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3 ac 13. Abdomen: (Condition wall, herniae, of scars and abnormality of viscera) named appendectory Sean Circumference of abdomen at umbilicus 28 (inches) 14. Nervous system: (Note organic or functional disorders) normal I a 15. Urinalysis: Sp. Gr. factor Albumin 0 Sugar. U Microscopical D a IS 16. Date of immunization against' Smallpox 1937 Typhoid 1939 Mi 17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank: - a 10 spreg bug Is the applicant fit to perform active duty (Military, Disaster, etc.?) yes If not, state type of duty she is physically fitted to perform Date 1-14-42 18 I + 3 S 1 3 3 * 2 e % Examiner 08 i e 2 ( 3 S I 1 S 3 * 2 e I X (cory se 8° suq Enur: J. AGICE) E More: sponiq pe blober (OL 30 poor se 30-30° e for ohe 30 MIP quacone lye 30 attripropent 1511 1 HORE q3168) I 3° prapotà saq nucpes) is 3 VBC its 121 Mci&p: vaquer 812 as 2006 5 l' of (VII umar po suemeleq pl 2 EXYWIMVLION 3 (This form is to be forwarded to the Local Committee on Red Cross Nursing Service with the application for enrollment.) BEHAICE VWEHICVA HED Cisoaa NHA HOKY 1107

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    "ocrText": "3\nac\n13. Abdomen: (Condition wall, herniae,\nof scars and abnormality of viscera) named\nappendectory Sean\nCircumference of abdomen at umbilicus\n28\n(inches)\n14. Nervous system: (Note organic or functional disorders) normal\nI\na\n15. Urinalysis: Sp. Gr. factor Albumin\n0 Sugar. U Microscopical D\na\nIS\n16. Date of immunization against' Smallpox 1937\nTyphoid\n1939\nMi\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\n-\na\n10\nspreg bug\nIs the applicant fit to perform active duty (Military, Disaster, etc.?)\nyes\nIf not, state type of duty she is physically fitted to perform\nDate\n1-14-42\n18 I + 3 S\n1 3 3 * 2 e %\nExaminer\n08 i e 2 ( 3 S I 1 S 3 * 2 e I\nX\n(cory\nse\n8° suq Enur:\nJ. AGICE)\nE\nMore: sponiq pe blober (OL 30 poor se 30-30°\ne for ohe\n30\nMIP\nquacone\nlye\n30\nattripropent 1511\n1 HORE q3168)\nI\n3° prapotà\nsaq nucpes)\nis\n3 VBC\nits\n121\nMci&p:\nvaquer 812\nas\n2006\n5\nl' of\n(VII umar po suemeleq pl\n2\nEXYWIMVLION\n3\n(This form is to be forwarded to the Local Committee on Red Cross Nursing Service with the application for enrollment.)\nBEHAICE\nVWEHICVA HED Cisoaa\nNHA\nHOKY 1107"
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