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  • Form Autotransfusi

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    Ivan D P Sunardi
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    12 views1 page

    Form Autotransfusi

    Uploaded by

    Ivan D P Sunardi

    Copyright:

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

    Kepada yang terhormat,

    Dr. Adrian Tangkilisan, SpB, SpB-TKV(K)


    Di tempat

    Dengan ini, mohon untuk diizinkan untuk meminjam alat auto transfusi dari Cardiovascular
    and Brain Center utk rencana operasi Stabilisasi Posterior pasien :

    Identitas : Omny Potence Bawenti/ Perempuan/ 62 tahun


    RM : 08.02.98
    Hari, Tanggal Operasi : Selasa, 11 Juni 2019

    Demikian surat permohonan kami buat. Atas perhatiannya kami ucapkan terima kasih.

    Senin, 10 Juni 2019


    Hormat kami,

    Dr. Herman Kereh, SpB


    Kepala Instalasi Bedah Sentral

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