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DMR29 THE AMERICAN RED CROSS DEPARTMENT OF NURSING Physical Examination Pearl McIver THE 1. Name of applicant Address Unic Hospital City minneapolis State mim 2. Age 8.27 Height 5 ft. 6in Weight 143 3. General Physique good 4. Tendency to disease, inherited or otherwise none 5. Previous history in regard to serious illness or surgical operation negative 6. Has she had rheumatism ? no BE 7. Has she at present or ever has she had hernia? no 8. Condition of teeth good 9. Condition of feet harmal 10. Abdomen and contained organs normal 11. Chest and contained organs 32im on heg Girth; expiration inches ; inspiration 34 3/4 inches Respiration, rate of 18 Heart, pulse rate 96 12. Vision: Right eye (Snellen) 20/20 ; corr ected to ; lens used Left eye (Snellen) 9-6/20 ; corrected to ; lens used 13. Hearing: A. D. 15/15 . A. S. 15/15 14. Urine examination : Color Steam Reaction will Specific gravity 1029 Albumen have Casts gone none Leucocytes Sugar none. H 15. Do you recommend applicant for : (a) General hospital service Fil for either service (b) Tropical service 16. Fill in name and number of base hospital, unit or detachment with which applicant is connected : Army base hospital 0 Naval base hospital 6 Emergency detachment 0 Navy detachment D U Hospital unit M. D. Date heple 14 1920 C.a. m 4hulay Address ammunity Horpatal All questions MUST be answered; other wise certificate will not be accepted at head- quarters. To be forwarded to Chief Nurse of Unit or to the Local Committee on Red Cross Nursing Service.

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0
Type
photo
Media ID
1acde3ff11be40b4
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Document data

ID
2661941
Core
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Type
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DTO data
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Document identity
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Document source extras
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        "day": 16,
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Page context
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    "ocrText": "DMR29\nTHE AMERICAN RED CROSS\nDEPARTMENT OF NURSING\nPhysical Examination\nPearl McIver\nTHE\n1. Name of applicant\nAddress Unic Hospital City minneapolis State mim\n2. Age\n8.27\nHeight\n5 ft. 6in Weight 143\n3. General Physique\ngood\n4. Tendency to disease, inherited or otherwise none\n5. Previous history in regard to serious illness or surgical operation negative\n6. Has she had rheumatism ?\nno BE\n7. Has she at present or ever\nhas she had hernia? no\n8. Condition of teeth\ngood\n9. Condition of feet\nharmal\n10. Abdomen and contained organs\nnormal\n11. Chest and contained organs\n32im\non heg\nGirth; expiration\ninches ; inspiration\n34 3/4\ninches\nRespiration, rate\nof 18\nHeart, pulse rate\n96\n12. Vision: Right eye (Snellen) 20/20 ; corr ected to\n; lens used\nLeft eye (Snellen) 9-6/20 ; corrected to\n; lens used\n13. Hearing: A. D. 15/15\n.\nA. S.\n15/15\n14. Urine examination :\nColor Steam\nReaction\nwill\nSpecific gravity\n1029\nAlbumen\nhave\nCasts\ngone\nnone\nLeucocytes\nSugar\nnone.\nH\n15. Do you recommend applicant for :\n(a) General hospital service\nFil for either service\n(b) Tropical service\n16. Fill in name and number of base hospital, unit or detachment with which applicant is connected\n:\nArmy base hospital\n0\nNaval base hospital\n6\nEmergency detachment\n0\nNavy detachment\nD\nU\nHospital unit\nM. D.\nDate heple 14 1920\nC.a. m 4hulay\nAddress ammunity Horpatal\nAll questions MUST be answered; other wise certificate will not be accepted at head-\nquarters.\nTo be forwarded to Chief Nurse of Unit or to the Local Committee on Red Cross Nursing\nService."
}