01 - Introduction Gis (pens-its)

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KLINIK GADING YOGYAKARTA Jl.Mayjen D.I.Panjaitan No 25 .Yogyakarta.Telp ( 0274 ) 375396. Umum, Dokter Panggil, Gigi & Mulut , UGD. Laboratorium, ECG, Rontgen, Pengobatan Alternatif : “Prana” E-mail : [email protected]

Dokter Alamat

Yogyakarta,__________________________ Nama : Umur : Jenis Kelamin :

: :

Hasil Pemeriksaan Laboratorium

Mengetahui, Quality Control

Petugas Laboratorium

Tanda Tangan & Nama Terang

Tanda Tangan & Nama Terang

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