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nodule,
nurbus from not hard,
in
Thyroid Small nt- even 20 lobe at without 1sthmare Systolic in Har been present.
LI
Heart and vascular system
yrs
Blood Pressure-
Rt.
L
Report check
Diastolic
3-23143
-
not enli Rep. Alythy khy Thm
148
Soft, shut
liw
147/100
123
Lungs cear.
cystole
80.
Abdomen se-
u. tenderan
" enlayed newm,
S
une
uo wanes felt
Hernia
Genito urinary system her.
Hemorrhoids Device
0
Spine (including posture) and
-
/°
Extremities (deformities, lameness, atrophies, varicosities, scars, and other abnormalities)
my
Reflexes HDK.
Evidence of mental or nervous disease new
unite to leave
e
spocians,
URINALYSIS
% westernative
Sp. Gr.
Albumen
Leucocytes
Casts
Reaction
Sugar
Erythrocytes
ADDITIONAL INFORMATION FOR WOMEN
Are menses regular?
yes.
Prolonged? 4- slachening are Breasts? my
Do they interfere with work?
us hot Excessive?
Pregnancies? neve
us.
flashes
IMMUNIZATION
Smallpox yes
Date last vacc. 1943 Typhoid
yes.
Dates last series 1943
Other immunizations
Hypertension?
-
Office
In your opinion is this applicant physically fit to carry out duties in:
Field
-
yes, problem
7
Foreign Service
If a questionable risk, state reasons. bellenson
se. abenty Undure in 11yend
Date
3/11/43
is perfe Aley Signature: sofe
to acult
fu
E. B. Self
M. D.
Examining Physician
Kumins spen. attacnalds tuday
Freji Service
]
Address:
NYC
Street
orc menstructions
Tole That she Gard a very slift trace
Post Office
albuman
Note: Upon completion of the examination this form should be sent to:
J
2
Page data
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- Source index
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- Type
- photo
- Media ID
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Document data
- ID
- 2661803
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "nodule,\nnurbus from not hard,\nin\nThyroid Small nt- even 20 lobe at without 1sthmare Systolic in Har been present.\nLI\nHeart and vascular system\nyrs\nBlood Pressure-\nRt.\nL\nReport check\nDiastolic\n3-23143\n-\nnot enli Rep. Alythy khy Thm\n148\nSoft, shut\nliw\n147/100\n123\nLungs cear.\ncystole\n80.\nAbdomen se-\nu. tenderan\n\" enlayed newm,\nS\nune\nuo wanes felt\nHernia\nGenito urinary system her.\nHemorrhoids Device\n0\nSpine (including posture) and\n-\n/°\nExtremities (deformities, lameness, atrophies, varicosities, scars, and other abnormalities)\nmy\nReflexes HDK.\nEvidence of mental or nervous disease new\nunite to leave\ne\nspocians,\nURINALYSIS\n% westernative\nSp. Gr.\nAlbumen\nLeucocytes\nCasts\nReaction\nSugar\nErythrocytes\nADDITIONAL INFORMATION FOR WOMEN\nAre menses regular?\nyes.\nProlonged? 4- slachening are Breasts? my\nDo they interfere with work?\nus hot Excessive?\nPregnancies? neve\nus.\nflashes\nIMMUNIZATION\nSmallpox yes\nDate last vacc. 1943 Typhoid\nyes.\nDates last series 1943\nOther immunizations\nHypertension?\n-\nOffice\nIn your opinion is this applicant physically fit to carry out duties in:\nField\n-\nyes, problem\n7\nForeign Service\nIf a questionable risk, state reasons. bellenson\nse. abenty Undure in 11yend\nDate\n3/11/43\nis perfe Aley Signature: sofe\nto acult\nfu\nE. B. Self\nM. D.\nExamining Physician\nKumins spen. attacnalds tuday\nFreji Service\n]\nAddress:\nNYC\nStreet\norc menstructions\nTole That she Gard a very slift trace\nPost Office\nalbuman\nNote: Upon completion of the examination this form should be sent to:\nJ\n2"
}