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KLINIK ARTHA MEDIKA

Jalan Raya Mauk Km 8, Sepatan


Tangerang, Banten – 15000
Telp / Fax: (021) 22259571
Email : klinik.arthamedika@yahoo.com

dr ................................. Tangerang, ......................

R/

Pro : ....................................
Umur : ....................................
Diagnosa : ....................................

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