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OCR Page 1 of 3Tallet, Mrs. Dorothy
275 High Street,
Orange, N.J.
1. OCCUPATION
Inspector With U.S.R. 71 years.
2. AGE
26 years Married
3. FAMILY HISTORY
Negative
4. PERSONAL HISTORY
Scarlet fever, Diptheria, Malaria.
5. PHYS IQUE
We ight 130 lbs.
He ighth
5ft. 3 in.
Posture
6. C IRCULATION
Pulse 70 regular good quality
Ba.B. 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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