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PLAMONGAN INDAH
JL. Kelapa Gading Raya 52 Plamongan Indah
Telp .(024)6711771, Fax.(024)6709944 Semarang
Email :rsiaplamonganindah@gmail.com
RM. 17
LABEL PASIEN
Nama : ……………………………………………………………………………………………………………………………………………..
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TgL Lahir : ……………………………………………………………………………………………………………………………………………..
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RUMAH SAKIT IBU DAN ANAK
PLAMONGAN INDAH
JL. Kelapa Gading Raya 52 Plamongan Indah
Telp .(024)6711771, Fax.(024)6709944 Semarang
Email :rsiaplamonganindah@gmail.com
RM. 17a
LABEL PASIEN
Nama : ……………………………………………………………………………………………………………………………………………..
No.RM : ……………………………………………………………………………………………………………………………………………..
TgL Lahir : ……………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………
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……………………………………………………………………………………………………………………………………………………………………………
…..………………………………………………………Lembar Pertama Tempel Di sini…………………………………………………….
……………………………………………………………………………………………………………………………………………………………………………
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RUMAH SAKIT IBU DAN ANAK
PLAMONGAN INDAH
JL. Kelapa Gading Raya 52 Plamongan Indah
Telp .(024)6711771, Fax.(024)6709944 Semarang
Email :rsiaplamonganindah@gmail.com
RM. 17b
LABEL PASIEN
Nama : ……………………………………………………………………………………………………………………………………………..
No.RM : ……………………………………………………………………………………………………………………………………………..
TgL Lahir : ……………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………
…..………………………………………………………Lembar Pertama Tempel Di sini…………………………………………………….
……………………………………………………………………………………………………………………………………………………………………………
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