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

Select target paragraph3