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| Date of Injury |
| 13.10.2006 |
| Age |
| 38 |
| Profession |
| Hydraulics Engineer |
| Circumstances |
| fell off a raised rotating dance floor on holiday abroad 2 to 2 ½ feet high |
| P.M.H. |
| D.H. |
| Notes |
| smokes 5/day |
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