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AMERICAN RED CROSS NURSING SERVICE
PHYSICAL EXAMINATION
1. Name of Applicant Anne R mecauley
2. Age 32
Height 5ft 8 w
Weight 125
3.
General appearance Healthy
4. Are your parents living ? Father limy
5. If not, at what age and of what disease did each die? mother dhed at op 7 36
cause
6. Tendency to disease, inherited or otherwise ? 200
7. Previous history in regard to serious illness or surgical operation zever any servous
immen
8. Have you had rheumatism ? no
9. Have you at present or have you ever had hernia ? No
10. Condition of teeth
good
11. Condition of feet
normal
12. Abdomen and contained organs word
13. Chest and contained organs Hand neg Rungs mg
Expiration 30 1/2
inches.
Inspiration 33
inches.
14. Vision : O. D. Nenuol
Hearing : A.D. normal.
O.S. Nameal
-
A.
S. word
15. Urine Examination :
Color
Reaction
Specific Gravity
Albumen
\
Casts
Leucocytes
Sugar
16. Remarks as to fitness of applicant for :
(a) General hospital service good n.o. Hospital 1907 Distrect warr
smile
(b) Tropical service
Milline
M. D.
Date Dept. 16/14
Address. 129 Broad ty
Providence
RI
To be forwarded by the nurse, with duplicate Certificate of Immunity, to Chairman National Committee on
Nursing Service, American Red Cross, Washington, DC.
O.K.
their
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Document data
- ID
- 2662214
- Core
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- Type
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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 Anne R mecauley\n2. Age 32\nHeight 5ft 8 w\nWeight 125\n3.\nGeneral appearance Healthy\n4. Are your parents living ? Father limy\n5. If not, at what age and of what disease did each die? mother dhed at op 7 36\ncause\n6. Tendency to disease, inherited or otherwise ? 200\n7. Previous history in regard to serious illness or surgical operation zever any servous\nimmen\n8. Have you had rheumatism ? no\n9. Have you at present or have you ever had hernia ? No\n10. Condition of teeth\ngood\n11. Condition of feet\nnormal\n12. Abdomen and contained organs word\n13. Chest and contained organs Hand neg Rungs mg\nExpiration 30 1/2\ninches.\nInspiration 33\ninches.\n14. Vision : O. D. Nenuol\nHearing : A.D. normal.\nO.S. Nameal\n-\nA.\nS. word\n15. Urine Examination :\nColor\nReaction\nSpecific Gravity\nAlbumen\n\\\nCasts\nLeucocytes\nSugar\n16. Remarks as to fitness of applicant for :\n(a) General hospital service good n.o. Hospital 1907 Distrect warr\nsmile\n(b) Tropical service\nMilline\nM. D.\nDate Dept. 16/14\nAddress. 129 Broad ty\nProvidence\nRI\nTo be forwarded by the nurse, with duplicate Certificate of Immunity, to Chairman National Committee on\nNursing Service, American Red Cross, Washington, DC.\nO.K.\ntheir"
}