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SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

02/03/2021
INV-43003/2103/30048
No Nama Barang Qty Satuan
1. PI KANG SHUANG HIJAU CR 5G 90 tube
2. RECO 1% EYE OINT 5G 12 tube
3. SAGESTAM 0.1% CR 10G 12 tube

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

02/03/2021
INV-43003/2103/30049
No Nama Barang Qty Satuan
4. C XITROL MD 0.6ML 12 Btl
5. COOLING 5 COOL MINT 15ML SPRAY 24 Pcs
6. COOLING 5 PLUS ORANGE 15ML SPRAY 14 Pcs
7. COOLING 5 PLUS ORANGE 15ML SPRAY 10 Pcs
8. SGM LLM BEBAS LAKTOSA 0-12BLN 400G BOX 2 Pcs
9. VICKS VAPORUB 25G 24 Pcs
10. BIOPLACENTON GEL 15G 24 Tube
11. CDR EFF 10S TUBE 15 Tube
12. KETOMED 2% GEL 15G 4 Tube
13. MEDIKLIN TR GEL 15G 2 Tube
14. RECO 0.5% EYE DROP 10ML 2 Btl
15. RECO 0.5% EYE DROP 10ML 2 Btl
16. RECO 0.5% EYE DROP 10ML 8 Btl
17. C XITROL EYE OINT 3.5G 24 Tube
18. MYCORAL 2% CR 5G 24 Tube
19. HEROCYN PWD 85G 10 btl

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
0Reja Kec Kemuning

02/03/2021
INV-43003/2103/30050
No Nama Barang Qty Satuan
20. LORATADINE HEXPHARM 10MG TAB 100S 1 Dos
21. LORATADINE HEXPHARM 10MG TAB 100S 1 Dos
22. SALEP KULIT 88 3 Dos
23. SANGOBION CAP 10S 3 Dos
24. SANGOBION CAP 4S 2 Dos
25. ANDALAN TAB STRIP 2S 133 Dos
26. KETESSE 25MG TAB 50S 1 Dos
27. LIPITOR 10MG TAB 30S 3 Dos
28. LIPITOR 20MG TAB 30S 3 Dos
29. NA DIKLOFENAK KF 50MG TAB 50S 1 Dos
30. NEUROBAT TAB 100S 1 Dos
31. NEO RHEUMACYL TAB 20S 3 Dos
32. KEJIBELING BALATIF CAP 100S 4 Dos
33. C EYEFRESH MILD MD 0.6ML 2 Btl

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

02/03/2021
INV-43003/2103/30051
No Nama Barang Qty Satuan
34. KAPAK MINYAK ANGIN 10ML 12 Btl
35. KAPAK MINYAK ANGIN 28ML 12 Btl
36. ANTIMO ANAK JERUK 5ML SACH 10S 11 Dos
37. ANTIMO TAB 10S STRIP 72S 2 Dos
38. FOLAMIL GENIO TAB 30S 10 Dos
39. ATORVASTATIN NOVELL 20MG TAB 30S 7 Dos
40. AZITHROMYCIN KF 500MG TAB 20S 5 Dos
41. BISOPROLOL FUMARATE NOVELL 5MG TAB 100S 5 Dos
42. CLINDAMYCIN NOVELL 300MG CAP 50S 3 Dos
43. ANTASIDA DOEN ERRITA TAB 100S 10 Dos
44. CTM CITO STRIP 36S 2 Dos
45. C LYTEERS EYE DROP 15ML 24 Btl
46. C XITROL EYE DROP 5ML 24 Btl

