Jl.Kurnia Makmur No.45 Kel.Harapan Baru Kec.Loa janan ilir Kota.samarinda Telp.(0541)260039
SURAT KETERANGAN SAKIT
Yang bertanda tangan dibawah ini :
Dokter :............................................................................................ Menerangkan bahwa : Nama :............................................................................................ Umur :............................................................................................ Pekerjaan :............................................................................................ Alamat :............................................................................................ Perlu beristirahat karena sakit selama...............................(.....)hari Terhitung tanggal..................................s/d.................................. Harap yang berkepentingan maklum.