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    This medical bill from Laboratorium Klinik Pratama Sunter provides details of medical tests performed for a 16-year old female patient named Devita Noerma Azzahra. The bill lists the patient's personal information and details six medical tests conducted, including their individual prices and a subtotal of Rp. 420,000. It also notes that the total amount has been paid in full by cash.

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    This medical bill from Laboratorium Klinik Pratama Sunter provides details of medical tests performed for a 16-year old female patient named Devita Noerma Azzahra. The bill lists the patient's personal information and details six medical tests conducted, including their individual prices and a subtotal of Rp. 420,000. It also notes that the total amount has been paid in full by cash.

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    This medical bill from Laboratorium Klinik Pratama Sunter provides details of medical tests performed for a 16-year old female patient named Devita Noerma Azzahra. The bill lists the patient's personal information and details six medical tests conducted, including their individual prices and a subtotal of Rp. 420,000. It also notes that the total amount has been paid in full by cash.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    4 views1 page

    Nota Lab

    Uploaded by

    Echa
    This medical bill from Laboratorium Klinik Pratama Sunter provides details of medical tests performed for a 16-year old female patient named Devita Noerma Azzahra. The bill lists the patient's personal information and details six medical tests conducted, including their individual prices and a subtotal of Rp. 420,000. It also notes that the total amount has been paid in full by cash.

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    of 1

    LABORATORIUM KLINIK PRATAMA SUNTER

    JL.NUSA INDAH 04 SOLO BARU (57552)KEL GROGOL JAWA TENGAH

    WEBSITE.https://www.prtma.klinik.com

    NOTA PEMBAYARAN

    Nama :Devita Noerma Azzahra Telp :+62 896 6383 7500


    Tanggal Lahir :24-12-2027 Alamat :Ngarak arak,Telukan
    Jenis Kelamin :Perempuan ID Pasien :0012345678
    Usia :16

    Rincian Pemeriksaan: Harga


    HB Rp 30.000
    Asam Urat Rp.30.000
    Gula Darah Puasa Rp.50.000
    Kolesterol Total Rp.70.000
    HIV(VCT) Rp.150.000
    Hbs-Ag Rp.90.000

    Sub Total: Rp.420.000

    Pembayaran: Rp.420.000

    Tunai LUNAS

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