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<p>{{REM=Imprimer avec un en-tête vide}}<span style="font-size:5pt"><br /></span>                                                                                                                                                             {{DT=dd-MM-yy}}<br /><br /><span style="font-size:6pt"><br /></span>                 {{NOM PRENOM PATIENT}} <br /><br />                                         {{NUM. SECU PATIENT}}     					     {{::#SQL_SELECT ( Personnes INNER JOIN fchpat_Intervenants ON Personnes.ID_PrimKey=fchpat_Intervenants.fchpat_Intervenants_IntervPK,  NumOrdre, WHERE fchpat_Intervenants_PatGUID='{{GUID}}' AND Qualite='CPAM' ,1,,)}}<span style="font-size:6pt"><br /></span></p>
<p>                                         {{DATE NAISSANCE PATIENT}}<br /><br /><br /><br /><br /><br />              {{ADRESSE PATIENT UNE LIGNE}}<br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />   {{DT=dd-MM-yyyy}}                                                C                                                           23<br /><br /><br /><br /><br /><br /><br /><br />                                                                                                                    23</p>
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