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1, Be sure that al items are filled in before forwarding. Make
definite statements in all instances.
2, Give age in years, height in inches, weight in pounds, stating
amount of clothing entering into weight.
3
8. State what teeth are missing and existing denistry such a.s crowns.
plates, etc. State number of apposed molars,
3
rs,
9. Flat foot - state whether or not any inconvenience exists.
E
11. Chest measurements should be in total inches.
a
12. Actual vision should be stated determined on proper letters for
20 foot distance as 20/20. 20/50, 20/100, If glasses are worn
+
state correction.
5
Hearing should record whispered voice at 15 feet 15/15, 10/15,etc.
M
0
.T.
E.I
3
U
E
a
Peter
2
3
J
5
$1100
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Context sent to Scholar
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"ocrText": "1, Be sure that al items are filled in before forwarding. Make\ndefinite statements in all instances.\n2, Give age in years, height in inches, weight in pounds, stating\namount of clothing entering into weight.\n3\n8. State what teeth are missing and existing denistry such a.s crowns.\nplates, etc. State number of apposed molars,\n3\nrs,\n9. Flat foot - state whether or not any inconvenience exists.\nE\n11. Chest measurements should be in total inches.\na\n12. Actual vision should be stated determined on proper letters for\n20 foot distance as 20/20. 20/50, 20/100, If glasses are worn\n+\nstate correction.\n5\nHearing should record whispered voice at 15 feet 15/15, 10/15,etc.\nM\n0\n.T.\nE.I\n3\nU\nE\na\nPeter\n2\n3\nJ\n5\n$1100"
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