326

Blank No.46
Dec. 27, 1913

1-Sept. 28, 1879
6th child of father (50 yrs old)
3rd child of mother
2- Early life in city '7 yrs.
3- Height 5'4 ft
4- Wt. 104
5- Dark
6- [Nervous?] perhaps
7- Stanford 1900 A.B.
8- No occupation
9- [Neither?]
10- Fair b)much better after marriage
Pneumonia 2x, Typhoid Appendicitis once before
11- 1st 12, Established at once
a) 28 days, reg.
b)
c)abundant
d)7 (4)
e) backache - before [depression?] and during 1st [and?] 2nd
f) leuc no
h)no [uterine?]
i) not [constipation?]