507 lines
20 KiB
PHP
507 lines
20 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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@php
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$dynamicVariableName = 'font_size_' . now()->timestamp;
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$$dynamicVariableName = 10;
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@endphp
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<style>
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.triangle1 {
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width: 0;
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height: 0;
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border-left: 10.24px solid transparent;
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border-right: 318.24px solid transparent;
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border-bottom: 75.5px solid #008C8C;
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position: absolute;
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top: -55.12px;
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left: -60.91px;
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transform: rotate(-12deg);
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}
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.triangle2 {
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width: 0;
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height: 0;
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border-left: 10.24px solid transparent;
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border-right: 550.24px solid transparent;
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border-bottom: 110.5px solid #19BBBB;
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position: absolute;
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top: -55.12px;
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left: -100.91px;
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transform: rotate(-20deg);
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}
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body {
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margin: 0;
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padding: 0;
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height: 100vh;
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background-color: #ffffff; /* Ganti dengan warna latar belakang yang diinginkan */
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}
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.content-<?php echo now()->timestamp; ?> {
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padding: 20px;
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text-align: left;
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font-family: 'Calibri', sans-serif;
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}
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.content-<?php echo now()->timestamp; ?> img {
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width: 15%;
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max-width: 600px; /* batasan lebar maksimum gambar */
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margin-top: 1px; /* jarak antara segitiga dan gambar */
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margin-bottom: 5px;
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}
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.corner-text-<?php echo now()->timestamp; ?> {
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font-size: {{ $$dynamicVariableName }}px;
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color: #666666;
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position: absolute;
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}
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.top-right-<?php echo now()->timestamp; ?> {
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top: 10px;
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right: 10px;
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}
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.bottom-right-<?php echo now()->timestamp; ?> {
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bottom: 10px;
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right: 10px;
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text-align: right;
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}
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.bottom-left-<?php echo now()->timestamp; ?> {
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bottom: 10px;
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left: 10px;
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text-align: left;
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}
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.title-container-<?php echo now()->timestamp; ?> {
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display: flex;
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flex-direction: column;
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align-items: center;
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text-align: center;
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position: relative;
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margin-top: 1px;
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}
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.title-<?php echo now()->timestamp; ?> {
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font-size: 12px;
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margin-bottom: 5px;
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}
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.additional-text-<?php echo now()->timestamp; ?> {
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font-size: 11px;
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}
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.claim-info-<?php echo now()->timestamp; ?> {
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font-size: {{ $$dynamicVariableName }}px;
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/* color: #008C8C; */
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text-align: justify;
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margin: 0;
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padding: 0;
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margin-top: 10px;
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line-height: 1; /* Atur nilai line-height menjadi 1 atau 100% */
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}
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.claim-info-benefit-<?php echo now()->timestamp; ?> {
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font-size: {{ $$dynamicVariableName }}px;
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/* color: #008C8C; */
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text-align: justify;
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margin: 0;
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padding: 0;
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text-align: right;
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margin-top: 10px;
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line-height: 1; /* Atur nilai line-height menjadi 1 atau 100% */
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}
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table {
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width: 100%;
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border-collapse: collapse;
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margin-top: 1px;
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}
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table, th, td {
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/* border: 1px solid #008C8C; */
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}
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th, td {
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padding: 4px;
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text-align: left;
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}
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.hot-line-<?php echo now()->timestamp; ?> {
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background-color: #048B8C;
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text-align: center;
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align-items: center;
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font-size: {{ $$dynamicVariableName }}px;
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margin-top: 10px;
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padding: 2px;
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color: #ffffff;
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}
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.txt-tindakan-<?php echo now()->timestamp; ?> {
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margin-top: 1px;
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font-size: {{ $$dynamicVariableName }}px;
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}
