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NO.

RM : 107438
NAMA/UMUR : Tn. TASIR / 60Th
Ds. Ardirejo kec. Sambeng kab.
ALAMAT :
Lamongan
TGL. FOTO : 25 Mei 2019
DOKTER : dr.Erik Candra Alif Utama
PERMINTAAN : THORAX DEWASA 1 Posisi

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