Patient Information

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Diagnosis Information

Diagnosis : Category : Location:                              Delete

Contact Information

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Document Information

Photo: Delete
Photo Labo Imagine Anapath Other

Patient IPD

       Date in: 2010-02-15 -- Date out: 2010-02-17   Delete
Date In:                      Date Out:                      Remark:

Surgery Information

       2010-02-15   Delete
Surgery Procedure:       Paraclinic Confirmed: Date:        
Medicine:        
Protocol:         

Follow Up

Date :       BP : /       Puls :         T° :       RR :               Delete