8th Annual Scientific Meeting

Indonesia Society of Thoracic Radiology

23-24th AGUSTUS 2019, CLARO HOTEL, MAKASSAR.

Invoice / Kwitansi
No. Invoice : A20190740089 Date : 04/07/2019
Full Name : Alexandro wiyanda
Academic Title : Dr. Alexandro Wiyanda
Company : Klinik sentary medika
Address : Villa taman cibodas raya blok m2 no 28
Contact : 081398228478
Email : alexandrowiyanda.aw@gmail.com
Profession : GP
Registration : Symposium
1. Symposium
Registration Fee : Rp. 1.500.000,-

Detail Payment
No. Payment Date Bank Amount
Bank central asia ( BCA ) - A/N: Alexandro
1. 07/07/2019 Rp. 1.500.000,-
wiyanda
Total : Rp. 1.500.000,-

Bendahara

dr. Erlin Sjahril, Sp.Rad(K)TR

KUPON ID Card
*ket: harap bawa kupon ini untuk ditukarkan dengan Seminar Kit
seminar kit. Certificate

No. Invoice : A20190740089

Full Name : Alexandro wiyanda Bendahara
Academic Title : Dr. Alexandro Wiyanda
Company : Klinik sentary medika
Address : Villa taman cibodas raya blok m2 no 28
Contact : 081398228478
Email : alexandrowiyanda.aw@gmail.com dr. Erlin Sjahril, Sp.Rad(K)TR