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Patient Under investigation (PUB) Form: Coronavirus Disease (COVID-19) Shaka Khanum Memorial Cancer Hospital & Research Center Patient first name ___ Patient last name ___ Patient date of birth ___
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Fill in your personal information including full name, date of birth, address, contact number, and any relevant medical history.
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Answer the questions regarding your symptoms, recent travel history, and exposure to confirmed or suspected cases of COVID-19.
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Individuals who are experiencing symptoms of COVID-19, have had recent travel to high-risk areas, or have been in close contact with confirmed or suspected cases of COVID-19 may need to fill out the covid-19-pui-formpdf.
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covid-19-pui-formpdf is a form used for reporting potential COVID-19 cases and exposures.
Healthcare facilities, employers, and individuals may be required to file covid-19-pui-formpdf.
covid-19-pui-formpdf can typically be filled out electronically or by hand, following the instructions provided on the form.
The purpose of covid-19-pui-formpdf is to track and report potential COVID-19 cases and exposures to help prevent the spread of the virus.
Information such as the individual's name, contact information, symptoms, exposure history, and test results may need to be reported on covid-19-pui-formpdf.
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