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3 E 13. Abdomen: (condition of wall, scars, herniae, and abnormality of viscera) negative Circumference of abdomen at umbilicus 33" 14. Nervous system: (note organic or functional disorders) negative 15. Urinalysis: Sp. Gr. 1,006 Albumin 0 Sugar 0 Microscopical negative 3 u 16. Date of immunization against, Smallpox 1936 Typhoid 1938 a 55 17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank: none Is the applicant fit to perform active duty (Military, Disaster, etc.?) yes If not, state type of duty she is physically fitted to perform Date Dct. 26, 1940 Jane Examiner R. Curbey Au 13 17 18 19 20 21 22 23 24 25 26 27 26 29 30 31 02 Indicate missing teeth by "X", bridge work by C crowns by plates by word "plate". 8 All questions MUST be answered; otherwise certificate will not be accepted at Head- quarters. To be forwarded to the Local Committee on Red Cross Nursing Service. 1. Be sure that all items are filled in before forwarding. Make definite statements in all instances. 2. Give age in years, height in inches, weight in pounds. 12. Chest measurements should be in total inches.

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Context sent to Scholar

Document identity
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    "ocrText": "3\nE\n13. Abdomen: (condition of wall, scars, herniae, and abnormality of viscera) negative\nCircumference of abdomen at umbilicus\n33\"\n14. Nervous system: (note organic or functional disorders)\nnegative\n15. Urinalysis: Sp. Gr. 1,006 Albumin\n0\nSugar\n0\nMicroscopical negative\n3\nu\n16. Date of immunization against, Smallpox 1936\nTyphoid 1938\na\n55\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\nnone\nIs the applicant fit to perform active duty (Military, Disaster, etc.?) yes\nIf not, state type of duty she is physically fitted to perform\nDate Dct. 26, 1940\nJane Examiner R. Curbey Au\n13\n17\n18 19 20 21 22 23 24 25 26 27 26 29 30\n31\n02\nIndicate missing teeth by \"X\", bridge work by C crowns by\nplates by word\n\"plate\".\n8\nAll questions MUST be answered; otherwise certificate will not be accepted at Head-\nquarters. To be forwarded to the Local Committee on Red Cross Nursing Service.\n1.\nBe sure that all items are filled in before forwarding. Make definite statements in all instances.\n2. Give age in years, height in inches, weight in pounds.\n12. Chest measurements should be in total inches."
}