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I
I
ete-
0
Ed"
M
the
FS.
Return one copy
ARC Hawaii Unit
D
E
7
a
ILMINIZATION REGISTER
e
-
Last Name
First None
Hooley
Edith Patter,
than
+
+
5
American Red Cross
Race
a
SMALLPOX VACCINE
Date Type of Reaction Med. Off.
6/17/42
ZEgine
a
C
TRIPLE TYPHOID VACCINE
Dates of Administration
Mod. Off.
J.
lst 112a 1/10/42
Zegganny
2nd Icc TT-15-42
JtKarcher.
3rd u VI 20-12
Leigerman
TETANUS TOXOID
Initial Vaccin. Stinulating Doso
Date Med. Off. Date Mod. Off.
1st6/10/12 Zeogramen
2nd
3rd
YELLOW FEVER VACCINE
Date
Lot No.
Amount
Med. Off.
OTHER VACCINES
Typo of
Med.
Discase Date Vaccine Doses
Off.
M. C.
U. S. Army
8
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