false
70
Traumatized tooth exam
ExamSheet
11
Microsoft Sans Serif
850
1100
false
1
false
false
24759
70
InputField
misc
10
Lucida Handwriting
false
238
879
531
170
DownLocal
false
0
Left
false
-16777216
false
24751
70
InputField
misc
10
Lucida Handwriting
false
149
703
622
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24752
70
InputField
misc
10
Lucida Handwriting
false
206
740
566
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24753
70
InputField
misc
10
Lucida Handwriting
false
186
776
585
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24754
70
CheckBox
misc
0
false
563
814
13
13
None
false
0
Left
false
-16777216
false
24755
70
CheckBox
misc
0
false
353
815
13
13
None
false
0
Left
false
-16777216
false
24756
70
CheckBox
misc
0
false
575
831
13
13
None
false
0
Left
false
-16777216
false
24757
70
CheckBox
misc
0
false
323
832
13
13
None
false
0
Left
false
-16777216
false
24758
70
InputField
misc
10
Lucida Handwriting
false
210
846
559
33
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24749
70
CheckBox
misc
0
false
297
689
13
13
None
false
0
Left
false
-16777216
false
24750
70
CheckBox
misc
0
false
367
689
13
13
None
false
0
Left
false
-16777216
false
24748
70
InputField
misc
10
Lucida Handwriting
false
393
686
378
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24747
70
CheckBox
misc
0
false
271
672
13
13
None
false
0
Left
false
-16777216
false
24746
70
CheckBox
misc
0
false
415
671
13
13
None
false
0
Left
false
-16777216
false
24745
70
InputField
misc
10
Lucida Handwriting
false
469
669
302
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24743
70
CheckBox
misc
0
false
314
655
13
13
None
false
0
Left
false
-16777216
false
24744
70
CheckBox
misc
0
false
385
655
13
13
None
false
0
Left
false
-16777216
false
24742
70
CheckBox
misc
0
false
233
655
13
13
None
false
0
Left
false
-16777216
false
24741
70
CheckBox
misc
0
false
296
638
13
13
None
false
0
Left
false
-16777216
false
24740
70
CheckBox
misc
0
false
473
621
13
13
None
false
0
Left
false
-16777216
false
24739
70
CheckBox
misc
0
false
317
621
13
13
None
false
0
Left
false
-16777216
false
24738
70
CheckBox
misc
0
false
257
621
13
13
None
false
0
Left
false
-16777216
false
24734
70
CheckBox
misc
0
false
472
587
13
13
None
false
0
Left
false
-16777216
false
24735
70
InputField
misc
10
Lucida Handwriting
false
406
601
364
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24736
70
CheckBox
misc
0
false
281
604
13
13
None
false
0
Left
false
-16777216
false
24737
70
CheckBox
misc
0
false
383
604
13
13
None
false
0
Left
false
-16777216
false
24728
70
CheckBox
misc
0
false
405
533
13
13
None
Temperature 3
false
0
Left
false
-16777216
false
24729
70
CheckBox
misc
0
false
376
570
13
13
None
false
0
Left
false
-16777216
false
24730
70
CheckBox
misc
0
false
465
570
13
13
None
false
0
Left
false
-16777216
false
24731
70
CheckBox
misc
0
false
568
570
13
13
None
false
0
Left
false
-16777216
false
24732
70
CheckBox
misc
0
false
255
587
13
13
None
false
0
Left
false
-16777216
false
24733
70
CheckBox
misc
0
false
362
587
13
13
None
false
0
Left
false
-16777216
false
24726
70
CheckBox
misc
0
false
337
532
13
13
None
Temperature 2
false
0
Left
false
-16777216
false
24727
70
CheckBox
misc
0
false
273
533
13
13
None
