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RESULTS TITMUS/STEREO FLY (Arcs per second) 25. VIVID RED/GREEN (If fail Item 22) PASS 26. OCULAR MOTILITY AND BINOCULARITY (RED LENS TEST) FAIL PASS FAIL IF FAILED: DIPLOPIA SUPPRESSION LABORATORY 27. URINALYSIS PROTEIN NEG T 1+ 2+ 3+ 4+ SUGAR NEG T 1+ 2+ 3+ 4+ NEGATIVE BLOOD NEG T 1+ 2+ 3+ 4+ LEUKOCYTE ESTERASE NEG T 1+ 2+ 3+ 4+ POSITIVE (List results) MICROSCOPIC EXAMINATION (If required) (X one) 28. OTHER TESTS (Specify type and results) DD FORM 235.

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