NN001
| Date of Injury |
| Yesterday |
| Age |
| 50 |
| Profession |
| Builder |
| Circumstances |
| Jumped down 2'6" onto hard surface |
| P.M.H. |
| Fit'n'well |
| D.H. |
| Nil |
| Notes |
| Smokes 30/day, Alcohol 2 units/day; UCLA score 10 (regularly participates in impact sports) |
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