Agency: HSCA
Originator: DOD
From: NIELSEN, D.E.
To: HSCA
Document date: 09/29/1977
Document type: LETTER

## Page 1

JFK Assassination System

Identification Form

Agency Information

Date:

10/1/201

AGENCY: HSCA

RECORD NUMBER:

180-10107-10235

RECORD SERIES:

NUMBERED FILES

AGENCY FILE NUMBER :

002420

Released under the John

F. Kennedy

Assassination Records

Collection Act of 1992

144 USC 2107 Note) .

Case#:NW 54756 Date:

10-31-2017

Document Information

ORIGINATOR:

DOD

FROM:

NIELSEN, D.E.

TO :

HSCA

TITLE:

DATE:

09/29/1977

PAGES:

207

SUBJECTS :

HALL, LORAN, MILITARY SERVICE

DOCUMENT TYPE: LETTER

CLASSIFICATION: Unclassified

RESTRICTIONS: 3

CURRENT STATUS: Withhold

DATE OF LAST REVIEW: 05/18/1993

OPENING CRITERIA:

COMMENTS :

Box 58.

v9.1

HH 54756

DocId: 32262166

Page 1

---

## Page 2

OFFICE OF THE SECRETARY OF DEFENSE

WASHINGTON, D.C. 20301

ITES OF AMER

September 29, 1977

Mr. James L. Wolf

Select Committee on Assassinations

U.S. House of Representatives

Washington, D.C.

20515

Dear Mr. Wolf:

As indicated in my letter of 21 September, additional Army records

in the case of Loran A. Hall have been located through the Veterans

Administration Headquarters in California. A certified copy of these

records is appended hereto as Attachment 1.

The documents provided do not constitute a complete service record,

since these were destroyed by the 1973 fire at the National Personnel

Records Center. However, the file contains substantial medical records

and substantiates military service by Mr. Hall as follows:

U.S. Army

Kansas National Guard

U.S. Army

9 Jan 47

20. Sep

47

30 Jun 48

17 Apr 47

29 Jun 48

4 Aug 52

Length of Service

Irs.

Mos.

Days

0

3

9

0

4

9

9

1

5

5

T

23

Sincerely,

asie

D. E. NIELSEN

Captain, USN

OSD/Special

Coordination Staff

Attachment

a/s

si;!

HH 54756

DooId: 32262166

Page 2

---

## Page 3

all

GENERAL SERVICES ADMINISTRATION

National Archives and Records Service

whom these presents shall come, Greeting:

rtue of the authority vested in me by the Administrator of General Services, I

on his behalf, under the seal of the United States General Services Administration

attached reproduction(s) is a true and correct copy of documents in his custody.

SIGNATE

NAME

Shiwan

DATE

P. CHRISMAN

Sept 27, 1977

if Resor de Bronstruction Branch

National Personnel Records Center

(Military Personnel Records)

9700 Page Boulevard

St. Louis, MO 63132

GSA FORM 6791C (REV. 3/77)

54756

DocId: 32262166

Page 3

---

## Page 4

002420

HONO PANCA

REPORT OF SEPARATION FROM THE

ARMED. FORCES

OF THE UNITED STATES IA

MARI

tomn "aig

1702244

HD PATE OF

1 5011

LAL BEPARATION ?.'

TYLE OF SEPARATION:

213 1n5 5

Mathsina

". COMPONENT

Spinpana

READOR AND AUTHORITY COM SEPARATION

+78: MA 615-360.33

10: DATE OF BIRTH

:! 11, PLACE OR BIRTH.

Eaten Anners

13. REGISTERED

Date

SERVICE LOÇAL BOARD HUNgER

Not amlicle?.

15. INDUCTED

NATED IN OR TRANGAERAOI

-abt

ANS OF ENTRY OTHI

10 "Ja

TIME OF ENTRY IM.

I CALLED FROM. iNCriVE DET

INTO ACTIVE SERVICE

20. HOME ADDRESS AT TIME OF ANTRY INTO ACTIVE SERVICE

(86. E. D. Couty, Cly and Sator

48

Stste) .

132848

13267 Haut St 5t

#TUTEMENT: OF SERVICE FOR PAY PIRPOSES

A. YEARS D. HONTHS & DAYS:

SPAT BEA

SERVICE COMPLETED FOR PAY PURPOSÉS EXCLUDINÁ

PAY

YEAR

LONET SIRVICE COMPLETED P

1. OTHER BERNICE (Act of 18 Jue 1942 as ame

aded) COMPLETED FOR PAT PURPOSES

TOTAL NET SERVICE COMPLETED FOR PAY PURPOSES

4

DRCORATIONDI MEDALS, BADGES, CE

SIMPATIONS, CITATIONS AND CAMPAIN BIBBONS AUREDED OR AUTHORIZED?

-ho II: (16 Bada)

StaY Deo 1283-3551273

NOSE SIANTRIEANY DUTY MESIGNMENT

Een D Seroics Mation, No 172,

MY ANY

Hone

іТУАці

70018:

•"*. 28.

10

13

.2O. WOUNDS RECRIVED AS A ARSULT OF ÁCTION ITH BARMY FORCES (Place and dace, il knowa)

SERVICE SCHOOLS ÓR COLLEGES, COLLEGE TRAININO COURGES AND/OR

MAJOR COURSE

"yarkally

7a rar Tamil irense school

Police

Plotci "al 45,

# 1U8

522,

mirer brunerababus

TO THE TREASURER OF THE

UNITED STATES

FORWARD

PAYMENTS FOR N.8.u.I.

TO THA COLLECTIONS UNIT

KKANHY.DONIN

BORWARD PAYMENTS.5OF

HAY-

TO COLLECTIONS DIVIS IN,

YANIKANS ATMINES

MAKING INSURANCE' PAYMONIS• DE BURE TO 'GIVE FULL NAMK, AND PERMANENT ADDRESS FOR MALING PURPOSES, BERVICE

KNOWIN

SA. MONTH NEXT PREMIUM DUE

1"1710,000.00

TOTAL PAYMENT UPON BEPARATION

5406.h7

D: DEMARKe, (Continue an reyerse)

mood Orap.

545724

it: Bamas $960000 pald by B

Ga stre

Hà 1

0H01. 9 0-903 1000 69%

28at.1029

18. HAIN CIVILIAN: OCCUPATION I

A5A MAHE AND: ADDR

• SE LAST CIVILIAN -EMPLOTERS

Пот 472: 8123 48

YKS 1.

РАЯ

MABITAL, STATUS 48. 'NON-SERVICE EDUCATION (Yeara

GRAM.

CHAN T

COL-

DEGREECE),

WARS- SCHOOL LEAK

FIRETO!

13

(St.,

It South 78n' So, Feston, Kaneo

Foran Eigene A022

Regional. Office, Having Jurisdiction Over The' Area Indicated

4

---

## Page 5

S. QUALIFICATIONS

REPORT OF SEPARATION FROM THE

ARMED FORCES OF THE UNITED, STATES

BRICE NUMBER

8, GRADE-RATE-RANK AHD DATI

NET ANTO BRANCH

OF APPOINTMENT

11z i2244 450

16p1 25 cct:50 (1) 86

G. KUKCTYK DATK OF

EPARATION

7. TIPE DE SAPARATIOS

1 cenarge

THORITY POR SEPARATION

18616-36 / (020)

16 dro

Tor

Moniton. Katisas

Kole

RACE .?.,

ATO'

SELECTIVE SERVICE HUMBKR.

