0% found this document useful (0 votes)
735 views1 page

الإجازات المرضية - منصة صحة Pdf - converted - by - abcdpdfggggggggg

This document provides a sick leave companion report for AMAL MOHAMMED K AL MUZAINI to accompany a patient, SARAH SATTAM HAMOUD MUBARAK, for 2 days from 2021-11-10 to 2021-11-11. The attending physician, SAWSAN SULAIMAN MOUSA ALKHURI, recommends the companion after diagnosing the patient's condition requires accompaniment. Details on the patient, companion, and physician are provided. The report recommends verifying the information on the SEHA website using the reference number at the bottom.

Uploaded by

Amal Almuzaini
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
735 views1 page

الإجازات المرضية - منصة صحة Pdf - converted - by - abcdpdfggggggggg

This document provides a sick leave companion report for AMAL MOHAMMED K AL MUZAINI to accompany a patient, SARAH SATTAM HAMOUD MUBARAK, for 2 days from 2021-11-10 to 2021-11-11. The attending physician, SAWSAN SULAIMAN MOUSA ALKHURI, recommends the companion after diagnosing the patient's condition requires accompaniment. Details on the patient, companion, and physician are provided. The report recommends verifying the information on the SEHA website using the reference number at the bottom.

Uploaded by

Amal Almuzaini
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

‫ﺗﻘﺮﻳﺮ ﻣﺮ ا ﻓﻘﺔ ﻣﺮﻳﺾ‬

Companion
SickLeave

Specialized Medical Center Hospital states that ‫ﻣﺴﺘﺸﻔﻰ ا ﻟﻤﺮﻛﺰ ا ﻟﺘﺨﺼﺼﻲ ا ﻟﻄﺒﻲ ﺑﺄن أ ﻣﻞ ﻣﺤﻤﺪ ﺧﻠﻒ‬ ‫ﻳﻔﻴﺪ‬
the AMAL MOHAMMED K AL MUZAINI Holder of 1038233050 ‫رﻗﻢ‬ ‫اﻟﻬﻮﻳﺔ‬ ‫ﺻﺎﺣﺐ‬ ‫ا ﻟﻤﺰﻳﻨﻲ‬
ID ‫ ﻣﻦ اﻷﻳﺎم ﻣﻦ‬2 ‫) ( ﻗﺪ راﻓﻖ اﻟﻤﺮﻳﺾ ل‬tel:1038233050
Number 1038233050 ( tel: 1038233050 ) has :‫ ﺣﺴﺐ اﻟﺘﺎﻟﻲ‬2-06 2-04 1443 ‫ إﻟﻰ ﺗﺎرﻳﺦ‬2-05 2-04 1443 ‫ﺗﺎرﻳﺦ‬
been given a companion sick leave for 2 of days
from 2021- 11-10 to 2021-11-11.
’Information s Patient ‫ﺑﻴﺎﻧﺎ ت ا ﻟﻤﺮﻳﺾ‬
Medical Record Number: 1053815 (tel:1053815) 1053815 : ‫( اﻟﻄﺒﻲ اﻟﺴﺠﻞ رﻗﻢ‬tel:1053815)
National ID Number : 1201251277 (tel:1201251277) 1201251277 : ‫ اﻟﻮﻃﻨﻴﺔ اﻟﻬﻮﻳﺔ رﻗﻢ‬/ ‫( اﻹﻗﺎﻣﺔ‬tel:1201251277)
Full Name : SARAH SATTAM HAMOUD MUBARAK ‫ اﻟﻜﺎﻣﻞ اﻻﺳﻢ‬: ‫ﻣﺒﺎرك ﺣﻤﻮد ﺳﻄﺎم ﺳﺎره‬
Gender :Female ‫ اﻟﺠﻨﺲ‬: ‫أﻧﺜﻰ‬

