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MOITAMINAXE
13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
normal
Circumference of abdomen at umbilicus 25inches
14. Nervous system: (note organic or
functional disorders) Namual
Rylexes narmal
15. Urinalysis: Sp. Gr. 1.021 Albumin neg
Sugar neg Microscopical
Pus cell3-6 , Epithelial cells-de eas; urate crystals
16. Date of immunization against, Smallpox
Typhoid 1938
K
T
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
e
1
a
are none
f
&
been sned
03
0
Is fit to
the applicant perform active duty (Military, Disaster, etc.?) fer
+
s
e
If not, state type of duty she is physically fitted to perform
P
K
Date June 6, 1941
Examiner
MD
e
1
no
to
0
0
+
4
S
6
7
8
9
10
"
12
13
14
IS
se
n
17
18 1922021222324 252627282930 31
32
I
Indicate missing teeth by "X", bridge work by C crown by
plates by word
"plate".
All questions MUST be answered; otherwise certificate will not be accepted at Head-
quarters. To be forwarded to the Local Committee on Red Cross Nursing Service.
I
1.
Be sure that all items are filled in before forwarding. Make definite statements in all instances.
2. Give age in years, height in inches, weight in pounds.
12. Chest measurements should be in total inches.
( 1000)
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"ocrText": "MOITAMINAXE\n13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\nnormal\nCircumference of abdomen at umbilicus 25inches\n14. Nervous system: (note organic or\nfunctional disorders) Namual\nRylexes narmal\n15. Urinalysis: Sp. Gr. 1.021 Albumin neg\nSugar neg Microscopical\nPus cell3-6 , Epithelial cells-de eas; urate crystals\n16. Date of immunization against, Smallpox\nTyphoid 1938\nK\nT\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\ne\n1\na\nare none\nf\n&\nbeen sned\n03\n0\nIs fit to\nthe applicant perform active duty (Military, Disaster, etc.?) fer\n+\ns\ne\nIf not, state type of duty she is physically fitted to perform\nP\nK\nDate June 6, 1941\nExaminer\nMD\ne\n1\nno\nto\n0\n0\n+\n4\nS\n6\n7\n8\n9\n10\n\"\n12\n13\n14\nIS\nse\nn\n17\n18 1922021222324 252627282930 31\n32\nI\nIndicate missing teeth by \"X\", bridge work by C crown by\nplates by word\n\"plate\".\nAll questions MUST be answered; otherwise certificate will not be accepted at Head-\nquarters. To be forwarded to the Local Committee on Red Cross Nursing Service.\nI\n1.\nBe sure that all items are filled in before forwarding. Make definite statements in all instances.\n2. Give age in years, height in inches, weight in pounds.\n12. Chest measurements should be in total inches.\n( 1000)"
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