*0131B0770422P000679*
FKTP : KLINIK NUR EFAN MEDIKA(0131B077)
Kabupaten / Kota :
KAB. KARAWANG(0131)
Telah diberikan :
Jadwal Praktek : Rabu : 07:00 - 09:00, 10:00 - 12:00;12:00 - 13:00, 13:00 - 15:00;19:00 - 21:00
N. NURJANAH, Amd.Keb
Surat rujukan berlaku 1[satu] kali kunjungan, berlaku sampai dengan : 18-Jul-2022
Diagnosa : .....................................................................................................................................
Terapi : .....................................................................................................................................
Dokter RS,
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