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BAI vere (City, town, or county) Grete or country} a ? , ere Sd chr URN otsnk <a a rr Ocho OO 4 i EXAMINATION, ye ae ee LP Eye abnormalities wane tenes nnn ne acute ney ESTO. LONG cane cew ease ees ewer semen vrwernmannae ened une ee Vision: ‘ ' t - 8 . ‘ ~ ~~ — 1 en 2.-Ess, nose, throat abnormalities eet e ewe en TIONS . wneeandew ewes ners hehe e sae ere ror ei Anat tn Right eye 1.20.2 aoert ‘3, Mouth and - abnormalities (00... sere TOME saeennannenmensicueuvecessavennevnesecnenaneenacneutcesenanen? Left eye 20). 4Q.-eaernnson ' I (Examince’s) Lefg , Hearing: 20 y ‘4 Teli re cs 4321 12345678 (Sure cut those that are snssings cisle these thet Right ear a 7 ; 16 15:14 12 110 $ 9 10 11 12 13 14 15 16 may be restored) . Left car wD. pnvcnesf20 . w . 1 a 5, Skin vosees- reeeeeenrnentatnn nee ROFTRAL ee snten eee evacavvepereynaerspanevacarinswanraderee| FUGHE ceeneen re he Znaceee ihe $ Varicose veins 4. oao2- pin gnecwaneten= cen eter SOME eecenerecseer reese prawn npaneweecnnees pewvwedneevcan—~ot Weight srevcae ceacecenrae- Db, 7. Hernia RE rh ee ee OE i ww TAOTUG we ne rer eee ne een cote tee: sgt denne kre yee Girth {at nipples): Inspiration... as. | Ae Aer RAH a dhe ern atte Bn Sorc OER On eee a eee nnn mee ede eee ree! Sear meee saree 8, Hemorrhoids 2 oan nes co cecen oe eno m ene TIONG oy ce eee eee pee tt ee einen sandavertynarnene Expiration -.., P4800 in. 9. Genitalit. eceeeet se cnneecee ener ee MOMMA ene teen nn ice ne ee anne Girth ot vnc) Ab in. 10 Feet ceucnnsteycepenteryaeseorenecteyece MODIAD og cceepeceee re en ee een eee eh ee PosturTOUNG | shoulders sareee hae RE et dee ee een tee ee ee dn ere ee BEE re Tee Bae eee RE Tee ee ae OE ERT “tl. Musculoskeletal Sthects eee nt ne neeew ere TOTS sere rcnerteaent carat se eebacerirsauncarnanreoneatessranawan| Color of hair. th. Prom;, Color of eyes . DIUE.-weeeneee, 1 , Abdominal viscera ere re cece en nenemeenter TUOTMB sneer nen cen enen ten ieee crea nes eee ae ee Complexion ABER one . : iat ' , Palse: ¢. wale re a ‘ snersemdanengweaenee- Meet etude sumee tan cued nana enh Genpact armas enn mer ® ore eee nn are anne homo e bana 78 13, Cardiovascular system evenasleniapaacnne MMONMA tm sterere cape pireetercenncnarenecengeegicenameneyenel Sitting wae le, [ee i. Longs, including Xray, if roade ender TROTIIAL. esc aveeuccceae sence came noes yenantanccamuapenenenncuee After exercise weernecnsenryee? 4 2 min after exercise envnsnennis, Blood pressurest aol He, Systolic nok taken.....". “ Diastolic 40. neqon-enesensf ° Urinalysis: " are % . anyrnte’ “ss “6. ' 4 BUD an, Qecernnemens eemarenn, - ' * Nd ate eens eee BR Senha et hn ee ee bE ts Eee tee RSP PE Qe eter oe Cor Ta et eit 1 AMAT meme RAE e ee Re OE EEO AA RATE RE Moen SEEN RE ESET TNR ee ee REN SEO E IE ARS ae 45. Nervous systeras reflexes, ‘pupillary wnetee ane ZOO nen ecnnecnneee patellerwess- BOO dna nee ne verenrnse nines a men sedatawe dean rernth see erndan na hunareeunenadnmpman nn abe aa Stim, wets we ama etree -seeneen, fn AEA ee Oh ae ee 4 a ’ “ 16. Endocrine disturbances pewleenrasannetetncnsaeraaeet-angerpandrbidarcepanehenerrminn ahh recneWehan bach namame : (RM AR et ee a Oa ea dA BES ORR RA mt ENE ERA AR TREE OWA RONAN Oe y exemisati ~< MONS mad , 32 Results of laboratory examinations, whea made a... RORG, Bt AS 5 oa eTONY SPECL AD HANDLING oy ponents cwtntnatentractttnersairnngaentaeancarstannentantensanenprantdartinapennsnagestencntemystcnwentna sunt hannaemnnn ' . Ct et at om M4 1 seeneten--nevacodaar nnn Pacab enna nebiccaebeteden tina sn GE 8 USE IE £TSa “SOpLS re Ole Pe) SC 6rd. PUbera n= | , i . , 48, Remarks 0 defects not sufficiently described above....- MONS... 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