239874989 Surat Keterangan Sakit Doc
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7/25/2019 239874989 Surat Keterangan Sakit Doc
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PRAKTEK DOKTER KELUARGA
dr. Muhammad Rifki El Muammary
Klinik Benteng (Jl. Sultan Agung no. II)/Puskesmas Sei Duren
SIP : 441/16/SIP-D/DI!K"S/#$1%
&an'one: $*11+461$*, el uma: $+41-$6#1#1%
SA K""A!0A! SAKI
Yang bertanda tangan di bawah ini menerangkan bahwa :
Nama : ..................................................................................................................
Umur : ..................................................................................................................
Kelamin : ..................................................................................................................
Pekerjaan : ..................................................................................................................
Alamat : ..................................................................................................................
Oleh karena sakit, maka memerlukan istirahat selama :..................................(....................) hari,
terhitung mulai tanggal....................................sampai dengan tanggal..........................................
arap menjadi maklum.!ambi,...............................
"#kter $ang memeriksa
(............................................)
PRAKTEK DOKTER KELUARGA
dr. Muhammad Rifki El Muammary
Klinik Benteng (Jl. Sultan Agung no. II)/Puskesmas Sei Duren
SIP : 441/16/SIP-D/DI!K"S/#$1%
&an'one: $*11+461$*, el uma: $+41-$6#1#1%
SA K""A!0A! SAKIYang bertanda tangan di bawah ini menerangkan bahwa :
Nama : ..................................................................................................................
Umur : ..................................................................................................................
Kelamin : ..................................................................................................................
Pekerjaan : ..................................................................................................................
Alamat : ..................................................................................................................
Oleh karena sakit, maka memerlukan istirahat selama :..................................(....................) hari,
terhitung mulai tanggal....................................sampai dengan tanggal..........................................
arap menjadi maklum.
!ambi,...............................
"#kter $ang memeriksa
(............................................)