ne r ....
~ n~" ~\..) r-
• \:=L..'VV\...L\fG--
SUBJeCTtV!! & 08.JECTIVE FINDINGS; Pf..AN
DRUG ALLERGIES
Age "61
-:2~
TREATMENT
-- {
-~
~r.-
c'-¥-
~ -~~~~
~ -
...•
.~/" .,~
.t,....I~~
•... A-~r- :?2-..L /~-,y-
---z::-
/
~
/..1
~Y~.s.4-P'
k.+v",:
",.-
.•/7?c:r
/t.kvA..
Tk·
~~
---
Q..pL.~
cP..::- ...,..P~~-"'-o>--..J
.4..4 .A
-=- ..Av.$~.
.?->-::- _- -;t
&.AJ~ ~~
~/;::
~ -_ ..
. ..
.;~, .
....---r
.--"-'"
\
~
ACNT: 188 PAGE: 1 Fr.-:Salllples Spec Services, Ine s+zmu 1:16pm 13. 1 of I
1 M7~Y~~YrrY-Y~YMY.rW-YY
.:> 7': Z40/
.•••n
MESG:••265
U.r~n~lICcDuNT
IN:JAS 5/04 108
-13:16 P.ABE:
MOKERISE FAMILY MEDICAL: OR BARON OR NURSE }
AME:} MELISSA WESTON PHYSICAL THERAPIST {PHONE:} 770-270-3291
OSPIIAL:} REF TO JEAN CAFFREY
ROBLEM:} /;¥~y LA-Sr h/~<. _ ./ . \
.
M-,S$~
..4,,0.:>4..-$ ft- ..••
~ r.. e.£.. ••. AJ..£A~ ~A 0-1> 45 (d). c;o-..•~~5- :;>.,;. .. ,~ •.•) c-v-":.)
G DR IF ;PATIENT SAYS THAT THEY NEED OR BAROf-l FOR MEOICAL PROBLa1s1 -"':>'':;--:- &,:;::--:~
;<:~*****)(lOOi;;OEX:lO(*** ACCOUNT 10B Complete YYrYY'Y1!'\r·;nrY~~-'rT~YY;~C"'"%.:.r,< -. .. --:C~