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Last NameFirst Name Middle Initiate of BirthExamination Height: BP:Weight: /(/)Pulse:Vision:R 20/Medical 20/NormalCorrected Yes Abnormal FindingsAppearance:Marian stigmata (kyphoscoliosis, high arched
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What is i have examined form?
It is a form used to declare that the information provided has been examined and verified.
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Any individual or entity who has provided information that needs to be verified.
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