PT.

Indofarma Global Medika-Cirebon

Jl. Cirebon Permai III RT 006/003 Kelurahan Kecapi Kecamatan Harjamukti
Cirebon45134
Page 1

PURCHASE REQUISITION

PR Number : 211708000085 PO Type : Rutin

Date : 09-AUG-17 Status :

Requester : Cirebon Deadline Proyek : 09 AUG 2017

PP Number :

Nama Proyek :

Remark : PR IPS ke Cabang Serang, biaya kirim ditanggung team Promedik

Avg. Sales Order Suggested Deviation Economic

No Item Code Description Unit Qty Quantity qty qty stock Supplier

1 RIFA001006 Rifan H Kaplet Salut Selaput Ktk 30 178.67 75 0 75 150 -

Ktk 30 ( 5 Strip @ 6 Kaplet )

Created by, Released by, Confirm by, Approved by,

Tanty Hapidah, S.Si, Apt.

19820624/SIKA_32.74/2014/2 025
Kepala Gudang Apoteker Penangung Jawab Sales Spv / Office Support Kac. Dist./ AM Trad./ B. Mgr.

Printed Date : AUG-09-17 04:53 PM Printed by : Deni Soleh No. Form: FM.01.004 Revisi : 00 Tanggal : 01 - Jun - 2012