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Time Slip

The document is a time slip from Agasthiar Siddha Medical Centre certifying that a patient received treatment at the clinic on a specific date. It includes fields for the patient's name, ID number, address, date of treatment, and time of treatment. The physician's name and date are required at the bottom.

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0% found this document useful (0 votes)
3K views2 pages

Time Slip

The document is a time slip from Agasthiar Siddha Medical Centre certifying that a patient received treatment at the clinic on a specific date. It includes fields for the patient's name, ID number, address, date of treatment, and time of treatment. The physician's name and date are required at the bottom.

Uploaded by

sudersen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AGASTHIAR SIDDHA MEDICAL CENTRE

No.3290, Jalan Selasih, A/1, Taman Selasih No. 8878


09000, Kulim Kedah
Tel: 0164080745

TIME SLIP

This is to certify that Mr./Mrs./Miss __________________________________________

R/N or NRIC ________________________ address_______________________________

Has received treatment from this clinic on _____________________________________

from _____________________________ a.m/p.m till ________________ a.m/p.m

Physician’s Name & chop


Date
AGASTHIAR SIDDHA MEDICAL CENTRE
No.3290, Jalan Selasih, A/1, Taman Selasih No. 8879
09000, Kulim Kedah
Tel: 0164080745

TIME SLIP

This is to certify that Mr./Mrs./Miss __________________________________________

R/N or NRIC ________________________ address_______________________________

Has received treatment from this clinic on _____________________________________

from _____________________________ a.m/p.m till ________________ a.m/p.m

Physician’s Name & chop


Date

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