PEMERINTAHAN KABUPATEN BEKASI

DINAS KESEHATAN
UPTD PUSKESMAS BAHAGIA
Jl. K.H. A Tajuddin No. 2 Kelurahan Bahagia Kecamatan Babelan
Telp. 021-89236770 E-mail :puskesmasbahagia@gmail.com
Bekasi – Jawa Barat 17610

RECOMMENDATION
Number : HM/04/082/PKM-BHG/I/2024

With this hereby, on behalf of The Head of Puskesmas (Government Community Health
Center) Bahagia Babelan Bekasi West Java Indonesia give recommendation to :

Name : Wahyuni
Place/Date of Birth : Pekalongan, January 1, 1949
Passport No. : C6473681
Address : Jl Bajumoro no. 153 RT 001/002
Desa Kalijoyo Kec Kajen Kab Pekalongan

That the name of the congregation was not detected by her fingerprints through the
Saudi Visa Bio application because she was elderly (Broken finger).

Thus this recommendation is made to be used as appropriate.

Set in : Bekasi
On : January 27, 2024
Doctor examining Hajj pilgrims

Kiki Seftiarni, MD
Penata Tk. I, III/d
NIP. 19810923 201503 2 001