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Dear AMERICAN RED CROSS NURSING SERVICE 1730 PHYSICAL EXAMINATION E 1. Name of Applicant, Eunice Atkinson Smith 2. Age 39-6/72 Height 5 feet, 1-1/2 in Weight 131-1/2 pounds 3. General appearance Healthy 4. Arte your parents living.? 5. at what age and of what disease did each die? 6. Tendency to disease, inherited or otherwise ? None 7. Previous history in regard to serious illness or surgical operation None 8. Have you had rheumatism ? No 9. Have you at present or have you ever had hernia ? No 10. Condition of teeth Good. Some molars missing 11. Condition of feet Normal 12. Abdomen and contained organs low pósition of stomach; otherwise normal. 13. Chest and contained organs Normal. Pulse recumbent 72. Respiration 20. Expiration 31-1/2 inches. Inspiration 33-1/2 inches. 14. Vision : O.D. 20/20 Hearing : A.D. watch. 22 inches O.S. 20/20- - A. S. watch, 20 inches 15. Urine Examination : Color amber Reaction acid Specific Gravity 7.031 Albumen absent Casts none Leucocytes few Sugar absent. 16. Remarks as to fitness of applicant for : (a) General hospital service Good (b) Tropical service Good F. R. John lst Lieut. m. Awan, M. R. C. M. D. Date June 20, 1916. Address 457 Park Ave. Rochester, N. Y. To be forwarded by the nurse, with duplicate Certificate of Immunity, to Chairman National Committee on Nursing Service, American Red Cross, Washington, D C. an -

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    "ocrText": "Dear\nAMERICAN RED CROSS NURSING SERVICE\n1730\nPHYSICAL EXAMINATION\nE\n1. Name of Applicant,\nEunice Atkinson Smith\n2. Age 39-6/72\nHeight 5 feet, 1-1/2 in Weight 131-1/2 pounds\n3. General appearance Healthy\n4. Arte your parents living.?\n5. at what age and of what disease did each die?\n6. Tendency to disease, inherited or otherwise ? None\n7. Previous history in regard to serious illness or surgical operation None\n8. Have you had rheumatism ? No\n9. Have you at present or have you ever had hernia ?\nNo\n10.\nCondition of teeth Good. Some molars missing\n11. Condition of feet\nNormal\n12. Abdomen and contained organs low pósition of stomach; otherwise normal.\n13. Chest and contained organs Normal. Pulse recumbent 72. Respiration 20.\nExpiration 31-1/2\ninches.\nInspiration 33-1/2\ninches.\n14. Vision : O.D. 20/20\nHearing : A.D. watch. 22 inches\nO.S.\n20/20-\n-\nA. S. watch, 20 inches\n15. Urine Examination :\nColor amber\nReaction acid\nSpecific Gravity\n7.031\nAlbumen\nabsent\nCasts none\nLeucocytes\nfew\nSugar absent.\n16. Remarks as to fitness of applicant for :\n(a) General hospital service Good\n(b) Tropical service\nGood\nF. R.\nJohn lst Lieut. m. Awan, M. R. C.\nM. D.\nDate\nJune 20, 1916.\nAddress 457 Park Ave. Rochester, N. Y.\nTo be forwarded by the nurse, with duplicate Certificate of Immunity, to Chairman National Committee on\nNursing Service, American Red Cross, Washington, D C.\nan\n-"
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