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NOTA PENGIRIMAN Blitar,8 Mei 2024

No : 011/AJ/V/2024 Kepada Yth:

dr. Widodo Nugroho, S.K.M., M.M.

Komandan Denkesyah Madiun
Jalan Pahlawan No. 79
Kota Madiun - Jawa Timur

Nama Produk Kuantitas Harga Satuan Total Harga

Alletrol/Erla TM 7.0 Rp19.536,00 Rp136.752,00
Erla TT 2.0 Rp14.430,00 Rp28.860,00
OBH SYR 7.0 Rp9.768,00 Rp68.376,00
Novamox/Yusimox Syr 5.0 Rp12.210,00 Rp61.050,00
Omedom Syr 5.0 Rp8.547,00 Rp42.735,00
Lyscavit Syr 5.0 Rp9.768,00 Rp48.840,00
Paracetamol Syr 3.0 Rp8.547,00 Rp25.641,00
Guanistrep Syr 3.0 Rp9.990,00 Rp29.970,00
Triocid Syr/Berlocid 5.0 Rp9.990,00 Rp49.950,00
Flumin Syr 5.0 Rp14.652,00 Rp73.260,00
Ranitidin Inj 10.0 Rp9.768,00 Rp97.680,00
Ketorolac Inj 10.0 Rp9.768,00 Rp97.680,00
Pehacain Inj 10.0 Rp6.660,00 Rp66.600,00
Neurotropic Inj 3.0 Rp14.652,00 Rp43.956,00
Recodryl Inj 3.0 Rp12.210,00 Rp36.630,00
Salfamen SK 2.0 Rp17.094,00 Rp34.188,00
Genoint Sk/Gentamicin 4.0 Rp9.768,00 Rp39.072,00
Nufacort 4.0 Rp9.435,00 Rp37.740,00
Acyclovir SK 4.0 Rp10.989,00 Rp43.956,00
Bevalek SK 10.0 Rp18.315,00 Rp183.150,00
Genoint SM 2.0 Rp14.652,00 Rp29.304,00
Ketoconazole SK 5.0 Rp9.768,00 Rp48.840,00
Dololicobion 700.0 Rp721,50 Rp505.050,00
Asam Mefenamat 400.0 Rp610,50 Rp244.200,00
Broadamox 500 mg/Amoxilin 800.0 Rp888,00 Rp710.400,00
Paracetamol 500 mg 400.0 Rp333,00 Rp133.200,00
Estalex/Eperisone 150.0 Rp1.054,50 Rp158.175,00
Lodecon F/Tera F 800.0 Rp832,50 Rp666.000,00
Colpica/Demacolin 200.0 Rp666,00 Rp133.200,00
Selkom C 500.0 Rp1.387,50 Rp693.750,00
Antasida Doen/Triocid 400.0 Rp388,50 Rp155.400,00
Citirizine 50 mg 200.0 Rp832,50 Rp166.500,00
Ambroxol 200.0 Rp388,50 Rp77.700,00
Selesdiar 200.0 Rp444,00 Rp88.800,00
Carbidu 0,5 mg/Dexa 400.0 Rp499,50 Rp199.800,00
Grafachlor 400.0 Rp333,00 Rp133.200,00
Omeric 100 mg/Allupurinol 200.0 Rp444,00 Rp88.800,00
Omedom 400.0 Rp277,50 Rp111.000,00
Mecobalamin 100.0 Rp1.221,00 Rp122.100,00
Omeric 300 mg 100.0 Rp555,00 Rp55.500,00
Histigo 150.0 Rp832,50 Rp124.875,00
Salbutamol 4mg 100.0 Rp499,50 Rp49.950,00
 Novatrim 480mg 100.0 Rp499,50 Rp49.950,00
Zelona 300.0 Rp333,00 Rp99.900,00
Simvastatin 10mg 100.0 Rp499,50 Rp49.950,00
Spasminal 100.0 Rp777,00 Rp77.700,00
Omelthysone/Rhemafar 4 mg 600.0 Rp444,00 Rp266.400,00
Laxana 100.0 Rp388,50 Rp38.850,00
Lansoprazole 80.0 Rp1.221,00 Rp97.680,00
Loperamide 200.0 Rp277,50 Rp55.500,00
Winatin Tablet/Loratadine 300.0 Rp499,50 Rp149.850,00
Meloxicam 7,5 mg 100.0 Rp499,50 Rp49.950,00
Neurodex 400.0 Rp721,50 Rp288.600,00
Simvastatin 20mg 100.0 Rp721,50 Rp72.150,00
Vitamin C 100.0 Rp277,50 Rp27.750,00
Ranitidin 500.0 Rp444,00 Rp222.000,00
Caviplek 100.0 Rp943,50 Rp94.350,00
Cefadroxil 500 mg 100.0 Rp1.110,00 Rp111.000,00
Lokev 150.0 Rp610,50 Rp91.575,00
Hufabion 100.0 Rp444,00 Rp44.400,00
Stic Cholesterol 10.0 Rp24.420,00 Rp244.200,00
Stic GDA 50.0 Rp7.770,00 Rp388.500,00
Daryatul 2.0 Rp34.410,00 Rp68.820,00
Jarum 23G 58.0 Rp444,00 Rp25.752,00
Stic AU 25.0 Rp7.770,00 Rp194.250,00
Masker 250.0 Rp999,00 Rp249.750,00
Hand Scoon 400.0 Rp2.220,00 Rp888.000,00
Blood Lancet 100.0 Rp305,25 Rp30.525,00
Spuit 3 cc 50.0 Rp3.663,00 Rp183.150,00
Hand Sanitizer 3.0 Rp85.470,00 Rp256.410,00
Kassa Sterille 48.0 Rp943,50 Rp45.288,00
Alkohol 1L 4.0 Rp73.260,00 Rp293.040,00
Chloretyl 1.0 Rp247.530,00 Rp247.530,00
Oxycan 1.0 Rp99.900,00 Rp99.900,00
Total Rp 11.044.500,00

Penerima Pengirim,
CV. Alvino Jaya

(___________________) Vitri Suseno