Smallpox Series History Unknown
Orig Entered:
Bureau of Prisons
Health Services
Immunizations
Begin Date
Bureau of Prisons
Health Services
Medical Duty Status
Reg
Bureau of Prisons
Health Services
Present Glasses - Distance Refraction - Distance
Sphere Cylinder Axis Add Sphere Cylinder Axis Add
Physical Limitation/Restriction
Bureau of Prisons
Health Services
Dental Health
Measles/Mumps/Rubella Series History Unknown
Orig Entered
Date Administered Location osmium
Bureau of Prisms NYM Page 1
RN/IC/P/10C Bureau of Prisons - NYM Page