format lplpo

8/19/2019 Format Lplpo

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LAPORAN STOCK OBAT PADA GUD

TAHUN 2015

NAMA PUSKESMAS : Laantula Jaya

PERIODE LAPORAN(BULAN) :

JUMLAH PUSTU YANG DILAYANI/MELAPOR :

NO NAMA OBAT

JUMLAH STOCK BULAN INI

Jula!

1 2 3 4 5 6=4+5

Sediaan Obat

" ACT (A#t$%unat$ ta&l$t ' * A+,-a.u-n$ an!y,#-,a ta&l$t )

A-# untu0 -n1$0%- l

2 Al&$n,a3+l %u%4$n%- /' l

5 Al&$n,a3+l ta&l$t 5

' Al+4u#-n+l ta&l$t "

6 Al+4u#-n+l ta&l$t 2

7 Al4#a3+la ta&l$t 8'

9 Al4#a3+la ta&l$t 8'

Al4#a3+la ta&l$t "

" A+;+l %-#u4 "' /l

"" A+;+l ta&l$t 2

" A= ' /" l

"2 A-al

2 A4-%-l-n %$#&u0 -n1$0%- -==/-=>= ' />-al

22 A4-%-l-n %$#&u0 -n1$0%- -==/-=>= ' />-al

25

SATUAN/KEMASAN

S-%a St+@0

Bulan M$-

P$n$#-aan

Bulan Jun-

A-n+


2/52

26

27

29

2

5Ant-!$+#+-, DOEN 0+&-na%- : B-%ut %u&alat "' H$0%a0l+#+=/-== 6 /l

' A%a A%$t-l%al-%-lat ta&l$t " (A%$t+%al)

'" A%a A%$t-l%al-%-lat (a%$t+%al) ta&l$t 9

' A%a A%$t-l%al-%-lat ta&l$t ' (A%$t+%al)

'2 A%a A%0+#&at (-ta-n C) ta&l$t '

'5 A%a A%0+#&at (-ta-n C) ta&l$t "

'' A%a A%0+#&at (-ta-n C) ta&l$t '

'6 A%a +lat ta&l$t 8'

'7 A%a +lat ta&l$t "

'9 A%a +lat ta&l$t '

' A%a M$


3/52

69 A%4a#a-na%$ %$#&u0 -n1$0%- "= UI/>-al

6 Ata4ul-t ta&l$t

7 At$n+l+l ta&l$t "

7" At$n+l+l ta&l$t '

7 At#+4-n -n1$0%- -=>=/-==/%=0= 8' /l

72 At#a0u#-u -n1$0%- ' /8' l

75 At#+4-n t$t$% ata "?

7' At#+4-n Sula0a-n -n1$0%- 8'? (HCl) * lu0+%a 9?

"" Bu%ul=/-== ' /l

" D$0%a$ta%+n ta&l$t 87'

"" D$0%a$ta%+n ta&l$t 8'

""" D$0%t#an 7 la#utan -n


4/52

""6 D-a3$4a -n1$0%- -=>=/-= /l

""7 D-a3$4a la#utan #$0tal ' /8' l

""9 D-a3$4a la#utan #$0tal " /8' l

"" D-a3$4a ta&l$t

" D-a3$4a ta&l$t '

""

" D-=/-== " /l (HCl)

"2 D-+0%-n ta&l$t 8'

"5 D-+0%-n ta&l$t 86'

"' D-+0%-n ta&l$t 8"

"6 D-+0%-n -n1$0%- 8' /l

"7 D-0l+0%a%-l-n 0a4%ul/0a4l$t "'

"9 D-0l+0%a%-l-n 0a4%ul/0a4l$t '

" D-0l+0%a%-l-n 0a4%ul/0a4l$t '

"2 D-l+0%an-, ta&l$t '

"2" D-lt-a3$ HCl ta&l$t 2

"2 D-$n!-,#-nat ta&l$t '

"22 D-%+4-#a-, 0a4%ul/0a4l$t "

"25 D+0%-%-0l-n 0a4%ul/0a4l$t "

