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Previous BCG Rh D Specific u Previous Positive Gravity weak D Albumin Previous Rx completed Sugar Casts Normal Date completed mm-dd-yyyy WBC RBC No b. Hematology age 1 and over 3. Blood Lead Level 5. Tuberculin Test 5TU PPD 6. Pre-employment Only recommended for all ages 1 and over including or if previously not done those with previous BCG mo. U.S. Department of State Office of Medical Services Room L101 SA-1 Washington DC 20522-0102 MEDICAL HISTORY AND EXAMINATION FOR FOREIGN SERVICE OMB...

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