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RS.

BALIMED
Jl. Mahendradatta No 57x, Denpasar

PAYMENT RECEIPT
Receipt Number : 51712030032454

Received From : BENOIT DENARDOU

The amount of : Fourteen Million Eight Hundread Sixthy Two Thousand and Six Houndread Thirty Three Rupiah

For Payment of : One Day Care Opened Urology Surgery

Payment Amount : Rp14.862.633

Make sure amount of the payment is correct


* We don't responsible after leaved cashier

Officers Denpasar, 10/11/2022

CASHIER BALIMED

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