KLINIK RAGA SEHAT

Penanggung Jawab IF Klinik : apt. Anggi Setiadi

SIPA: 440/216.XII.16/S/Apt/Dinkes
Jl. Raya Pangalengan no. 22 Jagabaya, Cimaung, Bandung (022) 85934752
SURAT PESANAN
Tanggal : 23 juli 2019
Kepada : CV. Kuda Mas
No :

No NAMA_BRG PABRIK SAT SP

3 hufagesic 500mg 20,000 2
4 meloxicam 15mg 20,000 3
5 faxiden 20mg 18,500 1
8 emturnas 650mg 16,500 1
10 lokev 20,500 4
11 ranitidine 13,500 4
12 sucralfate syr 100ml 15,000 6
13 triocid syr 4,750 24
14 vesperum syr 4,100 12
15 lacto b 67,000 2
16 ramolit 12,500 2
17 akita 19,500 2
18 zink tab 43,000 1
20 kaotin syr 5,150 6
21 vesperum tab 20,750 2
24 lomeramid 2mg 21,000 1
25 AMLODIPIN 10 MG 30 TAB PHAPROS 5,000 1
26 allopurinol 300mg 21,000 2
27 histigo 26,000 1
28 captopril 25mg 9,500 2
29 OXYCOBAL KAPLET 500mg 41,000 1
30 etamox 37,000 1
31 PHARMAFIX ( CEFIXIME ) 100mg 56,000 2
32 etamoxul 19,000 2
33 LEVOFLOXACIN 500MG 50TAB KF 42,500 2
34 grafazole 30,000 2
36 flutamol 32,500 4
35 ketoconazole 18,500 2
37 coparcetin 35,000 3
38 roverton 14,750 3
41 bit b6 pot 7,000 6
42 vit bc pot 7,000 6
43 cavicur syr 7,800 8
45 grathason 0,5mg 24,000 6
46 ctm 7000 3
47 bufacaryl 16,500 1
49 rhemafar 40,000 1
50 floxifar 47,750 3
cefixime syr 11,000 8
coparcetin syr 5,800 24
erla tm plus 10,500 12
fasidol forte syr 4,350 12
hufagesic syr 4,500 12
hydrocortison 1% 5,000 12
hydrocortison 2,5% 5,000 12
itramol syr 3,750 12
milsen syr 5,200 24
paraflu syr 5,000 12
roverton syr 3,600 12

Menyetujui,

(…………………………………………………..)
 40,000
60,000
18,500
16,500
82,000
54,000
90,000
114,000
49,200
134,000
25,000
39,000
43,000
30,900
41,500
21,000
5,000
42,000
26,000
19,000
41,000
37,000
112,000
38,000
85,000
60,000
130,000
37,000
105,000
44,250
42,000
42,000
62,400
144,000
21,000
16,500
40,000
 143,250
88,000
139,200
126,000
52,200
54,000
60,000
60,000
45,000
124,800
60,000
43,200

3,003,400