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CT検査、軟性/硬性鏡検査(膀胱、気管支、鼻、耳など)の申し込み
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病院名
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Your answer
獣医師名
Your answer
電話番号
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Your answer
メールアドレス
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Your answer
飼い主名
Your answer
ペット名
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動物種と品種
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性別
オス
メス
去勢済みオス
避妊済みメス
不明
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ペット
生年月日
MM
/
DD
/
YYYY
ご希望の検査
*
CT検査
腹腔鏡検査
Other:
希望日時
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臨床経過
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