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Form Id: SCR_STI

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Urethral discharge:
Genital Ulcer:
Leokorrhea:
Anal Warts:
Anal Discharge:
Anal Rectal Ulcer:
Pharyngeal Ulcer:
Orchitis:
Pelvic Inflamation Disease:
Candidiasis:
Genital Warts:
Cervicitis:
Syphilis:
Herpes Genitalia:
Pharyngeal Discharge:
Vaginitis:
Others(Specify):
Contact:


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