16 FRUCTIVE ENVICE LOCAL BOARD NUMERA (Cly, Cou

COLOR HAIB

COLOR KYEE

Te dhouss

DAY

YEAR

1615

SEI

STED IN OR TRANSFERRED TO A RESENYE COMPONENT

COMPONKAT AND

BRANCH OR CLASE

17. MKANS OF ENTRY OTHER THAN BY INDUCTION

REENLISTID

TANTE

10. DATE AND PLACE OR KATRY INTO ACTIVE SERVICE

30

MONTH

st02s

PLACE (City and State)

Batatts torrany.

STATEMENT OF SERVICE FOR PAY PURPOSES

) SERVICE COMPLETED POR PAY PURPOSES EXCLUDING THIS PERIOD

COCHIZANT DISTRICT DE ARRA COMMAND

1 COMMIGSIONEO

1 CALLAO PROM INACTIVE DUrE

INTO ACTIVA SERVICE

20. HOME ADORESE AY TIME OF AUTEY ITO AGIVE SERIC (61, .D. Couaty, Cly 4 State)

-ZIA

LHLISTHENT ALLOMANCE PAID OH LETRATION OF

AMOUNT

SERVICE (Actof 16/une 1912 as amended) COMPLETED TOR PAY PURPOSES

5

A7. DECORATIONS, MIDALS, BADGES, COMMENDATIONS, CITATIONE AND CAMPAIGN RIEBONS AWARDEO OR AUTHORIZED

13

20. 70RK1GN

23

2 0478

_23

AMPLY TO CURRENT PERIOD OR SERVICE (UrEAS ather

Hone

, і клонд)

I SCHOOLS OR COLLEGES, COLLEÖE TRAINING COURSES AND/O

""HAOR COURSE

COMPLETED

Icue

ABSIRACE

Hono

nald thon duo,

LITe

making insurance pay nents he sure to

aGovernment LA malet

84. MONTH NEXT PREMIUM DUX

ASI FAYEN, UPO SEPARATION

38, REMARS

Tes inicah reverse)

VANCE INCLUDED

IN TOTAL PAYMINT

935,28

87, DISBURSING OFFICER'S MAME AND SYMBOL HUMBER

OF OFFICER AUTHORIZED TO BIGN

BROCA GrOug

Oct 49 30P P4550 Pala

DEADLIItY' & X1S+1IE 1I1OT tO AntIY IntO aCtiVA BOriICO

MAHK, OBADS AND TIYLA (Typod)

and not astravatad by islitary Service 58600-450-10

10, V.A. BENEPITS PREVIOUSLY APPUID FOR (Spectly")

Correnon Pinoon, troptanes dentrito cue

Huet sajutant

CLAIM NUMBER

DATES OF LAST CIVILIAN EMPLOYMENT!

PERSONAL DATA

CCUPATION

43. HAME ARO NODREES OF LAST CIVILIAN RAPLOYER

1d.

IS CITIZIH

7943

IRVICE EDUCATION

Hosten kanase,

TAR

SCHOOL

LICE

MAJOR COURSK OR FIELD.

47.

PARATION (SL, R.P), County, cly aldstate)

18, SIGNATURI OF PERSON BÉINO

adenic

3011 Baduced St (Labett Eo) Parsona Kaneua

DD FANS 214

ADMINIST ADMINISTRATION REGIONAL OFFICE

ESTRATION REGIONAL OFFICE HAVING

EISDICTION ELICES: TO VETERANS.

INDICATED IN ITEM 47)

---

## Page 6

409 C

ARW

not the elmite

SEPARATION QUALIFICATION RECORD

SAVE THIS FORM. IT WILL NOT BE REPLACED IF LOST

This record of job assignments and special training received in the Army is furnished to the soldier when he leaves the service.

'In its prepara-

tion, information is taken from available Army records and supplemented by personal interview.

The information about civilian education and

work experience is based on the individual's own statements.

The veteran may present this document to former employers, prospective employers,

representatives of schools or colleges, or use it in any other way that may prove beneficial to him.

LAST NAME- FIRST NAME- MIDDLE INITIAL

10. MONTHS 11. GRADE

MILITARY OCCUPATIONAL ASSIGNMENTS

12. MILITARY OCCUPATIONAL SPECIALTY

¡HALL LORAN E

2. ARMY SERIAL NO.

3. GRADE

$. SOCIAL SECURITY NO.

2

Put

BI BABIC

Training

(521)

17 224 450

Pvt

515

20 3802

5. PERMANENT MAILING ADDRESS (Streel, Cily, County, Slato)

120€ W.

6th,

Harvey

County

Newton,

Kansas

DATE OF ENTRY INTO

7. DATE OF SEPARATION 8, DATE OF BIRTH

ACTIVE SERVICE

8 Jan 47

17 Apr 47

4 Jan 30

9. PLACE OF SEPARATION

Sepnration Point

Fort Lewis, Washington

SUMMARY OF MILITARY OCCUPATIONS

TITLE- DESCRIPTION-RELATED CIVILIAN OCCUPATION

NO MILITARY ASSIGNMENT:

1CO FOR 100

H4 54356

DocId: 32262166

Page 6

This form supersedes WD AGO Form 100, 15 July 1944, which will not be used.

10-15815-1

---

## Page 7

MILITARY EDUCATION

11. NAME OR TYPE OF SCHOOL-COURSE OR CURRICULUM-DURATION-DESCRIPTIÓN

Completed 8 weeks of basic training course included map reading,

marksmanship, manual of arms, close order arill, first aid and

physical training. Performed dutles as company painter. Painted

signs and buildings.

CIVILIAN EDUCATION

15. HIGHEST GRADE

COMPLETED

16. DEGREES OR DIPLOMAS

17. YEAR LEFT

OTHER TRAINING OR SCHOOLING

SCHOOL

20. COURSE-NAME AND ADDRESS OF SCHOOL-DATE | 21. DURATION

2 yrs HS

None

1943

None

18, NAME AND ADDRESS OF LAST SCHOOL ATTENDED

Newton High School

Newton, Kansas

19. MAJOR COURSES OF STUDY

Academic

CIVILIAN OCCUPATIONS

22, TITLE- NAME AND ADDRESS OF EMPLOYER-INCLUSIVE DATES DESCRIPTION

TRUCK DRIVER, LIGHT: For 3 years previous to entering the armed

service was employed by the Dawell Incorporation, Newton, Kansas.

Drove and operated all types of heavy truoks including semi-

tanker.

Drove approximatly 150 miles per day over all types of

roads. Did day and night driving. Serviced, lubricated and mnde

minor repairs to the vehicle.

ADDITIONAL INFORMATION

28. REMARKS

Spoaks, reads and writes Spanish language.

24. SIGNATURE OF PERSON BEING SEPARATED

COUNSELOR:

25. SIGNATURE OF SEPARATION GLASSIFICATION

OFFICER

JUN 23 1947

Motomas Almatristraties

Wichte 15, Kers.

da fiscarit Dh.

