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RM234567</br>
<b>Permata Sari</b></br>
29 tahun / 23 Jan 1986
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<li role="presentation"><a href="#"><span class="glyphicon glyphicon-dashboard" aria-hidden="true"></span> Dashboard</a></li>
<li role="presentation"><a href="#"><span class="glyphicon glyphicon-file" aria-hidden="true"></span> Rekam Medis</a></li>
<li role="presentation"><a href="#"><span class="glyphicon glyphicon-eye-open" aria-hidden="true"></span> Diagnosis</a></li>
<li role="presentation"><a href="#"><span class="glyphicon glyphicon-heart" aria-hidden="true"></span> Terapi</a></li>
<li role="presentation" class="active"><a href="#"><span class="glyphicon glyphicon-align-left" aria-hidden="true"></span> Hasil Radiologi</a></li>
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<h3><span class="glyphicon glyphicon-align-left" aria-hidden="true"></span> Lab / Radiologi</h3>
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<div class="panel-heading"><h4>Permintaan baru</h4></div>
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<label for="description">Deskripsi</label>
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<label for="clinicalInformation">Keterangan Klinis / Diagnosis</label>
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