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ITT
L
s
Hemrrhoids
None
Menstrual Period Regular, 5 days; no difficulty.
13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)
Normal
Circumference of abdomen at umbilicus
30.in.
14. Nervous system: (note organic or functional disorders)
Normal
15. Urinalysis: Sp. Gr. 1.030
Albumin Neg.
Sugar Neg.
Microscopical Neg.
Hemoglobin (Sahli Method)
12.3 grams
White count 7450
1937
1937
16. Date of immunization against, Smallpox
Typhoid
17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:
Is the applicant fit to perform active duty (Military, Disaster, etc.?) Yes
If not, state type of duty she is physically fitted to perform
Date
April 8, 1941
Engene a. steadph
Examiner
Eugene A. Stead, Jr., M.D.
8
2
s
4
5
6
7
a
9
10
"
12
13
14
IS
se
y
KY
TO
n
IAI
17
18 19 20 21 22 23 24 25 26 27 26 29 30 31
32
Indicate missing teeth by "X", bridge work by
crown by
,
plates by word
"plate".
8
5
All questions MUST be answered; otherwise certificate will not be accepted at Head-
quarters. To be forwarded to the Local Committee on Red Cross Nursing Service.
1. Be sure that all items are filled in before forwarding. Make definite statements in all instances.
8
2. Give age in years, height in inches, weight in pounds.
V
12. Chest measurements should be in total inches.
8
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Document data
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DTO data
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"ocrText": "ITT\nL\ns\nHemrrhoids\nNone\nMenstrual Period Regular, 5 days; no difficulty.\n13. Abdomen: (condition of wall, scars herniae, and abnormality of vicera)\nNormal\nCircumference of abdomen at umbilicus\n30.in.\n14. Nervous system: (note organic or functional disorders)\nNormal\n15. Urinalysis: Sp. Gr. 1.030\nAlbumin Neg.\nSugar Neg.\nMicroscopical Neg.\nHemoglobin (Sahli Method)\n12.3 grams\nWhite count 7450\n1937\n1937\n16. Date of immunization against, Smallpox\nTyphoid\n17. Remarks on abnormalities not otherwise noted or sufficiently described on this blank:\nIs the applicant fit to perform active duty (Military, Disaster, etc.?) Yes\nIf not, state type of duty she is physically fitted to perform\nDate\nApril 8, 1941\nEngene a. steadph\nExaminer\nEugene A. Stead, Jr., M.D.\n8\n2\ns\n4\n5\n6\n7\na\n9\n10\n\"\n12\n13\n14\nIS\nse\ny\nKY\nTO\nn\nIAI\n17\n18 19 20 21 22 23 24 25 26 27 26 29 30 31\n32\nIndicate missing teeth by \"X\", bridge work by\ncrown by\n,\nplates by word\n\"plate\".\n8\n5\nAll questions MUST be answered; otherwise certificate will not be accepted at Head-\nquarters. To be forwarded to the Local Committee on Red Cross Nursing Service.\n1. Be sure that all items are filled in before forwarding. Make definite statements in all instances.\n8\n2. Give age in years, height in inches, weight in pounds.\nV\n12. Chest measurements should be in total inches.\n8"
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