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3
with
Hemrrhoids normal
Menstrual period Normal.
Th
13. wall, scars herniae, and abnormality of
Abdomen: (condition of vicera) Dormal
Spleen t lives not felt
Circumference of abdomen at umbilicus 25 uncles
14. or
Nervous active system: (note organic functional disorders) Reflexes equal &
M
15. Urinalysis: Sp. Gr. 1.015 Albumin 0 Sugar 0 Microscopical norwal
ar
Hemoglobin (Sahli method) 85%
16. Date of immunization against, Smallpox at 10yrs Typhoid -
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
X-rays of lungs show that small lesion at left apex is calcified,
has not changed 14 years and is due to a healed childhood tuberculosis.
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 may 9, 1941
N. Bany Chand Jo
Examiner
Prate Rate-
x
6
&
9
10
"
12
13
14
IS
y
n
A
17
18 19 20 21 22 23 24 25 26 27 28 29 30
31
a
Indicate missing teeth by "X", bridge work by
,
crown by
,
plates by word
"plate".
All questions MUST be answered; otherwise certificate will not be accepted at Head-
quarters. To be forwarded to the Local Committee on Red Cross Nursing Service.
1.
Be sure that all items are filled in before forwarding. Make definite statements in all instances.
2. Give age in years, height in inches, weight in pounds.
12. Chest measurements should be in total inches.
* Not repeated on this examination (see exam. /
9
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DTO data
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Context sent to Scholar
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"ocrText": "3\nwith\nHemrrhoids normal\nMenstrual period Normal.\nTh\n13. wall, scars herniae, and abnormality of\nAbdomen: (condition of vicera) Dormal\nSpleen t lives not felt\nCircumference of abdomen at umbilicus 25 uncles\n14. or\nNervous active system: (note organic functional disorders) Reflexes equal &\nM\n15. Urinalysis: Sp. Gr. 1.015 Albumin 0 Sugar 0 Microscopical norwal\nar\nHemoglobin (Sahli method) 85%\n16. Date of immunization against, Smallpox at 10yrs Typhoid -\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\nX-rays of lungs show that small lesion at left apex is calcified,\nhas not changed 14 years and is due to a healed childhood tuberculosis.\nIs the applicant fit to perform active duty (Military, Disaster, etc.?) Yes,\nIf not, state type of duty she is physically fitted to perform\nDate may 9, 1941\nN. Bany Chand Jo\nExaminer\nPrate Rate-\nx\n6\n&\n9\n10\n\"\n12\n13\n14\nIS\ny\nn\nA\n17\n18 19 20 21 22 23 24 25 26 27 28 29 30\n31\na\nIndicate missing teeth by \"X\", bridge work by\n,\ncrown by\n,\nplates by word\n\"plate\".\nAll questions MUST be answered; otherwise certificate will not be accepted at Head-\nquarters. To be forwarded to the Local Committee on Red Cross Nursing Service.\n1.\nBe sure that all items are filled in before forwarding. Make definite statements in all instances.\n2. Give age in years, height in inches, weight in pounds.\n12. Chest measurements should be in total inches.\n* Not repeated on this examination (see exam. /\n9"
}