Clinic Facilities Form ~- Page 4
20.
(continued)
Material
Wood
Regular examination tables(s)
with
Stirrups
Padded
Too
(deseribe aach SRlow)
Condition
|
Fair but
Good
Usable
|
Metal
Yes
No
Yes
No
Unusabla
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|
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€1?
¢€71
€]
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¢€717
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C3
(C7)
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Comments
DIAGNOSTIC EQUIPMENT
If there is none of the particular type of diagnostic equipment
condition, be sure to write in zero (0).
21.
WORKING
Number of mercury blood pressure cuffs in working condition.
Number
aneroid blood pressure cuffs in working co
Number
stethoscopes in worting condicion.
Number
ortoscopes with specula in working conditiog.
25.
Number
ophthalmosccpes
26.
Number
raflex hammers in working condition.
27.
Number
F tape measures in working condicion.
28.
Number
infanc scales in working condiscion.
29.
Number
adulc scales in working condision.
in working condition.
ieion.