"2' D+&uta-n -n1$0%- ' /l"26 D+0%+#u&-%-n %$#&u0 -n1$0%- -=>= " />-al

"27 D+0%+#u&-%-n %$#&u0 -n1$0%- -=>= ' />-al

"29 D+4a-n -n1$0%- 5 /l

"2 D+4$#-,+n %u%4$n%-/%-#u4 ' /' l

"5 D+4$#-,+n ta&l$t "

"5" D+%$ta0%$l -n1$0%- /8' l

"5D+%$ta0%$l -n1$0%- 9 / l

"52 E


5/52

"65 $n+&a#&-tal -n1$0%- -=>= " /l

"6' $n-t+-n Nat#- In1$0%- ' /l

"66 $n+&a#&-tal ta&l$t 2

"67 $n+&a#&-tal ta&l$t "

"69 $n+0%-$t-l P$n-%-l-n ta&l$t '

"6 $n+0%-$t-l P$n-%-l-n ta&l$t '

"7 $n+0%-$t-l P$n-%-l-n %-#u4 0$#-n ' /' l

"7" $n+l Gl-%$#+l t$t$% t$l-na "?

"7 $ntan-l -n1$0%- -=/-=> 8' /l

"72 -t+$na,-+n (-t=K") ta&l$t %alut ula "

"75 -t+$na,-+n (-ta-n K") -n1$0%- " /l

"7' -t+$na,-+n (-ta-n K") -n1$0%- -== /l

"76 lu+#+u#a%-l -n1$0%- -=>= ' /l

"77 lu+#+u#a%-l %$#&u0 -n1$0%- '

"79 u#+%$-, -n1$0%- -=>=/-== " /l

"7 u#+%$-, ta&l$t 5

"9 Ga$0%an l+t-+n " ?

"9"

"9 G$


6/52

Hal+4$#-,+l t$t$% /l

" Hal+4$#-,+l -n1$0%- -= /l

"" Hal+4$#-,+l -n1$0%- -= ' /l

" Hal+4$#-,+l ' /l

"2 Hal+tan -n!ala%-

"5 H$4a#-n -n1$0%- -=>=/%=0= ' UI/l

"' H$+,-al-%a la#utan

"6 H-,#+0l+#+t-a3-,a ta&l$t '

"7 H-,#+0+#t-%+n 0#- "?

"9 H-,#+0+# t-%+n 0#- 8' ?

" H+at#+4-n t$t$% ata ?

H-,#+0+#t-%+n %$#&u0 -n1$0%- "

" H-,#+0l+#t-a3-, ta&l$t "8'

H-,#+0l+#t-a3-, ta&l$t '

2 H-,#+$n 4$#+0%-,a @a-#an 0+n%$nt#at

5 H-,#+0%- 4#+$%t$#+n -n1$0%- "' /l

' H-,#+0%- U#$a 0a4%ul '

6 H-+%-n &ut-l+-, ta&l$t "

7 H-+%-n &ut-l+-, -n1$0%- /l

9 Huan t$tanu% -unu% -un+l+&ul-n -n1$0%- -== ' UI Hy,#+;y Et!yl Sta#@! la#utan -n


7/52


8/52

25 Kl+#4#+a3-n -n1$0%- -== ' /l (HCl)

2' Kl+#4#+a3-n -n1$0%- -= ' /l l (HCl)

26 Kl+#4#+a3-n ta&l$t %alut ' (HCl)

27 Kl+3a4-n ta&l$t '

29 Kl+3a4-n ta&l$t "

2 K+,$-n ta&l$t "

2" K+,$-n ta&l$t "'

2"" K+,$-n ta&l$t

2" K+,$-n ta&l$t 2

2"2

2"5 K+4+%-t #$%-n

2"'

2"6 K+l0-%-n ta&l$t ' @

2"7

2"9

2"

2 Kanay@-n -n1$0%-

2" Ku-n-,-n ta&l$t "

2 Ku-n-,-n ta&l$t

22 Ku-n-n (K-na) ta&l$t 25 Ku-n-n ta&l$t

2' Ku-n-n ta&l$t '

26 Ku-n-n -n1$0%- -=>= '? (%$&aa- HCl)

27 Ku-n-n ta&l$t (HSO5=7HO)

29 La0tul+%a %-#u4 " / "' l

2 La->u,-n$ ta&l$t "'

22 Lan3+4#a3+l 0a4%ul/0a4l$t 2

22"

