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What type of Diagnostic Package do I need?
Part 1 (required data):
Age: Below 35 35 & above    
Gender:    
Do you smoke?: Yes No    
Do you have Diabetes?: Yes No    
 
Part 2: Do you have the following symptoms?
Heart Related: Chest Pain Chest Tightness Palpitation Shortness of breath
  Throat Tightness Numbness of left hand Epigastric discomfort Cold Sweats

Stroke Related: Sudden numbness/weakness of the face, arms or legs/slurred speech
  Trouble walking, dizziness, loss of balance or coordination
  Sudden, severe headache with no known cause
 
Part 3:Do you have the following history?
Heart Related: Previous history of heart attack / disease
  Angioplasty / stent procedure
  Bypass surgery
  Any other heart procedures

Stroke Related: Any previous history of stroke?
  Any previous history of temporary weakness of face, arms or legs?
 
Part 4:(required data)
Name:
Contact Phone No.:
Email:
Verification code :
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