Form E-Sule - 2

ObjectID GlobalID KODE SAMPEL Sumber InfTuliskan La Nama LengUmur
Agjkvgfgh Jenis kelamAlamat

46 8fe3a16a-55d8-4da0-9a0e-d25eb7bd59bf 1 choice0 54 choice0 Mana saja
53 4abc27a4-f4a7-49e8-a10b-82beef09b893 2 choice0 42 choice0 Kasegeran
54 e6715d67-37ac-4d3f-bc02-ac82b6237d81 2 choice0 42 choice0 Kasegeran
80 f01c48d4-16f9-4ff8-bb60-42ab29c8af8d 2240 other Klinik Jat Siswo Suma 65 choice0 Desa Tipar
84 79939a36-7017-4a49-b867-9030064c4482 2/10/2004 other puskesmas maryasa 70 choice0
83 c80f626c-1330-4c8c-a141-75e30f125937 2/10/2005 other puskesmas yatman 25 choice0
75 f6c3ba33-d849-4fc5-935d-7874b1bd5367 210001 choice0 Petugas p Maryasa 70 choice0 Banjarpan
94 9ec27bf8-f5f8-458c-96e2-843738e3b42e 213001 choice0 Sanim/ wir 66 choice0 kemawi
98 a9483995-eacb-4ca4-b566-65a14b12b4ef 213002 choice0 Purwadi 46 choice0 Kemawi
99 7b9ca309-fba5-499e-81c7-81b9e664200e 213002 choice0 Purwadi 46 choice0 Kemawi
100 17c5d70a-993e-4f66-81d1-022b0cea3b05 213002 choice0 Purwadi 46 choice0 Kemawi
101 88d88dd4-3869-40ee-9797-56dafed037cd 213002 choice0 Purwadi 46 choice0 Kemawi
102 eef15740-0474-417d-9ad1-e1e905b3b131 213002 choice0 Purwadi 46 choice0 Kemawi
103 85e7538b-5d9e-4077-8a52-65d07789ef91 213002 choice0 Purwadi 46 choice0 Kemawi
104 190b67a8-b072-4f8d-ab0f-2128c90f6393 213002 choice0 Purwadi 46 choice0 Kemawi
95 b95cdabe-258b-4634-96af-58eedf0d41b0 213003 choice0 Cunggret 78 choice1 Kemawi
71 b7ad1447-a34f-48a4-9474-7738ba238c8b 2111001 choice1 Mas'at 63 choice0 Dusun geb
105 7ec7e58d-788c-420e-97fa-0ea9679acbcf 2112001 choice1 Lia Aprilian 24 choice1 Dukuh Doko
70 f25b8032-f83e-4525-aaf4-87d6c3423f57 2113001 choice1 Muhamad s 26 choice0 Dukuh poj
73 cded516e-02fc-41cc-bb62-167a8eaa3477 2113002 choice1 Rudloi 39 choice0 Dukuh band
72 620c2c32-2a0b-439f-bbff-8dceb9546a97 2116001 choice1 Abdul rofik 31 choice0 Getas
35 7afcf0ec-be8f-450e-b5e4-e9002d598c7d 2170001 choice2 Ana 12 choice1 Purwojat
97 0b5ef56e-ea1d-45e4-a76f-85dab8e2c9fe 02.13.003 choice0 Cunggret 78 choice1 Kemawi rt
50 dab73d46-09a1-4252-8074-035d18ec03ed02/04/001 choice0 sak 17 choice0 pungkuran
43 5f7ae16b-b5c9-4d3c-bd68-42839d3007a6 02/06/000 choice0 Ogah 32 choice0 Sigrun
26 2919664b-3724-45eb-9039-778559db851502/07/001 choice1 Aam 23 choice1 Banyumas
82 002da00f-585c-4cce-b0ce-e54c85d587e2 02/10/001 other puskesmas catur widia 31 choice0
81 544537fd-c19a-4b81-94e2-52c6456d0bd8 02/10/003 choice1 nur wijaya 30 choice0 kelurahan
18 002cd717-f102-4c19-a995-8a859f338791 02/11/001 choice1 Pura pura 27 choice0 Desa watuagung rt 5 rw 6
32 2abff53f-b96d-41a4-a828-a31656e5c95e 02/12/001 choice1 Kasminah 52 choice1 Pesantren
33 71aeff1e-6645-42e2-bf94-2fd292d7c100 02/12/001 choice1 Kasminah 52 choice1 Pesantren
