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Surat Pengantar Nekropsi

Dengan ini, kami pihak .................................................., mengantarkan 1 (satu)


kadaver, dengan signalement:

Nama : .......................................................................................................
Jenis : .......................................................................................................
Umur : .......................................................................................................
Ras/Warna : .......................................................................................................
Jenis Kelamin : .......................................................................................................
Tanggal Mortis : .......................................................................................................
Amannesa : .......................................................................................................
.......................................................................................................
.......................................................................................................

Mohon dilakukan pemeriksaan post mortem di bagian Patologi FKH-IPB. Atas


perhatian dan kerjasamanya, kami sampaikan terima kasih.

Bogor, ...../.............../2018
Menyetujui,

Drh.