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APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA

APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN

APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA
APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN

APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA
APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN

APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA
APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN

APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA
APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN

APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA
APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN

APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA APOTEK PAPUA MEDIKA
APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt APOTEKER: Hernianti, S.Farm.,Apt
SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125 SIPA: 19910218/SIPA_91.05/2016/2125
Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382 Jl. Yos Sudarso No. 70 B |HP.082210196382

NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........ NO : .........................TGL: ........


NAMA: ......................... NAMA: ......................... NAMA: ......................... NAMA: .........................
BUNGKUS BUNGKUS BUNGKUS BUNGKUS
......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET ......... x SEHARI TABLET
KAPSUL KAPSUL KAPSUL KAPSUL
SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN SEBELUM / SESUDAH MAKAN