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Campbell, Mary I.
35, 5 86
I. Be sure that all items are filled in before
forwarding. Make definite statements in all
THE AMERICAN RED CROSS
instances.
2. Give age in years, height in inches, weight in
DEPARTMENT OF NURSING
pounds, stating amount of clothing entering into
weight.
8. State what teeth are missing and existing
Physical Examination
dentistry, such as crowns, plates, etc. State
number of-opposed molars.
9. Flat foot-state whether or not any incon-
venience exists.
II Chest measurements should be in total
inches.
12. Actual vision should be stated, determined on
4
proper letters for 20 foot distance, as 20/20, 20/50,
Date
20/100. If glasses are worn state correction.
(
Hearing should record whispered voice at 15
feet, 15/15,I0/15, etc.
RECEIVED
AMERICAN RED CHOS
AUG 9 1919
MURSING SERVIGE
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"ocrText": "Campbell, Mary I.\n35, 5 86\nI. Be sure that all items are filled in before\nforwarding. Make definite statements in all\nTHE AMERICAN RED CROSS\ninstances.\n2. Give age in years, height in inches, weight in\nDEPARTMENT OF NURSING\npounds, stating amount of clothing entering into\nweight.\n8. State what teeth are missing and existing\nPhysical Examination\ndentistry, such as crowns, plates, etc. State\nnumber of-opposed molars.\n9. Flat foot-state whether or not any incon-\nvenience exists.\nII Chest measurements should be in total\ninches.\n12. Actual vision should be stated, determined on\n4\nproper letters for 20 foot distance, as 20/20, 20/50,\nDate\n20/100. If glasses are worn state correction.\n(\nHearing should record whispered voice at 15\nfeet, 15/15,I0/15, etc.\nRECEIVED\nAMERICAN RED CHOS\nAUG 9 1919\nMURSING SERVIGE"
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