CERTIFICATE OF ADMISSION60/RS.TMC/SK05/II/2011

The Undersigned below, doctor of TASIK MEDIKA CITRATAMA Hospital in Tasikmalaya, declare that my patient :

Name : Mr. Junar Mihawarman

Age : 34 Years

Medical Record No : 00-12-89

Address : Perm. Bumi Pesona Cimuncang No. 12 Tasikmalaya

It is true that patient above have been cared in TASIK MEDIKA CITRATAMA Hospital with diagnose Vulnus Laceration and he was given treatment, he need a rest for 3 days ( 22 - 24 Februari 2011 ) and need to reassest wound for medication.

I hope this letter can be used for further issue, thank you.

Tasikmalaya, 21 Februari 2011Doctor examiner

Dr. Trisye