MEASUREMENTS ANO CTHER FimOunct $1. agient Sk. wrist GP. ; €3, Corse mae $4. coLom eves arrriee | ave. a hecum Ti oias. Os, 6, Trmeqeatuar DD asneee soos pecssure (drm of heart level) aA SE. suite, us. eva. c. avs. pias. (2 amen.) as, BISTANT ¥I810N msc BD corer evisy (Arm at heart dene) & Orrrine 66. 0) weave © AFTER EXeScion |@ 2 Gin. Arven atehaction ®. Ricumeany at, c. arraa STANDING 6 ain. NGak VisioON RIGHT g0/ CORR. TO 20/ ey 6B. or Coan. to w LEP aos comm. 10 80/ ow s. ou CORA. To ev G2. urranopuoaia (Specnty destence) me" a. ox mh ontsm rv. Prisu cony. er 04 coun vinrom u ( (Test qoed and resell) ACCOMMODATION muget Ln “ @8. Fe erry raactrtion aay uaconaccteo Lary CORRECTED 64. FIELD OF vision 76. 07. sient visiow (Jest used and overs) Tt . MEAAING Geet Wy tart wy ste av sts ov > AUDIOMRTER he ste ae 68. REO Lane Test a8 geo Sia 1006 2084 ge00 S048 09. TRACCULAR TRXSiOn 72. eas PEYCHOLOGIOAL LD BIOAL AND POYCKOMOT ; motor sooo O808 saan 4008 eoec 0144 sece Or RIGHT ” Lrrt TA, motes (Comkaved) Aud SIGMIFICANT OR INTFEQVAL WISTORY In 39-PD radiation: elie .5 ar/nr, not above background * (Vee addviionsl shoals U nacenary) 34. SUMMARY OF DEFECTS ane Dissnoets (Leal dhaguec with idem members) 75. RECOMMENDATIONS —FURTHER SPECIALIST BKamrmAtionS InpicarED (Specify) 74. A. PHYBICAL PROFILE ° u L a « 5 77. ruamimeg (Check) a. D ts quaurico ror B. Pursica, CaTeeoRy 6. Oss mor quauiviee eon 70. 0F ROT QUALIFIED. LIST CISGQUALIFYING BEFECTS BY ITEM BUMSER a 70. TYPED OA PRINTED NAME OF PHYSICIAN StOMATURE 00. TTFED OF PRINTED NAME OF PHYSICIAN sienaTuRE Ol. TYPED OF PRINTED WANE OF DENTIST C8 PHYEICIAN (indecals whack) St6naTURE 82. TYPED OR SIGNATURE CARL L. RANSEN, Lt Col,USAF,MC, FS PRINTED MAME OF REVIEWING OFFICER OR APPROVING AUTHORITY a c t NUMBER OF aT. TACHED SHEETS UM. &. SOVERNNENT PRINTING OFFICE: ISGT O—sSs0R6