Ask the Scholar

Page 21 of 164
I can add historical knowledge about this page.

Page image

Page 21

OCR

REPORT OF PHYSICAL EXAMINATION (See AR 40-100 and 40-105) Instructions Unless or therwise prescribed. this form will be used for all physical examinations of officers, nurses or warrant officers: applicants for appointment as such in che Regular Army. National Guard. or Officers Reserve Corps: and enrollment in the Reserve Officers' Training Corps. Use typewriter if practicable. Attach plain additional sheets if required. 1. Geekie Ann G (Last name) (First name) (Middle initial) (Serial number) 2 Civilian applicant for apointment Age 23 Years of service (Grade) (Organization and arm or service) (Nearest birthday) (Whole number only) 3. Nature of examination 1 Appointment Component of Army 2 Army of U.S. 4. Typhoid vaccination. No. series completed 2 Last series July 19 41 5. Date of last smallpox vaccination July 1941 Type of reaction Vaccinia 6. Other vaccination or immunity tests one 7. Medical history 3 Usual childhood diseases: Tonsillectomy and Adenoid 1940 No history of Asthma, Rheumatic-fever or Hay-fever. 8. Eyes Normal Distant vision : Right 20/ 20 correctible to 20/ by 4 (Snellen type) left 20/ 20 correctible to 20/ by 4 Near vision : Right J# 1 correctible to J# by 4 (Jaeger type) Left J# 1 correctible to J# by 4 Refraction 5 (under cycloplegic) : Right Not done Left Not done Color perception (red and green) 6 Normal 9. Ears Normal Hearing (low conversational voice) : Right 20 /20. Left 20 /20. Audiometer (percent loss): Right - Left - 10. Nose and throat Normal 11. Teeth Right (Examinee's) Left Indicate: Restorable carious teeth by o ; nonrestorable carious teeth by / ; missing natural teeth by X. 13 Remarks, including other defects None Classification IV Prosthetic dental appliances Full upper and lower Denture, Servicable: 12. Posture Good Figure Medium Frame Light (Excellent, good. fair, bad) (Slender, medium, stocky, obese) (Light, medium, heavy) 13. Temperature 97 Height 61 inches. Weight 110 pounds. Chest Rest29 inches inspiration 32 inches expiration 29 inches. Abdomen 29 inches. 14, Cardiovascular system : Heart Normal Blood pressure : S. 110 D. 68 Pulse : Rate-Sitting 78 Immediately after exercise Two minutes after exercise 80 Character Full and regular Arteries Normal Varicose veins None 15. Respiratory system Normal 16. X-ray of chest 8 Normal 17. Skin and lymphatics Normal Endocrine system Normal 18. Bones, joints, and muscles Normal Feet Normal 19. Abdominal viscera Normal 20. Hernia None Hemorrhoids None 1 Appointment. promotion. retirement. annual. active duty, special. 2 Regular Army : National Guard : Officer's Reserve Corps: Reserve Officer's Training Corps. 3 If annual physical examination, record only for past year 4 If annual physical examination. record only distant and near vision, and state whether defect is properly corrected. 5 When indicated. 6 Not required for annual physical examination. 7 If rejected for appointment in Regular Army because of malocclusion send plaster models to the Surgeon General. d Required for candidates for commission. A.G.O. FORM NO.63 16-10006 REPRODUCED HO. S.O.S. E.T.O.

Page data

Page
21
Source index
0
Type
photo
Media ID
2cfbeb4b20371f57
Size
unknown

Document data

ID
2661522
Core
doc
Type
document
DTO data
{
    "id": "2661522",
    "sourceUrl": "https://catalog.archives.gov/id/2661522",
    "contentType": "document",
    "title": "Geekie, Ann Geilatly",
    "citationUrl": "https://catalog.archives.gov/id/2661522",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00481.tif",
    "thumbnailUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00481.tif",
    "largeImageUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00481.tif",
    "imageCount": 164,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}

