DECLARAÇÃO DE COMPARECIMENTO

DECLARAÇÃO DE COMPARECIMENTO

Declaro para os devidos fins, que o Sr.(a): _________________________

Declaro para os devidos fins, que o Sr.(a): _________________________
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portador do Documento RG n.º______________________ compareceu a esta
portador do Documento RG n.º______________________ compareceu a esta
Unidade Hospitalar no dia ________/________/_________
Unidade Hospitalar no dia ________/________/_________
das _______às ________
das _______às ________

Tipo de Atendimento:
Tipo de Atendimento:
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Arapiraca/AL ______de ______________de2023

Arapiraca/AL ______de ______________de2023

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Assinatura e carimbo Assinatura e carimbo