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PUSKESMAS AMBACANG PUSKESMAS AMBACANG

Apoteker : Drs. Erixon, Apt, M.Si Apoteker : Drs. Erixon, Apt, M.Si
SIPA No : 19690503/SIPA_13.71/2017/1.42 SIPA No : 19690503/SIPA_13.71/2017/1.42

Jalan Raya Padang By Pass KM 8,5, Padang. Jalan Raya Padang By Pass KM 8,5, Padang.
Telp : (0751) 811443 Telp : (0751) 811443

SALINAN SALINAN
RESEP RESEP
No.................... No....................
Ditulis oleh dr ................................................................... Ditulis oleh dr ...................................................................
Tanggal............................................................................... Tanggal...............................................................................
Pro :..................................................................................... Pro :.....................................................................................

R/ R/

p.c.c. Apoteker p.c.c. Apoteker


Padang, ......................... Paraf Padang, ......................... Paraf

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