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801F U 802Glaucoma 803PO Cat 804F U Cat 805 Emergency 807PO Patient Name: Acct #: Date: Allergies: Age: CC: Eye Meds / Dosage / Change? 1. 2. 3. 4. 5. MD HP: Last Visual Field: SDP: Each: OD OS Med.
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Ph nv pupils stands for Personal Health and Nutrition Values Pupils. It is a form used to report the health and nutrition information of students in schools.
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