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Minton Mrs , Elizabeth
G.
26516
Nee - d Elizabeth Gertrude Wilson
Physical Examination Blank
THE AMERICAN RED CROSS
1-Be sure that all items are filled in before for-
DEPARTMENT OF NURSING
warding. Take definite statements in all
instances.
Physical Examination
by
2-Give age in years, height in inches, weight
OF
in pounds, stating amount of clothing enter-
ing into the weight.
8-State what teeth are missing, and existing
dentistry, such as crowns, plates, etc , state
Date July 18-1915
number of opposed molars.
9-Flat foot-state whether or not any incon-
venience exists.
11-Chest measurements should be in total
inches.
12-Actual vision should be stated determined
on proper letters for 20-foot distance, as
20/20, 20/50, 20/100. If glasses are worn
state correction.
Hearing should record whispered voices at 15
feet, 15/15, 10/15, etc.
an
In't
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Document data
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Context sent to Scholar
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"ocrText": "Minton Mrs , Elizabeth\nG.\n26516\nNee - d Elizabeth Gertrude Wilson\nPhysical Examination Blank\nTHE AMERICAN RED CROSS\n1-Be sure that all items are filled in before for-\nDEPARTMENT OF NURSING\nwarding. Take definite statements in all\ninstances.\nPhysical Examination\nby\n2-Give age in years, height in inches, weight\nOF\nin pounds, stating amount of clothing enter-\ning into the weight.\n8-State what teeth are missing, and existing\ndentistry, such as crowns, plates, etc , state\nDate July 18-1915\nnumber of opposed molars.\n9-Flat foot-state whether or not any incon-\nvenience exists.\n11-Chest measurements should be in total\ninches.\n12-Actual vision should be stated determined\non proper letters for 20-foot distance, as\n20/20, 20/50, 20/100. If glasses are worn\nstate correction.\nHearing should record whispered voices at 15\nfeet, 15/15, 10/15, etc.\nan\nIn't"
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