PT
SYIFA’ MEDIKA
Jalan
Merdeka Nomor 8
BLITAR
66166
_______________________________________________________________________
Order Nomor: 123/12
Yang Terhormat
RS. Khadijah
JL. KH. Hasyim Asy’ari No. 12
Jombang
Harap diterima barang-barang di bawah ini:
|
No
|
Nama
Barang
|
Jumlah
|
Satuan
|
Keterangan
|
|
1
|
Alkohol 70%
|
10
|
1 kardus = 12 botol
|
|
|
2
|
Antimo Dewasa
|
11
|
1 pak = 72 strip
|
|
|
3
|
Antimo Kids
|
10
|
1 pak = 10 sach
|
|
|
4
|
Balpirik Hijau
|
6
|
1 pak = 12 dus
|
|
|
5
|
Balpirik Kuning
|
10
|
1 pak = 12 dus
|
|
|
6
|
Balpirik Merah
|
8
|
1 pak = 12 dus
|
|
|
7
|
Balsem Geliga 10 gr
|
10
|
1 pak = 12 dus
|
|
|
8
|
Balsem Geliga 20 gr
|
8
|
1 pak = 12 dus
|
|
|
9
|
Balsem Lang 10 gr
|
11
|
1 pak = 12 dus
|
|
|
10
|
Balsem Lang 20 gr
|
8
|
1 pak = 12 dus
|
|
|
11
|
Betadine (1 dus=6 botol)
|
10
|
1 karton = 24 pak
|
|
|
12
|
Biogesic
|
9
|
1 pak = 25 strip
|
|
|
13
|
Bodrex (1ktn=50 p)
|
9
|
1 pak = 12 dus
|
|
|
14
|
Bodrex Extra
|
8
|
1 pak = 25 blister
|
|
|
15
|
Bodrex F/B (1 ktn=48 pak)
|
8
|
1 pak = 25 strip
|
|
|
16
|
Bodrex Migra
|
8
|
1 pak = 25 strip
|
|
|
17
|
Bodrexin
|
10
|
1 pak = 12 dus
|
|
|
18
|
CDR
|
8
|
1 pak = 10 dus
|
|
|
19
|
Counterpain 5 gr
|
8
|
1 pak = 5 dus
|
|
|
20
|
Counterpain 15 gr
|
8
|
1 pak = 3 dus
|
|
|
21
|
CTM
|
7
|
1 pak = 24 dus
|
|
|
22
|
Decolgen (1 ktn=48 pak)
|
4
|
1 pak = 25 strip
|
|
|
23
|
Decolsin
|
5
|
1 pak = 25 strip
|
|
|
24
|
Dettol Antiseptic Cair 50 ml
|
8
|
1 pak = 10 botol
|
|
|
25
|
Diapet
|
6
|
1 pak = 25 strip
|
|
|
26
|
Entrostop Anak
|
7
|
1 pak = 3 dus
|
|
|
27
|
Entrostop Dewasa
|
8
|
1 pak = 6 dus
|
|
|
28
|
Enervon-C
|
9
|
1 pak = 25 strip
|
|
|
29
|
Esepuluh
|
10
|
1 pak = 25 strip
|
|
|
30
|
Fatigon Biasa
|
5
|
1 pak = 15 strip
|
|
|
31
|
Fatigon Spirit
|
8
|
1 pak = 6 strip
|
|
|
32
|
GPU 30 ml
|
9
|
1 pak = 12 dus
|
|
|
33
|
GPU 60 ml (1 ktn=6 pak)
|
8
|
1 pak = 12 dus
|
|
|
34
|
Hansaplast Box 100
|
7
|
1 karton = 100 pak
|
|
|
35
|
Hansaplast Box Jumbo
|
6
|
1 karton = 200 pak
|
|
|
36
|
Hansaplast Fun
|
5
|
1 karton = 50 hgr
|
|
|
37
|
Hansaplast Roll Besar
|
12
|
1 pak = 10 rol
|
|
|
38
|
Hansaplast Roll Kecil
|
8
|
1 pak = 20 rol
|
|
|
39
|
Hemaviton Action
