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OCR Page 1 of 3Henderson, Mr. Henry
( Colored )
188 Parron Street,
Orange, N.J.
1. OCCUPATION
With U. S. Radium 2 years. Laborer
2.
AGE
30 years Married.
3. FAMILY HISTORY
Negative
4. PERSONAL HISTORY
Negative
5. PHYSIQUE
Weight
182 lbs.
Heighth 5 it. 4 in.
Healthy
6. DIRCULATION
Pulse 70 regular
BD.P. 125/ 85
Heart Sounds clear.
7. LUNGS
Normal
8. GASTRO INTESTINAL
Healthy
9.
GENITO URINARY
Denies V.D.
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