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OCR Page 1 of 3Roth, Mr. Victor.
376 Alden Street,
Orange, N.J.
1. OCCUPATION
With U.S. Radium Corp. since 1917.
Office work.
2. AGE
37 years.
Single.
3. FAMILY HISTORY
Father died of pulmonary T. B.
4. PERSONAL HISTORY
Ma laris. 3 years in French army (Foreigh Legion)
in N. Africa, Had varicose ulcers on left ankcle
from 1907 to 1911 healed till 19 14 when it broke
down again in 1915 healed again Thought he had
osteomyelitis,
5. PHYSIQUE
Feels tired
Weight 161 lbs.
Heighth 5 it. 9 in.
Anemic.
6. CIRCULATION
Pulse 70 regular good quality
Bd. P. 125/90
Heart Sounds clear
7. Lungs.
Normal.
8. GASTRO INTESTINAL
Comstipeated otherwise healthy.
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