Bureau of Prisons¶
Health Services Vision Screens¶
| Reg #: 76318-054 | Inmate Name: EPSTEIN, JEFFREY EDWARD | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Vision Screen on | 07/09/2019 12:52 | ||||||||
| Blindness: | |||||||||
| Distance Vision: | OD: 20/100 | OS: 20/70 | OU: | ||||||
| Near Vision: | OD: | OS: | OU: | ||||||
| With Corrective | |||||||||
| Distance Vision: | OD: | OS: | OU: | ||||||
| Near Vision: | OD: | OS: | OU: | ||||||
| Present Glasses - Distance | Refraction - Distance | ||||||||
| Sphere | Cylinder | Axis | Add | Sphere | Cylinder | Axis | Add | ||
| R: | R: | ||||||||
| L: | L: | ||||||||
Tonometry: R: L:¶
Comments: Needs evaluation with optometrist.¶
| Orig Entered: | 07/09/2019 12:54 EST |¶
| :--- | :--- |¶
Generated 08/10/2019 11:02 by¶
Page 1 of 1¶
Bureau of Prisons - NYM¶
EFTA00140222¶
Bureau of Prisons¶
Health Services Immunizations¶
| Immunization | Immunization Date | Administered | Location | Dosage Drug Mfg. | Lot # | Exp Date |
|---|---|---|---|---|---|---|
| Hepatitis A and B (TwinRx) | History Unknown | |||||
| Orig Entered: 07/09/2019 12:51 EST | .MLP | |||||
| Measles/Mumps/Rubella Series | History Unknown | |||||
| Orig Entered: 07/09/2019 12:51 EST | .MLP | |||||
| Smallpox Series | History Unknown | |||||
| Orig Entered: 07/09/2019 12:51 EST | .MLP | |||||
| Tetanus | History Unknown | |||||
| Orig Entered: 07/09/2019 12:51 EST | .MLP | |||||
| Varicella Series | History Unknown | |||||
| Orig Entered: 07/09/2019 12:51 EST | .MLP | |||||
| Total: 5 |
Generated 08/10/2019 11:02 by¶
Page 1 of 1¶
RN/IOP/IDC¶
Bureau of Prisons - NYM¶