KLINIK MADONNA HENNY

JL. PRAMUKA NO. 03 RT. 17 KEL. LANJAS KEC. TEWEH TENGAH

KAB. BARITO UTARA PROV. KALIMANTAN TENGAH
Telp. / HP : 0812-5496-5496 / 0853-9012-9240 Instagram / Fb : @klinikmadonna
Email : Klinikmadonna@gmail.com

To : PT. TATA BARA UTAMA

Location : Jl. Panti Ajar No. 44 Muara Teweh Kab. Barito Utara
Attn : Accounting Dept.
Periode : 01 November 2023
Invoice No : 03/K-MH/obat/TBU/XI/2023

INVOICE

Berikut kami lampirkan penagihan Pembelian Obat

PT. Tata Bara Utama
NO DESCRIPTION PERIODE AMOUNT

1 Pembelian Obat 01-11-2023 Rp 7,130,000

Sub Total - IDR Rp 7,130,000

Discount - IDR Rp
Grand Total Rp 7,130,000

Terbilang : Tujuh Juta Seratus Tiiga Puluh Ribu Rupiah

Catatan : Mohon dapat ditransfer ke Rekening kami an :

An. HENITA
BANK MANDIRI CAB. MUARA TEWEH
No Rek. : 159 000 2720 281

Muara Teweh, 13 -11- 2023

Hormat Kami/ Regards,

Hj. HENITA STr. Keb. Bd

Direktur
 KLINIK MADONNA HENNY
JL. PRAMUKA NO. 03 RT. 17 KEL. LANJAS KEC. TEWEH TENGAH
KAB. BARITO UTARA PROV. KALIMANTAN TENGAH
Telp. / HP : 0812-5496-5496 / 0853-9012-9240 Instagram / Fb : @klinikmadonna
Email : Klinikmadonna@gmail.com

Lampiran Pembelian Obat PT. Tata Bara Utama

NO COST CODE MM CODE DESCRIPTION QTY UoM UNIT PRICE TOTAL
1 Dexamethason 2 ml Injeksi 1 BOX 50,000 50,000
2 Vitacimin 2 BOX 500,000 1,000,000
3 Blood Lancet 28G isi 100 1 BOX 50,000 50,000
4 Lidocain 5 ml 5 Pcs 10,000 50,000
5 Alkohol Tube/Stik Alkohol Test 100 Pcs 5,000 500,000
6 Mefinal 2 BOX 400,000 800,000
7 Sanmol 50mg 4 Tablet 2 BOX 125,000 250,000
8 Quantidex Tablet 2 BOX 400,000 800,000
9 Rohto Cool/Tetes Mata 1 BOX 300,000 300,000
10 Mola Cream 1 BOX 150,000 150,000
11 Flunadin 2 BOX 200,000 400,000
12 Lanzoprazole 3 BOX 60,000 180,000
13 Multivitamin Fatigon 2 BOX 200,000 400,000
14 Simvastatin 10 mg 1 BOX 150,000 150,000
15 Fenofibrate 100 mg 1 BOX 400,000 400,000
16 Cedocard 5 mg 2 Pcs 100,000 200,000
17 Ciprofloxacin 500 mg 1 BOX 200,000 200,000
18 Sofra Tulle 10 x 10 2 Pcs 70,000 140,000
19 Leucoplast 0,5 ML x 2 M 1 BOX 300,000 300,000
20 Peniti 1 BOX 60,000 60,000
21 Handscoon Ukuran L 1 BOX 200,000 200,000
22 FG Troches 1 BOX 300,000 300,000
23 Povidone Iodine 60 ml 10 Pcs 25,000 250,000

Note : SUB TOTAL - IDR 7,130,000

Pembelian Obat - obatan Karyawan PT. Tata Bara Utara Site desa Luwe DISCOUNT -IDR
GRAND TOTAL 7,130,000
Muara Teweh, 13-11-2023,

Hj. HENITA STr. Keb. Bd

Direktur