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Patient Name:
Hospital Number (HN):
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Allergy & Immunology
Anti-Aging Medicine
Aviation Medicine
Cardiology
Clinical Nutrition
Critical Care Medicine
Dental
Dermatology (skin)
Emergency Medicine
Endocrinology (diabetes, thyroid, hormones)
Family Medicine
Forensic Medicine
Gastroenterology
General Medicine
Hematology (blood)
Hyperbaric and Underwater Medicine
Infectious Disease
Internal Medicine (geriatric)
Internal Medicine
Medical Genetics
Nephrology (kidney)
Neurology (nerves)
Neurosurgery
OB/GYN (women)
Oncology (cancer)
Ophthalmology (eyes)
Orthopaedics (bones and joints)
Otolaryngology (ears, nose & throat)
Pathology
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Plastic Surgery
Preventive Medicine (health check-up)
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Toxicology and Occupational Medicine
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