Medical History, (Yes/No questions)
    Chest Pain:
    Heart Disease:
    High Blood Pressure:
    High Shortness of breath:
    Asthma:
    Haemoptysis(coughing blood):
    Anaesthesic reaction:
    Diabetes:

    


    Throid:
    Arthiris:
    Kidney Stones:
    Stroke:
    Blood in Urine:
    Neurological disorder:
    HIV:
    
Hepatitis:
    Stomach Ulcer:
    Hernia Repair:
    Cancer:
    Allergic medications:
    Smoking:
    Drinking:

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