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------------5
2
Mustermann, Maximilian
*01.01.1990
STEMPEL & UNTERSCHRIFT
Dr. Musterarzt /MusterNotSan
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--------1
----------
010122
Fentanyl

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------------5
Mustermann, Maximilian *01.01.1990
STEMPEL & UNTERSCHRIFT
Dr. Musterarzt /MusterNotSan
------------4
--------1
----------
010122
Fentanyl