Prompt: !?22,"Compensation and Pension Examination",!?33,"# 0710 Worksheet",!,?(IOM-$L(DVBAX)\2),DVBAX,!!
Line Location: EN+2
Function Call: WRITE
Prompt: "Name: ",NAME,?45,"SSN: ",SSN,!,?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: GYNECOLOGICAL, NOT ELSEWHERE CLASSIFIED",!!