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PURCHASE ORDER

TO: APOTEXASI,A r.O. DATE: 05 October 2020

ADDRESS: APOTEI(ASI,A TTTENTION: DEDETH

P.O.#: MEDtolOrlzOtO IEL NO.: 9993t1982tto

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GENERICNAME BMND NAME aqq lell STqI( UN!T ,cR PAdAdno U.P. ox IEcE AMOUilT

EPHEDRIX 10
EPIIUEPHRI'IIE IMG/MI AMP 42 35 !t2 AMPOULI 10's/Box 89.25 8(,xEs 1fl) &925.0O

TOT.ALAMOUNT: PHP 8,925,OO

-/ RPh I APPROVED BYr MACRhIAISABELD. HAYAG,MD

PREPARED
BY: T HT}SPITAL ADMT'TIISTRATOR

NOTED BY; ,ERRY F. CASIIO,M.D AttEN ANTHONYSESE,MD

}IEAD-PHARMACY DEP?. PRESIDENT