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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. 17

HASIL-HASIL PEMERIKSAAN LABORATORIUM

LABEL PASIEN
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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

HASIL-HASIL PEMERIKSAAN USG

LABEL PASIEN
Nama : ……………………………………………………………………………………………………………………………………………..
No.RM : ……………………………………………………………………………………………………………………………………………..
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. 17b

HASIL-HASIL PEMERIKSAAN LAIN-LAIN

LABEL PASIEN
Nama : ……………………………………………………………………………………………………………………………………………..
No.RM : ……………………………………………………………………………………………………………………………………………..
TgL Lahir : ……………………………………………………………………………………………………………………………………………..

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…..………………………………………………………Lembar Pertama Tempel Di sini…………………………………………………….
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