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    1. This is a medical report for Supriadi Tumilin dated October 10, 2022 from Dr. Namira Azzahra at RSUD Kemayoran Hospital in Jakarta. 2. The report details Supriadi's medical examination findings, including normal vital signs, examination of eyes, ears, nose, mouth, and other areas. 3. Laboratory tests and chest x-rays were conducted and found to be normal. 4. Based on the examination, Dr. Namira Azzahra certified Supriadi to be medically fit.

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    1. This is a medical report for Supriadi Tumilin dated October 10, 2022 from Dr. Namira Azzahra at RSUD Kemayoran Hospital in Jakarta. 2. The report details Supriadi's medical examination findings, including normal vital signs, examination of eyes, ears, nose, mouth, and other areas. 3. Laboratory tests and chest x-rays were conducted and found to be normal. 4. Based on the examination, Dr. Namira Azzahra certified Supriadi to be medically fit.

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    7 views1 page

    Sks Bahasa Inggris

    Uploaded by

    rashid athariz calief
    1. This is a medical report for Supriadi Tumilin dated October 10, 2022 from Dr. Namira Azzahra at RSUD Kemayoran Hospital in Jakarta. 2. The report details Supriadi's medical examination findings, including normal vital signs, examination of eyes, ears, nose, mouth, and other areas. 3. Laboratory tests and chest x-rays were conducted and found to be normal. 4. Based on the examination, Dr. Namira Azzahra certified Supriadi to be medically fit.

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    PEMERINTAH PROVINSI DAERAH KHUSUS IBUKOTA JAKARTA

    DINAS KESEHATAN
    RUMAH SAKIT UMUM DAERAH KEMAYORAN
    Jalan Serdang Baru I Kel. Serdang Kec. Kemayoran
    Telepon (021) 4251005, 4244277 Faksimile 4251005
    Website : rsukemayoran.jakarta.go.id Email : rsukemayoran@gmail.com
    Jakarta
    Kode Pos 10650

    MEDICAL REPORT
    No : 011549 / MCU / 011549/ RSUD KMY / X / 2022

    The Undersigned Below :


    Doctor : dr. Namira Azzahra

    This is to Certify that :


    Name : SUPRIADI TUMILIN
    Date Of Birth : BAGAN SIAPI API, 20-10-87
    Sex : MALE
    Address : APT GRAHA CEMPAKA MAS, KEMAYORAN, JAKARTA PUSAT

    1. ANAMNESIS:
    Current Disease : none
    Prior Disease : none
    Family Disease : none

    2. PEMERIKSAAN FISIK
    Height : 178 cm, Weight : 73 kg, Blood Pessure : 130/79 mmHg, Pulse : 85 x/min
    General Examination: Normal Abnormal Explaination
    a. Eye √
    Ear : - Left √
    b.
    - Right √
    c. Nose √
    d. Tounge √
    e. Pharynx √
    f. Tonsil √
    g. Teeth √
    h. Thyroid √
    i. Heart √
    j. Lungs √
    k. Abdomen √
    Extremnity : - Upper √
    l.
    Extermitas : - Lower √
    m. Color Blind Examination Has not been examined
    3. PEMERIKSAAN PENUNJANG
    a. Rontgen Thorax PA √ attached
    b. EKG Has not been examined
    c. Laboratorium √ attached

    I certify that above candidate at the present time is MEDICALLY FIT


    This letter is written to be used accordingly

    Jakarta, 10 October 2022


    . Physician

    FORM/PU/01/00/2019

    dr. Namira Azzahra


    NIP. 199007242020122012
    SIP 4/B.15A/31.71.03.1004.01.010.P.3/4/-1.779.3/e/2022

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