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Medical Reimbursement Systems
Menu
Dashboard
Monitoring
Request Form
Rawat Jalan
Kaca Mata
Melahirkan
Rawat Inap
Report
History
Logout
FORM MEDICAL MELAHIRKAN
Dashboard
Form Layout
BIODATA
Nama Pasien
Status Pasien
Pilih Status Karyawan
Karyawan
Suami
Istri
Anak
Tanggal Berobat
Keterangan
BUDGET
Budget Melahirkan
Sisa Budget Melahirkan
APPROVAL
Supervisor
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Manager
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Melahirkan Normal
Melahirkan Caesar
Curretage/Keguguran
Submit Form