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BEORD
039
MA
30 TH
B
I
eel
1. Be sure that all 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.
M
0
8. State what teeth are missing and existing dentistry such as crowns, plates, etc. State number of op-
posed molars.
is
9. Flat foot-state whether or not any inconvenience exists.
11. Chest measurements should be in total inches.
01
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.
Hearing should record whispered voice at 15 feet 15/15, 10/15, etc.
been ansi :
nohlV
91
with
a A .81
inpidanianza 11
81
W
5
I
a
9
ad
de
to
Page data
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Context sent to Scholar
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"ocrText": "BEORD\n039\nMA\n30 TH\nB\nI\neel\n1. Be sure that all items are filled in before forwarding. Make definite statements in all instances.\n2. Give age in years, height in inches, weight in pounds, stating amount of clothing entering into weight.\nM\n0\n8. State what teeth are missing and existing dentistry such as crowns, plates, etc. State number of op-\nposed molars.\nis\n9. Flat foot-state whether or not any inconvenience exists.\n11. Chest measurements should be in total inches.\n01\n12. Actual vision should be stated determined on proper letters for 20 foot distance as 20/20,20/50,20/100.\nIf glasses are worn state correction.\nHearing should record whispered voice at 15 feet 15/15, 10/15, etc.\nbeen ansi :\nnohlV\n91\nwith\na A .81\ninpidanianza 11\n81\nW\n5\nI\na\n9\nad\nde\nto"
}