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OCR
Hemrrhoids
TI none
MADIR3MA
Menstrual period Regular
13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
normal - no scars or hemia
Circumference of abdomen at umbilicus 31 inchs
14. Nervous system: (note organic or functional disorders)
or
Mornal
15. Urinalysis: Sp. Gr .1018
Albumin
O
Sugar
O
Microscopical
0
Hemoglobin (Sahli method)
85%
16. Date of immunization against, Smallpox 12/31/40
Typhoid 1/17/41
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
None
benu anei
Is (Military, Disaster, etc.?) yes
the applicant fit to perform active duty
If not, state type of duty she is physically fitted to perform
In. d
Date 1/18/41
Examiner
s
4
5
6
7
a
9
10
"
12
13
14
IS
se
.01
A
IT
IB 19 20 21 22 23 24 25 26 27 28 29 30 31
II
17
02
Indicate missing teeth by "X", bridge work by
crown by
plates by word
"plate".
ezunim
5
All questions MUST be answered; otherwise certificate will not be accepted at Head-
a
quarters. To be forwarded to the Local Committee on Red Cross Nursing Service.
3
1. Be sure that all items are filled in before forwarding. Make definite statements in all instances.
2. Give age in years, height in inches, weight in pounds.
U
12. Chest measurements should be in total inches.
7
(cevo)
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"ocrText": "Hemrrhoids\nTI none\nMADIR3MA\nMenstrual period Regular\n13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\nnormal - no scars or hemia\nCircumference of abdomen at umbilicus 31 inchs\n14. Nervous system: (note organic or functional disorders)\nor\nMornal\n15. Urinalysis: Sp. Gr .1018\nAlbumin\nO\nSugar\nO\nMicroscopical\n0\nHemoglobin (Sahli method)\n85%\n16. Date of immunization against, Smallpox 12/31/40\nTyphoid 1/17/41\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\nNone\nbenu anei\nIs (Military, Disaster, etc.?) yes\nthe applicant fit to perform active duty\nIf not, state type of duty she is physically fitted to perform\nIn. d\nDate 1/18/41\nExaminer\ns\n4\n5\n6\n7\na\n9\n10\n\"\n12\n13\n14\nIS\nse\n.01\nA\nIT\nIB 19 20 21 22 23 24 25 26 27 28 29 30 31\nII\n17\n02\nIndicate missing teeth by \"X\", bridge work by\ncrown by\nplates by word\n\"plate\".\nezunim\n5\nAll questions MUST be answered; otherwise certificate will not be accepted at Head-\na\nquarters. To be forwarded to the Local Committee on Red Cross Nursing Service.\n3\n1. Be sure that all items are filled in before forwarding. Make definite statements in all instances.\n2. Give age in years, height in inches, weight in pounds.\nU\n12. Chest measurements should be in total inches.\n7\n(cevo)"
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