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DMR 29 THE AMERICAN RED CROSS NURSING SERVICE Physical Examination I. Name of applicant Harriet Charlton Kift Address 4401 Market SR City Philadelphia State Pa 2. Age 26 Height office Weight 104 3. General physique Slight, wiry, 4. Tendency to disease, inherited or otherwise None 5. Previous history in regard to serious illness or surgical operation Tonsilectomy 6. Has she had rheumatism? Slight muscular rheumatism 7. Has she at present or has she ever had hernia? no 8. Condition of teeth Good 9. Condition of feet Good IO. Abdomen and organs contained Normal II. Chest and contained organs normal Girth; expiration 27 inches; inspiration 30% inches Respiration, rate of 20 Heart, pulse rate 15 20 Right eye (Snellen) 20 ; corrected to ; lens used +37cax90 I2. Vision: { 20 Left eye (Snellen) 24 ; corrected to 20/100 ; lens used +150 s. I3. Hearing: A. D normal A. S normal He Bachanam 14. Urine examination : Color ambo Reaction nentral Specific gravity 1006 Albumen O Casts Leucocytes. O Sugar O OK I5. Do you recommend applicant for: CHC (a) General hospital service. yes (b) Tropical service yes 16. Fill in name and number of base hospital, unit or detachment with which applicant is connected : Army base hospital Naval base hospital Emergency detachment Navy, detachment Hospital unit M. D. Date: Flor 3.18 Address Philadelphia, Pa All questions MUST be answered; otherwise certificate will not be accepted at head- quarters. To be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment. Req. 17-2125B-20M-Nov.

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    "ocrText": "DMR 29\nTHE AMERICAN RED CROSS\nNURSING SERVICE\nPhysical Examination\nI. Name of applicant Harriet Charlton Kift\nAddress 4401 Market SR City Philadelphia State Pa\n2. Age 26\nHeight office\nWeight 104\n3. General physique Slight, wiry,\n4. Tendency to disease, inherited or otherwise None\n5. Previous history in regard to serious illness or surgical operation Tonsilectomy\n6. Has she had rheumatism? Slight muscular rheumatism\n7. Has she at present or has she ever had hernia? no\n8. Condition of teeth Good\n9. Condition of feet\nGood\nIO. Abdomen and organs\ncontained Normal\nII. Chest and contained organs normal\nGirth; expiration 27\ninches; inspiration 30%\ninches\nRespiration, rate of\n20\nHeart, pulse rate 15\n20\nRight eye (Snellen) 20\n; corrected to ; lens used +37cax90\nI2. Vision:\n{\n20\nLeft eye (Snellen) 24\n; corrected to\n20/100\n; lens used +150 s.\nI3. Hearing: A. D normal\nA. S normal He\nBachanam\n14. Urine examination :\nColor ambo\nReaction nentral\nSpecific gravity 1006\nAlbumen O\nCasts\nLeucocytes. O\nSugar O\nOK\nI5. Do you recommend applicant for:\nCHC\n(a) General hospital service. yes\n(b) Tropical service\nyes\n16. Fill in name and number of base hospital, unit or detachment with which applicant is connected :\nArmy base hospital\nNaval base hospital\nEmergency detachment\nNavy, detachment\nHospital unit\nM. D.\nDate: Flor 3.18\nAddress Philadelphia, Pa\nAll questions MUST be answered; otherwise certificate will not be accepted at head-\nquarters.\nTo be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.\nReq. 17-2125B-20M-Nov."
}