Part 45, page 39

Transcript

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

To be prepared in DUPLICATE [checkmark] to active duty Recalled to active duty [unchecked]

UNASSIGNED PRC 1632.0.S.U. Fort Sheridan. J[illegible] RECORD AT TIME OF REPORTING FOR ACTIVE DUTY 12-27-[illegible] OF MEMBERS OF RESERVE COMPONENTS

Last name: List First name: John Middle name: Emil Army serial No.: 16177034 Grade: Pvt. Unit: [illegible] Home, station of unit: [illegible] Occupation: Student b6 per NPRC b7C Permanent address: Bay City Bay Michigan Urban [X] Rural [ ] Mother tongue: English Birthplace: [redacted] Mich. Birth date: [redacted]

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EXAMINATION

1. Eye abnormalities: None Vision: W.G. Right eye 20/200/20/20 Left eye 20/200/20/20 2. Ear, nose, throat abnormalities: Mastoidectomy scar, behind right ear, well healed Hearing: Right ear: 20/20 Left ear: 20/20 3. Mouth and gum abnormalities: None 4. Teeth: Right (Examinee's) 8 7 6 5 4 3 2 1 Left 1 2 [3] 4 5-6 7 8 16 15 14 13 12 11 10 9 9 10 11 12 13 14 15 16 (Strike out those that are missing; circle those that may be restored) None Missing 5. Skin: Normal Height: 73 in. 6. Varicose veins: None Weight: 154 lb. 7. Hernia: None Girth (at nipples): Inspiration: 39 in. Expiration: 35 in. 8. Hemorrhoids: None Girth (at umbilicus): 29 in. 9. Genitalia: Normal 10. Feet: Normal Posture: good Frame: med. 11. Musculo-skeletal defects: None Color of hair: brown Color of eyes: brown 12. Abdominal viscera: Normal Complexion: fair 13. Cardiovascular system: Normal Pulse: Sitting: [illegible] 14. Lungs, including X-ray, if made: Normal-X-Ray Chest-Negative After exercise: [illegible] 2 min. after exercise: [illegible] 15. Nervous system: reflexes, pupillary Normal, patellar Normal Blood pressure: Systolic: [illegible] Diastolic: [illegible] 16. Endocrine disturbances: None Urinalysis: Sp. g.: 1.025 17. Results of laboratory examinations, when made: 12-16-43 Kahn test-Negative Albumin: neg. Sugar: neg. Microscopic: [illegible] 18. Remarks on defects not sufficiently described above: None Other data: [illegible] 19. Summary of defects in order of importance, impression of physical fitness: Qualified under MR-1-9.

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CAUTION: [partially illegible] [guess: BINDING REQUIRED] [guess: records of National] [guess: -records of Missouri] This [guess: material] [illegible] -St. Louis [guess: repository] Personnel Records [guess: center] [illegible] only. Do not [guess: reissue] [illegible] to be US [illegible] [guess: phys.] for [guess: outside] [illegible] dissemination [illegible]

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Place "X" in box opposite urban if community of 2,500 population or greater; otherwise place "X" in [illegible] Check block applicable.

W.D., A.G.O. Form No. 163 July 23, 1942

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DB Cooper-4662