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Patient Information

First Name: Last Name: Age:
Gender: Country: Email:
Phone Number:
1.What kind of disease patient have:
2.What is the first time find kidney disease:
3. What is the serum creatinine now:
4. Does the patient have illness history diabetes or high blood pressure:
5. What is the treatment you taking now?Any improvements:
6. Can you send the latest test reports such as blood test,urine test,renal function test so that i can submit it to our experts group for more professional suggestions?: