Salinan Resep.docx
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RUMAH SAKIT KHUSUS BEDAH
DIPONEGORO DUA SATU KLATEN Jl. Diponegoro No. 21 Klaten 57438 Telp. (0272)325127, Fax (0272) 322273
Apoteker SIPA
: :
SALINAN RESEP No : Dari Dokter : Untuk :
Tgl. Tgl.
R/
PCC
DIPONEGORO DUA SATU KLATEN Jl. Diponegoro No. 21 Klaten 57438 Telp. (0272)325127, Fax (0272) 322273
Apoteker SIPA
: :
SALINAN RESEP No : Dari Dokter : Untuk :
Tgl. Tgl.
R/
PCC
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