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31789
No Nama Barang Qty Satuan
47. NEUROBION 250 TAB 10S 5 Dos
48. NEUROBION FORTE CT TAB 250S 5 Dos
49. SANGOBION CAP 4S STRIP 10S 5 Dos
50. CDR EFF 10S TUBE 1 Tube
51. MEDIKLIN TR GEL 15G 6 Tube
52. MEDIKLIN TR GEL 15G 4 Tube
53. PI KANG SHUANG HIJAU CR 5G 60 Tube
54. CLINDAMYCIN NOVELL 150MG CAP 50S 1 Dos
55. CLINDAMYCIN NOVELL 150MG CAP 50S 1 Dos
56. CLINDAMYCIN NOVELL 150MG CAP 50S 2 Dos
57. CLINDAMYCIN IF 300MG CAP 50S 2 Dos
58. C LYTEERS EYE DROP 15ML 15 Btl
59. MYCORAL 2% CR 5G 3 Tube

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31790
No Nama Barang Qty Satuan
60. CALADINE LOT 95ML 15 Btl
61. COMBANTRIN JERUK SUSP 10ML 36 Btl
62. KETOMED SS 2% SHAMPO 60ML 3 Btl
63. FOLAMIL GENIO TAB 30S 10 Dos
64. ORINOX 90MG FC TAB 30S 2 Dos
65. DAKTARIN CR 10G 24 Tube
66. PARASOL SPF 33 CR 20G 6 Tube
67. REFAQUIN CR 15G 3 Tube
68. REFAQUIN CR 15G 12 Tube
69. VITAQUIN 5% CR 15G 5 Tube
70. VITAQUIN 5% CR 15G 1 Tube

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31791
No Nama Barang Qty Satuan
71. AMLODIPINE HEXPHARM 10MG TAB 100S 10 Dos
72. AMLODIPINE HEXPHARM 5MG TAB 100S 9 Dos
73. AMLODIPINE HEXPHARM 5MG TAB 100S 1 Dos
74. DAKTARIN CR 5G 20 Tube
75. KALPANAX CR 5G 24 Tube
76. METHYLPREDNISOLONE DEXA 4MG TAB 100S 2 Dos
77. METHYLPREDNISOLONE DEXA 4MG TAB 100S 8 Dos
78. PRONICY 4MG TAB 100S 5 Dos

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31792
No Nama Barang Qty Satuan
79. ANTASIDA ERELA SUSP 60ML 18 Btl
80. ANTASIDA ERELA SUSP 60ML 2 Btl
81. HYDROCORTISON KALBE 2,5% CR 5G 20 Tube
82. ISOSORBIDE DINITRATE YARINDO 5MG TAB 100S 8 Dos
83. ANTASIDA DOEN TRIMAN CHEW TAB 100S 6 Dos
84. BENOSON 0.1% CR 15G 15 Tube
85. BETAMETHASONE KF 0.1% CR 5G 36 Tube
86. KETOCONAZOLE KF 2% CR 10G 10 Tube
87. MICONAZOLE KF 2% CR 10G 36 Tube

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31793
No Nama Barang Qty Satuan
88. KAPAK MINYAK ANGIN 10ML 24 Btl
89. KAPAK MINYAK ANGIN 28ML 15 Btl
90. SUCRALFATE COMBIPHAR 500MG/5ML SUSP 100ML 48 Btl
91. ULSAFATE SUSP 100ML 6 Btl
92. LANSOPRAZOLE NULAB 30MG CAP 20S 3 Dos
93. OMEPRAZOLE ERRITA 20MG TAB 30S 10 Dos
94. HEROCYN BABY PWD 100G 2 Pcs
95. HEROCYN BABY PWD 100G 1 Pcs
96. HEROCYN PWD 150G 12 Pcs
97. VICKS VAPORUB 10G 36 Pcs
98. VICKS VAPORUB 25G 15 Pcs
99. VENTOLIN NEBULES 2,5MG 20S 8 Dos
100. VENTOLIN INH 100MCG/PUFF 200 DOSE 20 Pcs

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31794
No Nama Barang Qty Satuan
101. CLOPIDOGREL HEXPHARM 75MG TAB 50S 1 Dos
102. FUNGIDERM CR 10G 24 Tube
103. CLOPIDOGREL DEXA 75MG TAB 30S 1 Dos
104. CANDESARTAN DEXA 8MG TAB 30S 10 Dos
105. FUROSEMIDE KF 40MG TAB 200S 5 Dos
106. IBUPROFEN YARINDO 400MG TAB 100S 10 Dos
107. NEW BABY COUGH UNI SYR 60ML 19 Btl
108. ASIFIT TAB 10S STRIP 3S 3 Dos
109. CAVIT D3 TAB 100S 1 Dos
110. BAYCUTEN N CR 5G 15 tube

