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  • Purchase Order - PO01134

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    nisrina
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    This document is a purchase order confirmation from PT. Usaha Sarana Medika to Rumah Sakit Jantung Tasikmalaya for various medical equipment and supplies. It lists the item descriptions, quantities, unit prices, taxes, requested dates, subtotal, tax amount, and total amount of Rp67,504,683.30 in detail over two pages. The shipping address is listed for both organizations at the top of the document.

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    This document is a purchase order confirmation from PT. Usaha Sarana Medika to Rumah Sakit Jantung Tasikmalaya for various medical equipment and supplies. It lists the item descriptions, quantities, unit prices, taxes, requested dates, subtotal, tax amount, and total amount of Rp67,504,683.30 in detail over two pages. The shipping address is listed for both organizations at the top of the document.

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    © All Rights Reserved
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    12 views2 pages

    Purchase Order - PO01134

    Uploaded by

    nisrina
    This document is a purchase order confirmation from PT. Usaha Sarana Medika to Rumah Sakit Jantung Tasikmalaya for various medical equipment and supplies. It lists the item descriptions, quantities, unit prices, taxes, requested dates, subtotal, tax amount, and total amount of Rp67,504,683.30 in detail over two pages. The shipping address is listed for both organizations at the top of the document.

    Copyright:

    © All Rights Reserved
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    of 2

    Rumah Sakit Jantung Tasikmalaya

    Jln. Mohammad Hatta, Kp. Kalangsari


    Cipedes, Tasikmalaya
    Jawa Barat 46133

    Shipping address: PT. Usaha Sarana Medika


    DISTRIBUSI FARMASI Jl. RP. Soeroso, RT.2/RW.2, Gondangdia,
    Jln. Mohammad Hatta, Kp. Kalangsari Kec. Menteng, Kota Jakarta Pusat
    Cipedes, Tasikmalaya Jakarta JAKARTA 10350
    Jawa Barat 46133 Indonesia
     082126169778 Tax ID: 026171868013000

    Purchase Order Confirmation #PO01134


    Our Order Reference: Order Date:
    PO01134 07/08/2023 15:54:27

    Description Taxes Date Req. Qty Unit Price Amount

    HEMOCONCENTRATOT SET FOR ADULT PPN 07/08/2023 2 Unit(s) 2.500.000,00 Rp 5.000.000,00


    CX-HC11L Masukan 15:54:27
    HEMOCONCENTRATOR SET FOR PPN 07/08/2023 4 Unit(s) 2.500.000,00 Rp 10.000.000,00
    PEDIATRIC CX-HC05L Masukan 15:54:27
    AFFINITY FUSION OXYGENATOR PPN 07/08/2023 2 Unit(s) 6.000.000,00 Rp 12.000.000,00
    COMPLETE BB841 Masukan 15:54:27
    CUSTOM PACK ADULT FOR PPN 07/08/2023 2 Unit(s) 3.000.000,00 Rp 6.000.000,00
    OXYGENATOR 22-1010-00 Masukan 15:54:27

    AFFINITY PIXIE NEONATE OXYGENATOR PPN 07/08/2023 2 Unit(s) 6.000.000,00 Rp 12.000.000,00


    Masukan 15:57:29
    NCC NEONATE CUSTOM PACK 22-1010- PPN 07/08/2023 2 Unit(s) 2.500.000,00 Rp 5.000.000,00
    01 Masukan 15:54:27
    AFFINITY PEDIATRIC ARTERIAL FILTER PPN 07/08/2023 2 Unit(s) 1.000.000,00 Rp 2.000.000,00
    S4014 Masukan 15:54:27

    ASEPTAN CHLORHEXIDINE 0.5% PPN 07/08/2023 10 42.749,00 Rp 427.490,00


    SOLUTION 500 ML Masukan 15:54:27 Unit(s)
    ONE SCRUB CHLORHEXIDINE 4% PPN 07/08/2023 10 71.183,00 Rp 711.830,00
    Masukan 15:59:15 Unit(s)
    THREEWAY BUNTUT +10 CM TUBING PPN 07/08/2023 100 11.563,00 Rp 1.156.300,00
    HEUERLAIN Masukan 15:54:27 Unit(s)
    ULTRAVIST 370 INJEKSI 100 ML PPN 07/08/2023 10 370.000,00 Rp 3.700.000,00
    Masukan 15:54:27 Unit(s)
    IOHEXOL 350 MG/ML INJEKSI 100 ML PPN 07/08/2023 10 281.941,00 Rp 2.819.410,00
    Masukan 15:54:27 Unit(s)

     082126169778  hello@rsjantungtasikmalaya.com  https://rsjantungtasikmalaya.com

    Page: 1 of 2
    Rumah Sakit Jantung Tasikmalaya
    Jln. Mohammad Hatta, Kp. Kalangsari
    Cipedes, Tasikmalaya
    Jawa Barat 46133

    Subtotal Rp 60.815.030,00
    Taxes Rp 6.689.653,30

    Total Rp 67.504.683,30

    Terbilang : ENAM PULUH TUJUH JUTA LIMA RATUS EMPAT RIBU ENAM RATUS DELAPAN PULUH TIGA
    RUPIAH

     082126169778  hello@rsjantungtasikmalaya.com  https://rsjantungtasikmalaya.com

    Page: 2 of 2

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