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  • Kecamatan Rimbo Ilir: Pemerintah Kabupaten Tebo Dinas Kesehatan Kabupaten Tebo Puskesmas Alai Ilir

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    Nakamura Moelya
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    This document is a medical certificate from Puskesmas Alai Ilir health center in Tebo Regency, Jambi Province, Indonesia. It certifies that Ulfa Rahmi Ananda, a 25-year old civil servant, is 32 weeks (8 months) pregnant based on an examination on June 5, 2017. As a result, she is entitled to one month of maternity leave and two months of postnatal leave. The certificate was issued to document her eligibility for the leaves.

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    KETERANGAN HAMIL

    Original Title

    Surket Hamil

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    This document is a medical certificate from Puskesmas Alai Ilir health center in Tebo Regency, Jambi Province, Indonesia. It certifies that Ulfa Rahmi Ananda, a 25-year old civil servant, is 32 weeks (8 months) pregnant based on an examination on June 5, 2017. As a result, she is entitled to one month of maternity leave and two months of postnatal leave. The certificate was issued to document her eligibility for the leaves.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    48 views1 page

    Kecamatan Rimbo Ilir: Pemerintah Kabupaten Tebo Dinas Kesehatan Kabupaten Tebo Puskesmas Alai Ilir

    Uploaded by

    Nakamura Moelya
    This document is a medical certificate from Puskesmas Alai Ilir health center in Tebo Regency, Jambi Province, Indonesia. It certifies that Ulfa Rahmi Ananda, a 25-year old civil servant, is 32 weeks (8 months) pregnant based on an examination on June 5, 2017. As a result, she is entitled to one month of maternity leave and two months of postnatal leave. The certificate was issued to document her eligibility for the leaves.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    PEMERINTAH KABUPATEN TEBO

    DINAS KESEHATAN KABUPATEN TEBO


    PUSKESMAS ALAI ILIR
    KECAMATAN RIMBO ILIR
    JALAN APEL DESA KARANG DADI KODE POS 37256

    KETERANGAN PEMERIKSAAN KEHAMILAN


    NOMOR : 445/ /VI/2017

    Yang bertanda tangan di bawah ini Bidan Puskesmas Alai Ilir, menerangkan bahwa :

    Nama : Ulfa Rahmi Ananda, SKM


    Umur : 25 tahun
    Pekerjaan : PNS
    Alamat : Jl. Sepakat 2 Kel. Bungo Timur Kec. Pasar Muara Bungo, Kab.Bungo

    Bahwa sesuai dengan hasil pemeriksaan kami pada tanggal 5 Juni 2017 masa kehamilan pasien
    tersebut di atas telah 32 minggu (8 bulan), dan sudah perlu diberikan hak Cuti Hamil selama satu
    bulan dan Cuti Melahirkan selama dua bulan.

    Demikian surat keterangan ini kami buat dengan sebenarnya agar dapat dipergunakan
    sebagaimana mestinya.

    Rimbo Ilir, 5 Juni 2017

    Mengetahui
    Kepala UPT Dinas Kesehatan Bidan Pemeriksa
    Puskesmas Alai Ilir

    dr. Leni Marlina Triana Sukawati, Am.Keb, SKM


    NIP. 19770705 200501 2 010 NIP. 19700716 198912 2 001

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