Ask the Scholar
Page 14 of 93
I can add historical knowledge about this page.
Page image
OCR
REPORT OF PHYSICAL EXAMINATION
(See AR 40-100 and 40-105)
Instructions. Unless otherwise prescribed. this form will be used for all physical examinations of officers. nurses or warrant ofticers: applicants for appointment as such in
che Regular Army. National Guard, or Officers Reserve Corps and enrollment in the Reserve Otticers' Training Corps. Use typewriter if practicable. Attach plain additional
sheets if required.
1. Whyte
Catherine
L.
(Last name)
(First name)
(Middle initial)
(Serial number)
2 Applicant for appointment
Age
29
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
1
Last series
August
19 41
5. Date of last smallpox vaccination
August, 1941
Type of reaction
Timmune
6. Other vaccination or immunity tests
None
7. Medical history 3 Measles, Chicken-pox in childhood. Appendectomy, 1929.
Tonsils & Adenoids, 1915.
No hisbory of Asthma, Hay fever or Rheumatic 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 (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: 7
Right
(Examinee's)
PA
8
x
x
4 3 2 1 1 2 3 4 5(8 Y)
Indicate: Restorable carious teeth by o; nonrestorable carious
teeth by /: missing natural teeth by X.
16 15 14 13 12 11 10 9 9 10 11 12 13
15
16
Remarks, including other defects
None
Classification
IV
Prosthetic dental appliances
Serviceable
12. Posture Good
Figure
Slender
Frame
Medium
(Excellent, good. fair, bad)
(Slender. medium, stocky, obese)
(Light, medium, heavy)
13. Temperature 97.8 Height 7Obinches. Weight 54pounds. Chest; Rest 33 inches; inspiration 362inches:
expiration 32 inches. Abdomen. 31 inches.
14, Cardiovascular system Heart
Normal
Blood pressure : S.
90
D.
60
Pulse : Rate-Sitting
80 Immediately after exercise. 112
Two minutes after exercise
84
Character Full & regular
Arteries
Normal
Varicose veins
None
15. Respiratory system
Normal
16. X-ray of chest 8 Calcified glands rt. hilar region: No evidence of recent activity.
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
Appointment. promotion retirement. annual. active duty, special.
Regular Army National Guard Officer Reserve Corps: Reserve Officer's Training Corps.
If annual physical examination, record only for past year.
If
annual physical examination. record only distant and near vision, and state whether defect is properly corrected.
When indicated.
Not required for annual physical examination.
If rejected for appointment in Regular Army because of malocclusion send plaster models to the Surgeon General
8
Required for candidates for commission.
w.D., A.G O. FORM NO.63
16-10006
REPRODUCED
HQ. s.o.s. E.T.O.
Page data
- Page
- 14
- Source index
- 0
- Type
- photo
- Media ID
- 9ac73e5fbe687d68
- Size
- unknown
Document data
- ID
- 2662467
- Core
- doc
- Type
- document
DTO data
{
"id": "2662467",
"sourceUrl": "https://catalog.archives.gov/id/2662467",
"contentType": "document",
"title": "Whyte, Catherine Lillian",
"citationUrl": "https://catalog.archives.gov/id/2662467",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00099.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00099.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00099.jpg",
"imageCount": 93,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "2662467",
"label": "Whyte, Catherine Lillian",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/2662467"
}
Document source metadata
{
"id": "2662467",
"sourceUrl": "https://catalog.archives.gov/id/2662467",
"contentType": "document",
"title": "Whyte, Catherine Lillian",
"citationUrl": "https://catalog.archives.gov/id/2662467",
"collections": [
"Records of the American National Red Cross",
