wae we
+
ae et eek ek ee ee Hk et lsTe Mk
z
;
66
i
—
PAST
HISTORY
AGE, SEX
5@
66
59
Ul
60
63
INJURIES
WEIGHT
POUNDS
105
F
BLOCD PRESSURE
HEART AND LUNGS
140/80
EENT
Barly cataracts
A2DOVE”
BU CR oY.
Lacera+e 1 ised
biood ie, smground
wk
&&
160
obesity
140/76
220/110
hypertension;
Sys
bacerated eer:
blood in speck
2+ retinal arteriosclerosis
c
ma
Miart.
heart disease
63
110
3
120/72
Cerv. erosir.
rt. ovary pt. nec
vazinal prot. for
em.
nt. cu
6,
37
66
37
6&
51
132
120/70
140
104/72
127
112/70
cerv. @rosi mole
vag. oro lapeck
ile ba.
‘K
area
: it.
)
2h
7l
35
73°
Anemia in past
120
131
slizhtly
110/64
Inauratée.: rt
126/80
Abi. rit ls cule
sys M
adnex’
Leukr
obese
161
25
ne
4
K
otf
oa)
13 3/86
173
ered
3
”
4
&.
Cc
ooese
C74
2
129/80
tik
Yerke
slignt
“A Ast
nypertension
qu
1
lacer. 2
Jes ob
Lt. tonsilar
nypertropny
Ceres.)
eres. -
RA ne
ees: pleatag
7O
ule
‘> in
toe