22

222

225 L$>+n+#$%t#$l -4lan #+,% (25 ta!un)

22' L$>+t-#+0%-n ta&l$t " @

226 L$>+t-#+0%-n ta&l$t ' @

227 L$>a-%+l ta&l$t '

K+&-na%- ta&l$t %alut :

&$%- (II) %ul


9/52

25 L-,+0a-n -n1$0%- -=> "

25" L-,+0a-n -n1$0%- ? (HCl) * E4-n$


10/52

299 M$t-l,+4a ta&l$t %alut '

29 M$t-l$#+$t#-n Mal$at (M$t-l$#+$t#-n) ta&l$t %alut 8"'

2 M$t-l$#+$t#-n Mal$at -n1$0%- 8 " l

2"

2

22 M$t-l4#$,n-%+l+n -n1$0%- '

25 M$t-l4#$,n-%+l+n -n1$0%- "'

2' M$t-l4#$,n-%+l+n ta&l$t "6

26 M$t-l4#$,n-%+l+n ta&l$t 5

27 M$t-l4#$,n-%+l+n ta&l$t 9

29 M$t+0l+4#a-,$ -n1$0%- ' /l

2 M$t+0l+4#a-,$ %-#u4 ' / ' l

5 M$t+0l+4#a-,$ ta&l$t "

5" M$t+0l+4#a-,$ ta&l$t '

5 M$t+t#$0%at ta&l$t 8'

52 M$t+t#$0%at %$#&u0 -n1$0%- ' />-al

55 M$t+t#$0%at %$#&u0 -n1$0%- -=>/-==/-=t= ' />-al

5' M$t#+n-,a3+l -n= " /l

5" M-,a3+la -n1$0%- - =>= ' /l

5"" M-0+na3+l %$#&u0 ?

5" M-0+na3+l 0# -/%al$4 ? (N-t#at)

5"2

5"5 M+$t!a%+n 0#- 8" ? ' #

5"' M+$t!a%+n 0#- 8" ? " #

5"6 M+#= " /l

5"7 M+# /l

5 Nat#-u lu+#$%$-n t$t$% ata ?

M$t-l


11/52

522 Nat#-u Kl+#-,a -n1$0%- "'?

525 Nat#-u Kl+#-,a la#utan 8?

52' Nat#-u 0#++l-0at t$t$% ata ?

526 Nat#-u T-+%ul= '?

527 N$+-%-n 0a4%ul/0a4l$t '

529 N$+%t--n -n1$0%- 8' /l

52 N$>-#a4-n ta&l$t

55 N-


12/52

59" Pa#a%$ta+l %-#u4 " / ' l

59 Pa#a%$ta+l %u4+%-t+#-a "'

592 Pa#a%$ta+l %u4+%-t+#-a 5

595 Pa#a%$ta+l ta&l$t "

59' Pa#a%$ta+l ta&l$t '

596 Pa%ta 4$n-%- %alu#an a0a#

597 Pa%ta ,$>-tal-%a%- (n+n a#%$n)

599

59 P$#$t#-n 0#- '?

5 P$nt+0%-


13/52

' P#a>a%tat-n ta&l$t "

'2 P#a>a%tat-n ta&l$t

'5 P#a3-0uant$l ta&l$t 2

'' P#a3-0uant$l ta&l$t 6

'6 P#$,n-%+n ta&l$t '

'7 P#-a0u-n ta&l$t "'

'9 P#+0a-n B$n3-l4$n-%-l-n %$#&u0 -n1$0%- " 1uta IU/>-al

' P#+0a-n B$n3-l4$n-%-l-n %$#&u0 -n1$0%- 2 1uta IU/>-al

'2 P#+0a#&a3-n 0a4%ul '

'2" P#+$ta3-n ta&l$t '

'2 P#+4an+l+l ta&l$t 5 (HCl)

'22 P#+4an+l+l ta&l$t " ( HCl )

'25 P#+4-lt -+u#a%-l ta&l$t " '2' P#+4-lt -+u#a%-l ta&l$t '

'26 P#+4+=8 &+lu% "?

