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Apotek SEJAHTERA

Arya Santy R, S.Si, Apt


No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA
Arya Santy R, S.Si, Apt
No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA
Arya Santy R, S.Si, Apt
No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA

Apotek SEJAHTERA
Jl. Beringin No. 26. Telp. 21128 Watampone
No.
Tgl.

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA
Jl. Beringin No. 26. Telp. 21128 Watampone
No.
Tgl.

Apotek SEJAHTERA

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

Apotek SEJAHTERA
Jl. Beringin No. 26. Telp. 21128 Watampone
No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
ARYANY R, S.Si, Apt
No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
ARYANY R, S.Si, Apt
No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
ARYANY R, S.Si, Apt
No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

Apotek MAKKAWARU

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.
X sehari

Apotek MAKKAWARU

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

ARYANY R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

ARYANY R, S.Si, Apt


No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.
X

Apotek MAKKAWARU
ARYANY R, S.Si, Apt
No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
Apoteker
SIA

Jl. Veteran No. 141 Telp. 21085 Watampone


: Aryany R, S.Si, Apt
: No . 606/02/UPTP/Apotek/I/2009

COPY RESEP
Nama Dokter : ...........................
Nama Pasien : ...........................
No. Resep
: ...

Umur :..........
Tgl :..

R/

Watampone,.................
Pcc

Pcc

Apotek SEJAHTERA
Arya Santy R, S.Si, Apt
No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA
Jl. Beringin No. 26. Telp. 21128 Watampone
No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA
Arya Santy R, S.Si, Apt
No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA
Arya Santy R, S.Si, Apt
No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA
Jl. Beringin No. 26. Telp. 21128 Watampone
No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA

Apotek SEJAHTERA

Arya Santy R, S.Si, Apt

Arya Santy R, S.Si, Apt

No : 606/04/UPTP/APOTEK/IV/2011

No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA
Jl. Beringin No. 26. Telp. 21128 Watampone
No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek SEJAHTERA
Arya Santy R, S.Si, Apt
No : 606/04/UPTP/APOTEK/IV/2011

Jl. Beringin No. 26. Telp. 21128 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

X sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

sehari

tablet / kapsul / kaplet


Sendok mkn / teh / bungkus

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

Apotek MAKKAWARU

Apotek MAKKAWARU

Apotek MAKKAWARU

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Apotek MAKKAWARU
Jl. Veteran No. 141 Telp. 21085 Watampone
No.
Tgl.

Apotek SEJAHTERA

Apotek MAKKAWARU

Jl. Beringin No. 26, Telp. 21128 Watampone


Apoteker
: Arya Santy R, S.Si, Apt

Apoteker

SIA

SIA

: No . 606/04/UPTP/Apotek/IV/Watampone

COPY RESEP
Nama Dokter : ...........................
Nama Pasien : ...........................
No. Resep
: ...

Umur :..........
Tgl :..

R/

Jl. Veteran No. 141 Telp. 21085 Watampone


: Aryany R, S.Si, Apt
: No . 606/02/UPTP/Apotek/I/2009

COPY RESEP
Nama Dokter : ...........................
Nama Pasien : ...........................
No. Resep
: ...

Umur :..........
Tgl :..

R/

Watampone,.................
Pcc

Watampone,.................
Pcc

Apotek MAKKAWARU
Apoteker
SIA

Jl. Veteran No. 141 Telp. 21085 Watampone


: Aryany R, S.Si, Apt
: No . 606/02/UPTP/Apotek/I/2009

COPY RESEP
Nama Dokter : ...........................
Nama Pasien : ...........................
No. Resep
: ...

Umur :..........
Tgl :..

R/
Watampone,.................
Pcc

Watampone,.................
Pcc

Watampone,.................
Pcc

Apotek MAKKAWARU
Apoteker
SIA

Jl. Veteran No. 141 Telp. 21085 Watampone


: Aryany R, S.Si, Apt
: No . 606/02/UPTP/Apotek/I/2009

COPY RESEP
Nama Dokter : ...........................
Nama Pasien : ...........................
No. Resep
: ...

Umur :..........
Tgl :..

R/

Watampone,.................
Pcc

Apotek MAKKAWARU
Watampone,.................

Pcc21085 Watampone
Jl. Veteran No. 141 Telp.
Apoteker
: Aryany R, S.Si, Apt
SIA

: No . 606/02/UPTP/Apotek/I/2009Apotek

COPY RESEP
Nama Dokter : ...........................
Nama Pasien : ...........................
No. Resep
: ...

R/

MAKKAWARU
Aryany R, S.Si, Apt

No : 606/02/UPTP/Apotek/I/2009

Jl. Veteran No. 141 Telp. 21085 Watampone


No.
Tgl.

Umur :..........
Tgl :..

X sehari

Watampone,.................
Pcc

Watampone,.................
Pcc

tablet
capsul / kaplet
sendok

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