185 lines
7.8 KiB
YAML
185 lines
7.8 KiB
YAML
- generic [active] [ref=e1]:
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- complementary [ref=e2]:
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- generic [ref=e3]:
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- img "Al Hammadi" [ref=e5]
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- paragraph [ref=e6]: Source Portal
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- navigation [ref=e7]:
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- link "Dashboard" [ref=e8] [cursor=pointer]:
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- /url: /px-sources/dashboard/
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- img [ref=e9]
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- generic [ref=e14]: Dashboard
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- paragraph [ref=e16]: Create
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- link "New Complaint" [ref=e17] [cursor=pointer]:
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- /url: /px-sources/complaints/new/
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- img [ref=e18]
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- generic [ref=e20]: New Complaint
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- link "New Inquiry" [ref=e21] [cursor=pointer]:
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- /url: /px-sources/inquiries/new/
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- img [ref=e22]
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- generic [ref=e24]: New Inquiry
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- link "New Observation" [ref=e25] [cursor=pointer]:
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- /url: /px-sources/observations/new/
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- img [ref=e26]
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- generic [ref=e28]: New Observation
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- link "New Suggestion" [ref=e29] [cursor=pointer]:
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- /url: /px-sources/suggestions/new/
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- img [ref=e30]
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- generic [ref=e32]: New Suggestion
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- paragraph [ref=e34]: My Feedback
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- link "Complaints" [ref=e35] [cursor=pointer]:
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- /url: /px-sources/complaints/
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- img [ref=e36]
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- generic [ref=e39]: Complaints
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- link "Inquiries" [ref=e40] [cursor=pointer]:
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- /url: /px-sources/inquiries/
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- img [ref=e41]
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- generic [ref=e44]: Inquiries
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- link "Observations" [ref=e45] [cursor=pointer]:
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- /url: /px-sources/observations/
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- img [ref=e46]
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- generic [ref=e49]: Observations
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- link "Suggestions" [ref=e50] [cursor=pointer]:
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- /url: /px-sources/suggestions/
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- img [ref=e51]
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- generic [ref=e53]: Suggestions
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- paragraph [ref=e55]: Communication
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- link "Contact PX Team" [ref=e56] [cursor=pointer]:
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- /url: /px-sources/communication-requests/new/
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- img [ref=e57]
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- generic [ref=e61]: Contact PX Team
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- link "My Requests" [ref=e62] [cursor=pointer]:
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- /url: /px-sources/communication-requests/
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- img [ref=e63]
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- generic [ref=e65]: My Requests
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- link "Change Password" [ref=e67] [cursor=pointer]:
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- /url: /accounts/password/change/
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- img [ref=e68]
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- generic [ref=e72]: Change Password
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- link "Logout" [ref=e73] [cursor=pointer]:
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- /url: /accounts/logout/
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- img [ref=e74]
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- generic [ref=e77]: Logout
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- generic [ref=e79]:
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- img [ref=e81]
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- generic [ref=e87]:
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- paragraph [ref=e88]: Call Center
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- paragraph [ref=e89]: Your Source
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- main [ref=e90]:
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- generic [ref=e92]:
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- generic [ref=e93]:
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- img [ref=e95]
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- paragraph [ref=e100]: NUZHA
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- generic [ref=e102]:
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- generic [ref=e104]: SM
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- generic [ref=e105]:
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- paragraph [ref=e106]: SHAHAD MOSLEH K ALA…
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- paragraph [ref=e107]: Source User
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- generic [ref=e108]:
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- generic [ref=e109]:
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- generic [ref=e110]:
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- generic [ref=e111]:
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- img [ref=e113]
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- generic [ref=e115]:
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- heading "Create Complaint" [level=1] [ref=e116]
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- paragraph [ref=e117]:
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- text: Submit a new complaint from
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- strong [ref=e118]: Call Center
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- link "Back to Complaints" [ref=e119] [cursor=pointer]:
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- /url: /px-sources/complaints/
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- img [ref=e120]
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- text: Back to Complaints
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- generic [ref=e123]:
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- img [ref=e124]
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- generic [ref=e126]:
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- paragraph [ref=e127]: Source Information
