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Thyroid warml.
Heart and vascular system harmed
Blood Pressure
Systolic 122
Diastolic
74
nottanimax@
Isolayd'l
Lungs warmed
Abdomen harml
Hernia
hr
Genito urinary system hand
THOTEIH
Hemorrhoids
no
Spine (including posture) good
Extremities (deformities, lameness, atrophies, varicosities, scars, and other abnormalities) name
Introm
TO
Reflexes harmed
Evidence of mental or nervous disease no
URINALYSIS
Sp. Gr. 1:015
Albumen my
Leucocytes 4-6 Casts no
Reaction acid Sugar key
Erythrocytes hr
ADDITIONAL INFORMATION FOR WOMEN
Are menses
regular? yes
Prolonged?
ur
Breasts? Large
Do they interfere with work? hr
Excessive? w
Pregnancies? ho
IMMUNIZATION
Smallpox 3r
Date last vacc. 1940 Typhoid yes. Dates last series 1939
Other immunizations
Office
In your opinion is this applicant physically fit to carry out duties in:
Field
Foreign
Service anyone
If a questionable risk, state reasons.
Date
Signature Fred { Angle M.D.
Examining Physician
Address: 1200
HurmBldy
Street
K. Street Ko
Post Office
Note: Upon completion of the examination this form should be sent to:
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Document data
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- 2661791
- Core
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DTO data
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Context sent to Scholar
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"ocrText": "Thyroid warml.\nHeart and vascular system harmed\nBlood Pressure\nSystolic 122\nDiastolic\n74\nnottanimax@\nIsolayd'l\nLungs warmed\nAbdomen harml\nHernia\nhr\nGenito urinary system hand\nTHOTEIH\nHemorrhoids\nno\nSpine (including posture) good\nExtremities (deformities, lameness, atrophies, varicosities, scars, and other abnormalities) name\nIntrom\nTO\nReflexes harmed\nEvidence of mental or nervous disease no\nURINALYSIS\nSp. Gr. 1:015\nAlbumen my\nLeucocytes 4-6 Casts no\nReaction acid Sugar key\nErythrocytes hr\nADDITIONAL INFORMATION FOR WOMEN\nAre menses\nregular? yes\nProlonged?\nur\nBreasts? Large\nDo they interfere with work? hr\nExcessive? w\nPregnancies? ho\nIMMUNIZATION\nSmallpox 3r\nDate last vacc. 1940 Typhoid yes. Dates last series 1939\nOther immunizations\nOffice\nIn your opinion is this applicant physically fit to carry out duties in:\nField\nForeign\nService anyone\nIf a questionable risk, state reasons.\nDate\nSignature Fred { Angle M.D.\nExamining Physician\nAddress: 1200\nHurmBldy\nStreet\nK. Street Ko\nPost Office\nNote: Upon completion of the examination this form should be sent to:"
}