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II
Howei lint REV. FORM JULY 1193 1941
AMERICAN RED CROSS
NURSING SERVICE
PHYSICAL EXAMINATION
(All questions must be answered by definite statements)
1. Name of applicant Elinabeth Wright
Address 3177- Magnolia City Corpay christ State Texas
2. Age
40
Height
5'4"
Weight 192
3. Family history Denier history (feet inches) (pounds)
and
4. Past history General 1924 - health, operation, Adhesion injury, any illnesses exploratory (Indicate dates) leparatory Appendectomy 1931 1923,
5. General
physique standy overweight
RR. eye 20/22
JRt.20/
6. Distant Vision: Without glasses
}
Rt. norm
Lt. eye 20/20 With glasses Lt. 20
Evidence of disease
Lt. norn
Note: Actual vision should be determined on proper letters for 20 foot distant, as 20-20, 20-30, 20-100, etc.
Rt. ear 70/20 ft.
}
(Rt. none
7. Hearing: (Whispered voice) Lt. ear 20/20 ft.
Evidence of disease
Lt. none
8. Teeth and gums: (Note abnormalities)
none
Directions: Indicate as follows-
Right
Applicant's
Left
X
Missing tooth
U8 654321
Teeth:
1234548 8
Bridgework
L8 654321
1234567
8
Crown
9. Nose and
DriOK Throat mayo
"Plate"-write out word to indicate plate.
10. Neck: (Thyroid
Thyroid not palpable
gland and other abnormalities) no pulpable ademopathy
normal
11. Skeletal: (Bones joints, muscles, and feet)
frac ares or deformation
No) missing et tremite
12. Thorax: Expiration
39
inches
Inspiration 42
inches
Respiration 18 minute
Lungs to percussion and auscultation. per
Reynant and clear
Cardio-vascular system
no abnormalities
Heart: Size normal
Murmurs none
Pulse 80
Blood pressure: Syst. 118 Dias. 80
(OVER)
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Document data
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- 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": "II\nHowei lint REV. FORM JULY 1193 1941\nAMERICAN RED CROSS\nNURSING SERVICE\nPHYSICAL EXAMINATION\n(All questions must be answered by definite statements)\n1. Name of applicant Elinabeth Wright\nAddress 3177- Magnolia City Corpay christ State Texas\n2. Age\n40\nHeight\n5'4\"\nWeight 192\n3. Family history Denier history (feet inches) (pounds)\nand\n4. Past history General 1924 - health, operation, Adhesion injury, any illnesses exploratory (Indicate dates) leparatory Appendectomy 1931 1923,\n5. General\nphysique standy overweight\nRR. eye 20/22\nJRt.20/\n6. Distant Vision: Without glasses\n}\nRt. norm\nLt. eye 20/20 With glasses Lt. 20\nEvidence of disease\nLt. norn\nNote: Actual vision should be determined on proper letters for 20 foot distant, as 20-20, 20-30, 20-100, etc.\nRt. ear 70/20 ft.\n}\n(Rt. none\n7. Hearing: (Whispered voice) Lt. ear 20/20 ft.\nEvidence of disease\nLt. none\n8. Teeth and gums: (Note abnormalities)\nnone\nDirections: Indicate as follows-\nRight\nApplicant's\nLeft\nX\nMissing tooth\nU8 654321\nTeeth:\n1234548 8\nBridgework\nL8 654321\n1234567\n8\nCrown\n9. Nose and\nDriOK Throat mayo\n\"Plate\"-write out word to indicate plate.\n10. Neck: (Thyroid\nThyroid not palpable\ngland and other abnormalities) no pulpable ademopathy\nnormal\n11. Skeletal: (Bones joints, muscles, and feet)\nfrac ares or deformation\nNo) missing et tremite\n12. Thorax: Expiration\n39\ninches\nInspiration 42\ninches\nRespiration 18 minute\nLungs to percussion and auscultation. per\nReynant and clear\nCardio-vascular system\nno abnormalities\nHeart: Size normal\nMurmurs none\nPulse 80\nBlood pressure: Syst. 118 Dias. 80\n(OVER)"
}