BD, yes the e looks misshapen compared to the others; as somebody noted they look like the Greek letter theta. Since we don't know exactly how it was produced and how many processes it was put thru, it's possible letters could get morphed. The point about aging has some merit, but the .pdf version looks freshly minted.
We would expect that a good forgery would look pretty much like other documents of similar nature and vintage.
The Nordyke Twins documents are of similar nature and vintage. There are a lot of common features there.
BTW, regarding nurses doing typing, nurses type now or they are not given good assignments. Everything is computerized. You go to Kaiser Permanente EVEN THEIR DOCTORS type!