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ITT
L
a
s
s"
13. Abdomen: (condition of wall, scars, herniae, and abnormality of viscera) normal.
-
-
Circumference of abdomen at umbilicus 30m
14. Nervous system: (note organic or functional disorders) normal.
15. Urinalysis: Sp. Gr. 1.018 Albumin 03 Sugar 0
Microscopical 0
16. Date of immunization against, Smallpox 1937
Typhoid 1937,
17. Remarks on abnormalities not otherwise noted or sufficiently described on thi blank:
beau ane]
os
Is the applicant fit to perform active duty (Military, Disaster, etc.?) yes,
If not, state type of duty she is physically fitted to perform
tharles 7 IN-D
Date. Dec 18'40
Examiner
&
10
"
12
13
14
IS
A
^
IAI
18 19 20 21 22 23 24 25 26 27 28 29 30
31
02
17
Indicate missing teeth by "X", bridge work by C crowns by
plates by word
"plate".
SE
nolimigani
8
All questions MUST be answered; otherwise certificate will not be accepted Service. at Head-
5
quarters. To be forwarded to the Local Committee on Red Cross Nursing
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.
diseH
8
12. Chest measurements should be in total inches.
V
8
3
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"ocrText": "ITT\nL\na\ns\ns\"\n13. Abdomen: (condition of wall, scars, herniae, and abnormality of viscera) normal.\n-\n-\nCircumference of abdomen at umbilicus 30m\n14. Nervous system: (note organic or functional disorders) normal.\n15. Urinalysis: Sp. Gr. 1.018 Albumin 03 Sugar 0\nMicroscopical 0\n16. Date of immunization against, Smallpox 1937\nTyphoid 1937,\n17. Remarks on abnormalities not otherwise noted or sufficiently described on thi blank:\nbeau ane]\nos\nIs the applicant fit to perform active duty (Military, Disaster, etc.?) yes,\nIf not, state type of duty she is physically fitted to perform\ntharles 7 IN-D\nDate. Dec 18'40\nExaminer\n&\n10\n\"\n12\n13\n14\nIS\nA\n^\nIAI\n18 19 20 21 22 23 24 25 26 27 28 29 30\n31\n02\n17\nIndicate missing teeth by \"X\", bridge work by C crowns by\nplates by word\n\"plate\".\nSE\nnolimigani\n8\nAll questions MUST be answered; otherwise certificate will not be accepted Service. at Head-\n5\nquarters. To be forwarded to the Local Committee on Red Cross Nursing\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.\ndiseH\n8\n12. Chest measurements should be in total inches.\nV\n8\n3"
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