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1
How do you spell your family nameïŒ ïŒããªãã®èåã¯ã©ãç¶Žãã®ã§ããïŒïŒ
2
what's your nationality?
3
What's your date of birthïŒ ïŒããªãã®çå¹Žææ¥ã¯ïŒïŒ
4
OB/GEN
5
Phychaiatry
6
Gstroenterology
7
Urology
8
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9
é¢äŒè ã¯ãŸãäžã®éã®åä»ã«è¡ã£ãŠããããªããšãããŸããã
10
ã颚åã¯ãã¡ãã®éšå±ã§å ¥ã£ãŠãããå¿ èŠããããŸãã
11
kind of did you stay in
12
swam in
13
sent them to
14
â fell off â¡broke
15
â has â¡dementia
16
â felt â¡nauseous
17
â hurt â¡when â¢was
18
â Is this your first visit â¡do you have â¢insurance card