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Hy 92-657 ; De _* Standard Ferm $02» io ' Some, Rev. Avguit 1954 * . . . ar rl C g + (Btgn end dase at ond of narrative) 5 - > . tae! : ge . COW XTION ON DISCHARGE: °° "1, 2, 3, and 6, Unchanged, — RECOMMENDATIONS: === Patent ts to be folloved by his se private won de Physician, He ie to continue to bis | previous wedicaticns i -a a: Jd. ; \ 1 ~ “e ' . (Use additional sheets of this form (Standard Form 502) W more space ts required) BIGHATURE OF PHYSICIAN IDENTIFICATION NO.| ORGANIZATION - TEER an borg 00 /al a PATIENT'S IDENTIFICATION (For typed or writen entries sire: Neme—tast, frst, middle; grade; date; hecpltal or medical faciiity) © 4 CABIN, Carle USPHS Hospital, Staten Toland 4, Nev York Auther.cicateds ;