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| Field name | Value |
|---|---|
| Title | Special question list for statement of present condition |
| Reference | 17103.F |
| Library | The Library Company of Philadelphia |
| Collection | Helfand |
| Date | c. 1908 |
| Author | Alpha Medical Institute (Cincinnati, Ohio) |
| Place of Creation | Cincinnati, Ohio |
| Description | A statement and question list, relating to symptoms and medical history, designed to be completed by patients and returned to the Alpha Medical Institute. |
| Document Type | Ephemera |
| Theme(s) | Production and Trade; Surgery and General Practice |
| Keywords | medicine, correspondence, business |
| Note | Please note that some of the metadata for this document has been drawn from the Library Company of Philadelphia's catalogue. |
| Copyright | The Library Company of Philadelphia |