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PT JASNIKOM

Jl. Pintu Air II No. 12, Juanda

Jakarta

December 01, 2021

Our ref: 15/PP/JS/2021

Mrs. Saskia Prameswati

Hermina Hospital

Jl. Ring Road Taman Yasmin No.23

Bogor

Subject : health service order

Dear Mrs. Saskia,

Thank you for the information you provided regarding the price list and what types of products you offer
to our company. We are pleased to order health service at Hermina Hospital for our company, with the
following types of health services:

1. Medical Check Up
2. Covid-19 Vaccination Program, Sinovac Type (Dose 1 and Dose 2)
3. Antigen Swab Test
4. Test PCR (Polymerase Chain Reaction)

Based on the negotiations that we have done and we have agreed to, the payment is made after all of
our company's employees have taken a medical test. Payment is sent through BCA Bank on behalf of
“Rumah Sakit Hermina” with a discount of 20%.

Thank you for your attention.

Yours sincerenly,

Abraham Wafi

Manager

Enc: -

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