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Printed Using Application e-Purchasing Government On Date 29 September 2021

SISTEM PENGADAAN SECARA ELEKTRONIK

Package Information

Commodity : Obat Tahun 2020 Created Date : 17 September 2021


Package ID : OT2-P2109-4285862 Modified Date : 17 September 2021
Package Name : PENGADAAN OBAT JKN 2021 Amount Product :1
Instance : Total Price : Rp 115.200,00
Work Unit : RSU PURI ASIH Seratus Lima Belas Ribu Dua Ratus Rupiah
: Jl. Jatisari No.3 Jatisari, Karawang - Kabupaten Karawang -
Address Work Unit Kurs : IDR
Jawa Barat
NPWP : 21.068.860.2–433.000 Kurs Value : 1.0
Budget Year : 2021 Kurs Date : 17-09-2021
Fund Source : Lainnya (0)

PP/Committee PPK Vendor Distributor/Reseller/Job Implementer


Erwin Setiyono RIKA VERDIKA, S.Far., Apt... PT. Mersifarma Tirmaku Mercusana /Courier
pprsupuriasih@yahoo.com 08995026194 JL.Raya Pelabuhan KM. 18, Cikembar Kab. PT. Tiara Kencana - Jakarta
081281365864 Sukabumi. Jabar Wisma Tiara Lantai 5, Jl. Raya Pasar Minggu
kasbandi@yahoo.com Km.18 No.17
0266-321877 tkencana18@yahoo.com
021-7987862

Product Order List

Product Name Manufacture Quantity Unit Price Estimated Shipping Cost Product Delivery Date Total Price Note

3526003141-OT2-000581034
GENERIK 300,00 Rp 384,00 Rp 0,00 - Rp 115.200,00
Clobazam/ Klobazam tablet/kapsul/kaplet 10 mg

Ini merupakan informasi paket, bukan surat pesanan/kontrak

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