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(049L)
Bjoog
D
13. Abdomen: (condition of wall, scars, herniae, and abnormality of viscera)
no hereations wall solid no mose
Circumference of abdomen at umbilicus
35 naches
14.
Nervous system: (note organic or functional
negative
A
15.
Urinalysis: Sp. Gr. 1,020 Albumin my Sugar meg Mioroscopical no
RB.C., no XBC, out cost.
16. Date of immunization
against, Smallpox you ago Typhoid 18 and ago
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
10
HOOK:
a
8
Is the applicant fit to perform (Military, Disaster, etc.?) yes
active duty
If not, state type of duty she is physically fitted to perform
Date Sept 25 - 1939
John PHBun m D .
Examiner
3149 Gaulevard
us
so-so Jersey City n.J
to
to
9
10
"
12
13
14
is
se
all teeth present
not ladious no
17
IAI
18 19 20 21 22 23 24 25 26 27 26 29 30
31
32
budgework, crowns
1
or dentures.
31
Indicate missing teeth by "X", bridge work by
C
crowns by
"plate".
,
plates by word
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.
all
2. Give age in years, height in inches, weight in
12, Chest measurements should be in total inches.
poundscyr
HED BEHAICE
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Document data
- ID
- 2661949
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"ocrText": "(049L)\nBjoog\nD\n13. Abdomen: (condition of wall, scars, herniae, and abnormality of viscera)\nno hereations wall solid no mose\nCircumference of abdomen at umbilicus\n35 naches\n14.\nNervous system: (note organic or functional\nnegative\nA\n15.\nUrinalysis: Sp. Gr. 1,020 Albumin my Sugar meg Mioroscopical no\nRB.C., no XBC, out cost.\n16. Date of immunization\nagainst, Smallpox you ago Typhoid 18 and ago\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\n10\nHOOK:\na\n8\nIs the applicant fit to perform (Military, Disaster, etc.?) yes\nactive duty\nIf not, state type of duty she is physically fitted to perform\nDate Sept 25 - 1939\nJohn PHBun m D .\nExaminer\n3149 Gaulevard\nus\nso-so Jersey City n.J\nto\nto\n9\n10\n\"\n12\n13\n14\nis\nse\nall teeth present\nnot ladious no\n17\nIAI\n18 19 20 21 22 23 24 25 26 27 26 29 30\n31\n32\nbudgework, crowns\n1\nor dentures.\n31\nIndicate missing teeth by \"X\", bridge work by\nC\ncrowns by\n\"plate\".\n,\nplates by word\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. Be sure that all items are filled in before forwarding. Make definite statements in all instances.\nall\n2. Give age in years, height in inches, weight in\n12, Chest measurements should be in total inches.\npoundscyr\nHED BEHAICE"
}