‘i akan - > BK- Name PT _PTHAMPARAN PERIASA MANO Pairaber os one 0705/0073 VY news: Gentes Cheatin Mmber A tee, eee || PON oR RTOTOTTATT W4 Sertowe RTO, RoniauSenova-Biang, —PODate 2a/oapzosa NS ‘assur PURCHASE ORDER nth om ke ‘In bltuke 62/80/00, Kenaia va saru/aron suMsen nee Plese avert el Tein Pama te IL illo mo, 2018, slkpapan Soeetnas Pa ea Tar Tengah Kanata Tina ‘abso Rink Riera ESS Ter teas Ue ens [OTSA] teu vant ugh ee Temenbaran days fern recived Term OFPoyment Temeutinan Franc R Saarinda imams Due ate 0sz014 lease forwards goods tothe adress indicated above and with pice fr aczordance to your afr. Whan dlpatching goods please dicate our Purchase Order sures MATERIAL av UNIT PRICE ‘TOTAL PRICE ‘GBATOBATAN POUBUN (UST TERLAMPIR] 5 A7LCARO0| ALezOO SSYARAT PENAGIMAN ‘TOTAL PRE-TAX 15,471,642.00 1. Invoiee, Faktur Pak ia ada) & Kuritans bermateraiculap DIscouNT : 2. Lampiciantanda trina gudang dan copy PO PN 10% 3.Jatuhtompe diitung soak invoice deri ‘OTHER TAKES. 4 Supaler menjamin legalits dan Keabsahan barang yang jus eta anew rmembedaskan Pak Pembell dari segalaturtutanhukuman tka dengan ‘TOTAL AFTER TAX, keabsanan barang tesabut 5. Nomor rekening harap dicantumlan clinvoice ‘Description: a ‘Approved byPT HAMPARAN PERKASA MANDIRI LAMPIRAN PO NO. EST/HPM/JKTO/04/14/0124 BERREEK | Ibu Hermina Mayasari(0542-423832) [NO. [Nama Barang faty [Satuan | HargaSat. | Nilai Ket 2/Ibuprofen syrup 30/8TL 6,294.40 | 188,832.00 2IINH 300 mg. [box 93,800.00 | 469,000.00 3|Cefadroxil 500mg (generik) 30|box 70,000.00 | 2,100,000.00 44| Ceftriaxone inj 1 er 10|Vial ‘9,240.00 [92,400.00 '5|Metoclopramid inj (generik)/Ethiferan/Primperan Inj 30/Amp 7,000.00 | 210,000.00 [ETHIFERAN INI 6|Cetirizin Syrup (generik)/histrin/incidal/Rihest 20/eTL 14,616.00 [292,320.00 7|Allohex Syr 20[BTL 18,200.00 | 364,000.00 ‘B|DULCOLAX Tab a|box 175,000.00 | 175,000.00 ‘3|Dextrometrofan Hbr i0|box 35,000.00 | 350,000.00 10]kasa Gulung @ 50 glg(10 cm) ‘40 ]ROL. 2,800.00 | _ 112,000.00 13 |/SCABISIDE CREAM, 20[Tube 9,800.00 | 98,000.00 22/Pit Kina 3|Box 42,000.00 | 126,000.00 13| Paracetamol Syrup 3|Box. 4,250.00 | 12,750.00 14)Betadin Besar 3|Box 20,300.00 | 60,900.00 15|Scabiside Cream 3|Box 9,800.00 [23,400.00 16) Bed Periksa [unit | 4,940,000.00 |" 4,940,000.00 17 Com kapas: [Pes 104,520.00 | 104,520.00 18|Laringoscope afunit | 2,398,800.00 | 2,298,800.00 19|Long Spine Board [unit | 3,510,000.00 | 3,510,000.00 20|Pispot aunt 34,320.00 | _34,320.00 [PISPOT WANITA 21|Tempat Korentang 2funit 132,600.00 | 432,600.00 22[Bidan Kit [unit | 670,800.00 [670,800.00 ‘Sub-Total | 15,473,642.00 PPN 10% a Grand Total_| 45,471,642.00