Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957

Text

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LITURGICAL LITURGS

VOLUNTEERS

J A LEB 1960

MEASUREMENTS AND OTHER FINDINGS

51. HEIGHT

73"

52. WEIGHT

210

53. COLOR HAIR

Brn Grey

54. COLOR EYES

Blue

55. BUILD

SLENDER

MEDIUM

HEAVY

OBESE

56. TEMPERATURE

NORMA

57.

BLOOD PRESSURE (Arm at heart level)

58.

PULSE (Arm at heart level)

A.
SITTING

SYS.

108

B.

-RECUM-
BENT

SYS.

DIAS.

C.
STANDING

(3 min.)

SYS.

120

80

A. SITTING

68

B. AFTER EXERCISE

C. 2 MIN. AFTER

D. RECUMBENT

E. AFTER STANDING
3 MIN.

84

59.

DISTANT VISION

60.

REFRACTION

61.

NEAR VISION

RIGHT 20/

200

CORR. TO 20/

20

BY

S.

OX

CORR. TO

BY

LEFT 20/

20

CORR. TO 20/

20

BY

Glasses

OX

CORR. TO

BY

62. HETEROPHORIA (Specify distance)

ES°

EX°

R. H.

L. H.

PRISM DIV.

PRISM CONV.
CT

PC

PD

63.

ACCOMMODATION

RIGHT

LEFT

66. FIELD OF VISION

64. COLOR VISION (Test used and result)

AOC 1940 18/18

67. NIGHT VISION (Test used and score)

65. DEPTH PERCEPTION
(Test used and score)

UNCORRECTED

CORRECTED

68. RED LENS TEST

69. INTRAOCULAR TENSION

70.

HEARING

RIGHT WV

15

/15 SV

15

/15

LEFT WV

15

/15 SV

15

/15

71.

AUDIOMETER

RIGHT

LEFT

250
256

500
512

1000
1024

2000
2048

3000
2896

4000
4096

6000
6144

8000
8192

72. PSYCHOLOGICAL AND PSYCHOMOTOR
(Tests used and score)

73. NOTES (Continued) AND SIGNIFICANT OR INTERVAL HISTORY

NONE CONSIDERED DISQUALIFYING

"I CERTIFY THAT I HAVE BEEN INFORMED OF AND UNDERSTAND THE PROVISIONS OF BUMED. INSTRUCTION 6120.6 (PHYSICAL EXAMINATION FOR SEPARATION FROM THE ACTIVE LIST)."

SIGN HERE

(Use additional sheets if necessary)

74. SUMMARY OF DEFECTS AND DIAGNOSES (List diagnoses with item numbers)

NONE CONSIDERED DISQUALIFYING

75. RECOMMENDATIONS—FURTHER SPECIALIST EXAMINATIONS INDICATED (Specify)

NONE

77. EXAMINEE (Check)

A. ☐ IS QUALIFIED FOR

B. ☐ IS NOT QUALIFIED FOR

PRE-RETIREMENT, IN THE U.S. NAVY

IS QUALIFIED FOR RELEASE TO INACTIVE DUTY AND

TO PERFORM ACTIVE DUTY AT SEA AND ON FOREIGN SHORE.

78. IF NOT QUALIFIED, LIST DISQUALIFYING DEFECTS BY ITEM NUMBER

79. TYPED OR PRINTED NAME OF PHYSICIAN

J. WARREN CAPT (MC) USN

80. TYPED OR PRINTED NAME OF PHYSICIAN

W.W. GILBERT CAPT (MC) USN

81. TYPED OR PRINTED NAME OF DENTIST OR PHYSICIAN (Indicate which)

G. N. CROSLAND CAPT (DC) USN

82. TYPED OR PRINTED NAME OF REVIEWING OFFICER OR APPROVING AUTHORITY

76.

A. PHYSICAL PROFILE

P | U | L | H | E | S
 |  |  |  |  |

B. PHYSICAL CATEGORY

A | B | C | D | E
 |  |  |  |

SIGNATURE

SIGNATURE

SIGNATURE

SIGNATURE

NUMBER OF ATTACHED SHEETS

U. S. GOVERNMENT PRINTING OFFICE : 1957 O--432298