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| # | Indicateur | Déclareé | Vérifieé | Valideé | Tarif | Montant payé |
|---|---|---|---|---|---|---|
| 1 | HC - Nouvelle Consultation Curative (≥ 5 ans) Infirmier | 1,024 | 1,024 | 863 | 240 FBU | 82,272 FBU |
| TOTAL | 82,272 FBU |
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