الإجازات المرضية - منصة صحه

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 2

‫ﺔﻴﺿﺮﻣ ةزﺎ‬ṣ‫إ ﺮﻳﺮﻘﺗ‬

Sick Leave
Report
GSL23022821366

Lubda PHCC states that patient AMAL ‫ﺪﻤﺤﻣ ﻞﻣأ ﺾﻳﺮﻤﻟا نﺄﺑ هﺪﺒﻟ ﻲﺤﺻ ﺰﻛﺮﻣ ﺪﻴﻳﻔ‬
MOHAMMED MUNAWIR ALSHAMMARI ‫ ﻢﻗر ﺔﻳﻮﻬﻟا ﺐﺣﺎﺻ يﺮﻤﺸﻟا روﺎﻨﻣ‬1116981307
Holder of ID Number ‫ ل ﺔﻴﺿﺮﻣ ةزﺎ‬1 ‫ﻦﻣ‬ṣ‫ﺪﻗ‬ ‫إ ﺢﻨﻣ‬
1116981307 (tel:1116981307) has been (tel:1116981307)
given a sick leave report for 1 of days -1444 ‫ ﺦﻳرﺎﺗ ﻦﻣ‬1444-07-21 ‫ﺦﻳرﺎﺗ ﻰﻟإ‬
from 2023-02-12 to 2023-02-12 ‫مﺎﻳﻷا‬
: 07-21 ‫ﻲﺎﻟﺘﻟا ﺐﺴﺣ‬
Patient’s Information ‫ﺾﻳﺮﻤﻟا تﺎﻧﺎﻴﺑ‬
Medical Record Number: ‫ ﻲﺒﻄﻟا ﻞﺠﺴﻟا ﻢﻗر‬:
1116981307 : ‫ ﺔﻴﻨﻃﻮﻟا ﺔﻳﻮﻬﻟا ﻢﻗر‬/ ‫ﺔﻣﺎﻗﻹا‬
National ID Number : 1116981307 (tel:1116981307)
(tel:1116981307)
Full Name : AMAL MOHAMMED
‫ ﻞﻣﺎﻜﻟا ﻢﺳﻻا‬: ‫يﺮﻤﺸﻟا روﺎﻨﻣ ﺪﻤﺤﻣ ﻞﻣأ‬
MUNAWIR ALSHAMMARI
Sick Leave Date : 2023-02-12 21-07-1444 : ‫زﺎ‬ṣ‫ﻻا ﺦﻳرﺎﺗ‬
Gender :Female : ‫ﻰﺜﻧأ‬
Date of Birth : 2002-07-24 : 1423-05-14 ‫ﺲﻨﺠﻟا‬

Nationality : Saudi Arabia : ‫دﻼﻴﻤﻟا ﺦﻳرﺎﺗ ﺔﻳدﻮﻌﺴﻟا‬

Visit Date :2023-02-12 ‫ﺔﻴﺴﻨﺠﻟا‬

Discharge Date : 2023-02-12 21-07-1444 : ‫لﻮﺧﺪﻟا ﺦﻳرﺎﺗ‬

Revisit Date : 21-07-1444 : ‫جوﺮﺨﻟا ﺦﻳرﺎﺗ‬

Recommendation ‫ﺔﻌ‬ṣ‫ اﺮﻤﻟا ﺦﻳرﺎﺗ‬:


‫تﺎﻴﺻﻮﺘﻟا‬

Sick Leave for 1 days ‫ ةﺪﻤﻟ ﺔﻴﺿﺮﻣ ةزﺎ‬1 ‫مﺎﻳأ‬ṣ‫إ ﻪﺤﻨﻣ ﻢﺗ‬
From :2023-02-12 21-07-1444 : ‫ﺦﻳرﺎﺗ ﻦﻣ‬
To : 2023-02-12 21-07-1444 : ‫ﺦﻳرﺎﺗ‬
‫ﻰﺘﺣ‬
Consultation Date :
: ‫ﻪﺗزﺎ‬ṣ‫إ ءﺎﻬﺘﻧا ﻞﺒﻗ ﺞﺎﻟﻌﻤﻟا ﺐﻴﺒﻄﻟا‬
Attending Physician Information
‫ﺔﻌ‬ṣ‫ا ﺐﻴﺒﻄﻟا تﺎﻧﺎﻴﺑ‬p‫ﻟ‬p‫ﻤ‬p‫ﺎﻟﻌ‬p‫اﺮﻣ ﺞ‬

You might also like