88
00.,
aoe, SEX
853
59M
856
65 M
858
a fF
859
Tl F
WEIGHT
PAST
Deer
SISTORT
INJURIES
CENTIMETERS
BLOOD PRESSURE
HEART
&
LUNGS
ABDOMEN
EENT
Gu or Gyn
Tearcus.Silat.
URI
185
145 '63
158/90
Bypertensive.
120/70 '63.
URT.
Blind,
ng
120 '63
164/80
128/64 '63,
Mencpause 20 yrs
92
120/Th
Rt. back pain
ago. Pare. 3,
7.3.
eer.
3
Back pein
Menopause 20+ yrq
ago. Pare.9,
arav.6.
Th M
pterygium, chore
oidal degeneration,
retinal arterio~-|
sclerceia 2+.
z
Prostate i+.
136
13T '63
146/96
Hypertensive.
4
108/68
12. '61
85
31 F
eT
BF
868
bl M
Menarche age 13.
UMP May ‘63.
color.
Rt. cataract.
Left lenticular
opacities and
scar.
ae Arcus. Bilat.
pterygium, lenticular opacities.
mareet infLaamed
120/80 ‘$3,
ke Arcus. Bilat.
pterygium, lentib
cular opacities.
Nevi on neck anc
rt. chest.
Blind in left eyp.
Rt. eye 3/200.
Left phthisis
bulbi.
B6L
URI.
Lamp on head,
Tinea versi-
5
ca. thyTo:
mass, midline.
r
860
38M
SEmN
155
18/80
Cyat left scalp.
Bilat. pteryeium
verruca of nose,
3 nevi right
2860,
oT
100/68
External hemerrBilat.pinguaculap. hoids. Uterus
LMP 3/18/64.
Para.9,grav.9.
Tubal Ligation Sh
116
oe '62
110/7h
Throat inflamed) scar. Yo pelvicy Nevi neck,
menses.
chest and abd.
Poor visicna
199
110/70
1+ Arcus.
148/94
pterygiua.
Para.10, grav.9.
TU RI.
Menarche age 18
182 ‘61
involutional.
Rt. Paremedian |
aT5
4? M
art
26 Ww
878
6h M
URS.
Back pain.
880
43M
32
882
aM
193
Ethmoiditis.
Vitreous opacities.
191
120/70
Rt. pterygium.
Papilloma ches:
and back,
169
116/Th
122
90/50
Throat inflameed|
Appendectany
188 '43
361
URT
J+ Arcua. Bilat.
Pulse 64.Hypertensive.
140/90 ‘63.
Sear abdomen.
scar.