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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 : 0561-74548 Telp/Fax : 0561-74548
Apoteker : Apt. Adhisty Kharisma Justicia, M.Sc Apoteker : Apt. Adhisty Kharisma Justicia, M.Sc
SIPA : 199421 SIPA : 199421

COPY RESEP COPY RESEP

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

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p.c.c p.c.c

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