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REG N/D/M firstname lastname healthfacilitycode healthfacilitycodetelederma location
DX PatientInitials mm/dd/yyyy Gender PatientNum Symptoms
REF patientid YES/NO/REFER
LOST patientID
LR LeprosyCaseNumber 1/2
OUTCOME LeprosyCaseNumber PatientInitials Birthdate Comp/Trans/Rec/Def/X
INFO ON/OFF
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