80
NO.,
AGE, SEX
2
Wicut
past
Reseed
HISTORY
INJURIES
CENTIMETERS
Blind in left
lo
TS M
eye. Right eye
fair.
34
Mencpause-hys-
126
55 F
cerectomy ‘49,
Pare. la, grey.
BLOOD PRESSURE
HEART
&
ABDOMEN
LUNGS
110/64
Pulse 60, reg.
106/TO
10. Pain in lege.
rExt
Ga or Gyn
Rt
+ catarect
nyeeS apbaxie.
Preetate 2+,
firm left lobe.
Arcus 4». Left
|Mid-Lline surg.
pterygium. At.
|ecar. Erosion
pingueculae.
of cervix.
l+ retinal sclerb
SKIN
Mumercus nevi
on shoulders.
Pigmented moles
pack and neck.
ost,
35
23M
125 '52
110/60 '62
134
115/60
146
120/76
%6
18 M
37
3M
x9
es Fr
40
39 M
ua
Sk M
‘3
76 F
45
he F
Fistula in anc
(corrected gurgically '64).
Low back pain.
peccyoue: vim
4
vb
» Grey.
&-
Menerche
13.
IMP 3/7/64. Pare.
ll, grav. 9. Low
pack pain.
Menarche age 13.
IMP 2/5/64. Pare.
6, grav. 3. Pain
55
as M
legs and arms.
Bilat. pingueculag.
Sl. rowughening
Corneal scar
90/60 '62
left eye '63.
125
115 '63
110/70
Arcus 2+.
Pingueculae and
exophorisa.
1236
110/70
and pig. back cr
neck. Pig. var.
and el.hyperpig.
dorgum right
foot.
Fistula in ana
[with perirectal
abscess '53,
Leukoplakia '63.
Dermatitis
right hand.
wore
Grade I sys. a.
inal arterioaclercets. Circum>
papillary ring of
choroid degenera+
tign.
|
Bate: Rene
:
Throat slight
inflammation.
4
Arcus 2+. Left
pingueculas.
Right pterygius.
LLT
120/70
135
110/Te
Tarcat slight
inflammation.
166
3T 63
96/6e
:
Rt. paramedian
Throat inflamed.| ecar. Severe lat/ Pig. macs.
cervical tears,
in joints, obese
4 URL.
Menarche age 17.
Pare. 2, grav. oO.
WP 3/7/64.
Deckpain. Blindness, partial.
both sides cf
ix} cm. cervical|
erceicn.
185
4a M
35 F
back, abd.,
Arcus 1+.
109 "62
a
unknown. Para.
50
$1
TMnee circinata
inflammation.
Arcus J+. 2+ rete
18K
25 F
ity right index
finger.
lump right arm.
at
49
Traumatic deform-
Throat slight
39
13s 162
120/70
Arcus 3+. Scar
Scars on upper
nose septum.
rt. arm (not
“heta burns” ’.
90/60
100/65
Pulse 86, reg.
neck, ACF.
Healed cervical
Mole on
abdomen.
tear. Bartholin
eyut left labia. |
4+ arcug. Blind]
partial.
Throat
inflamed. Hode
Prostate
lart neck,
Cataract 9D) 164
A
op)
4
,i+.
r
|
__.