When you reach the room with the SENET GAME, move to the left end of the ledge (when facing the game board).
Take a running jump over the small corner ledge onto the wider ledge with the ladder.
Climb the ladder...
...and dismount on the right.
This is SECRET #1 (31/70), wideshot shells and a small medipack.
There's no need to climb back down the ladder; just safety drop from the doorway to the ledge below.
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