104-10175-10182.pdf

4:98 week toa-10175-10162 OCT THE PAST 5 YEARS 4 8

WY Cif cheep

MENSTRUATION sro ewe Tie TA BHAT €S Tee Loess” GLasses CACK UNGANE Avepstad TERE PERC IAG Bm ALORES UAVE WF fowegeee os M4 OaSt Verte peernen M como BEEM TREATES &* Cun PHYSICIANS REALERS REF FOLLORING sco BL a~ 7 PRR MEDICA @CERTUFY Ctacv nea un&t nes of U6 & WEMTAL HOSFITAL OP BELEASED TH PRAETACHIZED PERLOES RKO + AD RRS SS BRLATERDET Bpvaeer KLNESS PGR PMYEICIAN Of EXAMINER H TeIS EMPLOYMENT OR SERVICE TOREETING KS TRE WKAR PO VEE AL GAGATH EXAMGGE S PRESLEY CAL Te & OUR WH

Remon Tecmo RANE TC VES PLAMOdES MENT BEALE aeeLY Pom PEXSION gra det asia eee mee | vi CHRORIG ma ene feng GAD Bilin URAGLE Wade Jae renee | a ee tae 1 BB yoa Joscawe LJ Se Jucmen serra sme 1 LATO ABE STATE OF HEALTS mmfontde

yes trouble mental vou yea fect reasons poss item gad mad ves check wad physical