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F
a
12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)
5
Seft Reart R2d scan
C
e
Circumference of abdomen at umbilicus 28 the
S
13. Urinalysis: Sp. Gr 1019 Albumin - Sugar -
Microscopical 2.t fate
A
-
14. Nervous system: (note organic or functional disorders)
C
e
15. Has the applicant been recently immunized against, Smallpox fee Typhoid for
16. Remarks on abnormalities not otherwise noted or sufficiently described on this
blank
Is the to etc.
If not, state type of duty she physically fitted to perform
applicant fit perform is active duty (Military, Disaster, ?) fee
Date July 13,1939
aB Therefore Examiner
$
2
s
A
5
6
7
a
9
10
11
12
13
14
IS
se
y
v
K7
P
A
TA
17
18 19 20 21 22 23 24 25 26 27 28 29 30 31
32
Indicate missing teeth by "X", bridge work by
crowns 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.
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.
11. Chest measurements should be in total inches.
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"ocrText": "F\na\n12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)\n5\nSeft Reart R2d scan\nC\ne\nCircumference of abdomen at umbilicus 28 the\nS\n13. Urinalysis: Sp. Gr 1019 Albumin - Sugar -\nMicroscopical 2.t fate\nA\n-\n14. Nervous system: (note organic or functional disorders)\nC\ne\n15. Has the applicant been recently immunized against, Smallpox fee Typhoid for\n16. Remarks on abnormalities not otherwise noted or sufficiently described on this\nblank\nIs the to etc.\nIf not, state type of duty she physically fitted to perform\napplicant fit perform is active duty (Military, Disaster, ?) fee\nDate July 13,1939\naB Therefore Examiner\n$\n2\ns\nA\n5\n6\n7\na\n9\n10\n11\n12\n13\n14\nIS\nse\ny\nv\nK7\nP\nA\nTA\n17\n18 19 20 21 22 23 24 25 26 27 28 29 30 31\n32\nIndicate missing teeth by \"X\", bridge work by\ncrowns 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.\n1.\nBe 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.\n11. Chest measurements should be in total inches."
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