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    4 views1 page

    Cetak Rujukan NEW

    Uploaded by

    pumay1306

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    SURAT RUJUKAN No.

    0195R0460324B000086
    RS RAHMAN RAHIM Tgl. 14 Maret 2024

    Kepada Yth : ORTHOPEDI


    RSI Siti Hajar == Rujukan Penuh ==
    Mohon Pemeriksaan dan Penanganan Lebih Lanjut : Rawat Jalan
    No.Kartu : 0001316610819
    Nama Peserta : SITI MARIYAM (Perempuan)
    Tgl.Lahir : 17 Nopember 1959
    Diagnosa : Gonarthrosis [arthrosis of knee]
    Keterangan :
    Demikian atas bantuannya,diucapkan banyak terima kasih.
    * Rujukan Berlaku Sampai Dengan 12 Juni 2024
    * Tgl.Rencana Berkunjung 16 April 2024 Mengetahui,

    _____________
    Tgl.Cetak.16-04-2024 11:40 AM

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