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				<text><![CDATA[Nama Pasien]]></text>
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				<text><![CDATA[(                                                     )]]></text>
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				<text><![CDATA[Yang bertanda tangan dibawah ini dr]]></text>
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				<text><![CDATA[Dokter,]]></text>
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				<text><![CDATA[SURAT CUTI SAKIT]]></text>
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				<text><![CDATA[Karena sakit yang dideritanya/sembuh dari sakit/habis bersalin/prematur*) maka perlu cuti selama :]]></text>
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				<text><![CDATA[Tanggal Lahir]]></text>
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				<text><![CDATA[Jenis Kelamin :]]></text>
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				<text><![CDATA[Demikian untuk menjadi periksa dan guna seperlunya.]]></text>
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				<text><![CDATA[*) Coret yang tidak perlu]]></text>
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