Temperature 1
false
0
Left
false
-16777216
false
24723
70
CheckBox
misc
0
false
272
499
13
13
None
false
0
Left
false
-16777216
false
24724
70
CheckBox
misc
0
false
265
516
13
13
None
false
0
Left
false
-16777216
false
24725
70
CheckBox
misc
0
false
367
516
13
13
None
false
0
Left
false
-16777216
false
24722
70
InputField
misc
10
Lucida Handwriting
false
290
496
481
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24720
70
InputField
misc
10
Lucida Handwriting
false
271
479
500
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24721
70
CheckBox
misc
0
false
252
482
13
13
None
false
0
Left
false
-16777216
false
24719
70
CheckBox
misc
0
false
453
465
13
13
None
Displacement
false
0
Left
false
-16777216
false
24718
70
CheckBox
misc
0
false
353
465
13
13
None
Displacement
false
0
Left
false
-16777216
false
24717
70
CheckBox
misc
0
false
253
465
13
13
None
Displacement
false
0
Left
false
-16777216
false
24713
70
CheckBox
misc
0
false
392
431
13
13
None
Pulp
true
0
Left
false
-16777216
false
24714
70
CheckBox
misc
0
false
236
448
13
13
None
Mobility
false
0
Left
false
-16777216
false
24716
70
CheckBox
misc
0
false
480
448
13
13
None
Mobility
false
0
Left
false
-16777216
false
24715
70
CheckBox
misc
0
false
363
448
13
13
None
Mobility
false
0
Left
false
-16777216
false
24712
70
CheckBox
misc
0
false
307
431
13
13
None
Pulp
true
0
Left
false
-16777216
false
24711
70
CheckBox
misc
0
false
246
431
13
13
None
Pulp
true
0
Left
false
-16777216
false
24710
70
CheckBox
misc
0
false
458
430
13
13
None
Pulp
true
0
Left
false
-16777216
false
24709
70
CheckBox
misc
0
false
499
414
13
13
None
Condition
true
0
Left
false
-16777216
false
24708
70
CheckBox
misc
0
false
425
414
13
13
None
Condition
true
0
Left
false
-16777216
false
24707
70
CheckBox
misc
0
false
353
414
13
13
None
Condition
true
0
Left
false
-16777216
false
24704
70
CheckBox
misc
0
false
525
397
13
13
None
Fracture
true
0
Left
false
-16777216
false
24705
70
CheckBox
misc
0
false
668
398
13
13
None
Fracture
true
0
Left
false
-16777216
false
24706
70
CheckBox
misc
0
false
295
413
13
13
None
Condition
true
0
Left
false
-16777216
false
24698
70
CheckBox
misc
0
false
286
379
13
13
None
false
0
Left
false
-16777216
false
24699
70
CheckBox
misc
0
false
380
379
13
13
None
false
0
Left
false
-16777216
false
24700
70
CheckBox
misc
0
false
470
380
13
13
None
false
0
Left
false
-16777216
false
24701
70
CheckBox
misc
0
false
226
397
13
13
None
Fracture
true
0
Left
false
-16777216
false
24702
70
CheckBox
misc
0
false
327
397
13
13
None
Fracture
true
0
Left
false
-16777216
false
24703
70
CheckBox
misc
0
false
430
397
13
13
None
Fracture
true
0
Left
false
-16777216
false
24697
70
InputField
misc
10
Lucida Handwriting
false
497
377
274
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24691
70
InputField
misc
10
Lucida Calligraphy
false
205
239
565
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24692
70
InputField
misc
10
Lucida Handwriting
false
195
256
575
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24693
70
InputField
misc
10
Lucida Handwriting
false
197
273
573
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24694
70
InputField
misc
10
Lucida Handwriting
false
205
290
565
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24695
