Thursday, October 11, 2018

Illness Letter Sample



Dinas Kesehatan Kabupaten Subang
UPTD Puskesmas Tanjungsiang
Jalan Raya Tanjungsiang - Subang -Indonesia
Tlp. 0260-480391


No.:123/120/SICK/II/2017                                                February 28, 2020


To whom it may concern:



I, the undersigned, hereby certify that Sutarmaji, holder of passport number N2456789 was temporarily diagnosed for HNP Susp. on February 28, 2020 and he is not fit for duty for a month due to the diagnosis of illness mentioned above.



Chief Physician,




dr. Prana Pramudya
NIP 123 456 789

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