Date f/r<ci IN Patient's Sign Date NYM-NEW YORK MCC SDNY_00017329 Page 204 EFTA00138966 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE ; A&O DENTAL. EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Head & Neck ! Soft Tissue: I 1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 1