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Form 55 A
MEDICAL DEPARTMENT, U. S. ARMY
(Revised May 31, 1939)
CLINICAL RECORD
nurse
no
BRIEF
JAN REC'D
rer gathreg Import bas nad() VI800 IO :DAIC MOA
Register No. 247632
ISVETT of littles EJha
Hospital
LGH
Name
LITTLE, Florence E
Serial No. -
Grade
Nurse
Co.
Regt. and Arm or Service
A.R.C.
Age 46
Race
W
Nativity
RI
Service
Date of admission
13 June 44 1400
19
Source of admission
BY TR FR SH, USAT
Station
Ward
"P"
Previous admission
No
Religion
Prot
Home address Box 275 Wolfeboro, New Hampshire
Name and address of nearest relative
(mother) Mrs. Laura E Little
(same as above)
Sobriety Form-No
RMW RMN
(Initials of admitting officer)
Disposition Discharged
Final diagnosis:
Date 20 June 20
1944
% arknosclerosis, corporary with arginal
2. Arthritis, hypecto pophie, chemic muderate
Syndrome - observation for
involving through verkbras associated
with addicular syndrome
Additional diagnoses (Complications, special treatment and operations) :
Line of duty
not involved
Condition on completion of case
Transfer
diagnosis confirmed or not confirmed ©Not confirmed
in provid
,
Autopsy
Rindandes Sugges M.C.
16-18813
Page data
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- Source index
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- Type
- photo
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- unknown
Document data
- ID
- 2661832
- Core
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- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source extras
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"ocrText": "Form 55 A\nMEDICAL DEPARTMENT, U. S. ARMY\n(Revised May 31, 1939)\nCLINICAL RECORD\nnurse\nno\nBRIEF\nJAN REC'D\nrer gathreg Import bas nad() VI800 IO :DAIC MOA\nRegister No. 247632\nISVETT of littles EJha\nHospital\nLGH\nName\nLITTLE, Florence E\nSerial No. -\nGrade\nNurse\nCo.\nRegt. and Arm or Service\nA.R.C.\nAge 46\nRace\nW\nNativity\nRI\nService\nDate of admission\n13 June 44 1400\n19\nSource of admission\nBY TR FR SH, USAT\nStation\nWard\n\"P\"\nPrevious admission\nNo\nReligion\nProt\nHome address Box 275 Wolfeboro, New Hampshire\nName and address of nearest relative\n(mother) Mrs. Laura E Little\n(same as above)\nSobriety Form-No\nRMW RMN\n(Initials of admitting officer)\nDisposition Discharged\nFinal diagnosis:\nDate 20 June 20\n1944\n% arknosclerosis, corporary with arginal\n2. Arthritis, hypecto pophie, chemic muderate\nSyndrome - observation for\ninvolving through verkbras associated\nwith addicular syndrome\nAdditional diagnoses (Complications, special treatment and operations) :\nLine of duty\nnot involved\nCondition on completion of case\nTransfer\ndiagnosis confirmed or not confirmed ©Not confirmed\nin provid\n,\nAutopsy\nRindandes Sugges M.C.\n16-18813"
}