 MM 18.5 CM | adet | 1 | | |
| 52 | STANDART PENSET DISLI 25 CM | adet | 1 | | |
| 53 | STANDART PENSET DUZ 18 CM | adet | 1 | | |
| 54 | Kon.580x280x150mm Full size | adet | 1 | | |
| 55 | Perf.trays without 539x252x95mm | adet | 1 | | |
| Toplam Tutar (K.D.V Hariç) | |