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Consultation Sheet for Pedicure Treatment

ku (-...............................................................................................................

jhi (-...............................................................................................................

,smskh (-...............................................................................................................

ÿrl:k (-.................................................. cx.u(-...............................................

újdyl$wújdyl nj(-...............................................................................................................

ia;%S$mqreI nj (-...............................................................................................................

/lshdj (-...............................................................................................................

óg fmr Tn uekslshq i;aldr lr ;sfío@ Tõ ke;

lsÍug n,dfmdfrd;a;= fjk i;aldrh (-...........................................................................

lsÍug n,dfmdfrd;a;=jk i;aldrh

 iïmQ¾K uekslshq i;aldr fka,a wdÜ


 mdo iïNdykh ksh msßisÿ lsÍu

Tn hï wid;añl;djhlska fmf,ao@ Tõ ke;

ta ms<sn`o úia;r (-........................................................................................................................

Tn my; i`oyka frda.S ;;ajhkaf.ka fmf,ao@

 .¾NkSNdjh
 wêl ixfõ§ iu
 mdo wdY%s; frda.
 w;a wdY%s; wiaÓ ì§ï
 wêl Èhjeähd ;;ajh
 uE;l§ lrk ,o mdo j, Y,Hl¾u

by; i`oyka ish¿ f;dr;=re i;H yd ksjerÈ nj;a, fmälshq i;aldrh i`oyd ud leu;s
nj;a ud m%ldY lr isáñ.

ku(-..............................................................................................................................................

........................................... ................./............/...........

w;aik Èkh

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