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OCR Page 1 of 3Senning, Hilyer
15 Orange Hts.Rd.
West Orange, N.J.
1. OCCUPATION
2.
AGE
19 years
SSingle
3.
FAMILY HISTORY
Two uncles T.B.
Grandmother died of a tamor.
4. PERSONAL HISTORY
Numerous abscesses during early life.
Hed blood poison in left Jnce (no op
)
5. PHYSIQUE
Appears in fair health
Weight 1451bs.
Heighth 5 it. 10 in.
6. CIRCULATION
Pulse 72 good quality
Bd. P. 125/90
Heart normal
7 LUNGS
Normal
8.
GASTRO INTESTINAL
Occasionally has indigestion
9.
GENITO URINARY
Denies V.D. Healthy.
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