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OCR Page 1 of 3Menner, Mr. . Jos.
14 Collins Street.
Orange, N.J.
1. OCCUPATION
Leading dept. With U.S.Radium 2 years.
2. AGE
27 years
3.
Family HISTORY
Negative
4.
PERSONAL HISTORY
Grippe
5.
PYSSIQUE
Weight 180 lbs,
Heighth 5 it. 6 in.
Robust
6. CIRCULATION
Pulse 68 regular
Bd. P. 120/90
Heart Sounds olear
7.
LUNGS
Normal
8. GASTRO INTESTINAL
Healthy
9.
GENITO URINARY
Denies V.D.
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