{"text":"uof \nGREATER GLASGOW HEALTH BOARD - STOBHlLL HOSPITAL UNIT \n- CONSENT TO OPERATION CHART \n[SURNAME . CHRISTIAN\/FORENAMES \nUNIT NUMBER \nI IIIIIIIIIIIII \n338654 \n- CLELLAND AGNES \n. 39 :RENNIE RD \nFORM 5A \nthe nature\u2019and effect of which have been explained to me by Dr.\/Mr \n- \n. hereby consent to undergo the operation of - _ \nKILSYTH \n61502 \nG65 9PQ 08\/09\/1955 \nB \nf&tv{\u2018 ;\/(7&'}7@ \ufb01\/fa\ufb01\ufb02 \n4%%\/% \n| also consent to such further or alternative operative measures as may be.found to be necessary during the course \n! . \nof the operation and to the administration.of a local or other anaesthetic for any of these purposes. \n\\ \nNo assurance. h%s.been given to me that the opsration will be performed by a gariicul\u00e9r surgeon, ., \n24\/\u00ab \/ 11 \n| confirm that | have explained to the patient the proposed nature and effect of this operation, . \nDate \n2Ll \n: Slgned_.(Doctgr s Signaturs) 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