PURCHASE ORDER

CLINIC ( Health Departement )

Project SUMBAWA Site Pangulir
Date : 05 Februari 2016
No : 01/PO/II/2016
Arrived date :
ORAL, PREPARASION, INJECTION MEDICINE CONSUMPTION

NO Description Qty UoM Remark

1 Paracetamol (Tab) 4 Box
2 Tremenza (Tab) 3 Box
3 Albothyl 5 ml (Botol) 1 Box
4 Mikonazole (Tube) 2 Box
5 Caviplex (Tab) 3 Box
6 Dexamethasone ( Ampul) 2 Box

Prepared by, Approved by, Aknowledge by,

Sarimansyah dr. Galuh Afrizal Widy Bayu Saputro

MOD DOD SHE Dept