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@@ -95,6 +95,10 @@
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<td>Asal Pasien</td>
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<td id="asalpasien"></td>
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</tr>
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<tr>
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<td>Nama RS</td>
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<td id="nmrs"></td>
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</tr>
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<tr>
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<td>No. Lokal Lab</td>
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<td><input type="text" id="nofoto" name="nofoto" class="form-control" readonly></td>
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