Faktur Obat BHP 2016

FAKTUR PENJUALAN
PT LAMLO PHARMACY
JL. HASAN SALEH NO 45 . BANDA ACEH
Phone : 0651- 28925 Nama : JKN FKTP CALANG

Tanggal : 21 / 11 / 2016 Alamat : DESA GAMPONG BL
NO NAMA BARANG HARGA JUMLAH TOTAL
1 Daryant Tulle Steril SACH 125,000.00 5 box 625,000.00
2 Cholesterol Easy Touch 154,000.00 7 tube 1,078,000.00
3 Glucose Easy Touch 74,250.00 5 box 371,250.00
4 Alkohol 70% 1 liter 21,000.00 15 Botol 315,000.00
TOTAL 2,389,250.00
Hormat Kami Total : 2,389,250.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Antisera A 84,000.00 1 tube 84,000.00
2 Antisera B 84,000.00 1 tube 84,000.00
3 Uric Acid Easy Touch 73,500.00 5 box 367,500.00
4 Leukoplast 1625 H (3x5) 41,014.00 10 roll 410,140.00
TOTAL 945,640.00
Hormat Kami Total : 945,640.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Cholesterol Easy Touch 154,000.00 6 box 924,000.00
2 GlucoseEasy Touch 74,250.00 3 box 222,750.00
4 Ultrasound Transmission gel 25,000.00 5 botol 125,000.00
5 Bisturi no.21 73,500.00 2 box 147,000.00
6 Hand Skone sensi M 42,000.00 6 box 252,000.00
7 Leukoplast 1624 H (2x5) 28,212.00 10 roll 282,120.00
TOTAL 2,173,370.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Cholesterol Easy Touch 154,000.00 4 box 616,000.00
2 GlucoseEasy Touch 74,250.00 3 box 222,750.00
3 Ethyl Chloride Eye Dispo 165,900.00 1 botol 165,900.00
4 Ethyl Chloride Spray (140) 96,000.00 3 botol 288,000.00
5 Thrombophob gel 52,400.00 2 tube 104,800.00
TOTAL 1,397,450.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

2 Strip Easy Touch HB 152,250.00 6 box 913,500.00
3 Aximed HCG Hamil Test 60,000.00 3 box 180,000.00
4 Ethyl Chloride Spray 90,000.00 5 pcs 450,000.00
5 My jelly 80 gr One Med 31,680.00 3 box 95,040.00
TOTAL 2,079,540.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Hand Skone ST Safeguard M 38,200.00 8 box 305,600.00
2 Alkohol 70% 1 liter 21,000.00 6 box 126,000.00
3 Nassal Oxygen Oxyflow 13,500.00 20 box 270,000.00
4 Cholesterol Easy Touch 154,000.00 5 pcs 770,000.00
5 Glucose Easy Touch 74,250.00 6 box 445,500.00
TOTAL 1,917,100.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

2 Cholesterol Easy Touch/10's 147,300.00 5 box 736,500.00
3 Uric Acid Easy Touch 25's 73,500.00 2 box 147,000.00
4 Glucose Easy Touch 25's 70,800.00 2 box 141,600.00
5 Umbilical cord clamp cosa 2,500.00 100 pcs 250,000.00
6 Dental Needle 159,500.00 2 box 319,000.00
7 Ethyl Chloride Eye Dispo 165,900.00 2 botol 331,800.00
8 Abbocath No.18 Terumo 10,000.00 50 pcs 500,000.00
9 Syringe 1 cc Insulin Terumo 2,500.00 100 pcs 250,000.00
9 Thrombophob Gel 52,400.00 3 box 157,200.00
TOTAL 2,833,100.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

5 Topicaina Local Anasthesi 85,000.00 2 pcs 170,000.00
6 Turbocaine inj. 320,000.00 1 box 320,000.00
7 Bisturi no.11 1,000.00 50 pcs 50,000.00
9 Hand Skone sensi L 42,000.00 5 box 210,000.00
TOTAL 2,344,500.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

