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It is not recommended to buy Tramadol online without a valid medical card. Tramadol is a prescription medication and should only be obtained with a doctor's approval. Without a medical card, there is no way to ensure the authenticity and safety of the medication being purchased. Additionally, buying Tramadol without a medical card may be illegal and could result in serious legal consequences. It is important to always consult a doctor and obtain a valid prescription before purchasing any medication, including Tramadol.