"Historical Nurse Files"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00099.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00099.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00099.jpg",
"imageCount": 93,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/2662467",
"naId": 2662467,
"coverageEndDate": {
"day": 11,
"logicalDate": "1943-01-11",
"month": 1,
"year": 1943
},
"coverageStartDate": {
"day": 12,
"logicalDate": "1940-12-12",
"month": 12,
"year": 1940
},
"levelOfDescription": "fileUnit",
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 14,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships/40033/0001/DCD00073/40033_1521003240_0591/40033_1521003240_0591-00112.jpg",
"mediaId": "9ac73e5fbe687d68",
"ocrText": "REPORT OF PHYSICAL EXAMINATION\n(See AR 40-100 and 40-105)\nInstructions. Unless otherwise prescribed. this form will be used for all physical examinations of officers. nurses or warrant ofticers: applicants for appointment as such in\nche Regular Army. National Guard, or Officers Reserve Corps and enrollment in the Reserve Otticers' Training Corps. Use typewriter if practicable. Attach plain additional\nsheets if required.\n1. Whyte\nCatherine\nL.\n(Last name)\n(First name)\n(Middle initial)\n(Serial number)\n2 Applicant for appointment\nAge\n29\nYears of service\n-\n(Grade)\n(Organization and arm or service)\n(Nearest birthday)\n(Whole number only)\n3. Nature of examination 1 Appointment\nComponent of Army 2 Army of U. S.\n4. Typhoid vaccination. No. series completed\n1\nLast series\nAugust\n19 41\n5. Date of last smallpox vaccination\nAugust, 1941\nType of reaction\nTimmune\n6. Other vaccination or immunity tests\nNone\n7. Medical history 3 Measles, Chicken-pox in childhood. Appendectomy, 1929.\nTonsils & Adenoids, 1915.\nNo hisbory of Asthma, Hay fever or Rheumatic fever.\n8. Eyes\nNormal\nDistant vision : Right 20/\n20\ncorrectible to 20/\nby 4\n(Snellen type) left 20/\n20\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 (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: 7\nRight\n(Examinee's)\nPA\n8\nx\nx\n4 3 2 1 1 2 3 4 5(8 Y)\nIndicate: Restorable carious teeth by o; nonrestorable carious\nteeth by /: missing natural teeth by X.\n16 15 14 13 12 11 10 9 9 10 11 12 13\n15\n16\nRemarks, including other defects\nNone\nClassification\nIV\nProsthetic dental appliances\nServiceable\n12. Posture Good\nFigure\nSlender\nFrame\nMedium\n(Excellent, good. fair, bad)\n(Slender. medium, stocky, obese)\n(Light, medium, heavy)\n13. Temperature 97.8 Height 7Obinches. Weight 54pounds. Chest; Rest 33 inches; inspiration 362inches:\nexpiration 32 inches. Abdomen. 31 inches.\n14, Cardiovascular system Heart\nNormal\nBlood pressure : S.\n90\nD.\n60\nPulse : Rate-Sitting\n80 Immediately after exercise. 112\nTwo minutes after exercise\n84\nCharacter Full & regular\nArteries\nNormal\nVaricose veins\nNone\n15. Respiratory system\nNormal\n16. X-ray of chest 8 Calcified glands rt. hilar region: No evidence of recent activity.\n17. Skin and lymphatics\nNormal\nEndocrine system\nNormal\n18. Bones, joints, and muscles\nNormal\nFeet\nNormal\n19. Abdominal viscera\nNormal\n20. Hernia\nNone\nHemorrhoids\nNone\nAppointment. promotion retirement. annual. active duty, special.\nRegular Army National Guard Officer Reserve Corps: Reserve Officer's Training Corps.\nIf annual physical examination, record only for past year.\nIf\nannual physical examination. record only distant and near vision, and state whether defect is properly corrected.\nWhen indicated.\nNot required for annual physical examination.\nIf rejected for appointment in Regular Army because of malocclusion send plaster models to the Surgeon General\n8\nRequired for candidates for commission.\nw.D., A.G O. FORM NO.63\n16-10006\nREPRODUCED\nHQ. s.o.s. E.T.O."
}