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		<![CDATA[select surat_persetujuan_umum.no_surat,reg_periksa.no_rawat,pasien.no_rkm_medis,pasien.nm_pasien,reg_periksa.umurdaftar,
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				inner join reg_periksa on surat_persetujuan_umum.no_rawat=reg_periksa.no_rawat 
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				<text><![CDATA[PERSETUJUAN UMUM]]></text>
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				<text><![CDATA[Yang bertanda tangan di bawah ini :]]></text>
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				<text><![CDATA[Umur / JK]]></text>
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				<text><![CDATA[Sebagai Pembuat Pernyataan]]></text>
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				<text><![CDATA[No. RM]]></text>
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				<text><![CDATA[Nama]]></text>
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				<text><![CDATA[Dengan ini saya atelah mendapatkan informasi dari petugas admisi : ]]></text>
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				<text><![CDATA[Hubungan Keluarga]]></text>
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				<text><![CDATA[1.]]></text>
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				<text><![CDATA[HAK KEWAJIBAN DAN TANGGUNG JAWAB PASIEN.]]></text>
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				<text><![CDATA[Apabila rumah sakit membutuhkan proses hukum untuk menagih biaya pelayanan rumah sakit dari saya, saya memahami bahwa saya bertanggung jawab untuk membayar semua biaya yang disebabkan dari proses hukum tersebut]]></text>
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