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