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Carlo Gambino — Part 9
Page 78
78 / 115
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fiy 92-657 | a Le
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CON ITION ON DISCHARGE: 1, 2. 3. and 4, Unchanged, -~
RECOMMENDATIONS; =. - . Patient is to be followed by his | oe .
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(Use additional sheeit of this form (Standard Form 902) H more space i: required)
tDENTIFICATION NO.| ORGANIZATION a
SIGNATURE OF PHYSICIAN
/s/S.P.Swersie, SA Surg(R)/af
PATIENT'S IDENTIFICATION (For typed ov written entries give: Name—taxt, first,
middie; grade; date; hecpital or medical factitty} - ,
GAMBINO, Carlo :
USPHS Hospital, Staten Toland 4, New York ry
ee terete ts we
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