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Canggu, Monday, 24 Aug 2020

Referral Letter

To :

Dear Colleague Pediatric Endocrinologist

We wish to ask your second opinion regarding this patient to you

Name : I Putu Noah Cassatria

Age : 9 days old

Sex : Male

Address : Jl Slamet Riyadi No 36 Denpasar

Nationality : Indonesian

Diagnosis : observation of high newborn TSH level with normal FT4

Thank you for your help and attention.

Attending Physician

(dr. Emelyana Permatasari, Sp.A )

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