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Clinical Diagnosis (Please fill up)TAN TOOK SENT HOSPITAL CLINICAL IMMUNOLOGY LABORATORY Tel: 6357 8464 Fax: 6357 8463 Email: cil_enquiry@ttsh.com.sgIMMUNOLOGY FORMRelavant History/ Findings/ Treatment ERIC NAME

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CIL formsxls is a compliance form used to report certain financial information to the relevant authorities.

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