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予診 よしん票 ひょうでしょう
yoshinhyōdeshō

敬
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Noun
, 
Desu Copula

Expresses probability in a polite manner ("probably…") of 予診票

1. Probably a preliminary medical questionnaire.; Probably a pre-visit form.

Polite
, 
Presumptive
, 
Conjecture

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予診票でしょう

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