TEST1,TEST1 *1/1/1999

Dr. Demo
GALILEOS Report [STREET]
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a. 01 Page 2

Scan date: 5/16/2022 3:43 PM

Print date: 5/18/2022 8:37 AM Page 1 of 2
253 mGycm2 GALAXIS V1.9
TEST1,TEST1 *1/1/1999
Dr. Demo
GALILEOS Report [STREET]
[ZIP] [CITY]
[EMAIL]

a. 01

1 -12 mm 2 -11 mm 3 -10 mm 4 -9 mm 5 -8 mm

6 -7 mm 7 -6 mm 8 -5 mm 9 -4 mm 10 -3 mm

11 -2 mm 12 -1 mm 13 0 mm 14 1 mm 15 2 mm

16 3 mm 17 4 mm 18 5 mm 19 6 mm 20 7 mm

21 8 mm 22 9 mm 23 10 mm 24 11 mm 25 12 mm

Scan date: 5/16/2022 3:43 PM

Print date: 5/18/2022 8:37 AM Page 2 of 2
253 mGycm2 GALAXIS V1.9