Tanggal : 27/ 4/ 2016 Alamat : DESA GAMPONG BL
1 Leukoplast 1625 H (3x5) 41,014.00 5 rol 205,070.00
5 Pro Hamil test /50 s 1,250.00 100 pcs 125,000.00
8 Hand Skone sensi L 42,000.00 5 box 210,000.00
9 Antisera ( A, B, AB, D ) 520,000.00 1 set 520,000.00
10 Caviton white 310,000.00 1 box 310,000.00
11 HCL 0,2 ml / 1 liter 125,000.00 1 botol 125,000.00
TOTAL 2,957,470.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Kapas 200 gr Swallow 18,700.00 10 pcs 187,000.00
2 Blood transfusion set 4,700.00 20 pcs 94,000.00
3 Folley catch zway fr 16 7,150.00 20 pcs 143,000.00
4 Strip Cholesterol Easy Touch 147,300.00 3 box 441,900.00
5 Strip Glucose Easy Touch 70,800.00 2 box 141,600.00
6 My jelly 80 gr one med 28,800.00 2 tube 57,600.00
TOTAL 1,065,100.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Aqua pro inj 20 ml/ 10 vial 45,200.00 2 box 90,400.00
2 Catgut 3/0 chromic + nald 6,000.00 10 pcs 60,000.00
3 My Jelly 80 gr one med 28,800.00 2 tube 57,600.00
5 Strip Cholesterol Easy Touch 147,300.00 2 box 294,600.00
6 Strip Glucose Easy Touch 70,800.00 2 box 141,600.00
7 Strip HB Easy Touch 152,250.00 2 box 304,500.00
TOTAL 1,108,200.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Keterolac Tromethamine 11,248.00 8 box 89,984.00
2 Loratadine 10 mg 25,000.00 12 box 300,000.00
3 Buscopan 10 mg 264,656.00 3 box 793,968.00
4 Oxytetracyclin 1% salp mata 3,000.00 103 tube 309,000.00
5 Mexon tab 16,300.00 10 box 163,000.00
TOTAL 1,655,952.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Afolat tab 13,500.00 10 box 135,000.00
2 Flutamol 25,000.00 10 box 250,000.00
3 Captopril 25 mg 14,000.00 12 box 168,000.00
4 Oxytetracyclin 3% salp kulit 2,500.00 75 tube 187,500.00
5 Livron B Plex 22,000.00 20 box 440,000.00
6 Reco tetes mata 10 ml 6,500.00 100 tube 650,000.00
7 Reco ear drops 10 ml 6,825.00 100 tube 682,500.00
TOTAL 2,513,000.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Ranitidine 150 mg 14,200.00 15 box 213,000.00
2 Loratadine 10 mg 12,000.00 10 box 120,000.00
3 Propanolol 10 mg 10,000.00 13 box 130,000.00
4 Omeric 300 mg 30,000.00 15 box 450,000.00
5 Betametasone 0,1 % cream 2,500.00 150 tube 375,000.00
6 Acyclovir 5% cream 3,600.00 100 tube 360,000.00
7 Burnazin cream 35 gr 48,950.00 4 tube 195,800.00
8 Flutamol 25,000.00 12 box 300,000.00
9 Afolat tab 13,500.00 7 box 94,500.00
10 Thrombophop gel 52,400.00 6 tube 314,400.00
11 Cuticell 10cmx10cm 10,000.00 30 lembar 300,000.00
TOTAL 2,852,700.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Vitamin K4-10 mg 20,000.00 15 box 300,000.00
2 Acyclovir 5% cream 5 gr 3,000.00 75 tube 225,000.00
3 Rivanol 100 ml 2,000.00 36 botol 72,000.00
4 Neu Baby Cough UNI 60 ml 3,331.00 144 botol 479,664.00
5 Ranitidine 150 mg 14,200.00 20 box 284,000.00
5 Papaverin hcl tab 115,000.00 2 kaleng 230,000.00
TOTAL 1,590,664.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Piroxicam 20 mg 11,500.00 20 box 230,000.00
2 Dulcolax 5 mg 215,500.00 5 box 1,077,500.00
3 Lidocaine inj 126,500.00 3 box 379,500.00
4 Piroxicam 10 mg 10,200.00 20 box 204,000.00
5 Betametasone 0,1 % gr 2,500.00 50 tube 125,000.00
TOTAL 2,016,000.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Natrium Diclofenac 50 mg 15,000.00 20 box 300,000.00
2 Mexon tab 16,300.00 25 box 407,500.00
3 Pitogin 1ml/ 10 amp 57,750.00 10 box 577,500.00
4 Piroxicam 20 mg 11,500.00 10 box 115,000.00
5 Flutamol 25,000.00 25 box 625,000.00
TOTAL 2,025,000.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Piroxicam 20 mg 11,500.00 20 box 230,000.00
2 Dulcolax 5 mg 215,500.00 5 box 1,077,500.00
3 Methyl prednisolon 4 mg 25,000.00 20 box 500,000.00
4 Lidocaine inj. 126,500.00 6 box 759,000.00
5 Syntocinon inj. 1 ml 146,100.00 5 box 730,500.00
TOTAL 3,297,000.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Isosorbidedinitrate 13,901.00 7 box 97,307.00
2 Calortusin tab 27,115.00 10 box 271,150.00
3 Natrium Diclofenac 50 mg 15,000.00 20 box 300,000.00
4 Simvastatin 20 mg 40,000.00 5 box 200,000.00
5 Afolat tab 13,500.00 6 box 81,000.00
6 Domperidone tab 10 mg 19,327.00 8 box 154,616.00
7 Mexon tab 16,500.00 10 box 165,000.00
8 Metvormin 500 mg 15,000.00 5 box 75,000.00
9 Syntocinon inj. 146,100.00 3 box 438,300.00
10 Neo K inj 67,800.00 3 box 203,400.00
11 Ceftriaxone inj. 24,000.00 2 box 48,000.00
12 Neurobion 5000 inj. 171,000.00 2 boc 342,000.00
13 Gentamicyn salp kulit 0,1% 2,000.00 50 tube 100,000.00
14 Genoint salap mata 0,3% 6,367.00 30 tube 191,010.00
15 Tranexid 15,000.00 10 ampul 150,000.00
16 Mgso4 40 mg 10,000.00 10 botol 100,000.00
17 Mgso4 20 mg 10,000.00 10 botol 100,000.00
TOTAL 3,016,783.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Flutamol/100's 25,000.00 12 box 300,000.00
2 Neuropyron V/100's 57,500.00 7 box 402,500.00
3 Omeric 300 mg/100's 30,000.00 10 box 300,000.00
4 Lacbon/ 100's 127,500.00 5 box 637,500.00
5 Mexon tab 16,300.00 8 box 130,400.00
6 Omedom/100 tab (50) 19,700.00 7 box 137,900.00
7 Piroxicam 10 mg/100 tab 10,200.00 10 box 102,000.00
8 Piroxicam 20 mg/100 tab 10,200.00 10 box 102,000.00
9 Narium Diclofenac 22,000.00 7 box 154,000.00
10 Hydrochlorthiazide 28,000.00 5 box 140,000.00
TOTAL 2,406,300.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Simvastatin 20 m/ 50 tab 40,000.00 3 box 120,000.00
2 Piroxicam 20 mg/ 100's (KF) 11,500.00 7 box 80,500.00
3 Muliavit syrrup 60 ml 3,000.00 192 botol 576,000.00
4 Domperidone 10 mg 100's 19,327.00 5 box 96,635.00
5 Domperidone syr 60 ml 4,500.00 50 botol 225,000.00
6 Ibuprofen 400 mg 17,000.00 5 box 85,000.00
7 Afolat tab /100's 13,500.00 8 box 108,000.00
8 Pehacain inj/ 20's 58,800.00 5 box 294,000.00
9 Myomergin 10 amp/ 1 cc 47,250.00 3 box 141,750.00
10 New baby cough uni 60 ml 3,331.00 144 botol 479,664.00
11 Livron B Plex/ 100's 20,000.00 4 box 80,000.00
12 Lacbon/ 100's 127,500.00 2 box 255,000.00
TOTAL 2,541,549.00
( )
ALANG
ONG BLANG
FAKTUR PENJUALAN
PT LAMLO PHARMACY

