and modified 
Patient name: Age: Sex: Date:

Medication input box:

MedStopper Link
Medical history input box:

Laboratory data:

BMI

BP

eGFR

Hb

Plt

LDL

Uric

ALT

FBS

A1C

Na

K

MMSE

PHQ9

GAD7

ACR

FEV1

FEVR



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