Pneumococcal disease is caused by a bacterial species known as Streptococcus pneumoniae, and can cause a variety of mild to life threatening infections. One of the most common infections that is spread by this bacteria is pneumonia, infection of the lungs. However the bacteria can also cause infection of the bloodstream (leading to bacterial sepsis), meningitis, ear or sinus infection. Symptoms can be aggravated by the presence of other underlying conditions. 

Vaccination protects against severe pneumococcal disease and aids the body to produce antibodies to fight infection. The elderly and immunocompromised patients are at particular risk of developing serious complications. The vaccine is recommended to be taken by all adults, especially by at-risk populations. It is usually given once to healthy adults, however depending on their age, health and prior vaccination status, additional doses might be required. 

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Pneumococcal Vaccination - Adult

Klinik Siti Kota Kemuning

A detailed scan is recommended for pregnant women between the 18th to 28th weeks of gestation. It is a comprehensive scan to see whether the baby has any unusual structures or bodily formations. In comparison to a standard ultrasound scan, this scan allows the baby's organs and body structures to be examined in greater depth.

This comprehensive scan examines every area of the baby and detects the vast majority of serious structural abnormalities. The baby's brain, face, spine, heart, lungs, diaphragm, stomach, kidneys, colon, and upper and lower limbs are all examined in detail from head to toe. The baby will also be checked for chromosome markers and small anomalies of normal anatomy that can be observed in babies with chromosomal disorders, such as renal pelvis dilatation, talipes, or echogenic bowel. To confirm the dates of the pregnancy and check the baby's development and growth, measurements from the placenta are obtained.

The detailed scan is highly recommended for pregnant women who:

* Are above 40 years of age
* Were diagnosed with diabetes mellitus prior to pregnancy.
* Were diagnosed with hypertension prior to pregnancy.
* Had a previous child with chromosomal or structural abnormalities
* Have familial history of structural or chromosomal abnormalities
* Were born with a congenital cardiac defect.
* Don’t have enough amniotic fluid in the womb (oligohydramnios)
* Have an excessive amount of amniotic fluid in the womb (polyhydramnios)
* Had abnormal results during routine ultrasound scan
* Had abnormal results from chromosomal testing

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Detailed Scan (Pregnancy)

Prenatal scans are a crucial part of the pregnancy journey. A 2D Ultrasound Scan uses harmless sound waves to produce flat images of your baby to help examine the baby’s growth and can help monitor the progress of your pregnancy. 

The 2D ultrasound scan can be done at any point of pregnancy. It can be used to determine your baby’s gender as well. The entire procedure takes about 10 to 15 minutes and you can get a black and white printout of your scan post screening. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

2D Scan

Global cancer incidences are on the rise. The changes in our lifestyle, dietary habits as well as environmental factors can start a chain of events that may eventually lead to the growth of a devastating disease like cancer. Most types of cancers have “silent” symptoms at early stages. Some symptoms only show as the disease progresses further, sometimes beyond the scope of treatment. Regular screening for cancer is highly encouraged, particularly in the later years of life. 

This is a complete medical check-up package which includes a range of cancer marker tests for men that will help detect signs of cancer or monitor cancer treatment. The screening is recommended for all adults, especially for men with medical history or family history of cancer.

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Full Health Screening for Cancer - Male

Prenatal scans are a crucial part of the pregnancy journey. A 3D and 4D Ultrasound Scan uses harmless sound waves to produce dynamic images of your baby to help examine the baby’s growth and can help monitor the progress of your pregnancy in depth. 

The 3D/4D ultrasound scan can be done after the 25th month of pregnancy. It can be used to determine your baby’s gender, as well as partially scan their anatomical features. The entire procedure takes about 20 to 30 minutes and you can get a colored printout of your scan post screening. 

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

3D and 4D Scan

Global cancer incidences are on the rise. The changes in our lifestyle, dietary habits as well as environmental factors can start a chain of events that may eventually lead to the growth of a devastating disease like cancer. Most types of cancers have “silent” symptoms at early stages. Some symptoms only show as the disease progresses further, sometimes beyond the scope of treatment. Regular screening for cancer is highly encouraged, particularly in the later years of life. 

This is a complete medical check-up package which includes a range of cancer marker tests for women that will help detect signs of cancer or monitor cancer treatment. The screening is recommended for all adults, especially for women with medical history or family history of cancer.

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Full Health Screening for Cancer - Female

Rotavirus is a type of virus that causes infection of the stomach and intestines, especially in young children. The symptoms usually range from vomiting to diarrhea, fever and abdominal pain, and can become quite severe if not treated early. The transmission of the virus occurs through coming in contact with infected feces or stool, which can then pass into the body through oral route. 