1 Metformin 500 mg/ 100's 15,000.00 5 box 75,000.00
2 Ambroxol syr 60 ml (72) 3,000.00 144 botol 432,000.00
3 Papaverin 40 mg/ 100's 13,500.00 5 box 67,500.00
4 Oxytetracyclin 1% salp mata 3,000.00 60 tube 180,000.00
5 Oxytetracyclin 3% 5 gr salp kulit 2,300.00 60 tube 138,000.00
6 Ketoconazole 200 mg 18,000.00 5 box 90,000.00
7 Metrodinazole 500 mg 16,300.00 10 box 163,000.00
8 Lansoprazole 30 mg 20 cap 7,000.00 11 box 77,000.00
9 Neurodex tab (100) 11,000.00 10 box 110,000.00
10 Neo K inj 70,000.00 2 box 140,000.00
11 Pamol supp 125 mg 125,000.00 2 box 250,000.00
12 Genoint tetes mata5 ml 7,035.00 50 tube 351,750.00
13 Omeric 300 mg/ 100's 30,000.00 4 bex 120,000.00
TOTAL 2,194,250.00
( )
ALANG
ONG BLANG
PT LAMLO PHARMACY FAKTUR JUAL
Custumor : Puskesmas Lageun, Kecamatan Setia Bakti No Faktur

