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  • BU DESI Via Email

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    SIRDAPERMANA
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    HEALTH INSURANCE - Bumiputra Askes - CURRENT OCCUPATION AND TITLE Student Student Student FAMILY KIN Mother Tandhi Fitri Mother REASON FOR CONTACT - Headache - Worried - Shortness of breathness - Chest tightness, pain, pressure - pain in the abdomen.

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    HEALTH INSURANCE - Bumiputra Askes - CURRENT OCCUPATION AND TITLE Student Student Student FAMILY KIN Mother Tandhi Fitri Mother REASON FOR CONTACT - Headache - Worried - Shortness of breathness - Chest tightness, pain, pressure - pain in the abdomen.

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    10 views2 pages

    BU DESI Via Email

    Uploaded by

    SIRDAPERMANA
    HEALTH INSURANCE - Bumiputra Askes - CURRENT OCCUPATION AND TITLE Student Student Student FAMILY KIN Mother Tandhi Fitri Mother REASON FOR CONTACT - Headache - Worried - Shortness of breathness - Chest tightness, pain, pressure - pain in the abdomen.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    NAME ELIS BUDI WAHYU FITRI IRFAN

    SEX Female Male Male Female


    ADDRESS Sidoarjo Menganti Baron
    CITY STATE Sidoarjo Gresik Jombang Nganjuk
    PHONE 085707436727 085731107373 08775315 085646090722
    RELIGION Islam Islam Islam Islam
    MARITAL
    STATUS
    Single Single Single Single
    HEALTH
    INSURANCE
    - Bumiputra Askes -
    CURRENT
    OCCUPATION
    AND TITLE
    Student Student Student Student
    FAMILY KIN Mother Tandhi Fitri Mother
    DATE AND TIME
    OF CONTACT
    Tuesday, 17 Sept
    2013
    Tuesday, 17 Sept
    2013
    Tuesday, 17 Sept
    2013
    Tuesday, 17 Sept
    2013

    REASON FOR
    CONTACT
    - Headache
    - Worried
    - Shortness of
    breathness
    - Chest tightness,
    pain, pressure
    - Pain in the
    abdomen
    - Headache
    - Headache
    - Vomiting
    - Anoreksia
    -
    DIAGNOSIS Anxiety Asthma Dysmenorrhea Nausea

    LAILIL OKTAVIA ARDI/P27820112026/II-NONREGULER

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