format.formulir.abd3posisinec
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RADIOLOGIRSIJ PONDOK KOPIJLN.RAYA PONDOK KOPl JAKARTA TIMURTELP.:8610471 8630654.Ext : 319 !x : 8611101 86604"56# $ %!&l : '(&)*+ ,-...$t NAMA PA/IEN :By. Ny. InaUMUR : 1 hariNO PA/IEN : 3920TAN00AL : 5 April 2014DOKTER PEN0IRIM : Dr.Sri SpA RONT0EN : Abdomen 3 posisi.ALAMAT R/ 1 RUAN0 : Ni!YT2.T/ D'.Abdomen 3 posisi.P'$ )$'&t3.$!l 4!t -&l!t$'!l %$.&)&(. D&(t'&-5(& 56!'! 5(5( (!%)!& 6&(t!l .L5%$. (%!ll &.t$(t&.!l 6!. ,3l3. %$l$-!'.D$.7!. )3(&(& (&.!' 83'&93.t!l )3(&(& )'3.$ 6!. (5)&.$ t$'l&8!t ,!(,!6$ 1 !&' 4l5&6 l$:$l %5lt&)l$ %$%-$.t5* 7!%-!'!. (t$) l$!6$' .D&.6&.7 l5%$. 5(5( %$.$-!l 6$.7!. t!.6! ).$5%!t&(!(&.P(3!( l&.$ *!.!. 6!. *&'& t&6!* ;$l!(.T$'l&8!t l$(& '!6&3l5($. t$'($-!' 6& ,!:5% !-63%$.t t$'5t!%! ($7%$. (5)$'&3' 1 ,5'&7! 56!'! -$-!( &.t'! )$'&t3.$!l."esan :
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