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INFORMATION LETTER

Name Age Gender Occupation Address

: Ni Putu Desi Fridayanti : 26 years old : female : private job : Banjar Jelantik Mamoran, Tojan, Klungkung, Bali

It is true that have an interpretation birth on september 20th 2013 with medical diagnose : G1P0000 UK13-14 mg head position right back normal (T/H) Fetal heart rate + interpretation babys weight 3200 gram Therefore my information letter and I beg it can used as needed.

Tojan, March 14th 2013 Physician

dr. Putu Novi

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