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|PFKAFO KIT |
KIT Contents |
Components |
Schematic Diagram |
|Measurement Form |
Measurement Table|
Lower Limb Orthotic Measurement Form
Ref...................................................Date....................................
Name..........................................................................................
Age:
........Sex............Disability....................................................
Address:......................................................................................
Remarks......................................................................................
D/M
:............D/T:................D/D..................................................
Recipient....................................Orthosis.....................................
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