Released under the John F. Kennedy Assassination Records Collection Act of 1997 (44 USC 27107 Hote). v9.1 Docld: 322784851 Page 1 DATE: 11-14-2017 JFK Assassination System Date: 5/27/201 | Identification Form ‘ Agency Information AGENCY: FBI RECORD NUMBER: — 124-10134-10127 RECORD SERIES: HQ AGENCY FILENUMBER:  67-494012-25 Document Information ORIGINATOR: FBI FROM: HQ TO: TITLE: DATE: 02/28/1953 PAGES: 2 SUBJECTS : JAMES P. HOSTY JR. DOCUMENT TYPE: PAPER, TEXTUAL DOCUMENT CLASSIFICATION: — Unclassified” RESTRICTIONS: 3 CURRENT STATUS: — Redact ’ DATE OF LASTREVIEW: 08/18/1998 OPENING CRITERIA: INDEFINITE COMMENTS : MED. RPT
DATE: 11-14-2017 RECORD OF PHYSICAL EXAMINATION OF OFFICERS AND. SPECIAL AGENTS (1-1-50) | 0) FEDERAL BUREAU: OF INVESTIGATION, U. S. DEPARTMENT OF JUSTICE Sci Wee weet ___AGE_ #8 YEARS, $ MONTHS i. NATIVITY(state of vires) aaah _aRTED, SINGLE, WIDOWED: Bawrisa _NUMBER OF. CHILDREN *_ FAMILY HISTORY _ Heal tots ne eH _ | 1 f | EYES: ‘PUPILS (size, shape, reaction ito light and distance; etc: ): nee “DISTANT VISION RT. 20/: ;  eorrected to 20/ LT. 20/22 = corrected to 20/0 te - COLOR PERCEPTION : Boe : ; (state edition of Stilling’ 8 plates or Lamps wea) DISEASE OR ANATOMICAL DEFECTS_. ary? EARS: _ HEARING ‘RT. WHISPERED VOICE___23/15' - CONVERSATIONAL SPEECH bed /15" = LT, , WHISPERED VOICE_. ee . CONVERSATIONAL SPEECH. 4/15! DISEASE. OR DEFECTS. 3 bye. we 2 eee ~ /“ a . a _ , (Disease « or anatomical: defect, obstruction,~-etc. State degree) | Horinad | ; TONGUE, PALATE, '‘PHARYNX, LARYNX, TONSILS, Sorsah em ee | , on coos er 7S : TEETH AND. GUMS(disease or anatomical- detect): _ Sorel | Saarinen ‘MISSING TEETH NONVITAL TEETH - Bene PERIAPICAL DISEASE : Sone. MARKED MALOCCLUSION.._—_—s— -.—C- SBOE PYORRHEA ALVEOLARIS. Sone TEETH REPLACED. BY BRIDGES _ oe a . DENTURES * REMARKS. av tate 20 2s 22 «23:24:25 26 27 26 20 «30 _ GENERAL: BUILD. AND APPEARANCE _ C TEMPERATURE - @ HEIGHT _ “12 “CHEST AT INSPIRATEON: “° WEIGHT 2 <__.. ~=CIRCUMFERENCE 0 ABDOMEN (“} RECENT GAIN OR LOSS,. AMOUNT AND CAUSE Li mhange. SKIN, HAIR, AND GLANDS___°|_ Bente NECK (abnormalities, a trachea, Jarynx)_ Boral
Released under the John F. Kennedy Assassination Records Collection Act of 19927 (44 USC 27107 Hote). DATE: 11-14-2017 ‘ a an THORAX (size, shape,’ movement, “rib cage, mediastinum) _— Fake a ee / 3: ~f(O437 _ RESPIRATORY SYSTEM, BRONCHI, LUNGS, PLEURA, ETC. ae _ nee See chest x-ray report 4 ad reserta. ae CARDIO-VASCULAR SYSTEM. marmeet EU HEART (note all? ‘signs. of cardiac “Tvolvemeat)_— fr cont “fy ~ . soe ve ~ a Tepe er ers ory ; . PULSE: BEFORE EXERCISE TB.sh sy a 5 ic SYSTOLIC. . . ‘AFTER EXERCISE “02 Cn = ee mee, qo. ‘DIASTOLIC 85 * HREE ‘MINUTES AFTER: 2 a mo - : THREE ‘MINUTES - = —_ Pold a - CONDITION OF ARTERIES oe - ~ CHARACTER: OF PULSE... ” * CONDITION “OF VEINS_ Ree “ _HEMORRHOIDS~- ABDOMEN’ AND: PELVIS (conditiono “Ot Wall séarsy herniae, abnormality of ‘Viseera). GENITO: URINARY SYSTEM - beso : URINALYSIS: “SP. GR.* VENEREAL DISEASE. ‘fone. = NERVOUS > SYSTEM Ro sivordé oe a i : het (organic ‘or’ functional. .disorders)* ROMBERG__BO PSE --_- INCOORDINATION | (ecits pgs nh, REFLEXES, SUPERFICIAL , Peeseat z Equal -peer(knee, ankle, .é1 Bou = rae _ TREMORS _ SEROLOGICAL TESTS. --: + BLOOD-TYPE it ont pts ABNORMAL. PSYCHE, neurasthenia, psychasthenia, depression, instability, worries). She searet he, ena eg ReTA OT, gee Lene cee tee te cer eee ng wn ee eae pe ors mee mete nem ee oe ee tee ee mete SMALLPOX VACCINATION: “DATE OF _ LAST. VACCINATION, TYPHOID PROPHYLAXIS: - NUMBER: “OF -GOURSES - eee — Mee a ee - _DATE OF LAST- COURSE ~ -+------— == REMARKS ON ABNORMALITIES NoT OTHERWISE’ NOTED: OR- “SURFICLENTLY DESCRIBED ABOVE_ fone oe. eee oe SUMMARY OF DEFECTS." ®@8@.07 0 ee CAPABLE OF PERFORMING DUTIES INVOLVING: a Sbrenasup ‘___ PHYSICAL EXERTION 1S THIS INDIVIDUAL PHYSICALLY FIT TO PARTICIPATE IN. RAIDS. “AND ‘APPREHENSION OF CRIMINALS. WHICH MIGHT ENTAIL THE PRACTICAL USE: OF, ‘FIREARMS _ PRR yes or ne) (when no is. -given state “eause)_ enna Pan No On bie ON nee FINDINGS, RECOMMENDATIONS ‘AND “REMARKS” (ee ‘per “boards7* Cohen necessary)... ee Z . SUNT. Denar EePGRT a SBevaad....--.-- - oe - Monn Cs DATE OF EXAMINATION. 36 ¥ob 53 | (AT Trae ria sf {7 2 aa A? EMPLOYEE'S INITIALS: 07} ee pe ae | i | Docld: 32264051 Page 3