To Whom It May Concern Certificate Death.docx

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TO WHOM IT MAY CONCERN

The undersigned states that : Name

: Mr. dr. H.Rachmad Sadeli, Sp.A

Age

: 78 Years Old

Medical Record No

: 00 – 26 – 70 – 20

Address

: Jakarta - Indonesia

Mr. dr. H.Rachmad Sadeli, Sp.A is the father of Mrs . Rily Novita and Father In Law Of Mr. Andi Rizki died on 09 Day of March 2019, 11.46 AM with diagnosis of terminal cancer (cancer stage IV) in critical condition.

Deputy Medical Manager

Dr. Maya

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