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{| id="medical" style="background:#C0C0C0; margin: 0 0 1em 1em; border:2px solid #000000;" align="right" width="30%" | {| id="medical" style="background:#C0C0C0; margin: 0 0 1em 1em; border:2px solid #000000;" align="right" width="30%" | ||
! style="background:# | ! style="background:#9C0F0F; border:1px solid #000000" align="center" |<font color=#FFFFFF> '''Medical History''' | ||
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| style="font-size: 90%" | | | style="font-size: 90%" | |
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