34 c272d6ea-2c21-41fc-a17d-a5d164b9dd21 02/12/001 choice1 Kasminah 52 choice1 Pesantren
49 4847579b-b2ee-42a1-8316-8bc37fe344fc 02/16/000 choice0 Aq Aq 51 choice0 Dgk
55 b161ebf6-65fa-46e9-babd-ea4977e0e8b9 02/16/000 choice1 Ab 15 choice0 Kdr
56 2f13dfec-5fbc-4698-b564-113af3028b68 02/16/000 choice1 Ab 15 choice0 Kdr
76 a177c51f-b9ae-40b1-8041-ff4e669c26cd 02/18/001 other RSUD AjibaMunasih 32 choice1 Kracak RT
77 ed3ad6f2-97f0-4a62-8e4d-be3117248435 02/18/001 other RSUD AjibaMunasih 32 choice1 Kracak RT
78 0e65724b-9650-4e99-9cd5-7795738fa433 02/18/001 other RSUD AjibaMunasih 32 choice1 Kracak RT
79 cd4c3e89-0ca7-4651-903e-a0f404d1a2d9 02/18/001 other RSUD AjibaMunasih 32 choice1 Kracak RT
44 3f7add79-d10c-450f-9b36-8352e5b77f42 02/20/001 choice0 Agus 38 choice0 Kedungura
51 212fe9ba-0f70-4ba8-8231-5231896c82e2 02/21/001 choice1 sakim 35 choice0 banjaranya
24 b1b9772c-6115-4f2a-a661-23d3a68c8635 02/22/001 choice0 Lukman 42 choice0
19 9fb40c50-7731-479c-9e20-12a8338a42c2 02/24/001 choice1 36 choice0 Pasir wetan
40 631320b1-6e47-403c-baeb-aab2ee81d40a 02/28/001 choice1 Karpin 45 choice0 Desa rawal
48 d183d1a6-ddae-40e5-a7d6-bb108bbe7ebd02/28/001 choice2 Sukirno 45 choice0 Kelurahan bancarkemba
52 71f21d7e-c389-4a1b-a8c8-bf69229b96f1 02/29/001
02/34/001 choice2 Sit 17 choice1 gendeng
47 f254ff6e-9ce8-474a-b399-c5e987d7ba28 choice1 est 47 choice0
20 7606b694-4135-4adb-8a27-e4cd5ea7421d 02/35/001 choice1 purapura 23 choice1 purwokerto
41 42bee76d-d574-4702-bb05-66816f112243 02/36/001 choice0 Fendi 25 choice0 Dukuh wal
42 c3a9d45e-ffd7-4768-bb2a-86bbdf974923 02/36/001 choice0 Tri Subekt 26 choice0 desa Klam
21 2c9f207b-2526-42f3-94c0-b346b037d77e 02/36/005 choice2 Baim 35 choice0 Purwokert
22 729ee69a-0921-418d-bbe4-09e5a846a77c 02/36/005 choice2 Baim 35 choice0 Purwokert
23 c774a7be-2ebb-4da1-9492-3209681c0189 02/38/001 choice1 zilong pra 23 choice0 karangmang
25 2841deea-2762-41b4-ae15-4a7f11b452b4 02/38/001 choice1 zilong pra 23 choice0 karangmang
86 ce4b11e6-3be8-4eb0-b54b-671bcef9466b 02-18-003 other Kegiatan p Dirno 48 choice0 Darmakrad
87 46593ea4-aa6b-4874-970e-6cb9c63a5b2b 02-18-004 other PemeriksaaRokhiman 30 choice0 Darmakrad
4 8001efc8-9eb9-4b6f-94b9-20281499bdfa 21/01/015 choice1 ahmad 52 choice0 dusun bin
5 87291eb0-a3eb-4179-8240-a1c90b42daed 21/01/015 choice1 ahmad 52 choice0 dusun bin
58 f85113bf-f45d-408c-b1bf-e6448ddb3ff0 semarang tawang choice0 siman 42 choice0 stasiun se
8 356d01ba-cb15-47f8-b887-1508f2aef66c choice0 choice0
9 48064b47-8861-4cbc-97ad-e7dc87973e64 choice0 choice0
10 d9ae0c60-3b50-4769-9a3d-ec182779b442 choice0 choice0
11 38d77866-3f68-4775-b628-2ab3284306d8 choice0 choice0
12 39cf9953-4505-45b2-94d5-2d4c73f68c12 choice0 choice0
13 44ab7865-e40f-48aa-bfbf-597853fc1d8e choice0 choice0
14 40745a96-d8ad-4b9e-80e4-f193fcaf7d14 choice0 choice0
