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Details of the examination and symptoms (Please fill out completely)
Stomach AcheSuspected H. pyroliHeartburnGastric Cancer ScreeningNausea/VomitingPost Stomach Cancer SurgeryVomit Blood(Hematemesis)the others
Bloody StoolDiagnosed with colon polypsFOBT positiveColon cancer screeningDiarrhea/ConstipationPost colon surgeryLower GI pain, discomfortthe others