To: crstaalm@dds.nl
From: staalman@worldonline.nl
Subject: Subnission of patient for SIOPEL-3 protocol

The following data have been filled in on the SIOPEL website:

It concerns submission of a patient suitable for inclusion in the SIOPEL-3 protocol.

Doctor:                           [doctor]
Hospital:                         [hospital]
Postal code / City:               [code] [city]
Country:                          [country]
Phone number:                     [phone]
E-mail:                           [email]
Patient:                          [patient]
Hepatoblastoma, HCC, other/uncertain: [hco]


NB.: This is an automaticly generated message.