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Translated from Indonesian to English -www.onlinedoctranslator.

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WARNING DISTRICT GOVERNMENT


PUBLIC HEALTH OFFICE
PAMENANG HEALTH CENTER
. Health Pamenang Village, Pamenang District, Postal Code 37357

SICK LETTER
Number: 853/1053/PKM/2021

The undersigned, Pamenang Health Center Doctor, truly explains that:

Name (Muhammad Difa anta Dinata


:8 years old
age
Work
: Mahafi fWa
Address
PaMenan9 Meran9tn . Jamoi
Atn.. 0A:..0.: 20H
Based on the inspection carried out on the day .
****° **********'*****
D

At the Pamenang Health Center, the person concerned was declared ILL and needed to rest for ..
..9....) ** ***** ** up to 0:100.

sunrise day starting on .00..02...


**"***° ******* ****

Thus this Sickness Certificate is made to be used properly

2021
Winner, OA-0
Which explains,

NIP. 98GrPieo33rAiA
At
L001
Pinned by Camscennes

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