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Z I
e
e
Hemrrhoids one small external Remorrhoid. No bleeding. Causes no
DHIERUM
symptoms
Menstrual period Regular. no incaparity as a result of menses
13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
Good tone. no herine. appendentomy sear well bealed.
Circumference of abdomen at umbilicus 30 inches
14. Nervous system: (note organic or
functional disorders) normal theroout
Microscopical epiticied cells.
in
<
Occosional
15. Urinalysis: Sp. Gr. 1.026 Albumin 0
Sugar 0
s
Hemoglobin (Sahli method) 82%
e
2"
16. Date of immunization against, Smallpox 1940
Typhoid 1940
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
M
beau anel none
R
L.
boan ansi
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
a
Date January 8, 1941
Joseph R. Brotheringham
Examiner
edon) bis dreet
.8
Unali lo shis verito no 3TOW
.e
a
9
10
"
12
13
14
IS
se
bna brefa toloen or
V
A
n
17 IS 10 20 21222324 2526272829 30 31 32
(Jae? bas seloaum ,seno8) II
Indicate-missing teeth by "X", bridge work by C crown by plates by word
"plate",
esunim Teg
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.
a
a
Page data
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- Source index
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- Type
- photo
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Document data
- ID
- 2661625
- Core
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- Type
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DTO data
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Context sent to Scholar
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Document source extras
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"ocrText": "Z I\ne\ne\nHemrrhoids one small external Remorrhoid. No bleeding. Causes no\nDHIERUM\nsymptoms\nMenstrual period Regular. no incaparity as a result of menses\n13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\nGood tone. no herine. appendentomy sear well bealed.\nCircumference of abdomen at umbilicus 30 inches\n14. Nervous system: (note organic or\nfunctional disorders) normal theroout\nMicroscopical epiticied cells.\nin\n<\nOccosional\n15. Urinalysis: Sp. Gr. 1.026 Albumin 0\nSugar 0\ns\nHemoglobin (Sahli method) 82%\ne\n2\"\n16. Date of immunization against, Smallpox 1940\nTyphoid 1940\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\nM\nbeau anel none\nR\nL.\nboan ansi\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\na\nDate January 8, 1941\nJoseph R. Brotheringham\nExaminer\nedon) bis dreet\n.8\nUnali lo shis verito no 3TOW\n.e\na\n9\n10\n\"\n12\n13\n14\nIS\nse\nbna brefa toloen or\nV\nA\nn\n17 IS 10 20 21222324 2526272829 30 31 32\n(Jae? bas seloaum ,seno8) II\nIndicate-missing teeth by \"X\", bridge work by C crown by plates by word\n\"plate\",\nesunim Teg\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.\n12. Chest measurements should be in total inches.\na\na"
}