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OCR
B
?
+
Hemrrhoids
none
to
Menstrual period
regular and normal
13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
no scars, no hernia, no masses, no tenderness, liver not enlarged, spleen
not palepable
H
Circumference of abdomen at umbilicus
a
14. Nervous system: (note organic or functional disorders)
normal, reflexes normal
a
15. Urinalysis: Sp. Gr. IOI9 Albumin none Sugar none Microscopical normal
M
Hemoglobin (Sahli method)
85% Sahli
16. Smallpox Dec. II, I940 Typhoid Dec. 27,1940.
a
Date of immunization against,
4
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
a
none
C
Is the applicant fit to perform active duty (Military, Disaster, etc.?)
yes
If not, state type of duty she is physically fitted to perform
Date
December I., 1940
Examiner
may 20/41
&
9
10
"
12
13
14
IS
y
n
17
18 19 20 21 22 23 24 25 26 27 28 29 30
31
32
Indicate missing teeth by "X", bridge work by
crown by
,
plates by word
"plate".
100
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.
8
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.
12. Chest measurements should be in total inches.
O
-
a
B
(78V0)
Page data
- Page
- 6
- Source index
- 0
- Type
- photo
- Media ID
- bf84ae089a128be8
- Size
- unknown
Document data
- ID
- 2661149
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "B\n?\n+\nHemrrhoids\nnone\nto\nMenstrual period\nregular and normal\n13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\nno scars, no hernia, no masses, no tenderness, liver not enlarged, spleen\nnot palepable\nH\nCircumference of abdomen at umbilicus\na\n14. Nervous system: (note organic or functional disorders)\nnormal, reflexes normal\na\n15. Urinalysis: Sp. Gr. IOI9 Albumin none Sugar none Microscopical normal\nM\nHemoglobin (Sahli method)\n85% Sahli\n16. Smallpox Dec. II, I940 Typhoid Dec. 27,1940.\na\nDate of immunization against,\n4\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\na\nnone\nC\nIs the applicant fit to perform active duty (Military, Disaster, etc.?)\nyes\nIf not, state type of duty she is physically fitted to perform\nDate\nDecember I., 1940\nExaminer\nmay 20/41\n&\n9\n10\n\"\n12\n13\n14\nIS\ny\nn\n17\n18 19 20 21 22 23 24 25 26 27 28 29 30\n31\n32\nIndicate missing teeth by \"X\", bridge work by\ncrown by\n,\nplates by word\n\"plate\".\n100\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.\n8\n1. Be 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.\n12. Chest measurements should be in total inches.\nO\n-\na\nB\n(78V0)"
}