        </div>
                                    <div class="tab-pane fade" id="rs-pills">
                                      <form class="" action="" method="">
                                        <input type="hidden" name="t" value="{?=$_SESSION['token']?}">
                                        <input type="hidden" name="searchBy" value="RS">
                                        <div class="form-group">
                                          <label for="poli">Nomor Rujukan RS</label>
   