1710181 N Stude Address irthdal0 LTH EXAMINATI S hone Name of Parent or Guardian A. HEALTH EXAMINATION Heigh • -t sex_ (I)NormeleN; AbnOrrnal=A N A COMMENT: Abnormal Findings, by number 1. Appearance C < r. 2. Skin/Nose ../ 3. Head/Scalp / 4. Eyes 5. Visual Acuity IR & Ll . / 6.