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of e a OBR MADIRIMA D. Has the applicant ever suffered from any disease D. about 3 colds a year. or functional derangement of the respiratory D system? If yes, state particulars. In head-throst none lost - year. E. What is the chest circumferecnce? E Upon full inspiration? 30 inche Upon full expiration 28 inches. B. III. The Circulatory System. A. What is the temperature of the body ? (If III. A 98. P. over 99° in the mouth, try another day.) B. Give the rate and other qualities of the pulse. Record blood-pressure. B so good pro- qualify B.P. 140-95 C. Does it intermit, or become irregular or un- C. no equal? D. Does physical examination reveal anything D no. whatever abnormal in the conditions of the heart or blood vessels? -sogiv E. Has the applicant ever suffered from any dis- ease of the circulatory system? If yes, de- E no symptoms. scribe. IV. The Nervous System. IV. no Has there ever been or is there any disease or functional derangement of the brain or other parts of the nervous system? If yes, state particulars. Inquire particularly regarding headaches, insomnia, nervous exhaustion, chorea or epilepsy and insanity. V. The Digestive System. Has the applicant any disease or functional de- V. Dignation good. rangement? A. Of the stomach? A no B. Of the intestines? B me 2 C. Of the liver? C m W D. Has there been or is there any tendency to chronic constipation? D D owels regular E. To diarrhea? E. Souse tiu deney to dierrhoea- This is severe in hot weather

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    "ocrText": "of\ne\na\nOBR MADIRIMA\nD. Has the applicant ever suffered from any disease\nD. about 3 colds a year.\nor functional derangement of the respiratory\nD\nsystem? If yes, state particulars.\nIn head-throst none lost\n-\nyear.\nE. What is the chest circumferecnce?\nE\nUpon full inspiration?\n30 inche\nUpon full expiration\n28 inches.\nB.\nIII. The Circulatory System.\nA. What is the temperature of the body ? (If\nIII. A 98.\nP.\nover 99° in the mouth, try another day.)\nB. Give the rate and other qualities of the pulse.\nRecord blood-pressure.\nB so good pro- qualify\nB.P. 140-95\nC. Does it intermit, or become irregular or un-\nC. no\nequal?\nD. Does physical examination reveal anything\nD no.\nwhatever abnormal in the conditions of the\nheart or blood vessels?\n-sogiv\nE. Has the applicant ever suffered from any dis-\nease of the circulatory system? If yes, de-\nE no symptoms.\nscribe.\nIV. The Nervous System.\nIV.\nno\nHas there ever been or is there any disease or\nfunctional derangement of the brain or other\nparts of the nervous system? If yes, state\nparticulars. Inquire particularly regarding\nheadaches, insomnia, nervous exhaustion,\nchorea or epilepsy and insanity.\nV. The Digestive System.\nHas the applicant any disease or functional de-\nV. Dignation good.\nrangement?\nA. Of the stomach?\nA no\nB. Of the intestines?\nB me\n2\nC. Of the liver?\nC m\nW\nD. Has there been or is there any tendency to\nchronic constipation?\nD D owels regular\nE. To diarrhea?\nE. Souse tiu deney to dierrhoea-\nThis is severe in hot weather"
}