{"text":"CLINICAL NOTES \n* This col \nFORM GP111F \n355 2095 \n| Ol Juaan. A0 N \nNational Health \nService Number \nSurname (Block Letters) | Forenames (Block Letters) \nLU PGT(LLCLQ \nAddress || Date of Birth \n. Clinical Notes Diagnosis \n(n TR Q0L W Cot \nACud G . 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