FAKTUR PENJUALAN

Nama Distributor : Toko Al-Mizan

NPWP Distributor : 735557639404000
Alamat Distributor : Pisangan Lama 3 No. 29 RT/RW.005/004 Jakarta
Timur, Pulo Gadung, Jakarta 13230
No. Telepon 082384601166

Jakarta, 31 July 2023 Kepada

Yth. PT Mitra Amartha Persada
Menara Imperium LT 15 Unit D.
Jl. Rasuna Said Kav.1
Kel. Guntur, Kec.
Setiabudi, Kota Jakarta
Selatan

NPWP NO.FAKTUR TANGGAL PESANAN

735557639404000 23700988 31 July 2023

ORAL
NO ITEM LATES PRICE PAID QTY UNIT TOTAL
1 cataflam 25 mg Rp 310,000 2 Box Rp 620,000
2 cataflam 50 mg Rp 360,000 2 Box Rp 720,000
3 Flamar 50 mg Rp 210,000 2 Box Rp 420,000
4 Mefinal 500 mg Rp 165,000 3 Box Rp 495,000
5 Ponstan 500 mg Rp 325,000 1 Box Rp 325,000
6 Datan Forte ( Piroxicam) Rp 35,000 2 Box Rp 70,000
7 Pirofel 10 mg Rp 55,000 1 Box Rp 55,000
8 Rexidene 20 mg Rp 120,000 1 Box Rp 120,000
9 Sanmol Forte Rp 43,000 2 Box Rp 86,000
10 Fasidol Forte Rp 45,000 2 Box Rp 90,000
11 Fasidol Rp 37,000 1 Box Rp 37,000
12 Proris tab Rp 28,000 2 Box Rp 56,000
13 Iremax Rp 95,000 1 Box Rp 95,000
14 Buffect tab Rp 25,000 1 box Rp 25,000
15 Fasidol Plus Rp 45,000 2 Box Rp 90,000
16 Mirasic Plus Rp 45,000 2 Box Rp 90,000
17 Santagesik Rp 80,000 1 Box Rp 80,000
18 Novalgin Rp 19,000 1 Strip Rp 19,000
19 Etoricoxib 120mg Rp 210,000 1 Box Rp 210,000
20 Arcoxia 60 mg Rp 185,000 1 Strip Rp 185,000
21 Proris Supp 125 mg (10 supp) Rp 68,000 1 box Rp 68,000
22 Dumin 125 mg Rp 145,000 1 Box Rp 145,000
23 Lameson 4 mg Rp 45,000 10 Strip Rp 450,000
24 Sanexon 8 mg Rp 40,000 10 Strip Rp 400,000
25 Cerini 10 mg Rp 60,000 2 Strip Rp 120,000
26 Lerzin Rp 80,000 1 Box Rp 80,000
27 Dextamine Rp 175,000 1 Box Rp 175,000
28 Orphen 4 mg Rp 27,000 2 Box Rp 54,000
29 Danasone 0.5 mg Rp 30,000 2 Box Rp 60,000
30 Myonal 50 mg Rp 65,000 3 Strip Rp 195,000
31 Molagit Rp 100,000 1 Box Rp 100,000
32 Lodia Rp 70,000 2 Box Rp 140,000
33 Amoxsan 500 mg Rp 40,000 10 Strip Rp 400,000
34 cefadroxil 500 mg Rp 95,000 2 Box Rp 190,000
35 Grafazol 500mg Rp 85,000 2 box Rp 170,000
36 Sanprima Forte Rp 215,000 1 Box Rp 215,000
37 thiamex Rp 150,000 1 Box Rp 150,000
38 eryra forte Rp 160,000 1 Box Rp 160,000
39 Tremenza Rp 245,000 1 Box Rp 245,000
40 Tera-F Rp 220,000 1 Box Rp 220,000
41 Lansoprazole Novel Rp 24,000 20 Strip Rp 480,000
42 Famocid 40 mg Rp 195,000 1 Box Rp 195,000
43 pratifar 40mg Rp 105,000 2 box Rp 210,000
44 sucralfat syr Rp 25,000 5 Botol Rp 125,000
45 Magtral Tablet Rp 38,000 1 Box Rp 38,000
46 Buscopan Plus Rp 510,000 1 Box Rp 510,000
47 Ondansentron tab 4mg Rp 30,000 10 box Rp 300,000
48 Spasminal Rp 110,000 1 Box Rp 110,000
49 Microlax Tube isi 3 Rp 58,000 1 Pcs Rp 58,000
50 Dulcolax Supp (L isi 6 supp) Rp 90,000 1 box Rp 90,000
51 Dulcolactol Syrup Rp 78,000 2 Botol Rp 156,000
52 Kalnex Rp 325,000 1 Box Rp 325,000
53 Amlodipine 5 mg Rp 35,000 2 Box Rp 70,000
54 Amlodipine 10 mg Rp 55,000 2 Box Rp 110,000
55 Metformin 500mg Rp 25,000 1 Box Rp 25,000
56 Glimepiride 1mg Rp 55,000 1 Box Rp 55,000
57 Glimepiride 2mg Rp 17,000 1 Box Rp 17,000
58 Simvastatin 20 mg Rp 35,000 2 Box Rp 70,000
 59 Atorvastatine 20 mg Rp 125,000 1 Box Rp 125,000
60 Bisoprolol 5 mg Rp 20,000 2 Box Rp 40,000
61 Urotractin Rp 220,000 1 Box Rp 220,000
62 Uresix Rp 105,000 1 Box Rp 105,000
63 furosemid tablet Rp 45,000 1 box Rp 45,000
64 histigo Rp 45,000 2 box Rp 90,000
65 Mertigo Rp 50,000 5 strip Rp 250,000
66 Etabion Rp 35,000 3 box Rp 105,000
67 Hemobion Rp 295,000 1 Box Rp 295,000
68 Neurosanbe Plus Rp 130,000 1 Box Rp 130,000
69 Caviplex Rp 110,000 1 Box Rp 110,000
70 Becom Zet Rp 225,000 1 Box Rp 225,000
71 Stimuno forte Rp 255,000 1 Box Rp 255,000
72 Burnazin Plus Rp 120,000 1 Tube Rp 120,000
73 Nebacetin Powder Rp 28,000 5 Pcs Rp 140,000
74 Bioplacenton gel Rp 25,000 2 tube Rp 50,000
TOTAL Rp 12,874,000

