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1

~~~~~~~~~~

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()

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mesentery ( stab wound

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imstrument guaze

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~~~~~~~~~~

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()

()

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]} } ~~~~~~~~~~

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AS OPD OPD

() OPD OPD

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~~~~~~~~~~

() ()

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~~~~~~~~~~

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~~~~~~~~~~

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~~~~~~~~~~ DEJAVU DEJAVU PHENOMENON ~~~~~~~~~~ E

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~~~~~~~~~~

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~~~~~~~~~~

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~~~~~~~~~~

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~~~~~~~~~~

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~~~~~~~~~~

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~~~~~~~~~~ M.B.B.S,M.med .sc (sugery) ....................... ....................... ()

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ON CALL AS

~~~~~~~~~~

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~~~~~~~~~~

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( )

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~~~~~~~~~~

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training training ~~~~~~~~~~

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AS AS ()

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AS () AS () OPD OPD AS AS () OPD

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OPD OPD . . . . . ~~~~~~~~~~ ()

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~~~~~~~~~~

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Round AS

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~~~~~~~~~~

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AS -

AS () Surgical Surgical OG ()

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() ()

-- --

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~~~~~~~~~~ () ()

AS

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-- GP () REFER () . ()

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() () --

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Synto Drip () AS () () ()

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~~~~~~~~~~ ()

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AS

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() ]} ~~~~~~~~~~

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~~~~~~~~~~

Spinal Shork

}

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() As V Shape Physician

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~~~~~~~~~~

Appendix ()

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AS () -- ()

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-- ~~~~~~~~~~

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()

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]} ( )

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() ~~~~~~~~~~

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( )

on call Despatch The Surgeon Dear Ma Ma /

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()

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()

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L.S.C.S () L.S.C.S

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~~~~~~~~~~ ()() () Septicoemia Antibiootic C^PenMentro Drip Genta condition toxic

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very poor very poor very sorry

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() Assistant () on the table ( )

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~~~~~~~~~~

-- E MO

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History Condition

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Acute Abdomen ( ) ~~~~~~~~~~

Acute Abdomen Acute Abdomen

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()

Heart rate Antibiotic Heavy Septicoemia ( Post Operative Care ( )

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()

--

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~~~~~~~~~~ () () Treatment Fever Surgical stress ()

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Dr. Dr.

~~~~~~~~~~

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Renal Failure ( ) Urine Output () inform

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()

.T.M.O A.S .Surgical case Abscess() .. Specialist . T.M.O Specialist () ( ) . T.M.O Specialist

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() Renal Failture Septicoemia ( ) Blood urea

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Blood urea Surgeon Surgery

~~~~~~~~~~ ()

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Round Changes Round

()

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~~~~~~~~~~

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~~~~~~~~~~ () Dr.} Dr.} ~~~~~~~~~~

()

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Operation list ()

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Operation list GJ Assist ()

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~~~~~~~~~~ ()

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List

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List ~~~~~~~~~~ () Interval Appendicetomy () ()

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() Chart Hernia () Pressure ( ) Normal -- List Hydrocoele ( ) ()

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L.S.C.S ()

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()

~~~~~~~~~~

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() () Acute Abdomen ()

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}} () ()

~~~~~~~~~~

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THE OPERATION IS SUCCESSFUL BUT THE PATIENT IS DEAD ()

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() ~~~~~~~~~~ ()

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() () ( ) }} ()

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() ()

surgical word A.S First Assistant ] } () Training OG Training

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]] () ()

() Ill case

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Operation list ()

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New A.S

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Splenectomy

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Splenic Rupture ( ) Hypersplenis ( ) ~~~~~~~~~~

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f C.A.S Civil Assistant Sugeon Training

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~~~~~~~~~~

]} ()

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~~~~~~~~~~

()() ASTHMA CVA

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() () ()

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~~~~~~~~~~ ()

() ()

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()

() ON GLOVE BLEEDING OPERATION PATIENT SHOCK

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BLEEDING OFF () --- () SURGICAL WARD A.S ()

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() ~~~~~~~~~~ APPENDICECTOMY APPENDICECTOMY DYSENT DYSENTERY () COLON ( ) ADHESION (

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CASE APPENDIX -- COLON PELVIC APPENDIX

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A.S -- -- APPENDIX () COLON

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~~~~~~~~~~ OPD OPD () OPD

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() OPD OPD A.S () SURGERY () ()

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]} GP GP ~~~~~~~~~~ () () () NIGHT ROUND

() RAPE() RAPE

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POLICE CASE ( )

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-- () () () ()---------------------()---------------------

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HANDICAP HANDICAP ()

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-- ~~~~~~~~~~ DESPATCH

ROUND () ~~~~~~~~~~

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( ) () () ()

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()

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() ~~~~~~~~~~

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() () ()

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() OPD () OPD () OPD

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~~~~~~~~~~

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~~~~~~~~~~

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]] }} UTERUS ()

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revive ()

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~~~~~~~~~~

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() () ~~~~~~~~~~ ()

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() BP ~~~~~~~~~~

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~~~~~~~~~~

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}} ] - -

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~~~~~~~~~~ () () () () () ()

