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Medical History (For Learners)
No
Yes
1. Do you have any allergies?
If Yes, please identify below:
Medicines
Pollens
Food
Stinging Insects
Others:
No
Yes
2. Do you have any ongoing medical condition?
If Yes, please identify below:
Asthma
Seizure
Heart Problem
Anemia
Bleeding disorder
Others:
No
Yes
3. Have you ever had surgery/hospitalization?
If Yes, please identify below:
4. Does anyone in your family have the following conditions:
Tuberculosis
Cancer
If Yes, what kind?
Stroke​


Sagot :

Answer:

number 1 is Yes co'z im allergic in grass

number2 nope

number3 no

number4 is no