Rotavirus infection can be prevented by vaccination. The vaccine is highly recommended for children as they are at high risk of coming in contact with infected materials. 

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Rotavirus Vaccination

The DTaP + IPV + Hib + HepB Vaccination is a 6-in-1 combination vaccine that protects against 6 diseases:

Diphtheria - a threatening infection that affects the nose, throat, and skin. Symptoms include sore throat, a high temperature, and chills. Breathing difficulties, heart failure, and nerve damage are all possible serious complications. Coughing and sneezing are the most common ways for it to spread.

Tetanus - Often known as lockjaw, tetanus is a dangerous disease that can occur when tetanus-causing bacteria (found in soil) enters a cut in the skin. Muscle cramps in the neck, arms, legs, and stomach, as well as intense convulsions that can shatter bones, are common symptoms.

Pertussis (whooping cough) - a serious illness that affects children in particular. This disease causes intense coughing bouts in children. They may vomit or stop breathing for a brief time as a result of this cough. Coughing can continue weeks, making it difficult  to eat, drink, or sometimes breathe.  Brain damage, seizures, and death are among potential consequences of pertussis. These issues are especially common in infants. Coughing or sneezing can easily spread pertussis from an infected individual to others.

Polio - A severe disease that can be contracted through contaminated water or food. It can also be passed from one individual to the next. This condition can induce nerve damage and leave a person paralyzed for the rest of their life. It has the ability to paralyze muscles involved in breathing, speaking, eating, and walking, and is also capable of causing death.

Haemophilus influenzae type b (Hib) - The Hib bacteria causes bacterial meningitis, especially in young children. Meningitis is the infection of the fluid and lining that surrounds the brain and spinal cord. It has the potential to cause brain damage, cognitive and developmental issues, as well as hearing and blindness.

Hepatitis B - an infection that leads to inflammation of the liver, caused by the hepatitis B virus (HBV). It can cause both acute and chronic illness. Severe disease can develop into a long-term, chronic infection, leading to significant, even life-threatening health complications such as cirrhosis or liver cancer.


The vaccine is strongly recommended for children, as per the national vaccination schedule. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000 



DTaP/IPV/Hib/HepB Vaccination

Hepatitis B is an infection that leads to inflammation of the liver, caused by the hepatitis B virus (HBV). It can cause both acute and chronic illness. Severe disease can develop into a long-term, chronic infection, leading to significant, even life-threatening health complications such as cirrhosis or liver cancer.

The virus is transferred by contact with an infected person's bodily fluids. Fatigue, a loss of appetite, stomach pain, nausea, and jaundice are all typical symptoms. Hepatitis B can be prevented with vaccines that can provide up to 98% to 100% protection. The vaccination works by stimulating the immune system to produce antibodies and help fight hepatitis B virus, preventing serious infection. It is recommended to be taken by all adults, especially if their hepatitis B antigen titre is low, in 3 scheduled doses. 

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Hepatitis B Vaccination - Adult

A breast ultrasound is an imaging technique that uses ultrasound waves to detect abnormal structures in your breast. It is usually done for women below the age of 40 as their breast tissues are denser at a young age, and most changes are not picked up well with mammograms. 

Breast ultrasound is recommended to be done yearly for women (or men) below the age of 40. It is strongly recommended for women with a family history of breast cancer. It helps in the early detection of breast cancer, which significantly improves chances of survival and recovery.  

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Ultrasound Breast

An ECG can detect abnormalities in the heart, its rhythm and electrical activity. It is used to examine symptoms such as chest discomfort, palpitations (quickened heart rate), dizziness, and shortness of breath that could indicate a heart condition like myocardial infarction (heart attack), arrhythmias, coronary heart disease, or even congenital heart problems. 

An ECG involves electrodes, which are little, adhesive sensors that are attached to your arms, legs, and chest throughout the exam. The  ECG recording machine is attached to them through cables. It just takes a few minutes to do and requires no extra preparation.

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000 


Electrocardiogram (ECG)

The thyroid gland makes the thyroid hormone, which helps to regulate a variety of body functions, including metabolism. A thyroid ultrasound is recommended If a thyroid function test is abnormal, or if your doctor feels a growth on your thyroid when checking your neck. 

