You are on page 1of 1

REFRENCE LETTER

Letter No : Stl/IX/2019

NAME : Ui Giok Hwa


GENDER TIPE : Female

After going through several stages of the test and seeing the results of the laboratory tests,
we, as the doctor at hospital DANAU SALAK MATARAM, stated that she has been suffering from
Hypertension since January 18, 2018.

We have issued all of these sick certificates according to the results of the existing health
tests without any intervention. We hope that this sick certificate can be used wisely and properly

Mataram. January, 19 2018

Knowing
Examining Doctor

(dr.Andrian Setiadarma)

You might also like