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Maltby Frances
74/7/
Manhattan, N.Y.
1. Be sure that all items are filled in before
forwarding. Make definite statements in
all instances.
4471
2. Give age in years, height in inches,
weight in pounds, stating amount of
clothing entering into weight.
8.
State what teeth are missing and exist-
ing dentistry, such as crowns, plates, etc.
THE AMERICAN RED CROSS
State number of opposed molars.
DEPARTMENT OF NURSING
9. Flat foot-state whether or not any in-
convenience exists.
Physical Examination
11. Chest measurements should be in total
inches.
OF
Date
such
12. Actual vision should be stated deter-
mined on proper letters for 20-foot dis-
tance, as 20/20, 20/50, 20/100.
If
glasses are worn state correction.
Hearing should record whispered voice
at 15 feet 15/15, 10/15, etc.
FORWARDED TU WASHINGTON
DATE 7-2-18
Leu 8
DARECTOR NURSING SERVICE
ATLANTIC DIVISION
RECEIVED
JUL 3 - 1918
AVO RICAN Reach
NURSING SERVIBE
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"ocrText": "Maltby Frances\n74/7/\nManhattan, N.Y.\n1. Be sure that all items are filled in before\nforwarding. Make definite statements in\nall instances.\n4471\n2. Give age in years, height in inches,\nweight in pounds, stating amount of\nclothing entering into weight.\n8.\nState what teeth are missing and exist-\ning dentistry, such as crowns, plates, etc.\nTHE AMERICAN RED CROSS\nState number of opposed molars.\nDEPARTMENT OF NURSING\n9. Flat foot-state whether or not any in-\nconvenience exists.\nPhysical Examination\n11. Chest measurements should be in total\ninches.\nOF\nDate\nsuch\n12. Actual vision should be stated deter-\nmined on proper letters for 20-foot dis-\ntance, as 20/20, 20/50, 20/100.\nIf\nglasses are worn state correction.\nHearing should record whispered voice\nat 15 feet 15/15, 10/15, etc.\nFORWARDED TU WASHINGTON\nDATE 7-2-18\nLeu 8\nDARECTOR NURSING SERVICE\nATLANTIC DIVISION\nRECEIVED\nJUL 3 - 1918\nAVO RICAN Reach\nNURSING SERVIBE"
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