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Coquard, Ella Caron
5348
D M R 30
RIGINAL
NURSING SERVICE
CERTIFICATE OF IMMUNITY
Placé Little Rock am
Date
may 29th1918-
I certify that I have administered ara typhoid and typhoid vaccine as a prophylactic to
in the following doses :
1st dose usual
.c. c.
Date 1914021915
2nd dose msnual
c.
Date 1914021915
3rd dose usual
c.
Date. 1914011915
Refunct
M.D.
I certify
that Mrs Eeea V. leoguard
is
satisfactorily protected by vaccination against smallpox.
M. D.
Fill in name and number of Base Hospital, Unit or Detachment with which applicant is connected:
Army Base Hospital
Naval Base Hospital
Emergency Detachment
Navy Detachment
Hospital Unit
This certificate to be retained by the nurse, Chief Nurse of Unit or by Committee Organizing
Detachment and, if assigned to duty, should be presented to the Medical Officer as evidence of her
immunity.
Req. 17-2145B Dec. 25M
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"ocrText": "Coquard, Ella Caron\n5348\nD M R 30\nRIGINAL\nNURSING SERVICE\nCERTIFICATE OF IMMUNITY\nPlacé Little Rock am\nDate\nmay 29th1918-\nI certify that I have administered ara typhoid and typhoid vaccine as a prophylactic to\nin the following doses :\n1st dose usual\n.c. c.\nDate 1914021915\n2nd dose msnual\nc.\nDate 1914021915\n3rd dose usual\nc.\nDate. 1914011915\nRefunct\nM.D.\nI certify\nthat Mrs Eeea V. leoguard\nis\nsatisfactorily protected by vaccination against smallpox.\nM. D.\nFill in name and number of Base Hospital, Unit or Detachment with which applicant is connected:\nArmy Base Hospital\nNaval Base Hospital\nEmergency Detachment\nNavy Detachment\nHospital Unit\nThis certificate to be retained by the nurse, Chief Nurse of Unit or by Committee Organizing\nDetachment and, if assigned to duty, should be presented to the Medical Officer as evidence of her\nimmunity.\nReq. 17-2145B Dec. 25M"
}