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STATEMENT LETTER

No. 031/RSPM/DIR/I/2019
I, the undersigned, Director of the Prima Medika Hospital Denpasar, hereby explain that :
Name : NI LUH GEDE JUNI
Address : Jl. Pemogan Gg. Catur Warga 99 X
Date of birth : June 31, 1985

The name mentioned above has indeed undergone the CURETTAGE action at the Prima Medika
Hospital on November 14, 2017 and the procedure has been recorded in the Hospital’s
Information System.

This letter is made so it can be use according to its purpose.

Denpasar, January 15, 2019


Director of the Prima Medika Hospital Denpasar

dr. Putu Dian Ekawati, MPH