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  • Medistra JL. Jend Gatot Subroto Kav.59 Jakarta 12950 Telp. 5210200 (Hunting 22 Saluran) - Fax.5210184

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    This invoice from Medistra lists medical tests and services provided to patient Marshel Jordan, including routine blood tests, pharmacology tests, and a general doctor examination. The total cost was Rp. 620,000 and was paid in full by debit. The tests were ordered by Dr. Merry Wintery and performed by Dr. Maria on September 14, 2020.

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    This invoice from Medistra lists medical tests and services provided to patient Marshel Jordan, including routine blood tests, pharmacology tests, and a general doctor examination. The total cost was Rp. 620,000 and was paid in full by debit. The tests were ordered by Dr. Merry Wintery and performed by Dr. Maria on September 14, 2020.

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    6 views1 page

    Medistra JL. Jend Gatot Subroto Kav.59 Jakarta 12950 Telp. 5210200 (Hunting 22 Saluran) - Fax.5210184

    Uploaded by

    davis owen
    This invoice from Medistra lists medical tests and services provided to patient Marshel Jordan, including routine blood tests, pharmacology tests, and a general doctor examination. The total cost was Rp. 620,000 and was paid in full by debit. The tests were ordered by Dr. Merry Wintery and performed by Dr. Maria on September 14, 2020.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    MEDISTRA

    JL. Jend Gatot Subroto Kav.59 Jakarta 12950 telp. 5210200


    (Hunting 22 saluran). Fax.5210184

    INVOICE
    Nama pasien : Marshel Jordan Kelompok pasien :Private (KTP)

    Patient Name Patient Category

    Dokter pengirim, : Merry Wintery ,SP, Mkes, dr Dokter pemeriksa : Maria , SPKK,dr

    Reff Doctor Lab Doctor

    Jenis kelamin/usia : Male 21TH Petugas lab : Dadan Mahendra

    Sex / age Male lab officer

    Telepon : 081293008801 Tanggal : 14/09/2020 [09-54] - [11-02]

    phone Investigation date

    Alamat pasien : Jl. Kapuk Raya rt.008/ rw 003 no 55 Patient address

    NO JENIS PEMERIKSAAN BIAYA PEMBAYARAN KET


    2 DARAH RUTIN Rp. 350.000.00 DEBIT LUNAS
    3 FARMAKOLOGI Rp.120.000.00 DEBIT LUNAS
    4 DOKTER RP.150.000.00 DEBIT LUNAS
    UMUM(TINDAKAN)
    Total Rp. 620,000,00.-

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