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- paragraph [ref=e128]:
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- text: This complaint will be automatically linked to
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- strong [ref=e129]: Call Center
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- text: . All required fields are marked with *
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- generic [ref=e131]:
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- generic [ref=e133]:
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- generic [ref=e134]:
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- generic [ref=e135]: Complainant Name *
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- textbox "Complainant Name *" [ref=e136]:
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- /placeholder: Your full name
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- generic [ref=e137]:
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- generic [ref=e138]: Mobile Number *
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- textbox "Mobile Number *" [ref=e139]:
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- /placeholder: Your mobile number
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- generic [ref=e140]:
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- generic [ref=e141]: Email Address
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- textbox "Email Address" [ref=e142]:
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- /placeholder: your@email.com
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- generic [ref=e143]:
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- generic [ref=e144]: Relation to Patient *
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- combobox "Relation to Patient *" [ref=e145]:
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- option "Patient" [selected]
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- option "Relative"
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- option "Friend"
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- option "Other"
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- generic [ref=e146]:
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- generic [ref=e147]: Patient Name *
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- textbox "Patient Name *" [ref=e148]:
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- /placeholder: Name of the patient involved
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- generic [ref=e149]:
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- generic [ref=e150]: National ID/ Iqama No. *
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- textbox "National ID/ Iqama No. *" [ref=e151]:
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- /placeholder: Saudi National ID or Iqama number
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- generic [ref=e152]:
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- generic [ref=e153]: Incident Date *
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- textbox "Incident Date *" [ref=e154]
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- generic [ref=e155]:
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- generic [ref=e156]: Staff Involved
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- textbox "Staff Involved" [ref=e157]:
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- /placeholder: Name of staff member involved (if known)
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- paragraph [ref=e158]: Optional - Name of staff involved
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- generic [ref=e159]:
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- generic [ref=e160]: Hospital *
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- combobox "Hospital *" [ref=e161]:
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- option "Select Hospital"
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- option "NUZHA" [selected]
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- option "SUWAIDI"
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- generic [ref=e162]:
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- generic [ref=e163]: Location *
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- combobox "Location *" [ref=e164]:
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- option "Select Location"
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- option "Emergency"
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- option "Emergency Room"
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- option "In-Patient Ward"
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- option "Inpatient" [selected]
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- option "Others"
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- option "Out-Patient Department"
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- option "Outpatient Clinics"
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- generic [ref=e165]:
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- generic [ref=e166]: Section *
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- combobox "Section *" [ref=e167]:
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- option "Select Section" [selected]
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- option "Administrative"
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- option "Medical"
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- option "Nursing"
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- option "Support Services"
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- generic [ref=e168]:
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- generic [ref=e169]: Subsection *
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- combobox "Subsection *" [disabled] [ref=e170]:
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- option "Select Subsection" [selected]
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- generic [ref=e171]:
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- generic [ref=e172]: Complaint Details *
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- textbox "Complaint Details *" [ref=e173]:
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- /placeholder: Please describe your complaint in detail. Our AI system will analyze and prioritize your complaint accordingly.
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- generic [ref=e174]:
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- generic [ref=e175]: Expected Complaint Result
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- textbox "Expected Complaint Result" [ref=e176]:
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- /placeholder: What do you expect as a resolution?
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- paragraph [ref=e177]: What do you expect as a resolution? (Optional)
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- generic [ref=e178]:
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- button "Submit Complaint" [ref=e179] [cursor=pointer]:
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- img [ref=e180]
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- text: Submit Complaint
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- link "Cancel" [ref=e182] [cursor=pointer]:
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- /url: /px-sources/complaints/
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- img [ref=e183]
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- text: Cancel
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- paragraph [ref=e187]:
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- text: Powered by
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- link "tenhal.sa" [ref=e188] [cursor=pointer]:
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- /url: https://tenhal.sa |