When a physical exam reveals any of the following findings, a thyroid ultrasound is routinely performed:

* Thyroid nodule(s), a growth on the thyroid gland.
* A goiter - swelling or irregularity of the thyroid gland.
* Atypical lymph nodes near the thyroid gland

An ultrasound can also be used to determine if the thyroid gland is underactive or hyperactive. The procedure involves lying down with a cushion or other soft support under your neck. Your neck will be slightly stretched. The ultrasonography expert will put a transducer gel to your neck and place a transducer back and forth on your neck skin to produce images of the thyroid gland. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Ultrasound Thyroid

Meningococcal disease, caused by the bacterial species Neisseria meningitidis, is an infection that primarily attacks the lining of the brain and spinal cord, called meninges. The infection can cause inflammation of the meninges (meningitis) which can lead to severe and often fatal complications. The symptoms can range anywhere between fever, headache, neck stiffness to altered mental state in serious cases. 

The disease is preventable by vaccination, which helps the body to fight infection and reduce the possible complications. The vaccine is recommended to be taken by all children and adults, boosted every two to three years, especially before traveling. It is mandatory to get the meningococcal vaccine before traveling for hajj and umrah (Islamic Pilgrimage).  

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Meningococcal Vaccination

Health screenings are important at different stages of life, and can help identify early signs of diseases, especially common ones such as diabetes, hypertension, cancer, high cholesterol, nutritional deficiencies and more. Signs of these illnesses can otherwise go unnoticed or be ‘silent’ which may pose a risk to health. 

This is a comprehensive medical check-up package which includes a range of essential tests that will help detect or monitor diseases. The screening is recommended for all adults, to be done annually or as advised by their medical practitioner.

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Premium Health Screening

Hepatitis B is an infection that leads to inflammation of the liver, caused by the hepatitis B virus (HBV). It can cause both acute and chronic illness. Severe disease can develop into a long-term, chronic infection, leading to significant, even life-threatening health complications such as cirrhosis or liver cancer.

The virus is transferred by contact with an infected person's bodily fluids. Fatigue, a loss of appetite, stomach pain, nausea, and jaundice are all typical symptoms. Hepatitis B can be prevented with vaccines that can provide up to 98% to 100% protection. The vaccination works by stimulating the immune system to produce antibodies and help fight hepatitis B virus, preventing serious infection. It is strongly recommended to be given to children, as per the national vaccination schedule. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000 



Hepatitis B Vaccination - Child

Human Papillomavirus (HPV) is the leading cause of cervical cancer. Infection is often silent and asymptomatic, making it harder to diagnose in time. Symptomatic HPV infections can lead to genital warts and other uncomfortable growths in both men and women. HPV vaccinations are highly effective in preventing infections, and it protects against 9 HPV subtypes, including HPV 16 and 18, which are known to cause 70% of cervical cancers. The vaccine is recommended for all adults, aged between 21 to 45 (especially if they are sexually active), although it can be taken before or beyond these ages as well. This package includes 1 dose of Gardasil-9 vaccine. Book your appointment now.Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

HPV Vaccination

Lymph nodes are a part of the body's lymphatic system, which circulates the body's lymphatic fluid. It is a significant part of the immune system that aids the prevention of infection and the elimination of aged or dysfunctional cells.

In some cases breast cancer, the tumor cells can invade adjacent lymph nodes, speeding up the spread of cancer. The lymph nodes beneath the arm can be examined with a lymph node ultrasound to check for signs of spread of breast cancer. 

The procedure is similar to a regular abdominal ultrasound. The ultrasonography expert will put a transducer gel to your underarms and place a transducer back and forth on your skin to produce images of the lymph nodes in that area.

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Ultrasound Lymph Node

A pap smear is recommended every 3 years for women between ages 21 to 65. Frequency should be greater for women who are at increased risk of HPV infection, such as women who are sexually active of have had a previous pap smear with abnormal results. The test can detect changes in your cervical cells that suggest cancer may develop in the future. Detecting abnormal cells early with a pap smear is your first step in halting the possible development of cervical cancer.

How it’s done:

A Pap smear involves collecting cells from your cervix — the lower, narrow end of your uterus that's at the top of your vagina

Your doctor will gently insert an instrument called a speculum into your vagina. The speculum holds the walls of your vagina apart so that your doctor can easily see your cervix. Inserting the speculum may cause a sensation of pressure in your pelvic area.

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Pap Smear

Influenza is a viral infection that is prevalent seasonally and has an annual occurrence. Caused by the highly contagious respiratory virus, the disease can range from mild flu to severe complications that may require hospitalization, depending on a person’s age and overall health status. Underlying conditions, being the age of 65 and over, weak or compromised immune system are all high risk factors for influenza infection. 

Influenza vaccination helps to prevent the serious complications that may result from infection, by helping to produce antibodies against the virus. The vaccination is recommended for all children over the age of 2 and adults, till the age of 65. It's strongly advised to take the vaccination dose every year. 

