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1) M 3 30
*
DUPLICATE
AMERICAN RED
Vaccine used furnished
THE ITY GOOS
Army Medical Corps
HAHUMANIX DC
Washington, D. C.
ASHINGTON
NURSING SERVICE
CERTIFICATE OF IMMUNITY
Place
I certify that I have administered and anti-typhoid may Date vaccine as a prophylactic medical school 3 to rd 1 1918.
Helen B OF reer
in the following doses:
1st dose
1/2
c. C.
(
Date april 12, 1918
2nd dose
C. C.
Date april 70,1918
3rd dose
/
c. C.
Date april 27-1918
M. D.
I
certify that Helen B.treas new ms Rept more
is satisfactorily protected by vaccination against smallpox.
M. D.
cash mk
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
Surgical Section at
This duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee
Organizing Detachment.
Req. 17-919-May-25M
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"ocrText": "1) M 3 30\n*\nDUPLICATE\nAMERICAN RED\nVaccine used furnished\nTHE ITY GOOS\nArmy Medical Corps\nHAHUMANIX DC\nWashington, D. C.\nASHINGTON\nNURSING SERVICE\nCERTIFICATE OF IMMUNITY\nPlace\nI certify that I have administered and anti-typhoid may Date vaccine as a prophylactic medical school 3 to rd 1 1918.\nHelen B OF reer\nin the following doses:\n1st dose\n1/2\nc. C.\n(\nDate april 12, 1918\n2nd dose\nC. C.\nDate april 70,1918\n3rd dose\n/\nc. C.\nDate april 27-1918\nM. D.\nI\ncertify that Helen B.treas new ms Rept more\nis satisfactorily protected by vaccination against smallpox.\nM. D.\ncash mk\nFill 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\nSurgical Section at\nThis duplicate certificate should be forwarded by nurse to Chief Nurse of Unit or to Committee\nOrganizing Detachment.\nReq. 17-919-May-25M"
}