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OMIERUM OBA MADIRIMA
MOITAMIMAX3 JADI2YH9
13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
good time in indiance of disaase
er
T
Circumference of abdomen at umbilicus
24%
5
14. Nervous system: (note organic or functional disorders)
Armal
DIo aseay
(st Lukis dr petal - Jan 4,1942)
15. Urinalysis: Sp. Gr. 1.020 Albumin
to
Sugar
to
Microscopical
Occannor pus & Marthelied all
16. Date of immunization against, Smallpox
1942 Typhoid 1942
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
e
Is applicant perform Disaster, etc.?) yes
the fit to active duty (Military,
If not, state type of duty she is physically fitted to perform
Date
January 21, 1942
Morton R. Examiner Gibbons, Jro, Mo D.
350 Post St.,
San Francisco, California
$
6
7
&
9
10
"
12
13
14
IS
se
y
A
n
IAI
17
18 19 20 21 22 23 24 25 26 27 28 29 30 31
32
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.
55,
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.
Is
(TOVE)
A
V
Page data
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- Type
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Document data
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- 2662155
- Core
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- Type
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DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "R\ninfo\nOMIERUM OBA MADIRIMA\nMOITAMIMAX3 JADI2YH9\n13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\ngood time in indiance of disaase\ner\nT\nCircumference of abdomen at umbilicus\n24%\n5\n14. Nervous system: (note organic or functional disorders)\nArmal\nDIo aseay\n(st Lukis dr petal - Jan 4,1942)\n15. Urinalysis: Sp. Gr. 1.020 Albumin\nto\nSugar\nto\nMicroscopical\nOccannor pus & Marthelied all\n16. Date of immunization against, Smallpox\n1942 Typhoid 1942\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\ne\nIs applicant perform Disaster, etc.?) yes\nthe fit to active duty (Military,\nIf not, state type of duty she is physically fitted to perform\nDate\nJanuary 21, 1942\nMorton R. Examiner Gibbons, Jro, Mo D.\n350 Post St.,\nSan Francisco, California\n$\n6\n7\n&\n9\n10\n\"\n12\n13\n14\nIS\nse\ny\nA\nn\nIAI\n17\n18 19 20 21 22 23 24 25 26 27 28 29 30 31\n32\nIndicate missing teeth by \"X\", bridge work by C\ncrown 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.\n55,\n1. Be 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.\nIs\n(TOVE)\nA\nV"
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