Treatment of Chronic Leukemie and A.I.D.S |
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First name, last name_____________________________________________ Date of birth_________________________plase(town)__________________ Country_______________________domicile(town)_____________________ Country______________________phone number______________________ Appearance of disease(year)_______diagnostic_________________________ _______________________________________________________________ Hemoglobin______place of hospitalization(town,country)_________________ Period(duration)________Consultant Doctor___________________________ For you attention:
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