APOTEK GHANIA Samadua,………...................

Jl. Nasional Blangpidie – Tapaktuan, Kec. Samadua Kpd Yth……………………

Kab. Aceh Selatan
Apoteker : Rizky Amanda Chamayasinta, S.Farm.,Apt di-
Tempat
SURAT PESANAN
No. 005 /APT/ VIII /2021

No Nama Obat Satuan Jumlah Ket

1 Acyfar Cream 5% Tube 10

2 Acyfar 400 Box 2
3 Balsem Lang Aktiv 20 gr Btl 12
4 Bye Bye Fever Baby Box 2
5 Bye Bye Fever Children Box 1
6 Clovidogrel 75 mg/30 Box 1
7 Counterpain 15 gr Tube 5
8 Fitkom Anggur Btl 5
9 Fitkom Starwbery Btl 5
10 Fresh Care Citrus/ori 10 ml Btl 5
11 Fresh Care Green Tea 10 ml Btl 5
12 Fresh Care Lavender 10 ml Btl 5
13 Helixim Dry Syr 60 ml Btl 5
14 Helixim kapsul Box 2
15 Hotin Cream 120 ml Btl 5
16 Hotin Cream Strong Btl 5
17 Paramex/50 stp Btl 1
18 Glimepiride 2 mg HJ Box 3
19 Betadine 5 mL Btl 10
20 Vitamin C 50 mg (Pot@100 Tab) Tube 3
21 Omeroxol Tab 30 mg Box 2
22 Cendo Lyteers Minidose 5
23 Cendo Xitrol Minidose 5
24 Omemox 500 mg Kapsul Box 3
25 Kasa Gulung 40x80 cm Pcs 1
26 Antimo Tablet Box 1
27 Cough n Friend Obat Batuk Hitam Botol 10

Samadua,………………………………….

Rizky Amanda Chamayasinta,S.Farm.,Apt

Nomor SIPA :10/SIPA/VI/2021