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POLIKLINIK QMS 24 JAM

NO.9A, JALAN BELATUK 2,


TAMAN SCIENTEX,
81700 PASIR GUDANG, JOHOR
WS : 011 6182 1512
EMAIL : medi.umshealthcare@gmail.com

OFFICIAL RECEIPT

NIRC No : 160818-01-0663 Receipt No


Name : MUHAMMAD ARYAN FIRAS BIN MUHAMMAD SHAHRIZAL Date : 01/10/2023

Fee Description Amount

1 SY PIRITON (CHLORAMINE) 4MG/5ML 15.00


2 SY BECONDYL 15.00
3 SY PCM 250MG (90ML/120ML) 15.00
4 SY BROMHEXINE 15.00
5 CONSULTATION 20.00
0.00
TOTAL AMOUNT : 80.00
OTHER AMT 0.00 CREDIT : 0.00 DISCOUNT : 0.00
CREDIT CARD : 80.00 PANEL : 0.00
CHEQUE : 0.00 CASH : 0.00

Received By : TASHAQMS Time : 15:10

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