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PEMERINTAH PROVINSI BALI RUMAH SAKIT UMUM DAERAH BALI MANDARA Jalan ByPass Ngurah Rai No.548 Sanur,Garut-Bali No.Telp : (0361) 4490566, E-mail : rsud.balimandara@gmail.com |
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| FORMULIR Lower Extermity Duplex Ultrasound |
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| Birthdate | : | {{ $pasien['tgllahir'] }} |
| Sex | : | {{ $pasien['jeniskelamin'] }} |
| MR Number | : | {{ $pasien['nocm'] }} |
| INDICATION | : | {{ $data['indikasi'] }} |
| Sonogrpaher | : | {{ $data['sonographer']['label'] }} |
| Reviewer | : | {{ $data['reviewer']['label'] }} |
| Exmanination Date | : | {{ date('d-m-Y - H:m', strtotime($data['tglEksaminasi'])) }} |
| Study Type | : | {{ $data['studyType'] }} |
| FINDING |
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| CONCLUSION |
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