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B
I
+
+
I. Be sure that all items are filled in before forwarding, Make
definite statements in all inntances.
E
2, Give age in years, heighi in inches, waight in pounds, stating
M
amount of clothing entering into weight.
+
1
its.
8. State what teeth are missing and existing denistry such as crowns
ell
S.
plates, etc. State number or opposed molars.
=
9. Flat foot - state whother or not any inconvenience exists.
e
E
11. Chest measurements should be in tobal inche3.
U
R.
+
12. Actual vision should be stated decermined on proper letters for
20 foot distance as 20/20/ 20/100. If glasses are worn state
1
a
correction.
Z
=
Hearing should record whispered voice at 15 reet 15/15. 10/15,etc.
er
It
R
the
2
8
Page data
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DTO data
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Context sent to Scholar
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"ocrText": "B\nI\n+\n+\nI. Be sure that all items are filled in before forwarding, Make\ndefinite statements in all inntances.\nE\n2, Give age in years, heighi in inches, waight in pounds, stating\nM\namount of clothing entering into weight.\n+\n1\nits.\n8. State what teeth are missing and existing denistry such as crowns\nell\nS.\nplates, etc. State number or opposed molars.\n=\n9. Flat foot - state whother or not any inconvenience exists.\ne\nE\n11. Chest measurements should be in tobal inche3.\nU\nR.\n+\n12. Actual vision should be stated decermined on proper letters for\n20 foot distance as 20/20/ 20/100. If glasses are worn state\n1\na\ncorrection.\nZ\n=\nHearing should record whispered voice at 15 reet 15/15. 10/15,etc.\ner\nIt\nR\nthe\n2\n8"
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