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D MR Form No. 29 Outh Phone: THE WASHINGTON COOSE NURSING SERVICE PHYSICAL EXAMINATION I. Name of applicant (Niss) Ethel Iranoil Address. 705 Dallas ave City Sahma State ala 2. Age 34 Height 5-7% Weight 160 3. General physique. Erect.Well mouristed Symmetrical 4. Tendency disease, to inherited or otherwise None 5. Previous history in regard to serious illness or surgical operation appendectomy 5 yrs ago complete recovery 6. Has she had rheumatism? so 7. Has she at present or has she ever had hernia? no 9. Condition of feet good 8. Condition of teeth good Normal IO. Abdomen and contained organs normal II. Chest and contained organs Expiration 32 1/2 inches. Inspiration 36% inches. 12. Vision : O. D.20/20 glasses normal Hearing: A. D. O. S. 20/20 for astygmatism A. Normal S. NOTE: In case of refractive error state degree of correction by glasses. 13. Urine examination: Color. amber and Reaction Specific gravity 1022 Albumen some Casts none Leucocytes None Sugar sone 14. Do you recommend applicant for: (a) General hospital service orthopedic singery OK (b) Tropical service. 15 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 atl Hospital unit at Bilfast Preloud or mutin D. frience May ameral Weddhwart Surgical section at Date DEC 11.1917 John Nurres M. Salmadela Address All questions MUST be answered; otherwise certificate will not be accepted at headquarters. To be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment. w Req. 17-833-May--20M

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    "ocrText": "D MR Form No. 29\nOuth\nPhone:\nTHE WASHINGTON COOSE\nNURSING SERVICE\nPHYSICAL EXAMINATION\nI. Name of applicant (Niss) Ethel Iranoil\nAddress. 705 Dallas ave City Sahma State ala\n2. Age 34\nHeight 5-7% Weight 160\n3. General physique. Erect.Well mouristed Symmetrical\n4. Tendency disease,\nto inherited or otherwise None\n5. Previous history in regard to serious illness or surgical operation appendectomy\n5 yrs ago complete recovery\n6. Has she had rheumatism?\nso\n7. Has she at present or has she ever had hernia? no\n9. Condition of feet good\n8. Condition of teeth good\nNormal\nIO. Abdomen and contained organs\nnormal\nII. Chest and contained organs\nExpiration 32 1/2 inches.\nInspiration\n36% inches.\n12.\nVision : O. D.20/20 glasses\nnormal\nHearing: A. D.\nO. S. 20/20\nfor astygmatism A.\nNormal\nS.\nNOTE: In case of refractive error state degree of correction by glasses.\n13. Urine examination:\nColor. amber\nand\nReaction\nSpecific gravity 1022\nAlbumen\nsome\nCasts\nnone\nLeucocytes None\nSugar\nsone\n14. Do you recommend applicant for:\n(a) General hospital service\northopedic singery\nOK\n(b) Tropical service.\n15 Fill 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 atl\nHospital unit at\nBilfast Preloud or mutin D. frience\nMay ameral Weddhwart\nSurgical section at\nDate DEC 11.1917\nJohn Nurres M.\nSalmadela\nAddress\nAll questions MUST be answered; otherwise certificate will not be accepted at headquarters.\nTo be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.\nw\nReq. 17-833-May--20M"
}