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  • Invoice - Microbiology - 03 (201505-201507)

    Uploaded by

    Gamael Marcel
    15 views1 page
    This invoice is for service fees provided from May to July 2015 for protocol ODK-1301-EC-CLN-102, which evaluated the performance of LAM-ELISA for detecting pulmonary TB in an Indonesian hospital. It details that 500 LAM extractions at 15,000 Rupiah each and 250 case report form inputs at 25,000 Rupiah each were conducted, for total fees of 7,500,000 Rupiah and 6,250,000 Rupiah respectively and a grand total of 13,750,000 Rupiah owed. Payment is requested to Rinaldi Panjaitan.

    Original Description:

    MICROBIOLOGY

    Original Title

    Invoice_Microbiology_03 (201505-201507)

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    This invoice is for service fees provided from May to July 2015 for protocol ODK-1301-EC-CLN-102, which evaluated the performance of LAM-ELISA for detecting pulmonary TB in an Indonesian hospital. It details that 500 LAM extractions at 15,000 Rupiah each and 250 case report form inputs at 25,000 Rupiah each were conducted, for total fees of 7,500,000 Rupiah and 6,250,000 Rupiah respectively and a grand total of 13,750,000 Rupiah owed. Payment is requested to Rinaldi Panjaitan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views1 page

    Invoice - Microbiology - 03 (201505-201507)

    Uploaded by

    Gamael Marcel
    This invoice is for service fees provided from May to July 2015 for protocol ODK-1301-EC-CLN-102, which evaluated the performance of LAM-ELISA for detecting pulmonary TB in an Indonesian hospital. It details that 500 LAM extractions at 15,000 Rupiah each and 250 case report form inputs at 25,000 Rupiah each were conducted, for total fees of 7,500,000 Rupiah and 6,250,000 Rupiah respectively and a grand total of 13,750,000 Rupiah owed. Payment is requested to Rinaldi Panjaitan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Invoice for Service Fee

    Protocol Number: ODK-1301-EC-CLN-102


    Protocol title: Evaluation of the performance of LAM-ELISA for the detection and monitoring of
    pulmonary TB subjects in an Indonesian referral hospital

    May-2015 to July-2015

    Month:

    LAM-MB-03

    Request number:

    Unit fee
    (Rupiah, IND)

    Service number
    at this period

    LAM extraction

    15,000

    500

    7,500,000

    3600

    2150

    Case report form input

    25,000

    250

    6,250,000

    1500

    1000

    13,750,000

    Service item

    Total amount for service fee

    Total fee
    Planned service number Rest of service
    (Rupiah, IND)
    during the study
    number

    Please pay to: RINALDI PANJAITAN

    Requested by

    Signature
    Rinaldi Panjaitan, Co-investigator of ODK-1301-EC-CLN-102

    Date

    Approved by

    Signature
    Erlina Burhan, Principal Investigator of ODK-1301-EC-CLN-102

    Date

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