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    10 views1 page

    KWITANSI

    Uploaded by

    dwi indah

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    KWITANSI

    Nomor :
    Sudah terima dari : BPJS Kesehatan Cabang Muara Teweh
    Jumlah Uang :
    Untuk Pembayaran : Klaim Pelayanan Antenatal Care ( ANC )
    FKTP Puskesmas Sei Rahayu (Pustu Beringin Raya)
    Bulan November tahun 2016 sesuai persetujuan BPJS
    Kesehatan.

    Rp

    Sei Rahayu, ………………… 20....


    Yang menerima,
    Kepala Puskesmas Sei Rahayu

    RIZAL EFFENDI, S.Kep,Ns,MM


    NIP. 19760507 199502 1 002

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