8/11/2019 Mat Lee Psychiatry

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KURSUS DIPLOMA PEMBANTU PERUBATAN

PSYCHIATRIC CASE CLERKING

Patients Biodata:

Name: ROSLI BIN KAMAL I/C No.: 650224-04-5019

Date of Bit!: 24-02-1965 Se": M A#e: 4$ Ra%e:M&LA'(

Re)i#io*: ISLAM Maita) Stat+,: B(AN

O%%+atio*: K&RA S&NDIRI

e,e*t Ae,,: BA( 3 1/2 B(KI DARA AN(N K&LIN M&LAKA

e)e!o*e: /7: 0136811595

Name of Ne"t of Ki*:NOR ALIN I/C No.:

Re)atio*,!i: ANAK SA(DARA O%%+atio*: K&RA S&NDIRI

Ae,,: BA( 3 1/2 B(KI DARA AN(N K&LIN M&LAKA

Ami,,io* Stat+,: ;o)+*ta