Our Ref : ZP/QTN/300317-1/Alfred

Date : March 30, 2017

Jabatan Ortopedik
Hospital Sultanah Nora Ismail
83000 Batu Pahat,
Johor

TO WHOM IT MAY CONCERN

Dear Sir / Madam,

QUOTATION - CASH SALES

PATIENT NAME: JOHARI BIN ATAN
IC: 840217-01-6233
MRN: 3003179

Hospital Sultanah Nora Ismail

With reference to the above, we are pleased to submit herewith our quotation for your kind perusal.
No. Description Qty Unit Price (RM) Total Price (RM)

1. LCP PUBIC SYMPHYSIS PLATE

Consists of : 1 Plate and Screws 1 SET 2792.45 2792.45

Price Without GST (RM) 2792.45

GST 6% (RM) 167.55

Total Price with GST (RM) 2,960.00

Manufacturer : Synthes GmbH, Switzerland.

Delivery : Ex-stock subject to goods availability; otherwise 8-10 weeks upon receipt of
firm order.
Warranty : 12 months against manufacturers defects and usage in accordance to
AO/ASIF recommendation.
Price Validity : 30 days from the date of this quotation.

ZUELLIG PHARMA SDN BHD (4013-D)

No. 15 Persiaran Pasak Bumi, Seksyen U8, Perindustrian Bukit Jelutong, 40150 Shah Alam, Selangor Darul Ehsan, Malaysia
Tel +603 5566 5060/ 5061/ 5062/ 5063/ 5068 I Fax +603 7840 0189 I www.zuelligpharma.com

Connect. Healthcare. Asia.

1
Total Price : Price quoted is inclusive of GST (upon GST implementation)
Payment Terms : Cheque / Bank Draft/ Direct Bank in to Zuellig Pharma Sdn Bhd
Payable to : Zuellig Pharma Sdn Bhd
Bank : Maybank Berhad
Bank Account No : 5624 7815 5247

Remarks:
i. Kindly photocopy your proof of payment (bank in slip) with the below details and fax or email to
03-7840 0189 / MyCs-JnJ-Synthes@zuelligpharma.com as confirmation of payment.
Details to provide for confirmation of payment are:
Patient's name
Patients NRIC/Passport no
Patients MRN no
Hospital name

We hope that our quotation meets with your requirements and should you need further clarification
please do not hesitate to contact Mr Alfred at Tel. No: 019-229 1859 / 03-7661 8300.

Thank you.

Yours faithfully,
On behalf ZUELLIG PHARMA SDN BHD
Digitally signed by Sze Siong

Sze Siong Alfred Ng

DN: c=US, o=JNJ, ou=Subscribers,
0.9.2342.19200300.100.1.1=10431

Alfred Ng
43, cn=Sze Siong Alfred Ng
Reason: I am the author of this
document.
Date: 2017.03.30 16:12:34 +08'00'

Alfred Ng
Product Specialist

ZUELLIG PHARMA SDN BHD (4013-D)

No. 15 Persiaran Pasak Bumi, Seksyen U8, Perindustrian Bukit Jelutong, 40150 Shah Alam, Selangor Darul Ehsan, Malaysia
Tel +603 5566 5060/ 5061/ 5062/ 5063/ 5068 I Fax +603 7840 0189 I www.zuelligpharma.com

Connect. Healthcare. Asia.

2