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Jakarta, November 14th 2018

To whom it may concern,

Through this letter, based on physical examination I who signed below hereby explain that:

Name : Euginia Abigail Siahaan

Sex : Female

Age :14 years old

Diagnosis :VSD DCSA

Was admitted in our hospital since November 11th – November 14th due her condition and needs to be
given rest 3 days after hospital discharge starting from November 15th – November 17th .

Thus this letter was granted to be known and to be used properly.

Jakarta, November 14th 2018

Prof. Dr.dr Mulyadi M.Djer SpA(K)

Professor of Pediatric Cardiology

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