Tal

Geddes

26, NAME OF OFFICER (Typed or Stamped)

ELDON M SCHMIDT

CWO

USA

MY U. S. GOVERNMINT PRINTING OFFICE

10-15818-1

1DS54756

DocId: 32262166

Page 7,

---

## Page 8

ками

ENLISTMENT RECORD

REGULAR ARMY

MY DALLA

DOU MAME

LR117224450

1262 Hest 6th Newton (Harvay Counts) Kansas

MAO ON FAUTHEN

DATE OF LUNATICAT

17224450

The un the cous o

82nd 1/B

DO NOT

U COLUM

23--

73:30

190147

Put

Ora Cro

UN DENTO MANIO

I out are on

1тh or braces

Hoto

котися тота

English

DECLARATION OF APPLICANT (See Ineizuction 7)

1, DATI OR MARTIA

Le January 1930

Lenton hansas

let vel ro, hole too, otto, and meter

Yos

I MUMBER OF ENCES COMMITED MA

Eight (8)

one (1)

* UNMAT IS TOLM CALAM TRAOX ON OCCUPA

Truck Driver

CU MUTHAT QUUTICATON ON OCCOAATION MINI FOR (Icemagis ContANageRy Clert, 1a

ок, у роі9 мі дой, а

None

Tro (2) - Yrs

Quine

1$50.00

* MAVE YOU EVER DUEN COMANCTIO OF

тет NO

on corn

No.

3

2

73

30

345

(7/ nod, ptor scorto:)

DATT ON NOCTITUNCE

7: Jamary 1917

Pereti

John Dooler 3/Set

Feet Score 45 Ded 7 Jan i1

4.A90 19T 21 Pro dion in cele

130m o

---

## Page 9

INSTRUCTIONS

GENERAL

FOR THE PREPARATION OF THE ENLISTMENT RECORD

marked

Sard ora rated no fed pa de. no Lined Reare Com to Aay / A Care Brat Army Rose, National Guard,

9. Under the heading, "Remarka" (Page 1) will be nored any authorized special assignment.

FOR THE PREPARATION OF DESiGNATION

OF RELATIVE TO SE PAID SIX MONTHS' GRATUITY IN CASE OF DEATH

10.

Every enlisted

December 10, 192 (So Ves

designation

dependent enli

of Applicant

or pe

regarding his ri

Names and addr

18.

in full, and at

The signeture

18.

daly

Dest antil the enline

tion the rod el die ot

And Dor

Wille being weed when practicable:

Except la aigriatara, rames will be writi

Mtosssed by the recruiting oncer or other arallable commladloned offcor.

limbla as beneñclar

• made on Designation (

15. Indicate initial assignment of all

enliatoce, I! knows, sibesquent to the tine the applicant takos the Oath of Enliatmeat:

UMASSIEMED

OTHER

(1).

---

## Page 10

•TATE CA

OATH AND CERTIFICATE OF ENLIST

Riley, SaneRe

oran

Loran & 24l

47

DHARD A MORE, Ot, 1O Sumity Court

Турой хатам, пола.

alicia on

NEAREST RELATIVE AND PERSON TO BE NOTIFIED

Macle D. Ball

126} 0 6th Neyton Kansas

tree or noted route 11 seat, to dide; ofy, 10m

Lo ther

or dared, no need

None

None

JAcKS Hell (Cather) Wat Verton Kansas

Zoron ENal

..an

It. Riley, Kansas

9 In A7

---

## Page 11

Dra

Pauddy

1 COLOROT ME

BLack

Buo

152

# AULA

81

120

ONS

NO TUAL

Hore

Hone

Nono

86

сита 70

Rog

7 san 117

kite

9 Jan 47

INTELLIGENCE STANDAROS

curse

4117÷81

и по вилі псами то

orate Chee

28

-

Non

i Normal

Negat I've

Normal

53N0 ml

Hone

None

Last a locodie, sumpton te

Nomi

• Зени

IT LEGREAVES

inla space in the dase of ovary mari on

---

## Page 12

BORAN BO

MSH OUD

KISHION.

RANSAS

andent

EPORT UP OH SICAL EXAMINATION OF ENLISTED PERSO

D DISCHARBE RELEASE FROM CTIVE DUTY OR RETI!

17224250

BVS

27)

52205750

abing ca

•503

190

Quase 221

K20: 0: 4008

20 ONT

nona

suight rough apter

Salopemail

21000B

30B *5

: 46

abrormaiittes

posmay.

Пітос

0000

192020°

Done

216"

J08

8•dpt

BB Born La

5144

* 17 HOCH CAPT ME

0000 38

Bot I

0

hone

none

1767

none

90.

70

168

normal

none

Move

fahn negative

SO FOSE

H# 54756

DocId: 32262166 Page 12

---

## Page 13

.200

oso c c choc c oi

•a l dịa tợi quoc đhag d bu

buợt nà êo dhấ cón Hợng đoạn

CEaN TEsCS CrITaI

TO CUN CE CRE CC

OGINADOCE

70

HH

51756

DocId: 32262166

Page 13

---

## Page 14

'DISPOSI

PARA

BOARD PROCEEBINGS DO

•SPICERS

MUME MOO LECATION LF HOSTIN SHEE DO

JAF, CA? CELiFES,

ARKANSAS

T LAST MIME-FINGT MAME-MIDOLE INITIAL.

HALL, LORA! E.

" UNT ORGANIZATION REINET, SOLORON GROUP COMIN

505th AP CO

II CIRCUMSTANCES UMDER WHICH AOMITTED TO HOSPITAL (CMON ON ADMISSION)

Psychiatric evaluation

13 MINTARY OCCUPATIONAL SPECIALTY (MILE)

None

* ARMY SERIAL NO.

RA17224450

INDICATE

& DATE GE MEETING

5 GRADE

18 ARM OR SERVICE

18 July 5

AGEIN YEA

Cpl

ARTY

O DATE ADMITTED

22*.

IO TRANSFERREO FROM (ACUITY

10

Jul 521

Diroct

CANED OR CON ELSE I IN COMMIESTONE STATUS NO WETHER

I. No

Я PRECIS.

E OFFICER TO HAYE THE FOLLOW

j. Bpa2op85, grand mal. NUD BPTS. Soldior is unfit for full or modified cuty..

Physical Profile lllll-D.

(2.73211-13)-

нцітко

WAIT

CONTER ONE DATE)

10

Jul 52

(ORTER KAON ORTI)

191;6

YES

YES

(2)

74 TOTAL

25 PERMANENT

ROPRIATE ITEMS)

Z6 TEMPORARY 2 NONE

TYPE OF SERVICE RECOMMENDED (CHECK ONE

1. GENERA

UMTORY

TSI NONE

FOR O

OVER!

JU STATE DISABILITY BRIEFLY IN MONTECHHICAL LANGUAGE

Soileptic seizures = no treatment available.

1 THE BOARD RECOMMENDS THAT?

Individual be dischargod from military service for the convenience oritne

government under provisions of SR 600-450-10:

¿ SIGMATURE OF BOARD MEMBER REQUIRED (PRESIDENT)

AME SADE AN OR SANCE I EL

FOARD C. REID

CAPT.,

Je FOSITION VACANEY EXISTS

CITE APPLICABLE WAR DEPARTMENT DIREGTIVE

MANE GRADE, ARM OR SERVICE (TYAS)

PETER E. REGAN III

'IST LI.,

HAC

39 DATE APPROVEO

JUL

22. 1952

SIGNATURE OF C. O. OF. MOSPITAL

SIGMATURE OF LIAISON OFFICER

SIGNATURE OF THIRD MENDEN NO ROUTE

NAME GRADE ARM OR SERVICE (REOUIRED)

JACK E: PRESBERG

IST LT.,

10 DATE APPROVED 24. JuLy 1952

BY CORE ANDR JEEUTY OF STATION

BRIGADIER GENERAL MITCHELL:

THAME, GRADE, TITLE (TYA.)

NAME AND GRADE DE LIAISON OFFICER (TYNE).

MAME, GRADE, TITLE (TYPE)

R. A. MURCHISON

colestin,

iC

41 HUATE DEPARTURE

MO AGO

F045 8-118

?

