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OCR Page 1 of 3Smith, Miss Josephine
212 Mt. Vernon Ave.
Orange, N.J. .
1. OCCUPATION
Painted With U.S.R. eight years. Single.
2. AGE
28 years
3. FAMILY HISTORY
Negative.
4. PERSONAL HISTORY
Children's diseases
5. PHYSIQUE
Weight 1061bs.
Heighth 5ft. 2/2 in.
Posture good
6. CIRCULATION
Pulse 70 regular
Bd. P. 120/80
Heart sounds clear normal.
7.
LUNGS
Normal
8. GASTRO INTESTINAL
Nervous indigestion
9. GENITO URINARY
Last period had only one day. Due to nervousness
about recent events.
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