Kepada Yth :

Kepala FKTP Wil Sintang Sintang, 25 Oktober 2021

di Sintang
FAKTUR
Nomor : CEV-40 / X / 2021

HARGA JUMLAH
NO NAMA BARANG SATUAN JUMLAH
SATUAN HARGA (Rp)
1 amoxcicillin 500 mg tablet 3000 485 1,455,000
2 aknil tablet 2000 590 1,180,000
3 asam mefenamat tablet 3000 485 1,455,000
4 cetirizine tablet 3000 399 1,197,000
5 dexamethasone tablet 3000 380 1,140,000
6 histigo tablet 2000 450 900,000
7 hufralgin tablet 2000 500 1,000,000
8 flumin tablet tablet 2980 165 490,806
9 flunadin tablet tablet 3000 700 2,100,000
10 ifarsyl syr botol 300 1,000 300,000
11 muliavit syr botol 250 600 150,000
12 flumin syr botol 300 2,400 720,000
13 nexitra tablet botol 2000 1,400 2,800,000
14 lansoprazole tablet 5500 900 4,950,000
15 omeprazole tablet 4000 450 1,800,000
16 remco syr botol 200 1,000 200,000
17 paracetamol tablet tablet 4000 300 1,200,000
18 paracetamol syr tablet 5000 1,500 7,500,000
19 ambroxol botol 300 1,400 420,000
20 grameta syr botol 300 3,400 1,020,000
21 carbidu tablet 3000 4,810 14,430,000
22 interhistin tablet 2000 500 1,000,000
23 ketoconazole 200 mg tablet 1500 500 750,000
24 ketoconazole 400 mg tablet 2500 700 1,750,000
TOTAL 49,907,806

Yang Menyerahkan
CV. CLEO ENGGAR VERENE,
Yang Menerima
 
Gatot Yulianto,ST
   Direktur
Yudo Sutrisno
Serda NRP 31940045071272
Mengetahui
  Pejabat Pengadaan,

 
 

Mochamad Enas Nasrudin,S.Si.,Apt

Mayor Ckm NRP 11070041920477