70
InputField
misc
10
Lucida Handwriting
false
220
307
550
40
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24696
70
InputField
misc
11
Microsoft Sans Serif
false
261
357
510
20
None
false
0
Left
false
-16777216
false
24690
70
InputField
misc
10
Lucida Handwriting
false
235
222
535
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24689
70
InputField
misc
10
Lucida Handwriting
false
270
168
500
17
None
false
0
Exisitng medical condition
Left
false
-16777216
false
24687
70
CheckBox
misc
0
false
315
137
13
13
None
false
0
Left
false
-16777216
false
24688
70
CheckBox
misc
0
false
322
154
13
13
None
false
0
Left
false
-16777216
false
24683
70
Rectangle
0
false
573
830
15
15
None
false
0
Left
false
-16777216
false
24684
70
StaticText
Future Treatment:
11
Microsoft Sans Serif
true
101
879
137
20
None
false
0
Left
false
-16777216
false
24686
70
CheckBox
misc
0
false
208
137
13
13
None
false
0
Left
false
-16777216
false
24685
70
CheckBox
misc
0
false
427
136
13
13
None
false
0
Left
false
-16777216
false
24682
70
Rectangle
0
false
321
830
15
15
None
false
0
Left
false
-16777216
false
24681
70
StaticText
Bonded restoration
10
Microsoft New Tai Lue
false
451
829
122
17
None
false
0
Left
false
-16777216
false
24679
70
Rectangle
0
false
352
813
15
15
None
false
0
Left
false
-16777216
false
24680
70
StaticText
Root stabilization
10
Microsoft New Tai Lue
false
210
829
111
17
None
false
0
Left
false
-16777216
false
24678
70
Rectangle
0
false
561
812
15
15
None
false
0
Left
false
-16777216
false
24676
70
StaticText
Reposition dislocation
10
Microsoft New Tai Lue
false
211
812
140
17
None
false
0
Left
false
-16777216
false
24677
70
StaticText
Pulp protection
10
Microsoft New Tai Lue
false
451
812
109
17
None
false
0
Left
false
-16777216
false
24675
70
StaticText
Treatment:
11
Microsoft Sans Serif
true
101
809
84
20
None
false
0
Left
false
-16777216
false
24674
70
StaticText
Diagnosis:
11
Microsoft Sans Serif
true
101
773
85
20
None
false
0
Left
false
-16777216
false
24673
70
StaticText
Photographs:
11
Microsoft Sans Serif
true
101
737
105
20
None
false
0
Left
false
-16777216
false
24672
70
StaticText
Other:
10
Microsoft Tai Le
false
101
703
48
17
None
false
0
Left
false
-16777216
false
24671
70
Rectangle
0
false
365
687
15
15
None
false
0
Left
false
-16777216
false
24670
70
Rectangle
0
false
295
687
15
15
None
false
0
Left
false
-16777216
false
24669
70
StaticText
debris
10
Microsoft New Tai Lue
false
322
686
43
17
None
false
0
Left
false
-16777216
false
24668
70
StaticText
tooth fragment
10
Microsoft New Tai Lue
false
197
686
97
17
None
false
0
Left
false
-16777216
false
24665
70
StaticText
size
10
Microsoft New Tai Lue
false
441
669
28
17
None
false
0
Left
false
-16777216
false
24666
70
Rectangle
0
false
269
670
15
15
None
false
0
Left
false
-16777216
false
24667
70
StaticText
Foreign object:
10
Microsoft Tai Le
false
101
686
96
17
None
false
0
Left
false
-16777216
false
24664
70
Rectangle
0
false
413
669
15
15
None
false
0
Left
false
-16777216
false
24663
70
StaticText
internal resorption
10
Microsoft New Tai Lue
false
295
669
118
17
None
false
0
Left
false
-16777216
false
24658
70
Rectangle
0
false
231
653
15
15
None
false
0
Left
false
-16777216
false
24662
70
StaticText
calcification
10