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000 

Influenza Vaccination

Caused by the varicella zoster virus (VZV), chickenpox is a highly contagious viral infection. It is characterized by many itchy, red, blister-like rashes on the skin all over the body, accompanied by fever, lethargy, loss of appetite and headache. The rashes usually last for a week or so, before they turn into patchy scabs. Although chickenpox can affect people of all ages, infants, pregnant women and immunocompromised patients are at particularly high risk of developing serious complications from the disease. The virus can remain inactivated in the body and cause a disease called shingles later in life, which can cause severe rashes and may potentially harm the nervous system. 

The chickenpox vaccination carries a small amount of inactivated virus into the body, triggering it to produce antibodies to help fend off infections when the body encounters the virus. They can reduce the chances of getting shingles as well. It is strongly recommended to be taken by children and adults of all ages. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000 

Chicken Pox Vaccination

An abdominal ultrasound is an diagnostic imaging technique which uses ultrasound waves to produce images of some of your important organs such as liver, pancreas, gallbladder, kidneys, bladder, uterus, and ovaries. It aids in the diagnosis of several conditions related to these organs, such as:

* Enlarged spleen
* Gallstones or gallbladder inflammation
* Pancreatitis 
* Cancers, such as stomach cancer or pancreatic cancer
* Fatty liver disease
* Hernia 
* Other gastrointestinal diseases 

The scan is recommended for people who want to either have a full physical examination, check on the condition of their abdominal organs or diagnose or monitor existing conditions related to those organs. 
 
**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Ultrasound Abdomen

The MMR vaccination protects against 3 types of dangerous viral infections - measles, mumps and rubella. These diseases are characterized by symptoms which include rashes (for measles and rubella), swelling (mumps), fever, pain, headache and malaise. Infants and pregnant women are at risk of developing severe complications. The vaccination is strongly recommended for children, and adults who are not vaccinated against it, in two doses as per the national immunization schedule. 

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


MMR 2 Vaccination

Typhoid fever, caused by the bacteria Salmonella typhi, is an illness characterized by symptoms such as - prolonged high fever, fatigue, upset stomach, headache, constipation or diarrhea, coughing, and appetite loss. Infection spreads by the consumption of contaminated food or water, and it’s crucial to treat it early, otherwise it can prove to be dangerous, even fatal. 

The Typhoid vaccine is usually an inactivated type of vaccine which triggers the immune system to produce antibodies to fight the Salmonella typhi bacteria if it enters the body. It is mandatory for people who work in the F&B industry and handle food, as per the Malaysian Food Act 1983 and Food Hygiene Regulation 2009. It is recommended for travelers who are traveling to countries where typhoid is common. The vaccine needs to be taken once every two years for people at high risk of exposure to the bacteria. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Typhoid Vaccination

Hepatitis A is a very contagious, acute liver infection caused by the hepatitis A virus, which causes liver inflammation and impairs its function. The virus can spread through direct contact with infected individuals or through contaminated food or drinks. Common symptoms can include jaundice, fever, pain, loss of appetite and diarrhea.
Vaccination is the best way to prevent Hepatitis A infection. It works by triggering the immune system to produce antibodies that help our bodies to fight against infection by protecting it against Hepatitis A virus. Recommended to be taken by all children and adults in 2 doses. It is especially recommended for travelers traveling to countries with high prevalence of hepatitis A.

**Book your appointment now.**

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. 

If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000


Hepatitis A Vaccination

Health screenings are important at different stages of life, and can help identify early signs of diseases, especially common ones such as diabetes, hypertension, cancer, high cholesterol, nutritional deficiencies and more. Signs of these illnesses can otherwise go unnoticed or be ‘silent’ which may pose a risk to health. 

This is a basic medical check-up package which includes a range of essential tests that will help detect or monitor diseases. The screening is recommended for all adults, to be done annually or as advised by their medical practitioner.

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

Basic Health Screening

Prenatal scans are a crucial part of the pregnancy journey. A 5D Ultrasound Scan uses harmless sound waves to produce dynamic images of your baby to help examine the baby’s growth and can help monitor the progress of your pregnancy in great depth. 

The 5D ultrasound scan can be done after the 25th month of pregnancy. It can be used to determine your baby’s gender, as well as partially scan their anatomical features. The entire procedure takes about 20 to 30 minutes and you can get a colored printout of your scan post screening. 

**Book your appointment now.** 

Upon booking you will receive a payment confirmation. Choose your preferred appointment date from the scheduling calendar (if available) or contact the hospital/ clinic directly to arrange your appointment. If you have any questions or problems, please contact us via email at contact@doctoroncall.com.my or call +603 8408 2000

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