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Medicine / Clinical medicine / Health / RTT / Infectious causes of cancer / Kidney diseases / Urinary system / Abdominal pain / Bladder cancer / Prostate cancer / Hematuria / Urination
Date: 2012-10-12 12:27:05
Medicine
Clinical medicine
Health
RTT
Infectious causes of cancer
Kidney diseases
Urinary system
Abdominal pain
Bladder cancer
Prostate cancer
Hematuria
Urination

Patient Name: Date: Main Reason for Your Visit: Medication List (Including over the counter medications):

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