Microsoft New Tai Lue
false
193
669
76
17
None
false
0
Left
false
-16777216
false
24661
70
StaticText
Pulp chamber:
10
Microsoft Tai Le
false
101
669
92
17
None
false
0
Left
false
-16777216
false
24660
70
Rectangle
0
false
383
653
15
15
None
false
0
Left
false
-16777216
false
24659
70
Rectangle
0
false
312
653
15
15
None
false
0
Left
false
-16777216
false
24657
70
StaticText
closed
10
Microsoft New Tai Lue
false
337
652
46
17
None
false
0
Left
false
-16777216
false
24656
70
StaticText
narrow
10
Microsoft New Tai Lue
false
263
652
48
17
None
false
0
Left
false
-16777216
false
24655
70
StaticText
open
10
Microsoft New Tai Lue
false
194
652
36
17
None
false
0
Left
false
-16777216
false
24653
70
Rectangle
0
false
294
636
15
15
None
false
0
Left
false
-16777216
false
24654
70
StaticText
Apical closure:
10
Microsoft Tai Le
false
101
652
93
17
None
false
0
Left
false
-16777216
false
24652
70
StaticText
radiolucency
10
Microsoft New Tai Lue
false
211
635
83
17
None
false
0
Left
false
-16777216
false
24651
70
StaticText
Apical pathology:
10
Microsoft Tai Le
false
101
635
110
17
None
false
0
Left
false
-16777216
false
24650
70
Rectangle
0
false
471
619
15
15
None
false
0
Left
false
-16777216
false
24649
70
Rectangle
0
false
315
619
15
15
None
false
0
Left
false
-16777216
false
24648
70
Rectangle
0
false
255
619
15
15
None
false
0
Left
false
-16777216
false
24646
70
StaticText
torn
10
Microsoft New Tai Lue
false
285
618
30
17
None
false
0
Left
false
-16777216
false
24647
70
StaticText
external resorption
10
Microsoft New Tai Lue
false
351
618
120
17
None
false
0
Left
false
-16777216
false
24645
70
StaticText
widened
10
Microsoft New Tai Lue
false
191
618
63
17
None
false
0
Left
false
-16777216
false
24642
70
Rectangle
0
false
279
602
15
15
None
false
0
Left
false
-16777216
false
24644
70
StaticText
Periodontium:
10
Microsoft Tai Le
false
101
618
90
17
None
false
0
Left
false
-16777216
false
24643
70
Rectangle
0
false
381
602
15
15
None
false
0
Left
false
-16777216
false
24641
70
StaticText
nasal spine
10
Microsoft New Tai Lue
false
308
601
73
17
None
false
0
Left
false
-16777216
false
24640
70
StaticText
alveolar bone
10
Microsoft New Tai Lue
false
192
601
87
17
None
false
0
Left
false
-16777216
false
24639
70
StaticText
Bone fracture:
10
Microsoft Tai Le
false
101
601
91
17
None
false
0
Left
false
-16777216
false
24638
70
Rectangle
0
false
470
585
15
15
None
false
0
Left
false
-16777216
false
24636
70
Rectangle
0
false
253
585
15
15
None
false
0
Left
false
-16777216
false
24637
70
Rectangle
0
false
361
585
15
15
None
false
0
Left
false
-16777216
false
24635
70
StaticText
callous repair
10
Microsoft New Tai Lue
false
383
584
87
17
None
false
0
Left
false
-16777216
false
24634
70
StaticText
cervical 1/2
10
Microsoft New Tai Lue
false
285
584
75
17
None
false
0
Left
false
-16777216
false
24632
70
StaticText
Root fracture:
10
Microsoft Tai Le
false
101
584
87
17
None
false
0
Left
false
-16777216
false
24633
70
StaticText
apical 1/2
10
Microsoft New Tai Lue
false
188
584
65
17
None
false
0
Left
false
-16777216
false
24631
70
Rectangle
0
false
566
568
15
15
None
false
0
Left
false
-16777216
false
24630
70
Rectangle
0
false
463
568
15
15
None
false
0
Left
false
-16777216
false
24629
70
Rectangle
0
false
