RM 10 G
1
SURAT KETERANGAN BERBADAN SEHAT Certificate Of Healthy Yang bertanda tangan dibawah ini menerangkan bahwa : The Undersigned below explain that : N a m a : N a m e ............................................................................................... Jenis Kelamin : S e x ............................................................................................... U m u r : A g e ............................................................................................... Alamat : A d d r e s s ............................................................................................... ............................................................................................... Berdasarkan pemeriksaan fisik yang dilakukan oleh dokter RS Sari Asih dinyatakan : Based on physical examination by doctor in Sari Asih Hospital the patient indicated of BERBADAN SEHAT Healty Untuk : ............................................................................................... For Catatan Note Tensi BB TB Demikian agar yang berkepentingan menjadi maklum. This letter is for the use of specified person only Tangerang, ............................................ 20..... : : Blood Pressure Weight Of Body Heigh Of Body : : Dokter
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blanko ket sehat dokter
Transcript of RM 10 G
SURAT KETERANGAN BERBADAN SEHAT Certificate Of Healthy
Yang bertanda tangan dibawah ini menerangkan bahwa : The Undersigned below explain that :
N a m a : N a m e
...............................................................................................
Jenis Kelamin : S e x
...............................................................................................
U m u r : A g e
...............................................................................................
Alamat : A d d r e s s
...............................................................................................
...............................................................................................
Berdasarkan pemeriksaan fisik yang dilakukan oleh dokter RS Sari Asih dinyatakan : Based on physical examination by doctor in Sari Asih Hospital the patient indicated of
BERBADAN SEHAT
Healty
Untuk : ............................................................................................... For
Catatan Note
Tensi
BB TB
Demikian agar yang berkepentingan menjadi maklum. This letter is for the use of specified person only
Tangerang, ............................................ 20.....
:
: Blood Pressure Weight Of Body Heigh Of Body
:
:
Dokter
