Siloam Hospitals Lippo Village
Jl. Siloam No. 6 Lippo Village 1000 - Tangerang 15811, INDONESIA
Telp. (021) 80648800 Telp. (021) 5460924
PRESCRIPTION (COPY)
| Patient Name | : | JENNWATY BUSTAM | Doctor Name | : | dr. Sandra Sinthya Langow, SpPD-KR, FACR |
| An. No. | : | 1171667 | Specialty | : | INTERNAL MEDICINE - RHEUMATOLOGY |
| DOB | : | 31 Aug 1969 | Presc. Date | : | 06 Oct 2026 12:42 |
| Age | : | Adm. No. | : | OP-A2201069353 | |
| Gender | : | Female | Payer | : | PRIVATE |
| Status Kehamilan | : | - | Alergi Obat | : | - |
| TB / BB | : | cm / 44kg |
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Mengetahui
dr. Sandra Sinthya Langow, SpPD-KR, FACR
SIP : 446.3.0080/SIPP/1011/Dinkes/2013
FIN 1611.32/3