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DMR 29
THE AMERICAN RED CROSS
DEPARTMENT OF NURSING
Physical Examination
1. Name of applicant Elizabeth Wilson
Address 155-n. Craid City Pitteburgh State Par
2. Age
39
Height 5.2.
Weight 166.
3. General physique good
4. Tendency to disease, inherited or otherwise nmr.
5. Previous history in regard to serious illness or 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.
9. Condition of feet., normal
10. Abdomen and contained organs normal
11. Chest and contained organs. normal
Girth
expiration 38
inches; inspiration 41
inches
Respiration, rate
of 18.
Heart, pulse rate 76
Right
eye (Snellen) 20/20 ; corrected to Tens used.
12. Vision:
{
Left eye (Snellen) 20/20 ; corrected to
; lens used
13. Hearing
A. D normal
A. S. normal
14. Urine examination:
Color amter.
Reaction and
Specific gravity 1020
Albumen nour
Casts none
Leucocytes none.
Sugar none
15. Do you recommend applicant for:
(a) General hospital service. yes.
(b) Tropical service Yes or phreson mrdrl
16. 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
J.M. moternady
M. D.
Date July 9. 1918.
Address : Swickly
All questions MUST be answered; otherwise certificate will not be accepted at headquarters.
To be forwarded to Chief Nurse of Unit or to Local Committee on Red Cross Nursing Service.
Req. 17-14741-1M-May
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- c3552d5f80b3435e
- Size
- unknown
Document data
- ID
- 2661987
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "DMR 29\nTHE AMERICAN RED CROSS\nDEPARTMENT OF NURSING\nPhysical Examination\n1. Name of applicant Elizabeth Wilson\nAddress 155-n. Craid City Pitteburgh State Par\n2. Age\n39\nHeight 5.2.\nWeight 166.\n3. General physique good\n4. Tendency to disease, inherited or otherwise nmr.\n5. Previous history in regard to serious illness or surgical operation none\n6. Has she had rheumatism ? no\n7. Has she at present or has she ever had hernia? no\n8. Condition of teeth Good.\n9. Condition of feet., normal\n10. Abdomen and contained organs normal\n11. Chest and contained organs. normal\nGirth\nexpiration 38\ninches; inspiration 41\ninches\nRespiration, rate\nof 18.\nHeart, pulse rate 76\nRight\neye (Snellen) 20/20 ; corrected to Tens used.\n12. Vision:\n{\nLeft eye (Snellen) 20/20 ; corrected to\n; lens used\n13. Hearing\nA. D normal\nA. S. normal\n14. Urine examination:\nColor amter.\nReaction and\nSpecific gravity 1020\nAlbumen nour\nCasts none\nLeucocytes none.\nSugar none\n15. Do you recommend applicant for:\n(a) General hospital service. yes.\n(b) Tropical service Yes or phreson mrdrl\n16. Fill 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\nJ.M. moternady\nM. D.\nDate July 9. 1918.\nAddress : Swickly\nAll questions MUST be answered; otherwise certificate will not be accepted at headquarters.\nTo be forwarded to Chief Nurse of Unit or to Local Committee on Red Cross Nursing Service.\nReq. 17-14741-1M-May\n(OVER)"
}