|
10
|
1 pak = 10 blister
|
|
|
40
|
Hemaviton Stamina Plus
|
11
|
1 pak = 10 blister
|
|
|
41
|
Insto
|
8
|
1 pak = 12 dus
|
|
|
42
|
Inza
|
7
|
1 pak = 50 strip
|
|
|
43
|
Inzana
|
8
|
1 pak = 25 strip
|
|
|
44
|
Kalpanax Cair
|
8
|
1 pak = 12 dus
|
|
|
45
|
Kalpanax Cream
|
9
|
1 pak = 3 dus
|
|
|
46
|
Kool Fever Anak (Biru)
|
8
|
1 pak = 3 dus
|
|
|
47
|
Komix Dewasa
|
11
|
1 pak = 6 botol
|
|
|
48
|
Komix Kids
|
10
|
1 pak = 3 dus
|
|
|
49
|
Konidin
|
5
|
1 pak = 50 strip
|
|
|
50
|
Koyo Cabe
|
12
|
1 pak = 20 strip
|
|
|
51
|
Koyo Hansaplast
|
8
|
1 pak = 6 dus
|
|
|
52
|
Lacomin
|
8
|
1 pak = 25 strip
|
|
|
53
|
Laserin (1 dus=4 botol)
|
12
|
1 pak = 12 dus
|
|
|
54
|
Laxing
|
7
|
1 pak = 25 strip
|
|
|
55
|
Mextril
|
9
|
1 pak = 25 strip
|
|
|
56
|
Minyak Angin Fresh Care
|
8
|
1 pak = 12 botol
|
|
|
57
|
Minyak Angin Safe Care
|
9
|
1 karton = 12 pak
|
|
|
58
|
Minyak Kapak 3 ml
|
8
|
1 pak = 12 dus
|
|
|
59
|
Minyak Kapak 5 ml
|
8
|
1 pak = 12 dus
|
|
|
60
|
Minyak Kapak 10 ml
|
7
|
1 pak = 12 dus
|
|
|
61
|
Minyak Kapak 14 ml
|
10
|
1 pak = 12 dus
|
|
|
62
|
Minyak Kapak 28 ml
|
9
|
1 pak = 12 dus
|
|
|
63
|
Minyak Kapak 56 ml
|
7
|
1 pak = 12 dus
|
|
|
64
|
Minyak Otot Geliga 30 ml
|
8
|
1 pak = 12 dus
|
|
|
65
|
Minyak Tawon CC
|
9
|
1 pak = 24 botol
|
|
|
66
|
Minyak Tawon DD
|
7
|
1 pak = 24 btl
|
|
|
67
|
Minyak Tawon EE
|
6
|
1 pak = 12 btl
|
|
|
68
|
Minyak Tawon FF
|
8
|
1 pak = 12 btl
|
|
|
69
|
Minyak Telon 3 Anak 60 ml
|
8
|
1 karton = 20 pak
|
|
|
70
|
Minyak Telon 3 Anak 100 ml
|
9
|
1 karton = 12 pak
|
|
|
71
|
Minyak Telon Lang 30 ml
|
7
|
1 pak = 12 dus
|
|
|
72
|
Minyak Telon Lang 60 ml
|
9
|
1 pak = 12 biji
|
|
|
73
|
Mixagrip
|
15
|
1 pak = 25 strip
|
|
|
74
|
MKP Aroma Terapi 60 ml
|
11
|
1 pak = 12 botol
|
|
|
75
|
MKP Cap Lang 15 ml
|
12
|
1 ktn = 48 pak
|
|
|
76
|
MKP Cap Lang 30 ml
|
8
|
1 ktn = 24 pak
|
|
|
77
|
MKP Cap Lang 60 ml
|
12
|
1 ktn = 12 pak
|
|
|
78
|
MKP Cap Lang 120 ml
|
5
|
1 pak = 12 botol
|
|
|
79
|
MKP Cap Lang 210 ml
|
4
|
1 pak = 6 botol
|
|
|
80
|
Mylanta Cair
|
5
|
1 pak = 9 botol
|
|
|
81
|
Mylanta Tablet
|
7
|
1 pak = 10 blister
|
|
|
82
|
Napacin
|
8
|
1 pak = 50 strip
|
|
|
83
|
