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REGIONAL VI - SEMARANG
Kantor Cabang
PURWOKERTO
0141U0220514Y000014
Puskesmas/Dokter Keluarga
Kode :
0141U022
Kabupaten/Kota
KAB. CILACAP
Kode :
0141
: Poli Obstetri/Gyn.
Di RSU
: RSUD CILACAP
Umur :
27
: 0000199195918
Status :
Diagnosa
Telah diberikan
Tahun
1
18-Jan-1987
Utama/ Tanggungan
(L/P)
Nama
Diagnosa
: .........................................................................................................................................
Terapi
: .........................................................................................................................................
.............................................................................
Konsultasi selesai
Lain-lain : ............................................................
Dokter RS,
(..........................................................)