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DAFTAR INDENT STAND KLINIK E3A

NO NAMA JK TGL LAHIR NO TELP INDENT


1 Jenywati Sjamsu P 11-Jan-1954 081310971919 Transfer

2 Ine Rachmawati Mustopa P 15-May-1965 081510400371 Transfer

3 Adrian Pratama Putra L 16-Aug-1995 081213173506 Cash

4 Hermin Iwidjaja L 29-Jan-1966 081213173506 Cash

5 Wanda Chandra Tjia P 28-Jul-1965 081213173506 Cash

6 Nathania Calista Putri P 16-Aug-1995 081213173506 Cash

7 Erma P 2-Jun-1952 0811857793 Cash

8 Edy Purnomo L 21-Apr-1958 08161801478 Cash

9 Maria Marcillia Tjahjadi P 3-May-1972 08161944310 Cash

10 Mira Rebeka Sani P 13-Aug-1950 08161841895 Cash

11 Marwan Paris L 27-Nov-1943 0811857793 Cash

12 Bernadette Ichlas P 0811961648 Cash

TOTAL
Total Fee Stand (5%)
REVENUE
1,088,800

1,915,100

1,052,000

1,139,000

1,052,000

1,052,000

4,060,800

849,600

2,384,800

974,400

3,095,000

tidak periksa

18,663,500
933,175
BUKTI TRANSFER

Ine Rachmawati Mustopa Jenywati Sjamsu

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