Kuitansi Lab.docx

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RUMAH SAKIT AR – ROYYAN Jl. Lintas Timur Km. 33 Samping RM.Sederhana Kel.Timbangan Kabupaten Ogan Ilir Telp. (0711) 581976

BUKTI PEMBAYARAN Nama

: Ayu Intan Pardini

Alamat

: Talang Seleman

Jenis Kelamin : Perempuan Usia

: 25 Tahun 0 Bulan JENIS PEMERIKSAAN

Harga ( Rp)

Total T3*

183.000

Total T4*

183.000

TSH*

183.000

Lima Ratus Empat Puluh Sembilan Ribu Rupiah

Total Harga

:

Indralaya, 13 October 2018 Petugas Penerima (Kasir)

Yuliana

549.000

RUMAH SAKIT AR – ROYYAN Jl. Lintas Timur Km. 33 Samping RM.Sederhana Kel.Timbangan Kabupaten Ogan Ilir Telp. (0711) 581976

BUKTI PEMBAYARAN Nama

: ROSADA

Alamat

: PERMATA BARU

Jenis Kelamin : Perempuan Usia

: 59 Tahun 0 Bulan 0 Hari

JENIS PEMERIKSAAN

Harga ( Rp)

Total T3*

135.000

Total T4*

135.000

TSH*

135.000

Lima Ratus Delapan Puluh Lima Ribu Rupiah

Total Harga

:

Indralaya, 12 Februari 2019 Petugas Penerima (Kasir)

Yuliana

405.000

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