No. No. Purchase Order Tanggal PO Dibuat Nama Penjual No.

Referensi PO
1 PO-101620-220610-1 10 Jun 2022 CV NURIL GIYON PRATAMA PO10062022
Untuk Keperluan No. Quotation No. Purchase Request No. Kontra No. Tagiha Nama Pem
NT060422 QN-101620-220609-1 PR-101620-220609-1 MUHAMMAD
Departemen Pemohon Total Transaksi Tipe PembaStatus PO
UPT RSUD MADANI Rp. 40.110.000 TOP 14 HarMenunggu Konfirmasi Penjual JERUK, MANGGIS & JAMBU
NGGIS & JAMBU
 Sheet2

1 HAND OVER 5 150,000 750,000 82,500

2 GC 15 150,000 2,250,000 247,500
3 pers ranap 15 150,000 2,250,000 247,500
4 edukasi 15 150,000 2,250,000 247,500
5 ass belajar 10 150,000 1,500,000 165,000
6 konsul 5 150,000 750,000 82,500
7 ass kandu 10 150,000 1,500,000 165,000
8 transfer 5 160,000 800,000 88,000
9 ass ranap 10 150,000 1,500,000 165,000
10 covid 10 150,000 1,500,000 165,000
0 0
1 non op 5 150,000 750,000 82,500
2 biaya 15 150,000 2,250,000 247,500
3 morse 5 150,000 750,000 82,500
4 ekg 5 152,000 760,000 83,600
5 identitas 5 150,000 750,000 82,500
6 rekon obat 5 150,000 750,000 82,500
7 aw med igd 15 150,000 2,250,000 247,500
8 HAND OVER 0 150,000 0 0
9 kep igd 30 169,000 5,070,000 557,700
10 coklat 10 200,000 2,000,000 220,000
11 rujuk balik 100 90,000 9,000,000 990,000
12 disposisi 200 52,000 10,400,000 1,144,000

49,780,000 5,475,800

55,255,800

Page 5
 Sheet2

135,000 675,000 74,250

135,000 2,025,000 222,750
135,000 2,025,000 222,750
135,000 2,025,000 222,750
135,000 1,350,000 148,500
135,000 675,000 74,250
135,000 1,350,000 148,500
135,000 675,000 74,250
135,000 1,350,000 148,500
135,000 1,350,000 148,500
0
135,000 675,000 74,250
135,000 2,025,000 222,750
135,000 675,000 74,250
135,000 675,000 74,250
135,000 675,000 74,250
135,000 675,000 74,250
135,000 2,025,000 222,750
135,000 0 0
135,000 4,050,000 445,500
180,000 1,800,000 198,000
80,000 8,000,000 880,000
50,000 10,000,000 1,100,000

44,775,000 4,925,250

49,700,250

Page 6