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Vaccination Camp
FOR JITO MEMBERS
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NAME
*
Your answer
MOBILE NO
*
Your answer
ADDRESS
*
Your answer
JITO MEMBER
*
YES
No
Required
REFERAL (ANY JITO MEMBER)
Your answer
AADHAR CARD NO
Your answer
BLOOD GROUP
Your answer
EMERGENCY CONTACT NO
*
Your answer
COMORBIDITIES ()Anybody who is suffering from serious old diseases
*
Your answer
ALLERGIC TO ANYTHING
*
Your answer
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