Death Certificate By Dr Ratih.docx
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DEATH CERTIFICATE
Here with doctor of Canggu Medical confirmed that the person with detailed bellow : Name
: Debra Jane WoodHead
Date of Birth
: 1970
Address
: Surfer Village
Nationality
: British
Has passed away on 22nd of February 2017 on 12.33 PM, in her room at Surfer Village, Jl Pantai Berawa. It is suspected because of Heart Attack. No infectious disease symptoms reported.
Kuta, February 22nd , 2017 Canggu Medical
dr. Ratih Astarida
Here with doctor of Canggu Medical confirmed that the person with detailed bellow : Name
: Debra Jane WoodHead
Date of Birth
: 1970
Address
: Surfer Village
Nationality
: British
Has passed away on 22nd of February 2017 on 12.33 PM, in her room at Surfer Village, Jl Pantai Berawa. It is suspected because of Heart Attack. No infectious disease symptoms reported.
Kuta, February 22nd , 2017 Canggu Medical
dr. Ratih Astarida
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