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  • DVL RSForm - RS2023100019 - 20231120

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    dhimasenggars
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    This document is a request for a sample from Darya-Varia Citeureup plant by Discka Winda Syafiqah for donation to a chain group hospital. The request is for 9,225 boxes of medication at a total price of Rp10,239,750 and 618 boxes of another medication at a total price of Rp686,330. The request was approved by four individuals between November 16-20, 2023.

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    DVL RSForm_RS2023100019_20231120

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    This document is a request for a sample from Darya-Varia Citeureup plant by Discka Winda Syafiqah for donation to a chain group hospital. The request is for 9,225 boxes of medication at a total price of Rp10,239,750 and 618 boxes of another medication at a total price of Rp686,330. The request was approved by four individuals between November 16-20, 2023.

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    7 views1 page

    DVL RSForm - RS2023100019 - 20231120

    Uploaded by

    dhimasenggars
    This document is a request for a sample from Darya-Varia Citeureup plant by Discka Winda Syafiqah for donation to a chain group hospital. The request is for 9,225 boxes of medication at a total price of Rp10,239,750 and 618 boxes of another medication at a total price of Rp686,330. The request was approved by four individuals between November 16-20, 2023.

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    © All Rights Reserved
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    DVL RS Form | Request For Sample

    RFS Number : RS2023100019


    SO Number : 1150000522
    Requested Date : 24-October-2023 Source Plant : Darya-Varia Citeureup
    Requestor : Discka Winda Syafiqah Ship To : Citeureup
    Division : Professional Healthcare Group Reason/Program : Donation for chain group hospital
    Total Amount : 10,239,750.00 Printed Date : 20 November 2023 11:12:15

    PPD Code WBS Code Material Code UOM Price Qty Total Price VAT(11%) Total Price + VAT(11%)
    P.23.0328.07600.20002 Q.07600.20002 50383 307,500.00 (HNA) 9,225,000.00 (HNA) 1,014,750.00 (HNA) 10,239,750.00 (HNA)
    BOX 30
    24641 Belief P ROSWIN HO PHG-GPM 1 ROSWIN-PHG GPM1 ROSWIN FCT 20MG 20,610.51(SCP) 618,315.00(SCP) 68,015.00(SCP) 686,330.00(SCP)
    Grand Total : 10,239,750.00 (HNA)
    Grand Total SPC : 686,330.00(SCP)

    Approval List Approval Date


    Dicky Hermawan Taslim 16-November-2023 19:29
    Maulana Iman Tauchiddin 17-November-2023 14:31
    Dhimas Enggar Svasono 20-November-2023 11:08
    Dyah Delfiani Tri K. 17-November-2023 14:31

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