APOTEK SANATA

Malawatar -Lembor, Jln Raya Ruteng-Labuan Bajo

SIA :BPMPPT.503.440/001/VI/2020

SURAT PESANAN
No: SANATA.SP/003/III/2022
Kepada Yth.
Manager PBF Podo Mekar Jaya Sentosa
di
Tempat

Dengan hormat, mohon dikirimkan obat dan bahan habis pakai untuk keperluan apotek Sanata sebagai berikut:

NO NAMA OBAT SAT HARGA SATUANJMLH

1 ALLERON 4MG BOX200 CPL BOX 17,121.21 30
2 ALPARA BOX150 CPL BOX 93,200.00 3
3 ALUMY SYRUP 100 ML BTL 8,000.00 40
4 AMLODIPIN 5MG PROMED BOX 30 TAB BOX 12,500.00 20
5 ANAKONIDIN SYRUP 60 ML BTL 8,930.00 24
6 ANASTAN 500 MG CPL 100S BOX 30,865.15 20
7 ANDALAN INJ 1 BULAN BOX20 VL BOX 132,364.00 1
8 ANFLAT SUSP 100ML BTL 12,000.00 24
9 ANTALGIN CPL BOX100 DEF BOX 16,783.22 20
10 ANTASIDA DOEN SYR 60ML SAMPARINDO BTL 3,516.66 40
11 BABY COUGH PACDIN SYR 60ML BTL 4,399.85 24
12 BETADINE SOL KIDS 15ML BTL 4,500.00 24
13 BETAHISTINE 6MG BOX 30 TAB BOX 25,200.00 2
14 BETAMETASON KRIM 0.1% PPS 5GR TUBE 2,400.00 24
15 BODREX EXTRA / STIP 10 CPL STRIP 3,181.82 2
16 BODREX MIGRA BOX25 STRIP BOX 37,386.36 2
17 BODREX TAB BOX12 PAK BOX 63,000.00 4
18 BYE BYE-FEVER ANAK BOX5 LBR BOX 39,900.00 4
19 BYE BYE-FEVER BABY BOX10 LBR BOX 56,050.00 4
20 CALADINE LOTION 60 ML BTL 10,300.00 12
21 CAPTOPRIL 12,5 MG PHAPROS BOX 100 TAB BOX 8,182.00 10
22 CARBIDU 0,5 MG TAB 200S BOX 29,700.00 5
23 CARGESIC 500 BLISTER BOX100 CPL BOX 29,333.33 4
24 CAVIPLEX KPL 100 BOX 38,300.00 4
25 CEFADROXIL 500 BERNO BOX100 CPL BOX 91,636.00 4
26 CETIRIZINE NVL BOX50TAB BOX 14,250.00 10
27 CHLORAMPH.250MG UT BOX100 BOX 19,545.45 3
28 CIPRO 500 DEXA BOX100 TAB BOX 24,090.91 5
29 COMBANTRIN 250 BOX50TAB BARU BOX 262,500.00 1
30 COMBANTRIN SYR ORANGE 10 ML BTL 13,330.00 12
31 COPARCETINE CAP 100S BOX 39,613.20 5
32 COTRIMOXAZOL 480 MG TAB 100S BOX 15,000.00 20
33 COUNTERPAIN COOL 15 GR TUBE 20,700.00 12
34 CTM 4 MG NOVA BOX 10
35 DEPONEO 3 INJ 50MG BOX 20 VIAL @ 3ML BOX 139,000.00 5
36 DIONICOL BOX100 CPL BOX 87,850.00 2
37 DIVOLTAR 50 MG TAB 50S BOX 18,000.00 4
38 ENERVONE C FC BOX25X4 TAB BOX 64,675.45 4

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odo Mekar Jaya Sentosa

Sanata sebagai berikut:

TOTAL
513,636.30
279,600.00
320,000.00
250,000.00
214,320.00
617,303.00
132,364.00
288,000.00
335,664.32
140,666.40
105,596.40
108,000.00
50,400.00
57,600.00
6,363.64
74,772.72
252,000.00
159,600.00
224,200.00
123,600.00
81,820.00
148,500.00
117,333.32
153,200.00
366,544.00
142,500.00
58,636.36
120,454.55
262,500.00
159,960.00
198,066.00
300,000.00
248,400.00
0.00
695,000.00
175,700.00
72,000.00
258,701.82

