Mihwan S
Mihwan S
*0222U0511122P001464*
FKTP : KLINIK AMBON ERA MEDIKA
(JST)(0222U051)
Kabupaten / Kota :
KAB. SERANG(0222)
Telah diberikan :
Jadwal Praktek : Kamis : 08:00 - 14:00, 08:00 - 14:00;08:00 - 14:00, 08:00 - 12:00
dr. TRI MEI LESTARI BUTAR BUTAR
Surat rujukan berlaku 1[satu] kali kunjungan, berlaku sampai dengan : 07-Feb-2023
Diagnosa : .....................................................................................................................................
Terapi : .....................................................................................................................................
Dokter RS,
(.....................................................)