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Get Bristol Community College Tuberculosis Skin Test Form

_________________________________________________ Date Placed: _____________________________ Site: ___Right ___Left Lot#: _____________________________ Expiration Date: ________________ Signature (administered by):_______________________________________________________ RN__ MD__ Other: ________________________ Date Read (within 48-72 hours from date placed): _____________________________________ Induration (please note in mm): ____________________________mm PPD (Mantoux) Test Result: __.

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