KLINIK AND SURGERY EQUINE PARK
No. 45, Jalan Putra Permai 1A Taman Equine, 43300 Seri Kembangan,
Selangor, MY

P: +60 3-8959 1553
Ticket no.: TI-2310-1AB28K4RCMJ

  Medical Certificate

I hereby certify that I have examined Subasiny A/P Somayah (850607-01-6764) of CHUBB INSURANCE MALAYSIA BERHAD and find that he/she will be unfit for the proper performance of his/her duties for 2 day(s) from 20/10/2023 to 21/10/2023.

Diagnosis: URTI

Attending doctor: DR.KALAI
Date: 20/10/2023
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