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DMR Form No. 29 7/11/17 2457 THE MENTCAN RED GOOS NURSING SERVICE 1418 WASHINGTON BUSINESS PHYSICAL EXAMINATION I. Name of applicant Luey Minnigerade Address Columbia Hospital City looshington State st 2. Age 46 Height 5ft. 4 1/2 in Weight 170 lb. 3. General physique Robush - well balanced 4. Tendency to disease, inherited or otherwise none. 5. history or Previous in regard to serious illness surgical operation none- - 6. Has she had rheumatism? no 7. Has she at present or has she ever had hernia? no - 8. Condition of teeth good 26 teeth, A 2 parcelain; crown- 9. Condition of feet Good IO. Abdomen and contained organs normal. II. Chest and contained organs normal Expiration 34 inches. Inspiration 37 inches. 12. Vision: O.D. 15/20 Hearing: A. D. whisfer at 12 feet A. S. whisper at " " O. S. 15/20. NOTE: In case of refractive error state degree of correction by glasses. I3. Urine examination: Color acubes Reaction asis Specific gravity 1,020 Albumen o - Casts Leucocytes 0 Sugar 14. Do you recommend applicant for: (a) General hospital service yes. (b) Tropical service yes. OK CHE 15. Fill in location of base hospital, unit or detachment with which service is desired: Army base hospital at Naval base hospital at Emergency detachment no 67 Navy detachment at Hospital unit at Surgical section at Date All questions MUST be 1917 Address 133 abe. the M. D. answered; otherwise certificate will not be accepted at headquarters. To be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment. Req. 17-833-May--20M

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Page context
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    "ocrText": "DMR Form No. 29\n7/11/17\n2457\nTHE\nMENTCAN RED GOOS\nNURSING SERVICE\n1418\nWASHINGTON\nBUSINESS\nPHYSICAL EXAMINATION\nI.\nName of applicant Luey Minnigerade\nAddress Columbia Hospital\nCity looshington State st\n2. Age\n46\nHeight 5ft. 4 1/2 in Weight 170 lb.\n3. General physique Robush - well balanced\n4. Tendency to disease, inherited or otherwise\nnone.\n5. history or\nPrevious in regard to serious illness surgical operation none- -\n6. Has she had rheumatism?\nno\n7. Has she at present or has she ever had hernia?\nno\n-\n8. Condition of teeth good 26 teeth, A 2 parcelain; crown-\n9. Condition of feet Good\nIO. Abdomen and contained organs normal.\nII. Chest and contained organs normal\nExpiration 34\ninches.\nInspiration\n37\ninches.\n12. Vision: O.D. 15/20\nHearing: A. D. whisfer at 12 feet\nA. S. whisper at \"\n\"\nO. S. 15/20.\nNOTE: In case of refractive error state degree of correction by glasses.\nI3. Urine examination:\nColor acubes\nReaction asis\nSpecific gravity 1,020\nAlbumen o\n-\nCasts\nLeucocytes 0\nSugar\n14. Do you recommend applicant for:\n(a) General hospital service\nyes.\n(b) Tropical service\nyes.\nOK\nCHE\n15. Fill in location of base hospital, unit or detachment with which service is desired:\nArmy base hospital at\nNaval base hospital at\nEmergency detachment\nno 67\nNavy detachment at\nHospital unit at\nSurgical section at\nDate All questions MUST be 1917\nAddress 133 abe.\nthe\nM. D.\nanswered; otherwise certificate will not be accepted at headquarters.\nTo be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.\nReq. 17-833-May--20M"
}