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BIDAN PRAKTEK MANDIRI

Bidan Sari Nurhayati

SURAT KETERANGAN BEROBAT


Menerangkan dengan sebenarnya bahwa :
Nama : Ny. .......................................................................................................................................
Istri dari : Bpk. .....................................................................................................................................
Pekerjaan : .............................................................................................................................................
Alamat : .............................................................................................................................................
Telah datang berobat pada hari .............................tanggal................................. Jam ....................... WIB
Dengan keluhan..........................................................................................................................................
....................................................................................................................................................................
Demikian untuk menjadikan periksa
Pasuruan, ........................................

Sari Nurhayati

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