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Date of Camper s Examination Codes Satisfactory X Not Examined O Height Weight B. P. Appearance-Nutrition Eyes w/o glasses R-20/ L-20/ w/glasses R-20/ L-20/ Ears Hearing R L Throat Teeth Heart Lungs Abdomen Genitalia Hernia Skin Musculoskeletal Urinalysis Other Notes Immunization Year Primary Series Completed DTaP/DTP DT Td Polio Hlb MMR Combined Separate Rubeola Measles Hepatitis B Type Year Last Given Result Year of Last Booster Physician s Comments and recommendations. Deposits are...
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