Update Final LOG
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Linksehat Staging Server
@@ -6,7 +6,7 @@ use App\Helpers\Helper;
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<html lang="en">
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<head>
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<meta http-equiv="Content-Type" content="text/html; charset=utf-8"/>
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<title>Surat Jaminan Akhir - {{ $claim->code }}</title>
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<title>Surat Jaminan Akhir - {{ 1 }}</title>
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{{-- <link rel="stylesheet" href="{{ public_path('css/app.css') }}"> --}}
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@@ -104,28 +104,49 @@ use App\Helpers\Helper;
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</head>
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<body>
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<table style="width: 100%">
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<tr><td colspan="99" style="text-align: center">SURAT JAMINAN AKHIR</td></tr>
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<tr><td colspan="99" style="text-align: center; font-weight: bold;font-size: 14px;">SURAT JAMINAN AKHIR</td></tr>
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<tr><td colspan="99" style="text-align: center"></td></tr>
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<tr><td colspan="99" style="text-align: center"></td></tr>
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<tr>
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<td style="width: 25%">Kepada</td>
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<td style="width: 25%">: {{ $hospital->name }}</td>
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<td style="width: 25%;">
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<span style="float: left;">Kepada</span>
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<span style="float: right;">:</span>
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</td>
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<td style="width: 25%">{{ $hospital->name ?? '' }}</td>
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<td style="width: 25%">GOP Tanggal</td>
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<td style="width: 25%">: {{ $claim->created_at->format('d-M-y, H:i') }}</td>
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<td style="width: 25%">
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<span style="float: left;">GOP Tanggal</span>
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<span style="float: right;">:</span>
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</td>
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<td style="width: 25%">{{ $claim->created_at ? (new DateTime($claim->created_at))->format('d-M-Y, H:i') : '' }}</td>
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</tr>
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<tr>
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<td>Alamat</td>
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<td>: {{ $hospital->currentAddress->text ?? '' }}</td>
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<td>
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<span style="float: left;">Alamat</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $hospital->address ?? '' }}</td>
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<td style="width: 25%">GOP Nomor</td>
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<td style="width: 25%">: {{ $claim->code }}</td>
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<td style="width: 25%">
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<span style="float: left;">GOP Nomor</span>
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<span style="float: right;">:</span>
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</td>
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<td style="width: 25%">{{ $claim->code ?? '' }}</td>
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</tr>
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<tr>
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<td>No Telpon / Fax</td>
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<td>: </td>
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<td>
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<span style="float: left;">No Telpon / Fax</span>
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<span style="float: right;">:</span>
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</td>
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<td></td>
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</tr>
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<tr>
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<td>Email</td>
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<td>: </td>
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<td>
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<span style="float: left;">Email</span>
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<span style="float: right;">:</span>
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</td>
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<td></td>
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</tr>
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</table>
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@@ -135,106 +156,142 @@ use App\Helpers\Helper;
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<table style="width: 100%">
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<tr><td colspan="99" style="background: red; padding-left: 30px; color: white">A. Identitas Pasien</td></tr>
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<tr>
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<td style="width: 25%">1. Nama Pasien</td>
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<td style="width: 25%">: {{ $member->full_name }}</td>
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<td style="width: 25%">
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<span style="float: left;">1. Nama Pasien</span>
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<span style="float: right;">:</span>
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</td>
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<td style="width: 25%">{{ $member->name ?? '' }}</td>
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<td style="width: 25%">7. Hak Kelas Kamar</td>
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<td style="width: 25%">: {{ $inpatienBenefit->room_class_coverage ?? '' }}</td>
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<td style="width: 25%">
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<span style="float: left;">7. Hak Kelas Kamar</span>
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<span style="float: right;">:</span>
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</td>
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<td style="width: 25%">{{ $member->room_class_coverage ?? '' }}</td>
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</tr>
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<tr>
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<td>2. Tanggal Lahir</td>
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<td>: {{ $member->birth_date ?? '' }}</td>
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<td>
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<span style="float: left;">2. Tanggal Lahir</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->birth_date ? (new DateTime($member->birth_date))->format('d-M-Y') : '' }}</td>
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<td>8. Hak Kamar ICU</td>
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<td>: </td>
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<td>
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<span style="float: left;">8. Hak Kamar ICU</span>
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<span style="float: right;">:</span>
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</td>
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<td></td>
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</tr>
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<tr>
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<td>3. Jenis Kelamin</td>
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<td>: {{ ($member->gender ?
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<td>
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<span style="float: left;">3. Jenis Kelamin</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ ($member->gender ?