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.txt-pernyataan-<?php echo now()->timestamp; ?> {
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margin-top: 5px;
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font-size: {{ $$dynamicVariableName }}px;
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}
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.title-container-page-<?php echo now()->timestamp; ?> {
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display: flex;
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flex-direction: column;
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text-align: justify;
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position: relative;
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/* border: 1px solid; Warna garis tepi dan lebar dapat disesuaikan */
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padding: 3px;
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margin-left: auto;
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margin-right: auto;
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margin-top: 5px;
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}
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.txt-syarat-<?php echo now()->timestamp; ?> {
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font-size: {{ $$dynamicVariableName }}px;
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text-align: left;
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}
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.bottom-left-ttd-<?php echo now()->timestamp; ?> {
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color: #000000;
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bottom: 200px;
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left: 10px;
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text-align: left;
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}
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.bottom-left-ttd-1-<?php echo now()->timestamp; ?> {
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color: #000000;
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bottom: 290px;
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left: 10px;
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text-align: left;
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}
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.bottom-right-ttd-<?php echo now()->timestamp; ?> {
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color: #000000;
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bottom: 200px;
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right: 10px;
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text-align: left;
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}
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.bottom-right-ttd-1-<?php echo now()->timestamp; ?> {
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color: #000000;
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bottom: 290px;
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right: 10px;
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text-align: left;
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}
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.bottom-right1-ttd-<?php echo now()->timestamp; ?> {
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color: #000000;
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bottom: 100px;
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right: 10px;
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text-align: left;
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}
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.logo_company-<?php echo now()->timestamp; ?> {
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position: absolute;
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top: -35.12px;
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left: -35.91px;
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width: 10%;
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max-width: 40px; /* batasan lebar maksimum gambar */
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margin-top: 1px; /* jarak antara segitiga dan gambar */
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margin-bottom: 5px;
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}
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.container2-<?php echo now()->timestamp; ?>:after {
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content: "";
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display: table;
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clear: both;
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}
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.container2-<?php echo now()->timestamp; ?> > div {
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float: left; /* Membuat elemen berdampingan */
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width: 48%; /* Atur lebar elemen agar mereka tidak tumpang tindih */
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box-sizing: border-box; /* Menghitung padding dan border ke dalam lebar elemen */
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}
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</style>
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</head>
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<body>
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<div class="triangle2"></div>
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<div class="triangle1"></div>
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@php
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if(!empty($logoPerusahaan->path)) {
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$imgSrc = 'data:image/png;base64,' . base64_encode(file_get_contents(storage_path('app/public/' . $logoPerusahaan->path)));
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echo '<img class="logo_company-' . now()->timestamp . '" src="' . $imgSrc . '">';
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}
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@endphp
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<div class="content-<?php echo now()->timestamp; ?>">
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<div class="corner-text-<?php echo now()->timestamp; ?> top-right-<?php echo now()->timestamp; ?>">
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The Future Of Healthcare At Your Fingertips
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</div>
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<img src="data:image/png;base64,{{ base64_encode(file_get_contents( public_path('images/logo-default.png') )) }}">
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<div class="title-container-<?php echo now()->timestamp; ?>">
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<div class="title-<?php echo now()->timestamp; ?>">
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<b>SURAT JAMINAN</b>
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</div>
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<div class="additional-text-<?php echo now()->timestamp; ?>">
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<b>(SURAT JAMINAN INI HARUS DITANDATANGANI OLEH PASIEN)</b>
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</div>
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</div>
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<table class="claim-info-<?php echo now()->timestamp; ?>">
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<tr>
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<td style="width: 20%;">No. Klaim</td>
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<td style="width: 1%;">:</td>
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<td style="width: 29%;">{{ wordwrap($request_logs->code,15,"<br>\n")}}</td>
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<td style="width: 20%;">Tanggal</td>
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<td style="width: 1%;">:</td>
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<td style="width: 29%;">{{ \Carbon\Carbon::parse($request_logs->created_at)->format('d M Y') }}</td>
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</tr>
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<tr>
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<td>Kepada</td>
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<td>:</td>
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<td>{{ !empty($rumahSakit->nama_rumahsakit) ? $rumahSakit->nama_rumahsakit : '' }}</td>
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<td>Plan Polis</td>
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<td>:</td>
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<td>{{ $dataMember->code_plan }}</td>
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</tr>
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</table>
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<div class="hot-line-<?php echo now()->timestamp; ?>">
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<b>Call Center LinkSehat : 08114123962</b>
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</div>
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<div class="txt-tindakan-<?php echo now()->timestamp; ?>">
