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OCR Page 1 of 3Bagden, Mor. Martin
178 Bergen Street,
Newark, N.J.
1. OCCUPATION
Fireman. With U.S.Radium 4 years.
2. AGE.
41
3. FAMILY HISTORY
Negative
4. Personal histoey
Small pox, pneumonia,
5. PHYSIQUE
We i ght
193 lbs.
Height
5 it, 9 in.
Robust
6. CIRCULATION
Pulse 72 regular
Bd. P. 135/90
Heart. Sounds clear.
7. LUNGS
Normal
8. GASTRO : INTESTINAL
Healthy
9.
GENITO URINARY
Denies V. D.
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