Surat Keterangan Sehatt
Surat Keterangan Sehatt
Nomor : ......................................................
NAMA : ...............................................................................
TTL : ...............................................................................
PEKERJAAN : ................................................................................
ALAMAT : ................................................................................
Telah dilakukan pemeriksaan kesehatan dan hasil pemeriksaan tersebut dapat dinyatakan
bahwa : .......................................................................................................................................
Bukittinggi,...............
Dokter pemeriksa