15 edb57aaa-0ba0-4003-9d31-d932be2a8531 choice0 choice0
16 4dba42fc-e725-41c7-b035-80ae56abaa90 choice0 choice0
17 2ff9f171-6336-42d8-a6ab-b60cbb403048 choice0 choice0
27 6296e847-d6dd-45dc-a955-e52e84f86743 choice0 choice0
28 0830f522-ae9a-47f7-9761-b38a55c8d0b9 choice0 choice0
29 d7bf8547-5964-41b4-8728-3d898674bd47 choice0 choice0
30 eb952464-d300-4b7c-9163-53d80fb0599c choice0 choice0
31 90676698-effd-4e37-a239-d10485beb685 choice0 choice0
38 bce563a0-0e81-437a-a0de-02cb022e5fb3 choice0 choice0
39 205bd378-8429-430e-96a1-fceafe958735 choice0 choice0
57 e3106f77-31bb-4fe3-beee-996605637cf8 choice0 choice0
59 a8f554bb-8511-4d41-be9e-3d91fbc35782 choice0 choice0
60 407a86b5-c42b-4a01-9910-0b9b83f649e1 choice0 choice0
61 79ccbede-f2a3-4bef-a8cc-5f7d1e29d40a choice0 choice0
62 718d4e19-b521-44f9-b8ca-b924e9ee21cf choice0 choice0
63 536aa3bd-e2ba-4fe2-8bf2-0632f0b5e097 choice0 choice0
66 785bbb94-2226-40ae-a239-00daed894c0c choice0 choice0
67 4950a196-6c29-400b-a888-2eaa2b0c1fb0 choice0 choice0
68 b0e18313-40ea-4ac6-a0ab-ebadbd1fff2c choice0 choice0
69 89b9da3e-3d20-457d-9472-f7dba7e4c12a choice0 choice0
74 4ab329ef-2a29-46dc-ace9-dfb7a11193b3 choice1 Kuat 53 choice0 Ajibarang
Kec. Rawalo
85 72e1ab77-9f8a-4974-8a5d-e98d0c1987fe choice1 Ferdiana 12 choice0 Kab. Banyumas
88 d8c0d579-f337-4de7-9984-49ac415df033 choice1 Abdulloh 24 choice0 Kalipancur
89 7e18e017-44e4-4ed5-be76-58b21b1a67ea choice1 Dirun 43 choice0 Karangnan
90 6689b5b5-665f-40ae-8fd8-1fce9933b60e choice1 Dirun 43 choice0 Karangnan
91 53446583-0241-4c5f-b33c-c2721449383e choice1 Dirun 43 choice0 Karangnan
92 3fc16f3a-cef0-4d84-86cb-cf5fe0fa5d5d choice0 Sadam 42 choice0 Desa Kema
93 e28e0709-0155-4ec8-8615-f0d1adf12b5f choice0 choice0
RT RW Kelurahan KecamatanPekerjaan Alamat temPendidikan No. Telepo Tempat penampungan air te Terjadi banjAda genanga
Tempat pe
Mana saja Dadidu Hihihi HagahahsgSma 8.65E+11 choice0 choice0 choice0 choice0
4 2 Petani Kasegeran SD 8.23E+10 choice0 choice1 choice0 choice0
4 2 Petani Kasegeran SD 8.23E+10 choice0 choice1 choice0 choice0
2 4 Tipar Rawalo Petani Desa Tipar SD 8.13E+10 choice1 choice1 choice1 choice0
3 7 banjarpan sumpiuh buruh penderes sd choice0 choice1 choice1 choice0
3 6 banjarpan sumpiuh buruh sd 8.13E+10 choice0 choice1 choice1 choice0
3 7 Banjarpan Sumpiuh Burih -- SD - choice1 choice1 choice1 choice0
3 1 Kemawi Somagede Tani Kemawi SD choice1 choice1 choice1 choice0
3 1 Kemawi Somagede Perangkat Kemawi Smu 8.57E+10 choice1 choice1 choice1 choice0
3 1 Kemawi Somagede Rumah tan Kemawi SD choice1 choice1 choice1 choice0
2 6 Gebang Bonang Petani - - - choice0 choice0 choice0 choice0
2 5 PoncoharjoBonang Ibu Rumah Tangga choice0 choice0 choice0 choice0
1 2 Harjowina Dempet - - - 8.52E+10 choice0 choice0 choice0 choice0
