You are on page 1of 1

RUMAH SAKIT HERMINA BITUNG

Jalan Raya Serang KM. 10 Pos Bitung, Kec.Curug


Kab. Tangerang - Banten
Telp : 021-59497525, Fax 021-59497690

1, Nama Lfhlgit.ap
2. i'.ro.
3, j.el'.i5 K~l.'h'l"A" ; 1.
4. lfflI'.j:}all T.'"~~,.ll',,.',,~

: J~bn!Gai"~,
~~~mtlII r.h":1ia:

: 1.-Ko/Ja R'.lnWl Tangga 5. Cnen


tL~!L~/Ma~

: 1.K~ sm.:>!
2.I'$1;~""

2. Nmna Pelli"~" li!.uazah


3. Wakh> Pemerlk..'<!1'1ll I~~

~Ken,,,,tl;m
1.~~",.-J
: 1. R.ekam Mai:is 2.. P~rlks:a~ r _~~"J: J-Si~h
2~Ms:l5 5._~Vfu-bal
ti5nmfKete~I.rur __ " ,. ,..,.
2- I(~kF~~KAA'¢:";,,~ ~s:a)akSalll):
f'E:J'I,TYAKIT
IGA.~A."f Ci1Dlll'L"··1
1. P"IJrt"kJtK-hu"'its"'l 4. ~~(k_~~~ 7.Cetlttm~dfJJwi"1'Il>f£ln 'UlrtM
2" Pe1~1I<iJ:itNilJ.l1'fil<", 5. ~~~(G-{; kart) 8~Cehr-t;tl{rlf;'e:itdI£W;'iJ_ Kerja
J, Pa"!,,Irit 1·iddkM!~~,. ... ~ T_s dtm 'Kooi!isi~ 9. CEdMit Uiti!'l!Jfa

Jakarta•... ,.../ ...... /2J1...


~~M~ka.n~

0Jamak.lti:$
j-tJlJf!bJj;& Gq:~htStm'lst

~ P'mV!;pah~illa~ &.""~~ lCD-I0


~.K~~, tmI<¥7~~jI.~
1. P<m1'lb~_\l~~ <>i
p~'\''IY''~ An'Jr",

h. ~ ~'U ~6h~i ~a$\!kL'Jhh' Milt{


1.feny,ilub U~ l:l:%<i
Pen~l1!ln l>aVi
2. PmvebM,U_!lID
l'et~b ):..1nl'oo.

Ja}~rt~.""",./,"-,;-.,I:J!J,-..,±.
~~}( y~~ ~it)J;ldb~~~~·

You might also like