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‫ﺍﻃﻼﻋﺎﺕ ﺗﺠﻮﯾﺰ ﮐﻨﻨﺪﻩ‬

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‫ﺍﻃﻼﻋﺎﺕ ﺑﯿﻤﺎﺭ‬

‫‪2920530291‬‬ ‫ﮐﺪ ﻣﻠﯽ‪:‬‬ ‫ﻣﺎﺭﯾﺎ ﻣﺎﻡ ﺷﺮﯾﻔﯽ‬ ‫ﻧﺎﻡ ﻭ ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩﮔﯽ‪:‬‬

‫ﺭﻭﺳﺘﺎﯾﯿﺎﻥ‬ ‫ﻧﻮﻉ ﺻﻨﺪﻭﻕ‪:‬‬ ‫ﺑﯿﻤﻪ ﺳﻼﻣﺖ‬ ‫ﺳﺎﺯﻣﺎﻥ ﺑﯿﻤﻪ ﮔﺮ‪:‬‬

‫‪1403/01/31‬‬ ‫ﺗﺎﺭﯾﺦ ﺍﻋﺘﺒﺎﺭ ﺑﯿﻤﻪ‪:‬‬ ‫ﻓﺮﺯﻧﺪ‬ ‫ﻧﺴﺒﺖ ﺑﺎ ﺳﺮﭘﺮﺳﺖ‪:‬‬

‫ﻣﯿﺰﺍﻥ ﻣﺼﺮﻑ‬ ‫ﺗﻌﺪﺍﺩ‬ ‫ﻧﺎﻡ ﺧﺪﻣﺖ‬ ‫ﮐﺪ ﺧﺪﻣﺖ‬

‫ﻫﺮ ‪ 12‬ﺳﺎﻋﺖ‪ 1 ،‬ﻋﺪﺩ‬ ‫‪30‬‬ ‫‪CYPROHEPTADINE HYDROCHLORIDE TABLET ORAL 4 MG‬‬ ‫‪00372‬‬
‫ﻣﻬﺮ ﻭ ﺍﻣﻀﺎ‬
‫‪HID:202H9WIS1V‬‬

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