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PATIENT MEDICAL HISTORY Patient Name: Height: Yes Yes Yes No No Noyes Yes No Noyes Yes Yes No No No No No No Noyes Yes No Noyes Yes Yes No No No No No No No No No No No No No No No No No Weight: Date:
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How to fill out packs per day
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What is packs per day?
Packs per day refers to the number of cigarette packs consumed in a day by an individual.
Who is required to file packs per day?
Individuals who smoke or consume cigarettes are required to track and report their packs per day.
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To fill out packs per day, one can simply keep a record of the number of cigarette packs consumed each day.
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The information reported on packs per day should include the number of cigarette packs consumed on a daily basis.
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