No. Order: ORD20251226100315729
Form Serah Terima Makanan
| Nama Pasien | Hermia lukito | Tanggal & Jam | - |
| Ruangan | ICU | ||
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| No | Nama Makanan | Qty | Harga | Jumlah |
|---|---|---|---|---|
| 1 | Chicken cordon bleu + Nasi | 1 | Rp 54.000 | Rp 54.000 |
| 2 | Buah Potong Mix | 2 | Rp 24.000 | Rp 48.000 |
| 3 | Bubur kacang hijau + roti tawar | 1 | Rp 25.000 | Rp 25.000 |
| 4 | Mashed Potato | 1 | Rp 30.000 | Rp 30.000 |
| 5 | Jus Jeruk | 1 | Rp 24.000 | Rp 24.000 |
| 6 | Sate ayam (6) + Nasi | 2 | Rp 48.000 | Rp 96.000 |
| 7 | Sapo tahu ayam + Nasi | 1 | Rp 55.000 | Rp 55.000 |
| 8 | Mushroom Cream Soup | 1 | Rp 50.000 | Rp 50.000 |
| 9 | Kwetiau goreng/siram sapi | 1 | Rp 61.000 | Rp 61.000 |
| Total | Rp 443.000 | |||