Preorders for General Medical Examination

Preorders for general medical examination as follows: 
[checkbox value="none|mammogram to schedule just after appt and results per mail from radiology|PSA|AAA US screen of retroperitoneum|Colonoscopy with Moviprep kit|Colonography|lipid profile|ALT|glucose|hemoglobin A1C|microalbuminuria|eye exam|eye exam with diagnosis of diabetes to check for diabetic retinopathy|thyroid cascade|TSH|CBC|CBC with diff|creatinine|BUN|potassium|sodium|Urinalysis|urine microalbumin"]
Preorders for general medical examination as follows:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 1 form elements, 7 boilerplate words, 1 checkboxes, 23 total clicks
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