INVOICE

Pengiriman Tgl : 6 September 2021 Kepada : Ny. Fauziah (Emon)

Klinik Bersama
kategori : Obat dan Alat Kesehatan Jl. Raya Setu No. 52A, RT. 6/RW. 5, Setu, Kec. Cipayung, Kota Jakarta Timur
Daerah Khusus Ibukota Jakarta 13880

NAMA BARANG BATCH EXP DATE UNIT SATUAN HARGA SATUAN HARGA TOTAL
ALKOHOL 70 % 1 LITER 200519131 4/12/2024 2 BTL 40000 80000
KANTONG PUTIH 2 BALL 55000 110000
KASA HIDROFIL 2.5 X 10 CM - 7 / 2022 1 BALL 55000 55000
KASA STERIL 16 X 16 CM 01042188 4 / 2026 5 PACK 15000 75000
KLIP PLASTIK 13 X 8.7 2 BALL 80000 160000
MEDISOFT / COTTON BALL 75g 70301121901 12/2024 2 PACK 20000 40000
MICROPORE 3M 1 INCHI - 5 ROLL 40000 200000
NACL 500 ML 410603 5 / 2026 5 KOLF 23000 115000
ONE SWABS 7062188 5 / 2024 2 BOX 50000 100000
POVIDONE IODINE 1 LITER 06072188 6 / 2024 2 BTL 90000 180000
SPUIT 3 CC TERUMO 200512F 3/4/2024 2 BOX 250000 500000
TRANSOFIX 21B09A8141 1/2/2026 5 PCS 20000 100000
HECTING SET 1 UNIT 300000
OTOSKOP GC 1 UNIT 115000
REFLEX HAMMER 1 PCS 40000
SPATEL STAINLESS 1 PCS 25000

ASAM TRANEKSAMAT INJEKSI PIE48748 4 / 2024 2 BOX 137500 105000 210000

DULCOLAX 5 MG ANAK 20070639 6 / 2024 1 BOX 125000 130000 130000
DULCOLAX 10 MG DEWASA 20050487 5 /2024 1 BOX 135075 140000 140000
EPHINEPHRINE INJEKSI 46344002-2 2 /2024 1 BOX 246382 230000 230000
KETOROLAC INJEKSI F1D107 21 / 4 / 2024 2 BOX 50000 100000
LIDOCAIN HCL 2 % INJEKSI 46362012-2 6 / 2025 1 BOX 165000 150000 150000
MICROLAX D1F518K 6 / 2023 1 BOX 528000 450000 450000
PEHACAIN INJEKSI 26052068 12 / 2021 1 BOX 77830 90000 90000
PRORIS 125 MG D1F572K 6 /2024 3 BOX 66176 70000 210000
RANITIDIN INJEKSI IRNTB10522 6 /2023 3 BOX 32125 60000 180000

