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AMERICAN RED CROSS NURSING SERVICE
PHYSICAL EXAMINATION
1. Name of Applicant.
Lucy Mimigerode
2. Age 43
Height 5ft 6% in Weight 170 elso.
3. General appearance
Excellent. We
4. Are living no
your parents ?
5. If
not, at what age and of what disease did each die? Father by accidental
deathot 43, mother at 49 from Bught Disease
6. Tendency to disease, inherited or otherwise ?
N one
7.
Previous history in regard to serious illness or surgical operation Tlyphoid at 20 years.
8.
Have you had rheumatism ? no
9. Have no
you at present or have you ever had hernia ?
10. Condition of teeth good
11. Condition of feet good
12. Abdomen and contained organs us masses
13.
Chest and contained organs nothing abnormal found
Expiration 40
inches.
Inspiration 41%
inches.
14. Vision : O. D. normal
Hearing : A. D.
normal
O.S.
normal
A. S. haman
15. Urine Examination :
Color
Reaction
Specific Gravity
Albumen
Casts
Leucocytes
Sugar,
16. Remarks as to fitness of applicant for :
(a) General hospital service Graining in Bellions His fital Class
of 1899. 1484 Super E.E.G. 7 Hisp Wash DC 2.yrs- Suptot
Swomah Hasp. sav. ya.
(b) Tropical service
Savamah Semi- tropical - chinate
Thomas taster
M. D.
Date aug 14 - - 1914
Address muc mahan the
To be forwarded by the nurse, with duplicate Certificate of Immunity, to Chairman National Committee on
Nursing Service, American Red Cross, Washington, DC.
Page data
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- Type
- photo
- Media ID
- 49a22873aee993d7
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Document data
- ID
- 2661985
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "AMERICAN RED CROSS NURSING SERVICE\nPHYSICAL EXAMINATION\n1. Name of Applicant.\nLucy Mimigerode\n2. Age 43\nHeight 5ft 6% in Weight 170 elso.\n3. General appearance\nExcellent. We\n4. Are living no\nyour parents ?\n5. If\nnot, at what age and of what disease did each die? Father by accidental\ndeathot 43, mother at 49 from Bught Disease\n6. Tendency to disease, inherited or otherwise ?\nN one\n7.\nPrevious history in regard to serious illness or surgical operation Tlyphoid at 20 years.\n8.\nHave you had rheumatism ? no\n9. Have no\nyou at present or have you ever had hernia ?\n10. Condition of teeth good\n11. Condition of feet good\n12. Abdomen and contained organs us masses\n13.\nChest and contained organs nothing abnormal found\nExpiration 40\ninches.\nInspiration 41%\ninches.\n14. Vision : O. D. normal\nHearing : A. D.\nnormal\nO.S.\nnormal\nA. S. haman\n15. Urine Examination :\nColor\nReaction\nSpecific Gravity\nAlbumen\nCasts\nLeucocytes\nSugar,\n16. Remarks as to fitness of applicant for :\n(a) General hospital service Graining in Bellions His fital Class\nof 1899. 1484 Super E.E.G. 7 Hisp Wash DC 2.yrs- Suptot\nSwomah Hasp. sav. ya.\n(b) Tropical service\nSavamah Semi- tropical - chinate\nThomas taster\nM. D.\nDate aug 14 - - 1914\nAddress muc mahan the\nTo be forwarded by the nurse, with duplicate Certificate of Immunity, to Chairman National Committee on\nNursing Service, American Red Cross, Washington, DC."
}