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Form:CalcBenzo

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{{{for template|CalculateBenzo}}}
{{{for template|CalculateBenzo}}}
{| class="formtable"
{| class="formtable"
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| colspan="4" | <center>Choose one or more benzodiazepines and dosage expressed as mg/day</center>
+
| colspan="4" | <center>''Choose one or more benzodiazepines and dosage expressed as mg/day''</center>
|-
|-
-
!
+
! colspan="2" | drug
-
! drug
+
! colspan="2" | dosage
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! dosage
+
!
!
|-
|-

Revision as of 16:13, 16 September 2011

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