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untuk peserta bpjs
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SURAT PENGANTAR UGD
Kediri, ........................................
Kepada Yth :
TS dokter UGD RS ......................................................................
Bersama ini kami kirimkan pasien :
Nama: ..............................................................................
Umur:...............................................................................
Alamat:...............................................................................
No Kartu:...............................................................................
Disebabkan karena keadaan pasien :.................................................................................................
...............................................................................................................................................................
..............................................................................................................................................................
.............................................................................................................................................................
Maka, kami arahkan ke UGD tidak ke poli spesialis.
Atas bantuannya , BTK
Hormat kami,
dr. Yoke Retnaningpuri