APOTEK ANGINDAI

JL. PISANG NO.06 APA : NURSOFIATUNNISAH, S.FARM., APT

WAIKABUBAK SIPA : 206.226/SIA/436.6/812/P/XII/2018
TELP (0387) 22080

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

NAMA :....................................................................................................................................................

SENDOK TEH/MAKAN/BUBUR
............................. X SEHARI........................... SEBELUM/SESUDAH MAKAN

APOTEK ANGINDAI
JL. PISANG NO.06 APA : NURSOFIATUNNISAH, S.FARM., APT
WAIKABUBAK SIPA : 206.226/SIA/436.6/812/P/XII/2018
TELP (0387) 22080

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

NAMA :.................................................................................................................................................

SENDOK TEH/MAKAN/BUBUR
............................. X SEHARI..........................
SEBELUM/SESUDAH MAKAN

APOTEK SEHAT
JL. NANGKA NO.03 APA : MEKI NUBATONIS, S.FARM., APT
KOTA KUPANG SIPA : 222.367/SIA/452.6/872/P/XI/2018
HP. : 082237035281

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

NAMA :.................................................................................................................................................

SENDOK TEH/MAKAN/BUBUR
............................. X SEHARI..........................
SEBELUM/SESUDAH MAKAN

APOTEK ANGINDAI APA : NURSOFIATUNNISAH DIARJA, S.FARM.,

JL. PISANG NO.06 M.FARM., APT
WAIKABUBAK SIK : 206.226/SIA/436.6/812/P/XII/2019
TELP (0387) 22080/HP : 082237726070

OBAT DALAM

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

NAMA :............................................................................................................................................................

SENDOK TEH/MAKAN/BUBUR
.................................. X SEHARI....................................... SEBELUM/SESUDAH MAKAN
 APOTEK ANGINDAI
APA : NURSOFIATUNNISAH DIARJA, S.FARM.,
JL. PISANG NO.06
M.FARM., APT
WAIKABUBAK
SIK : 206.226/SIA/436.6/812/P/XII/2019
TELP (0387) 22080/HP : 082237726070

OBAT DALAM

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

NAMA :.................................................................................................................................................................

SENDOK TEH/MAKAN/BUBUR
........................................... X SEHARI ....................................... SEBELUM/SESUDAH MAKAN