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Dr. A.A.G Raka Budayasa SPOG Obstetrician and Gynaecologist Jta.

Raya Peliatan-Ubud

This is to certify that: Name Husband Age Address Crew Number Cruises :Ni Kadek Agustini :I Made Sumantra :32 Years old :Br. Paneca, Payangan, Gianyar-Bali :284103 :HORIZON

She was pregnant 37 weeks pregnancy, singleton, lihe, previous Cesarean Section (2 times) EDD: 17 Of May 2012. And plan for Cesarean Section after 3 of May 2012.

Bali, April 27th- 2012

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