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Get Typhoid Fever Surveillance Report - Florida Department Of Health

En cases of typhoid or paratyphoid fever. Form Approved OMB No. 0920-0009 DEMOGRAPHIC DATA 1. Reporting 2. First three letters of State: 3. Date patient s last name: or Age: (in years) of birth: Mo. 4. Sex: Male 5. Does the patient work as a foodhandler? Female Yes No Day Yr. 6. Citizenship: (21) U.S. Unk. Unk. Other: CLINICAL DATA 7. Was the patient ill with typhoid or paratyphoid fever? (fever, abdominal pain, hea.

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