70
AGE
NO.
PAST
HI STORY
SEX
INJURIES
WEIGHT
POUNDS
BLOOD PRESSURE
HEART
EENT
LUNGS
Gu
6 toes it foot,
23
webbed
938
ABDOMEN
SKIN
Gyn
Cervicitis,
severe erc-
95
108/70
sion
114C61}}
140/90 ('61)
Hypertension
61
941
Cardiac
47
34
Enlargement(61)
942
943
S51.
121
100/64
143
110/70
176
110/80
83
110/80
rt
tenderness Furuncles,
Hist. of
37
backache
944
Pig. mole RLQ
Hist. of pro-
37
ductive cough
945
Tend, RLQ?
Hypertension
54
29
53
52
Arthritis
947
Myocardial
Damage EKG(59)
Hist, night
blindness
951
birth,
1 still-
bornjmyocardial
damage, EKG(59)
Loss hearing:
Myocardial
O57
danage (°59)
Cl
31
108
958
M
cyst
M
31
Deafness (7)
M
966
uM
Enlarged
rt,Cataract,rt: Prostate
Advanced
Depig. Areas
Old choreo-ret-
arteroisclerosisjinitis, lt.
Wheezes
bot’
lips
Cervicitis
137
110/70
Pterygium rt
127
120/706
mild
arteriosclerosis
152
pterygiae
lenticular
106/72
opacities
mild
arteriosclerosis
Liver 3cm¢,
126
Prostate lt
lobe enlarged
132/88
Wheezing both
lungs €'61)
pterygium 1t.
143
110/70
143
100/68
pterygiae
963
44M
86
Pterygium Lt &
symptons,
? amoebia;
?perineal
leg, diabetes?
961
964
ated
2
198/92
Paresthesias
69
Cervix lacer-
?Sys.m Gr.
Pul. area
1 baby died at
956
legs
123
130/70
arteroisclerosis
102/72
code
Liver 1 cm+¥
Scar from
tumor removed
lt breast
Cataracts
Corneal pig.rt
144
|Bilat. Hydro-
Sl. enlarged
prostate