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Tate, Audrey Marie

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Return to mrs Douglas American Red Cross FORM 1460 REV. FEB. 1943 Pre-employment Physical Examination Record Name Miss Audrey Marie Tate Age 30 Male Single Female Married Home address 1655 - 34th St. N. W. White Divorced (STREET) Negro Separated Washington D. C. Other Widowed (CITY) (STATE) (Specify Name Dr John Dane Family physician: Address 2825-R. St mw Date of last examination July 1942- Army examination PAST HISTORY Give history of previous illnesses and treatments (medical and surgical). no serious illness at age 17 Epilepsy or convulsive seizures--nervous or mental disease. none Is there a history of tuberculosis in the family or among intimate associates? If so, state particulars. none PHYSICAL EXAMINATION General appearance Healthy Physique Medium Nutrition as Skin and mucous membranes normal Pulse 88 Temperature 986 Ht. 5'6" Wt. 128 Ideal wt. 130 for ht. Vision: no glasses (Rt. eye 20/20 ) (Rt. 20/ ) Without glasses (Lt. eye 20/20 ) With glasses (Lt. 20/ ) Evidence of disease: no Hearing: (Rt. ear 20/15) (Rt. none ) (Whispered voice) (Lt. ear 20/15) Evidence of disease (Lt. none) Teeth good condition Gums ox. Artificial dentures none Nose and throat on Lymph glands on Thyroid are.

Page data

Page
51
Source index
0
Type
photo
Media ID
5456492b1b31fb26
Size
unknown

Document data

ID
2662340
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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Document source extras 
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    "coverageEndDate": {
        "day": 12,
        "logicalDate": "1945-09-12",
        "month": 9,
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        "logicalDate": "1934-04-06",
        "month": 4,
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    "ocrText": "Return to mrs Douglas\nAmerican Red Cross\nFORM 1460\nREV. FEB. 1943\nPre-employment Physical Examination Record\nName\nMiss Audrey Marie Tate\nAge 30\nMale\nSingle\nFemale\nMarried\nHome address 1655 - 34th St. N. W.\nWhite\nDivorced\n(STREET)\nNegro\nSeparated\nWashington\nD. C.\nOther\nWidowed\n(CITY)\n(STATE)\n(Specify\nName Dr John Dane\nFamily physician:\nAddress 2825-R. St mw\nDate of last examination July 1942- Army examination\nPAST HISTORY\nGive history of previous illnesses and treatments (medical and surgical).\nno serious illness\nat age 17\nEpilepsy or convulsive seizures--nervous or mental disease. none\nIs there a history of tuberculosis in the family or among intimate associates? If so, state\nparticulars. none\nPHYSICAL EXAMINATION\nGeneral appearance Healthy\nPhysique Medium\nNutrition as\nSkin and mucous membranes normal\nPulse 88\nTemperature 986\nHt. 5'6\" Wt. 128\nIdeal wt. 130\nfor ht.\nVision:\nno glasses\n(Rt. eye\n20/20 )\n(Rt.\n20/\n)\nWithout glasses\n(Lt. eye\n20/20 )\nWith glasses\n(Lt.\n20/ )\nEvidence of disease: no\nHearing:\n(Rt. ear\n20/15)\n(Rt. none )\n(Whispered voice)\n(Lt. ear\n20/15)\nEvidence of disease\n(Lt. none)\nTeeth good condition\nGums ox.\nArtificial dentures none\nNose and throat on\nLymph glands on\nThyroid are."
}