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INVOICE

Bill to Invoice No.: 21-200-000001

KLINIK PUTRA MEDIKA Date: 25/7/2021

Due date: 25/7/2021

Payment status: Paid

# Item Quantity Unit Price Tax Discount Total

1 AMLODIPINE TAB 10MG 1 4,106.26 --- 0.00% 4,106.26

2 AMLODIPINE TAB 5MG 1 3,147.76 --- 0.00% 3,147.76

3 ANASTAN FORTE 500MG 1 36,645.84 --- 0.00% 36,645.84

4 ANTASIDA DOEN SYR 60ML 3 3,078.77 --- 0.00% 9,236.31

5 B COMPLEX TAB 100 10 9,126.66 --- 0.00% 91,266.60

6 BIMACYL TAB 1 33,217.18 --- 0.00% 33,217.18

7 CANDESARTAN 16MG 1 32,999.12 --- 0.00% 32,999.12

8 CANDESARTAN 8MG 1 21,053.65 --- 0.00% 21,053.65

9 ERLAMYCETIN TETES MATA PLUS 5ML 4 13,383.22 --- 0.00% 53,532.88

10 ERLAMYCETIN TETES TELINGA 10ML 3 7,908.21 --- 0.00% 23,724.63

11 ETADIUM TAB 2 10,383.30 --- 0.00% 20,766.60

12 FASIDOL 500MG 5 20,299.66 --- 0.00% 101,498.30

13 FLASICOX KAP 2 35,307.89 --- 0.00% 70,615.78

14 GENOINT SALEP KULIT 4 5,475.01 --- 0.00% 21,900.04

15 GLIKOS 500MG KPLT 1 20,230.67 --- 0.00% 20,230.67

16 LOSTACEF DRY SYRUP 60ML 3 7,635.94 --- 0.00% 22,907.82

17 LYSCAVIT SYR 60ML 20 4,334.18 --- 0.00% 86,683.60

18 NORPID 10MG TAB 2 10,687.60 --- 0.00% 21,375.20

19 ODONOSTIN 4MG KPLT 2 37,415.84 --- 0.00% 74,831.68

20 OMEPRAZOLE KAPSUL 20MG 11 9,055.20 --- 0.00% 99,607.20

21 OXICOBAL KAPL 1 44,605.79 --- 0.00% 44,605.79

22 RENADINAC 50MG 2 31,245.98 --- 0.00% 62,491.96

23 ZANTIFAR KPLT 30 13,235.38 --- 0.00% 397,061.40

Discount -Rp0.00

Subtotal Rp1,353,506.27

Total Rp1,353,506.27

Payment method:

TUNAI: Rp1,353,506.27

Paid amount: Rp1,353,506.27

Amount due: Rp0.00

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