|- ! {{{Date}}} | [[{{{Attending physician}}}]] | {{{Details}}} | {{{Treatment}}} | [[{{{_pageName}}}|View]] [{{{_pageName}}}&action=formedit Edit] |-
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|- ! {{{Date}}} | [[{{{Attending physician}}}]] | {{{Details}}} | {{{Treatment}}} | [[{{{_pageName}}}|View]] [{{{_pageName}}}&action=formedit Edit] |-
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