Dr. Charles P. Cake, 77, former chief of the tuberculosis division of the Veterans Administration, died of pneumonia Saturday at the National Orthopaedic Hospital in Artlington.

Dr. Cake began practicing medicine in Washington and Arlington in 1934. He also served as chief of the tuberculosis division of D.C. General Hospital from 1934 to 1944.

During World War II, he held the rank of commander in the Coast Guard and served in a Staten Island, N.Y., hospital.

In addition to a private practice, Dr. Cake worked for the Veterans Administration after World War II.

From the 1930s until his retirement in 1976, he directed various chest clinics in Arlington operated by state and local authorities.

Dr. Cake had been president of the Arlington County Medical Society and the Southern Conference of Tuberculosis Workers. He belonged to both the National and Virginia tuberculosis associations. He had been a member of the Governor's Advisory Commission on Tuberculosis.

Dr. Cake was the 1956 recipient of the Douglas Southall Freeman Award, given annually to a Virginian for outstanding efforts in tuberculosis control.

He was a native of Norfolk and a graduate of the University of Virginia's medical school.

Survivors include his wife, Janette O., of the home in Alexandria; two sons, Charles O., of Arlington, and John C.L. Fitts, of Loudoun County; a sister, Martha Grigg, of Richmond, and two grandchildren.

The family suggests that expressions of sympathy be in the form of contributions to the Charles P. Cake Memorial Fund, University of Virginia Medical Alumni, Charlottesville.