Aldous - Rajiv Gandhi University of Health Sciences
Other (ICD-9 Required) _____ 3. CLINICAL INFORMATION. 1. Please indicate current treatment ... Does the patient have a history of PCOS? Yes No . 4. Does the patient have an active or history of thromboembolic disorders? ... 10 mg/mL 5 mL Vial. Quantity 40 … ................
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