‫ﺗﻘﺮﻳﺮ ﻣﺮاﻓﻘﺔ ﻣﺮﻳﺾ‬

Companion
SickLeave

Enayet Alaufq Medical Complex states that the ‫ ﻋﻨﺎﻳﺔ اﻻﻓﻖ اﻟﻄﺒﻲ اﻟﻌﺎم ﺑﺄن اﺑﺘﺴﺎم‬/ ‫ﻳﻔﻴﺪ ﻣﺠﻤﻊ‬
EBTESSAM FAHAD M ALMEHMADI Holder of ID ‫ﻓﻬﺪ ﻣﺤﻤﺪﻋﻠﻲ اﻟﻤﺤﻤﺎدي ﺻﺎﺣﺐ اﻟﻬﻮﻳﺔ رﻗﻢ‬
Number 1074231414 (tel:1074231414) has been ‫ ( ﻗﺪ راﻓﻖ اﻟﻤﺮﻳﺾ ل‬tel:1074231414
tel:1074231414)) 1074231414
given a companion sick leave for 1 of days from - 08
08--1444 ‫ إﻟﻰ ﺗﺎرﻳﺦ‬06
06--08
08--1444 ‫ ﻣﻦ اﻷﻳﺎم ﻣﻦ ﺗﺎرﻳﺦ‬1
2023-02-26 to 2023-02-26
2023-02-26. :‫ ﺣﺴﺐ اﻟﺘﺎﻟﻲ‬06
Patient’s Information ‫ﺑﻴﺎﻧﺎت اﻟﻤﺮﻳﺾ‬
Medical Record Number: 37766 37766 : ‫رﻗﻢ اﻟﺴﺠﻞ اﻟﻄﺒﻲ‬
National ID Number : 1196842197 (tel:1196842197) 1196842197 : ‫ اﻹﻗﺎﻣﺔ‬/ ‫( رﻗﻢ اﻟﻬﻮﻳﺔ اﻟﻮﻃﻨﻴﺔ‬tel:1196842197)
Full Name : ASEEL FAISAL RUWAYSHID ALMEHMADI ‫ اﻟﻤﺤﻤﺎدي‬- ‫ أﺻﻴﻞ ﻓﻴﺼﻞ‬: ‫اﻻﺳﻢ اﻟﻜﺎﻣﻞ‬
Gender :Male ‫ ذﻛﺮ‬: ‫اﻟﺠﻨﺲ‬
Nationality : Saudi Arabia ‫ اﻟﺴﻌﻮدﻳﺔ‬: ‫اﻟﺠﻨﺴﻴﺔ‬
Visit Date : 2023-02-26 06-08-1444 : ‫ﺗﺎرﻳﺦ اﻟﺪﺧﻮل‬
Discharge Date : 2023-02-26 06-08-1444 : ‫ﺗﺎرﻳﺦ اﻟﺨﺮوج‬

Recommendation ‫اﻟﺘﻮﺻﻴﺎت‬
After the diagonsing of the patient above turns out that this ‫ﺑﺎﻟﻜﺸﻒ ﻋﻦ اﻟﻤﺬﻛﻮر أﻋﻼه ﺗﺒﻴﻦ أن ﺣﺎﻟﺘﻪ ﺗﺴﺘﺪﻋﻲ وﺟﻮد ﻣﺮاﻓﻖ ﻣﻌﻪ ﻟﺬا‬
condition requires a companion for 1 days start from 2023-02- ‫ إﻟﻰ ﺗﺎرﻳﺦ‬06-08-1444 ‫ ﻳﻮم ﻣﻦ ﺗﺎرﻳﺦ‬1 ‫ﻧﻮﺻﻲ ﺑﻤﺮاﻓﻘﺔ اﻟﻤﻮﺿﺢ أدﻧﺎه ﻟﻤﺪة‬
26 to 2023-02-26 06-08-1444
Attending Physician Information ‫ﺑﻴﺎﻧﺎت اﻟﻄﺒﻴﺐ اﻟﻤﻌﺎﻟﺞ‬
Name : HESHAM FATOUH MAHMOUD MOHAMED ‫ ﻫﺸﺎم ﻓﺘﻮح ﻣﺤﻤﻮد ﻣﺤﻤﺪ‬: ‫اﻻﺳﻢ‬
Position : General ‫ ﻃﺒﻴﺐ ﻋﺎم‬: ‫اﻟﻤﺴﻤﻰ اﻟﻮﻇﻴﻔﻲ‬
Companion Information ‫ﺑﻴﺎﻧﺎت اﻟﻤﺮاﻓﻖ‬
Companion Name : EBTESSAM FAHAD M ALMEHMADI ‫ اﺑﺘﺴﺎم ﻓﻬﺪ ﻣﺤﻤﺪﻋﻠﻲ اﻟﻤﺤﻤﺎدي‬: ‫اﺳﻢ اﻟﻤﺮاﻓﻖ‬
National/Iqama ID : 1074231414 (tel:1074231414) 1074231414 : ‫ اﻹﻗﺎﻣﺔ‬/ ‫رﻗﻢ اﻟﻬﻮﻳﺔ اﻟﻮﻃﻨﻴﺔ‬
Nationality : Saudi Arabia ‫ اﻟﺴﻌﻮدﻳﺔ‬: ‫اﻟﺠﻨﺴﻴﺔ‬
Gender :Female ‫ أﻧﺜﻰ‬: ‫اﻟﺠﻨﺲ‬
Relation : Mother ‫ أم‬: ‫ﺻﻠﺔ اﻟﻘﺮاﺑﺔ‬
Employer : ‫ ﻣﺴﺘﺸﻔﻰ اﻟﻮﻻده‬: ‫ﺟﻬﺔ اﻟﻌﻤﻞ‬
Occupation : ‫ ﻓﻨﻴﻪ‬: ‫اﻟﻤﻬﻨﺔ‬

‫ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺔ اﻟﺘﻘﺮﻳﺮ ﻳﺮﺟﻰ زﻳﺎرة‬

‫ﻣﻮﻗﻊ ﺻﺤﺔ ﻋﻠﻰ اﻟﺮاﺑﻂ اﻟﺘﺎﻟﻲ‬
(https://www.seha.sa/Home/SickLeave)
‫ وإدﺧﺎل اﻟﺮﻗﻢ اﻟﻤﺮﺟﻌﻲ ﻟﻠﺘﻘﺮﻳﺮ‬:PSL23022631537
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