dr. Rahmia Wijaya, Sp.ASIP: 111/DOG/357.1/67.46.243.2008

Praktek :*Klinik Sehat * Jl. Pelangi 10 Malang Jl. Mayapada II/BB-20 Malang 0812209877 0341-555777

Malang,

R/ Amoxicillin DS Fl No. IS. .......................

R/ Parasetamol ..........

Phenobarbital .......... GG .......... Glukosa qs m.f.l.a. .....................

No.......S. ..................................

Pro : An. Riva (........ thn)

dr. Ramdya Wahyudi, Sp.PSIP: 111/DOG/357.1/67.46.243.2008

Praktek :*Klinik Sehat * Jl. Lentera 11 Malang Jl. Mayapada II/BB-20 Malang 0811336570 0341-555777

Malang,

R/ Cefadroxil 500mg caps No........

S. .......................

R/ Codein .......... DMP .......... Guafenesin .......... m.f.l.a. ........................

No.......S. ..................................

Pro : Tn. Ade Putra (........ thn)

dr. Rahmia Wijaya, Sp.ASIP: 111/DOG/357.1/67.46.243.2008

Praktek :*Klinik Sehat * Jl. Pelangi 10 Malang Jl. Mayapada II/BB-20 Malang 0812209877 0341-555777

Malang,

R/ Amoxicillin DS Fl No. IS. .......................

R/ Parasetamol ..........

Phenobarbital .......... GG .......... Glukosa qs m.f.l.a. .....................

No.......S. ..................................

Pro : An. Riva (........ thn)

dr. Ramdya Wahyudi, Sp.PSIP: 111/DOG/357.1/67.46.243.2008

Praktek :*Klinik Sehat * Jl. Lentera 11 Malang Jl. Mayapada II/BB-20 Malang 0811336570 0341-555777

Malang,

R/ Cefadroxil 500mg caps No........

S. .......................

R/ Codein .......... DMP .......... Guafenesin .......... m.f.l.a. ........................

No.......S. ..................................

Pro : Tn. Ade Putra (........ thn)