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JABATAN KESIHATAN NEGERI KELANTAN                                                    APPENDIX 2
                                                                                                         MAKMAL KESIHATAN AWAM KOTA BHARU
                                                                                                              LOT 522, KM 10 JALAN KUALA KRAI                              Document Number         MKAKB/BP/BR-06
                                                                                                                 16010 KOTA BHARU KELANTAN                                 Issue Number            01
                                                                                                                                                                                                   00
                                                                                                                                                                           Amendment Number
                                                                                                      NO. TEL : 09-7138000  No. Faksimili : 09-7127115                     Issue Date              03.04.2016



                                                                                          LIST OF REFERRAL LABORATORY
                                                                                                  YEAR: …………….


                                NO.                             ADDRESS                                  TELEPHONE NUMBER /                         TEST OFFER                      CONTACT PERSON
                                                                                                               FAX NUMBER































                               PREPARED BY                   :                                                                                                  APPROVED BY                  :
                               NAME                          :                                                                                                  NAME                         :
                               DESIGNATION                   :                                                                                                  DESIGNATION                  :
                               DATE                          :                                                                                                  DATE                         :
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