Kabupaten Aceh Jaya Tanggal
No Nama Barang Batch/ Expired Harga Jumlah
1 PRO HAMIL TEST 1,250.00 70 PCS
2 FOLEY CATH 2WAY FR 18 SERENITY 7,150.00 10 PCS
3 KAPAS 400 GR LAURA 20,500.00 5 ROLL
4 MUCOS EXTRACTOR 10,500.00 10 PCS
5 THERMOMETER DIGITAL ALPHA 19,800.00 2 PCS
6 ZOLAGEL CREAM 6,850.00 30 PCS
7 BLOOD LANCET GEA 22,000.00 7 BOX
8 PLASTIK KLIP SEDANG 8,500.00 8 PCS
9 LEUCOPLAST PLESTER ROLL 2,5 X 5 M 27,900.00 20 PCS
10 KANTONG PLASTIK (K) 27,500.00 10 PCS
11 ABBOCATH NO. 20 TERUMO 10,000.00 18 PCS
JUMLAH
Total Item : 11
Diterima Oleh Hormat kami

Total :
UAL
: FJ16072300017
: 01/07/2016
Total
87,500.00
71,500.00
102,500.00
105,000.00
39,600.00
205,500.00
154,000.00
68,000.00
558,000.00
275,000.00
180,000.00
1,846,600.00
1,846,600.00
PT LAMLO PHARMACY FAKTUR JUAL
Custumor : Puskesmas Lageun, Kecamatan Setia Bakti No Faktur

Kabupaten Aceh Jaya Tanggal
1 GLUCOSA NESCO 25'S 83,830.00 5 BOX
2 CHOLESTROL NESCO 10'S 157,500.00 3 BOX
3 GLUCOSE EASY TOUCH 25'S 74,250.00 5 BOX
4 URID ACID NESCO 25'S 82,500.00 4 BOX
5 KERTAS VULVIS 17,000.00 8 PCS
6 KANTONG PLASTIK (K) 27,500.00 5 PCS
JUMLAH
Total Item : 6

Total :
UAL
: FJ16072300017
: 01/07/2016
Total
419,150.00
472,500.00
371,250.00
330,000.00
136,000.00
137,500.00
1,866,400.00
1,866,400.00
PT LAMLO PHARMACY
Custumor : Puskesmas Lageun, Kecamatan Setia Bakti

Kabupaten Aceh Jaya
1 VITAMIN B COMPLEX 20,000.00
2 GENTIAN VIOLET ( MULIA) 20,800.00
3 AMLODIPHINE 5 MG 3X10 TAB 7,500.00
4 PEHACAIN INJ / 20'S 58,800.00
5 OXYTOCIN 501 AMP 260,000.00
6 METHIL PREDNISOLONE 4 MG / 100'S 25,000.00
7 LACTO-B 40 SACH 193,950.00
JUMLAH
Total Item : 7

FAKTUR JUAL
No Faktur : FJ16072300017
Tanggal : 01/07/2016
Jumlah Total
3 POT 60,000.00
8 LSN 166,400.00
7 BOX 52,500.00
3 BOX 176,400.00
3 BOX 780,000.00
7 BOX 175,000.00
3 BOX 581,850.00
1,992,150.00
Total : 1,992,150.00
PT LAMLO PHARMACY
Custumor : Puskesmas Lageun, Kecamatan Setia Bakti

Kabupaten Aceh Jaya
1 IBU PROFEN SUSP 60 ML 4,700.00
2 GLUDEPATIC TAB 500 MG/ 100'S 20,500.00
3 RIVANOL 300 ML 3,200.00
4 RANITIDINE 150 MG/ 100 TAB 14,200.00
5 OMEVOMID SYR 3,200.00
6 BUFANTACID FORTE SYR 5,700.00
7 CYCLOFEM INJ / 20 AMP 170,275.00
8 METFORMIN 500 MG 15,000.00
9 NATRIUM DICLOFENAT 50 MG 15,000.00
10 NEO K INJ 67,800.00
11 NEUROBION INJ 171,000.00
12 SIMVASTATINE 20 MG 40,000.00
13 AFOLAT TAB / 100'S 13,350.00
JUMLAH
Total Item : 13

