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OCR
N I
a
0
+
ff
f
1.
m
I
a
n
(OAD)
12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)
No abnormalities.
ts,
M
or
+
Circumference of abdomen at umbilicus
35
S
Z
13. Urinalysis: Sp.Gr 1.016
Albumin Neg.
Sugar Neg.
Microscopical
Neg.
baz
aN
a
M
14. Nervous system: (note organic or functional disorders) No abnormalities. Stable.
TI: plovopi!
Z
u
15. Has the applicant been recently immunized against, Smallpox Yes. Typhoid Yes.
rs
16. Remarks on abnormalities not otherwise noted or sufficiently described on this
e
blank
None.
a: Moop: (APALOTO Rymuga oppet
C
0
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 5 January 1935,
E.C.CLS SIGUI U.S.Navy.
10.
as
Examiner
MOLE P.° ou biobst you so 1001 se-se 30-30°
po
g2
po
5
6
7
&
9
10
11
12
13
14
IS
y
18
19 20 21. 22 23 24 25 26 27 28 30
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.
I
OF
abbyrosue
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.
(u
11. Chest measurements should be in total inches.
LHE C6022 BEBAICE
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"ocrText": "N I\na\n0\n+\nff\nf\n1.\nm\nI\na\nn\n(OAD)\n12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)\nNo abnormalities.\nts,\nM\nor\n+\nCircumference of abdomen at umbilicus\n35\nS\nZ\n13. Urinalysis: Sp.Gr 1.016\nAlbumin Neg.\nSugar Neg.\nMicroscopical\nNeg.\nbaz\naN\na\nM\n14. Nervous system: (note organic or functional disorders) No abnormalities. Stable.\nTI: plovopi!\nZ\nu\n15. Has the applicant been recently immunized against, Smallpox Yes. Typhoid Yes.\nrs\n16. Remarks on abnormalities not otherwise noted or sufficiently described on this\ne\nblank\nNone.\na: Moop: (APALOTO Rymuga oppet\nC\n0\nIs the applicant fit to perform active duty (Military, Disaster, etc.?)\nYes,\nIf not, state type of duty she is physically fitted to perform\n--\nDate 5 January 1935,\nE.C.CLS SIGUI U.S.Navy.\n10.\nas\nExaminer\nMOLE P.° ou biobst you so 1001 se-se 30-30°\npo\ng2\npo\n5\n6\n7\n&\n9\n10\n11\n12\n13\n14\nIS\ny\n18\n19 20 21. 22 23 24 25 26 27 28 30\nIndicate missing teeth by \"X\"; bridge work by C crowns by\nplates 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.\nI\nOF\nabbyrosue\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.\n(u\n11. Chest measurements should be in total inches.\nLHE C6022 BEBAICE"
}