Penerima
M FAEYZA AZHAR
Jln. Datuk Kubah Batu Bara, Kwala Gunung Kec. Datuk Lima Puluh Kode Pos 21255
Indonesia
Telp. -
Email : batubararsud@gmail.com
|
No. Resep |
: 241028RSP785580 |
|
Diagnosa |
: - |
|
Tgl. Resep |
: 2024-10-28 11:06:07 |
|
Nama |
: M FAEYZA AZHAR |
|
No. RM |
: 039362 |
|
NIK |
: 1219062803140003 |
|
Tgl. lahir |
: 2014-03-28 |
|
Umur |
: |
| No | Nama Obat | Jumlah | Satuan | Dosis |
|---|---|---|---|---|
| 1 | Cuvicur syr | 1 | Botol | 1x5 cc |
| 2 | Asam Valproat sirup 250 mg / 5ml / Depakene | 4 | Botol | 1x15 cc |
Penerima
M FAEYZA AZHAR