98
WEIGHT
NO.,

PAST

AGE, SEX

HISTORY

1501

URI.

x
eTM

Abd. pain.

1502

Menarche age 13.

25 F

Para.5,grav. 3.

IMP July *63.

7 mos. pregnant.

(50Cag sl

HEIGHT
INJURIES

CENTIMETERS

BLOCD PRESSURE
HEART &

LUT

106/60

124

100/60

:

LUNGS

ABDOMEN
EENT

Throat inflammed|

Gu or Gyn

Uterus 3FB below

xiphoid. Cervical
erosion.

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