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New Cervical Cancer Screening

Personal Information

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Obstetric and Menstrual History

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Breast Cancer Screening and Examinaiton

Speculum Examination

STI complaint

STI examination

VIA Screening History

VIA finding

For Thermal Ablation

Eligible patient:

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Adverse Events(Post thermal ablation treatment)

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Cercival Cancer History

NO.
General ID
Fuchia ID
Visit Date

Cencervial Cancer Export Section

@csrf
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