TO WHOM IT MAY CONCERN

I here by state that :

Name : Hanafi

Sex : Male

Age : 21 Years Old

MR No. : 15.86.69

Address : Kp. Batu Tumbuh RT 009/004, Jakarta Utara – Indonesia

Come to Satya Negara Hospital 22 January 2018, with diagnosis fraktur finger V right
hand until 5 February 2018.

Therapy :

- Wound Toilet
- Fixation The Fracture Finger V
- Inj Tetagam
- Inj Antibiotic (Intrix Inj)
- Baquinor 2 x 500 mg
- Mefinal 3 x 500 mg
- Prednison 3 x 1 Tab
- Elkana 2 x 1 Tab

Thank You for your kind cooperation.

Now He is fit for duty.

Jakarta, 06 February 2018

Dr. Santoso Kurniawan