You are on page 1of 1

Purchase Order

Document No : PRO/125/230818/0013 Document Date : Aug 18, 2023 12:26 PM

To : MILLENIUM PHARMACON Place Of Delivery : FARMASI REGULER


INT,PT RS HERMINA BALIKPAPAN
Jl. Indrakila No.107, Batu BALIKPAPAN SELATAN
Ampar, Kec. Balikpapan KALIMANTAN TIMUR
Utara, Kota Balikpapan, Contact : PJ Farmasi/1234567890
Kalimantan Timur

Contact :BPP-MILLENIUM
PHARMACON INT,/
0542-862848
Document Status : PENDING Approval Status : NOT SENT
Ref Document No : Tax Code : 125PPN PEMBELIAN VAT

Sl.No. Description Quantity Unit Rate Amount Discount Total Amount


1 Suture Treated Silk Round Bodied 25 12 Buah 48.000,00 576.000,00 15,00 543.456,00
mm 1/2c T-Silk 2-0 S25
Gross Amount : 543.456,00

Total Tax Amount : 53.856,00


Payment Terms :
PO Advance Request Amount : 0
Net Amount (Rp) : 543.456,00
Terms And Conditions :
Remarks :
Terbilang Total Transaksi : Lima Ratus Empat Puluh Tiga Ribu Empat Ratus Lima Puluh Enam Rupiah
Amount in Words : Rupiah Five Hundred Fourty Three Thousand Four Hundred Fifty Six Only

RS HERMINA BALIKPAPAN

101471467
Authorized Signatory

Created By Rumi Buranda Created Date Time Aug 18, 2023 12:26 PM
Approved By Approved Date Time

Generated On 18/08/2023 12:26


Page 1 of 1

You might also like