FAKTUR JUAL
No Faktur : FJ16072300017
Tanggal : 01/07/2016
Jumlah Total
50 BTL 235,000.00
3 BOX 61,500.00
10 BTL 32,000.00
5 BOX 71,000.00
30 BTL 96,000.00
10 BTL 57,000.00
2 BOX 340,550.00
5 BOX 75,000.00
3 BOX 45,000.00
3 BOS 203,400.00
2 BOX 342,000.00
4 BOX 160,000.00
4 BOX 53,400.00
1,771,850.00
Total : 1,771,850.00

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FAKTUR PENJUALAN

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

1 Daryant Tulle Steril SACH 125,000.00 5 box 625,000.00

2 Cholesterol Easy Touch 154,000.00 7 tube 1,078,000.00

3 Glucose Easy Touch 74,250.00 5 box 371,250.00

4 Alkohol 70% 1 liter 21,000.00 15 Botol 315,000.00

Hormat Kami Total : 2,389,250.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

1 Antisera A 84,000.00 1 tube 84,000.00

2 Antisera B 84,000.00 1 tube 84,000.00

3 Uric Acid Easy Touch 73,500.00 5 box 367,500.00

4 Leukoplast 1625 H (3x5) 41,014.00 10 roll 410,140.00

Hormat Kami Total : 945,640.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

1 Cholesterol Easy Touch 154,000.00 6 box 924,000.00

2 GlucoseEasy Touch 74,250.00 3 box 222,750.00

3 Uric Acid Easy Touch 73,500.00 3 box 220,500.00

4 Ultrasound Transmission gel 25,000.00 5 botol 125,000.00

5 Bisturi no.21 73,500.00 2 box 147,000.00

6 Hand Skone sensi M 42,000.00 6 box 252,000.00

7 Leukoplast 1624 H (2x5) 28,212.00 10 roll 282,120.00

Hormat Kami Total : 2,173,370.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

1 Cholesterol Easy Touch 154,000.00 4 box 616,000.00

2 GlucoseEasy Touch 74,250.00 3 box 222,750.00

3 Ethyl Chloride Eye Dispo 165,900.00 1 botol 165,900.00

4 Ethyl Chloride Spray (140) 96,000.00 3 botol 288,000.00

5 Thrombophob gel 52,400.00 2 tube 104,800.00

Hormat Kami Total : 1,397,450.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

1 Uric Acid Easy Touch 73,500.00 6 box 441,000.00

2 Strip Easy Touch HB 152,250.00 6 box 913,500.00

3 Aximed HCG Hamil Test 60,000.00 3 box 180,000.00

4 Ethyl Chloride Spray 90,000.00 5 pcs 450,000.00

5 My jelly 80 gr One Med 31,680.00 3 box 95,040.00

Hormat Kami Total : 2,079,540.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

1 Hand Skone ST Safeguard M 38,200.00 8 box 305,600.00

2 Alkohol 70% 1 liter 21,000.00 6 box 126,000.00

3 Nassal Oxygen Oxyflow 13,500.00 20 box 270,000.00

4 Cholesterol Easy Touch 154,000.00 5 pcs 770,000.00

5 Glucose Easy Touch 74,250.00 6 box 445,500.00

Hormat Kami Total : 1,917,100.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

2 Cholesterol Easy Touch/10's 147,300.00 5 box 736,500.00

3 Uric Acid Easy Touch 25's 73,500.00 2 box 147,000.00

4 Glucose Easy Touch 25's 70,800.00 2 box 141,600.00

5 Umbilical cord clamp cosa 2,500.00 100 pcs 250,000.00

6 Dental Needle 159,500.00 2 box 319,000.00

7 Ethyl Chloride Eye Dispo 165,900.00 2 botol 331,800.00

8 Abbocath No.18 Terumo 10,000.00 50 pcs 500,000.00

9 Syringe 1 cc Insulin Terumo 2,500.00 100 pcs 250,000.00

9 Thrombophob Gel 52,400.00 3 box 157,200.00

Hormat Kami Total : 2,833,100.00

Phone : 0651- 28925 Nama : JKN FKTP CALANG

NO NAMA BARANG HARGA JUMLAH TOTAL

2 Cholesterol Easy Touch/10's 147,300.00 5 box 736,500.00