88 00., aoe, SEX 853 59M 856 65 M 858 a fF 859 Tl F WEIGHT PAST Deer SISTORT INJURIES CENTIMETERS BLOOD PRESSURE HEART & LUNGS ABDOMEN EENT Gu or Gyn Tearcus.Silat. URI 185 145 '63 158/90 Bypertensive. 120/70 '63. URT. Blind, ng 120 '63 164/80 128/64 '63, Mencpause 20 yrs 92 120/Th Rt. back pain ago. Pare. 3, 7.3. eer. 3 Back pein Menopause 20+ yrq ago. Pare.9, arav.6. Th M pterygium, chore oidal degeneration, retinal arterio~-| sclerceia 2+. z Prostate i+. 136 13T '63 146/96 Hypertensive. 4 108/68 12. '61 85 31 F eT BF 868 bl M Menarche age 13. UMP May ‘63. color. Rt. cataract. Left lenticular opacities and scar. ae Arcus. Bilat. pterygium, lenticular opacities. mareet infLaamed 120/80 ‘$3, ke Arcus. Bilat. pterygium, lentib cular opacities. Nevi on neck anc rt. chest. Blind in left eyp. Rt. eye 3/200. Left phthisis bulbi. B6L URI. Lamp on head, Tinea versi- 5 ca. thyTo: mass, midline. r 860 38M SEmN 155 18/80 Cyat left scalp. Bilat. pteryeium verruca of nose, 3 nevi right 2860, oT 100/68 External hemerrBilat.pinguaculap. hoids. Uterus LMP 3/18/64. Para.9,grav.9. Tubal Ligation Sh 116 oe '62 110/7h Throat inflamed) scar. Yo pelvicy Nevi neck, menses. chest and abd. Poor visicna 199 110/70 1+ Arcus. 148/94 pterygiua. Para.10, grav.9. TU RI. Menarche age 18 182 ‘61 involutional. Rt. Paremedian | aT5 4? M art 26 Ww 878 6h M URS. Back pain. 880 43M 32 882 aM 193 Ethmoiditis. Vitreous opacities. 191 120/70 Rt. pterygium. Papilloma ches: and back, 169 116/Th 122 90/50 Throat inflameed| Appendectany 188 '43 361 URT J+ Arcua. Bilat. Pulse 64.Hypertensive. 140/90 ‘63. Sear abdomen. scar.