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Ja - Neen datum. - Is de pati nt reeds tegen tetanus inge nt Ja - Neen e 1 injectie Indien ja Basisvaccinatie Herhalingen datum Deze gegevens zijn nuttig voor de surveillance van de evolutie van de immuniteit tegen tetanus in ons land. Date d application 29/04/2016 FORM 11/TE/02/F V4 1/1 Serum Datum van staalname. GEGEVENS AANVRAGEND GENEESHEER Naam. ONTVANGSTDATUM REFERENTIE CENTRUM TETANUS. IDENTIFICATIE AANVRAGEND LABORATORIUM Laboratorium voor Medische Microbiologie LMM Naam RIZIV...

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