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  • Letter of Statement Prof SK

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    Krishna Caitanya
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    An orthopedic surgeon, Prof. Dr. dr. I Ketut Siki Kawiyana, issued a letter stating that he performed open reduction internal fixation (ORIF) surgery with plate and screw on Mr. A Than at Bali Royal Hospital on March 24th, 2022 to treat an injury. The letter identifies Mr. A Than, provides details of the surgery, and is intended to document his medical treatment. It is signed and dated by the surgeon on March 28th, 2022.

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    Letter of Statement Prof Sk

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    An orthopedic surgeon, Prof. Dr. dr. I Ketut Siki Kawiyana, issued a letter stating that he performed open reduction internal fixation (ORIF) surgery with plate and screw on Mr. A Than at Bali Royal Hospital on March 24th, 2022 to treat an injury. The letter identifies Mr. A Than, provides details of the surgery, and is intended to document his medical treatment. It is signed and dated by the surgeon on March 28th, 2022.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    5 views1 page

    Letter of Statement Prof SK

    Uploaded by

    Krishna Caitanya
    An orthopedic surgeon, Prof. Dr. dr. I Ketut Siki Kawiyana, issued a letter stating that he performed open reduction internal fixation (ORIF) surgery with plate and screw on Mr. A Than at Bali Royal Hospital on March 24th, 2022 to treat an injury. The letter identifies Mr. A Than, provides details of the surgery, and is intended to document his medical treatment. It is signed and dated by the surgeon on March 28th, 2022.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    LETTER OF STATEMENT

    I, the undersign:
    Name : Prof. Dr. dr. I Ketut Siki Kawiyana, SpB, SpOT (K)
    Occupation : Medical doctor (Orthopedics and Traumatology surgeon)
    Office Address : Kimia Farma Pharmacy
    Jl. Diponogoro No. 125 Denpasar, Bali, Indonesia

    Hereby state that the following:


    Name : Mr. A THAN
    Place / DoB : Marok Tua Kecamatan Singkep
    Sex : Male
    Occupation : Self-employed
    Has underwent open reduction internal fixation (ORIF) surgery with plate and screw on
    Thursday, March 24th 2022, at Bali Royal Hospital Denpasar.

    This letter is intended to be used accordingly.

    Denpasar, March 28th 2022

    Prof. Dr. dr. I Ketut Siki Kawiyana, SpB, SpOT (K)

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