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D.M.R. FORM NO. 29
IMMENICAN RED GOOS
AMERICAN RED CROSS NURSING SERVICE
TH
5,981
HASPINGTON
DUCK
PHYSICAL EXAMINATION
I.
Name of applicant miss D.Drch
Address 5098 Danne sx ching D Id.
2. Age
40
Height 5'5" Weight 13/
3. General appearance
4. Tendency to disease, inherited or otherwise none
Healthy
5. Previous history in regard to serious illness or surgical operation no obecation
no Seriana Illness
6. Have you had rheumatism?
no
7. Have you at present or have you ever had hernia?
no
8. Condition of teeth
9. Condition of feet
good
IO. Abdomen and contained organs
II. Chest and contained organs
yand good
Expiration
3r
inches.
Inspiration
35 inches.
12. Vision: O.D.
O.K.
Hearing: A. D.
O.K.
O.S.
OK
A. S.
OK.
I3. Urine examination:
Color
ambur
Reaction
acid
Specific gravity
10VV
Albumen
Casts
0
8
Leucocytes.
Sugar
O
14. Remarks as to fitness of applicant for:
(a) General hospital service. Cook Co. Hospital
(b) Tropical service.
Supervisor training good.
first
Date
7/6/17 O w
M. D.
Address say
To be forwarded to the Chairman National Committee on Nursing Service, American Red Cross,
Washington, D.C.
OK
REQ. 16-600-JULY-3M
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"ocrText": "D.M.R. FORM NO. 29\nIMMENICAN RED GOOS\nAMERICAN RED CROSS NURSING SERVICE\nTH\n5,981\nHASPINGTON\nDUCK\nPHYSICAL EXAMINATION\nI.\nName of applicant miss D.Drch\nAddress 5098 Danne sx ching D Id.\n2. Age\n40\nHeight 5'5\" Weight 13/\n3. General appearance\n4. Tendency to disease, inherited or otherwise none\nHealthy\n5. Previous history in regard to serious illness or surgical operation no obecation\nno Seriana Illness\n6. Have you had rheumatism?\nno\n7. Have you at present or have you ever had hernia?\nno\n8. Condition of teeth\n9. Condition of feet\ngood\nIO. Abdomen and contained organs\nII. Chest and contained organs\nyand good\nExpiration\n3r\ninches.\nInspiration\n35 inches.\n12. Vision: O.D.\nO.K.\nHearing: A. D.\nO.K.\nO.S.\nOK\nA. S.\nOK.\nI3. Urine examination:\nColor\nambur\nReaction\nacid\nSpecific gravity\n10VV\nAlbumen\nCasts\n0\n8\nLeucocytes.\nSugar\nO\n14. Remarks as to fitness of applicant for:\n(a) General hospital service. Cook Co. Hospital\n(b) Tropical service.\nSupervisor training good.\nfirst\nDate\n7/6/17 O w\nM. D.\nAddress say\nTo be forwarded to the Chairman National Committee on Nursing Service, American Red Cross,\nWashington, D.C.\nOK\nREQ. 16-600-JULY-3M"
}