The Ohio Independent Baptist, May 1954

CAMP PATMOS MEDICAL CERTIFICATE ----·········------- ---- ----------····-· ··· ··-· ·· ·· ·-·-- -··· ·- -·····-- ---- ------ -- ---- ---------··-- ·----------· · -- ·· ·····------ ···· · ---------··- ·-·-···· ·-· · -·· ---- --··-·········-···-·-···-· · ·····~··· · --··· · -·· · -·- · ······- -- ----·-·· · · ··-- --------- ·· ----- -·····---·········· · -··- ----- ······-·---------------------------------------------·--------------------- -~---- ·- ------------- -- ------- ·-- -- · ··· ··· ... - .. ··-· .. . .. ---- ··--· ...... ... -- ··-- .. --- .... - . . ........ ------- ... ---- -· -- ---- -- ·-· .. -- .... .. ...... --- ............. ----- ..... . ........... . HEALTH HISTORY If a11 ac111lt fill i11 J)01'. '011a ll>· · Tf ,1 el1il cl, t<) l)c> cl <) Jl b)'" l)clre11ts. 'fl1i~ ·ectic,11 i: t<) be fillec.l '1llt ~a 1·efl1ll~,.. l)efo1·e bei11p: take11 tc> a 111e~1 ie,ll cl<>c:ll> l' . "ro a .,. ·l11·e tl1 e g·1--eate8t (lP!lr ee of e11 jo,-- 111e11t a11(1 tl1e f11llest J)O. :il)le J)rot ec·tit)11. (A<1c·l1 Hl 11l1<·a11t i~ 1· c111i1· (1 b3,.. la,,· to 1>rese11t <'\'– icle11ce tl1at l1i . 1)11~·:ica l co11(litio11 rl:~11rP~ c1 l1paltl1)· a11cl :af expe1·ie11l' r. ,.rhe follo,,·ing· l1 ealtl1 i11fo1·111ati 11 i: 1·ect11 strcl 1<> u·i, e t J1e rx;.l111i11i11g 11l1~·s iri.<111 a bas i:-; fc> l' l1i. p "'(a111- i11a ti 11. ' .... .. . . .......... - ...... _ ........ l)oi . 0 11 I,·y, poiso11oalt, or 11 o i :011st l1 11c1<· ~ .................... . t roll 1)l e ·? _ .. . .... _. ___ ...... . ( 1 r,llll}).' 111 ,,.. H1PI' ! ............. .. ,·11lsi 011. ? ···· ····-··· -····- ·- ..... . ... .. ... ..... ........... \ 1 . . . ) ... })} )P l \{ l(' It J~ '. -·· ········ · ··-····· ;-4('(')1'- I, i c 111 P,- c 1 i ~ P ,1 ~ r ? .. . . ............. .. .\ .' t 11 - L ... ... ... ····--·-· ··· ·i.' ~ -··· ··-·· --·--·--··- 1.. }1 p 11 c}' \. 0 l l -. 01~ (loc.· 11 ° g·et 111). ,t ea. il~~ ! ---·- -- ------------· D a t e .................................. 1 !) ,) 4. ~ .. ..!.'· ~·. .!...'· -1,• ,;,• 'i','"' ,;,• MEDICAL EXAMINATION Note to Examining Medical Doctor: 'I' l1 e ,11)1 li~a1Jt ,,·is11 cs tt> J)artici})HtP i11 a <·a11JJ) J)t't>– g1·a111 at 1 a 111p Pat111<>S, .·1111J111 e r t· c\ lllJ) c)f tl1 e ()]1io ...\ sso( 1 1at1<) 11 c)f l1 t1Q.'lll,l r J~HJ)ti . t ( 1 l1t1rel1 - P.'. I f }1 e i .· atc:e1)tecl li e ,,·ill llf?'Hg·r i11 Olli (1()0 1' clt't i, ·iti e~. lt i~ llPC-PS, ,ll'~r tl1~t )1e be i11 g:oo 1 )1 ealt11 a11cl pl1> 1 ,: ieal "011clit io11. ) "'0,11· c·< ><>11c· r<1tio11 i11 111al~ i11g· tarrt'11l rxc1111i11ati<)11 \\·ill l)e g·1 .. cat1,· app1·eeiat cl. 'rl1c HJ)l Jir,111t·~ l1 cc:t ltl1 l1i sto1·)~ is £2:i,·e11 . I: ]1 i. l1ea1·t 1101·111al ? --------- -- --- ·-- --- 1~ l1i~ ('()11 - clit io11 of tl1e follo,,·i110' ,' c1ti:[,lcto1·,r ! l~cll' ' ·! ·····--------------· 'J'l11·c>,lt ? ........ ~ • E,,..e ? ----------· -------· .. 1\11,· I l{i]l <l l .'()] '(101' ,'? ••••••••••••••••··-· ~ ~eal1) 1 ... ................. t1· 111itj 1101·n1al 1 ----·- --- --·-- ------ J)a te ---- --- ------------- -~--- ------·----····-- ··· ····· ·--- ----- -1 ~);;..i ~ig11rtl: --------- --·········----- --- -------------·- ·· ·-------------- ) 1. I) . . • •