: 150001
Tgl / Jam
: 3/18/2015 10:47:15PM
/ REG1500001
Dokter
Jaminan
: UMUM
Layanan
: POLI UMUM
Nama Obat
SAT
Qty
Harga
Subtotal
NEUROSANBE INJ
PCS
17,608.00
17,608.00
BURNAZIN CREAM
PCS
79,426.65
79,426.65
Total
97,034.65
Diskon
0.00
Grand Total
97,034.65
...................
Perawat
...................
Farmasi
...................