KLINIK WESTERINDO - JAKARTA SELATAN

Jl. Cipaku I No.5, RT.2/RW.4, Petogogan, Kec. Kebayoran Baru,

Kota Jakarta Selatan - DKI Jakarta 12170
Telp: (021) 8934371

Shipping address: PT. Berkah Hexa Farmasia

Pusat Jl. Bintara Jaya Nomor 34 RT.005 RW.009
Jl. Cipaku I No.5, RT.2/RW.4, Bintara Jaya Bekasai Barat, Kota Bekasi Jawa
Petogogan, Kec. Kebayoran Baru Barat
Kota Jakarta Selatan JK 12170  085696907284
Indonesia
 +62 21 8934371

Request for Quotation #P00057

Purchase Representative: Order Date:
Abdul Husni 08/02/2023 08:23:47
Description Taxes Date Req. Qty Unit Price Amount

[01650] Allopurinol 100 Mg (100s) 11% 08/03/2023 20.00 Box @ 100 19,479.00 Rp 389,580
12:00:00 Tablet

[02860] Simvastatin 10 Mg Tablet (100s) 11% 08/02/2023 20.00 Box @ 100 17,657.00 Rp 353,140
12:00:00 Tablet

[02399] Amlodipine 10 Mg Tablet (100s) 11% 08/02/2023 20.00 Box @ 100 13,513.00 Rp 270,260
12:00:00 Tablet

[04112] Fenofibrate 300 Mg Tablet (30s) 11% 08/03/2023 20.00 Box @ 30 162,162.00 Rp 3,243,240
12:00:00 Tablet

[01809] Oralit 100's 11% 08/02/2023 8.00 Box @ 100 60,871.00 Rp 486,968
12:00:00 Sachet

[02035] Ibuprofen 400 mg Tablet 11% 08/02/2023 30.00 Box @ 100 31,667.00 Rp 950,010
12:00:00 Tablet

[03228] Methylprednisolon 4mg Tablet 11% 08/02/2023 10.00 Box @ 100 23,130.00 Rp 231,300
(100s) 12:00:00 Tablet

[01864] Dexamethasone 0.5 Mg Tablet 11% 08/03/2023 30.00 Box @ 100 14,318.00 Rp 429,540
12:00:00 Tablet

[01649] Acyclovir Cream 11% 08/03/2023 50.00 Tube 4,243.00 Rp 212,150

12:00:00

[01843] Ceftriakson Injek 11% 08/03/2023 8.00 Box @ 2 Botol 20,000.00 Rp 160,000
12:00:00

Subtotal Rp 6,726,188

Taxes Rp 739,880

Total Rp 7,466,068