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    Medical Report Umum, Tki

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    mater
    This medical report is for Yeni Silfia Permadani, a 24-year old Indonesian female. The report notes her height, weight, blood pressure, and results of medical examinations of various body systems and labs which were all normal. The concluding statement finds her medically fit for employment, with an expiration date of November 13th, 2017. The report is stamped by Dr. Fransiska Ria.

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    Medical Report Umum, Tki

    Uploaded by

    mater
    332 views3 pages
    This medical report is for Yeni Silfia Permadani, a 24-year old Indonesian female. The report notes her height, weight, blood pressure, and results of medical examinations of various body systems and labs which were all normal. The concluding statement finds her medically fit for employment, with an expiration date of November 13th, 2017. The report is stamped by Dr. Fransiska Ria.

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    This medical report is for Yeni Silfia Permadani, a 24-year old Indonesian female. The report notes her height, weight, blood pressure, and results of medical examinations of various body systems and labs which were all normal. The concluding statement finds her medically fit for employment, with an expiration date of November 13th, 2017. The report is stamped by Dr. Fransiska Ria.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    332 views3 pages

    Medical Report Umum, Tki

    Uploaded by

    mater
    This medical report is for Yeni Silfia Permadani, a 24-year old Indonesian female. The report notes her height, weight, blood pressure, and results of medical examinations of various body systems and labs which were all normal. The concluding statement finds her medically fit for employment, with an expiration date of November 13th, 2017. The report is stamped by Dr. Fransiska Ria.

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    MEDICAL REPORT

    No. Lab : 4587


    Name : YENI SILFIA PERMADANI
    Sex : FEMALE Date Issue : OKT 13 th 2017
    Age : 24 Years Nationality : Indonesian
    Adress : Komp.Mustika Griya Angkasa 111Blok. B. No.19
    PUT MARK (V) NORMAL PUT MARK (X) ABNORMAL
    History of Illnes
    1. Height : cm 2. Weight : kg 3. Pulse : /min
    4. Blood Pressure 5. Systolic : mmHg 6. Diastolic : mmHg
    MEDICAL EXAMINATION
    Eyes : Right Eye ( ) Skin Disease ( ) Serelogy :
    Left Eye ( ) Blood Pressure ( ) HIV (V)

    Ears : Right Ear ( ) HbsAg ( )

    Left Ear ( ) Anti HbsAg ( )


    Hematology :
    Malaria ( )
    Hb ( )
    Internal Disease: Gol Darah
    Leuco ( )
    Heart ( ) Ery ( )
    Lungs ( ) Tromb ( )
    Liver ( ) Ht ( )
    Spleen ( )
    Kidney ( )

    Chest X-Ray
    Within normal limit

    Above medical report of Mr/Mrs/Miss : Yeni Silfia Permadani

    He/She is : FIT for employment Hospital Phsychian

    Expire Date : NOV 13 th 2017

    Stamp of Agencies dr. Fransiska Ria


    MEDICAL REPORT
    No. Lab : -
    Name : JUMIATI
    Sex : FEMALE Date Issue : July30th 2015
    Age : 19 Years Nationality : Indonesian
    Adress : Dsn. Barat Jawai
    PUT MARK (V) NORMAL PUT MARK (X) ABNORMAL
    History of Illnes
    1. Height : 161 cm 2. Weight : 43 kg 3. Pulse : 82 /min
    4. Blood Pressure 5. Systolic : 120 mm Hg 6. Diastolic : 80mmHg
    MEDICAL EXAMINATION
    Eyes : Right Eye ( v ) Skin Disease ( v ) Kimia Klinik :
    Left Eye ( v ) Blood Pressure ( v ) Creatinine (v)

    Ears : Right Ear ( v ) Urea (v)

    Left Ear ( v ) Hematologi: SGOT (v)

    Hb ( v ) SGPT (v)
    Internal Disease:
    Leuco ( v )
    Heart ( v )
    Ery ( v )
    Lungs ( v )
    Tromb ( v )
    Liver ( v )
    Ht ( v )
    Spleen ( v )
    Difcount
    Kidney ( v )
    Lymph # ( v )
    Mid # ( v )
    Chest X-Ray
    Gra # ( v )
    Lymph ( v )
    Within normal limit
    Mid ( v )
    Gra ( v )
    Above medical report of Mr/Mrs/Miss : JUMIATI

    He/She is : FIT for employment Hospital Phsychian

    Expire Date : Okt30th 2015

    Stamp of Agencies dr. D A R Y L


    NIK. 000322/RSSE

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