CERTIFICATE OF HEALTH ASSESSMENT
– – –
1 month 2 weeks 3 days
–
FIT TO WORK
Conclusion
Issued Date
Doctor Name
Prepared By
Expired Date
Doctor Name
Verified By
dr. Lukman Jauhari, M.Kes.,Sp. KL
SIP : 70/B.15f/31.72.06.1003.10.HK/3/TM.09.74/e/2024