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4
Product
Product Desc
Price
01
Billing Info
Name
*
Email Address
WhatsApp No (08xxx)
*
Floor No at Hospital (Lantai 7 Heritage)
*
Lantai 1 Emergency
Lantai 6 Love
Lantai 6 Heritage
Lantai 7 Love
Lantai 7 Heritage
Lantai 8 Love
Lantai 8 Heritage
Lantai 9 Love
Lantai 9 Heritage
Lantai 10 Love
Lantai 10 Heritage
Room No at Hospital (8321)
Patient's Name
*
Attachment (Gelang Pasien / No Kamar)
*
Notes
02
Payment Info
Payment method :
Cash
QRIS
Payment to Patient Billing
Total Item
PPN
Service Fee
Amount to Pay
Order Again
Procced
Theme Customizer
Layout
Vertical
Horizontal
Layout Mode
Light
Dark
Bordered
Layout Width
Fluid
Boxed
Layout Position
Fixed
Scrollable
Topbar Type
Light
Dark
Hidden
Sidebar Size
Default
Compact
Small (Icon View)
Sidebar Color
Light
Dark
Brand