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LinkSehat bertindak mewakili perusahaan asuransi/penanggung untuk mengeluarkan Surat Jaminan Akhir untuk peserta dibawah ini :
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</div>
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<div class="container2-<?php echo now()->timestamp; ?>">
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<div>
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<table class="claim-info-<?php echo now()->timestamp; ?>">
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<tr>
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<td style="width: 20%;">Jenis Surat Jaminan</td>
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<td style="width: 1%;">:</td>
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<td style="width: 29%;"><b>SURAT JAMINAN AKHIR</b></td>
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</tr>
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<tr>
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<td>Nama Peserta</td>
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<td>:</td>
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<td>{{ $dataMember->name }}</td>
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</tr>
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<tr>
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<td>Nama Karyawan</td>
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<td>:</td>
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<td>{{ $namaKaryawan }}</td>
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</tr>
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<tr>
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<td>Tanggal Lahir</td>
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<td>:</td>
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<td>{{ \Carbon\Carbon::parse($dataMember->birth_date)->format('d M Y') }}</td>
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</tr>
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<tr>
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<td>Jenis Kelamin</td>
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<td>:</td>
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<td>{{ $dataMember->gender == 'male' ? 'Laki-Laki' : 'Perempuan' }}</td>
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</tr>
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<tr>
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<td>Member ID (BN)</td>
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<td>:</td>
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<td>{{ $dataMember->member_id }}</td>
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</tr>
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<tr>
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<td>Identitas Peserta</td>
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<td>:</td>
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<td>{{ $dataMember->nric }}</td>
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</tr>
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<tr>
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<td>Hak Kamar Pasien</td>
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<td>:</td>
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<td>{{ !empty($dataRequestLog->hak_kamar_pasien) ? $dataRequestLog->hak_kamar_pasien : ''}}</td>
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</tr>
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<tr>
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<td>Penempatan Kamar</td>
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<td>:</td>
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<td>{{ !empty($dataRequestLog->penempatan_kamar) ? $dataRequestLog->penempatan_kamar : ''}}</td>
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</tr>
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<tr>
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<td>No. Rekam Medis</td>
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<td>:</td>
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<td></td>
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</tr>
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<tr>
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<td>Jenis Perawatan</td>
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<td>:</td>
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<td>{{ $dataMember->jenis_perwatan }}</td>
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</tr>
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</table>
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</div>
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<div>
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<table class="claim-info-<?php echo now()->timestamp; ?>">
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<tr>
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<td style="width: 20%;">Penjamin</td>
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<td style="width: 1%;">:</td>
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<td style="width: 29%;">{{ $penjamin }}</td>
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</tr>
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<tr>
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<td>Nama Perusahaan</td>
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<td>:</td>
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<td>{{ $dataMember->nama_perusahaan }}</td>
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</tr>
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<tr>
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<td>Phone Perusahaan</td>
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<td>:</td>
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<td></td>
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</tr>
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<tr>
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<td>No. Polis</td>
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<td>:</td>
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<td>{{ $dataMember->no_polis }}</td>
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</tr>
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<tr>
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<td>Tipe</td>
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<td>:</td>
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<td>{{ $dataMember->limit_rules == '999999999' ? 'As Charge' : 'Max Amount, Rp '.number_format($dataMember->limit_rules, 2, ',', '.') }}</td>
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</tr>
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<tr>
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<td>Status Polis</td>
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<td>:</td>
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<td>{{ $dataMember->status_polis == 'active' ? 'Aktif' : 'Tidak Aktif' }}</td>
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</tr>
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<tr>
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<td>Periode Jaminan</td>
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<td>:</td>
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<td>{{ \Carbon\Carbon::parse($request_logs->submission_date)->format('d M Y') . ($request_logs->discharge_date ? ' - ' . \Carbon\Carbon::parse($request_logs->discharge_date)->format('d M Y') : '') }} </td>
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</tr>
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<tr>
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<td>Mata Uang</td>
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<td>:</td>
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<td>{{ $dataMember->mata_uang }}</td>
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</tr>
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<tr>
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<td>Alamat Provider</td>
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<td>:</td>
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<td>{{ !empty($rumahSakit->alamat_rumahsakit) ? $rumahSakit->alamat_rumahsakit : '' }}</td>
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</tr>
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<tr>
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<td></td>
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<td></td>
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<td></td>
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</tr>
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<tr>
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<td></td>
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<td></td>
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<td></td>
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</tr>
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</table>
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</div>
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</div>
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<table class="claim-info-<?php echo now()->timestamp; ?>">