'27 P#+ta-n Sul


14/52

'7 S$-ta-n B") -n1$0%- ' @

'9 S-an+0+&ala-n (>-ta-n B") ta&l$t ' @

' S-0l+a%tat -n ta&l$t '

6 S-4#+=/%=0= "

67 S4-#a-%-n ta&l$t ' 69 S4-#a-%-n ta&l$t '

6 S4-#+n+la0t+n ta&l$t "

6" S4-#+n+la0t+n ta&l$t '

6""

$#u ant %a u a# :

A=B=U=I (0!u%u% ula# ,a#- lua# 4a4ua)

S$#u ant- &-%a ula# :

A=B=U=II (0!u%u% ula# ,a#- 4a4ua)

S$#u ant-t$tanu% (A=T=S) untu0 4$n+&atan

-n1$0%- -==/-=>= "= UI

S$#u ant-t$tanu% (A=T=S) untu0 4$n+&atan

-n1$0%- -==/-=>= = UI

S->a%tat-n scored ta&l$t "

S4+n% $lat-n cubicles ";";" @


15/52

6"' St#$4t+0-na%$ -n1$0%- "8' 1uta UI/>-al

6"6 St#$4t+-%-n %$#&u0 -n1$0%- -=> "' /l

6"7 Su8 $4-,u#al ' @/l

6"9 Sulal 4a@0 4a%ta

65 Tta&l$t Ta! Da#a!

6' Ta+0%-=8 &+lu% ' /a4ul (a#a Na)

65 T-+4$ntal Nat#-u %$#&u0 -n1$0%- " /a4

652 T#aa,+l -n1$0%- ' /l

655 T#aa,+l 0a4%ul/0a4l$t/ta&l$t '

65' T#-< lu+4$#a3-n ta&l$t "

656 T#-< lu+4$#a3-n ta&l$t '

657 T#-!$0%-$ -n1$0%- -=0= ":"

6' U#$a 0#- "?

6'" a0%-n BCG -n1$0%- -=0=

6' a0%-n @a4a0 -n1$0%- %=0

6'2 a0%-n !$4at- t-% B #$0+&-nan

6'5 a0%-n !$4at-t-% HB

6'' a0%-n 1$#a4 ,-


16/52

662

665 al4#+at ta&l$t '

66' al4#+at ta&l$t '

666 al4#+at %-#u4 ' /' l

667 a%+4#$%-n -n1$0%- -=/%=0= UI/l

669 an0+-%-n %$#&u0 -n1$0%- ' />-al

66 $#a4a-l ta&l$t 9 (HCl)

67 $#a4a-l ta&l$t 5

67" $#a4a-l -n1$0%- 8' /l

67 -n&la%t-n %$#&u0 -n1$0%- "

672 -n0#-%t-n %$#&u0 -n1$0%- -=>= "

675 -ta-n B K+4l$0% ta&l$t

67' a#u,-n 2 * La->u,-n$ "'

677 F-,+>u,-n ta&l$t "

679

Campuran

" D$>-t$@ 6 #

D$>-tal-%a%- 4a%ta

2 I+,+# 4a%ta

5 C#$%+


17/52

"2 D-%4+ " l

"5 D-%4+ 8' l

"' D-%4+ 2 l

"6 D-%4+ ' l

"7 D-%4+ " l

"9 $$,-n Tu&$ # ' (St+at@ Tu&$/ NGT/a%lan)

" $$,-n Tu&$ # 9

$$,-n Tu&$ # "

" $$,-n Tu&$ # "5

$$,-n Tu&$ # "6

2 $$,-n Tu&$ # "9 (Ma%lan D$a%a)

5 +lly@at$t$# #= "5

' +lly@at$t$# #= "66 +lly@at$t$# #= "9 T+ay

7 +lly@at$t$# # T+ay

9 +lly@at$t$# # T+ay

+lly@at$t$# # 5 T+ay

2 Han%@+un, St$#-l N+= 6

2" Han%@+un, St$#-l N+= 68'

2 Han%@+un, St$#-l N+= 7

22 Han%@+un, St$#-l n+= 78'

25 Han%@+un, St$#-l n+= 9

2' In


18/52

6" -n N$$,l$ N+= ' (Bu


19/52

NG PUSKESMAS

PENGELUARAN BULAN INI

KETERANGANPu%0$%a% Pu%tu P+%0$%,$% Jula!

