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Clinical Record Newborn GSA Form
LUNGS HEART MURMURS LIVER SPLEEN CORD GENITALS ANUS MECONIUM SPINE EXTREMITIES MUSCLE TONE PARALYSES REFLEXES MORO JOINTS SEX RACE ABNORMAL FINDINGS ON PHYSICAL EXAMINATION SIGNATURE OF PHYSICIAN PATIENT S IDENTIFICATION For typed or written entries give Name-last first middle grade date hospital or medical facility WARD NO. K COMPLICATIONS OF DELIVERY PRENATAL COURSE Include illnesses contacts with diseases. Details under remarks ANALGESIA State whether barbiturate or opiate dosage and hours...
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