update
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@@ -84,7 +84,7 @@
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<input type="text" id="penerima_laporan" name="penerima_laporan" class="form-control">
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<input type="text" id="penerima_laporan" name="penerima_laporan" class="form-control">
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="alasan_belum_laporkan" class="col-form-label">Alasan Belum di Laporkan <font color="red">*</font></label>
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<label for="alasan_belum_laporkan" class="col-form-label">Alasan belum dilaporkan/Pasien meninggal<font color="red">*</font></label>
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<input type="text" id="alasan_belum_laporkan" name="alasan_belum_laporkan" class="form-control" placeholder="Isi jika belum di laporkan (Meninggal / Pindah Rumah Sakit / dll)">
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<input type="text" id="alasan_belum_laporkan" name="alasan_belum_laporkan" class="form-control" placeholder="Isi jika belum di laporkan (Meninggal / Pindah Rumah Sakit / dll)">
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</div>
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</div>
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<button type="submit" class="btn btn-sm btn-warning">Mark as Read</button>
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<button type="submit" class="btn btn-sm btn-warning">Mark as Read</button>
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