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Get the free CIL form - June 2015 - Tan Tock Seng Hospital

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Clinical Diagnosis Please fill up TAN TOCK SENG HOSPTIAL CLINICAL IMMUNOLOGY LABORATORY Tel 6357 8464 IMMUNOLOGY FORM Relavant History/ Findings/ Treatment NRIC NAME Name and Signature of requesting Doctor SEX/RACE ADDRESS Collection Date Time am/pm CONNECTIVE TISSUE DISEASE AND APS MARKERS Anti-Nuclear antibody ANA Anti-Ro SSA Anti-dsDNA antibody Anti-La SSB Anti-Cardiolipin antibody IgG ACA IgG Anti-Smith Sm Anti-RNP Anti- 2-Glycoprotein 1 antibody IgG Anti-Scl 70 Myositis Panel Mi-2 Mi-2...
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CIL Form - June is a specific form to be filed by certain entities with the government.
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