Compare informant's statement with those given in the commitment certificate. What treatment was given at home? Name of physician in attendance? Date on which patient was taken to hospital. PHYSICAL EXAMINATION I. _GENERAL TYPE, APPEARANCE AND CONDITION_: 1. Weight (with or without clothes). 2. Height and general frame. 3. Malformations (wherever possible state the origin); asymmetries of skull, face, body, spine, thorax; form of palate (low, high, asymmetrical, saddle or V-shaped, longitudinal torus). Ears (adherent lobules, prominent anthelix, satyr-points, large, angle, asymmetry, length, etc.). Abnormalities of hands, feet, sexual organs. 4. Color of the skin. Color and quantity of the hair. Color of the eyes. General complexion. 5. General nutrition (panniculus and muscles). 6. Condition of the skin and mucous membranes; anemia, jaundice, dropsy, pallor, flushing and cyanosis; eruptions (describe in detail). Trophic disorders. 7. Scars, bruises and moles (size, location, color and origin). 8. Evidence of syphilis: scars, including those of the penis, back of tongue (patches devoid of villi and fissures) and palate; tibial crests; glands of elbow, groins and neck. 9. Signs of gout and rheumatism, goitre or nodes of the thyroid, etc. 10. Temperature, general, and various parts of the body (both sides if indicated as in hemiplegia). II. _NERVOUS SYSTEM_: 1. _General and subjective sensations and facial expression_: General feeling of well-being or exhaustion, general complaints, weakness, etc. Vertigo: (constant, occasional, or occurring when the patient walks, or in the dark). Headache: Whole head or limited space; frontal, vertical, occipital, unilateral, bilateral, deep or superficial; constant or periodic, aggravated at night or by some special cause, as with heat, with or without tenderness of head or spine to touch or pressure. Backache (general or localized). Ovarian, infra-mammary, lumbar and vertex pains (in hysteria). Neuralgic pains: (fifth nerve, intercostal nerves, sciatic nerve, with pain points, etc.) and muscular pains. General or wandering pains: Pains in bones (legs) afternoon or night. Girdle pains. Precordial pains (with or without anxiety). Zones of hyperesthesia: See below. 2. _Eyes_: Expression: lids: obliquity, mongol type, lagophthalmus, protrusion of eyeballs (with or without the Graefe symptom), ptosis; spasm of palpebral muscles. Movement of eyes, nystagmus, strabismus (divergent or convergent); position and extent of movement of the eyes; double vision (in what direction does the second object move and incline?). Weakness of the internal rectus (in close focussing). Conjunctiva, lachrymal canal. Scars of cornea. Arcus senilis. Reflectory iridoplegia.