KUITANSI

Terima kasih telah bertransaksi di Halodoc, INV/2572021/MMXXI/VII/5MDYV5-3633-01

Setyati Ulyreke
NPWP: 00.000.000.0-0.000
No pesanan 5MDYV5-3633
Alamat:
Cluster Azalea Citra Indah City, Jalan Citra Indah, Singasari, Tanggal transaksi 25 July 2021
Bogor, West Java, Indonesia

Metode pembayaran Gopay

Deskripsi kiriman

Delivered on 25 July 2021

Nama apotik/toko:

APOTIK THE FAMILY INSTITUTE (F) ID Kiriman 52REZ6-8986

SIA: 449.1/031/00037/DPMPTSP/2019

Alamat:
Bukit Raya M-9, Jl. Citra Indah Utama No.N0. 20, Sukamaju,
Kec. Jonggol, Bogor, Jawa Barat 16830, Indonesia
081282709863

RINCIAN PRODUK QTY HARGA TOTAL

Buscopan 10 mg 10 Tablet 1 43,900.00 43,900.00

Cefixime 100 mg 10 Kapsul 1 25,400.00 25,400.00

Subtotal 69,300.00

Biaya layanan 18,000.00

Total Rp 87,300.00

Deskripsi kiriman

Delivered on 25 July 2021

Nama apotik/toko:
ID Kiriman 52REZ6-0715
APOTIK SAHABAT CITRA GRAND CIBUBUR
(F)
SIA: 449/29/DPMPTSP.PPJU

Alamat:
Ruko Citywalk Blok CW 8 No. 12, Jatikarya, Jatisampurna,
Bekasi City, West Java 17435
02122813517

RINCIAN PRODUK QTY HARGA TOTAL

Simvastatin 10 mg 30 Tablet - Obat Rutin 1 11,100.00 11,100.00

Subtotal 11,100.00

Biaya layanan 18,000.00

Total Rp 29,100.00

Subtotal akhir 116,400.00

GRAND TOTAL DIBAYARKAN Rp 116,400.00

 PASIEN

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