ID# 2386:
"Physical Development Record for American Females," Eugenics Record Office (including forms, directions, and growth graphs)
Pages: (1|2|3|4|5|6|7|8|9|10|11|12|13)
National Museum of Health and Medicine, Otis Historical Archives, Steggerda, Box 63 Folder Blanks Usedů

2386. Developmental Record Of [page width dotted line] Living at [two line bracket; dotted line] (Date) [dotted line] (Date) Born at [dotted line] Date of birth [dotted line] Ancestral History [chart] Relative & Name (Maiden name of women) & Place of birth & Racial Stock Father. . . & [dotted line] & [dotted line] & [dotted line] Father's father . . . & [dotted line] & [dotted line] & [dotted line] Father's mother . . . & [dotted line] & [dotted line] & [dotted line] Mother . . . & [dotted line] & [dotted line] & [dotted line] Mother's father . . . & [dotted line] & [dotted line] & [dotted line] Mother's mother . . . & [dotted line] & [dotted line] & [dotted line] [underscore, end chart] Personal History Record below any events affecting growth, especially illnesses (give exact dates); also dates of cutting teeth, first menstruation and marriage (if married). [five dotted lines, page width] Names and addresses of persons responsible for filling out this schedule at the dates indicated below: [two dotted lines, page width] [end]
Copyright 1999-2004: Cold Spring Harbor Laboratory; American Philosophical Society; Truman State University; Rockefeller Archive Center/Rockefeller University; University of Albany, State University of New York; National Park Service, Statue of Liberty National Monument; University College, London; International Center of Photography; Archiv zur Geschichte der Max-Planck-Gesellschaft, Berlin-Dahlem; and Special Collections, University of Tennessee, Knoxville.
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