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D M R 29 THE AMERICAN RED CROSS NURSING SERVICE It 00 Physical Examination is 1. Name of applicant Florence Brandt lan Address 4461 Olive OF City. Thous State no 2. Age 25 Height 63 inchrs Weight 125 3. General physique medium 4. Tendency to disease, inherited or otherwise now 5. Previous history in regard to serious illness or surgical operation negative 6. she Has had rheumatism? no 7. Has she at present or has she ever had hernia? no 8. Condition of teeth Very good 9. Condition of feet normal 10. Abdomen and contained organs normal normal 11. Chest and contained organs Girth; expiration 29% 32% inches; inspiration inches Respiration, rate of 19 Heart, pulse rate 70 Right (Snellen) 20/20 ; corrected eye to ;lens used 12. Vision: Left eye (Snellen) 20/20 ; corrected to lens used 13. Hearing: A. D. 20/20 A. S. 20/20 14. Urine examination: Color amber Reaction acid Specific gravity 1.018 Albumen neg Casts now Leucocytes none Sugar neg 15. Do you recommend applicant for: (a) General hospital service yes (b) Tropical service yes 16. Fill in name and number of base hospital, unit or detachment with which applicant is connected: Army base hospital now Naval base hospital now Emergency detachment none Navy detachment none Hospital unit none M. D. Date april 30/1919 Address 2435 H. Srand av. All questions MUST be answered; otherwise certificate will not be accepted at headquarters. To be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment. 5-18. 2 M.

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    "ocrText": "D M R 29\nTHE AMERICAN RED CROSS\nNURSING SERVICE\nIt\n00\nPhysical Examination\nis\n1. Name of applicant\nFlorence Brandt\nlan\nAddress 4461 Olive OF\nCity. Thous\nState no\n2. Age\n25\nHeight 63 inchrs Weight 125\n3. General physique\nmedium\n4. Tendency to disease, inherited or otherwise now\n5. Previous history in regard to serious illness or surgical operation negative\n6. she\nHas had rheumatism? no\n7. Has she at present or has she ever had hernia?\nno\n8. Condition of teeth\nVery good\n9. Condition of feet\nnormal\n10. Abdomen and contained organs\nnormal\nnormal\n11. Chest and contained organs\nGirth; expiration\n29%\n32%\ninches; inspiration\ninches\nRespiration, rate of 19\nHeart, pulse rate\n70\nRight (Snellen) 20/20 ; corrected\neye\nto\n;lens used\n12. Vision:\nLeft eye (Snellen)\n20/20 ; corrected\nto\nlens used\n13. Hearing: A. D.\n20/20\nA. S.\n20/20\n14. Urine examination:\nColor\namber\nReaction\nacid\nSpecific gravity\n1.018\nAlbumen\nneg\nCasts\nnow\nLeucocytes\nnone\nSugar\nneg\n15. Do you recommend applicant for:\n(a) General hospital service yes\n(b) Tropical service\nyes\n16. Fill in name and number of base hospital, unit or detachment with which applicant is connected:\nArmy base hospital\nnow\nNaval base hospital\nnow\nEmergency detachment\nnone\nNavy detachment\nnone\nHospital unit\nnone M. D.\nDate april 30/1919\nAddress 2435 H. Srand av.\nAll questions MUST be answered; otherwise certificate will not be accepted at headquarters.\nTo be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.\n5-18. 2 M."
}