Sick Leave Report
Sick Leave Report
: 34400000001868
ر ﻗ ﻢ ا ﻟ ﻤ ﻠ ﻒ ا ﻟ ﻄﺒ ﻲ
Name : ﻋﺒ ﺪ ا ﻟ ﺤ ﻜﻴ ﻢ ر ﺷﻴ ﺪ ﻋ ﻠ ﻲ ا ﻟ ﺴ ﻠﻴ ﻤ ﻲ
ااﻟﺲــم
Date of : 11-05-2023
Admission Date of Discharge : 11-05-2023
()ﺗﺎ رﻳ ﺦ اﻟ ﺪ ﺧ ﻮ ل ()ﺗﺎ رﻳ ﺦ اﻟ ﺨ ﺮ و ج
Recommendation ( )اﻟﺘﻮﺻﻴﺎت:
: Approval of sick leave / Can not be treated at this facility / Permanent or partial disability / Others
License(SCFHS) : 12GM0057989
Number
( )ا ﻟ ﺮ ﻗ ﻢ
/
إ ﺷ ﺎ ر ة إ ﻟ ﻰ إ ﺣ ﺎ ﻟﺘ ﻜ ﻢ ر ﻗ ﻢ ) ( و ﺗ ﺎ ر ﻳ ﺦ
ﺑ ﺸ ﺄ ن ﻃ ﻠ ﺐ ا ﻟ ﻜ ﺸ ﻒ ا ﻟ ﻄﺒ ﻲ ﻋ ﻠ ﻰ ا ﻟ ﻤ ﻮ ﺿ ﺢ إ ﺳ ﻤ ﻪ/
ﺑﺸﺄن إﻟﻰ ﻣﺮاﺟﻌﺔ اﻟﻤﻮﻇﻒ ﻟﺪﻳﻜﻢ اﻟﻤﻮﺿﺢ اﺳﻤﻪ أﻋﻼه ﻟﻠﻜﺸﻒ
ﻋ ﻠﻴ ﻪ ﺗ ﺠ ﺪ و ن ا ﻟﺘ ﻘ ﺮ ﻳ ﺮ ا ﻟ ﺼ ﺎ د ر ﺑ ﺸ ﺄ ﻧ ﻪ
Companion Job :
( ) و ﻇﻴ ﻔ ﺔ ا ﻟ ﻤ ﺮ ا ﻓ ﻖ
Relationship :
() ﺻﻠ ﺔ اﻟ ﻘ ﺮاﺑ ﺔ
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