& ' ( 1#=&+'+( 12 13 14

SISA STOCKBULAN INI

HARHASATUAN

JUMLAHHARGA


20/52


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26/52


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29/52


30/52


31/52


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34/52


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36/52


37/52

5 Ant--#$n: E#+ta-n Ta#t#at " * K+


38/52

' ( ) ',000 &,(00 0 0 0 0 0 0 '.,000 0 0 &(0 /(0 /(0 (00 ',&(0

6 A%a A%0+#&at (-ta-n C) ta&l$t ' 0

7 A%a M$- # 0#- '? ''0 0 0 0 0 0 0 0 0 '00 0 '0 '2 '0 '0 '(

A%-0l+>-# ta&l$t &,&00 0 0 0 0 0 0 0 0 0 0 0 '00 0 .00 0

2 A%-0l+>-# ta&l$t 5

2 B$,a0 %al-%-l %$#&u0 ? ''' 0 0 0 0 0 0 0 0 0 0 '0 ( 0 0 0

22 B$ta!-%t-n M$%-lat ta&l$t 6 .&0 -,&.0 0 0 0 0 0 0 0 0 0 -0 &/0 -0 &'0 .(0

25 B$ta$ta%+n %al$4 8"? '&. 0 0 0 0 0 0 '&0 0 0 0 '0 & '( ( &0

2' B$ta$ta%+n ta&l$t 8'

26 B#+!$0%-n ta&l$t 9 0 '-,100 0 0 0 0 0 0 0 0 0 200 '00 '00 &00 0

27 C$t-#-3-n %-#u4 ' /' l '' 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0

29 C$t-#-3-n$ ta&l$t " ',200 0 0 0 0 0 0 ',000 0 0 0 '00 '00 .(0 .00 02 D$0%a$ta%+n -n1$0%- -=>=/-== ' /l 1( 0 0 0 0 0 0 0 0 0 0 '00 (0 (( (0 2(

5 D$0%a$ta%+n ta&l$t 8' ',100 '1,(00 0 0 0 0 0 0 0 0 0 ',100 &,000 ',.00 &,/00 ',.00

5" D$0%t#+%a la#utan -n


39/52

69 Glu0+%a la#utan -n


40/52

""" K+4+%-t #$%-n

""

""2 K+l0-%-n ta&l$t ' @

""5

/,'00 0 0 0 0 0 0 0 0 0 0 /00 '00 00 &00 /00

""'

""6&(' 0 0 0 0 0 0 0 0 0 0 -( 0 '0 '0 &(

""7 Kanay@-n -n1$0%-

""9 Lan3+4#a3+l 0a4%ul/0a4l$t 2 0 0 0 /00 0 0 100 .00 0 .00 0 0 0 -00 -00 '00

"9 L$>+


41/52

"'7

"'6 Mult->-ta-n B-+n-0 %y# 0 '00 0 0 (0 0 0 0 0 0 0 0 '- '0 &- '2

"'7 Mult->-ta-n M-#an$u#+n &,200 (,000 0 0 0 0 0 0 0 0 0 ',000 ','00 200 ',.00 /00

"'9 Mult->-ta-n %-+&-+n (,000 0 0 0 (00 0 0 0 0 0 0 (,000 0 0 &00 00

Mult->-ta-n N+>a0-, %y# 4lu% &( 0 0 0 0 0 0 0 0 0 0 0 '- '& 0 0

"' Mult->-ta-n -@anatal

"6 Mult--t %y# /& /& 0

"6" Mult->-ta-n n+>a&-+n (00 &,200 0 0 0 0 0 0 0 0 0 (00 (00 100 &00 ',(00

"6 Nat#-u D-0l+-,+n I+,-,a la#utan "? 2 l

"5 P+>-,+n I+,-,a la#utan "? " l ' 0 0 0 0 0 0 0 0 0 0 ' ' . & '

