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Mrs. Florence M. ( H. C.)
.
Florence M. Peter
RECEIV
JUN 28 1918
AMERICAN RED CROSS
5311
NURSING SERVICE
Physical Examination Blank
AMERICAN RED CROSS
1-Be sure that all items are filled in before for-
EPARTMENT OF NURSING
warding. Take definite statements in all
instances.
Physical Examination
2-Give age in years, height in inches, weight
OF
in pounds, stating amount of clothing enter-
ing into the weight.
8-State what teeth are missing, and existing
dentistry, such as crowns, plates, etc , state
number of opposed molars.
9-Flat foot-state whether or not any incon-
venience exists.
11-Chest measurements should be in total
inches.
12-Actual vision should be stated determined
on proper letters for 20-foot distance, as
20/20, 20/50, 20/100. If glasses are worn
state correction.
Hearing should record whispered voices at 15
feet, 15/15, 10/15, etc.
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Context sent to Scholar
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"ocrText": "Mrs. Florence M. ( H. C.)\n.\nFlorence M. Peter\nRECEIV\nJUN 28 1918\nAMERICAN RED CROSS\n5311\nNURSING SERVICE\nPhysical Examination Blank\nAMERICAN RED CROSS\n1-Be sure that all items are filled in before for-\nEPARTMENT OF NURSING\nwarding. Take definite statements in all\ninstances.\nPhysical Examination\n2-Give age in years, height in inches, weight\nOF\nin pounds, stating amount of clothing enter-\ning into the weight.\n8-State what teeth are missing, and existing\ndentistry, such as crowns, plates, etc , state\nnumber of opposed molars.\n9-Flat foot-state whether or not any incon-\nvenience exists.\n11-Chest measurements should be in total\ninches.\n12-Actual vision should be stated determined\non proper letters for 20-foot distance, as\n20/20, 20/50, 20/100. If glasses are worn\nstate correction.\nHearing should record whispered voices at 15\nfeet, 15/15, 10/15, etc."
}