CARL 1 ABLE, MAJOr AGO, ASStAG

I PREMARKS

in a white Me Signatura cunsituros approra.

Any knowa delou upoa, entry oa duly on è commissioned itatus for mbich a

ananacios batter of aspints not authorladd to lasue or den

T U, B, BOrEANMENT PAINTINO OTER 18--A3400

---

## Page 15

EL

MSTMENT RECORD

SEROLO

REGULAR ARMY

RECRUITING M. IN STATION

TA 2 2284

450

(See Instruction 3.)

ME ADDRES

i entreat honor

1.0

PLACE OF ENLISTMENT

Flahsta, Kansas

LENGTH OF ENLISTMENT

Word and

Thrdo (3)

YRS.

PARVICE COMPLETED FORLONG S

• RA RESERVE

IMPANY, REGIMENT, ARM OR SERVICE, AND MAJOR FOR

TO D 180th Tong BE RA

• FEDERAL NATIONAL GUARD

LAST ENLISTED SERVIC

I STATE MATIONAL GUARO

AUS ENLISTED

DATE OF DISCHARGI

17 Apr 41

otherroise assion new

so. erned, tip i serial number other a data, deco

DECLARATION OF APPLICANT (See Instruction 7)

1. DATE OF DIRTIER SO

2, RACE (SE In 60)

I NUMBER OF GRADES COMPLETED IN GRAMMAR SCHOOL

A ARE YOU A CITE OF THE UNTED STATES, (/8 delalized ellizen, stale hol, when, and uhere naturalized.)

7. YEARS COMPLETED IN COLLEGE OR UNIVERSITY

& NUMBER OF GRADES COMPLETED IN HIGH SCHOOL

2. WHAT IS YOUR CIVILIAN TRADE OR OCCUPATION?

3. HOW LONG

Iruok DrIVET

(Example- Cook, company clerk, radio

operator, supply sergeant, elc.)

12. MARITAL STATUS

DIVORCED

• MARRIED

_ WOKER

12 IS ANYONE DEFENDENT ON YOU FOR SUPPORTI

14. NUMBER AND RELATIONSHIP OF PEOPLE DEPENDENT ON YOU FOR SUPPORT

WOND

15. HAVE YOU EVER BEEN CONVICTED OF

A FELONTI

ANY OFFENSET DO

16. HAVE YOU EVER BEEN IMPRISONED UNDER SENTENCE

OF

17. HAVE YOU EVER BEEN DISCHARGED OTHER THAN HONORABLY FROM THI

U.S, MIL. OR NAVAL SERVICE, THE MARINE CORPS,

NAT. GUARD IN AN ACTIVE, INACTIVE, OR RESERVE STATUST

STARST WED OR

39) Kans NG Fr. 20Sept47 to 29 Ju

18. HAVE YOU EVER PREVIOUSLY APPLED FOR ENLISTMENT AND BEEN REACTED? (/80, toe dee, place, and cause of rejection.)

DO NOT

USE THIS

COLUMN

21 TO THE BEST OF YOUR KNOWLEDGE AND BEET. ARE YOU NOW SOUND AND WELL? (1/ not. toe desalio)

12994

22. DO YOU KNOW THAT IF YOU ARE REJECTED BECAUSE OF ANY DISQUALIFICATIONS KNOWN TO YOU AND CON-

23. DO YOUATIOI THAT IF YOU SECURE YOUR ENLISTMENT BY MEANS OF ANY FALSE STATEMENT. WILLFUL

CEALED FROM THE ACCEPTING OFFICER, YOU WILL NOT BE FURNISHED WITH PAJIRN TRANSPORTATION TO

O TRIAL BY COURT MARTIAL FOR FRAUDULENT ENLISTMENT

OR CONCEALMENT AS TO YOUR QUALIFICATIONS FOR LEMENT, YOU ARE LIABLE

I DECLARE THAT I AM NOT NOW A MEMBER OF THE ARMY (Officers' Reserve Corps, Requiar Army Reserve and Enlisted Reserte Corps escepled) NAVY, MARINE CORPS, NATIONAL GUARD, OR COAS

OR RETIRED STATUS: THAT THE FOREGOING QUESTIONS AND MY ANSWERS THERETO HAVE BEEN READ TO ME: THAT MY ANSWERS HAVE BEEN CORRECTLY RECORDEL

AND ARE

TRUE IN ALL RESPECTS AND THAT I FULLY UNDERSTAND THE CONDITIONS UNDER WHICH I AM ENLISTING

DATE OF ACCEPTANCI

1988

KANSAS KIS

28 tux

ADE AND ORG!

SORUITING DISTRICE

SIGMATURE ARE LINT

cran

MAME AND GRADE OF CANVASSER

aY (Simpalute of recreiling officer.)

поля

Goorge E sundorf, 1/Sgt

GRADE AND ORGANIZATION OF RECRUTTING

orget Lt Int

BRUTES UNDER NO UNTIL 12-18, RAY

REMARKS

10-48186-2

Previous editions are obsolete.

(1)

12

---

## Page 16

OATH AND CERTIFICATE OF ENLISTMENT

Kansas

STATE OF

CITY, TOWN, OR MILITARY POST.

#lohita

TO HAVE VOLUNTARLY ERISTO THIS

Loran Eugono Hall

(Firsi name- Middle name Last name)

Jung

, A CITIZEN OF THE UNITED STATES, DO HEREBY ACKNOWLEDGE

PERIOD OF.

Three (3) years@

- UNDER THE CONDITIONS PRESCRIBED BY LAW, UNLESS SOONER DISCHARGED

(Words and figures inilialed by soldier)

BY PROPER AUTHORITY; AND DO ALSO AGREE TO ACCEPT FROM THE UNITED STATES SUCH BOUNTY, PAY, RATIONS, AND CLOTHING AS ARE OR MAY BE ESTABLISHED BY LAW; AND I DO SOLEMNLY SWEAR (OT A fITTI) THAT

I WILL BEAR TRUE FAITH AND ALLEGLANCE TO THE UNITED STATES OF AMERICA; THAT I WILL SERVE THEM HONESTLY AND FAITHFULLY AGAINST ALL THEIR ENEMIES WHOMSOEVER; AND THAT I WILL OBEY THE ORDERS OF

THE PRESIDENT OF THE UNITED STATES, AND THE ORDERS OF THE OFFICERS APPOINTED OVER ME, ACCORDING TO THE RULES AND ARTICLES OF WAR

SIGNATURE"

760

I CERTIFY THAT THE ABOVE OATH WAS SUBSCRIBED AND DULY SWORN TO BEFORE ME THIS?-

30

_ DAY OF

June

_A. D. 19. 488% FURTHER CERTIFY THAT THIS

SOLDIER WAS MINUTELY INSPECTED BY ME PREVIOUS TO HIS SUBSCRIPTION TO THE OATH; THAT I FOUND HIM ENTIRELY SOBER AND IN FULL POSSESSION OF ALL HIS MENTAL FACULTIES: THAT TO THE BEST OF MY

JUDGMENT AND BELIEF HE FULFILLS ALL LEGAL REQUIREMENTS, AND THAT IN ENLISTING HIM INTO THE SERVICE OF THE UNITED STATES I HAVE STRICTLY OBSERVED THE REGULATIONS WHICH GOVERN THE RECRUITING

SERVICE I FURTHER CERTIFY THAT THE ABOVE OATH, AS FILLED IN, WAS READ TO THE APPLICANT BEFORE HIS SUBSCRIPTION THERETO.

