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  • ID.2020.05.0060462 Print

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    Leonard Aldo
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    This health alert card provides identifying information for Leonard SMBG, a 25-year-old Indonesian man who arrived in Medan, North Sumatra by plane on May 31, 2020. It indicates he has no current symptoms of illness, answering "no" to questions about fever, cough, shortness of breath, and other potential COVID-19 symptoms. The card documents his travel history and current health status.

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    ID.2020.05.0060462_print

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    This health alert card provides identifying information for Leonard SMBG, a 25-year-old Indonesian man who arrived in Medan, North Sumatra by plane on May 31, 2020. It indicates he has no current symptoms of illness, answering "no" to questions about fever, cough, shortness of breath, and other potential COVID-19 symptoms. The card documents his travel history and current health status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views2 pages

    ID.2020.05.0060462 Print

    Uploaded by

    Leonard Aldo
    This health alert card provides identifying information for Leonard SMBG, a 25-year-old Indonesian man who arrived in Medan, North Sumatra by plane on May 31, 2020. It indicates he has no current symptoms of illness, answering "no" to questions about fever, cough, shortness of breath, and other potential COVID-19 symptoms. The card documents his travel history and current health status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    HEALTH ALERT CARD

    MINISTRY OF HEALTH REPUBLIC OF INDONESIA

    No : ID.2020.05.0060462
    Name : LEONARD SMBG
    Age : 25
    Sex : Male
    Nationality : Indonesia
    Identity No : 1271012307940004
    Phone No. : 082391179849
    Arrived From : Kec Sewon,Kab. Bantul, Provinsi Daerah Istimewa Yogyakarta
    Dest Address : JL FLAMBOYA BARU NO 56,Kec Medan Tuntungan,Kota Medan,
    Provinsi Sumatera Utara
    Arrived date : 31 Mei 2020 10:02
    Vehicle Name : Pesawat
    Vehicle No : QZ 8074
    Other. : -

    At present, are suffering from:


    1 Fever Yes ( ) No ( V )
    2 Flu/cough Yes ( ) No ( V )
    3 Shortness of breath Yes ( ) No ( V )
    4 Prostration/lethargic Yes ( ) No ( V )
    5 Diarrhoea Yes ( ) No ( V )
    6 Convulsion Yes ( ) No ( V )
    7 Neck stiffness Yes ( ) No ( V )
    8 Red eyes Yes ( ) No ( V )
    9 Yellow eyes Yes ( ) No ( V )
    10 Skin rash Yes ( ) No ( V )
    11 Other Yes ( ) No ( V )

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