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INV/20230507/148554850509

Purchase Receipt
Ordered on 7 May 2023
Order ID: 148554850509
Delivered to tri jaya

Total
Rp220.400
Thank you for the purchase. This receipt is issued on behalf of K24 CIBUBUR COUNTRY
BOGOR

Alamat: No SIA: 449.1/209-IA/00040


PERUM CIBUBUR COUNTRY BLOK RBOD NO. 1-C, /DPMPTSP/2021
CIKEAS, GUNUNG PUTRI, BOGOR,Gunung Putri,Kab.
Bogor,Jawa Barat,Indonesia
Telepon: 02129098499
Nama Apoteker: Sri Wati Hartati
No SIPA: 19840212/SIPA_32.01/DPMPTSP/2021/2.1/00048

Payment Details

Description Amount (Rp)

1x Triaminic Batuk & Pilek Syr 96.800

1x Recommended Paratusin Tab 18.600

1x Actifed Syr 60 Ml 77.000

Subtotal (3 items) 192.400


Delivery fee 28.000

Tax included
Total 220.400

Delivered by Paid by
GrabExpress iPay88 220.400
To: HXHH+74C, Dayeuh, Cileungsi, Bogor Regency,
West Java 16820, Indonesia

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