FAKTUR

No. 086544 Kepada :

APL Apotek Anugrah Sejahtera
Jl. Ir. Sutami No.34 Surakarta

No.SPB Tgl Faktur Tgl jatuh tempo RYN jual Ryn tagih RYN kirim Keterangan
9643 16-Mar-13 15-Apr-13 131124 125443 125788 0

Kode barang Nama barang Batch ED Unit Harga Satuan Harga Total
AX Erlamicetin TM DM34877 31-01-15 5 botol Rp 3.100,00 Rp 15,500.00
SC Vitazym (100 tab) DX21789 30-04-16 2 box Rp 28.600,00 Rp 57,200.00
ER Erysanbe chew 200 mg (100 tab) FN87645 30-06-16 1 box Rp 130.000,00 Rp 130,000.00
PZ Proris sup (10 suppo) CX32589 31-08-16 1 Box Rp 50.300,00 Rp 50,300.00
LC Lacbon (100 tab) YX20987 30-11-15 1 Box Rp 43.500,00 Rp 43,500.00
VC Ventolin inhaler PT87654 30-03-16 2 Rp 96.800,00 Rp 193,600.00
HS Hufalysin syr RT09865 31-07-16 5 botol Rp 9,800.00 Rp 49,000.00
AM Aminofilin 200 mg (1000 tab) YY76548 31-05-16 1 botol Rp 105.000,00 Rp 105,000.00
ZN Zinc dispers tab(100 tab) BN6709 31-07-17 1 Box Rp 27.000,00 Rp 27,000.00
BB Vit B6 25 mg (500 tab) BB34267 31-05-17 1 Botol Rp 65,000.00 Rp 65,000.00
Ambroxol 30 mg (100 tab) 1 box Rp 30000 Rp 30,000.00
Sangubion (100 kaps) 1 box Rp 70,000.00 Rp 70,000.00
Masker (100 lembar) 1 box Rp 50,000.00 Rp 50,000.00
Methyl Pred 8 mg (100 tab) MP5634 Jul-16 1 Box Rp 38,000.00 Rp 38,000.00
Total I Potongan Total 2 Materai PPN Jumlah tagihan
Rp 736,100.00 Rp 736,100.00 Rp 73,610.00 Rp 809,710.00
Terbilang Delapan ratus sembilan ribu tujuh ratus sepuluh rupiah

tanggal diterima : 17-06-2013 Mengetahui hormat Kami

Penerima waktu diterima: 14.00 Supervisor
TTD
TTD
CAP
Satuan PPN Margin

96800 106480 138424

Rp 105.00 Rp 115.50 Rp 150.15

Rp 300.00 Rp 330.00 Rp 429.00

Rp 700.00 Rp 770.00 Rp 847.00
Rp 500.00 Rp 550.00 Rp 660.00
Rp 380.00 Rp 418.00 Rp 543.40
 FAKTUR
No. 086544 Kepada :
Apotek Anugrah Sejahtera IFR UNS
Jl. Ir. Sutami No.34 Surakarta

No.SPB Tgl Faktur Tgl jatuh tempo RYN jual Ryn tagih RYN kirim Keterangan
9643 16-Apr-15 1-May-15 131124 125443 125788 0

Kode Nama barang Batch ED Unit Harga Satuan Harga Total

3425 Glyseryl Guaiakolat 100 mg (1000 tab) 23478 May-18 1 Box Rp 75,000.00 Rp 75,000.00
6543 Ephedrin HCl 25 mg (1000 tab) EX3451 Jan-18 1 box Rp 120,000.00 Rp 120,000.00
6287 Chlortrimeton Maleat 4 mg(1000 tab) AX3289 Jun-18 1 Box Rp 85,000.00 Rp 85,000.00
2311 Proris Suppo (10 supp) MP5634 Jul-17 1 Box Rp 65,000.00 Rp 65,000.00
654 Lacbon (100 tab) CR3458 Apr-17 1 Box Rp 19,000.00 Rp 19,000.00
5432 Minyak Kayu Putih 60 ml HP7654 Feb-17 10 Botol Rp 14,000.00 Rp 140,000.00
5427 Zinc Disb (100 tab) EZ7689 Apr-17 1 Box Rp 100,000.00 Rp 100,000.00
3409 Paracetamol Syr XC7674 Dec-17 10 Botol Rp 2,500.00 Rp 25,000.00
2311 Methyl Pred 8 mg (100 tab) MP5634 Jul-16 1 Box Rp 38,000.00 Rp 38,000.00
Amoxicillin syr 10 Botol Rp 5,000.00 Rp 50,000.00
New Diatab (100) 1 box Rp 75,000.00 Rp 75,000.00
Kompres (5) 3 pax Rp 20,000.00 Rp 60,000.00

Total Rp 629,000.00
Total Tagihan + PPN Rp 691,900.00
Terbilang Enam Ratus Sembilan Puluh Satu Ribu Sembilan Ratus Rupiah

tanggal diterima : 16-04-2015 Mengetahui hormat Kami

Penerima waktu diterima: 15.30 Supervisor
TTD
TTD
Non Resep harga faktur HNA+pajak
Sangubion 10 700.00 770
Masker 1 50000.00 55000

Resep
Aminofillin 20 105 115.5
MP 15 380 418
Ambroxol 20 300 330
Tuslah
Kapsul 20

Ventollin 1 96800 106480

Tuslah
Embalase

Non Resep harga faktur HNA+pajak

kompress panas 1 20000.00 22000
syrup PCT 1 2500.00 2750

resep 1
lacbon 72 435 478.5
new diatab 36 750 825

Tuslah

resep 2
Amoxicillin syrup 1 5000 5500
Tuslah
resep 3
zinc 5 270 297
tuslah

Embalase
HJA
847 8,470.00
66000 66,000.00

150.15 3,003.00
543.4 8,151.00
429 8,580.00
5,000.00
100 2,000.00

138424 138,424.00
1,000.00
1,000.00
241,628.00

HJA
24200 24,200.00
3575 3,575.00
total 27,775.00

622.05 44,787.60
1072.5 38,610.00

2,500.00
total 85,897.60

7150 7,150.00
1,000.00
total 8,150.00
 386.1 1,930.50
1,000.00
total 2,930.50

1,000.00
HARGA AKHIR 125,753.10
1. harga + ppn 10% = Z
2. Z x Margin = Y
3. Y x jumlah