Part 114, page 40

Transcript

The scan is the source; the transcript is machine-generated from it.

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