Paediatrica Indonesiana

The Indonesian Journal of Pediatrics and Perinatal Medicine

Authors Form
Hereby we acknowledge that each author understands and involved in the contribution of the
original work, and that each has reviewed, read and understood the whole content of manuscript
entitled:

All authors agree to submit the manuscript to Paediatrica Indonesiana and state that this DOES
NOT CONTAIN ANY FORM OF PLAGIARISM. All authors agree NOT TO SUBMIT THIS
MANUSCRIPT TO MORE THAN ONE JOURNAL CONCURRENTLY.

Notes: left column for full name, right column for signature

First author

dr. Rizal Marubob Silalahi

1.

Co-author(s)

dr. Badai Buana Nasution, M.Ked(Ped), Sp.A(K)

2.

Dr. dr. Bugis Mardina Lubis, M.Ked(Ped), Sp.A(K)

3.

4.
Dr. dr. Juliandi Harahap, MA

5 . dr. Wisman Dalimunthe, M.Ked(Ped), Sp.A(K)

6 . dr. Karina Sugih Arto, M.Ked(Ped), Sp.A(K)

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