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1.Patient information

Gender

Age

Weight

kg

Height

cm

ASA Grade

History of anesthesia

Education background

Combined diseases and drug use and organ complications

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Hb

g/L

RBC

X10^9/L

%

WBC

X10*3/L

PLT

X10*9/L

%

Erythrocyte sedimentation rate

mm/h

Date of test

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g

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