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INVOICE

KEPADA YTH
NAMA PR GANESHA PUTERA PERKASA TGL PO : 21 FEB 22
NO TELP TGL JATUH TEMPO : LUNAS
ALAMAT JL RAYA MAYJEND SUNGKONO NO 9

NO NAMA BARANG QTY PER BOX SEDIAAN BOX HARGA PER BOX TOTAL
16 AMLODIPIN 5MG 100 TABLET 10 22,000 220,000
17 CAPTOPRIL TAB 12,5 MG* 100 TABLET 15 21,000 315,000
18 GLIBENCLAMID TAB 5 MG* 100 TABLET 1 25,000 25,000
19 GLIMEPIRIDE 2 MG 50 TABLET 1 45,000 45,000
20 METFORMIN TAB 500 MG* 200 TABLET 3 48,000 144,000
21 CEFADROXIL CAP 500 MG* 100 TABLET 5 78,000 390,000
22 AMOXICILLIN TAB 500 MG HEXP 200 TABLET 3 85,000 255,000
23 CIPRO 100 TABLET 1 62,000 62,000
24 METOKLOPRAMID TAB 10 MG 100 TABLET 2 27,000 54,000
25 DOMPERIDON TAB 10 MG* 100 TABLET 2 31,000 62,000
26 FUROSEMID TAB 100 TABLET 1 37,000 37,000
27 OMEDRINAT 100 TABLET 1 37,000 37,000
28 ALLUPURINOL 300 MG 100 TABLET 1 65,000 65,000
29 KETOCONAZOLE TAB 200 MG* 50 TABLET 1 36,000 36,000
30 DOXYCYCLINE TAB 100 MG/dohixat 100 TABLET 1 56,000 56,000
TOTAL 1,803,000
Pembayaran invoice ini mohon di transfer ke rekening :
Bank Mandiri
No Rekening : 1440019566485
Atas Nama : Endyanto Adi Mahendra HORMAT KAMI PENERIMA

(dokter Penanggung Jawab)

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