Maka diperlukan istirahat selama , terhitung mulai tanggal 17 April s.d. 19 April 2026.

Surabaya, 17 April 2026 Dokter Penanggung Jawab,

Berdasarkan hasil pemeriksaan pada tanggal 17 April 2026, pasien tersebut di atas didiagnosis dengan:

In Surabaya, as in the rest of Indonesia, a formal from a doctor is mandatory for excusing absences from work, school, or university. The requirement often includes an official stempel (stamp) from the clinic or hospital, and a PDF format for digital submission.

[Stempel Klinik basah]