PT.

Wicaksana Overseas International Tbk

Jakarta Utara,Jalan Ancol Barat VII Blok A 5D No.2, 14430 Indonesia,

GOODS RECEIPT NOTE

Material Document : 5000438421 Reqmt. No. :
Purchase Order/STO : 7140071877 Page :1/2
Vendor : 213171 PT DKSH MARKET EXPANSION SERVICES Date : 17.04.2024
Reason for Movement : Time : 16:50:52
Movement Type : 101 GR goods receipt User : REPIR
Remark : 9120244331 Bill of Lading : INBOUND DMESI
Reference : Header Text : PO TO DOSNIROHA

No. Material Description Batch Expire Date Qty UOM From TO

0001 101209644 MERISLON 12 MG TAB F23H15B 14.08.2026 672 BOX 2006

0002 101209643 MERISLON 6 MG TAB F23K15AA 14.11.2026 901 BOX 2006

0003 101208471 MYONAL 50 MG TAB F23K06AA 05.11.2026 767 BOX 2006

0004 101208471 MYONAL 50 MG TAB F23I05AB 04.09.2026 417 BOX 2006

0005 101208471 MYONAL 50 MG TAB F23F26AB 25.06.2026 59 BOX 2006

0006 101208471 MYONAL 50 MG TAB F23F26AA 25.06.2026 12 BOX 2006

PT. Wicaksana Overseas International Tbk
Jakarta Utara,Jalan Ancol Barat VII Blok A 5D No.2, 14430 Indonesia,

GOODS RECEIPT NOTE

Material Document : 5000438421 Reqmt. No. :
Purchase Order/STO : 7140071877 Page :2/2
Vendor : 213171 PT DKSH MARKET EXPANSION SERVICES Date : 17.04.2024
Reason for Movement : Time : 16:50:52
Movement Type : 101 GR goods receipt User : REPIR
Remark : 9120244331 Bill of Lading : INBOUND DMESI
Reference : Header Text : PO TO DOSNIROHA

Received By, Checked By, Approved By,

( ) ( ) ( )
Date: Date: Date:
Time: Time: Time: