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D M R 29
THE AMERICAN RED CROSS
NURSING SERVICE
Physical Examination
1. Name of
Address 583 M. Washington City Wichita State Rhus
applicant Miss Monica Rudalfle Higgins
2. Age
3.
General
physique Lith and comsenlar
29 mrs Height. 5ft2in Weight
110 lbo
4. Tendency to disease,
Previous history in regard to serious illness or surgical operation Had engaipsles
7 individual to any disease
inherited or otherwise no lendoney hereditary
5.
about age 8 16
6.
Has she had rheumatism? Has had alight attacks only
7. Has she at present or has she ever had hernia?
see
C
8. Condition of teeth. Two left-lower molers bridged Condition some
9. Condition of feet cycellant condition
10. Abdomen and contained organs normal
11. Chest and contained organs normal
Girth; expiration 29
inches; inspiration 33
inches
Respiration, rate of 20
Right eye (Snellen) 20/100 ; corrected to 29/20 ; lens used - / Jh
Heart, pulse rate 76
12. Vision:
Left eye (Snellen) 29,00 ; corrected to 20/20 ; lens used -1 Sph
13. Hearing: A. D
(20)
A. S. 20/20.
14. Urine examination:
Color. clas amber
Reaction acid
Specific gravity 1012
Albumen
more
OK
Casts none
Leucocytes
none
Sugar none
15. Do you recommend applicant for:
(a) General hospital
service Yes This applicant an affe-
rinal no -X ray tealusi- cian
(b) Tropical service
16. Fill in name and number of base hospital, unit or detachment with which applicant is connected:
Army base hospital Yes, as an x lay technician
Naval base hospital
Emergency detachment
Navy detachment
Hospital unit
Drowerham M. D.
Date
Address Widila Ransas
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.
4-18. M.
Page data
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- Type
- photo
- Media ID
- 19a32682eae0a876
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- unknown
Document data
- ID
- 2661687
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Page context
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"ocrText": "D M R 29\nTHE AMERICAN RED CROSS\nNURSING SERVICE\nPhysical Examination\n1. Name of\nAddress 583 M. Washington City Wichita State Rhus\napplicant Miss Monica Rudalfle Higgins\n2. Age\n3.\nGeneral\nphysique Lith and comsenlar\n29 mrs Height. 5ft2in Weight\n110 lbo\n4. Tendency to disease,\nPrevious history in regard to serious illness or surgical operation Had engaipsles\n7 individual to any disease\ninherited or otherwise no lendoney hereditary\n5.\nabout age 8 16\n6.\nHas she had rheumatism? Has had alight attacks only\n7. Has she at present or has she ever had hernia?\nsee\nC\n8. Condition of teeth. Two left-lower molers bridged Condition some\n9. Condition of feet cycellant condition\n10. Abdomen and contained organs normal\n11. Chest and contained organs normal\nGirth; expiration 29\ninches; inspiration 33\ninches\nRespiration, rate of 20\nRight eye (Snellen) 20/100 ; corrected to 29/20 ; lens used - / Jh\nHeart, pulse rate 76\n12. Vision:\nLeft eye (Snellen) 29,00 ; corrected to 20/20 ; lens used -1 Sph\n13. Hearing: A. D\n(20)\nA. S. 20/20.\n14. Urine examination:\nColor. clas amber\nReaction acid\nSpecific gravity 1012\nAlbumen\nmore\nOK\nCasts none\nLeucocytes\nnone\nSugar none\n15. Do you recommend applicant for:\n(a) General hospital\nservice Yes This applicant an affe-\nrinal no -X ray tealusi- cian\n(b) Tropical service\n16. Fill in name and number of base hospital, unit or detachment with which applicant is connected:\nArmy base hospital Yes, as an x lay technician\nNaval base hospital\nEmergency detachment\nNavy detachment\nHospital unit\nDrowerham M. D.\nDate\nAddress Widila Ransas\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.\n4-18. M."
}