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Monitoring                                                                       Nivolumab Treatment Diary







                      PLEASE USE THIS TREATMENT DIARY TO RECORD YOUR INFORMATION FOR EACH CYCLE


          IMPORTANT: Please record and report even minor symptoms. All side effects must be reported to your cancer care team.

          Cycle             Date of nivolumab infusion:

          Day        Date         Comments
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        2
        3
        4

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        11
        12
        13
        14
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        21

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