NO.,
AGE,

WEIGHT
POUNDS
HEICHT

PAST

SEX

HISTORY

INJURIES

CENTIMETERS

gu

182

176 '62
179 '63

39 M

G45
39 F

Menarche age 13.
LMP 3/1/64.

:
88

Para.l, grav...

BLOOD PRESSURE
HEART

&

ABDOMEN

LUNGS

130/80

EENT

Gu or Gyn

Melanoma left

SKIN

iris. Rt. pingueculae, rt.

Nevi on abdomen.

130/80 no m.

Prerygium, left

Scar dorsum

190/100, grade

pterygium, rt.

Enlarged prostats

cataract, 1t.

ficant "64.

pterygium.

murmur '63

lent. opacities.

left hand.

URI.

O4T
56 M

URI.

110

948
56 M

951
31 F

Menarche age 1h.
Para, T,grav.7,.
lactating.

956

Menarche age 12.

55 F

957
56 F

958

32 M
961
Tl M

963
6 M

964
38 M

965
20 F

tmp 2/20/64.
URI

176
162 '63

1h0/84
120/50 '63

3+ Arcus. Bilat.| Prostate 1+,
pterygium.

136

120/80

Horizonal
nystagmus ,
rt.pingueculae.

128/80

Crepitation
left lower
lung.

Rt. pterygiun.

164
162 '63

116/80

Chr. . bronchitis.

120

140/80

Gen.

Mouth sores

139

144 '63

130/TO

pterygium, left

Abd. pain.

138

104/60

Bilat. pterygium.

Back pain.

135

pain.

Worns

Para.0,grav.0,

967
21M

URI.
Cough.
eo
Any

an

1

ty

pk 4

1

(Nevi on back.

Sear left arm.

Sears back
and shoulders.

Tinea versicolo
Nevi right
shoulder.

Bilat. pterygium,
left lent.
opacities. Throat
inflammed.

h+ Arcus. Bilat.

lent. opacities.

Prostate 1+

160/90 pulse58,|

4+ Arcus.

Hypertensive

racts and lent.

112

Pulae 110

Throat inflammed No pelvic

18

110/70

Bilat.

149

108/70

116

110/66
Grade 1 sys.M.

regular,

140/80 '63

Menarche age 15.
LMP 3/20/64.

"63, not signi-

lent. opacities.

Menopause age 46)
Para. 2,grav.1.
Obese.

32 M

46 M

Lho/96 163.

esotropia, rt.

Hypertensive.

125

966

969

1 sys. M.

K+ Arcus. Bilat.

Premature cata-

Prostate 2+

opacities.

exam.

pingueculae.

Rotary nystag~
mus. Rt.pigmented nevi.

Throat inflanmed.

Nevi on trunk

Select target paragraph3