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Presenting Complaints: (To be mentioned in the order of severity and the duration)
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History of present illness: (History of onset of each attack and the duration)
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Treatment History
Present Medications
Personal History
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Bowel
Micturation
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Food
Allergic to
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Details of Allergy
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Nature of Job
Physical presentations
Height
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Menstrual History
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Family History
History of similar diseases in the family:
Latest Pathologic Examination Results: (Kindly mention the normal values if available)
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Diagnosis of the current medical Doctor
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