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OCR Page 1 of 3Tallet, Mrs. Dorothy
275 High Street,
Orange, N.J.
1. OCCUPATION
Inspector With U.S.R. 7 1/2 years.
2. AGE
26 years Married
3. FAMILY HISTORY
Negative
4. PERSONAL HISTORY
Scarlet fever, Diptheria, Malaria.
5. PHYSIQUE
Weight 130 lbs, e
Heighth 5ft. 3 in.
Posture
6. CIRCULATION
Pulse 70 regular good quality
Bd. P. 100/80
Heart. Sounds clear normal.
7. LUNGS
Normal
8. GASTRO INTESTINAL
Normal
9. GENITO URINARY
Curettage for bleeding July 1924. By Dr. Stutton
apparently normal.
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