Anda di halaman 1dari 1

CV.

MITRA SEJATI
Hospital & Medical Supplier
PERUMAHAN PURI MAS Faktur
Kompleks KUTA PARADISE
Jl. Kuta G7 / 38 Surabaya
tlp. : 031- 8793178
fax : 031- 8715814
MESSRS : RSUD Depati Bahri DATE : 05 Desember 2018
ADDRESS : Bangka FAKTUR NO: 034/MSM/IN/05/12/18
Jatuh tempo : 05 Januari 2019
Item Description Qty Unit Price Amount / Rp
No. TT : 034/MSM/TT/XII/05/12/18
Broad Plate 6 Hole 3 Rp 773.438 Rp 2.320.313
Broad Plate 7 Hole 3 Rp 899.592 Rp 2.698.776
Broad Plate 8 Hole 3 Rp 1.125.950 Rp 3.377.849
Broad Plate 9 Hole 3 Rp 1.175.893 Rp 3.527.679
Broad Plate 10 Hole 3 Rp 1.204.633 Rp 3.613.899
AO Recon 5 Hole 3 Rp 515.625 Rp 1.546.875
AO Recon 6 Hole 3 Rp 515.625 Rp 1.546.875
Volar T Plate 3 Hole 3 Rp 515.986 Rp 1.547.958
Cortical Screw 3.5 x 16 20 Rp 120.000 Rp 2.400.000
Cancellous Screw 6.5 x 60 10 Rp 201.355 Rp 2.013.550
Cancellous Screw 6.5 x 70 10 Rp 201.355 Rp 2.013.550
Cancellous Screw 4.0 x 12 10 Rp 181.954 Rp 1.819.540
Cancellous Screw 4.0 x 18 10 Rp 181.954 Rp 1.819.540
K - Wire 1.2 5 Rp 97.500 Rp 487.500
K - Wire 1.4 5 Rp 97.500 Rp 487.500
K - Wire 1.6 5 Rp 97.500 Rp 487.500

Rp 31.708.904
PPn 10% Rp 3.170.890

Total Rp 34.879.794

Terbilang : Tiga Puluh Empat Juta Delapan Ratus Tujuh Puluh Sembilan Ribu Tujuh Ratus Sembilan Puluh Empat Rupiah

Pembayaran dapat dilakukan melalui Rek. BCA


a/n Alfonsus Richardo Adi Putranto
No. Rek. 4650300021
Mandiri No.Rek 1410004798468

A. RICHARDO, SE
Direktur