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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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Document data
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- Core
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- Type
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Context sent to Scholar
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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."
}