всебу

AUBREY J SPELTON,

(Type name, trade, end organization of re 5g often,

summary Cowet .

1 Carefully compare with the name at top of page 1.

& The dates in the osth and certificate must be the same.

3 The signature must be identical with that subscribed to Declaration of Applicant.

NEAREST RELATIVE AND PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

FULL MAME OF NEAREST RELATIVE (Other than wife or minor child.)

Hire Mario Adolla Fall

RELATIONSHIP

ADDRESS (Number and street or rural roule- If nonc, so siote; citu, town, or post office; Stale or country.)

Hother

126- West 6th Ste, Newton, RanGes

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY.

Mrs MarLe Adolle iall

RELATIONSHIP (1) friehd, so state.)

ADDRESS (Number and street or tural roule I| none, so state; cily, town, or post office; Stale or couniry.)

Mother

126x West 6th St., Newton,

DESIGNATION OF BENEFICIARY

THE PERSONS ELIGIBLE TO BE MY BENEFICIARY ARE DESIGNATED BELOW:

1. FULL NAME AND ADDRESS OF WIFE (1/10 wije, or i she is deceased or divorced, so state.)

None

2. FULL NAME AND ADDRESS OF EACH MINOR CHILD AND EACH DEPENDENT CHILD OVER 21 YEARS OF AGE

(If there are no children, so slate. If the address is the same as the wife's, so state. Do toot

repeat address.)

None

& IN THE THE US NY LEAVING NO WIDOW OR CHILD. OR THEIR DECEASE BEFORE PAYMENT IS MADE, IT/

EN DESIGNATE ASIY BENEFICIARY THE FOLLOWING RELATIVE (Give name, relalionship and address.)

(see Instruction 10.)

Mario Adolla

"Hall, Hothor, 126) West 6th St. anton, Kansas

& IN THE EVENT OF THE DEATH ORe Instruction 10.)

OR DISQUALIFICATION OF THE LAST-NAMED DEPENDENT RELATIVE BEFORE PAYMENT IS MADE, | THEN DESIGNATE AS MY BENEFICIARY THE FOLLOWING RELATIVE (Give name, relalion.,

Ur Jaok F Hall, Father, 146 fest 6th St., Newton, Kansas

SIGNATURE OF ENLIS

IN (First namo

Middle iniliah lost na

DATE

Fiohita,

Kansas

CORNAME GRADE, AND ORGANIZATION OF WITNESS ATTESTING

I SEELTON, lst It

summary Court

13

30 Jun 48

SIGNATURE ST- WITNESS

10-48404-1

---

## Page 17

PHYSICAL AND MENTAl EXAMINAT

LUST MAME FIRST ME MIDDLE MAME

ARMY SERIAL NO.

Fell-Loren Eugone

RA 17 224 450

Whito

DATE OF ENLISTMENT

30 Jun 48

1. MEDICAL HISTORY-THE MEDICAL OFFICER WILL ELABORATE UPON THE CONDITIONS LISTED IN ITEM CONCERNING PHYSICAL DEFECTS AND USE OF HABIT-FORMING DRUGS ON PAGE ¡ AND UPON ANY OTHER KNOWN MEDICAL

PARt

(If necessary, use additional sheel of paper.)

INTELLIGENCE STANDARDS

QUALIFICATION TEST (FOrm Used)

HIGH SCHOOL GRADUATE?

DO YES

&. COMPLEXION

Freddy

4, COLOR OF HAIR

Black

& POSTURE

Good

8. HEIGHT (Inches)

77}

ENGLISH SPEAKING?,

• NO

M2Arp.e4115.41140111120.92191

117-11

STANDAR VES

• TEETH (Indicale restorable carious leeth by O: nonrestorable carious leeth by l, missing natural leeth bu X, leeth replaced 6

neuro horizontal line over X as XXX and teth replaced bu fixed bridge oval to include abulmento as $X6

- 028881

EXAMINEES

RIGHT

LEFT

VISION

7. FRAME

Medium

9. WEIGHT (PoLEnds)

189

CORRECTED

- 15

18 MOUTH AND GUM ABNORMALITIES

16

20, MEASUREMENT OF ABDOMEN

AT UMBILICUS

32

INCHES

RIGHT EYE 20/20

RIGHT EYE 20/

21. EYE ABNORMALITIES

None

22 EAR, NOSE, AND THROAT ABNORMALITIES

Nono

LEFT EYE, 20/

20

LEFT EYE 20/

18. HEARING (Whispered voice)

RIGHT EAR 18G LEFTEAR

12 PULSE

STITING

MA VARDIONISH AR 919124

Normal

75 115

24. LUNGS

88

:AFTER EXCERCISE

2 MINUTES AFTER EXERCISE

88

19, BLOOD PRESSURE

SYSTOLIC

-210

: DIATOLIC

14 URINALYSIS

SP. GR

Clear

12 Qs. CHEST X-RAYS

26. SKIN

Clear

80

28, HERNIA

27. VARICOSE VEINS

Hone

29. HEMORRHOIDS

None

1.020 SUGAR

Neg

ALBUMIN

MOg ICROSCOPIC 1

15. NEUROPSYCHIATRIC.

Enlanged Ring L & R Side

SO. ABDOMINAL VISCERA

Normal

S2. MUSCULO-SKELETAL DEFECTS

Normaty

• 16: ENDÓCRINE DISTURBANCES

34. RESULTS OF LABORATORY EXAMINATIONS, WHEN MADE

None

86. REMARKS ON DEFECTS NOT SUFFICIENTLY DESCRIBED ABOVE (Use addilional sheets if necessary.)

formal

23. FEET

35. BLOOD SEROLOGY

S8, SUMMARY OF DEFECTS IN ORDER OF IMPORTANCE, IMPRESSION OF PHYSICAL FITNESS

28. 1 CERTIFY THAT I HAVE CAREFULLY EXAMINED THE APPLICANT AND HAVE CORRECTLY RECORDED THE RESULTS OF THE EXAMINATION; AND THAT, TO THE BEST OF MY JUDGMENT AND BELIEF 8

CHEES MENTALY AND PHYSICALLY QUALTED FOR SERVICE IN THE UNITED STATES ARMY IN A GENERAL SERVICE CAPACITY.

A. HE IS ] PHYSICALLY MENTALLY DISQUALIFIED FOR SERVICE IN THE UNITED STATES ARMY BY REASON OF,,

PLACE

Wichita, kansas

DATE

NAME (Typed or slamped)

GRADE

29 Jun 48

÷...

MAURICE M TINTEROW •

1 Whon indicated.

& Check blooks indicatod.

Page 3 Of WD AQO Form 81. 1 Moy 1946

FINGERPRINTS-RIGHT HAND

(Fingerprint impressions will be made in this space in the case of every man enlisting and reenlisting in the Regular Army)

THUMB

'INDEX.

MIDDLE

RING

LITTLE

10-181051

H4,

-B0IC:7075316611

579-1 Air ans

---

## Page 18

ARMED FORCES MODIFICATION

PAOLATE FARE 194

BY NOREAN OF THE BODORT

CIRCULAR A-24

IT OF MEDICAL EXAMINATIO

coin

INSTRUCTIONS,FOR PREPARING THIS FORM.-N. S. A. represents No Significant Abnormality.

In Items No. 20 through

No. 41, if abnormal, 'describe in space of each heading, or under' No. 42, "Remarks.'

or if necessary on additional sheets the same

size.

Write on each sheet name, date of birth, and identification number.