3 2 Kunir Dempet Petani/ba Dukuh bandung kidul 8.52E+09 choice0 choice0 choice0 choice0
2 4 Getas Wonosala Petani - 8.54E+10 choice0 choice0 choice0 choice0
1 3 Purwojat Purwojat Pelajar Purwojat TK 8.19E+10 choice0 choice1 choice1 choice0
3 1 Desa KemaSomagede Ibu rah tangga Kls 4.SD choice1 choice1 choice1 choice0
5 3 tunjung pelajar tunjung slta choice0 choice0 choice0 choice0
1 1 Badar Kradenan Tani SMA choice0 choice1 choice1 choice0
3 4 Kemranjen Wiraswast Banyumas SMA 8.12E+10 choice0 choice0 choice0 choice0
4 4 banjarpan sumpiuh buruh/petani sd 8.57E+10 choice0 choice1 choice1 choice0
4 1 kradenan sumpiuh buruh smp 8.77E+10 choice0 choice1 choice1 choice0
Desa watuagung rt 5 rw 6
1 2 Pesantren Tambak Petani Sawah SMP 8.21E+10 choice0 choice1 choice0 choice0
1 2 Ntg Ptr choice0 choice0 choice0 choice0
3 7 Kdr Ptr Tani Kdr SD 8.13E+10 choice0 choice1 choice1 choice0
3 7 Kdr Ptr Tani Kdr SD 8.13E+10 choice0 choice1 choice1 choice0
2 4 Kracak Ajibarang Ibu rumah Kracak RT SMP 8.56E+10 choice1 choice1 choice0 choice0
3 2 Kedungura Gumelar Pedagang Ajibarang SMA 8.57E+10 choice1 choice1 choice1 choice1
2 4 banjaranyapekuncen petani banjaranyasmp 8.12E+10 choice0 choice1 choice1 choice0
Kasegeran Cilongok Petani choice0 choice0 choice0 choice0
2 2 Pasir weta KaranglewaPetani Sawah Smp 8.22E+10 choice0 choice1 choice0 choice0
1 2 Rawalo Rawalo Pedagang Rawalo SMP choice1 choice1 choice1 choice0
Kelurahan bancarkemba 1 BancarkemPurwokertoPNS Puskesmas Sarjana 8.13E+10 choice0 choice1 choice0 choice0
3 2 Grendeng PurwokertoPetani Grendeng SD 8.12E+10 choice0 choice0 choice0 choice0
1 5 karangkle purwokertopetani karangkles sd choice0 choice0 choice0 choice0
3 5 rejasari purwokertomahasiswaunsoed s1 8.54E+10 choice0 choice0 choice0 choice0
3 3 Dukuh wal Kembaran Pengusaha Jalan adipaS1 kesling 8.23E+08 choice0 choice0 choice0 choice0
1 5 pagak klampok pengusaha pagak
g D3 analis 8.56E+10 choice0 choice0 choice1 choice0
2 2 purwokert baturradenpetani baturradensmp choice0 choice0 choice0 choice0
2 2 purwokert baturradenpetani baturradensmp choice0 choice0 choice0 choice0
8 2 karangmanBaturradenwiraswastaKarangmang SMA 8.57E+10 choice0 choice1 choice1 choice1
8 2 karangmanBaturradenwiraswastaKarangmang
Ajibarang SMA 8.57E+10 choice0 choice1 choice1 choice1
1 7 Darmakrad Pekerja indDarmakradSD choice0 choice0 choice0 choice0
2 7 DarmakradAjibarang Pekerja borDarmakradSD choice0 choice0 choice0 choice0
5 6 desa bany banyumas petani dusun bin sma 1234 choice0 choice1 choice1 choice1
5 6 desa bany banyumas petani dusun bin sma 1234 choice0 choice1 choice1 choice1
3 4 semarang kswasta jl pemuda s1 8.53E+10 choice0 choice0 choice0 choice0
choice0 choice0 choice0 choice0
Smp 789630 choice0 choice0 choice0 choice0

