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Height Ft / In cm D. Weight Lb Kg / time / min B. Pulse E. Blood pressure / mm Hg Abnormal C. A TB Test has been taken within last 2 years on B. Hepatitis B series on C. DTP on D. MMR on E. Td on F. Polio on MEDICAL HISTORY A. Heart Normal F. Locomotors Normal PROOF OF VACCINATIONS The above named individual has completed each immunization of A. Name in English Name in Chinese Assigned Volunteer ID No Home Tel Gender Male Female Passport or SSN ID No 1. OCAC MOE HAC...
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