Wal

Sa

December 23, 2022 10:00 am

Date of Birth:
29/11/2023
Phone Number:
+20 100 234 0567
Email:
ws@modus.vc

Medical information

Hair loss location:
Crown
Hair loss progress:
3- 6 months
Scalp problems:
Yes
Previous treatments:
Hair transplant
Family history:
No
Pre-existing conditions presence:
No
Pre-existing conditions:
On medications:
No
Existing medications:
Has allergies:
Yes
Allergies:

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