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SILOAM HOSPITAL IMAM BONJOL

JL. Imam Bonjol no.6, Petisah Tengah, Kec. Medan Petisah Kota Medan, Sumatra Utara
Indonesia. 20212, Phone (+6261 888 81900)

REFRENCE LETTER
Letter No : Stl/IX/18

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 SILOAM HOSPITAL IMAM BONJOL, stated that she has been suffering
from Diabetic Insuline and 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

Medan. 27 september 2018

Knowing
Examining Doctor

(dr.Andrian Setiadarma)

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