APOTEK APOTEK

UPTD PUSKESMAS TANGEBAN UPTD PUSKESMAS TANGEBAN

Jln. Apono No.02 Desa Tangeban, Kode Pos 94772 Email: Jln. Apono No.02 Desa Tangeban, Kode Pos 94772 Email:
pkmtangeban@gmail.com pkmtangeban@gmail.com

Tangeban,.................... Tangeban,....................
dr................................ dr................................
SIK............................... SIK...............................

R/ R/

Pro :............................................................................... Pro :...............................................................................

Umur :............................................................................... Umur :...............................................................................

No. Reg :............................................................................... No. Reg :...............................................................................

Alamat :............................................................................... Alamat :...............................................................................

APOTEK APOTEK
UPTD PUSKESMAS TANGEBAN UPTD PUSKESMAS TANGEBAN
Jln. Apono No.02 Desa Tangeban, Kode Pos 94772 Email: Jln. Apono No.02 Desa Tangeban, Kode Pos 94772 Email:
pkmtangeban@gmail.com pkmtangeban@gmail.com

Tangeban,.................... Tangeban,....................
dr................................ dr................................
SIK............................... SIK...............................

R/ R/

Pro :............................................................................... Pro :...............................................................................

Umur :............................................................................... Umur :...............................................................................

No. Reg :............................................................................... No. Reg :...............................................................................

Alamat :............................................................................... Alamat :...............................................................................