PEST AVAILABLE COPY 66 NO, AGE SEX 31 881 Ml ' $82 29 M PAST HISTORY INJURIES Vericose veins lt. leg; dDack strain Tumor it parotid, removed 1959 (benign) $1 67 22 $4 383 384 885 886 34 888 WEIGHT POUNDS BLOOD PRESSURE ZENT ABDOMEN HEART AND LUNGS 157 9a/s8 125 80/60 Gu or Gyn SKI: Facial ag metry, M corneal opacity tt. Scar it. groin, M old TEC?; myocarditis, BCG '59 7? 4 148 110/70 Lenticular hemorrhoids, ext; Arteriosclerosis opacities sm. mild 135 Si. 120/70 testicles tender RLQ;? worms, Osteoarthritis M Cong. Shortening a 5th metacarpel pain 1t. eye sens, to sun- 108/60 lite 37 889 106€'61L) F 100/62 ('61) AZ?P2 Diabetes 44 893 F 65 894 33 22 64 64 895 396 897 ace P myocardial damage (+61) Chronic Cough 106 80/38 112¢61)] Wheezing both lungs (61) 104 last Feb. 2% mo. '62 Backache, worms Pain lt shoulder weakness Acthritis 1t OF 899 Thrombosed corneelscar hemorr. fy) warteriosclerosis, retinal; knee; Vaginitis contr. hands both cervical erospn {Tinea Penguicula 122 100/64 94 80/40 154 120/60 169 upper Pterygium it, Lenticular opacities; Arcus sen. lt. 110/80 Pterygium 1lt.} opacities . scierosis 124(§9) rt & Lit Arterio- Dupuy trens 66 Pteryguim 1t;| few lt base arteriosaclerosis, mild F M rt adnexa; Sl. prolapse . 136/72 lenticular Rales, rt base,| opacities, 4 miscarriages; f Hard cervix, f indur. 136/70 (59) Arterio- aclerosis lenticular enlarged tonsils cervix bleeds easily

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