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		<![CDATA[select reg_periksa.no_rawat,pasien.no_rkm_medis,pasien.nm_pasien,pasien.jk,pasien.tgl_lahir,pasien.pekerjaan,pasien.tmp_lahir,
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				concat(pasien.alamat,', ',kelurahan.nm_kel,', ',kecamatan.nm_kec,', ',kabupaten.nm_kab,', ',propinsi.nm_prop) as alamat_pasien,
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				inner join reg_periksa on persetujuan_penundaan_pelayanan.no_rawat=reg_periksa.no_rawat 
				inner join pasien on reg_periksa.no_rkm_medis=pasien.no_rkm_medis 
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				inner join kelurahan on pasien.kd_kel=kelurahan.kd_kel 
				inner join kecamatan on pasien.kd_kec=kecamatan.kd_kec 
				inner join kabupaten on pasien.kd_kab=kabupaten.kd_kab 
				inner join propinsi on pasien.kd_prop=propinsi.kd_prop]]>
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				<text><![CDATA[SURAT PERSETUJUAN PENUNDAAN PELAYANAN]]></text>
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				<text><![CDATA[Saya yang membuat persetujuan di bawah ini yang menerima informasi (Pasien Sendiri / Keluarga Pasien / Penanggung Jawab Pasien) : ]]></text>
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				<text><![CDATA[Yang Menyatakan]]></text>
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				<text><![CDATA[No. RM]]></text>
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				<text><![CDATA[Membuat Persetujuan Terhadap Pasien a/n :]]></text>
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				<text><![CDATA[Poli / Unit / Ruangan]]></text>
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