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12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)
normal.
Circumference of abdomen at umbilicus 33
13. Urinalysis: Sp. Gr 1020 Albumin neg Sugar neg Microscopical neg.
14. Nervous system: (note organic or functional disorders)
none.
1931
15. Has the applicant been recently immunized against, Smallpox yes Typhoid yes
16. Remarks on abnormalities not otherwise noted or sufficiently described on this
blank none
Is applicant fit perform active duty (Military, Disaster, etc.?) yes
the to
If not, state type of duty she is physically fitted to perform
Date 10-12-35
Joll Blasser m Examiner
17
18
19
20
26
27
28
29
30
31
32
Indicate missing teeth by "X", bridge work by
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.
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.
11. Chest measurements should be in total inches.
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"ocrText": "(04eL)\n12. Abdomen and pelvis: (condition of wall, scars, herniae, and abnormality of viscera)\nnormal.\nCircumference of abdomen at umbilicus 33\n13. Urinalysis: Sp. Gr 1020 Albumin neg Sugar neg Microscopical neg.\n14. Nervous system: (note organic or functional disorders)\nnone.\n1931\n15. Has the applicant been recently immunized against, Smallpox yes Typhoid yes\n16. Remarks on abnormalities not otherwise noted or sufficiently described on this\nblank none\nIs applicant fit perform active duty (Military, Disaster, etc.?) yes\nthe to\nIf not, state type of duty she is physically fitted to perform\nDate 10-12-35\nJoll Blasser m Examiner\n17\n18\n19\n20\n26\n27\n28\n29\n30\n31\n32\nIndicate missing teeth by \"X\", bridge work by\ncrowns by\n,\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.\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.\n11. Chest measurements should be in total inches."
}