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D. Has the applicant ever suffered from any D. DISTIMA disease or functional derangement of the res- piratory system? If yes, state particulars. no E. What is the chest circumference? 1100 E 34 Upon full inspiration? 36'12 Upon full expiration? 34 III. The Circulatory System. A. What is the temperature of the body? (If III. A Road over 99° in the mouth, try another day.) 98 B. Give the rate and other qualities of the pulse. B. 12 good quality Record blood-pressure. system 110 Shester 70 C. Does it intermit, or become irregular or un- C. ne equal? D. Does physical examination reveal anything D no whatever abnormal in the conditions of the heart or blood vessels? E. Has the applicant ever suffered from any dis- E no ease of the circulatory system? If yes, de- scribe. IV. The Nervous System. IV. no Has there ever been or is there any disease or functional derangement of the brain or other parts of the nervous system? If yes, state particulars. Inquire particularly regarding no headaches, insomnia, nervous exhaustion, chorea or epilepsy and insanity. V. The Digestive System. V. Has the applicant any disease or functional de- rangement? mu A. Of the stomach? A AN B. Of the intestines? B MN C. Of the liver? C. me D. Has there been or is there any tendency to D no chronic constipation? E. To diarrhea? E MV

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Source index
0
Type
photo
Media ID
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Size
unknown

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2661719
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Type
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Document identity
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Document source extras
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    "coverageEndDate": {
        "day": 25,
        "logicalDate": "1944-09-25",
        "month": 9,
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Page context
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    "ocrText": "D. Has the applicant ever suffered from any\nD.\nDISTIMA\ndisease or functional derangement of the res-\npiratory system? If yes, state particulars.\nno\nE. What is the chest circumference?\n1100\nE 34\nUpon full inspiration?\n36'12\nUpon full expiration?\n34\nIII. The Circulatory System.\nA. What is the temperature of the body? (If\nIII. A Road\nover 99° in the mouth, try another day.)\n98\nB. Give the rate and other qualities of the pulse.\nB. 12 good quality\nRecord blood-pressure.\nsystem 110 Shester 70\nC. Does it intermit, or become irregular or un-\nC. ne\nequal?\nD. Does physical examination reveal anything\nD no\nwhatever abnormal in the conditions of the\nheart or blood vessels?\nE. Has the applicant ever suffered from any dis-\nE\nno\nease of the circulatory system? If yes, de-\nscribe.\nIV. The Nervous System.\nIV.\nno\nHas there ever been or is there any disease or\nfunctional derangement of the brain or other\nparts of the nervous system? If yes, state\nparticulars. Inquire particularly regarding\nno\nheadaches, insomnia, nervous exhaustion,\nchorea or epilepsy and insanity.\nV. The Digestive System.\nV.\nHas the applicant any disease or functional de-\nrangement?\nmu\nA. Of the stomach?\nA\nAN\nB. Of the intestines?\nB\nMN\nC. Of the liver?\nC.\nme\nD. Has there been or is there any tendency to\nD no\nchronic constipation?\nE. To diarrhea?\nE\nMV"
}