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NILAI PLAK

Nama Pasien :
Umur :
Operator :
Kunjungan : Persentase :
Tanggal Periksa :

8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8

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