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() .. () () ~~~~~~~~~~ () () ()

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() () () ()

() () ()

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()

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MALIGNANCY GLOVE INFECTION ( )

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HERNIA ~~~~~~~~~~ () () CHEST ()

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X-RAY X RAY

() () () () ] }

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~~~~~~~~~~

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OPD OPD ()

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~~~~~~~~~~ () ~~~~~~~~~~

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~~~~~~~~~~

SHOCK

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~~~~~~~~~~

()

6 d 6 d

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~~~~~~~~~~ TENSION HEADACHE --- HIJACK

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~~~~~~~~~~

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~~~~~~~~~~

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STAB WOUND

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~~~~~~~~~~ ()

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()

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~~~~~~~~~~ ---- --

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B.P

LAPAROMOTOMY AND PROCEED ( )

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liver tear A.S CONSENT

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~~~~~~~~~~ LIVER LIVER ( ) LIVER LIVER &JU JUDIAPHRAGMATIC SUPFACE ( ) IGHT COSTAL MARGIN ( )

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( )

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~~~~~~~~~~ LIVER TEAR ~~~~~~~~~~

BP, PULSE

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() ~~~~~~~~~~ ~~~~~~~~~~

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~~~~~~~~~~ BLOOD REACTION MALARIA

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A.S SURGICAL STRESS () BLOOD MP( )URINE ( ) () - ( )

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WOUND SEPSIS ( )SEPTICAEMIA( ) COURSE ~~~~~~~~~~

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DRESSING CHANGE ~~~~~~~~~~

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()

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.. ~~~~~~~~~~

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~~~~~~~~~~ ()

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() ~~~~~~~~~~ ~~~~~~~~~~

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.. . Liver Tear S.T.O ()

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.... () ... () . ~~~~~~~~~~ STITSH

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S.T.O A.S

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()

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~~~~~~~~~~

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() ()

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]}

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() ]}

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~~~~~~~~~~

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round ~~~~~~~~~~

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()() ~~~~~~~~~~

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.

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~~~~~~~~~~

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TRAINING () ()

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() ()

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GP A.S

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FURTHER STUDY JUNE

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PHYSICIAN

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~~~~~~~~~~

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~~~~~~~~~~ A A

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~~~~~~~~~~ ] SERVICE BOOK PUNISHMENT TRANSFER

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~~~~~~~~~~

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()

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~~~~~~~~~~

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()

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~~~~~~~~~~

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~~~~~~~~~~ ~~~~~~~~~~

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~~~~~~~~~~ .. GP GP ( )

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.TMO ~~~~~~~~~~ .

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.. ~~~~~~~~~~ TMO () A.s MEDICAL LEAVE . STAB WOUND LIVER TEAR D.r -- D.r

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D.r D.r ~~~~~~~~~~ D.r CHART ) D.r D.r

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() APPENDICECTOMY DONE L.S.C.S DONE

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() A.s -- Dr () () Dr CASE

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~~~~~~~~~~

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--

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()

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() ~~~~~~~~~~ BP FEVER

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~~~~~~~~~~

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TMO () () () () ~~~~~~~~~~ () OPD () OPD OPD () () () () ()

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OPD A.s ~~~~~~~~~~ -- --

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--

GOOD LUCK ~~~~~~~~~~

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PRIMARY F.R.C.P - ()

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() CASE P.U PERFORATION TRAINING

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CHART

SEPTICAEMIA RENAL FAILURE RENAL FAILURE HEART FAILURE SEPTICAEMIA

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A.S A.S TMO TMO

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AS ~~~~~~~~~~ ()

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A.S

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- - P.U PERFORATIO TOXIC ()ASSISTANT P.U Perforation SUTURING AND OMENTOPLASTY SEPTICOEMIA WITH RENAL FAILTURE Dr Dr }}

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D.r D.r D.r D.r Dr SURGERY TRAINING .TMO ..

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~~~~~~~~~~ () ..

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() -

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()

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~~~~~~~~~~ () ()

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A.S ()

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.T.M.O ACUTE INCOME DEFICIENCY SYNDROME AIDS

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~~~~~~~~~~

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~~~~~~~~~~ ... ...

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~~~~~~~~~~ () . () ()

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() () ()

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BURNS DRESSING OPERATION LISTT FIBROADENOMABREAST () DRESSING

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% () () () GUIDE -- ---

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() DRESSING () ()

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. --

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~~~~~~~~~~

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-

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--

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~~~~~~~~~~

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()

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}} AS

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AS

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(OPERATING FIELD) AS

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~~~~~~~~~~ ~~~~~~~~~~

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~~~~~~~~~~ () ()

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~~~~~~~~~~

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() ~~~~~~~~~~ () ()

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() () ()

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() ()

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INSTRUMENTS

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() () CMSD UNICEFF

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~~~~~~~~~~

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()

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~~~~~~~~~~

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DC

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.. () () ~~~~~~~~~~ over

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artery () instruments drum sponge force drum APH (

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()

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AS AS }}

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stab wound Psychological Trauma () Expreied

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}}

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~~~~~~~~~~ --

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( )

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( ) ~~~~~~~~~~

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coma

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~~~~~~~~~~ ( )