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4. Ns. Mia : ………………………………………………………………………………………………………………………….?
Ms. Tantri : I have fever since last night, and it doesn’t get any better now.

5. Ns. Mia : …………………………………………………………………………………………………………………………..
Mrs. Aliyah : Thank you. And, do I need to bring my insurance card?

6. Ns. Mia : ………………………………………………………………………………………………………………………….?
th,
Mr. Rendi : It’s Lina Cohen, C-O-H-E-N. and my birthday is December 16 2002.

7. Ns. Mia : ………………………………………………………………………………………………………………………….?
Mr. Khaliq : dr. Thompson, I’ve been checking my health with him for the last 2 years.

8. Ns. Mia : ………………………………………………………………………………………………………………………….?
Ms. Sofia : Yes, I do. It’s Blue Cross, Blue Shield.

9. Ns. Mia : ………………………………………………………………………………………………………………………….?
Mrs. May : Any day that is the soonest will be great.

10. Ns. Mia : ………………………………………………………………………………………………………………………….?
Mr. Luki : No, it’s too long and I can’t handle the pain anymore. I think I’ll just go to a walk-
in clinic.

b. In a group of three or four, write a complete phone call dialogue to arrange a doctor appointment

for a patient with the given chart.

Jogja International

Health Center

Appointment Request Form

Requestor name:
Mrs. Sandra Kartika

Requestor Phone Number:

+62 82366670149

Patient name: Patient Type:
same as the above existing new
different than the above

Mr. Leo Hartanto

Patient DOB: Patient Phone Number:

07/01/2010 +62 81322907651

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