Double 



HENRY .L. COIT, M. D. 

 HISTORY BLANK 



, inside of ^veift'lit eliurt ami nurses' veeorrt 



261 



THE BABIES' HOSPITAL 



NEWARK. NEW JERSEY 



181 NAME 



rwt ttd Mother WeM 



MANAGEMENT AND CARE 



! OF ORE TAKED: 



HE BATH: D.ll, b.lh 



FHE ENVIRON* 



HOUSE: Clan pd t 



THE NOURISHMENT 



/I EPICAL HISTORY 



DIAGNOSIS 



Reduced (size Oxl 3 in.) 



