MEASUREMENTS AHO OTHER FINDINGS G1, mEient G62. wtisnt $3. COLOA waln G4. CoLon EVES 268. BuiLo. 06. Trepawstyas CD avancer ( wcowe $7. BLoop pacesuRe (Arm af heart devat) a avs. sittiwe lous. Ba. a eccus- gg F gert ave. se. ¢. sTanpiwe ins urs. (8 wn) OUETANT Vision (1) once eucae (dew at heart dened) a. ErTtine Bb. AFTER BXEACIRE . cian. ec. ODonsavy QEFRACTION C. 8 Gin. AFTER © $l. RECUBOENT L. AFTER sranping a mim. Heae wigion epnT aes Come To has ev a. on come ro Pt Aert Bor CORR TH LOS ay ‘. or come to er "G2. wevenoPnonia (Spansy desiance) us? ax* gm, Lu. Phise Div. PRide CONV. < > er 63. ACCOMMODATION aant inion ( (Tet weet end wareit) 64. . coro vision O98. FeDEPTH sal PERCEPTION er} 67. wien vision (Test weed and scors) 6B. MED Lens TesT } |_usconmectan ital CORRECTED 66. FIELD OF WisiON 70. a HEARing 71. ent wy fia ov fu Lert wy fis Sv fie AUBIOM@ETER 240 ase #00 Sie 1900 1084 z2o00 9048 GS. INTRAOCULeR TENSION T2. PEYCHOLOGICAL AND PSYCHOMOTOR (Tests weed ond score) ao00 BRS ao00 4000 sooo Bldg e000 Sef atent Len | 73, notss (Conanuad) any Side/FICaNT O8 UNTERVAL MIBTORY Using beta-ganma survey meter MI-5, background reading .03 -.06 mr/br. No radicactive contemination found. (Uee additional setts Uf weceasnry) Ja. SUmMaARY OF BTFECTS ant O1ewonts (List diagmesss with tiem numbers) 7S, SECOMMENDATIONS—FURTHEN SPECIALINY ExauinaTions mmolcaTeo (Specn/y) 76, A. PHYSICAL PROFILE ® u h " e a 77. cnawiner (Check) a. 6 16 ovarieigo ron G. PHYBICAL CaTeeony sb. Os wor quacirino For 70. 10 NOT QUALIFIED, BIST CISQUALIFYING DEFECTE BY [Taal mubeca a 79. TYPED OF PRINTED MAME OF PHYSICIAN SrOmaTURE 00. Trego OR PAINTEC WAME OF PHYSiCran siamatuRe 81. TYPED OF PRINTED MAME OF DENTIST OM PHYBICIAN Uindhonts which) BISNATURE O2. TYPED OR PRINTED NAME OF AEVIEWING OFFICER OR APPROVING KUTHORITY SreMATUAL CARL L, HANSEN, Lt Col,USAP,MOWS e ¢ £ NUMBER OF AT= TACWED BHELTS CB. GOVERNMENT FRINTNE OFFICE, BEST AVAILABLE COPY 1087 D—~ehese