374
568
15
15
None
false
0
Left
false
-16777216
false
24628
70
StaticText
Panoramic
10
Microsoft New Tai Lue
false
496
567
70
17
None
false
0
Left
false
-16777216
false
24626
70
StaticText
Periapical
10
Microsoft New Tai Lue
false
309
567
65
17
None
false
0
Left
false
-16777216
false
24627
70
StaticText
Occlusal
10
Microsoft New Tai Lue
false
406
567
57
17
None
false
0
Left
false
-16777216
false
24625
70
StaticText
Radiographic examination:
11
Microsoft Sans Serif
true
101
564
202
20
None
false
0
Left
false
-16777216
false
24624
70
Rectangle
0
false
403
531
15
15
None
false
0
Left
false
-16777216
false
24623
70
Rectangle
0
false
335
531
15
15
None
false
0
Left
false
-16777216
false
24622
70
Rectangle
0
false
271
531
15
15
None
false
0
Left
false
-16777216
false
24621
70
StaticText
heat
10
Microsoft New Tai Lue
false
369
530
33
17
None
false
0
Left
false
-16777216
false
24620
70
StaticText
cold
10
Microsoft New Tai Lue
false
304
530
31
17
None
false
0
Left
false
-16777216
false
24619
70
StaticText
air
10
Microsoft New Tai Lue
false
249
530
22
17
None
false
0
Left
false
-16777216
false
24617
70
Rectangle
0
false
365
514
15
15
None
false
0
Left
false
-16777216
false
24618
70
StaticText
Temperature sensitivity:
10
Microsoft Tai Le
false
101
530
148
17
None
false
0
Left
false
-16777216
false
24615
70
StaticText
percussion
10
Microsoft New Tai Lue
false
295
513
70
17
None
false
0
Left
false
-16777216
false
24616
70
Rectangle
0
false
263
514
15
15
None
false
0
Left
false
-16777216
false
24614
70
StaticText
touch
10
Microsoft New Tai Lue
false
223
513
40
17
None
false
0
Left
false
-16777216
false
24613
70
StaticText
Pressure sensitivity:
10
Microsoft Tai Le
false
101
513
122
17
None
false
0
Left
false
-16777216
false
24612
70
Rectangle
0
false
270
497
15
15
None
false
0
Left
false
-16777216
false
24611
70
StaticText
hemorrhage
10
Microsoft New Tai Lue
false
189
496
80
17
None
false
0
Left
false
-16777216
false
24609
70
Rectangle
0
false
250
480
15
15
None
false
0
Left
false
-16777216
false
24610
70
StaticText
Discoloration:
10
Microsoft Tai Le
false
101
496
88
17
None
false
0
Left
false
-16777216
false
24608
70
StaticText
interference
10
Microsoft New Tai Lue
false
173
479
77
17
None
false
0
Left
false
-16777216
false
24607
70
StaticText
Occlusion:
10
Microsoft Tai Le
false
101
479
72
17
None
false
0
Left
false
-16777216
false
24606
70
Rectangle
0
false
452
463
15
15
None
false
0
Left
false
-16777216
false
24605
70
Rectangle
0
false
351
463
15
15
None
false
0
Left
false
-16777216
false
24600
70
StaticText
Displacement:
10
Microsoft Tai Le
false
101
462
92
17
None
false
0
Left
false
-16777216
false
24601
70
StaticText
intrusion
10
Microsoft New Tai Lue
false
193
462
58
17
None
false
0
Left
false
-16777216
false
24602
70
StaticText
dislocation
10
Microsoft New Tai Lue
false
278
462
72
17
None
false
0
Left
false
-16777216
false
24603
70
StaticText
avulsion
10
Microsoft New Tai Lue
false
395
462
56
17
None
false
0
Left
false
-16777216
false
24604
70
Rectangle
0
false
251
463
15
15
None
false
0
Left
false
-16777216
false
24597
70
Rectangle
0
false
234
446
15
15
None
false
0
Left
false
-16777216
false
24598
70
Rectangle
0
false
361
446
15
15
None
false
0
Left
false
-16777216
false
24599
70
Rectangle
