SURAT
KETERANGAN LAHIR
No...../RSIAKRTN/B/..../2019
Hari : ...................................................................................
Anak Ke : ......................................................................................
Ayah : ......................................................................................
Ibu : ......................................................................................
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RUMAH SAKIT IBU & ANAK KARTINI
Jl. GA Manulang No.46, Desa Padalarang,Kec Padalarang
Kabupaten Bandung Barat 4C553
Telp. (022) 6804440 / Hp. 085318006252 / Fax. (022) 6804440
Email : rsiakartinipadalarang@gmail.com