114 lines
4.3 KiB
PHP
114 lines
4.3 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>{{ $periksa->nmpasien }} ({{ $periksa->noregister }} - {{ $periksa->nofoto }})</title>
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</head>
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<body>
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<table cellpadding="0" cellspacing="0" width="800" border="0">
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@if ($kopsurat == '')
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<tr>
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<td width="45" height="200"> </td>
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<td width="173" valign="top"> </td>
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<td width="12" valign="top"> </td>
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<td width="165" valign="top"> </td>
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<td width="115" valign="top"> </td>
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<td width="12" valign="top"> </td>
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<td width="128" valign="top"> </td>
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<td width="254" valign="top"> </td>
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</tr>
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@else
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<tr>
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<td colspan="8"><img src="{!! $kopsurat !!}" width="100%" /></td>
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</tr>
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@endif
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<tr>
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<td colspan="8" align="center"><p><strong><u>HASIL PEMERIKSAAN MIKROBIOLOGI KLINIK</u></strong></p></td>
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</tr>
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<tr>
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<td valign="top" width="45"> </td>
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<td valign="top" width="173">No. Laboratorium</td>
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<td valign="top" width="12">:</td>
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<td valign="top" width="165">{{ $periksa->nofoto }}</td>
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<td valign="top" width="115">Tanggal MRS</td>
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<td valign="top" width="12">:</td>
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<td valign="top" colspan="2">{!! $periksa->mulai !!}</td>
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</tr>
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<tr>
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<td> </td>
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<td valign="top">Nama Pasien</td>
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<td valign="top">:</td>
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<td valign="top">{{ $periksa->nmpasien }}</td>
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<td valign="top">Ruang Pengirim</td>
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<td valign="top">:</td>
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<td valign="top" colspan="2">{!! $periksa->asalpasien !!}</td>
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</tr>
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<tr>
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<td valign="top"> </td>
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<td valign="top">Jenis Kelamin</td>
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<td valign="top">:</td>
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<td valign="top">{{ $periksa->jkpasien }}</td>
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<td valign="top">Diagnosa</td>
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<td valign="top">:</td>
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<td valign="top" colspan="2">{!! $periksa->klinis !!}</td>
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</tr>
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<tr>
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<td valign="top"> </td>
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<td valign="top">Usia</td>
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<td valign="top">:</td>
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<td valign="top">{{ $periksa->usia }}</td>
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<td valign="top">Jenis Pemeriksaan</td>
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<td valign="top">:</td>
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<td valign="top" colspan="2">{!! $periksa->reques !!}</td>
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</tr>
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<tr>
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<td valign="top"> </td>
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<td valign="top">Tanggal Kirim Sample</td>
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<td valign="top">:</td>
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<td valign="top">{{ $periksa->daftar }}</td>
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<td valign="top"> </td>
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<td valign="top"> </td>
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<td valign="top" colspan="2"> </td>
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</tr>
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<tr>
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<td valign="top"> </td>
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<td valign="top">Tanggal Selesai Hasil</td>
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<td valign="top">:</td>
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<td valign="top">{{ $periksa->verifikasi }}</td>
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<td valign="top"> </td>
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<td valign="top"> </td>
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<td valign="top" colspan="2"> </td>
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</tr>
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<tr><td colspan="8"> </td></tr>
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<tr>
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<td width="45"> </td>
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<td valign="top" colspan="7" width="755">
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{!! $keterangan !!}
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</td>
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</tr>
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<tr><td colspan="8"> </td></tr>
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<tr><td colspan="8"> </td></tr>
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<tr>
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<td width="45"> </td>
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<td valign="top" colspan="4" align="center"> </td>
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<td valign="top" colspan="3" align="center">RSUD dr. Saiful Anwar <br />Dokter PJ Pemeriksaan Lab</td>
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</tr>
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<tr>
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<td width="45"> </td>
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<td valign="top" colspan="4" align="center"> </td>
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<td colspan="3" align="center" valign="top">{!! $tandatangan !!}</td>
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</tr>
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<tr><td colspan="8"> </td></tr>
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<tr>
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<td width="45"> </td>
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<td valign="top" colspan="4" align="left">{{ $periksa->nmanalis }}</td>
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<td valign="top" colspan="3" align="center">{{ $periksa->nmdokter }}</td>
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</tr>
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</table>
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</body>
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</html>
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