124 NO., AGE, WEIGHT POUNDS HEICHT PAST SEX HISTORY INJURIES CENTIMETERS BLOOD PRESSURE HEART & LUNGS ABDOMEN EENT Gu or Gyn SKIN 1055 1f 1056 8-3/4# 1M LOST 15¢ No m 8-1/2 #| Nom nostrils; no hx. of sig. '64 30-1/4 96.1 78/58 Gr I apical sys m Polio (7) date?; no sig. history aside fran leg pains '6h 25-1/4 85.2 Gr I apical sys tm 1F 1058 1M 1503 6M 1504 2M I00 6¢ 0 Sores on Scars