DHA-F-0045607 TPA004 01/08/2024 15:37 1 TEST

Authorization DHA-F-0045607-2024-08-01-AP0203922-656266-233 DHA-F-0045607 62D3-5833-DAA1-D53E INS017 784-1979-9193542-7 01/08/2024 DHA-F-0045607 1 Principal A37.00 Secondary R51.9 1 01/08/2024 08:37 3 82239 1 13.5 DHA-P-0243675 2 01/08/2024 08:37 8 9 1 36 DHA-P-0243675 Result BPS 120 01/08/2024 Result BPD 85 01/08/2024