RSU MITRA GURAY PETUMBUKAN
Jl. Besar Petumbukan No.29 Kec, Galang Kab. Deli Serdang
Telp. 061-798-216 WA. 0821-1586-1191
Email : [email protected]
Jl. Besar Petumbukan No.29 Kec, Galang Kab. Deli Serdang
Telp. 061-798-216 WA. 0821-1586-1191
Email : [email protected]
| No.Registrasi | : RJ-20240221878 | Tanggal Pemeriksaan | : 2024-02-21 |
| Nama Pasien | : YESI | Jaminan | : BPJS |
| Tanggal Lahir | : 1982-07-01 | Alamat | : JL LINGKAR DSN X |
| Umur | : 41 tahun 7 bulan 20 hari | Dokter Pengirim | : dr. HENDRI SIMANJUNTAK, Sp. OG |
| Jenis Kelamin | : Perempuan | No.RM | : 004834 |
| No | Item | Tanggal | Harga | QTY | Total |
|---|---|---|---|---|---|
| 1 | Ibu profen | 2024-03-21 | 8,500 | 10 | 85,000 |
| 2 | doksisiklin | 2024-03-21 | 0 | 10 | 0 |
| 3 | etabion | 2024-03-21 | 0 | 10 | 0 |
| 4 | Ibuprofen 200 mg | 2024-05-02 | 0 | 10 | 0 |
| 5 | Flagistatyn / (flagystatin) suppost | 2024-05-02 | 0 | 7 | 0 |
| No | Item | Tanggal | Harga | QTY | Total |
|---|---|---|---|---|---|
| 1 | Ibu profen | 2024-03-21 | 8,500 | 10 | 85,000 |
| 2 | doksisiklin | 2024-03-21 | 0 | 10 | 0 |
| 3 | etabion | 2024-03-21 | 0 | 10 | 0 |
| 4 | Ibuprofen 200 mg | 2024-05-02 | 0 | 10 | 0 |
| 5 | Flagistatyn / (flagystatin) suppost | 2024-05-02 | 0 | 7 | 0 |
| No | Item | Tanggal | Harga | QTY | Total |
|---|---|---|---|---|---|
| 1 | Ibu profen | 2024-03-21 | 8,500 | 10 | 85,000 |
| 2 | doksisiklin | 2024-03-21 | 0 | 10 | 0 |
| 3 | etabion | 2024-03-21 | 0 | 10 | 0 |
| 4 | Ibuprofen 200 mg | 2024-05-02 | 0 | 10 | 0 |
| 5 | Flagistatyn / (flagystatin) suppost | 2024-05-02 | 0 | 7 | 0 |
| No | Item | Tanggal | Harga | QTY | Total |
|---|---|---|---|---|---|
| 1 | Ibu profen | 2024-03-21 | 8,500 | 10 | 85,000 |
| 2 | doksisiklin | 2024-03-21 | 0 | 10 | 0 |
| 3 | etabion | 2024-03-21 | 0 | 10 | 0 |
| 4 | Ibuprofen 200 mg | 2024-05-02 | 0 | 10 | 0 |
| 5 | Flagistatyn / (flagystatin) suppost | 2024-05-02 | 0 | 7 | 0 |
| No | Item | Tanggal | Harga | QTY | Total |
|---|---|---|---|---|---|
| 1 | Ibu profen | 2024-03-21 | 8,500 | 10 | 85,000 |
| 2 | doksisiklin | 2024-03-21 | 0 | 10 | 0 |
| 3 | etabion | 2024-03-21 | 0 | 10 | 0 |
| 4 | Ibuprofen 200 mg | 2024-05-02 | 0 | 10 | 0 |
| 5 | Flagistatyn / (flagystatin) suppost | 2024-05-02 | 0 | 7 | 0 |
| Deli Serdang, 21 February 2024 | |
| Penanggung Jawab | Hormat Kami |
| dr. Yudhistira M.Ked (ClinPath) Sp.PK | Felia Rahma, A.Md.Kes |
| Dokter Spesialis Pataologi Klinik | Analis Pemeriksa |
Tanggal Cetak : 21 August 2025 02:06:59
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