<div class='cut-page'><button class='gotoPage' data-page='1'>Page 1</button> <div class='cut-image'><img data-url='document/lic-701-198-confidential-have-physician-address-risk-factors-present.html?page=1' data-page='1' class='cut-thumb lazyload' alt='Page 1: LIC 701 (1/98) (Confidential) have Physician: Address ...Risk factors present; Mantoux TB skin test performed (unless previous positive skin test documented). Communicable TB disease' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022042001/5e6da74c36961544a82f93fd/html5/thumbnails/1.jpg' width='140' height='200' /></div></div>