WD AGO Form 63 record of physical examination, Schuyler W. Miles Jr.
Document date 1 August 1945
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Id: Cooper-Part-114:040-041
Subject: Cooper Files: Cooper-Part-114:040-041 Document: WD AGO Form 63 record of physical examination, Schuyler W. Miles Jr. Id: Cooper-Part-114:040-041 Page: https://cooper.theunsolved.net/documents/Cooper-Part-114%3A040-041 What is wrong (title, date, type, which pages belong together, copies)? What does the scan show?
A person reads every report. Corrections are made by hand, to the data — titles, dates, names, which pages belong together — never to the scans, and they can take a while to appear.
FBI 164-81, Vault Part 114 pp. 40–41 (DB Cooper-10662–10663), Form, dated 1 Aug 1945, serial 16-43000-1 (as read from the transcript) — cooper.theunsolved.net/documents/Cooper-Part-114%3A040-041
REPORT OF PHYSICAL EXAMINATION OF INDIVIDUALS ON AN OFFICER OR WARRANT OFFICER STATUS, OR FOR APPOINTMENTS AS SUCH OR ENRO[LLMENT] IN THE ROTC. USE TYPEWRITER IF PRACTICABLE. (See AR 40-160 and 40-165)
1. LAST NAME, FIRST NAME, MIDDLE INITIAL MILES, SCHUYLER, WILI[AM] J, JR. 2. ARMY SERIAL NO: D 493718 3. GRADE: CAPT. 4. [ILLEGIBLE]ZATION AND ARM OR SERVICE: INF.
5. NATURE OF EXAMINATION ANNUAL | ACTIVE DUTY | APPOINTMENT | PROMOTION | RETIREMENT | SPECIAL | TERMINAL X 6. RACE: W 7. AGE IN YEARS: 23 8. SEX: M 9. COMPONENT OF ARMY: RA [X]
10. YEARS OF ACTIVE SERVICE: 3 9/12 11. YEARS OF INACTIVE SERVICE: 1/12
12. MEDICAL HISTORY: Officer denies history of asthma, hay fever, tuberculosis, rheumatism, rheumatic fever, typhus fever, peptic ulcer, dysentery, jaundice, pneumonia, syphilis, or heart, kidney, joint, mental diseases. (A)Malaria--0 x 12 last attack April 1944 Naples, Italy; (B)WIA by enemy high explosive shell frag.---both hands, Feb. 19, 44, Italy (over) A TRUE COPY
13. EYES: Normal 14. COLOR VISION (NOT REQUIRED ON ANNUAL EXAM.): [blank] 15. REFRACTION (ON ANNUAL EXAMINATIONS STATE ONLY WHETHER DEFECT IS PROPERLY CORRECTED.): normal
16. VISION UNCORRECTED: RE 20/ 20 LE 20/ 20 RE J# 1 LE J# 1 CORRECTED: 20/ 20/ MANIFEST RE LE CYCLOPLEGIC RE LE
17. EARS (INCLUDE MEMBRANA TYMPANI): normal 18. HEARING WHISPERED VOICE: RT. EAR 15/15 LT. EAR 15/15 AUDIOMETER TEST: [blank]
19. NOSE AND THROAT: normal
20. TEETH: [dental chart with markings] D O X O 3 2 1 1 2 3 O X 6 7 X R L O 1X O 13 12 11 10 9 9 10 11 12 13C M 15 16 CLASSIFICATION: II
21. OTHER DENTAL DEFECTS AND REMARKS: none 22. PROSTHETIC DENTAL APPLIANCES: none
23. FIGURE: SLENDER [X] | MEDIUM | STOCKY | OBESE 24. FRAME: LIGHT [X] 25. POSTURE: EXCELLENT | GOOD [X] | FAIR | POOR 26. HEIGHT (SHOELESS): 70 1/2 INS. 27. WEIGHT (STRIPPED): 142 LBS. 28. TEMPERATURE: 98.6
29. GIRTH MEASUREMENTS (INCHES) CHEST: INSPIRATION 36 EXPIRATION 36 AT UMBILICUS 29 30. HEART: normal 31. ARTERIES: normal
32. VARICOSE VEINS: none 33. BLOOD PRESSURE: SYSTOLIC 120 DIASTOLIC 76 34. CHARACTER OF PULSE: Full and Regular. 35. PULSE RATE: SITTING 78 IMMEDIATELY AFTER EXERCISE 96 TWO MINUTES AFTER EXERCISE 84