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

29/03/2021
INV-43003/2103/31796
No Nama Barang Qty Satuan
111. ROHTO COOL EYE DROP 7ML 50 Btl
112. ROHTO EYE DROP 7ML 5 Btl
113. TEMPRA DROPS 15ML 20 Btl
114. TEMPRA DROPS 15ML 9 Btl
115. TEMPRA F SYR 60ML 15 Btl
116. TEMPRA SYR 60ML 21 Btl
117. INSTO EYE DROP 7.5ML 50 Btl
118. SANMOL 120MG/5ML SYR 60ML 239 Btl
119. SANMOL 120MG/5ML SYR 60ML 1 Btl
120. SANMOL 60MG/0.6ML DROP 15ML 132 Btl
121. SANMOL 60MG/0.6ML DROP 15ML 68 Btl
122. SANMOL 500MG TAB 4S STRIP 25S 20 Dos

Lubuklinggau, maret 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

13/04/2021
INV-43003/2104/32565
No Nama Barang Qty Satuan
123. MYLANTA LIQ 150ML 3 Btl
124. MYLANTA LIQ 150ML 19 Btl
125. MYLANTA LIQ 150ML 2 Btl
126. MYLANTA TAB 10S STRIP 10S 5 Dos
127. OMEPRAZOLE DEXA 20MG CAP 100S 6 Dos
128. OMEPRAZOLE ERRITA 20MG TAB 30S 8 Dos
129. OMEPRAZOLE HEXPHARM 20MG CAP 200S 6 Dos
130. PROMAG CHEW TAB 12S STRIP 3S 50 Dos
131. SIMVASTATIN HEXPHARM 10MG TAB 100S 10 Dos
132. SIMVASTATIN HEXPHARM 20MG TAB 100S 10 Dos
133. AMBROXOL NOVELL 30MG TAB 100S 3 Dos
134. AMBROXOL NOVELL 30MG TAB 100S 4 Dos
135. AMBROXOL NOVELL 30MG TAB 100S 1 Dos
136. AMBROXOL PROMED 30MG TAB 100S 2 Dos
137. CETIRIZINE DEXA 10MG TAB 60S 10 Dos
138. DRAMAMINE 50MG TAB 100S 10 Dos
139. CATAFLAM 50MG TAB 50S 10 Dos

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

13/04/2021
INV-43003/2104/32566
No Nama Barang Qty Satuan
140. IMBOOST FORCE KIDS SYR 60ML 15 Btl
141. PRORIS 100MG/5ML SUSP 60ML 22 Btl
142. PRORIS 100MG/5ML SUSP 60ML 3 Btl
143. TEMPRA DROPS 15ML 36 Btl
144. TEMPRA F SYR 60ML 36 Blt
145. TEMPRA SYR 60ML 36 Btl
146. LORATADINE HEXPHARM 10MG TAB 100S 2 Dos
147. LORATADINE HEXPHARM 10MG TAB 100S 2 Dos
148. PLASMINEX 500MG TAB 100S 1 Dos
149. SANGOBION CAP 10S STRIP 25S 5 Dos
150. KALNEX 500MG TAB 100S 1 Dos
151. LODIA 2MG TAB 60S 6 Dos
152. METHYLPREDNISOLONE DEXA 16MG TAB 100S 9 Dos
153. METHYLPREDNISOLONE DEXA 16MG TAB 100S 1 Dos
154. RANITIDINE HEXPHARM 150MG TAB 100S 10 Dos
155. NEURALGIN RX TAB 100S 10 Dos

