8oSection I.D. F. Weeks. 
Heredity Card. Age Chr. B-S. No. 
F. FF. FM. M. MF. MM. Birth-Rank. 
Patient 
and Sibs 
Father 
and Sibs 
Father’s 
Relatives Mother 
and Sibs 
Mother’s Relatives TOTAL 
NOTES.EFIGSATBDPMNecSxwNd infd ygUnMisSbTotal. 
BS, Binet Simon; F, father; FF, father’s father; FM, father’s mother; M, 
mother; MF, mother’s father; MM, mother’s mother; Sibs, brothers and sisters; 
E, epileptic; F, feeble-minded; I, insane; G, gonorrhoea; S, syphilis; A, alcoholic; 
T, tubercular; B, blind; D, deaf; P, paralysis; M, migraine; Ne, neurotic; C, 
criminalistic; Sx, sexually immoral; W, wanderer; N, normal; d inf, died in 
infancy, before 2 yrs.; d yg, died young, before 14 years; Un, unclassified; mis, 
miscarriage; sb, stillbirth.Registration Card. 
COUNTY. 
Name.b—Vap.In.Out.Remarks. 
b, date of birth; V, a patient at the New Jersey State Village; ap, an applicant 
for admission to the New Jersey State Village; In, receiving care in some other 
institution; Out, at large receiving no care.