Arabia Saudi : Nationality ‫ اﻟﺴﻌﻮدﻳﺔ‬: ‫اﻟﺠﻨﺴﻴﺔ‬


Visit Date : 2021-11-09 04-04-1443 : ‫اﻟﺪﺧﻮل ﺗﺎرﻳﺦ‬
Discharge Date : 2021-11-09 04-04-1443 : ‫اﻟﺨﺮوج ﺗﺎرﻳﺦ‬

Recommendati ‫ﻟﺘﻮﺻﻴﺎ ت‬ ‫ا‬


on
After the diagonsing of the patient above turns out that this ‫ﺑﺎﻟﻜﺸﻒ ﻋﻦ اﻟﻤﺬﻛﻮر أﻋﻼه ﺗﺒﻴﻦ أن ﺣﺎﻟﺘﻪ ﺗﺴﺘﺪﻋﻲ وﺟﻮد ﻣﺮاﻓﻖ ﻣﻌﻪ ﻟﺬا‬
condition requires a companion for 2 days start from 2021- ‫ إﻟﻰ ﺗﺎرﻳﺦ‬1443-04-05 ‫ ﻳﻮم ﻣﻦ ﺗﺎرﻳﺦ‬2 ‫ﻧﻮﺻﻲ ﺑﻤﺮاﻓﻘﺔ اﻟﻤﻮﺿﺢ أدﻧﺎه ﻟﻤﺪة‬
11- 10 to 2021-11-11 06-04-1443

Attending Physician Information ‫ﻟﻤﻌﺎﻟﺞ‬ ‫ﻟﻄﺒﻴﺐ ا‬ ‫ﺑﻴﺎﻧﺎ ت ا‬


Name : SAWSAN SULAIMAN MOUSA ALKHURI ‫ ﺳﻮﺳﻦ ﺳﻠﻴﻤﺎن ﻣﻮﺳﻲ اﻟﺨﻮري‬: ‫اﻻﺳﻢ‬
Position : Registrar ‫ ﻧﺎﺋﺐ‬: ‫اﻟﻤﺴﻤﻰ اﻟﻮﻇﻴﻔﻲ‬

Companion Information ‫ﺑﻴﺎﻧﺎ ت ا ﻟﻤﺮ ا ﻓﻖ‬


Companion Name : AMAL MOHAMMED K AL MUZAINI ‫ أﻣﻞ ﻣﺤﻤﺪ ﺧﻠﻒ اﻟﻤﺰﻳﻨﻲ‬: ‫اﺳﻢ اﻟﻤﺮاﻓﻖ‬
National/Iqama ID : 1038233050 )tel:1038233050 ( 1038233050 : ‫ اﻹﻗﺎﻣﺔ‬/ ‫رﻗﻢ اﻟﻬﻮﻳﺔ اﻟﻮﻃﻨﻴﺔ‬
Nationality : Saudi Arabia ‫ اﻟﺴﻌﻮدﻳﺔ‬: ‫اﻟﺠﻨﺴﻴﺔ‬
Gender :Female : ‫اﻟﺠﻨﺲ‬
Relation : ‫أﻧﺜﻰ ﺻﻠﺔ‬

Mother ‫ أم‬: ‫اﻟﻘﺮاﺑﺔ‬

Employer : ‫ ﻣﺘﻮﺳﻄﺔ رﻗﻴﺔ اﻻﺳﻠﻤﻴﺔ‬: ‫ﺟﻬﺔ اﻟﻌﻤﻞ‬

Occupation : : ‫اﻟﻤﻬﻨﺔ‬

‫ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺔ اﻟﺘﻘﺮﻳﺮ ﻳﺮﺟﻰ زﻳﺎرة ﻣﻮﻗﻊ‬


‫ﺻﺤﺔ ﻋﻠﻰ اﻟﺮاﺑﻂ اﻟﺘﺎﻟﻲ‬
(https://www.seha.sa/Home/SickLeave)
‫ وإدﺧﺎل اﻟﺮﻗﻢ اﻟﻤﺮﺟﻌﻲ ﻟﻠﺘﻘﺮﻳﺮ‬PSL21110916600:

You might also like