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

13/04/2021
INV-43003/2104/32567
No Nama Barang Qty Satuan
156. NEUROBION 250 TAB 10S 2 Dos
157. NEUROBION FORTE CT TAB 250S 2 Dos
158. CDR EFF 20S TUBE 15 Tube
159. CDR EFF 20S TUBE 9 Tube
160. CDR FRUIT PUNCH EFF 10S 12 Tube
161. CDR EFF 10S TUBE 24 Tube
162. CDR EFF 15S TUBE 6 Tube
163. CDR EFF 15S TUBE 18 Tube
164. HYDROCORTISON KALBE 2,5% CR 5G 24 Tube
165. PI KANG SHUANG HIJAU CR 5G 60 Tube
166. SANMOL 120MG/5ML SYR 60ML 240 Btl
167. SANMOL 60MG/0.6ML DROP 15ML 120 Btl
168. BETAMETHASONE KF 0.1% CR 5G 24 Tube
169. KETOCONAZOLE DEXA 2% CR 10G 1 Tube
170. MICONAZOLE KF 2% CR 10G 24 Tube

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

14/04/2021
INV-43003/2104/32619
No Nama Barang Qty Satuan
171. COMBANTRIN JERUK SUSP 10ML 30 Btl
172. RENALYTE LIQ 200ML 12 Btl
173. FOLAMIL GENIO TAB 30S 6 Dos
174. LELAP CAPL 4S STRIP 25S 1 Dos
175. LELAP CAPL 4S STRIP 25S 1 Dos
176. GALVUSMET 50MG/500MG TAB 30S 2 Dos
177. VIAGRA 100MG TAB 4S 1 Dos
178. BECOM C TAB 100S 2 Dos
179. BECOM ZET TAB 100S 2 Dos
180. LANCAR ASI TAB 30S 3 Dos
181. C XITROL EYE DROP 5ML 24 Btl

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

14/04/2021
INV-43003/2104/32620
No Nama Barang Qty Satuan
182. ROHTO COOL EYE DROP 7ML 24 Btl
183. IMBOOST FORCE TAB 30S 15 Dos
184. COOLING 5 COOL MINT 15ML SPRAY 12 Pcs
185. DAKTARIN CR 10G 12 Tube
186. FUSYCOM CR 5G 3 Tube
187. KALPANAX CR 5G 24 Tube
188. INCIDAL OD 10MG CAP 50S 3 Dos
189. OM3HEART CAP 30S BTL 3 Pcs
190. FORUMEN EAR DROP 10ML 15 Btl

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

14/04/2021
INV-43003/2104/32621
No Nama Barang Qty Satuan
191. CEREBROFORT GOLD ORANGE 100ML 6 Btl
192. DULCOLACTOL SYR 60ML 3 Btl
193. NUTRAFOR CHOL CAP 10S STRIP 6S 3 Dos
194. BLACKMORES PREGNANCY BREAST FEED GOLD
3 Btl
SOFTCAP 60S
195. KSR 600MG TAB 100S 3 Dos
196. SANBE KIDS EMULSION ORANGE 200ML 6 Btl
197. ASIFIT TAB 10S STRIP 3S 6 Dos
198. BLACKMORES VITAMIN C 500MG TAB 60S BTL 3 Dos
199. OTILON EAR DROP 8ML 15 btl

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

14/04/2021
INV-43003/2104/32622
No Nama Barang Qty Satuan
200. ORINOX 60MG FC TAB 30S 1 Dos
201. AMOXSAN 500MG CAP 100S 2 Dos
202. CLINDAMYCIN DEXA 150MG CAP 100S 3 Dos
203. CANDESARTAN DEXA 8MG TAB 30S 5 Dos
204. CLINDAMYCIN DEXA 300MG CAP 100S 5 Dos
205. MEFINAL 500MG TAB 100S 2 Dos
206. VOLTAREN SR 75MG TAB 50S 1 Dos
207. KANDISTATIN 100.000IU/ML DROP 12ML 24 Btl
208. DUMIN RECTAL 125MG/2.5ML TUBE 5S 2 Dos

