APOTEK KLINIK DOKTER NANDO Kepada Yth,

ALAMAT : jl utama desa mayang pongkai Pimpinan PBF : ___________________

APOTEKER__: Apt. Novita Dewi,S.Farm DI : ___________________
NO. SIPA : 19930726/SIPA_14.06/2021/2017 ___________________

SURAT PESANAN
No. 338/KPDN/SP/V/2022
NO NAMA OBAT KEMASAN JUMLAH KETERANGAN
1 NOVAMOX 500 MG TABLET 2 BOX
2 DOLORSTAN KAPLET 2 BOX
3 AMLODIPINE 10MG TABLET 2 BOX SAMPHARINDO
4 AMLODIPINE 10MG KAPLET 2 BOX GEN.HEXPHARM
5 MERSI
PARACETAMOL 500MG KAPLET 2 BOX
6 RAMA
ANTASIDA SYR SYRUP 10 BOTOL
7
AMBROXOL SYR SYRUP 10 BOTOL RAMA
8
SIMVASTATIN 20MG TABLET 1 BOX SAMPHARINDO
9
10 PARACETAMOL SYRUP STRAW SYRUP 6 BOTOL AFI FARMA
11 MEFENAMIC ACID 500mg KAPLET 2 BOX MERSI
12 CIPROFLOXACIN 500 MG KAPLET 1 BOX IFARS
13 AMOXICILLIN SYR SYRUP 6 BOTOL GEN.NOVA
14 CAPTOPRIL 25 MG TABLET 1 BOX GEN.DEXA
15 GUNACETA 650 MG KAPLET 2 BOX
16 FARMOTEN 25 MG KAPLET 2 BOX
17 2 BOX
GASELA TABLET
18 8 BOTOL
SUCRALFATE SYRUP
19 1 BOX
20 MIXALGIN KAPLET
SELVIM 10 MG KAPLET 2 BOX
21
1 BOX GEN. NOVA
22 SIMVASTATIN 20 MG KAPLET ERITA
23 ETAFUNGAL KAPLET 2 BOX
3 BOX GEN.ERITA
24 OMEPRAZOLE 30MG KAPSUL
25 DEXTAF TABLET 2 BOX
26 RENADINAC 50 MG TABLET 2 BOX
27 ETABION KAPSUL 2 BOX
28 SALBRON 2MG KAPLET 2 BOX
29 TEOSAL 2 BOX GEN.HEXPHARM
KAPLET
30 GLIMEPIRIDE 2MG 1 BOX
KAPLET
31 NEXITRA 1 BOX
32 KAPLET
NYSTATIN DROP DROP 4 BOTOL
33
34
FASIDOL DROP DROP 4 BOTOL
35
FASIDOL SYR SYRUP 8 BOTOL
36 FASIDOL FORTE SYR SYRUP 6 BOTOL
37 LECOZINC DROP DROP 3 BOTOL
38 LERZIN SYRUP SYRUP 4 BOTOL
LERZIN 2 BOX
KAPSUL
MEXON SYR 8 BOTOL
SYRUP
YUSIMOX FORTE SYR 4 BOTOL
SYRUP
 RANITIDINE INJEKSI INJEKSI 3 BOX
PEHACAIN INJEKSI INJEKSI 3 BOX
NISAGON CR CREAM 10 TUBE

Demikianlah, dan atas perhatian Sdr. Kami ucapkan terimakasih

Mayang Pongkai, 20 Mei 2022

Apoteker Pengelola Apotek

___Apt. Novita dewi, S. Farm__

No. SIPA:19930726/SIPA_14.06/2021/2107