div class=ts-pagebuttonPage 1button div class=ts-image a href=https:reader042vdocumentsusreader042viewer20220309095b56aa0a7f8b9a835c8cb4behtml5page1jpg target=_blank amp-img class=ts-thumb alt=Page 1: Complete patient information on reverse - Home Alberta · Box A — Patient History Asymptomatic Antimicrobial Antiviral in use Recent travel country Box B - Rubella Serology src=https:reader042vdocumentsusreader042viewer20220309095b56aa0a7f8b9a835c8cb4behtml5thumbnails1jpg width=142 height=106 layout=responsive amp-imga divpCH-0039Rev2015-10 Complete patient information on reversepdivdiv class=ts-pagebuttonPage 2button div class=ts-image a href=https:reader042vdocumentsusreader042viewer20220309095b56aa0a7f8b9a835c8cb4behtml5page2jpg target=_blank amp-img class=ts-thumb alt=Page 2: Complete patient information on reverse - Home Alberta · Box A — Patient History Asymptomatic Antimicrobial Antiviral in use Recent travel country Box B - Rubella Serology src=https:reader042vdocumentsusreader042viewer20220309095b56aa0a7f8b9a835c8cb4behtml5thumbnails2jpg width=142 height=106 layout=responsive amp-imga divpCH-0039Rev2015-10pdiv