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D MR Form No. 29 TH EL IMMERICANREDIA COOSE NURSING SERVICE ASHINGTON HUMANITY DON c PHYSICAL EXAMINATION 13711 put I. Name of applicant Catherine Stuart Jover Address 161 w61st St City n.y State n.y 2. Age 32 yrs. Height 5ft.4under Weight 118 3. General physique good 4. Tendency to disease, inherited or otherwise nine 5. Previous history in regard to serious illness or surgical operation - new 6. Has she had rheumatism? - acute articular in 1913- lasted 7. Has she at present or has she ever had hernia? no 8. Condition of teeth all decayed teut filled otherwise soon 9. Condition of feet 9 and / Callous IO. Abdomen and contained organs normal 11. Chest and contained organs annual Expiration 30 inches. 33 Inspiration inches. 12. Vision: O.D. 20/20 Hearing: A. D. got O. S. 2/20 A. S. gas NOTE: In case of refractive error state degree of correction by glasses. 13. Urine examination: Color Shaw Reaction Wildown Specific gravity 1.630 Albumen worr Casts nine Leucocytes few. Sugar nme 14. Do you recommend applicant for: (a) General hospital service you (b) Tropical service 15. Fill in location of base hospital, unit or detachment with which service is desired: Army base hospital at Naval base hospital at Emergency detachment at Navy detachment at Hospital unit at Children's Hospital (2) PediaTric Unit Surgical section at g7 fammis M. D. Date sept 141 197 Address 272 wgost n.y- All questions MUST be answered; otherwise certificate will not be accepted at headquarters. To be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment. Req. 17-833-May-2cm

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    "ocrText": "D MR Form No. 29\nTH EL IMMERICANREDIA COOSE\nNURSING SERVICE\nASHINGTON\nHUMANITY\nDON\nc\nPHYSICAL EXAMINATION\n13711\nput\nI. Name of applicant\nCatherine Stuart Jover\nAddress\n161 w61st St\nCity n.y\nState n.y\n2. Age\n32 yrs.\nHeight 5ft.4under Weight 118\n3. General physique\ngood\n4. Tendency to disease, inherited or otherwise nine\n5. Previous history in regard to serious illness or surgical operation - new\n6.\nHas she had rheumatism? - acute articular in 1913- lasted\n7. Has she at present or has she ever had hernia?\nno\n8. Condition of teeth all decayed teut filled otherwise soon\n9. Condition\nof feet 9 and / Callous\nIO. Abdomen and contained organs normal\n11. Chest and contained organs\nannual\nExpiration\n30\ninches.\n33\nInspiration\ninches.\n12. Vision: O.D. 20/20\nHearing: A. D. got\nO. S. 2/20\nA. S. gas\nNOTE: In case of refractive error state degree of correction by glasses.\n13. Urine examination:\nColor\nShaw\nReaction\nWildown\nSpecific gravity\n1.630\nAlbumen\nworr\nCasts\nnine\nLeucocytes\nfew.\nSugar\nnme\n14. Do you recommend applicant for:\n(a) General hospital service you\n(b) Tropical service\n15. Fill in location of base hospital, unit or detachment with which service is desired:\nArmy base hospital at\nNaval base hospital at\nEmergency detachment at\nNavy detachment at\nHospital unit at Children's Hospital (2) PediaTric Unit\nSurgical section at\ng7 fammis\nM. D.\nDate sept 141 197\nAddress\n272 wgost n.y-\nAll questions MUST be answered; otherwise certificate will not be accepted at headquarters.\nTo be forwarded to Chief Nurse of Unit or to Committee Organizing Detachment.\nReq. 17-833-May-2cm"
}