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OCR Page 1 of 10MASTER SHEET AND
GENERAL HISTORY
GRAHAM CLINIC
ADMISSION DATE
DR
AGE
DATE OF BIRTH
SEX.
TRUMAN, MR. HARRY S.
BIRTHPLACE
8May , 1884 40Pm
M. S. W. D SEP
(CIRCLE ONE)
OCCUPATION The President of The U.S.
LOCAL ADDRESS
PHONE NO
REFERRING DR
LETTER TO DR
DATE
ADDRESS OF REFERRING DR
LETTER TO DR
DATE
LETTER TO DR
DATE
RESPONSIBLE PARTY.
OCCUPATION OF R. P
ADDRESS OF RESPONSIBLE PARTY
CITY
STATE
PATIENT REQUESTS LETTER TO
ADDRESS
DISCHARGE
PHYSICIAN'S
DIAGNOSIS-SURGERY-DISPOSITION & CONDITION ON DISCHARGE-SPECIA THERAPY STUDY
CODE
DATE
SIGNATURE
POST OPERATIVE COMPLICATIONS
NO.
(DIAGNOSTIC ENTRIES USED FOR INDEXING. DO NOT ENTER SYMPTOMS IN
ADDITION TO DIAGNOSIS: OR NOTES OF PAST HISTORY)
NARA
I.
L.C.R.
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