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    Form DCU

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    Andri Adma Wijaya
    This document is a daily checkup report from a geothermal energy company. It contains a table listing the names, ages, jobs, and daily fitness status of 27 employees from the 22nd to the 28th of an unspecified month in 2019. Each employee's fitness is marked as either "FIT" or "UNFIT" for each date. The bottom of the table is signed by the examining doctor.

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    Form DCU

    Uploaded by

    Andri Adma Wijaya
    11 views1 page
    This document is a daily checkup report from a geothermal energy company. It contains a table listing the names, ages, jobs, and daily fitness status of 27 employees from the 22nd to the 28th of an unspecified month in 2019. Each employee's fitness is marked as either "FIT" or "UNFIT" for each date. The bottom of the table is signed by the examining doctor.

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    This document is a daily checkup report from a geothermal energy company. It contains a table listing the names, ages, jobs, and daily fitness status of 27 employees from the 22nd to the 28th of an unspecified month in 2019. Each employee's fitness is marked as either "FIT" or "UNFIT" for each date. The bottom of the table is signed by the examining doctor.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    11 views1 page

    Form DCU

    Uploaded by

    Andri Adma Wijaya
    This document is a daily checkup report from a geothermal energy company. It contains a table listing the names, ages, jobs, and daily fitness status of 27 employees from the 22nd to the 28th of an unspecified month in 2019. Each employee's fitness is marked as either "FIT" or "UNFIT" for each date. The bottom of the table is signed by the examining doctor.

    Copyright:

    © All Rights Reserved
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    of 1

    LAPORAN DAILY CHECK UP

    TANGGAL …….. S/D …………………………. 2019 G E O TH E R M A L E N E R G Y

    TANGGAL PERIKSA & KETERANGAN


    NO NAMA UMUR JABATAN KETERANGAN
    22 23 24 25 26 27 28
    1 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    1 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    2 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    3 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    4 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    5 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    6 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    7 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    8 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    9 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    10 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    11 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    12 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    13 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    14 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    15 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    16 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    17 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    18 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    19 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    20 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    21 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    22 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    23 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    24 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    25 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    26 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT
    27 FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT FIT UNFIT

    Pemeriksa / Dokter

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