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Name RAMONITO S.

LOPEZ Contact Number __________________


Age _____________________ Doctor __________________
Birthdate _____________________ Case Hypertension; Diabetes

DIET LIST
DATE BREAKFAST AM SNACKS LUNCH PM SNACKS DINNER MIDNIGHT
SNACKS
Name RAMONITO S. LOPEZ Contact Number __________________
Age _____________________ Doctor __________________
Birthdate _____________________ Case Hypertension; Diabetes

DIET LIST
DATE BREAKFAST AM SNACKS LUNCH PM SNACKS DINNER MIDNIGHT
SNACKS
Name RAMONITO S. LOPEZ Contact Number __________________
Age _____________________ Doctor __________________
Birthdate _____________________ Case Hypertension; Diabetes

DIET LIST
DATE BREAKFAST AM SNACKS LUNCH PM SNACKS DINNER MIDNIGHT
SNACKS

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