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13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
Circumference of abdomen at umbilicus
14. Nervous system: (note organic or functional disorders)
15. Urinalysis: Sp. Gr.
Albumin
Sugar
Microscopical
16. Date of immunization against, Smallpox
Typhoid
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
Is the applicant fit to perform active duty (Military, Disaster, etc. ?)
If not, state type of duty she is physically fitted to perform
Date May 12.42
X getude Handman
Examiner
17
26
27
28
30
31
32
Indicate missing teeth by "X", bridge work by
crown 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.
12. Chest measurements should be in total inches.
Page data
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- Type
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Document data
- ID
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- Core
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DTO data
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Context sent to Scholar
Document identity
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Document source extras
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Page context
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"ocrText": "13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\nCircumference of abdomen at umbilicus\n14. Nervous system: (note organic or functional disorders)\n15. Urinalysis: Sp. Gr.\nAlbumin\nSugar\nMicroscopical\n16. Date of immunization against, Smallpox\nTyphoid\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\nIs the applicant fit to perform active duty (Military, Disaster, etc. ?)\nIf not, state type of duty she is physically fitted to perform\nDate May 12.42\nX getude Handman\nExaminer\n17\n26\n27\n28\n30\n31\n32\nIndicate missing teeth by \"X\", bridge work by\ncrown 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.\n12. Chest measurements should be in total inches."
}