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Thyroid negative
Systolic 122
Heart and vascular system
Blood Pressure- Diastolic 82
Lungs negation
Abdomen appendectoring pear. activities negation.
Hernia none
Genito urinary system normal.
Hemorrhoids none
Spine (including posture) negative posture good
Extremities (deformities, lameness, atrophies, varicosities, scars, and other abnormalities) none
Reflexes nommnal
Evidence of mental or nervous disease none
URINALYSIS
Sp.
Gr. 10 18.
Albumen none
Leucocytes none Casts none
Reaction acid.
Sugar none Erythrocytes none
ADDITIONAL INFORMATION FOR WOMEN
Are
menses regular? menspane Excessive?
Prolonged?
Breasts? negative
Do they interfere with work?
Pregnancies? none
IMMUNIZATION
Smallpox na
Date last vacc. 1924. Typhoid 1924
Dates last series 1924
Other immunizations
Office
In your opinion is this applicant physically fit to carry out duties in :
Field
If a questionable risk, state reasons.
Foreign Service yes
Date June 7. 1943
Signature: Examining Stabl Physician
M.D.
Address:
55 Lincoln Park
Street
Newark ny
Post Office
Note: Upon completion of the examination this form should be sent to:
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"ocrText": "Thyroid negative\nSystolic 122\nHeart and vascular system\nBlood Pressure- Diastolic 82\nLungs negation\nAbdomen appendectoring pear. activities negation.\nHernia none\nGenito urinary system normal.\nHemorrhoids none\nSpine (including posture) negative posture good\nExtremities (deformities, lameness, atrophies, varicosities, scars, and other abnormalities) none\nReflexes nommnal\nEvidence of mental or nervous disease none\nURINALYSIS\nSp.\nGr. 10 18.\nAlbumen none\nLeucocytes none Casts none\nReaction acid.\nSugar none Erythrocytes none\nADDITIONAL INFORMATION FOR WOMEN\nAre\nmenses regular? menspane Excessive?\nProlonged?\nBreasts? negative\nDo they interfere with work?\nPregnancies? none\nIMMUNIZATION\nSmallpox na\nDate last vacc. 1924. Typhoid 1924\nDates last series 1924\nOther immunizations\nOffice\nIn your opinion is this applicant physically fit to carry out duties in :\nField\nIf a questionable risk, state reasons.\nForeign Service yes\nDate June 7. 1943\nSignature: Examining Stabl Physician\nM.D.\nAddress:\n55 Lincoln Park\nStreet\nNewark ny\nPost Office\nNote: Upon completion of the examination this form should be sent to:"
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