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

14/04/2021
INV-43003/2104/32623
No Nama Barang Qty Satuan
209. ULSAFATE SUSP 100ML 3 Btl
210. KENALOG IN ORABASE 5G 15 Tube
211. THROMBOPHOB GEL 20G 15 Tube

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

16/04/2021
INV-43003/2104/32738
No Nama Barang Qty Satuan
212. IMODIUM 2MG TAB 100S 5 Dos

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

30/04/2021
INV-
No Nama Barang Qty Satuan
213. ANTIMO ANAK JERUK 5ML SACH 10S 12 Dos
214. ANTIMO TAB 10S STRIP 72S 2 Dos
215. AZITHROMYCIN PROMED 500MG FC CAPL 30S 6 Dos
216. CEFIXIME DEXA 100MG CAP 100S 6 Dos
217. CETIRIZINE HEXPHARM 10MG FC TAB 100S 6 Dos
218. COMBANTRIN 250MG TAB 2S STRIP 25S 2 Dos
219. ASEPSO SOAP 80G 12 Pcs
220. BETADINE OINT 5G 12 Tube
221. CLOPIDOGREL DEXA 75MG TAB 30S 6 Dos
222. AMOXSAN 125MG/5ML D SYR 60ML 12 Btl
223. CTM CITO STRIP 36S 3 Dos
224. BECOM ZET TAB 100S 3 Dos
225. BAYCUTEN N CR 5G 12 Tube

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

30/04/2021
INV-
No Nama Barang Qty Satuan
226. AMOXICILLIN HEXPHARM 500MG CAPL 200S 20 Dos
227. HISTIGO 6MG TAB 50S 6 Dos
228. LAXING CAP 4S STRIP 25S 2 Dos
229. DEXA HARSEN 0.5MG TAB 200S STRIP 6 Dos
230. DEXA HARSEN 0.75MG TAB 200S STRIP 6 Dos
231. HERBESSER CD 100MG CAP 30S 1 Dos
232. HERBESSER CD 200MG CAP 30S 1 Dos
233. LANSOPRAZOLE NOVELL 30MG CAP 20S 10 Dos
234. NITROKAF RETARD 2.5MG TAB 100S 1 Dos
235. THYROZOL 10MG TAB 100S 2 Dos
236. ERYSANBE 200MG/5ML D SYR 60ML 6 Btl
237. PARACETAMOL ERRITA 500MG TAB 100S 20 Dos
238. MEFENAMIC ACID HEXPHARM 500MG CAPL 100S 20 Dos
239. EYEVIT TAB 30S 3 Dos
240. TRANSPULMIN BB 10G 12 Tube

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

30/04/2021
INV-
No Nama Barang Qty Satuan
241. PROMAG CHEW TAB 12S STRIP 3S 50 Dos
242. SALEP KULIT 88 1 Dos
243. SALONPAS KOYO HIJAU 10S 6 Dos
244. RINGER SOLUTION OTSU INFUS 500ML 5 Btl
245. VITAMIN C IPI TAB 45S TUBE 24 Pcs
246. PRONICY 4MG TAB 100S 6 Dos
247. RANITIDINE HEXPHARM 150MG TAB 100S 6 Dos
248. TIRIZ 10MG/ML DROP 15ML 6 Btl
249. PUREKIDS INHALANT DECONGESTANT OIL 10ML 12 Btl
250. TISSUE SUPER MAGIC CASANOVA 24 pcs

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm


SURAT PESANAN

APOTEKER : Apt. Faradilla Suci Prameswari, S.Farm Kepada Yth :

SIPA : 0093/SIPA/DPM-PTSP/VI/2021 PT. KDE PALEMBANG


PSPA : 0009/PSPA/DPM-PTSP/VII/2021 Jl. Angkatan 66 No 928 Kel Pipa
Reja Kec Kemuning

30/04/2021
INV-
No Nama Barang Qty Satuan
251. INZANA TAB STRIP 25S 3 Dos

Lubuklinggau, april 2021

Penanggung jawab

Apt. Faradilla Suci Prameswari, S.Farm

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