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M
D M R 30
DUPLICATE
4 Ci
NURSING SERVICE
# $ 5862
CERTIFICATE OF IMMUNITY
E.D.74
Place Humatin memorial Hospital
Date
8/31/17
ud parn
I certify that I have administered anti-typhoid vaccine as a prophylactic to
many Pritchand
in the following doses:
1st dose
500 no no
.c.c.
Date aug 10 1917
2nd dose
1000 000 000
Date aug 17 1917
3rd dose
100 00 000
c.c.
phesistor Date 24 1917
M. D.
I certify that
is satisfactorily protected by vaccination against smallpox.
M. D.
Fill in location of Base Hospital, Unit or Detachment with which service is desired:
Army Base Hospital at
Naval Base Hospital at
Emergency Detachment at
Navy Detachment at
Hospital Unit at
Surgical Section at
This duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee
Organizing Detachment.
Reg.17-919-May-25M
5,
x
6
2
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"ocrText": "as\nM\nD M R 30\nDUPLICATE\n4 Ci\nNURSING SERVICE\n# $ 5862\nCERTIFICATE OF IMMUNITY\nE.D.74\nPlace Humatin memorial Hospital\nDate\n8/31/17\nud parn\nI certify that I have administered anti-typhoid vaccine as a prophylactic to\nmany Pritchand\nin the following doses:\n1st dose\n500 no no\n.c.c.\nDate aug 10 1917\n2nd dose\n1000 000 000\nDate aug 17 1917\n3rd dose\n100 00 000\nc.c.\nphesistor Date 24 1917\nM. D.\nI certify that\nis satisfactorily protected by vaccination against smallpox.\nM. D.\nFill in location of Base Hospital, Unit or Detachment with which service is desired:\nArmy Base Hospital at\nNaval Base Hospital at\nEmergency Detachment at\nNavy Detachment at\nHospital Unit at\nSurgical Section at\nThis duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee\nOrganizing Detachment.\nReg.17-919-May-25M\n5,\nx\n6\n2"
}