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Hannan
D M R 30
DUPLICATE
OF
NURSING SERVICE
CERTIFICATE OF IMMUNITY
Place
Brhamm
Date
Tel4 18
I certify that I have administered anti-typhoid vaccine as a prophylactic to
has Eurly Hammarcent
in the following doses:
1st dose
7/3
c. c.
2nd dose
2/3
Date Date Jason 102 23 18
c. c.
is
3rd dose
(
c. c.
Date
Full IV
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.
Req. 17-919-May-25M
13377
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"ocrText": "Hannan\nD M R 30\nDUPLICATE\nOF\nNURSING SERVICE\nCERTIFICATE OF IMMUNITY\nPlace\nBrhamm\nDate\nTel4 18\nI certify that I have administered anti-typhoid vaccine as a prophylactic to\nhas Eurly Hammarcent\nin the following doses:\n1st dose\n7/3\nc. c.\n2nd dose\n2/3\nDate Date Jason 102 23 18\nc. c.\nis\n3rd dose\n(\nc. c.\nDate\nFull IV\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.\nReq. 17-919-May-25M\n13377"
}