Measles/Mumps/Rubella Series History Unknown Orig Entered

Jeffrey Edward

Z04

TAB

Prisons - NYM Page 1

Cap

DDS

Smallpox Series History Unknown Orig Entered:

RN/IC/P/10C Bureau of Prisons - NYM Page

Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Add

NYM

Bureau of Prisons Health Services Immunizations Begin Date

Vascepa

Bureau of Prisons Health Services

Bureau of Prisons Health Services Medical Duty Status Reg

Insulin Reg

Magnesia Susp

Physical Limitation/Restriction

CAP

Bureau of Prisms NYM Page 1

EDWARD Reg

Date Administered Location osmium

MCC Begin Date