Sie sind auf Seite 1von 3

KLINIK LARISSO MEDIKA

RUKO LARISSO JALAN BOSIH RAYA


Jl. Selang Tengah. Wanasari. Kec. Cibitung. Bekasi . Jawa Barat 17520
Telp. 021-8953-9450/Wa. 0857-1097-0680

KWITANSI

Kepada Yth. No. : HC/2022/04/0657


Tn. H.laji Tanggal : 19 April 2022
Jen H Jumlah T
is ar ot
Tin ga al
dak Sa
an tu
an

Inf. R 4 R
RL p 2 p
Inj. 12 4 48
Vit 0. 4 0.
ami 00 2 00
n 0 4 0
Bo R 1 R
ost p p
er 55 10
Inj. .0 1 0.
Ra 00 1 00
niti R 1 0
din p 1 R
Inj. 50 1 p
On .0 1 20
dan 00 0.
sen R 2 00
tro p 2 0
n 50 R
Inj. .0 p
De 00 20
xa R 0.
met p 00
has 50 0
one .0 R
Inj. 00 p
Ket R 10
oro p. 0.
lac 50 00
Ce .0 0
k 00 R
lab R p.
ora p. 20
tori 17 0.
um 5. 00
Dar 00 0
ah 0 R
p.
Ob 17
at R 5.
Ora p 00
l: 35 0
Mu .0
ltiv 00
it R R
Ta p. p
b 60 35
Cef .0 .0
ixi 00 00
me R R
Me p. p.
tro 35 60
nid .0 .0
azo 00 00
le R R
Fur p. p.
ose 23 35
mi 00 .0
de 0 00
PC R R
T p. p.
tab 15 23
Ko .0 .0
rtid 00 00
ex R R
p. p.
Jas 17 15
a 00 .0
tin 0 00
dak R
an R p.
& p. 17
Ko 75 .0
nsu .0 00
ltas 00
i R R
Ho p. p.
me 10 15
visi 0. 0.
te 00 00
0 0
R
p.
20
0.
00
0
R
p.
1.
Jumlah 99
0.
00
0

Das könnte Ihnen auch gefallen