80 NO., AGE, SEX 2 Wicut past Reseed HISTORY INJURIES CENTIMETERS Blind in left lo TS M eye. Right eye fair. 34 Mencpause-hys- 126 55 F cerectomy ‘49, Pare. la, grey. BLOOD PRESSURE HEART & ABDOMEN LUNGS 110/64 Pulse 60, reg. 106/TO 10. Pain in lege. rExt Ga or Gyn Rt + catarect nyeeS apbaxie. Preetate 2+, firm left lobe. Arcus 4». Left |Mid-Lline surg. pterygium. At. |ecar. Erosion pingueculae. of cervix. l+ retinal sclerb SKIN Mumercus nevi on shoulders. Pigmented moles pack and neck. ost, 35 23M 125 '52 110/60 '62 134 115/60 146 120/76 %6 18 M 37 3M x9 es Fr 40 39 M ua Sk M ‘3 76 F 45 he F Fistula in anc (corrected gurgically '64). Low back pain. peccyoue: vim 4 vb » Grey. &- Menerche 13. IMP 3/7/64. Pare. ll, grav. 9. Low pack pain. Menarche age 13. IMP 2/5/64. Pare. 6, grav. 3. Pain 55 as M legs and arms. Bilat. pingueculag. Sl. rowughening Corneal scar 90/60 '62 left eye '63. 125 115 '63 110/70 Arcus 2+. Pingueculae and exophorisa. 1236 110/70 and pig. back cr neck. Pig. var. and el.hyperpig. dorgum right foot. Fistula in ana [with perirectal abscess '53, Leukoplakia '63. Dermatitis right hand. wore Grade I sys. a. inal arterioaclercets. Circum> papillary ring of choroid degenera+ tign. | Bate: Rene : Throat slight inflammation. 4 Arcus 2+. Left pingueculas. Right pterygius. LLT 120/70 135 110/Te Tarcat slight inflammation. 166 3T 63 96/6e : Rt. paramedian Throat inflamed.| ecar. Severe lat/ Pig. macs. cervical tears, in joints, obese 4 URL. Menarche age 17. Pare. 2, grav. oO. WP 3/7/64. Deckpain. Blindness, partial. both sides cf ix} cm. cervical| erceicn. 185 4a M 35 F back, abd., Arcus 1+. 109 "62 a unknown. Para. 50 $1 TMnee circinata inflammation. Arcus J+. 2+ rete 18K 25 F ity right index finger. lump right arm. at 49 Traumatic deform- Throat slight 39 13s 162 120/70 Arcus 3+. Scar Scars on upper nose septum. rt. arm (not “heta burns” ’. 90/60 100/65 Pulse 86, reg. neck, ACF. Healed cervical Mole on abdomen. tear. Bartholin eyut left labia. | 4+ arcug. Blind] partial. Throat inflamed. Hode Prostate lart neck, Cataract 9D) 164 A op) 4 ,i+. r | __.