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	<parameter name="emailrs" class="java.lang.String"/>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[Tanggal Berobat]]></text>
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				<text><![CDATA[Rujukan interen ke]]></text>
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				<text><![CDATA[Asal Rujukan]]></text>
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				<text><![CDATA[PELAYANAN JAMINAN KESEHATAN NASIONAL (JKRA) RAWAT JALAN]]></text>
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				<text><![CDATA[1) ...............................................]]></text>
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				<text><![CDATA[Tujuan Rujukan]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[3) ...............................................]]></text>
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				<text><![CDATA[2) ...............................................]]></text>
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				<text><![CDATA[4) ...............................................]]></text>
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				<text><![CDATA[No. S E P]]></text>
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				<text><![CDATA[Berat Badan]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[Diagnosa Utama]]></text>
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				<text><![CDATA[:]]></text>
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				<text><![CDATA[..............................................................................]]></text>
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				<text><![CDATA[..............................................................................]]></text>
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				<text><![CDATA[Diagnosa Sekunder]]></text>
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				<text><![CDATA[Prosedur]]></text>
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				<text><![CDATA[Catatan Khusus]]></text>
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				<text><![CDATA[Dokter Pemeriksa]]></text>
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				<text><![CDATA[Rujukan intern ]]></text>
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				<text><![CDATA[4) ...............................................]]></text>
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				<text><![CDATA[1) ...............................................]]></text>
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				<text><![CDATA[Petugas RS]]></text>
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				<text><![CDATA[BERKAS TIDAK BOLEH DIBAWA PULANG RESEP JKN (JKRA)]]></text>
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				<text><![CDATA[Terlampir]]></text>
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