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: