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Form:CalcBenzo

1 byte added, 17:32, 16 September 2011
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| {{{field|dose5|input type=Number|size=5}}}
| mg/day
|}
{|
|-
| Conversion drug
| {{{field|replacement|mandatory|values=diazepam,oxazepam,clonazepam,chlordiazepoxide|default=diazepam }}}
|
|
|}
{{{end template}}}
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