{"text":"Orthopaedlc Pre- Assessment Contlnuatlon Sheet \n\/ \nNHS \nT \\m\u2014 \nGreater Glasgow \nand Clyde \nMR I \nYes No N\/A ; \n| 103386354x \u2018 \nConsented Bone Donation Ll B\/D ,\u2018 ?CESE:;M:D 08\/05\/155 \no s _ \u2019 . | K;Lsmm ROAD \nSuitable for Bone Donation D\u2018 ?\/ L f }??2_:\u2019_955_5334 G_s\u2018s' orQ \n' Si\u2018gnature Bone Bank ......... e s | \n\u201c Yes No N\/A . \nC 'B_r'ace O'rde_red - D m\/ O \nFemoral Head Requeste.'d N \ufb01 [ \nAmount ........... for surgery date ............ .................. \nDVT RISK FACTORS B , \u2018 . ' \n......... \u00a3 B\ufb01M(LFS | \nALERTS\/ALLERGIES o \nR B LR Ne - NI DEP DARETIC \nAssessors Name\u2019 .$IV~5V\\A0~MW ........ \nSignature. ..... Fevirnes C\u00abQ\u2014O\\)\u2018Q ............... Ceverreens . \n\u2018Additional information' as follows:.\" cLe \n\u201933\u2019 Luise 76 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