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Information for the Dialysis Unit
Hepatitis Markers
Hbs Ag(+)
Preferred dialysis Days
Please send my Dialysis Treatment Confirmation by
Bicarbonate
Hbs Ag(-)
Single
Needle
HCV (+)
HCV (-)
Polyflux
Low flux
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Dialysis finished date:
Dialysis beginnig date:
dd/mm/2008
dd/mm/2008
I am agree with the Information about the Treatment
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