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- ```
- <------------BEGIN LOG------------->
- <---------------INFO--------------->
- - Username: [NAME]
- - Rank: [YOUR RANK]
- - Checkup: [NUMBER OF CHECKUPS YOU HAVE DONE]
- - Escort: [COMBATIVE, PUT "N/A" IF NONE]
- - Patient Name: [NAME OF PATIENT]
- - Patient Rank: [LEVEL OF PATIENT]
- <------------QUESTIONS------------->
- 1: [MEDICAL QUESTION]
- A1: [PATIENT'S ANSWER]
- Q2:
- A2:
- Q3:
- A3:
- Q4:
- A4:
- Q5:
- A5:
- Q6:
- A6:
- Q7:
- A7:
- <-----------MEDICAL TEST----------->
- - X-ray: [RESULT OF X-RAY, IF NONE PUT "N/A"]
- - Treatment: [TREATMENT OF X-RAY, IF NONE PUT "N/A"]
- - MRI: [RESULT OF MRI, IF NONE PUT "N/A"]
- - Treatment: [TREATMENT OF MRI, IF NONE PUT "N/A"]
- - Eye test: [PUT RESULTS OF EYE TEST]
- - Treatment" [TREATMENT OF EYE, IF NONE PUT "N/A"
- <---------------EXTRA-------------->
- - Note: [POST EXTRA NOTES HERE]
- <---------------PROOF-------------->
- - Proof: [PICTURE OF YOUR CHECKUP]
- ```
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