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| Sibu Specialist Medical Centre Sarawak |
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Nancy F
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Patient Name: Nancy Fredrick
Patient Status ; Admitted
Patient Sex: Female
Age: 69years
Origin: Finland.
Date of Admission:06/22/11
Time of Admission: 6am..
Health case: Heart Disease.
Deposit Made: *************
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Name of Patient: ------------------------------------------------
IC/ ID Number: ----------------------------------------------------
Date of Birth: --------------------------------------------------------
Place of Origin: -----------------------------------------------------
Country of Origin: ----------------------------------------------------
Insurance Status: -------------------------------------------------------
Occupation: -----------------------------------------------------------
Health Condition on Point of Entry: ------------------------------------
Present Health Condition Status: -----------------------------------------
Doctor Incharge: --------------------------------------------------------
Hospital Total Fees: -----------------------------------------------------
Comment:
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