ik

/slo raRu^ prnsrro)

tzin PBF N o.!P.u.a /M/O 1 7 t 2A I 9
i2in PN( r'ri flao1.otNu2a!-.p019
,ll. Past urNo.2a, Bandung 40161,lndonesia pO

IDN biogarmo +62 22 203375s

+62 22 20/1306

aPL Makassar untuk Sulawesi Sarat

htF//lw.biof amaro,idl
JlKima XTl1-4 Daya. Kd. Siingkanaya, 01.000.014.9 051.000
Makasar, sulawesi Selatan
Makasar, rDN,90241 Packing slip
PS OA0212U
Kementedan K6ehatan Rl
Jl. H. R Rasuna Said Blok xs Kivling 4 9 so m022074
3O -06 Vakin (covlD r9 ftpl
2021
KNO1.01/6/a00 P&2021

It n nunber lrG.rlptlor Unit Ddiwrcd ov.ndtv Urft prl.. Tord Boxdltails

01019 VAKSIN COVID 19 vial 120.00 5,016,12000 1,339,440.5042a,620,96000 0x1,960

quantity:320.00 Number;24002221 Expne Date: sep 21

9tch

'H 9o e*.n.lial,t b.lrd l'tusk PPN 10%

v{t
Bandunq. 25 Apd 2021 a"A,
PI Blo F.m (PeBre)
Apotek rP.mhggung r db **",# *Qf#to
/?
4\ * I torucnrtt a otcap
,,roro^ i

svahi vusni; s si. apr naRne otrruBALlKAN KE

i "ur..,, ;

I pr. sto rnR;..A B'' DUN;

, _--t
---- Pejdbat strukur.l Oinkes PTPIEVPU$r

/Y

00 aTtctci
ii