Certificate of Analysis

PT. SARASWANTI INDO GENETECH
The First Indonesian Molecular Biotechnology Company
GRAHA SIG Jl Rasamala No. 20Taman Yasmin Bogor 16113 Indonesia
Phone: +62 251 7532348; (hunting) - (082) 111516516 Fax: +62 251 7540927, http://www.siglaboratory.com

No 28 IF-PP/SMMSIG
Revisi 3

RESULT OF ANALYSIS

Laporan Hasil Pengujian
No: SIG.LHP.X.2017.66366

I
Number / Nomor
1.1 , Order No. / No. Order : SIGMark.OTK.X.2017.001798

II
Principal / Pelanggan
2.1. Name / Nama : PT. Sumatera Pasak Bumi
2.2. Address / Alamat : Jl. Cempaka IV Dusun IV.
Desa Tuntungan l. Kec. Pancur Batu
Kab. Deli Serdang. Prov. Sumatera Utara
2.3. Phone / Telepon : 081380080020
2.4. Contact Person / Personil Penghubung : Maudya Silalahi

III
Sample / Contoh Uji
3.1, Sample Code / Kode Sample : -
3.2. Batch number / No Batch : -
3.3. Lot number/ No Lot : -
3.4. Packaging / Kemasan : -
3.5. Production Date / Tanggal Produksi : -
3.6. Expire Date / Tanggal Kadaluarsa : -
3.7. Factory Name / Nama Pabrik : -
3.8. Factory Address / Alamat Pabrik : -
3.9. Trade Mark / Nama Dagang : -
3.10. Sample Name / Nama Sample : Pasak Bumi Kapsul 300 mg
3.11. Other Information / Keterangan Lain :
3.12. Date of Acceptance / Tanggal Terima : October 17, 2017
3.13. Date of Analysis / Tanggal Uji : October 17, 2017 - October 25, 2017
3.14. Type of Analysis / Jenis Uji : Terlampir

IV
Result / Hasil Uji
Result of analysis on page / Hasil uji di halaman 2