36. RESPIRATORY SYSTEM: normal 37. CHEST X-RAY: no significant abnormalities.
38. SKIN AND LYMPHATICS: 3/8" faint superficial shrapnel scar dorsum right hand. 39. ENDOCRINE SYSTEM: normal 40. BONES, JOINTS, MUSCLES: [STAMP OBSCURES - partially readable:] SPECIAL HANDLING REQUIRED normal records of National [Guard?] Missouri
41. FEET: normal 42. ABDOMINAL WALL AND VISCERA: normal 43. [STAMP:] HERNDON, St. Louis center, only. Do not recopy this material copies [illegible] only. Do not [use?] outside personnel for r[ecords]. [illegible] to be used [illegible] [illegible] disseminat[ed] in [illegible]
44. ANUS AND RECTUM: normal 45. GENITO-URINARY: normal 46. PELVIC (WOMEN ONLY): [blank] 47. NEUROLOGICAL: normal 48. PSYCHIATRIC: normal
49. LABORATORY PROCEDURES KAHN: negative WASSERMANN: [blank] 50. URINALYSIS: SP. GR. 1.019 ALB. neg. SUGAR neg. MICROSCOPIC: neg. 51. OTHER LABORATORY PROCEDURES: none
WD AGO FORM 63 1 AUG 1945 Edition of 1 Jan 1945 may be used.
DB Cooper-10662
52. REMARKS ON ITEMS NOT SUFFICIENTLY DESCRIBED:
(12) Cont'd---No hospitalization required:
(C)T and A 1940.
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SUMMARY
53. CORRECTIVE MEASURES OR OTHER ACTION RECOMMENDED Repair of cavious teeth
54. IS INDIVIDUAL PERMANENTLY INCAPACITATED FOR GENERAL SERVICE? YES [ ] NO [X] LIMITED SERVICE? YES [ ] NO [ ]
55. IF INCAPACITATED FOR GENERAL OR LIMITED SERVICE STATE REASON [blank]
56. APPOINTMENT IS RECOMMENDED [X] RECOMMENDED WITH MINOR DEFECTS [ ] NOT RECOMMENDED [ ]
57. IF APPOINTMENT IS NOT RECOMMENDED, STATE REASON [blank]
58. ACCORDING TO EXAMINEE'S STATEMENT IS (S)HE DRAWING A PENSION, DISABILITY ALLOWANCE, OR OTHER COMPENSATION OR RETIRED PAY FROM THE U.S. GOVERNMENT? YES [ ] NO [X]
59. IF ANSWER TO 58 IS YES, STATE DISABILITY [blank]
60. ACCORDING TO EXAMINEE'S STATEMENT HAS (S)HE EVER BEEN DISQUALIFIED FOR MILITARY SERVICE OR SEPARATED THEREFROM FOR PHYSICAL DISABILITY, OR BEEN REFUSED LIFE INSURANCE? YES [ ] NO [X]
61. IF ANSWER TO 60 IS YES, STATE REASON [blank]
62. DATE OF EXAMINATION 6 Aug 1946
63. TYPED NAME AND GRADE W N [guess: JENSEN], CAPT. M.C.
64. SIGNATURE (SIGN ORIGINAL ONLY) [signature present]
65. PLACE OF EXAMINATION Ft. Lewis, Wn.
66. TYPED NAME AND GRADE K T [guess: AITCHELL], CAPT. M.C.
67. SIGNATURE (SIGN ORIGINAL ONLY) [signature present]
68. TYPED NAME AND GRADE J H [guess: MCCOY] 1st LT M.C.
69. SIGNATURE (SIGN ALL COPIES) [signature present]
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1st INDORSEMENT
70. DATE [blank]
71. REMARKS [blank]
72. FROM [blank]
73. TO [blank]
74. ORGANIZATION AND ARM OR SERVICE [blank]
75. GRADE [blank]
76. SIGNATURE [partially visible, mostly blank]
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DB Cooper-10663
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State action taken on recommendation of board. [illegible] incapacitated for active service state whether action by retiring board is recommended. 16-43000-1 ☆ GPO
Serials: 16-43000-1, D 493718