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<p><span style="font-weight:600;text-decoration:underline;color:#0000ff">Date</span>:  {{DATE TIRET}} {{AGE PATIENT}}<br /><span style="font-weight:600;color:#0000ff">Motif</span><span style="font-weight:600"> :</span> prévention<br /><br /><span style="font-weight:600;text-decoration:underline;color:#0000ff">ANTECEDENTS</span>:<br /><span style="font-weight:600"><br /></span><span style="font-weight:600;color:#0000ff">Maladies chroniques</span> :<br /><span style="font-weight:600">Traitements de fond</span> :<br /><span style="font-weight:600;color:#0000ff">Vaccins</span> :<br /></p>
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