Prenatal Record - National Archives and Records Administration

Reproduced at the National Archives
F'OrAI Item
38
l9
l9
40
41
42
43
4J
44
I TEN
ON
FOR Iii
1'4umbers linked
OUA
IrF.14
10
2&o ••• ns-3
26i ••• 08•3
49B8 •••• VAR
2&2 ••• 08•3
2&3 ••• 08•3
2&4 ••• ns-3
2&'5 ••• 08•3
4911S •••• VAR
266 ••• na-3
to ~ata
Items on
CARO
Nlll4 FRO Iii rn
o3o3 54 54
0303 5'5 '56
57 ~8
0303 57 58
0303 59 60
0101 61 62
0303 61 64
5? 53
o3o1 6'5 65
OB-3, Historv
Since Last liiP.nstrul'll Periot1
DArA JfF.M NAME
srno~inQ history, !!It least S oacks
smo~ing history, tot~ 1 veers
smoking history; Vel!lrs smolee::l at reqistration
Smoking history, I!ICJI! started
Srno~lng history, I!I:JI! stopped
Srnokln:, history, ll!lrQest daJlv l!lmount
smoking history, number smoket1 now
Smoking nfstory; ciqarettes Pf'r ::lay now, number
PhysiciAn visited
H
H
),.
.
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w
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