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($member->gender == 'female' ? 'Perempuan'
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: ($member->gender == 'male' ? 'Laki-Laki'
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: $member->gender)
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) : '') }}</td>
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<td>9. No Polis</td>
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<td>: {{ $member->currentPolicy?->code ?? '' }}</td>
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<td>
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<span style="float: left;">9. No Polis</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->payor_id ?? '' }}</td>
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</tr>
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<tr>
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<td>4. Nomor e-KTP</td>
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<td>: {{ $member->nric }}</td>
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<td>
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<span style="float: left;">4. Nomor e-KTP</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->nric ?? ''}}</td>
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<td>10. Nama PH / Perusahaan</td>
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<td>: {{ $member->currentCorporate?->name ?? '' }}</td>
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<td>
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<span style="float: left;">10. Nama PH / Perusahaan</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->corporate_name ?? '' }}</td>
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</tr>
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<tr>
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<td>5. Manfaat</td>
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<td>: {{ $claim->claimRequest?->service?->name ?? '' }}</td>
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<td>
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<span style="float: left;">5. Manfaat</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->services ?? '' }}</td>
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<td>11. Periode Polis</td>
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<td>: {{ $member->currentPolicy ? \Carbon\Carbon::parse($member->currentPolicy->end)->format('d-M-Y') : '' }}</td>
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<td>
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<span style="float: left;">11. Periode Polis</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->periode_policy ? (new DateTime($member->periode_policy))->format('d-M-Y') : '' }}</td>
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</tr>
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<tr>
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<td>6. Status Polis</td>
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<td>: {{ $member->currentPolicy?->status ?? '' }}</td>
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<td>
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<span style="float: left;">6. Status Polis</span>
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<span style="float: right;">:</span>
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</td>
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<td>{{ $member->status_policy == 'active' ? 'Aktif' : 'Tidak Aktif' }}</td>
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<td>12. Mata Uang</td>
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<td>: {{ $member->currency ?? 'IDR' }}</td>
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<td>
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<span style="float: left;">12. Mata Uang</span>
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<span style="float: right;">:</span>
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</td>
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<td>IDR</td>
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</tr>
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<tr><td colspan="99" style="background: red; padding-left: 30px; color: white">B. Informasi Perawatan</td></tr>
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<tr>
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<td style="width: 25%">1. Tanggal Masuk</td>
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<td style="width: 25%">: {{ $claim->finalEncounter->start ?? "" }}</td>
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<td style="width: 25%">: {{ 1 }}</td>
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<td style="width: 25%">7. Lama Perawatan</td>
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<td style="width: 25%">: {{ $claim->finalEncounter->duration_day ?? "" }}</td>
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<td style="width: 25%">: {{ 1 }}</td>
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</tr>
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<tr>
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<td>2. Tanggal Keluar</td>
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<td>: {{ $claim->finalEncounter->end }}</td>
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<td>: {{ 1 }}</td>
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<td>8. Kamar Perawatan</td>
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<td>: {{ "" }}</td>
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</tr>
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<tr>
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<td>3. Nama Rumah Sakit</td>
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<td>: {{ $hospital->name }}</td>
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<td>: {{ 1 }}</td>
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<td>9. Jumlah Tempat Tidur</td>
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<td>: {{ $claim->finalEncounter->number_of_bed }}</td>
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<td>: {{ 1 }}</td>
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</tr>
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<tr>
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<td>4. Dokter yang Merawat</td>
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<td>: {{ $claim->finalEncounter->doctors->first()->person->name ?? '' }}</td>
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<td>: {{ 1 }}</td>
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<td>10. Estimasi Biaya Rawat Inap</td>
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<td>: {{ $claim->total_tagihan ? Helper::currencyIdrFormat($claim->total_tagihan) : "" }}</td>
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<td>: {{ 1 }}</td>
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</tr>
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<tr>
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<td>5. No. Rekam Medis</td>
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<td>: {{ $claim->finalEncounter->meta->MEDRECID }}</td>
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<td>: {{ 1 }}</td>
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<td>11. Diagnosa</td>
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<td>: {{ $claim->diagnosis?->icd?->code ?? '' }}/{{ $claim->diagnosis?->icd?->name ?? '' }}</td>
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<td>: {{ 1 }}</td>
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</tr>
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<tr><td colspan="99" style="background: red; padding-left: 30px; color: white">C. Nilai Jaminan</td></tr>
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<tr>
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<td colspan="99">
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<table style="width: 100%">
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<table style="width: 100%" border="1">
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<tr>
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<th>Manfaat Polis</th>
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<th>Biaya Diajukan</th>
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<th>Biaya Dijamin</th>
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<th>Biaya Tidak Dijamin</th>
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</tr>
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@foreach ($claim->items as $item)
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@foreach ($benefit as $item)
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<tr>
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<td style="text-align:left">{{ $item->claim_itemable->description }}</td>
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<td style="text-align:center">{{ Helper::currencyIdrFormat($item->nominal_ditagihkan)}}</td>
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<td style="text-align:center">{{ Helper::currencyIdrFormat($item->nominal_dicover) }}</td>
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<td style="text-align:center">{{ Helper::currencyIdrFormat($item->nominal_ditagihkan - $item->nominal_dicover) }}</td>
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<td style="text-align:left">{{ $item->description }}</td>
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<td style="text-align:center">{{ Helper::currencyIdrFormat($item->biaya_diajukan)}}</td>
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<td style="text-align:center">{{ Helper::currencyIdrFormat($item->biaya_disetujui) }}</td>
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<td style="text-align:center">{{ Helper::currencyIdrFormat($item->biaya_tidak_disetujui) }}</td>
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</tr>
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@endforeach
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</table>
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@@ -253,7 +310,7 @@ use App\Helpers\Helper;
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<table style="width: 100%;">
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<tr>
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<td style="max-width: {{1/3}}%; overflow: visible; text-align: center">
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Hormat Kami
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<span style="font-weight: bold;">Hormat Kami</span>
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<br>
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<br>
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<br>
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@@ -277,7 +334,7 @@ use App\Helpers\Helper;
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<br>
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<br>
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<br>
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({{ $member->full_name }})
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({{ 1 }})
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</td>
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</tr>
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</table>
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