Contoh Surat Keterangan Kematian Rumah Sakit
Contoh Surat Keterangan Kematian Rumah Sakit
Menyatakan bahwa,
TELAH MENINGGAL DUNIA, Saudara :
Nama Lengkap : ......................................................
Nomor KTP : ......................................................
TTL : ....................,.................................
Jenis Kelamin : ......................................................
Pada Umur : ................
Status : ................
Alamat : ................................................................................................................................
................................................................................................................................
KHOLID, SST.M.Kes
NIP. 19670122 198903 1 006