"' P#$,n-%+n ta&l$t ' /,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ',000

T#-0al-u %-t#at ("HO) 659

Man$%-u 0l+#-,a (6HO) 69 S$n a%$tat (HO) 66

T$&aa %ul


42/52

"9 P#+4-lt-+u#a%-l ta&l$t " &,&00 0 0 0 0 0 0 0 0 0 0 '00 '00 '00 0 -00

" Ran-t-,-n -n1$0%- ' / l .(0 0 0 &00 '00 '00 '00 0 '00 '.0 0 '-0 '0 '0 &.0 '00

Ran-t-,-n ta&l$t "' ','00 ,000 0 0 &,000 0 0 0 0 0 0 ',&00 .00 200 ',00 (00

" R$%$#4-n ta&l$t 8"

R$%$#4-n ta&l$t 8'

2 R$t-n+l (-ta-n A) '= IU 0a4%ul luna0

5 R$t-n+l (-ta-n A) "= IU 0a4%ul luna0 '1 0 0 0 0 0 0 0 '2 0 0 0 0 0 0

' R$t-n+l (-ta-n A) = IU 0a4%ul luna0 & .0 0 0 0 0 0 0 .0 0 0 0 -& - 0 0

6 R-n$# La0tat la#utan -n


43/52

' B$nan S-l0 &la@0 a,$, 2/ 0 '&0 0 0 0 0 0 0 0 0 0 '& '( - '( 0

6 B$nan S-l0 &la@0 a,$, / '0 /& 0 0 0 0 0 0 0 0 0 '0 0 0 0 '&

7 Catut C#+-@ n+= 2/ u0= 7 @ '& -1 0 0 0 0 0 &. /& .20 0 0 0 0 &/ &'

9 Catut C#+-@ n+= / u0= 7' @ && .2 0 0 0 0 0 '& .2 0 0 '& &/ 0 / 0

Catut Pla-n n+= / u0= 7' @

" B, S+l+%!+t L;8' 7 #a ; 2/9 (D-%4+ " l)

"" D-%4+ 8' l ',00 0 ',100 0 ',100 0 0 0 ',000 100 (00 &'0 0 ((0 '(

" D-%4+ 8' l ',11 0 0 0 0 0 0 '00 0 0 &00 &1 0 .- &2 '.'

"2 D-%4+ " l .(0 0 0 (00 0 (00 0 0 0 0 0 &&0 ''0 '&0 &00 &00

"5 D-%4+ 8' l &00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

"' D-%4+ 2 l &-0 (00 &10 ',000 0 0 &00 '00 -00 ',&00 0 &.0 &20 -.0 -/0 -00

"6 D-%4+ ' l (-0 .00 .0 (00 0 0 0 0 0 0 0 '-0 '00 &00 -00 '00

"7 D-%4+ " l 200

"9 $$,-n Tu&$ # ' (St+at@ Tu&$/ NGT/a%lan)

" $$,-n Tu&$ # 9

$$,-n Tu&$ # "

" $$,-n Tu&$ # "5

$$,-n Tu&$ # "6

2 $$,-n Tu&$ # "9 (Ma%lan D$a%a)

5 +lly@at$t$# #= "5

' +lly@at$t$# #= " &0

6 +lly@at$t$# #= "9 T+ay '- 0 '0 0 0 0 0 0 '0 0 &0 0 ( & & 0

7 +lly@at$t$# # T+ay ( 0 0 0 0 0 0 0 0 0 0 0 0 & 0 0

9 +lly@at$t$# # T+ay '0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

+lly@at$t$# # 5 T+ay &( 0 0 0 0 '0 0 0 &0 0 0 0 ( '0 ( (

2 Han%@+un, St$#-l N+= 6

2" Han%@+un, St$#-l N+= 68'

2 Han%@+un, St$#-l N+= 7 '.0 0 0 '00 (0 0 0 '00 '00 '00 0 . ' 0 0 '00

22 Han%@+un, St$#-l n+= 78' '00 &00 '(0 '00 '00 '00 '00 '00 '00 '00 0 '00 '&( ( &-0 2025 Han%@+un, St$#-l n+= 9

2' In


44/52

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47/52

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48/52

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