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Emergency information

Personal information
NameJohn Doe
Gender Male
Blood typeAB-
Birthdate1947-03-17 (Age: 70)
Phone number00 1 505 555 1234
E-Mail addressjohn@doefamily.org
Emergency contacts

Contact

NameJanette Doe
Phone number00 1 505 555 1236
Allergies
PeanutsSeverity: high
PenicilinSeverity: critical
Medication

Inderal 40 (Propanolol 40mg)

Dosage2.5 pills/day
Notes