div class=ts-pagebuttonPage 1button div class=ts-image a href=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5page1jpg target=_blank amp-img class=ts-thumb alt=Page 1: PREMIER · Patient Information Form Referred By: based on all available literature evidence who contracted smallpox and died at the age of 4 leaving Ben with a src=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5thumbnails1jpg width=142 height=106 layout=responsive amp-imga divpPREMIERpdivdiv class=ts-pagebuttonPage 2button div class=ts-image a href=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5page2jpg target=_blank amp-img class=ts-thumb alt=Page 2: PREMIER · Patient Information Form Referred By: based on all available literature evidence who contracted smallpox and died at the age of 4 leaving Ben with a src=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5thumbnails2jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 3button div class=ts-image a href=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5page3jpg target=_blank amp-img class=ts-thumb alt=Page 3: PREMIER · Patient Information Form Referred By: based on all available literature evidence who contracted smallpox and died at the age of 4 leaving Ben with a src=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5thumbnails3jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 4button div class=ts-image a href=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5page4jpg target=_blank amp-img class=ts-thumb alt=Page 4: PREMIER · Patient Information Form Referred By: based on all available literature evidence who contracted smallpox and died at the age of 4 leaving Ben with a src=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5thumbnails4jpg width=142 height=106 layout=responsive amp-imga divdivdiv class=ts-pagebuttonPage 5button div class=ts-image a href=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5page5jpg target=_blank amp-img class=ts-thumb alt=Page 5: PREMIER · Patient Information Form Referred By: based on all available literature evidence who contracted smallpox and died at the age of 4 leaving Ben with a src=https:reader042vdocumentinreader042viewer20220310005b81a2c17f8b9a2b678ccadchtml5thumbnails5jpg width=142 height=106 layout=responsive amp-imga divdiv