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OCR Page 1 of 3Salvin, Miss Margarete
81 N.Jefferson Street,
Orange, N.J. .
1. OCCUPATION
Dial painter. With U.S.R. seven years.
2. AGE
25 years, single.
3. FAMILY HISTORY
Nothing of importance
4 PERSONAL HISTORY
Usual children's diseases.
5. PHYSIQUE
He ight
5ft. 2in.
Weight
162 lbs.
Posture
Fair.
6. CIRCULATION
Pulse 76 regular
Bd. P. 120/80
Heart Sounds clear Normal.
7.IUNGS
Normal
8. GASTRO INTESTINAL
Apparently healthy.
9. GENITO URINARY
Apparently normal
Mesenses normal, usually 2 days late
10.NERVOUS SYSTEM & BRAIN
Healthy.
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