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Training Manual for Preventive Malaria - Ministry of Health

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o Other medical products (drugs, herbal medicines etc) taken within the preceding two<br />

weeks<br />

Reporter Details<br />

• Name, address and telephone number<br />

• Pr<strong>of</strong>ession<br />

• Specialty (if applicable)<br />

• Date <strong>of</strong> Reporting<br />

• Signature<br />

59

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