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B # 27
D. M. R. FORM NO. 29
AMERICAN REDE
THE GROSS
AMERICAN RED CROSS NURSING SERVICE
HUMANIN
WASHINGTON D.
PHYSICAL EXAMINATION
I. Name
of applicant Rulon, Blanche S.
Address
1945 Fifth Ave. Pittsburgh,Pa.
2.
Age 31 yr Height v- 8" Weight 204 found
3. General appearance
good
4. Tendency to disease, inherited or otherwise
now
5. Previous history in regard to serious illness or surgical operation Typhoid
Jyrago- no atherillucs
6. Have you had rheumatism?
no -
no 1
7. Have you at present or have you ever had hernia?
8. Condition of teeth
good
9. Condition of feet
good
IO. Abdomen and contained organs
nigation
II. Chest and contained organs
lugation
Expiration 46-
inches.
Inspiration
49
inches.
12. Vision: O. D
20/20
Hearing: A. D. 30
O.S.
00/20
A. S. 30
I3. Urine examination:
Color. Lawher
Reaction aced
Specific gravity 10E0
Albumen
my
Casts my
Leucocytes.
my
Sugar my
14. Remarks as to fitness of applicant for:
(a) General hospital service good
II
(b) Tropical service
exic.
0/21/17
Jus. R. Simpoon 1st Liest M.D.
Th.R.C.
Date
Address Pullsburg E G
To be forwarded to the Chairman National Committee on Nursing Service, American Red Cross,
Washington, REQ. D. a
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Context sent to Scholar
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"ocrText": "B # 27\nD. M. R. FORM NO. 29\nAMERICAN REDE\nTHE GROSS\nAMERICAN RED CROSS NURSING SERVICE\nHUMANIN\nWASHINGTON D.\nPHYSICAL EXAMINATION\nI. Name\nof applicant Rulon, Blanche S.\nAddress\n1945 Fifth Ave. Pittsburgh,Pa.\n2.\nAge 31 yr Height v- 8\" Weight 204 found\n3. General appearance\ngood\n4. Tendency to disease, inherited or otherwise\nnow\n5. Previous history in regard to serious illness or surgical operation Typhoid\nJyrago- no atherillucs\n6. Have you had rheumatism?\nno -\nno 1\n7. Have you at present or have you ever had hernia?\n8. Condition of teeth\ngood\n9. Condition of feet\ngood\nIO. Abdomen and contained organs\nnigation\nII. Chest and contained organs\nlugation\nExpiration 46-\ninches.\nInspiration\n49\ninches.\n12. Vision: O. D\n20/20\nHearing: A. D. 30\nO.S.\n00/20\nA. S. 30\nI3. Urine examination:\nColor. Lawher\nReaction aced\nSpecific gravity 10E0\nAlbumen\nmy\nCasts my\nLeucocytes.\nmy\nSugar my\n14. Remarks as to fitness of applicant for:\n(a) General hospital service good\nII\n(b) Tropical service\nexic.\n0/21/17\nJus. R. Simpoon 1st Liest M.D.\nTh.R.C.\nDate\nAddress Pullsburg E G\nTo be forwarded to the Chairman National Committee on Nursing Service, American Red Cross,\nWashington, REQ. D. a"
}