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APOTEK AKADEMI FARMASI YARSI APOTEK AKADEMI FARMASI YARSI

PONTIANAK PONTIANAK
Jl. Panglima Aim No 2 Pontianak Jl. Panglima Aim No 2 Pontianak
Telp / Fax : (0561) 745486 Telp / Fax : (0561) 745486
Apoteker : Heny Puspasari, M.PH., Apt Apoteker : Heny Puspasari, M.PH., Apt
SIPA No : 06 SIPA No : 06

COPY RESEP COPY RESEP


No. : .......................Tgl ..................................... No. : .......................Tgl .....................................
Dari dokter : .......................Tgl ..................................... Dari dokter : .......................Tgl .....................................
Alamat : ................................................................... Alamat : ...................................................................
: ................................................................... : ...................................................................
Pro : ................................................................... Pro : ...................................................................

R/ R/

p.c.c p.c.c

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