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Tile
Graphics Interchange Format
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2000-10-04
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2.1 KB
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160x160
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1-bit (2 colors)
ocr:
Child Medicalinfo Child Marissg Date of Birth: 1/22/00 SocialSecurity #: 533706035 Ins: --Company: Blue Cross --Policy #:H21465. Blood Type: vB Allergies: None Back Enter Delete