0
false
478
446
15
15
None
false
0
Left
false
-16777216
false
24595
70
StaticText
M2 >= 1mm
10
Microsoft New Tai Lue
false
277
445
84
17
None
false
0
Left
false
-16777216
false
24596
70
StaticText
M3 = vertical
10
Microsoft New Tai Lue
false
393
445
85
17
None
false
0
Left
false
-16777216
false
24594
70
StaticText
M1 < 1mm
10
Microsoft New Tai Lue
false
159
445
74
17
None
false
0
Left
false
-16777216
false
24593
70
StaticText
Mobility:
10
Microsoft Tai Le
false
101
445
58
17
None
false
0
Left
false
-16777216
false
24591
70
Rectangle
0
false
390
429
15
15
None
false
0
Left
false
-16777216
false
24592
70
Rectangle
0
false
456
429
15
15
None
false
0
Left
false
-16777216
false
24588
70
StaticText
large
10
Microsoft New Tai Lue
false
420
428
36
17
None
false
0
Left
false
-16777216
false
24589
70
Rectangle
0
false
244
429
15
15
None
false
0
Left
false
-16777216
false
24590
70
Rectangle
0
false
306
429
15
15
None
false
0
Left
false
-16777216
false
24586
70
StaticText
near
10
Microsoft New Tai Lue
false
273
428
32
17
None
false
0
Left
false
-16777216
false
24587
70
StaticText
pin point
10
Microsoft New Tai Lue
false
329
428
60
17
None
false
0
Left
false
-16777216
false
24585
70
StaticText
none
10
Microsoft New Tai Lue
false
209
428
35
17
None
false
0
Left
false
-16777216
false
24580
70
Rectangle
0
false
293
412
15
15
None
false
0
Left
false
-16777216
false
24581
70
Rectangle
0
false
351
412
15
15
None
false
0
Left
false
-16777216
false
24582
70
Rectangle
0
false
423
412
15
15
None
false
0
Left
false
-16777216
false
24583
70
Rectangle
0
false
497
412
15
15
None
false
0
Left
false
-16777216
false
24584
70
StaticText
Pulpal exposure:
10
Microsoft Tai Le
false
101
428
108
17
None
false
0
Left
false
-16777216
false
24579
70
StaticText
partial
10
Microsoft New Tai Lue
false
453
411
44
17
None
false
0
Left
false
-16777216
false
24577
70
StaticText
lost
10
Microsoft New Tai Lue
false
324
411
27
17
None
false
0
Left
false
-16777216
false
24578
70
StaticText
whole
10
Microsoft New Tai Lue
false
380
411
42
17
None
false
0
Left
false
-16777216
false
24576
70
StaticText
NA
10
Microsoft New Tai Lue
false
266
411
27
17
None
false
0
Left
false
-16777216
false
24575
70
StaticText
Tooth fragment condition:
10
Microsoft Tai Le
false
101
411
165
17
None
false
0
Left
false
-16777216
false
24570
70
Rectangle
0
false
224
395
15
15
None
false
0
Left
false
-16777216
false
24571
70
Rectangle
0
false
325
395
15
15
None
false
0
Left
false
-16777216
false
24572
70
Rectangle
0
false
428
395
15
15
None
false
0
Left
false
-16777216
false
24573
70
Rectangle
0
false
523
395
15
15
None
false
0
Left
false
-16777216
false
24574
70
Rectangle
0
false
666
396
15
15
None
false
0
Left
false
-16777216
false
24568
70
StaticText
III = pulp
10
Microsoft New Tai Lue
false
463
394
60
17
None
false
0
Left
false
-16777216
false
24569
70
StaticText
IV = entire crown
10
Microsoft New Tai Lue
false
556
394
110
17
None
false
0
Left
false
-16777216
false
24567
70
StaticText
II = dentin
10
Microsoft New Tai Lue
false
358
394
70
17
None
false
0
Left
false
-16777216
false
24566
70
StaticText
I = enamel
10
Microsoft New Tai Lue
false
257
394
68
17
None
false
0
Left
false
-16777216
false
24565
70
StaticText
NA
10
Microsoft New Tai Lue
false
197
394
