Physical Limitation/Restriction

Jeffrey Edward

Vascepa

Bureau of Prisons Health Services

Bureau of Prisons Health Services Immunizations Begin Date

TAB

Insulin Reg

Z04

Prisons - NYM Page 1

Cap

Magnesia Susp

Smallpox Series History Unknown Orig Entered:

Bureau of Prisons Health Services Medical Duty Status Reg

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

CAP

EDWARD Reg

NYM

MCC Begin Date

Date Administered Location osmium

Bureau of Prisons Health Services Dental Health

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

DDS

Measles/Mumps/Rubella Series History Unknown Orig Entered

Bureau of Prisms NYM Page 1