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Bukti Transaksi Farmasi

Pharmacy Bill

No. Transaksi : PDD/127/220912/0093 Nama : Ny. NATHASYA NATALIA


Issue No. Name
Departemen : Farmasi No. RM : 1270097325
Department MRN
Waktu Transaksi : 12/09/2022 09:15 No. Kunjungan : OP-004
Issue On Visit No
No. Permintaan : D1272209002831 Dokter : dr. Roy Akur Pandapotan, Sp.PD
Order No. Consultant
Waktu Permintaan : 12/09/2022 09:15 Petugas : Era Agustika
Ordered On Issued By

Nama Obat Batch / Tgl ED Harga (Rp) Jumlah Diskon (Rp) Total Harga (Rp)
Item Name Batch / Expiry Price (Rp) Qty Discount (Rp) Total Price (Rp)

Interzinc 20 mg tablet T015K013 / 6.287 10 0 62.871


01/07/2023

Neurosanbe tablet CC2168 / 01/03/2024 1.740 10 0 17.405

Trifed tablet TD41L016 / 4.049 20 0 80.986


31/07/2026

Fluimucil 200 mg capsule AK015691 / 8.620 20 0 172.390


31/10/2024

Ozid 20 mg capsule SX2B014 / 15.740 20 0 314.809


30/06/2024

Episan 500 mg/5 ml suspensi 100 ml CF9702 / 01/06/2024 71.182 1 0 71.182

Avigan 200 mg tab HK2611A / 22.500 48 0 1.080.000


30/11/2023

Nitrokaf Retard 2,5 mg capsule E21032B / 2.118 14 0 29.656


31/05/2024

Total yang harus dibayar 1.829.298


Amount Payable

Terbilang Total Transaksi : Satu Juta Delapan Ratus Dua Puluh Sembilan Ribu Dua Ratus Sembilan Puluh Delapan Rupiah

Amount in Words : Rupiah One Million Eight Hundred Twenty Nine Thousand Two Hundred Ninety Eight Only

Catatan :
Remarks :

Bukti ini Bukan Merupakan Kwitansi Pembayaran dan Harap Diserahkan saat PengambilanObat.
Obat yang telah dibeli tidak dapat dikembalikan.
This Document Is Not a Proof of Payment and Must Be Given to Hospital Staff at time of Medication Pick-up.
Once purchased, medication can not be returned.

Dispensed By Era Agustika

User Dhita Ariza Putri, 027220104 Page 1 of 1 Dicetak 12/09/2022 09:22

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