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N
A
u
C
T
(A
166
F
D M R 30
DUPLICATE
el
THE
S
NURSING SERVICE
CERTIFICATE OF IMMUNITY
Place sourth but
tight Date
9-31-41
United 19511 sake prophylactic in to the following doses:
I certify that I have administered anti-typhoid vaccine as a
1st
dose dose one / lifty
c. c.
Date 7-31788,
2nd
c. c.
Date
C-7-118
3rd dose
/
c. c.
Date 8-15/18. E.C. Beach
ALM.D. mice
I
certify
is satisfactorily protected by vaccination against smallpox.
enthough
M. D.
Fill in location of Base Hospital, Unit or Detachment with which service is desired:
Army Base Hospital at
Naval Base Hospital at
Emergency Detachment at.
Navy Detachment at
Hospital Unit at
Surgical Section at
This duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee
Organizing Detachment.
Req. 17-919-May-25M
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"ocrText": "N\nA\nu\nC\nT\n(A\n166\nF\nD M R 30\nDUPLICATE\nel\nTHE\nS\nNURSING SERVICE\nCERTIFICATE OF IMMUNITY\nPlace sourth but\ntight Date\n9-31-41\nUnited 19511 sake prophylactic in to the following doses:\nI certify that I have administered anti-typhoid vaccine as a\n1st\ndose dose one / lifty\nc. c.\nDate 7-31788,\n2nd\nc. c.\nDate\nC-7-118\n3rd dose\n/\nc. c.\nDate 8-15/18. E.C. Beach\nALM.D. mice\nI\ncertify\nis satisfactorily protected by vaccination against smallpox.\nenthough\nM. D.\nFill in location of Base Hospital, Unit or Detachment with which service is desired:\nArmy Base Hospital at\nNaval Base Hospital at\nEmergency Detachment at.\nNavy Detachment at\nHospital Unit at\nSurgical Section at\nThis duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee\nOrganizing Detachment.\nReq. 17-919-May-25M"
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