Think Beyond Cancer
 

SECOND OPINION

Gender Male Female
Marital Status Married Single
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Gender Yes No
Non vegetarian? Yes No
Do you take any Medicines? Yes No
Do you have a history of smoking? Yes No
Do you have a history of consuming alcohol? Yes No
Do you have history of chewing tobaco? Yes No
Do you have a history of allergy(s)?
Yes No
 
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