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<p><span style="font-weight:600">{{TITRE PS}} {{NOM PRENOM MEDECIN}}</span><br />{{SPECIALITE MEDECIN}}<br />{{CONVENTION MEDECIN}}<span style="font-weight:400"><br /></span>{{ADRESSE MEDECIN}}<span style="font-weight:400"><br /></span>{{VILLE MEDECIN}} {{VILLE MEDECIN}}<span style="font-weight:400"><br /></span>{{IDENTIFICATION MEDECIN}}<br /><span style="font-style:italic;font-size:12pt;font-weight:600;color:#ff0000">                                          DUPLICATA ne permettant pas<br />                                          la délivrance de médicament </span><span style="font-size:8pt"><br /> </span>Le    {{DD-MM-YYYY}} <span style="font-weight:400">{{ X90}} </span><span style="font-family:Arial;font-size:27pt;font-weight:600">{{:: Extract (Observation , Circonstances : , Heure d'Arrivée SU: , AT ,AT )}}</span><br />           {{TITRE PATIENT}} {{NOM PATIENT}} {{PRENOM PATIENT}} {{POIDS PATIENT}} </p>
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