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               past medical history 
  
  
  
  
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               complain of patient  
  
  
  
  
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               physical Examination  
  
  
  
  
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               Mental state Examination  
  
  
  
  
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               impression:  
  
  
  
  
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               Diagnosis  
  
  
  
  
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               Management:  
  
  
  
  
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               Next appointment  
  
  
  
  
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