Physical Examination

for DMR Form No. 29 THE AMERICAN REDE GOOS NURSING SERVICE n HUMANITY c ASHINGTON PHYSICAL EXAMINATION I. Name of applicant Ganes von Knowshy Address Song Island College Hock City Brookeny State h. y, 2. Age 26 Height 5 ft. 8in Weight 133 3. General physique will developed - well mourished 4. Tendency to disease, inherited or otherwise none 5. Previous history in regard to serious illness or surgical operation Depleteria at 11 years. measles at 18. Jousie tomy 6. Has she had rheumatism? no. 7. Has she at present or has she ever had hernia? no. 8. Condition of teeth I'm good repair 9. Condition of feet no weak arches IO. Abdomen and contained organs. In excellent condition II. Chest and contained organs Percession note recovent: Dr. sounds remember throughout Expiration 35 inches. Inspiration 38 inches. 12. Vision: O. D. 28/20 Excellent Hearing: A. D. Excellent O. S. 20 20 Excellent A. S Incellent NOTE: In case of refractive error state degree of correction by glasses. 13. Urine examination: amb Color Reaction GC. Specific gravity 1018 Albumen heg Casts none Leucocytes Few. Sugar neg 14. Do you recommend applicant for: OK (a) General hospital service yes. UIC (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 Surgical section at Louis, Poluson M. D. Date 1/13/18. Address Long Island College Hoop. 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--20M