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39 ETABION KAPSUL 100S BOX 19,200.00 15
40 FARSIFEN 400 BOX100 CPL BOX 38,000.00 20
41 FASIDOL BOX 100 CAPS BOX 17,700.00 30
42 FASIDOL SYR 60ML BTL 4,200.00 20
43 FLUCADEX KPL 100S BOX 60,118.18 3
44 GLICERYL GUAIACOL STRIPAN BOX 30
45 GRANTUSIF CPL 100S BOX 43,889.39 4
46 GRISEOFULVIN 500 MG PRAFA BOX 100 TAB BOX 135,602.00 2
47 HCG ONEMED BOX50 STRIP BOX 162,500.00 3
48 HEROCYN BEDAK 85 GR KLG 8,457.14 12
49 HOT IN CREAM TUBE 120 GR TUBE 14,875.00 24
50 HUFAGRIP BP SYR 60ML (HIJAU) BTL 11,735.45 24
51 HUFAGRIP SYRUP 60 ML (KUNING) BTL 12,173.63 24
52 IBUPROFEN 400 MG PP BOX100 TAB BOX 18,640.00 30
53 ICHTYOL 15GR AFI BOX12 POT BOX 41,287.87 1
54 KALPANAX KRIM 5GR TUBE 6,250.00 24
55 KASA STERIL MEDIKASA 16X16 PAK 16 LEMBARPAK 3,787.87 40
56 KETOCONAZOL NOVA BOX50 TAB BOX 22,727.27 5
57 KOMIX J.NIPIS G FORMULA BOX30ZAK BOX 22,600.00 3
58 KOMIX JAHE G FORMULA BOX30ZAK BOX 22,600.00 3
59 LIVRON B PLEK 100 TAB/DOS BOX 22,000.00 20
60 METFORMIN PHAP.BOX100 CPL BOX 16,500.00 5
61 MEXTRIL TAB 100S BOX 31,944.44 4
62 MICROLAX OINT 5 ML TUBE 17,500.00 3
63 MIKRODIOL (LIMAS) 20 PAK BOX 130,000.00 3
64 MIXAGRIP BOX 100 TAB BOX 38,250.00 4
65 MIXAGRIP FLU&BATUK BOX100CPL BOX 39,500.00 4
66 MYCORAL CREAM 5 GR TUBE 10,000.00 24
67 MYCORAL TAB 200 MG 50S BOX 173,000.00 4
68 MYLANTA BOX 100 TAB BOX 47,250.00 3
69 NA DIKLOFENAC 25 MG TAB 50PH BOX 8,230.00 5
70 NEO ENTROSTOP BOX 6 PAK @ 2 STRIP BOX 55,800.00 6
71 NEO NAPACIN BOX 200 TAB BOX 74,000.00 2
72 NEROFA BOX 100 TAB BOX 32,727.27 4
73 NEUROBION 5000 BOX BESAR 250 TAB BOX 562,315.00 1
74 NEUROBION 5000 INJ DUAL BOX 20 PSG AMP BOX 154,066.00 4
75 NEURODEX TAB 200S(BOX BESAR) BOX 110,000.00 4
76 NEW ANACETIN SYR 60 ML BTL 8,181.82 24
77 OXYTETRACYCLIN ZALF MATA 1% ERLA TUBE 3,685.71 24
78 PARACETAMOL SYR PROMED BTL 60 ML BTL 3,484.84 50
79 PARAMEX BOX 50X4 TAB BOX 82,500.00 3
80 PIROXICAM 20MG FM BOX100CAP BOX 13,636.36 20
81 PONSTAN FCT 500MG PFIZER BOX100 BOX 207,442.00 1
82 PROCOLD FLU & BATUK BOX 24X6 CPL BOX 53,976.41 3
83 PRONICY BOX 100 CPL BOX 17,500.00 3
84 ROHTO EYE DROPS 7 ML BTL 8,550.00 24
85 SALBRON 4 MG TAB 100S BOX 25,710.00 3
86 SALONPAS KOYO BOX KECIL 10 X 10 LEMBAR BOX 46,420.00 3
87 SUCRALFATE (MOLAFATE) SYR BTL 60 ML BTL 18,500.00 6
88 SUPER ESTER C BOX12 X 4 TAB BOX 54,960.00 4
89 TERAFLU CPL 100S BOX 32,167.83 5
90 TERMOREX PLUS 60 ML RS JERUK BTL 10,720.00 24
91 TERMOREX SYRUP 60 ML BTL 9,750.00 24
92 TRANSPULMIN BALSEM BABY 10 GR TUBE 36,500.00 6

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288,000.00
760,000.00
531,000.00
84,000.00
180,354.54
0.00
175,557.56
271,204.00
487,500.00
101,485.68
357,000.00
281,650.80
292,167.12
559,200.00
41,287.87
150,000.00
151,514.80
113,636.35
67,800.00
67,800.00
440,000.00
82,500.00
127,777.76
52,500.00
390,000.00
153,000.00
158,000.00
240,000.00
692,000.00
141,750.00
41,150.00
334,800.00
148,000.00
130,909.08
562,315.00
616,264.00
440,000.00
196,363.68
88,457.04
174,242.00
247,500.00
272,727.20
207,442.00
161,929.23
52,500.00
205,200.00
77,130.00
139,260.00
111,000.00
219,840.00
160,839.15
257,280.00
234,000.00
219,000.00

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93 VICEE ORANGE BOX100 TAB BOX 57,173.00 2
94 VICEE STRAWBERRY BOX100 TAB BOX 57,173.00 2
95 VICKS FORMULA 44 CHILD 54 ML BTL 9,620.91 24
96 VIT B12 TAB IFI BOX12 TUBE BOX 20,979.02 4
97 VITAQUIN CREAM 15 GR TUBE 54,750.00 3
98 VOLTADEX 50 MG TAB 50S BOX 22,500.00 5
TOTAL

Demikian permohonan kami, atas kerjasamanya, saya ucapkan terimkasih

Malawatar, 07 Maret 2022

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 114,346.00
114,346.00
230,901.84
83,916.08
164,250.00
112,500.00
21,370,097.60

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