PT 11E1J1kALoKA PAlEIIBANG

RUMA H SAKI T HERMINA PALEMBANG

.I. Basiz'ri Rahmal No.897. P las t4
Telp. (0711) 352525 (Ma~ .Y. Suvale a Setatan 30127
HE RM INA
PA l..l! IIBANG
Wel,sie : www·;--. 11
,d Fax.. (0711) 361880
·_erminahosP1tals.oom

BUKTI PEMBAVARAN
No. RCP/1151230 826/0002 26/0B/2023 01 :.32
Jenls PernlMly8r8II • Debit/Cradit Card
PaymentUetlro d
~ Paslen Nn. NADILA KARIMA
PalienlName
Jenis PamlNlraran On Acoount
ColecfjQfJl}IJJe
No. Rwglst.wl : ~1 No.RM 1150307834
T,a,asaclion No URN
Jumlah :
-4mount
Terbllang :
M10Ul1I In Wonts •

Penyetor
Pap

~ - iwu>l.A KARJMA No i Catria Putri

PT. MEDIKALOK A PALEMBANG . NPWP/PKP : 03.023.597.2--301.000

Jt Basuki Rahmat Talang Aman Kemuning Palembang Sumatera Selatan 30127