1. LAST NAME-FIRST NAME-MIDDLE NAME

2. PLACE AND DATE OF EXAMINATION

Harde

Loren

Eugene

2 DATE OF BIRTH

AGE IN YEA

ST BIRTHD

5. IDENTIFICATION NO.

Dot 0 7770 Mod Dote APU 172.

4 Jen 1930

21

RA17224450

*7. SERVICE, DEPARTMENT. OR AGENCY

Discherge & Reenlistment

8. COMPONENT AND BRANCH

9 ORGANIZATION A PO 172

10. GRADE, RATING, OR POSITION

US Army

MPC

521st MP Svc Plat

Cpl

IT. SEX

12. RACE

W

13. HOME ADDRESS (Street, Or RD number, cily, zone, State)

111 South East 7th,

Newton, Kansas

15. OTHER DATI

_Same as $13

16. RATING OR SPECIALTY

17. MEASUREMENTS

HEIGHT

WEIGHT

SELECTIVE SERVICE NO.

Mone

677

(Time in this capacity) TOTAL

2 Yrs

LAST 6 MONTHS

18. BUILD

(Including frame ond figure)

677

19 TEMP.

MEDIUM

SLENDER

HEAVY

ODESE

20. SKIS INCLUDING KAIR DISTRIBUTION, THICKNESS OF MAILS, TATODING, AND SCARS

98.2

See Per #42

INS.

21. LYMPH GLANDS AND LYMPHATICS

N. S. A. D$

22 HEAD, FACE, AND NECK-N. S. A. CA

21. EARS-A CANALS, EXT. EARS-N. S. A. L

23. NOSE, SINUSES, MOUTH, AND THROAT-N. S. A. XI

8. DRUNS-NO PERFORATION DiM.S.A. DA

C. HEARING (Whispered and spoken, quice at 15 fl.)

RIGHT WY 15 /15:

sy 15/15

LET WY 15 115:

SV 15/15

D. AUDIOMETER

DENSES

256

512

1024

2043

4096

8192

RIGHT

25. EYES-A. EXTERNAL EYE, RIGHT EYE-N.S. A. X LEFT EYE-N.S. A. LA

LEFT

B. FUPILS-EQUAL [2 NORMAL TO ACCOMMODATION [ZE TO LIGHT EXI

C. ASSOCIATED PARALLEL MOVEMENTS, NYSTAGMUS-N. S. A. DI

D. DISTANT VISION

RIGHT 201 20 CORR TO 201

LEFT 201 20 CORR. TO 201

BY

cx

G. COLOR VISION-N. S. A. [X

M. HETEROPHORIA

(Specifu dislance)

TEST USED

ES°

M-2 PIP

EXO

R. H.

L H.

Test (18 foot) Orthophoria

1. RED LENS-N. S. 1. O

J. FIELD OF VISION RIGHT -M. S. A L LEFT-N. S. A C

At 14 inche

NAMS Witz fest Cher

R-1

CORR. TO

BY

• OPHTHALMOSCORL

-RIGHT-N.S. A. MA

EFT-N. S. A. T

M. ACCOMMODATION-RIGHT

LEFT

PRISM

DIVERGENCE

K. DEPTH PERCEPTION

TEST USED

SCORE

N. NIGHT VISION

TEST USZO

SCORE

PONVERGENGE

XX

uL

_ MALOCCLUSION N. S. A. 12

_ PERIODONTOCLASIA-N. S. A. [8

_GINGIVITIS- N. S. A. (2

REMARKS AND DISQUALIFYING DENTAL DEFECTS

ANNANXEN

CLASS:

LR

27. PULSE RATE AND BLOOD PRESSURE (Arm al heart leoel)

SITTING: PULSE

74

B. P.: S.

80

120

D.

122

70

STANDING (3 mitь.): PULSE

B. P.: S.

23. LUNGS-N.S. A. IS

Cheste to Sad,

22. CHEST-N. 5. A. (X

X-RAY

NOT DONE L

82

(include bre

• for females)

II

RECUMBENT: PULSE

60

SITTING: PULSE AFTER EXERCISE

30. HEART-N. S. A. (X

88

B. P.:S. 118

: 2 MIN, AFTER

68

74

31. EKG-N. S. A I NOT DONE A

32 VASCULAR SYSTEM-A ARTERIES AND VEINS-N. S. A (X

B. VARICOSE VEINS- NONE 22

15

AG1(3) 12-48-5004-15205-5418

---

## Page 19

28 ABDOMEN, AND VISCERA-N. S. A. D

A. LIVER-N. S. A.[] B. SPLEI

See Par #42

34 HERNIA. (15 present describe location, size, shape, reducibility) (Complele or incomplete)

NONE DA

25. ANUS AND RECTUM-HEMORRHOIDS. FISTULAE, OTHER ABNORMALITIES

N S. A. 1X)

JE. VENEREAL DISEASE

MONE D

3& GU SYSTEM

N. S. A. & (Include prostate exam. i/ indicaled)

SO. SPINE AND EXTREMITIES A. BONES-JOINTS- MUSCLES N. S. A. |8

C. GAIT-N. S. A. OXI

1. S.A. IXI C. MASSES- MOME DI

37. ENDOCRINE SYSTEM

PELVIC-M S. A C

B. FELT -N. S. A. B

VAGINAL DONE I OR RECTAL DONE O

TEST USED

SOORI

A. NEUROLOGICAL-N. S.A. [I B. PSYCHIATRIC-N. S. A. 2)

C. PSYCHOLOGICAL

I BORATORY MESSAGEROLOGY

7 B. URINALYSIS

rESTING

TEST USED

SUGAR

C. BLOOD TYPE AND CLASSIFICATION USEC

NeT,

Kahn-Neggtive

1.028

NO.

SP. GA

"A" Intornational

MICROSCOPIC

D. OTHER LABORATORY EXAMINATIONS

Negative

None

D. PERSONALITY

DEVIATION

YES

cr'plain

NO X

recommendation

under llem No. 42)

Rh factor Positive

"ar #20.

appondoctomy 1039.

sure leg becalde, chronio lichan right hand

tar #33.

slight enlargement of lIver.

Possible HepatItis In 1548 .

Patient

Field Hospitel Regensburg, Germany.

no other significant history.

PHYSICAL PROFILE

REMARKS (If "Phys

tion)

¡cal Category" is

other

than

A.

spocify

PHYSICAL CATEGORY (Check)

• FURTHER SPECIALIST'S EXAMINATION INDICATED ' YES X NO. IF YES. SPECIFY.

EXAMINEE (15) OR (IS NOTY" STrIKe OUL ONE) QUALIFIED FOR...

Active Duty

TYPE OF QUALIFICATION.

Gonoral Servies

IF NOT QUALIFIED, LIST DISQUALIFYING DEFECTS AND RECOMMENDATIONS -

such classifica.

4 SIGNATURE OF PHYSICIAN

A3. SIGNATURE OF PHYSICIAN

R.

sie

LATURE OF DENTIST OR PHYSICIAN' (Indicale which)

Wm

T, SIGMATURE OF REVIEWING FAICER

Ш. Я. СОРЕАНІ

NAME TYPED OR PRINTED

ENRICO D. CARRASCO, Major

MC

NAME TYPED OR PRINTED

DONALD R. KORST, Capt MC

NAME TYPED OR PRINTED

WALTER W. TUCKER,

lst Lt DO

NAME TYPED OR PRINTED

IMTING ORRICK 10-86682-1

---

## Page 20

REPORT OF PHYSICAL EXAMINATION OF. ENLISTED PERSONNEL

PRIOR TO DISCHARGE, RELEASE FROM ACTIVE DUTY OR RETIREMENT

Last nomo "irst samo Middle initici

2 Arzay Borial Number

S. Ciradio

J. Logimont, arm or service

BALL, LORAN E•

17224450

PVT

1. Fermonent malling addrese

76.

