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Medical Reimbursement Systems
Menu
Dashboard
Monitoring
Request Form
Rawat Jalan
Kaca Mata
Melahirkan
Rawat Inap
Report
History
Logout
FORM MEDICAL RAWAT JALAN
Dashboard
Form Layout
BIODATA
Nama Pasien
Status Pasien
Pilih Status Karyawan
Karyawan
Suami
Istri
Anak
Tanggal Berobat
Keterangan
BUDGET
Budget Rawat Jalan
Sisa Budget Rawat Jalan
APPROVAL
Supervisor
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Manager
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RAWAT INAP
Biaya Kamar
Obat - Obatan
Kunjungan Dokter
Laboratorium
Tindakan/Operasi
RO
Administrasi
Total Klaim
Submit Rawat Inap