Smp 789630 choice0 choice0 choice0 choice0

choice0

2 6 Ajibarang Ajibarang Pedagang Pasar ajibarang 8.21E+10 choice0 choice1 choice0 choice0
2 1 Mengant Rawalo choice0 choice0 choice0 choice0
2 3 RancamayaCilongok Office boy Universit SMA 8.52E+10 choice1 choice0 choice1 choice1
2 6 Karangten Cilongok Buruh karangnangSd 8.12E+09 choice1 choice0 choice1 choice0
3 1 Kemawi Somagede Tani Kemawi SD choice0 choice1 choice1 choice0
Tempat penPencahayaaAda tkus Ada bekas aPenyimpanSampah / sKondisi parAnjing Kucing Sapi Kambing Kerbau Kuda
choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 choice0 choice0
choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0

Rumah berTanggal H Gejala-gejaNyeri otot KelemahanKemerahanNyeri bets Ikterus Oliguria Anuria ManifestasSesak nafa Aritmia ja
choice0 Demam choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### Nyeri
Demam otot choice0 choice0 choice1 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### Nyeri otot choice0 choice0 choice1 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### Demam,nyer
pusing choice0 choice0 choice1 choice0 choice1 choice0 choice1 choice1 choice1 choice1
choice0 ### lemas choice0 choice0 choice1 choice0 choice1 choice1 choice1 choice1 choice1 choice1
choice0 ### pusing, de choice0 choice0 choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1
choice1 ### choice0 choice0 choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1
choice0 Nyeri otot choice0 choice1 choice1 choice1 choice1 choice1 choice1 choice1 choice1 choice1
choice1 ### Demam choice1 choice1 choice1 choice1 choice1 choice1 choice1 choice1 choice1 choice1
choice0 ### Nyeri bets choice1 choice0 choice1 choice0 choice1 choice1 choice1 choice1 choice1 choice1
choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### Pegal choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 sakit kepalachoice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice1 ### nyeri
lemasotot choice0 choice0 choice1 choice0 choice1 choice1 choice1 choice1 choice1 choice1
choice0 ### sakit kepalachoice0 choice0 choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1
choice0 ### Demam, k choice1 choice0 choice0 choice1 choice0 choice1 choice1 choice1 choice1 choice1
choice0 ### Demam,
Dehidrasi k choice1 choice0 choice0 choice1 choice0 choice1 choice1 choice1 choice1 choice1
choice1 ### Badan Nyerichoice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### perut saki choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice1
choice0 ### Demam 7 hchoice0 choice0 choice0 choice0 choice0 choice1 choice0 choice0 choice1 choice0
choice0 ### Demam,nyer choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### demam 38 choice0
derajat choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### demam, nyechoice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### demam choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### pusing nyerchoice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### pusing nyerchoice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0
choice0 ### Mata merah,choice0 choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1 choice1
choice0 ### Demam, nye choice0 choice0 choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1
choice0 ### demam choice0 choice0 choice0 choice0 choice0 choice1 choice1 choice1 choice0 choice1
choice0 choice0 choice0 choice0 choice0

