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IDENTITAS PASIEN PITC
NAMA :.......................................................
TANGGAL LAHIR :.......................................................
UMUR :.......................................................
ALAMAT SEKARANG:.......................................................
ASAL :.......................................................
ANAK :.......................................................
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NO. KTP :.......................................................
NO. REKAM MEDIS :.......................................................
NO. REGISTER :.......................................................
NO. TELEPON :...................................................................................