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Banda Aceh, 17 Oktober 2013 Kepada Yth.

SPS Ilmu Penyakit Dalam FK Unsyiah/ BLUD RSUDZA Di Tempat

Assalamualaikum wr. wb. Saya yang bertanda tangan di bawah ini: Nama : dr. Meta Maulinda Alamat : Jl. Cendana VI no. 2 Jeulingke Banda Aceh NIM PPDS : 1207601020011 Dengan ini mengajukan izin 1 (satu) hari kepada Bapak tanggal 19 Oktober Oktober 2013 untuk mengikuti acara pernikahan adik kandung saya di Binjai, sumatera utara. Atas perhatian dan keizinan Bapak, Saya ucapkan terima kasih.

Mengetahui SPS Ilmu Penyakit Dalam FK Unsyiah/ BLUD RSUDZA

Hormat Saya PPDS Ilmu Penyakit Dalam FK Unsyiah/ BLUD RSUDZA

Dr. Abdullah, Sp.PD NIP 19680917 200012 1 001

dr. Meta Maulinda

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