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Smith, 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. 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 periol had only one day. Due to nervousness about recent events.