126- WiSH oth

Color Y. you. 101 8. 803 -

9. Syphille Register

In S/R?

Closed in S/RIT°

NEWTON, KANSAS

17

Tes or tia

Yes or No

STATEMENT AND MEDICAL HISTORY OF EXAMINEE

I As lom poseal time do you have my wound, infury or diseaso whidi in disablingt It anower is you, lini thone conditions lirat undor

Yes or No

TIO

11. Let all algnilicant diseases,

PD 5°

nO

murmur 91944

Injury

of spine-1945-In Army Feb 47

Madigan Ga, Fn.

(over)

RECORD OF PHYSICAL EXAMINATION

12 Tole may to reta al or by date borne to a i a it be placed

by fixed bridge, oval lo include abutmente, as CIE

RIGHT

class 111

EXAMINE'S

LEFT

13

12

11

10

Is. Mouth and gum abnormallies

none

14. Dental protherls: Serviceability

15. SEn

10 11 12

13 X

16.

Genito-Urinary (ind palvia for women)

none

17. Venereal diseasos

Bight rectus scar 4"

18. Varloozo voins

normal

19. Heralo

none

%. Anus and Rectum

nOne

21. Musculoatalotal dolecio

nOne

" Stight rou

rough apical

ayatolic murmur

T. Lungi

ormal

Nourologieal dagnosis

normal

34. Eyo abnormalties

nOne

3%. Eat, gozo, brock, abnormalities

none

Untimely

Yos or No

Yes or No

Conditio 1at.

по "і

88. Romarks, spocial festo, or other dotects (Continuo on back) 1180

nOne

22. Foot

normal

25.

Blood pre

Systolic

108

Diastolla

8. Chest X-ra

no

signiti cant

abnormalities

32. Paychlatria diagnosis

normal

35.

• Uncorrected

•Vielon

Costecter

Right aye

Left oyo

Right ayo

aft oye

20

20

201

38.

20/

20/

20/

Hearing (Whispered voice)

Right oor

Loit ear

15

15

41. In yoursed lon

"ine of guyd, ajury, or disass

YoR or No

1lb

yes

normal

23. Abdominal Wall end, Viacera

normal

sitting

Pulse

Immediately after

90

2), Height (5h001o8s)

70

In.

33. Endocrine aysiem

normal

36.

Urinalysis

Sp. Gr.

Albumin

Sugar

nOne

none

39. Blood serology result

Kahninegative

42 In your opinion does

standards for discharge?

Il not, state why

o mini

эт отет

"30. Woight (Stripped

168

Lubs.

Mico, 69

Yea or No

yes

44. Date of oxcmination

-8.Apr 47

45.

Location,

46. Typed name and grade

Et Lewis Wn

C W HOCH CAPT MC

WO AGO FORM 38

DEC

1844

This form

Form 48,

supersedes

15 May 194

17

47. Signatur

Crabock

Angel are shoot so i san Coperal

Work sheet

detect indicated. Sheet 3. Word abre Reports form (WD AGO For 38-1)

10-10703-8

# U. 8. 604194424Т FRINTIMO OFFICE

HE 51Z5E RoOId:32262166 PadE 20-44

---

## Page 21

Joo that space lor a coalinuation of romarks or othor delecia from the reversà side only.

C. Appendectomy-1939

121113)

yes

nO

909519974394 PeTaR

.L161 8Z

Гет

REPORT OF BOARD OF REVIEW

(Sco Instruction 2)

Fross a caraful-contidoration of the case and a critical examination ol the onlinted porton, wa find that;

1. Ho meots physical and mental standards for discharge.

2. Ho moots physical and mental standards los discharge axcopt.es tollows:

Yos or No

3.. The dolect, wound, injury, or diracue la likaly lo result la untimely death.

• A. The dolect, wound, injury, or disease in likuly so rosult in permomont dinability.

3. In our opinion, tho dolect, wound, Injury, or draced wan incurred la line of duty in the sallery servico of the United States.

Typed namo

Grade

Signature

M. C.

Dạng

Typed name

Grado

Signature

M. C.

JESTRUCTIONS:

le This report will bo

declaration

2. Il the decret lo a board

nlisted man under item

3. Roport will be propared in duplicate. Each item provided for will be complied with an appropriato notation. The original will be algned.

8-107053

174 50776- Dou

---

## Page 22

#.e

CLINICAL RECORD BRIEF

g: Obs for

Epilepsy

Time 2025

1. LAST NAME. FIRST NAME, MIDDLE INITIAL

HAD GEI MOSP

HALL, Loran

E

B. WARD

C. RELIGION

ID. PREV. ADH.

2. REGISTER NO

3. ARNY SERIAL NO.

4 GRADE

S5 H22

No

80 497

17 224 450

Tvt

E. NAME AND ADDRESS OF NEAREST RELATIVE

3. ORGANIZATION AND ARM OR SERVICE (IF AS PERSONNEL. SEE DELOW) »

(M) l'arle Karan Hall

(Unasgđ) Co D 130 Ing Bn

126g Vi 6th St

8. AGE! 17. RACE

TB. LENGTH OF SERVICE D. DATE OF ADMISSION

Newton fan

17

W

1/12

18 Fob 47

F. DIS.

INS. B/C J6. ADMITTING OFFICER

10: SOURCE OF ADMISSION

JFU/c1/C

D1r Ca: Prop Sta Ft Lewis,'in

•IF AAR. INDICATE PILOT. NON-PILOT FLYING PERSONNEL GROUND PERSONNET HArOnE Same 18 Feb

IT. FINAL DIAGNOSIS, ADDITIONAL DIAGNOSES, OPERATIONS, CHANGE OF STATUS

DUP

47

tadi

Yoo-yoo

_4s98-67--916K

Syncope, cause undetermined

Disease of undetermince cruse

9172-023 Lumbar puncture, 21 Fob 47, spinal fluid negativo.

Specialized treatment KP

Reconditioning Class III A

PROFILE SERIAL

LAST PROFILE SERIAL

(IF KNOWN)

TE, LIlL OF DUTY

No, EPTS

WD MD

FORM,55A (REVISED),

1 FEBRUARY 1949

TERROT AL DATE

AR 615-365

s; Ist Lt., MC

(WHEN

#ORMES FORMY

12

---

## Page 23

MADIGAN GENERAL HOSPITAL

J. 8. ABHY

CHIFF COMPLAINT- CONDITION: ON ADMISSION-PREVIOUS

PERSONAL HISTORY

Name.

Grado

Ward

Chiet complaiati@Cised-ont 1941,1943

General appearance and condition on admission:

15:95

army

'"':

Tropical service:

nine

Habite (alsohol, tobacco, drugs):

Family history:

7N -

Previous personal bistory:

Denis une den ded

aire unt spine. (Maiion (Main) Auralienann

Zin cart fin

Nennix .

Н4 51756, Д9

d:32262166 Rate 23

20 (OVER)

1-a11

---

## Page 24

":.9

HISTORY OF THE PRESENT ILLNESS t

"Carma.in

1941.

hospital fai

and felt-heatail er) - Claren

laased-out-paint nhili oting.

in

inofiction mile in "CHPC". just farmed

ring eaten bernes.

