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Hawaii Unit - Return to Mrs. E. Amick, Nursing Service
Form 1460
Dr. Christia
Rev. April 1942
American Red Cross
Physical Examination Record
Name
Miss Florence Elizabeth Little
Date of birth Aug. 14, 1897 Age
45
Home Address: City 261 County Road
State Barrington, R. I.
PAST HISTORY
Give history of previous illness and treatments (medical and surgical)
dilatation L curettage in 1929 (m
Erisiples 1934
Transcertany 1919
Epilepsy or convulsive seizures- nervous or mental disease
none
Is there a history of tuberculosis in the family or among intimate associates? If so, state particulars.
no.
PHYSICAL EXAMINATION
63 in (dears)
Pulse 92
Ht. Wt. 140% lh
Ideal Wt.
Temperature 984
for Ht.
cented)
General appearance nounded
withd
Physique good
Nutrition good
Skin and mucous membranes normal.
Vision:
(Rt. eye 20/40/201
(Rt.
glasses (Lt. eye 20/20 /200
With glasses
20/20)
Without
(Lt.
20/20)
Evidence of disease: none
Hearing:
(Rt. ear
15"/15)
Evidence of disease
(Rt. none
(Whispered voice)
(Lt. ear
15/15)
(Lt. none
Teeth a for missing (2n3a ener your 4 m after you)
Gums mound.
Artificial dentures One having 4 artspeed tath m offer you
Nose and throat
unuel
Lymph glands
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- Core
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- Type
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DTO data
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"ocrText": "Hawaii Unit - Return to Mrs. E. Amick, Nursing Service\nForm 1460\nDr. Christia\nRev. April 1942\nAmerican Red Cross\nPhysical Examination Record\nName\nMiss Florence Elizabeth Little\nDate of birth Aug. 14, 1897 Age\n45\nHome Address: City 261 County Road\nState Barrington, R. I.\nPAST HISTORY\nGive history of previous illness and treatments (medical and surgical)\ndilatation L curettage in 1929 (m\nErisiples 1934\nTranscertany 1919\nEpilepsy or convulsive seizures- nervous or mental disease\nnone\nIs there a history of tuberculosis in the family or among intimate associates? If so, state particulars.\nno.\nPHYSICAL EXAMINATION\n63 in (dears)\nPulse 92\nHt. Wt. 140% lh\nIdeal Wt.\nTemperature 984\nfor Ht.\ncented)\nGeneral appearance nounded\nwithd\nPhysique good\nNutrition good\nSkin and mucous membranes normal.\nVision:\n(Rt. eye 20/40/201\n(Rt.\nglasses (Lt. eye 20/20 /200\nWith glasses\n20/20)\nWithout\n(Lt.\n20/20)\nEvidence of disease: none\nHearing:\n(Rt. ear\n15\"/15)\nEvidence of disease\n(Rt. none\n(Whispered voice)\n(Lt. ear\n15/15)\n(Lt. none\nTeeth a for missing (2n3a ener your 4 m after you)\nGums mound.\nArtificial dentures One having 4 artspeed tath m offer you\nNose and throat\nunuel\nLymph glands"
}