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Prenatal Record - National Archives and Records Administration

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Reproduced at the <strong>National</strong> <strong>Archives</strong><br />

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IV<br />

14R7•••••••<br />

(X)<br />

...... t4R8 •• r'IB-4'5<br />

t4R9 •• 0B-4'i<br />

t4CJO •• nB-4"i<br />

14Q1 •• 1'lB-4'i<br />

Oata Ite~s Reterencin~ Form oR-45, Lahoratorv Recorrt<br />

O"TA<br />

ITF.M<br />

ITE,_ J" C~RO<br />

TO F"JPII NnM FROM TO OATA.TfF.M NAMF.<br />

1468 •• oa-4'i a 5345 22 23 Radioar~ohv: x-rav oeJvtmetrv: Caldwell-Molov classlfic&tlon<br />

1469 •• f'l8-4'5 8 534'5 24 26 R~~~o~raohy: x-rav oeJvtmetrv, measurements, Inlet AP<br />

1470 •• 08-45 8 514"1 21 ?9 R~dfoaraphy: x-rav oelvfmetrv, measurements, Inlet transverse<br />

t471 •• nB-4'5 8 534"1 30 12 Radtooraphy: x-ray Pelvimetry, me&surements, Mi~ pelvis AP<br />

1472 •• 08•45 8 5345 ]] 15 Pa1foor~ohy: x-rav oelvt~etry, measurements, •1~ oelvls transverse<br />

1473 •• na-41i 8<br />

514'5 36 18 R~1toar~ohv: x-ray<br />

1474 •• f'lB•4'i R<br />

5l4"i 3Q 41 R~dtoaraphy: x-rav oelvtmetry,<br />

oelvtmPtrv, ~easurements,<br />

measnrements, outlet ml~ oelvts oost. saq.<br />

AP<br />

t 475 •• nR-4'i 8 5345 4? 44 Ra1foqraphy: x-ray oelvtmetry, measurements, outlet transverse<br />

1476 •• os-4'5 8 534'5 45 47 Radfoaraphy: x-ray Pelvimetry, measurements, outlet oost. saq.<br />

1477 •• na-45 11 514'5 411 49 Pap smear, ~ate (mo)<br />

1478 •• na-4S 11 5345 50 '51 P~o s•e&r, date (Vr)<br />

t 479 •• nB-4'5 11 534'5 52 "i2 P~o sme~r, result<br />

t4AO •• na-4'5 11 534'5 5'l 54 Laboratory test series, date C~o)<br />

t4A1 •• OB-4'5 13 534'5 5'5 '\& J,,.bor,.tory test serf es, c:t"tP ( c:tay)<br />

14R2 •• 1'1R-45 13 514'5 57 li8 Laboratorv test series, date (yr)<br />

t4Rl •• na-4'5 13 514"1 sq 59 Laboratory test series, tvoe<br />

l4R4 •• OB•45 13 534'5 60 60 Laboratory test series, nu~ber of days<br />

14R5 •••••••<br />

5345 61 AO 81anlc<br />

14R6•••••••<br />

&34'5 t 5 Card number (sequence, for~ type, form number, revision number)<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

9<br />

&345<br />

&345<br />

&14'5<br />

&341i<br />

&]4'5<br />

6<br />

1'5<br />

17<br />

lQ<br />

21<br />

14<br />

16<br />

tR<br />

?0<br />

?1<br />

NTNOB case number<br />

Cnltures, nth<br />

Cnltures, nth<br />

Cultures, nth<br />

Cultures, nth<br />

1ate (mo)<br />

date (yr)<br />

tvoe<br />

result<br />

14"2 •• ns-4"i<br />

&l4'\ 2?. ?l<br />

14CJ3 •• na-4'i<br />

&34"1 24 25 Cnltures, nth<br />

Culture~, nth 1ate Cno)<br />

ct~te (yr)<br />

t4Q4 •• ns-4'5<br />

&34'5 26 11<br />

14QS •• OB-4"i<br />

&345 2A ?a Cnltures,<br />

Cultures, nth nth tvpe<br />

result<br />

UQ& •• ns-45<br />

&H"i 2Q 10<br />

14'l7 •• 08-4'i<br />

&H"i 31 12 Cultures,<br />

Cultures, nth<br />

nth 1ate<br />

date (yr)<br />

Cmo)<br />

14CJ8 •• ns-4'5<br />

634"i 33 14 Cultures, nth tyoe<br />

t4Q9 •• nB-45<br />

&l4"i 35 35 Cultures, nth result<br />

t5oo •• os-4'5 9 b34"i 36 17 Cnltures, nth d~te (~o)<br />

tsni •• na-4'i 9 bl4"i 3R 19 Cultures, nth date (yr)<br />

1502 •• 08•4'5 9<br />

b34"i 40 41<br />

1503 •• 08-45 9<br />

&l4!'i 42 42 Cultures,<br />

Cultures, nth<br />

nth tvpe<br />

result<br />

1504 •• 08-4'5 10<br />

&l4"i 41 44 Glucose tolerance, date (mo)<br />

~<br />

tso5 •• os-4'i to<br />

634"i 45 46 Glucose toler~nce, d~te (~ay)<br />

~<br />

l.11 1506 •• 08-4'5 10<br />

6345 47 48 Glucose tolerance, date (yr)<br />

1507 •• 08•4'5 10<br />

6345 49 49 Glucose tolerance, how administered<br />

tso8 •• na-45 10 634"i 50 52 Glucose tol~ranr.e, blood, tastin~ (~gms/100 ~1)<br />

t509 •• 1'l8-45 10<br />

634'5 53 '55 Glucose tolerance, blood, 1/2 hr. (mqms/100 ~1)<br />

t5tO •• f'l8-4"i 10<br />

614'5 56 "i8 Glur.o5e toler~nce, blood, 1 hr. (mqms/100 ~1)

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