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DMR 29--N.E.D. THE AMERICAN RED CROSS DEPARTMENT OF NURSING Physical Examination 1. Name of applicant Florence E. Little Address 36 Bandington It City Provision State R-J 2. Age 26. Height 3. General physique Soon 6.3 1/2 wich Weight 121 no noclothing 4. Tendency to disease, inherited or otherwise hour Known 5. Previous history in regard to serious illness or surgical operation Tonsitteeling 6. Has she had rheumatism? no 7. Has she at present or has she ever had hernia? ho 8. Condition of teeth Very For Condition one birth mussing 9. Condition of feet O.K 10. Abdomen and contained organs Womes 11. Chest and contained organs Normal Girth; expiration 30 1/2 inches; inspiration 33 He inches Respiration, rate of 18 Heart, pulse rate 72 Right eye (Snellen) 10/18 20% corrected to 00/10 ; lens used none 12. Vision: 2''0 Left eye (Snellen) 10/co 20/ corrected to ; lens used none 20 13. Hearing: A. D. Friez watch 15/15 wh goe A. S. Waler at Jones mind 16/15 14. Urine examination: Color phone Reaction acid Specific gravity 1029 Albumen name Casts none Leucocytes " Sugar have B 15. Do you recommend applicant for: (a) General hospital service you (b) Tropical service 16. Fill in name and number of base hospital, unit or detachment with which applicant is con- nected: Army base hospital not commeted with any Naval base hospital Emergency detachment Navy detachment Hospital unit Abut 3. Nayes M. D. Date July 28/24 Address 198 Broad st Province All questions MUST be answered; otherwise certificate will not be accepted at headquarters. To be forwarded to Chief Nurse of Unit or to the Local Committee Organizing Detachment on Red Cross Nursing Service. (SEE OTHER SIDE)

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123
Source index
0
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photo
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Context sent to Scholar

Document identity
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Document source extras
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        "day": 21,
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        "month": 6,
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Page context
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    "ocrText": "DMR 29--N.E.D.\nTHE AMERICAN RED CROSS\nDEPARTMENT OF NURSING\nPhysical Examination\n1. Name of applicant\nFlorence E. Little\nAddress 36 Bandington It City Provision State R-J\n2. Age 26.\nHeight\n3. General physique Soon\n6.3 1/2 wich Weight 121 no noclothing\n4. Tendency to disease, inherited or otherwise\nhour Known\n5. Previous history in regard to serious illness or surgical operation Tonsitteeling\n6. Has she had rheumatism?\nno\n7. Has she at present or has she ever had hernia?\nho\n8. Condition of teeth\nVery For Condition one birth mussing\n9. Condition of feet\nO.K\n10. Abdomen and contained organs\nWomes\n11. Chest and contained organs\nNormal\nGirth; expiration\n30 1/2\ninches; inspiration 33 He\ninches\nRespiration, rate of 18\nHeart, pulse rate 72\nRight eye (Snellen) 10/18 20% corrected to 00/10\n; lens used none\n12. Vision:\n2''0\nLeft eye (Snellen) 10/co 20/ corrected to\n; lens used none\n20\n13. Hearing: A. D. Friez watch 15/15 wh goe\nA. S.\nWaler at Jones\nmind 16/15\n14. Urine examination:\nColor phone\nReaction acid\nSpecific gravity 1029\nAlbumen name\nCasts none\nLeucocytes\n\"\nSugar have\nB\n15. Do you recommend applicant for:\n(a) General hospital service\nyou\n(b) Tropical service\n16. Fill in name and number of base hospital, unit or detachment with which applicant is con-\nnected:\nArmy base hospital\nnot commeted with any\nNaval base hospital\nEmergency detachment\nNavy detachment\nHospital unit\nAbut 3. Nayes\nM. D.\nDate\nJuly 28/24\nAddress 198 Broad st Province\nAll questions MUST be answered; otherwise certificate will not be accepted\nat headquarters.\nTo be forwarded to Chief Nurse of Unit or to the Local Committee Organizing\nDetachment on Red Cross Nursing Service.\n(SEE OTHER SIDE)"
}