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OCR Page 1 of 3Mac . Canlay, Mr. Hugh.
62 Luellan Ave.
Weat Orange, N.J.
1. OCCUPATION
Asst. Shipping With U.S. Radium 4 Months.
2. AGE
19 years. Single
3. FAMILY HISTORY
Negative
4. PERSONAL HISTORY
Pluerisy last year. Tonsillectomy & adenoids 4 yes.
to
ago. Malaria last year,
5. Physique
Weight 125 lbs
Height 5 it. 8 in.
Robust.
6. CIRCULATION
Pulse 70
Bd. P. 120/90
Heart. Sounds clear.
7.
LUNGS
Normal
8. GASTRO INTESTINAL
Healthy
9. GENITO URINARY
Denies V.D.
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