wd
tmendt
Bema
bend
bee
it
tt
Smeal
towed
—~s
tes
bewnll
bh
eed
——+
tend
bee
Ft
be
toed
tome
—w
Raa
band
|
Some but
Tnadequata
baad
el
a
band
Coot
tee
—
a
a)
il
ord
ae)
at
Mone
id
rc
reo
vr
vc_”_™
vc_™
a]
mm
fend
oo
0c”
m_
td
vc_
vr
cco
rcv
cVc_™:
V—_
ed
vcv_
—
ltl
c0<_™
Om
oe
st
cm
rc
c_—_
—
V—_
cc
vr
Smad
CcV”m
cro
C™
bod
——_—
vc_™
cre
el
m7
cm”
vVc——_
eel
C0c0—"”™
em
eo
vc“
res
eel
cr,
ee)
ere
vcc_
Oo,
com
vo
ied
cm
fed
vV_™
cr
ecm
breed
_
v—_
rrr
kell
rr.
died
SUPPLIES
cn
in
on
Clinic Facilictas Form =- Page 6
(concinued)
MEDICATICN AND SUPPLIES (coneinued)
Adeauate
49.
Plaster cast material
C ]
C ]
C ]
50.
Sheets
51.
{]
Linens—towels, atc.
C ]
C ]
( ]
( ]
{ ]
Other expendables (please specify):