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INVOICE
Rumah Senyum Dental Care
Jln. Kartini B Srikaton, Tugumulyo, Musi Rawas

Mobile: 089635700912

Email: rumahsenyumdentalcare@gmail.com

Bill To Invoice No : INV-039


Tn. Mukti Sugianto Invoice Date : 14 Mar, 2022

Sl. Description Qty Rate Amount


1 Scalling + polishing + Flouride 1 Rp 500,000,00 Rp 500,000.00
Tumpatan Resin Komposit Kls I gigi
2 1 Rp 400,000,00 Rp 400,000.00
47
3 Odontektomi gigi 28 1 Rp 1,500,000,00 Rp 1,500,000.00

Payment Instructions Subtotal Rp 2,400,000.00


Send to bank
BNI
Total Rp 2,400,000.00
SUMSEL BABEL
Paid (05 Mar, 2022) Rp 2,400,000.00

Balance Due Rp 0.00

An Rizki Permata sari

Authorized Signatory

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