What does R/O mean on a medical document?

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It depends on the context in which it was used. It could be rule out,  receive only, removal of....

"The time has come" the walrus said "to speak of many things. Of shoes and ships and sealing wax. Of cabbages and kings. And why the sea is boiling hot and whether pigs have wings."

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The origin of the signs for gender sometimes on medical reports

If you're referring to these: The male symbol comes from the astrological sign for Mars (the one with the arrow) and the female one comes from the astrological sign of Venus (the one with the + sign below the circle). If you mean other symbols, please insert them in the question :-)

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I think you mean aka or a.k.a. which means "also known as".