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KLINIK CITRA 51

Jl. Tongkol 2C Bangil, Pasuruan 67153


APJ: Zakiyah, S.Farm.,Apt.

SURAT PESANAN

NO.

Kepada:

Yth....PT. PANGESTU FARMINDO MULIATAMA...........

............................................................................

No. NamaObat Jumlah


1. Caviplex tablet 10 Box
2. Paracetamol Tablet (Nova) 15 box
3. OBH Sirup 20 Fls
4. Mytaderm cr 6 box
5. Gentamicin cr 7 box
6. Cefadroxil sirup 25 fls
7. Piroxicam 10mg tab 6 box
8. Superhoid supp 6 box
9. Ibuprofen tab 10 box
10. Ciprofolxacin tab 7 box
11. Loratadine tab 7 box
12. Ambroxol sirup 60ml 15 fls
13. GOM 1 box
14. Metformin tab 7 box
15. Ketoconazole tab 8 box
16. Nephrolit 1 box
17. Etabion kap 3 box
18. Histigo tab 10 box
19. Antasida sirup 60ml 60 fls
20. Captopril 12,5mg tab 4 box
21. Asam mefenamat tab 10 Box
22. Ambroxol tab 10 box
23. Anabion sirup 60ml 20 fls
24.

Pasuruan,
Apoteker Penanggung Jawab

Zakiyah, S.Farm.,Apt.
SIPA: 19950327/SIPA_35.14/207/2019

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