choice1 ### Nyeri otot, choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1 choice0 choice0
choice0 ### Lemas, sak choice1 choice0 choice0 choice0 choice1 choice1 choice1 choice1 choice1 choice1
choice0 ### Demam,mala choice0 choice0 choice0 choice0 choice0 choice1 choice1 choice0 choice0 choice0
Batuk Batuk berdRuam/rash Iritasi men Lainnya CreatonDaCreator EditDate Editor Tanggal H x y
choice0 choice0 choice0 choice0 ### ### 109.2264 -7.423276
choice1 choice0 choice0 choice0 ### ### ### 109.2264 -7.423363
choice1 choice1 choice1 choice1 ### ### -95.2214 38.14551
choice1 choice1 choice1 choice1 ### ### ###
choice0 choice0 choice0 choice0 - ### ### ### 109.2264 -7.423378
choice0 choice0 choice0 ### ### 109.2265 -7.423339
### ### 109.2264 -7.423341
### ### 109.1824 -7.536971
### ### 109.1824 -7.536971
choice1 choice1 choice1 choice1 Mual munt ### ### ### -95.2214 38.14551
choice1 choice0 choice1 choice1 _ ### ### ### 109.2265 -7.42324
### ### 109.2264 -7.423322
choice0 choice0 choice0 choice0 Tidak ada ### ### ### 109.2264 -7.423347
choice0 choice0 choice0 choice0 nyeri otot ### ### ### 109.2264 -7.423324
### ### 110.4912 -7.346718
### ### 110.4912 -7.346718
### ### 110.4912 -7.346718
### ### 110.4912 -7.346718
### ### 110.4912 -7.346718
### ### 110.4912 -7.346718
### ### 110.4912 -7.346718
### ### 109.2265 -7.423229
### ### 109.2265 -7.423376
### ### 109.2265 -7.423242
### ### 109.2264 -7.423338
### ### 109.2264 -7.423321
### ### 109.2264 -7.423321
### ### 109.2265 -7.423311
### ### 109.2265 -7.423311
### ### 109.1224 -7.532036
### ### 109.1226 -7.531932
### ### 109.117 -7.534257
### ### 109.117 -7.534257
### ### 109.117 -7.534257
### ### 109.117 -7.534257
choice0 choice0 ### ### 109.1823 -7.53474
choice0 choice0 choice0 ### ### -95.21672 38.14463
### ###

Form E-Sule - 2

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Form E-Sule - 2

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ObjectID GlobalID KODE SAMPEL Sumber InfTuliskan La Nama LengUmur

Agjkvgfgh Jenis kelamAlamat

choice0 choice0 choice0 choice0

Smp 789630 choice0 choice0 choice0 choice0

choice0 choice0 choice0 choice0

choice0 choice0 choice0 choice0

choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0 choice0

choice0 choice0 choice0 choice0 choice0

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