CreatePDF (8) - 1
CreatePDF (8) - 1
0096U0221221P000091
FKTP : dr. Jessie Ariani(0096U022)
Kabupaten / Kota :
KAB. BENGKULU UTARA(0096)
Telah diberikan :
Diagnosa : .....................................................................................................................................
Terapi : .....................................................................................................................................
Dokter RS,
(.....................................................)