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D M R Form No. 29
# 46
old enrollment
D
NURSING SERVICE
chicago aug of 1908
(c)
OF
PHYSICAL EXAMINATION
Re-enrolled gav. 28,1913
en
of Transf :
5
Birdhingham ala.
I.
Name of applicant Linna H. Danny
46
Address
137 north boat Cit Bishingham State Alabama
2. Age.
43 3 years Height 5ft. 6%/2m Weight 165 (with clothes)
3. General physique
good
4. Tendency to disease, inherited or otherwise no
5. Previous history in regard to serious illness or surgical operation Typhin feva 15 yrs.
I
ago; no surgical operations
6. Has she had rheumatism? no
7. Has she at present or has she ever had hernia? no
8. Condition of teeth good
9. Condition of feet
IO.
Abdomen and contained organs. apparently normal
good
II. Chest and contained organs
apparently normal
Expiration
37
inches.
Inspiration
40.5
inches.
I2. Vision: O. D.
/20 20/100
O. S. /20
20/200
Hearing: A. D. good
NOTE: In case of refractive error state degree of correction by glasses.
A. S. good
vision 20 with correction
20
R+2.750.0
13. Urine examination
Color show yellow
Reaction acid
L+3. +25 ay 165
Specific gravity 1018
Albumen absent
Casts none seen
Sugar absent
Leucocytes few
14. Do you recommend applicant for:
(a) General hospital service year
(b) Tropical service.
yes
15. Fill in location of base hospital, unit or detachment with which service is desired:
Army base hospital at
Naval base hospital at
Bermingham ala
-
Emergency detachment at
Navy detachment at
Hospital unit at
O.K
Surgical section at
CH.I.
M.
D.
Date. gone 11, 1917.
Address 1884 Columbia Road
All questions MUST be answered; otherwise certificate will not be acceptedat headquarters.
Washington D.C.
To be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.
Req. 17-833-May-2CM
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"ocrText": ".\nD M R Form No. 29\n# 46\nold enrollment\nD\nNURSING SERVICE\nchicago aug of 1908\n(c)\nOF\nPHYSICAL EXAMINATION\nRe-enrolled gav. 28,1913\nen\nof Transf :\n5\nBirdhingham ala.\nI.\nName of applicant Linna H. Danny\n46\nAddress\n137 north boat Cit Bishingham State Alabama\n2. Age.\n43 3 years Height 5ft. 6%/2m Weight 165 (with clothes)\n3. General physique\ngood\n4. Tendency to disease, inherited or otherwise no\n5. Previous history in regard to serious illness or surgical operation Typhin feva 15 yrs.\nI\nago; no surgical operations\n6. Has she had rheumatism? no\n7. Has she at present or has she ever had hernia? no\n8. Condition of teeth good\n9. Condition of feet\nIO.\nAbdomen and contained organs. apparently normal\ngood\nII. Chest and contained organs\napparently normal\nExpiration\n37\ninches.\nInspiration\n40.5\ninches.\nI2. Vision: O. D.\n/20 20/100\nO. S. /20\n20/200\nHearing: A. D. good\nNOTE: In case of refractive error state degree of correction by glasses.\nA. S. good\nvision 20 with correction\n20\nR+2.750.0\n13. Urine examination\nColor show yellow\nReaction acid\nL+3. +25 ay 165\nSpecific gravity 1018\nAlbumen absent\nCasts none seen\nSugar absent\nLeucocytes few\n14. Do you recommend applicant for:\n(a) General hospital service year\n(b) Tropical service.\nyes\n15. Fill in location of base hospital, unit or detachment with which service is desired:\nArmy base hospital at\nNaval base hospital at\nBermingham ala\n-\nEmergency detachment at\nNavy detachment at\nHospital unit at\nO.K\nSurgical section at\nCH.I.\nM.\nD.\nDate. gone 11, 1917.\nAddress 1884 Columbia Road\nAll questions MUST be answered; otherwise certificate will not be acceptedat headquarters.\nWashington D.C.\nTo be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.\nReq. 17-833-May-2CM"
}