Add New Patient
Civil ID
Name
Phone Number
Address
Age
Blood Group
Please select
A+
B+
AB+
O+
A-
B-
AB-
O-
Occupation
Status
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New Patient
Registered
In Treatment
Gender
Please select
Male
Female
Marital Status
Please select
Single
Married
Divorced
Widowed
Separated
Gaurdian Name
Alternate Phone Number
Gaurdian Relationship
Disease
Please select
Thoracic and interventional pulmonary service
Pulmonary hypertension
Lung transplant
Description
Patient history details or related notable information
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