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ZI
ete-
e
e
n
a
gast
bajas
Broog
2
D
12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)
negative except in BIT or surgical scan from appendictory
Circumference of abdomen at umbilicus
29
13. Urinalysis: Sp.Gr q 6 Albumin. V.S.T. Sugar no Microscopical my
rs
0
ruopes
14. Nervous system: brents disorders) negative
(note organic or functional
in
<
a
aa child
15. Has the applicant been recently immunized against, Smallpox goodscar. Typhoid 6 yrs. ago.
in
16. Remarks on abnormalities not otherwise noted or sufficiently described on this
blank
a Ryeuga orper
8
Is the applicant fit to perform active duty (Military, Disaster, etc. ?) yes.
M.
If not, state type of duty she is physically fitted to perform
Date June 1,1936
many uprebel K. Examiner Benedich norce M.D.
10 Sinure St.
new Haven, Come.
about
10
"
12
13
14
IS
A
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.
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.
is
055
11. Chest measurements should be in total inches.
EXYWIVYLIOW
LHE BED CHOBE DEBAICE
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Document data
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Context sent to Scholar
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"ocrText": "ZI\nete-\ne\ne\nn\na\ngast\nbajas\nBroog\n2\nD\n12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)\nnegative except in BIT or surgical scan from appendictory\nCircumference of abdomen at umbilicus\n29\n13. Urinalysis: Sp.Gr q 6 Albumin. V.S.T. Sugar no Microscopical my\nrs\n0\nruopes\n14. Nervous system: brents disorders) negative\n(note organic or functional\nin\n<\na\naa child\n15. Has the applicant been recently immunized against, Smallpox goodscar. Typhoid 6 yrs. ago.\nin\n16. Remarks on abnormalities not otherwise noted or sufficiently described on this\nblank\na Ryeuga orper\n8\nIs the applicant fit to perform active duty (Military, Disaster, etc. ?) yes.\nM.\nIf not, state type of duty she is physically fitted to perform\nDate June 1,1936\nmany uprebel K. Examiner Benedich norce M.D.\n10 Sinure St.\nnew Haven, Come.\nabout\n10\n\"\n12\n13\n14\nIS\nA\n17\n18 19 20 21 22 23 24 25 26 27 26 29 30 31\n02\nIndicate missing teeth by \"X\"; bridge work by C crowns by , plates by word\n\"plate.\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. Be 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.\nis\n055\n11. Chest measurements should be in total inches.\nEXYWIVYLIOW\nLHE BED CHOBE DEBAICE"
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