Barang-barang tersebut telah diterima dengan baik.

Yang menerima Yang menyerahkan

Penanggung jawab Penanggung Jawab

( Mitra Amartha Persada ) ( Toko Al-Mizan )

FAKTUR PENJUALAN

Nama Distributor : Toko Al-Mizan

NPWP Distributor : 735557639404000
Alamat Distributor : Pisangan Lama 3 No. 29 RT/RW.005/004 Jakarta
Timur, Pulo Gadung, Jakarta 13230
No. Telepon 082384601166

Jakarta, 31 July 2023 Kepada Yth.

PT Mitra Amartha Persada
Menara Imperium LT 15 Unit D.
Jl. Rasuna Said Kav.1
Kel. Guntur, Kec. Setiabudi,
Kota Jakarta Selatan

NPWP NO.FAKTUR TANGGAL PESANAN

735557639404000 23700989 31 July 2023

INFUSS
NO ITEM LATES PRICE PAID QTY UNIT TOTAL
1 Infus Assering 500 ml (otsuka) Rp 27,500 24 Botol Rp 660,000
2 Infus NaCL 500 ml (bbraun) Rp 18,000 20 Botol Rp 360,000
3 Infus Ns 100 ml (BBRAUN) Rp 16,000 24 Botol Rp 384,000
4 Infus RL 500 ml (bbraun) Rp 18,000 12 Botol Rp 216,000
5 Infus D5 500 ml Rp 21,000 10 Botol Rp 210,000
6 Antrain Injeksi (isi 5ampul) Rp 60,000 10 Box Rp 600,000
7 Ranitidine Injeksi ( isi 10ampul) Rp 35,000 10 Box Rp 350,000
8 Ondansetron injek ( isi 10ampul ) Rp 35,000 5 Box Rp 175,000
9 Omeprazole inj (pelarut) Berno Rp 27,500 20 vial Rp 550,000
10 Buscopan Injeksi Rp 60,000 20 ampul Rp 1,200,000
11 Mersibion Injeksi Rp 60,000 5 Box Rp 300,000
12 Neurosanbe Injeksi Rp 295,000 5 Box Rp 1,475,000
13 Ketorolac Injeksi isi 10ampul Rp 35,000 2 Box Rp 70,000
14 Ketoprofen inj Rp 50,000 2 Box Rp 100,000
15 Furosemide Injeksi Rp 65,000 1 Box Rp 65,000
16 Dexametasone Injeksi isi 100 ampul Rp 185,000 1 Box Rp 185,000
17 Asam traneksamat injeksi Rp 60,000 1 Box Rp 60,000
 18 Epinephrine 0.1gr isi 100 ampul Rp 330,000 1 Box Rp 330,000
19 Cefriaxone 0.1 gr isi 2viall Rp 25,000 10 Box Rp 250,000
20 Paracetamol Infus Rp 30,000 10 botol Rp 300,000
TOTAL Rp 7,840,000

Barang-barang tersebut telah diterima dengan baik.

Yang menerima Yang menyerahkan

Penanggung jawab Penanggung Jawab

( PT MITRA AMARTHA PERSADA ) ( Toko Al-Mizan )