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APOTEK WIDYA FARMA APOTEK WIDYA FARMA

Jl. Khairil Anwar No.35 Durian Payung Jl. Khairil Anwar No.35 Durian Payung
Telp. (0721) 12345678 Telp. (0721) 12345678

SIA : 017/SIA04/2017 SIA : 017/SIA04/2017


APA : Widya Eliska Putri, S.Farm., Apt. APA : Widya Eliska Putri, S.Farm., Apt.
SIPA : 175/SIPA/04/2017 SIPA : 175/SIPA/04/2017

SALINAN RESEP SALINAN RESEP

No. Resep :................................ No. Resep :................................


Tanggal salinan resep : ................................ Tanggal salinan resep : ................................
Dari Dokter : ................................ Dari Dokter : ................................
Nama Pasien : ................................ Nama Pasien : ................................

PCC PCC

Widya Eliska Putri, S.Farm., Apt. Widya Eliska Putri, S.Farm., Apt.

APOTEK WIDYA FARMA


Jl. Khairil Anwar No.35 Durian Payung
Telp. (0721) 12345678

SIA : 017/SIA04/2017
APA : Widya Eliska Putri, S.Farm., Apt.
SIPA : 175/SIPA/04/2017

SALINAN RESEP

No. Resep :................................


Tanggal salinan resep : ................................
Dari Dokter : ................................
Nama Pasien : ................................

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