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Name MEDA 01 PASSENGER Flight info. Wheelchair Age Hospital Clinic Affiliation DIAGNOSIS in details Date of diagnosis ATTENDING PHYSICIAN Male Female Stretcher Weight Contact Number Business Gender Date of first symptoms Date of Operation Vital Signs GCS BP RR HR Temp C SpO2 Hb Medical certificate attached mandatory for all applications No Yes Summary of medical records attached operation or admission within 2 weeks Fitness for the Flight s Contagious AND Communicable Disease Specify...
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