FARMASI ZULI ( KG JAWA ) SDN BHD ( 1235604*A )

23G, JALAN MOHD TAHIR 14/KS 02, TAMAN SAUJANA, 41200 KLANG, SELANGOR.
Tel & Faks ;03 33820992
To ; HAWAGANI BINTI K.A ABDUL SALAM
2-H-20, JALAN SAMARINDA 13B,TAMAN MESRA BATU 3 1/2,OFF JLN KPG JAWA,
413000 KLANG SELANGOR
Tel ; 011 6457 9440 01 JULY 2021
QUOTATION FOR YEAR 2021 (JULY-DECEMBER 2021 / 6 MONTHS)
PLEASE FIND OUR QUOTATION AS FOLLOW
ITEM ;
1. GLUCERNA MILK NUTRITION 850G ( VANILLA ) 1X=RM139X6 ; RM834.00
2. PAMPERS PANTS XL 1BAG=RM 49.00X30 ; RM1470.00
3. NUTREN DIABETIK 800G 1X=RM 129.00X6 ; RM774.00
4. ANTIBIOTIK CREAM 15G 1X=RM24.50X6 ; 147.00
TOTAL ALL FOR 1 MONTH USE = RM537.50
TOTAL ALL FOR 6 MONTH USE = RM 3225.00
Terms and condition
1.Delivery ; Ex.stock availability
2.Mode of payment ; online Transfer CIMB 8602999015 Farmasi Zuli (KG JAWA ) SDN BHD
3.All items approved by Lembaga Zakat Selangor are not exchangable or refundable
4.Validity : All prices valid until 30 SEPTEMBER 2021
4. Validity
Thank you and best regards

Nasibah binti Sukery B. Pharms. (Hons) Pharmacist / Branch Manager
FARMASI ZULI (KG JAWA) SDN BHD (1235604-A) NO 23G. JALAN MOHD TAHIR 14/KS 02. TAMAN SALUANA, 41200.KLANG SELANGOR TEL: 03 -33820922
Laporan Perubatan (Medical Report) Ruj. Kami/Tuan: Bil/70) dlm.HTAR/KLG./RP Am 13/01 PI 9/2021
Tarikh ; 20/05/2021
TO WHOM IT MAY CONCERN
HAWAGANI BINTI K.A ABDUL SALAM
No K PUS No) Bara
MKN
Perempuan (Femole)
Perempuan (Femole)
WHOM IT MAY CONCERN Butiran Pesalit Patient Particulars: Nama Pesakit Name of patient: Hawagani Binti K.A Abdul Salam No K/P No Baru 731010-10-5316 Umur Age 47 Jantina sex : perempuan female.Tarikh masuk wad atau menerima rawatan buat kali pertama Date of admission or receiving treatment for the first time: 21/12/2020 Tempat menerima raswatan Place where patient received
Klinik Pakar (Specialist Clinic)
Jabatan Kecemasali 1 Departmenti Tarikh discal dari wad atau meninggal dunia Date of cliss harge or deatin Drisiplia Discipline: Nephrology Wad (Ward)
Sejarals (Mistory): (decluding Presenting Complaints, History of ting complaints, Past Medical History, Family History, Social History and Occupational History Review of systems, Medical Records reviewed)
Underlying 1) Diabete Mellitas 2) 3) Hypothyroidism - 1 Levothyroxine 75mg OD d) End stage renal disease diagnosed 21/12/2021 Hemodiabses cenure : Pusal Dialssis Nur kasili
of strode with right hemiparesis diagnosed in july 2020 complicated with post infarer seinure 0) of multiple admission to hospital -21/12/2020 idmitted for advanced chronic kidney disease. Acute urinary retention secondary to arinary tract infection -11/01/202) for symplomatic uneamia econairy to advanced chronic kidney disease. righi intornal annular catheler was inserted on 15/1/2021 1503/2021 admitted for o apptomatic anenua secondary to underlyin E SRD and hy pertensive m waid transfined 2 pina packed cells and discharged well admitted loi bleeding right internal jugular catheter. in ward right internal jugular catheter exclumpol on 9.4/2021 and was discharges well Coda mi apabria
STHAT SEPANJANG HAYAT. KUALITI SEPANJANG MASA
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QUOTATION FOR YEAR 2021 (JULY-DECEMBER 2021 / 6 MONTHS)

Sejarals (Mistory): (decluding Presenting Complaints, History of ting complaints, Past Medical History, Family History, Social History and Occupational History Review of systems, Medical Records reviewed)

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