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Invoice Olivia Tellervo Koski
Invoice Olivia Tellervo Koski
GENERAL PRACTICIONER
GILI TRAWANGAN LOMBOK UTARA
Telp/WA : 0878 5894 1440 / 0878 6400 2433 / 08170 991 991
INVOICE
Invoice Number : 11/TMS/231019
Full Name : Olivia Tellervo Koski
Date of birth : 23. 01. 2004
Nationality : Finland
Address In Lombok : Gili Trawangan
Date of admission : 19/10/2023
Date of discharge : 19/10/2023
IN SETTLEMENT OF FOLLOWING
NO DESCRIPTION QTY AMOUNT (IDR)
CONSULTATION AND VISIT
Physical Examination and consultation 1 600.000,-
PROCEDURE AND THERAPY
wound care 1 250.000-
DRUGS
faridexon porte 10 220.000-
Helixim 10 470.000-
kasa steril 2 100.000-
Hansaplast 2 20.000
CONSUMABLES AND MEDICAL SUPPLIES