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CV.

DWI JAYA MANDIRI


Medical Laboratory Supplier
Jl. H.Hamdani No.28 Kaliabang Tengah – Bekasi Utara
Tlp. 021 – 9925 64, 0812 9533 5592

INVOICE
NO INVOICE : 0367 / PRB-INV / VIII / 2018
Tgl Invoice : 06/08/2018

Kpd Yth :

Puskesmas Rawat Inap Cipanas

NO Description Quantity Unit Price Total


1 Tabung reaksi EDTA 2 Box Rp. 135.000,- Rp. 270.000,-
2 Tabung reaksi kimia 2 Box Rp. 135.000,- Rp. 270.000,-
3 Yellow Tip 1 Pak Rp. 100.000,- Rp. 100.000,-
4 Blue Tip 1 Pak Rp. 100.000,- Rp. 100.000,-
TOTAL Rp. 740.000,-

Payment Detail

Bank : MANDIRI
Acc Number : 1800000044307
Acc Name : YULI PRIYANTO Andi Hermawan
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