27
17
None
false
0
Left
false
-16777216
false
24563
70
Rectangle
0
false
468
378
15
15
None
false
0
Left
false
-16777216
false
24564
70
StaticText
Fracture class:
10
Microsoft Tai Le
false
101
394
96
17
None
false
0
Left
false
-16777216
false
24561
70
Rectangle
0
false
378
377
15
15
None
false
0
Left
false
-16777216
false
24562
70
StaticText
puncture
10
Microsoft New Tai Lue
false
407
377
60
17
None
false
0
Left
false
-16777216
false
24559
70
Rectangle
0
false
284
377
15
15
None
false
0
Left
false
-16777216
false
24560
70
StaticText
laceration
10
Microsoft New Tai Lue
false
313
377
64
17
None
false
0
Left
false
-16777216
false
24558
70
StaticText
abrasion
10
Microsoft New Tai Lue
false
227
377
57
17
None
false
0
Left
false
-16777216
false
24557
70
StaticText
Soft tissue damage:
10
Microsoft Tai Le
false
101
377
126
17
None
false
0
Left
false
-16777216
false
24556
70
StaticText
Clinical examination:
11
Microsoft Sans Serif
true
101
357
160
20
None
false
0
Left
false
-16777216
false
24555
70
StaticText
Patient symptoms:
10
Microsoft Tai Le
false
100
307
120
17
None
false
0
Left
false
-16777216
false
24554
70
StaticText
Previous injury:
10
Microsoft Tai Le
false
100
290
105
17
None
false
0
Left
false
-16777216
false
24553
70
StaticText
Place of injury:
10
Microsoft Tai Le
false
100
273
97
17
None
false
0
Left
false
-16777216
false
24552
70
StaticText
Time of injury:
10
Microsoft Tai Le
false
100
256
95
17
None
false
0
Left
false
-16777216
false
24551
70
StaticText
Cause of injury:
10
Microsoft Tai Le
false
100
239
105
17
None
false
0
Left
false
-16777216
false
24550
70
StaticText
Tooth/teeth involved:
10
Microsoft Tai Le
false
100
222
135
17
None
false
0
Left
false
-16777216
false
24548
70
StaticText
Exisitng medical condition:
10
Microsoft Tai Le
false
100
168
170
17
None
false
0
Left
false
-16777216
false
24549
70
StaticText
Dental History:
11
Microsoft Sans Serif
true
100
202
115
20
None
false
0
Left
false
-16777216
false
24547
70
Rectangle
0
false
321
152
15
15
None
false
0
Left
false
-16777216
false
24546
70
StaticText
Tetanus booster (puncture wound)
10
Microsoft Tai Le
false
100
151
220
17
None
false
0
Left
false
-16777216
false
24544
70
Rectangle
0
false
314
135
15
15
None
false
0
Left
false
-16777216
false
24545
70
Rectangle
0
false
426
135
15
15
None
false
0
Left
false
-16777216
false
24543
70
Rectangle
0
false
207
135
15
15
None
false
0
Left
false
-16777216
false
24542
70
StaticText
Headache
10
Microsoft Tai Le
false
353
134
72
17
None
false
0
Left
false
-16777216
false
24541
70
StaticText
Vomiting
10
Microsoft Tai Le
false
250
134
63
17
None
false
0
Left
false
-16777216
false
24540
70
StaticText
Loss of memory
10
Microsoft Tai Le
false
100
134
106
17
None
false
0
Left
false
-16777216
false
24536
70
OutputText
sheet.DateTimeSheet
12
Microsoft Sans Serif
false
100
30
165
20
None
false
0
Left
false
-16777216
false
24537
70
StaticText
Traumatized tooth exam for [nameFL]
12
Microsoft Sans Serif
true
100
50
600
20
None
false
0
Left
false
-16777216
false
24538
70
StaticText
Medical History:
11
Microsoft Sans Serif
true
100
100
123
17
None
false
0
Left
false
-16777216
false
24539
70
StaticText
Current age: [age]
10
Microsoft Tai Le
false
100
117
140
17
None
false
0
Left
false
-16777216