198 lines
10 KiB
PHP
198 lines
10 KiB
PHP
<?php
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include"../core/main.php";
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include"../include/function.php";
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$ret_operasi="SELECT a.*,b.nama,b.tgllahir,c.nama as namaperawat FROM t_formulir_khusus a
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join m_pasien b on a.NOMR = b.NOMR
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join m_perawat c on a.PPA = c.NIP
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where a.IDXFK='".$_GET['idxfk']."'";
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$res_operasi = $db->query($ret_operasi);
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$row_operasi=@$res_operasi->fetchAll()[0];
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$ret_operasi1="SELECT YEAR(NOW())-YEAR(TGLLAHIR) as usia from m_pasien where nomr='".$row_operasi[0]."'";
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$res_operasi1 = $db->query($ret_operasi1);
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$row_operasi1=@$res_operasi1->fetchAll()[0];
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$ret_operasi2="SELECT a.noruang,a.nott,b.nama FROM t_admission a,m_ruang b where a.noruang=b.no and a.nomr='".$row_operasi[0]."'";
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$res_operasi2 = $db->query($ret_operasi2);
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$row_operasi2=@$res_operasi2->fetchAll()[0];
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$ret_operasi3="SELECT * FROM t_operasi where id_operasi='".$_GET['idoperasi']."'";
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$res_operasi3 = $db->query($ret_operasi3);
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$row_operasi3=@$res_operasi3->fetchAll()[0];
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?>
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<div align="center">
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<div id="frame" style="width:100%;">
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<div id="frame_title">
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<h5 align="left">LAPORAN FORMULIR KHUSUS</h5></div>
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<form id="form1" name="form1" method="POST" action="">
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<fieldset class="fieldset">
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<div class="card card-primary">
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<div class="card-header"><h4>ASSESSMEN KEBUTUHAN EDUKASI</h4></div>
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<div class="card-body">
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<div class="row">
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<div class="col-sm-6">
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">NORM</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['NOMR'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Tanggal Lahir</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['TGLLAHIR'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"><strong>KEBUTUHAN EDUKASI</strong></label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong> </strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Informasi Umum</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['INFROMASIUMUM'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-12 pt-0" style="text-align:left"><strong>ASSESSMENT KEMAMPUAN DAN KEMAUAN BELAJAR</strong></label>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Kemampuan Belajar</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['KEMAMPUANBELAJAR'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Hambatan</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['HAMBATAN'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Bahasa yang digunakan</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['BAHASA'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Membutuhkan penterjemah</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['HAMBATANPENTERJEMAH'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Keyakinan dan nilai yang dianut</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['KEYAKINAN'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Rencana Edukasi</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['RENCANAEDUKASI'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Kebutuhan Edukasi</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['KEBUTUHANEDUKASI'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Hasil Verifikasi</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['HASILVERIFIKASI'];?></strong>
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</div>
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</div>
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</div>
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<div class="col-sm-6">
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Nama</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['NAMA'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"> </label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<strong> </strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"> </label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<strong> </strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Edukasi Khusus</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['EDUKASIKHUSUS'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"><br>Kemauan Belajar</label>
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<div class="col-sm-8 pt-0" style="text-align:left"><br>:
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<strong><?=$row_operasi['KEMAUANBELAJAR'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Metode Pembelajaran</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['METODEPEMBELAJARAN'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Hambatan Bahasa</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['HAMBATANBAHASA'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Penterjemah</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['PENTERJEMAH'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"><br>Sebutkan</label>
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<div class="col-sm-8 pt-0" style="text-align:left"><br>:
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<strong><?=$row_operasi['SEBUTKAN'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"><br>PPA</label>
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<div class="col-sm-8 pt-0" style="text-align:left"><br>:
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<strong><?=$row_operasi['namaperawat'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"><br>Tanggal / Jam</label>
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<div class="col-sm-8 pt-0" style="text-align:left"><br>:
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<strong><?=$row_operasi['TANGGAL'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left">Materi Edukasi</label>
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<div class="col-sm-8 pt-0" style="text-align:left">:
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<strong><?=$row_operasi['MATERIEDUKASI'];?></strong>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-form-label col-sm-4 pt-0" style="text-align:left"> </label>
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<div class="col-sm-8 pt-0" style="text-align:left">
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<input type="button" onclick="javascript:history.back();" class="btn btn-secondary text" value="K e m b a l i" />
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</fieldset>
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</form>
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</div></div>
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