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APOTEK JAITRA FARMA  

     
Jl. Raya Baturraden Timur Rt6 Rw7 APOTEK JAITRA FARMA
Banteran Sumbang Jl. Raya Baturraden Timur Rt6 Rw7
Telp. 082116747552 Banteran Sumbang
Apoteker : Apt. Risnyta Yuliastuti Telp. 082116747552
SIPA : 19810728/SIPA_3302/OL/B/III/2023/0069-1 Apoteker : Apt. Risnyta Yuliastuti
SIA : 04012300515640001 SIPA : 19810728/SIPA_3302/OL/B/III/2023/0069-1
    SIA : 04012300515640001
SALINAN RESEP    
    SALINAN RESEP
No. R/ : ……………. Tgl R/ : …………….    
Pro : ……………. Tgl copy : ……………. No. R/ : ……………. Tgl R/ : …………….
Dokter : …………….   Pro : ……………. Tgl copy : …………….
    Dokter : …………….  
       
   
R/  

 
 
 
R/  
 
       
       
       
       
       
       
       
       
       
       
       
       
   

   
       
       
       
   

  Purwokerto, ……………...
      Purwokerto, ……………...
  PCC      
      PCC  
       
       
 
           

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