[
N
OD
q400
Q224,24+0
I8,A,001
D10
A10,3,0,3,1,1,N," FARREL CREVIUS SANTOSO, MR "
A10,27,0,2,1,1,N,"M 22Y"
B130,50,0,1,2,8,90,N,"25036388"
A380,27,5,3,1,1,N,"25036388"
A10,80,0,2,1,2,R,"Serum"
A10,150,0,2,1,1,N,"HBSAM"
A10,180,0,1,1,1,N,"LIS : 6033136388"
A10,195,0,1,1,1,N,"HIS : 01260303121"
A190,190,0,2,1,1,N,"31/Mar/2026 03:25"
P1
]