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Complete patient information on reverse

CH-0039(Rev2015-10) Complete patient information on reverseCH-0039(Rev2015-10)

erythema multiforme Other (specify) headache confusion añritis Other (specify) nausea / vomiting chronic liver disease Other (specify) hemorrhagic cystitis Other (s ecif ) hemolytic anemia lymphadenopathy Splenomegaly Other (specify) [2 conjunctivitis myocarditis abortion Other (specify) weight loss night sweats petechial / purpuric vesicular POS

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