Context sent to Scholar

Document identity
{
    "localId": "2661522",
    "label": "Geekie, Ann Geilatly",
    "core": "doc",
    "dtoType": "document",
    "citationUrl": "https://catalog.archives.gov/id/2661522"
}
Document source metadata
{
    "id": "2661522",
    "sourceUrl": "https://catalog.archives.gov/id/2661522",
    "contentType": "document",
    "title": "Geekie, Ann Geilatly",
    "citationUrl": "https://catalog.archives.gov/id/2661522",
    "collections": [
        "Records of the American National Red Cross",
        "Historical Nurse Files"
    ],
    "iiifBase": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00481.tif",
    "thumbnailUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00481.tif",
    "largeImageUrl": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00481.tif",
    "imageCount": 164,
    "hasImages": true,
    "source": "import",
    "hasTranscription": false
}
Document source extras
{
    "url": "https://catalog.archives.gov/id/2661522",
    "naId": 2661522,
    "coverageEndDate": {
        "day": 16,
        "logicalDate": "1943-07-16",
        "month": 7,
        "year": 1943
    },
    "coverageStartDate": {
        "day": 4,
        "logicalDate": "1941-04-04",
        "month": 4,
        "year": 1941
    },
    "levelOfDescription": "fileUnit",
    "onlineResources": [
        {
            "description": "Ancestry Collection: 2365",
            "note": "This file was scanned as part of a collaboration effort between Ancestry and the National Archives.",
            "url": "https://www.ancestryinstitution.com/search/collections/2365/"
        }
    ],
    "recordType": "description",
    "ocrSource": "nara-archive"
}
Page context
{
    "seq": 21,
    "pageIndex": 0,
    "type": "photo",
    "url": "https://s3.us-east-1.amazonaws.com/NARAprodstorage/lz/partners/dc-metro/anrc/649203/40033_2421402106_0541/40033_2421402106_0541-00501.tif",
    "mediaId": "2cfbeb4b20371f57",
    "ocrText": "REPORT OF PHYSICAL EXAMINATION\n(See AR 40-100 and 40-105)\nInstructions Unless or therwise prescribed. this form will be used for all physical examinations of officers, nurses or warrant officers: applicants for appointment as such in\nche Regular Army. National Guard. or Officers Reserve Corps: and enrollment in the Reserve Officers' Training Corps. Use typewriter if practicable. Attach plain additional\nsheets if required.\n1.\nGeekie\nAnn\nG\n(Last name)\n(First name)\n(Middle initial)\n(Serial number)\n2\nCivilian applicant for apointment\nAge\n23\nYears of service\n(Grade)\n(Organization and arm or service)\n(Nearest birthday)\n(Whole number only)\n3. Nature of examination 1\nAppointment\nComponent of Army\n2\nArmy of U.S.\n4. Typhoid vaccination. No. series completed\n2\nLast series\nJuly\n19 41\n5. Date of last smallpox vaccination July 1941\nType of reaction\nVaccinia\n6. Other vaccination or immunity tests\none\n7. Medical history 3\nUsual childhood diseases:\nTonsillectomy and Adenoid 1940\nNo history of Asthma, Rheumatic-fever or Hay-fever.\n8. Eyes\nNormal\nDistant vision : Right 20/ 20\ncorrectible to 20/\nby 4\n(Snellen type) left 20/ 20\ncorrectible to 20/\nby 4\nNear vision : Right J#\n1\ncorrectible to J#\nby 4\n(Jaeger type) Left J#\n1\ncorrectible to J#\nby 4\nRefraction 5 (under cycloplegic) : Right\nNot done\nLeft\nNot done\nColor perception (red and green) 6\nNormal\n9. Ears\nNormal\nHearing (low conversational voice) : Right 20 /20. Left 20 /20. Audiometer (percent loss): Right - Left -\n10. Nose and throat\nNormal\n11. Teeth\nRight\n(Examinee's)\nLeft\nIndicate: Restorable carious teeth by o ; nonrestorable carious\nteeth by / ; missing natural teeth by X.\n13\nRemarks, including other defects\nNone\nClassification IV\nProsthetic dental appliances Full upper and lower Denture, Servicable:\n12. Posture\nGood\nFigure\nMedium\nFrame\nLight\n(Excellent, good. fair, bad)\n(Slender, medium, stocky, obese)\n(Light, medium, heavy)\n13. Temperature 97 Height 61 inches. Weight 110 pounds. Chest Rest29 inches inspiration 32 inches\nexpiration 29 inches. Abdomen 29 inches.\n14, Cardiovascular system : Heart\nNormal\nBlood pressure : S.\n110\nD.\n68\nPulse : Rate-Sitting\n78\nImmediately after exercise\nTwo minutes after exercise\n80\nCharacter\nFull and regular\nArteries\nNormal\nVaricose veins\nNone\n15. Respiratory system\nNormal\n16. X-ray of chest 8\nNormal\n17. Skin and lymphatics\nNormal\nEndocrine system\nNormal\n18. Bones, joints, and muscles\nNormal\nFeet Normal\n19. Abdominal viscera\nNormal\n20. Hernia\nNone\nHemorrhoids\nNone\n1\nAppointment. promotion. retirement. annual. active duty, special.\n2\nRegular Army : National Guard : Officer's Reserve Corps: Reserve Officer's Training Corps.\n3 If annual physical examination, record only for past year\n4\nIf annual physical examination. record only distant and near vision, and state whether defect is properly corrected.\n5\nWhen indicated.\n6\nNot required for annual physical examination.\n7 If rejected for appointment in Regular Army because of malocclusion send plaster models to the Surgeon General.\nd\nRequired for candidates for commission.\nA.G.O. FORM NO.63\n16-10006\nREPRODUCED\nHO. S.O.S. E.T.O."
}