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INV/20230321/147125910708

Purchase Receipt
Ordered on 21 Mar 2023
Order ID: 147125910708
Delivered to Annisa Nur Adzikriani Anara

Total
Rp302.200
Thank you for the purchase. This receipt is issued on behalf of Century Kalibata Residence

Alamat: No SIA: 01/B.13.7/31.


Apartemen Kalibata City, Tower Gaharu Lt.Ground unit 74.08.1003.03.001.R.10.b/3/-1.779.3
CL no 01 Kel.Rawajati,Pancoran,Kota Jakarta Selatan, /2020
DKI Jakarta,Indonesia
Telepon: 081387794223
Nama Apoteker: ANDINI TISNAWATI, S.Farm., Apt
No SIPA: 1/B.19/31.74.08.1003.03.001.R.10.b/3/.-1779.3/e
/2020

Consulted with a doctor


Mariska Ratna K. / Dokter Konsulen
Consultation ID: 188023016

Payment Details

Description Amount (Rp)

1x Yasmin Tab 284.200


Take 1 Tablet 1x sehari for 0 days

Subtotal (1 item) 284.200


Delivery fee 18.000

Tax included
Total 302.200

Delivered by Paid by
GrabExpress OVO Cash 302.200
To: 1, K-LINK TOWER, Jl. Gatot Subroto No.Kav.
59A, RT.1/RW.4, Kuningan Tim., Kecamatan
Setiabudi, Kota Jakarta Selatan, Daerah Khusus
Ibukota Jakarta 12950, Indonesia

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