Dinas Kesehatan Kabupaten Subang
UPTD Puskesmas Tanjungsiang Jalan Raya Tanjungsiang - Subang -Indonesia Tlp. 0260-480391
No.:123/120/SICK/II/2017 February 28, 2020
To whom it may concern:
I, the undersigned, hereby certify that Sutarmaji, holder of passport number N2456789 was temporarily diagnosed for HNP Susp. on February 28, 2020 and he is not fit for duty for a month due to the diagnosis of illness mentioned above. Chief Physician, dr. Prana Pramudya NIP 123 456 789 |
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