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TITLE
Immunization card
 
DESCRIPTION
Immunization card

"WCCA Form S-5 Immunization Record"
Card/Record No., Name, Age, Location, Sex, Place, Typhoid Imm., Date of Smallpox Vacc (1,2,3), Result and date, Remarks, Physician Signature
For Ko Takemoto, signed by Dr. Kitagawa.

5 1/8" L x 3" W
 
CREDIT
Courtesy of Ko Takemoto
 
DATE
1942