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    5 views1 page

    Put Jenggo

    Uploaded by

    Cizry Wullan

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PANGKALAN UTAMA TNI AL XI

    RUMKITAL MERAUKE

    SURAT KETERANGAN RAWAT INAP


    No : / / /

    Menerangkan bahwa ,
    Nama :
    Umur :
    Diagnosa :
    tanggal dirawat :
    Dokter yang merawat :
    Ruangan : - VIP I - VIP II
    - KELAS I - KELAS II
    Lain-lain :

    Atas nama tersebut di atas telah menjalani perawatan di Rumkital Merauke selama …. hari.
    Demikian surat keterangan ini dibuat dengan sebenarnya.

    Merauke, Agustus 2013


    A.n. Karumkital Merauke
    Dokter yang merawat

    …………………………………

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