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<thead>
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<tr style="background-color: #F4F6F8;">
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<td style="width: 5%; text-align: left;"><b>No.</b></td>
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<td style="width: 25%; text-align: left;"><b>Item Layanan</b></td>
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<td style="width: 15%; text-align: right;"><b>Total Klaim</b></td>
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<td style="width: 20%; text-align: right;"><b>Total Disetujui</b></td>
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<td style="width: 20%; text-align: right;"><b>Total Selisih</b></td>
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<td style="width: 15%; text-align: left;"><b>Keterangan</b></td>
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</tr>
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</thead>
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<tbody>
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@php
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$No = 1;
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$total_claim = 0;
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$total_disetujui = 0;
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$total_selisih = 0;
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@endphp
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@foreach($dataClaimLog as $claimLog)
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@php
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$total_claim += $claimLog->amount_incurred;
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$total_disetujui += $claimLog->amount_approved;
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$total_selisih += $claimLog->excess_paid;
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@endphp
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<tr>
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<td>{{ $No++ }}</td>
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<td>{{ $claimLog->code . '-' . $claimLog->benfit }}</td>
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<td class="claim-info-benefit-<?php echo now()->timestamp; ?>">{{ number_format($claimLog->amount_incurred, 2, ',', '.') }}</td>
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<td class="claim-info-benefit-<?php echo now()->timestamp; ?>">{{ number_format($claimLog->amount_approved, 2, ',', '.') }}</td>
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<td class="claim-info-benefit-<?php echo now()->timestamp; ?>">{{ number_format($claimLog->excess_paid, 2, ',', '.') }}</td>
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<td>{{ $claimLog->keterangan}}</td>
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</tr>
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@endforeach
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</tbody>
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<tfoot>
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<tr>
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<td colspan="2"><b>Total</b></td>
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<td class="claim-info-benefit-<?php echo now()->timestamp; ?>"><b>{{ number_format($total_claim, 2, ',', '.') }}</b></td>
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<td class="claim-info-benefit-<?php echo now()->timestamp; ?>"><b>{{ number_format($total_disetujui, 2, ',', '.') }}</b></td>
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<td class="claim-info-benefit-<?php echo now()->timestamp; ?>"><b>{{ number_format($total_selisih, 2, ',', '.') }}</b></td>
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<td></td>
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</tr>
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</tfoot>
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</table>
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<table class="claim-info-<?php echo now()->timestamp; ?>">
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<thead>
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<tr style="background-color: #F4F6F8;">
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<td colspan="5" style="width: 5%; text-align: left;"><b>Diagnosis</b></td>
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</tr>
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</thead>
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<tbody>
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@php
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if(count($dataDiagnosis))
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{
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foreach ($dataDiagnosis as $valDiagnosis)
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{
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@endphp
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<tr>
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<td colspan="5" style="width: 5%; text-align: left;">{{ !empty($valDiagnosis->name) ? ' - '.$valDiagnosis->code.'-'.$valDiagnosis->name : '-'}}</td>
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</tr>
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@php
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}
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}
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else
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{
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@endphp
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<tr>
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<td colspan="5" style="width: 5%; text-align: left;">-</td>
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</tr>
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@php
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}
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@endphp
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</tbody>
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</table>
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<table class="claim-info-<?php echo now()->timestamp; ?>">
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<thead>
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<tr style="background-color: #F4F6F8;">
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<td colspan="5" style="width: 5%; text-align: left;"><b>CATATAN</b></td>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td colspan="5" style="width: 5%; text-align: left;">{{ !empty($dataRequestLog->catatan) ? $dataRequestLog->catatan : '-'}}</td>
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</tr>
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</tbody>
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</table>
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<div class="corner-text-<?php echo now()->timestamp; ?> bottom-left-<?php echo now()->timestamp; ?>">
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@php
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if (!empty($dataMember->code_perusahaan) == 'VALEIND') {
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@endphp
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<b>Alarm Center Vale MKS (LinkSehat) Office</b><br>
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<b>{{ !empty($dataMember->nama_perusahaan) ? $dataMember->nama_perusahaan : '' }}</b><br>
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Lt. 1, Jalan Somba Opu 281, Ujung Pandang, Losari, <br> Kec. Makassar, Kota Makassar, Sulawesi Selatan 90113
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@php
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} else if(!empty($dataMember->code_perusahaan) == 'PETROLAB') {
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@endphp
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<b>Alarm Center Vale MKS (LinkSehat) Office</b><br>
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<b>{{ !empty($dataMember->nama_perusahaan) ? $dataMember->nama_perusahaan : '' }}</b><br>
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|
Jalan Pisangan Lama 3 Nomor 28 Jatinegara, RT.9/RW.3, <br>Pisangan Tim., Kec. Pulo Gadung, Kota Jakarta Timur, Daerah Khusus Ibukota Jakarta 13230
|
|
|
|
@php
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|
} else {
|
|
@endphp
|
|
|
|
<b>Alarm Center Vale MKS (LinkSehat) Office</b><br>
|
|
<b>{{ !empty($dataMember->nama_perusahaan) ? $dataMember->nama_perusahaan : '' }}</b><br>
|
|
|
|
|
|
@php
|
|
}
|
|
@endphp
|
|
</div>
|
|
<div class="corner-text-<?php echo now()->timestamp; ?> bottom-right-<?php echo now()->timestamp; ?>">
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|
<b>PT Link Medis Sehat</b><br>
|
|
<b>Primaya Hospital Corporate</b><br>
|
|
Graha Cempaka Mas Blok D5-6<br>
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|
Jl. Let. Jend. Suprapto, Jakarta Pusat 10640, Indonesia<br>
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|
<b>Telp</b> (021) 4217746/47
|
|
</div>
|
|
</div>
|
|
</body>
|
|
</html>
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