ACIFAR 200 / ACICLOVIR 10221 1 / 2024 3 BOX 13736 / 10 TAB 70000 210000
AMBROXOL HCL F21051 6 / 2024 5 BOX 79900 18000 90000
AMOXIXILLIN 500 MG B10057 7 / 2025 3 BOX 48154 45000 135000
ASAM MEFENAMAT T02096AJ 2 / 2022 3 BOX 37700 35000 105000
BISOPROLOL FUMARATE 5 MG 52C4163 2 / 2023 3 BOX 94028 25000 75000
BUFANTACID 5102 5 / 2023 3 BOX 65959 45000 135000
CETIRIZINE HYDROCHLORIDE EEF228 6 /2023 3 BOX 25988 18000 54000
CIPROFLACIN HCL MONOHYDRATE TSF37250 5 / 2026 3 BOX 96250 50000 150000
COLPICA RF0671 6 / 2024 2 BOX 8250 / 10 TAB 65000 130000
CTM / CHLORPHENIRAMINE MALEATE 9103028 3 / 2026 5 BTL 12000 8000 40000
DEXAMETHASONE D08CN014 11 / 2025 5 BOX 9856 13000 65000
DICLOFENAC SODIUM 50 MG TSD22850 5 / 2025 3 BOX 32652 30000 90000
DOMPERIDONE 10 MG EM1017 5 / 2023 3 BOX 70840 35000 105000
ERPHAHEXIN / BROMHEXINE HCL T.3221005 7 / 2023 3 BOX 27500 25000 75000
FARSIRETIC / FUROSEMIDE 11824 4 / 2023 3 BOX 6247 / 10 TAB 45000 135000
FASIDOL 17627 7 / 2025 5 BOX 5170 / 10 TAB 35000 175000
FLUTAMOL-P CP036 3 / 2023 1 BOX 144375 90000 90000
GLIBENCLAMIDE 5 MG F12058J 6 / 2026 5 BOX 32310 25000 125000
GLIKOS 500 / METFORMIN HCL 11522 2 / 2023 3 BOX 6083 /10 TAB 65000 195000
GLIMEPIRIDE 2 MG 51K4162 10 / 2022 3 BOX 193492 40000 120000
IBUPROFEN 400 210621134 6 / 2023 3 BOX 64000 38000 114000
ISOSORBIDE DINITRATE A2329FY 6 / 2023 3 BOX 16150 20000 60000
LIVRON B.PLEX 46172020 4 / 2023 3 BOX 55000 165000
LOPAMID 1145007 11/07/2023 3 BOX 30750 40000 120000
MELOXICAM 15 MG 52D0244 2 / 2025 2 BOX 161866 75000 150000
METHYLPREDNISOLONE 4 MG TPE26050 4 / 2024 3 BOX 66083 35000 105000
METRONIDAZOLE 500 MG TPG45950 6 / 2026 3 BOX 33000 27000 81000
MOLAGIT M11DY019 5 / 2026 1 BOX 92365 75000 75000
NEURALGIN RX KTNLGD12336 3 / 2023 1 BOX 105600 90000 90000
OMEPRAZOLE LL1034 12 / 2022 5 BOX 25939 18000 90000
PREDNISONE 5 MG 1009072 9 / 2022 3 BOX 25000 75000
RAMOLIT P04017BA 4 / 2023 2 BOX 30000 60000
RANITIDINE HCL HTRNTB13685 6 / 2023 5 BOX 27500 20000 100000
SALBUTAMOL 4 MG C10289BJ 2 / 2025 3 BOX 19947 19000 57000
SCOPMA PLUS 11326 6 / 2025 1 BOX 33796 / 10 TAB 155000 155000
TEOSAL 52C4198 2 / 2024 5 BOX 27850 20000 100000
TERA-F T07158BA 7 / 2024 2 BOX 75000 70000 140000
VITAMIN C 250 MG F20060 6 /2022 3 BOX 45000 135000
ZEVASK 5 / AMLODIPINE BESILATE 726 6 /2022 5 BOX 15907 / 10 TAB 30000 150000
NAMA BARANG BATCH EXP DATE UNIT SATUAN HET HARGA SATUAN HARGA TOTAL
AFIBRAMOL / PARASETAMOL SYRUP E19115 5 / 2024 20 BTL 80000 25000 500000
LECOZINC 10 MG/5 ML / ZINK 10227 7 / 2023 10 BTL 30694 17000 170000
RESPROXOL / AMBROXOL 15 MG/5 ML B19101 2 / 2024 10 BTL 50000 25000 250000
SOLPENOX / AMOXICILLIN 125 MG DBX4 2 / 2024 10 BTL 24750 15000 150000
VESPERUM / DOMPERIDONE 10627 7 / 2023 10 BTL 13517 10000 100000
CURCUMA PLUS 21D0175 5 BTL 20000 100000
HUFAGRIP PILEK C600391 5 BTL 17728 17000 85000
HUFAGRIP BATUK PILEK A801101 5 BTL 23407 20000 100000
HUFAGRIP FLU BATUK A901601 5 BTL 20989 18000 90000
STIMUNO 461155 10 BTL 29000 290000
TEMPRA DROP 108381 10 BTL 57063 52000 520000
VESPERUM DROP 10225 10 BTL 31680 20000 200000
ROVERTON DROP 10127 10 BTL 37734 19000 190000
CAZETIN DROP 10127 5 BTL 58164 35000 175000
NAMA BARANG BATCH EXP DATE UNIT SATUAN HET HARGA SATUAN HARGA TOTAL
BETAMETHASONE 0.1 % E11377W 5 / 2023 2 BOX 78500 85000 170000
GENTAMICIN 0.1 % E11364W 5 / 2025 3 BOX 38180 55000 165000
GOM V03032 3 / 2025 1 BOX 4400 / 1 BTL 100000 100000
HYDROCORTISONE 2.5 % B10251W 2 / 2025 2 BOX 118656 95000 190000
MICONAZOLE 2 % D11199W 4 / 2025 1 BOX 5775/TUBE 120000 120000
NAMA BARANG BATCH EXP DATE UNIT SATUAN HET HARGA SATUAN HARGA TOTAL
TABUNG OKSIGEN 1 M3 + REGULATOR 1 UNIT 2300000

TOTAL BELANJA 14371000

BONUS
2 DRIGEN DISINFEKTAN 5 L
3 PCS SAFETY BOX
3 PCS COVER ALL

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