N o S err Ai 21464

MA J E LIS TE N A G A K E S E HA T A N I NDO NE S I A
(THE INDONESIAN HEALTH PROFESSION BOARD)
AHLI TEKNOTOGI
SURATTANDAREGISTRASI LABORATORIUMMEDIK
REGISTMTIONCEWFICATE OFMEDICALLABORATORY
TECHN
OLOGIST

\O M O R R E G I S T R A S I 1314 5 21 18-2326409
NUMBER
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PLACE / DATE OF BIRTH

J E\ I S K E L AM I N Perempuan
Fetnale
SEX

\O}IOR IJAZAH 0726il|.3.I.U|Ft2016

:ERTIFICATE NUMBER

I.\\GGAL LULUS 30 Agustus

2016
).|TE OF GRADUATION

P ERG U R U A NT I NGGI STIKESMuhammadiyah

Ciamis
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{O\{PETENSI Medik
AhliMadvaTeknoloqiLaboratorium
:O\IPETENCE Medical LaboratoryTechnician

\O \ {O R S E R T I FIK A TK OMP E T E N S I
:O J{PETENCE CEFIIFICANON NUMBER

S I RB E R L AK U S A MP A I
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UNTIL i 5 Juni2023

28 Juni2018
Jakarta,
a.n. Menteri Kesehatan
MAJELIS TENAGA KESEHATANINDONESIA
OF INDONESIAN BOARD
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