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K
AMERICAN RED CROSS NURSING SERVICE
assig
PHYSICAL EXAMINATION
( coming
Builangham, 845 lutter st, tan trancisco
1. Name of Applicant, Lucy a. Kaenan
M
2. Age
3845 Height 5ft sineh Weight 140
a
3. General appearance good
4. Are your parents living?
5.
It not, at what age and of what disease did each die?
6. Tendency to disease, inherited or otherwise ? no
A
7. Previous history in regard to serious illness or surgical operation none
8.
Have you had rheumatism ?
none
9. Have you at present or have you ever had hernia ? none
10. Condition of teeth
good
11. Condition of feet
normal
12. Abdomen and contained organs
normal
13. Chest and contained organs
normal
Expiration
33
inches.
Inspiration
36
inches.
14. Vision : O.D. normal.
Hearing :
A.D. normal.
O.S.
-
A. S.
15. Urine Examination :
Color
show calta
Reaction normal.
Specific Gravity
1018
Albumen none
Casts
none
Leucocytes none
Sugar
none
16. Remarks as to fitness of applicant for :
(a) General hospital service very Satis factority
(b)
Tropical service Consider kuilable for tropical aerreed
Sta. moral.
M. D.
Date Tab 26-1917
Address. Greenville Cal.
To be forwarded by with duplicate Certificate of to Chairman National Committee on
Nursing Service, American Red Cross, Washington, D C.
MAR 1 6 1917
official
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Document data
- ID
- 2661737
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "K\nAMERICAN RED CROSS NURSING SERVICE\nassig\nPHYSICAL EXAMINATION\n( coming\nBuilangham, 845 lutter st, tan trancisco\n1. Name of Applicant, Lucy a. Kaenan\nM\n2. Age\n3845 Height 5ft sineh Weight 140\na\n3. General appearance good\n4. Are your parents living?\n5.\nIt not, at what age and of what disease did each die?\n6. Tendency to disease, inherited or otherwise ? no\nA\n7. Previous history in regard to serious illness or surgical operation none\n8.\nHave you had rheumatism ?\nnone\n9. Have you at present or have you ever had hernia ? none\n10. Condition of teeth\ngood\n11. Condition of feet\nnormal\n12. Abdomen and contained organs\nnormal\n13. Chest and contained organs\nnormal\nExpiration\n33\ninches.\nInspiration\n36\ninches.\n14. Vision : O.D. normal.\nHearing :\nA.D. normal.\nO.S.\n-\nA. S.\n15. Urine Examination :\nColor\nshow calta\nReaction normal.\nSpecific Gravity\n1018\nAlbumen none\nCasts\nnone\nLeucocytes none\nSugar\nnone\n16. Remarks as to fitness of applicant for :\n(a) General hospital service very Satis factority\n(b)\nTropical service Consider kuilable for tropical aerreed\nSta. moral.\nM. D.\nDate Tab 26-1917\nAddress. Greenville Cal.\nTo be forwarded by with duplicate Certificate of to Chairman National Committee on\nNursing Service, American Red Cross, Washington, D C.\nMAR 1 6 1917\nofficial"
}