Professional Documents
Culture Documents
Clinical Pathologist :
Prof. dr. Siti Boedina, Sp.PK(K)
dr. Dennis Jacobus, Sp.PK
Name : FUAD AJRUL MUKHDI Order Time : 21-10-2021 23:10
Laboratory number : 2110211495AH Sampling Time : 21-10-2021 14:45
Customer ID : 0002211010079 Received Time : 21-10-2021 23:10
Identity : 1306092209020002 Referrer : DIAGNOS PADANG
Birth Date / Age : 22-09-2002 / 19 Year(s) 29 Day(s) Referrer Address :
Gender : Male Doctor : dr. Meri Ponda Sari, SpPK
Address : -- Clinical Information :
Phone / Email : -/