Neo Rheumacyl (1 ktn=24 pak)
|
7
|
1 pak = 24 dus
|
|
|
84
|
Neozep (1 ktn=48 pak)
|
7
|
1 pak = 25 strip
|
|
|
85
|
Neuro Rhemacyl
|
6
|
1 pak = 12 strip
|
|
|
86
|
New Diatab
|
8
|
1 pak = 25 strip
|
|
|
87
|
Obat Batuk Woods
|
5
|
1 pak = 10 botol
|
|
|
88
|
OBH Combi Gepeng 100 ml
|
9
|
1 pak = 8 botol
|
|
|
89
|
OBH Combi Plus Botol 60 ml
|
12
|
1 pak = 6 botol
|
|
|
90
|
Oskadon
|
20
|
1 pak = 50 strip
|
|
|
91
|
Oskadon SP
|
9
|
1 pak = 25 strip
|
|
|
92
|
Pamol
|
8
|
1 pak = 25 strip
|
|
|
93
|
Panadol Biru
|
7
|
1 pak = 10 blister
|
|
|
94
|
Panadol Hijau
|
6
|
1 pak = 10 blister
|
|
|
95
|
Panadol Merah
|
11
|
1 pak = 10 blister
|
|
|
96
|
Paracetamol
|
12
|
1 pak = 10 strip
|
|
|
97
|
Paramex
|
16
|
1 ktn = 40 pak
|
|
|
98
|
Pokping Cap Dragon 5 gr (H1)
|
12
|
1 pak = 12 biji
|
|
|
99
|
Poldan Mig
|
3
|
1 pak = 25 strip
|
|
|
100
|
Procold (1 ktn=48 pak)
|
8
|
1 pak = 24 blister
|
|
|
101
|
Procold Flu Batuk
|
5
|
1 pak = 24 strip
|
|
|
102
|
Promag Cair
|
8
|
1 pak = 3 dus
|
|
|
103
|
Promag Tablet (1 ktn=72 pak)
|
5
|
1 pak = 4 dus
|
|
|
105
|
Puyer 16 (1 ktn=24 ls)
|
8
|
1 pak = 10 ls
|
|
|
106
|
Redoxon
|
6
|
1 pak = 12 botol
|
|
|
107
|
Rivanol
|
7
|
1 pak = 6 botol
|
|
|
108
|
Salep 88
|
9
|
1 pak = 12 pot
|
|
|
109
|
Salonpas (1 ktn=100 pak)
|
10
|
1 pak = 10 strip
|
|
|
110
|
Sanaflu
|
8
|
1 pak = 25 strip
|
|
|
111
|
Sangobion (1 ktn=48 pak)
|
9
|
1 pak = 10 strip
|
|
|
112
|
Saridon
|
7
|
1 pak = 30 blister
|
|
|
113
|
Sutra Merah isi 3
|
6
|
1 pak = 24 strip
|
|
|
114
|
Sutra Merah isi 24
|
5
|
1 karton = 24 pak
|
|
|
115
|
Ultracap
|
4
|
1 pak = 25 strip
|
|
|
116
|
Ultraflu (1 ktn=40 pak)
|
3
|
1 pak = 25 strip
|
|
|
117
|
Ultrasiline
|
4
|
1 pak = 12 tube
|
|
|
118
|
Vicks Inhaler
|
5
|
1 hgr = 6 tube
|
|
|
119
|
Vicks Obat Batuk Anak
|
7
|
1 pak = 6 dus
|
|
|
120
|
Vicks Obat Batuk Dewasa 27 ml
|
8
|
1 pak = 6 dus
|
|
|
121
|
Vicks Vaporub10 gr
|
8
|
1 pak = 12 biji
|
|
|
122
|
Visine
|
6
|
1 pak = 12 dus
|
|
|
123
|
Vitacimin
|
10
|
1 pak = 10 iket
|
|
|
124
|
Xon-Ce
|
8
|
1 pak = 2 bungkus
|
|
Blitar, 20 Maret 2015
Penerima Pengirim
_______________ Ivelina Azza, S.E
Bagian Gudang
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