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E-444
D. M. P FORM NO. 29
AMERICAN RED CROSS NURSING SERVICE
THE
PHYSICAL EXAMINATION
6620
I.
Name of applicant Ruth Christiana waterburg
Address
600 n. Broadway - - Baltimore and
2. Age 35 yrs.
Healthy Height 51/ ft
Weight 138 ebo.
3. General appearance
4. Tendency to disease, inherited or otherwise
none
=
5. Previous history in regard to serious illness or surgical operation
none
is
t
6. Have you had rheumatism?
no
7. Have you at present or have you ever had hernia?
no
Good
8. Condition of teeth
Goad
9. Condition of feet
IO. Abdomen and contained organs
normal
normal
II. Chest and contained organs
36
Expiration
inches.
Inspiration
38
inches.
I2. Vision: o. D
2020
Hearing: A. D
normal
O. S.
is
00
20
A. S
13. Urine examination:
Color
amber
acell
Reaction
Specific gravity
1018
Albumen
none
none
au accessoral one
Casts
Leucocytes
Sugar
none
14. Remarks as to fitness of applicant for:
(a) General hospital service
ye
ok
no.
citie
(b) Tropical service
Lieus Hamman
M. D.
Date June 25 , 1917
Address
To be forwarded to the Chairman National Committee on Nursing Service, American Red Cross,
Washington, D. C.
Req. ,17-109-Feb.-3000.
all
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"ocrText": "E-444\nD. M. P FORM NO. 29\nAMERICAN RED CROSS NURSING SERVICE\nTHE\nPHYSICAL EXAMINATION\n6620\nI.\nName of applicant Ruth Christiana waterburg\nAddress\n600 n. Broadway - - Baltimore and\n2. Age 35 yrs.\nHealthy Height 51/ ft\nWeight 138 ebo.\n3. General appearance\n4. Tendency to disease, inherited or otherwise\nnone\n=\n5. Previous history in regard to serious illness or surgical operation\nnone\nis\nt\n6. Have you had rheumatism?\nno\n7. Have you at present or have you ever had hernia?\nno\nGood\n8. Condition of teeth\nGoad\n9. Condition of feet\nIO. Abdomen and contained organs\nnormal\nnormal\nII. Chest and contained organs\n36\nExpiration\ninches.\nInspiration\n38\ninches.\nI2. Vision: o. D\n2020\nHearing: A. D\nnormal\nO. S.\nis\n00\n20\nA. S\n13. Urine examination:\nColor\namber\nacell\nReaction\nSpecific gravity\n1018\nAlbumen\nnone\nnone\nau accessoral one\nCasts\nLeucocytes\nSugar\nnone\n14. Remarks as to fitness of applicant for:\n(a) General hospital service\nye\nok\nno.\ncitie\n(b) Tropical service\nLieus Hamman\nM. D.\nDate June 25 , 1917\nAddress\nTo be forwarded to the Chairman National Committee on Nursing Service, American Red Cross,\nWashington, D. C.\nReq. ,17-109-Feb.-3000.\nall"
}