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INVOICE

Bill to Invoice No.: 21-200-000002

KLINIK PUTRA MEDIKA Date: 26/7/2021

Due date: 26/7/2021

Payment status: Paid

# Item Quantity Unit Price Tax Discount Total

1 ANATON TAB 2 43,680.00 --- 0.00% 87,360.00

2 ARKAVIT 10 36,400.00 --- 0.00% 364,000.00

3 BENEURON 10 43,680.00 --- 0.00% 436,800.00

4 BENEURON NOTA1 1 43,984.64 --- 0.00% 43,984.64

5 BIOLYSIN 10 50,400.00 --- 0.00% 504,000.00

6 CITOVIPLEX TAB 1 30,464.00 --- 0.00% 30,464.00

7 DAITICIN KAP 1 123,760.00 --- 0.00% 123,760.00

8 DEXTRAL SYR 5 8,848.00 --- 0.00% 44,240.00

9 FARSIFEN 200MG 1 25,536.00 --- 0.00% 25,536.00

10 FARSIFEN 400MG KPLT 1 40,083.12 --- 0.00% 40,083.12

11 HISTIGO 2 29,120.00 --- 0.00% 58,240.00

12 KETOROLAC INJ 30MG AD 30 3,136.00 --- 0.00% 94,080.00

13 METHYL 4MG HJ 4 23,520.00 --- 0.00% 94,080.00

14 NORVOM KAPL 5 16,375.74 --- 0.00% 81,878.70

15 OMEDOM TAB 4 22,960.00 --- 0.00% 91,840.00

16 RANITIDIN INJ AD 100 3,472.00 --- 0.00% 347,200.00

17 RENADINAC 50MG 1 39,200.00 --- 0.00% 39,200.00

18 TERA FORTE TAB 5 49,616.00 --- 0.00% 248,080.00

19 WICOLD TAB 2 34,720.00 --- 0.00% 69,440.00

Discount -Rp0.00

Subtotal Rp2,824,266.46

Total Rp2,824,266.46

Payment method:

TUNAI: Rp2,824,266.46

Paid amount: Rp2,824,266.46

Amount due: Rp0.00

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