79215813-surat-keterangan-sakit.docx

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dr. Yulia Wardany SIP.No:KPT/624/SI-DU/XII/2005/934 PRAKTEK : Jl.Jampangkulon, Warungtagog 002/005 No. Telp (0266) 649291

SURAT KETERANGAN Menerangkan bahwa : Nama

:

Umur

:

Pekerjaan : Alamat

:

Setelah diperiksa kesehatannya ternyata pada saat ini dalam keadaan SAKIT dan memerlukan istirahat selama Demikianlah

hari. Surat

Keterangan ini

untuk

dapat

dipergunakan seperlunya. Jampangkulon, ......... Pemeriksa

dr. Yulia Wardany SIP.No:KPT/624/SI-DU/XII/2005/934 dr. Yulia Wardany. NIP : 132 317 624

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