Claims had headaches off and on semicine

in front of head armitma-an

tack

While in the Army in thi Day room

chai, hi. hit.his

Ка туля та ма 2 че ма

the parent tell deme

His takin,

---

## Page 25

Namo.

Hall, Loran E.

PHYSICAL EXAMINATION

Grade

+1-94419153

FVi..

Ward

BIA.

Height:

Normal weight:

Present weight:

Skin:

Tatter left forant arm

RLA swigical-dea,

Head (including special seuses, nose, mouth, throat, and pharyns):

No. bumps or increased tenderness

Neck:

Thorax:

Symmetrical

Lungs:

No incroased stiffness, or enlarged glands or goiter

Clear to auscultation and percussion

Vascular aystem (arterial and venous):

Normal

Blood pressure: Systolic.

115

-; diestolio.

70

Heart:

no cita genin

no dirty thoris

22

(OVER)

18-18810

---

## Page 26

PHYSICAL EXAMINATION

Abdomen:

Normal contour, no tumors or tenderness

Hernia:

None

Genito-urinary:

Normal to inspection

Anus and rectum:

Normal to inspection

Glandular system (lymphatic and endocrine):

Normal

Bones and joints: *

Normal

Muscular system:

Normal

Nervous system:

Cranial norves intact.

No motor or sensory impairment.

Reflexes bilaterally equal and normal. Stationsadd gait

normal.

Date.

19...

Signature.

Lit gent

---

## Page 27

MADIGAN GENERAL HOSPITAL

Form 55 D

MEDICAL DEPARTMENT, U.S. ABNY

(Revised May 31, 1939)

INITIAL SUMMARY, WORKING DIAGNOSIS, CONTEMPLATED

LABORATORY TESTS, AND CONSULTATIONS

Name

113172 20230 2

Grade -

PId

Ward

2211

Transfer diagnosis:

Initial summary:

Fainted in 1941 and 1943 and once while in the army.

Neurological examination is negative.

Working diagnosis or impression: Syncop®,

cause undetermined

Contemplated laboratory tests and special examinations:

18-16317

WW 54756

DocId: 32262166 Paye 27--o

(OVER)

2Y

---

## Page 28

HALL, LORAN E.

FINAL SUMMARY

PVT

22A/5.

11 Mar 47

White male, age 17,

with one motth military service, entered the

hospital relating that in 1941 after he had been in a hospital for fever,

he had fainted while in a formation while standing in the sun. He

denies any convulsions. Patient just passes out and comes to

minutes.

Later that same year, while standing at inspection for the

Civil Aeronautic Patrol, he just fainted.

He believes that he was very

weak from not having eaten dinner.

While in the army in a dayroom

ho was getting up out of a chair, hit is back against the arm of the

chair, felt a pain go up to his head and then just passed out.

Patient was admitted to the hospital.

Neurological examination of patient is completely negative. Patiert

appears somewhat immature.

Lumbar puncture, spinal fluid analysis,

X-ray of skull, glucose tolerance curve, and

other routine laboratory

tests were completoly normal.

We are unable to substantiate any diagnosis of epilopsy; however,

it is felt that this patient should be separated from the service with

the diagneess of syncope, cause undetermined.

Patient may be returned

to civilian life essentially in the same condition as on entrance in the

army. He will be discharged under Dragon 05-305.

L.p. tenk.

Ist Lt., MC

10-2ir 25

NH 54756

DocId: 32262166 Page 28

---

## Page 29

Form 55 F

DICAL. DEPARTMENT, UJ.A. AT

CU HA MAN 11.1

PROGRESS NOTES

Name ji

Grade ..

RYL:

Ward

(Complications and changes in diagnosis, with date in ach east, should bo entered on this sheet)

2876-47

To nig the whit soh and an Red Car he

turned cutely in his chair and etch

his spine on the chais, hes canced hei

tened painf he could and geh of. The

pair radiated u to his deado claws lie.

lep. the in returned to his word me

stitcher: 92.eeasntion it stowed

dewared plepen of his legs a chighs i

Lacal cura: Peflee e

pain sense OK. Fendure on luck

Ral was

wack

i title discomfort

Ricking thistles

28 Fob 47:

Patient has had no observed faints or convulsions while in the

X-ray of skull, lumbar puncturo and spinal fluid analysis,

11 Mar 47: Intorviow with patient's mother yosterday reves that patient

has had no convulsions to her knowledge.

Patient did have a faint whilo

standing in a formation in a Civil Aeronautic Patrol.

recalled no history of epilepsy in the family.

It is felt that patient

should be separated from the army with the

impression of syncope, cause

undetermined.

We are unable to substantiate a diagnosis of epilepsys

•t., MC

(Use both sides of this sheet)

10-18918

---

## Page 30

Name -

RADIOLOGIC RECORD

Grade

Ward -an

Film No.

17329980 p2296

Loran, 6.

/ORADE

PART TO BE EXAMINED (OR TREATED)

Ray

CLINICAL DIAGNOSIS (INCLUDE OPERATIONS)

M. 9.11

12 hench 4,8 our, 7S

2/8/2181

Heurt d langs are nogativa

Film No.

WD

AGO FORM 8_62

I DEC

Date .

13 MAK 1947

eplaces WD MD Form 55 K-

Jun 42, which may bo use

F. Y. LEAVER

COL, ME

M. C.

10-12737-3 $ OP0

RADIOLOGIC REPORT

HAll, LORAN E

PART TO BE EXAMINED (OR TREATED)

of stil

LINICAL DIAGNOSIS (INCLUDE OPERATIONE

Observation tak

Madigao Sew. Nosg.

GRADE

Put

19 Jebs 1841

SERIAL NO.

117224458

euk

R181

Ap and lateral films of the skull show no bony

pathology.

17

I WARD

122/

lt. Mr. c.

27

17ht-5-t

Filn No.

WD AGO FORM

DEC

1844

8-63

Date -

2/21/47

F. Y.

BEAVER

COL. MC

RADIOLOGIC REPORT

10-12737-3

; M. C.

---

## Page 31

Form 55 L

IEDICAL DEPARTMENT, U.S. ARM

Revised May 31, 1931

Name

Hall, L.ran E

LABORATORY REPORTS

Grade.

.P.v.t..,

Ward

Serial No: 17224450Rank Put

.: Ward 23/0

Carbohydrate given

Bpecimen

Fasting-

First-

Second

Third

Fourth

Fifth

Remarka

Lab.

Time

0815

0845

0413,

1115

Blood Sugar

08

clatted

115

1:00.

Urinary Sugar

CARBOHYDRATE.

MEDICAL DEPARTMENT

Form 65 I-?

MEDICAL DEPARTMENT, U. 8, ARM?

BLOOD (Chemistro A 733 3=7

+0no10-18988-1

Eo Jun 42, which may be used.

EDICAL, DEPARTMENT,

: - (Bevised Juno 9, 1042

T.S. ABIrY

1944 0007

23 Decomber

SPINAL FLUID Date

FEB 21 19461.0.

16-28980-1

Date.--

18-32176-3

aPo

(Old W. D., Muno 1042)

D). Forin No. 5516,

TURINALYSIS

Date -

•20-10060-3

28

H4 51256 Do01d:32262166 Paцe-31

---

## Page 32

Form 56 E-1

MEDICAL DEPA THE ST, 1.39)

S. ARMY

CONSULTATION REQUEST AND REPORT

Name -

Hall, Veran 6 Gra

Date

Marchina

→ 10 Y I

Consultation requested beeause of

Provisional diagnosis

routine.

emergency.

Date

Office, Chief of _..

To Chief of.

Approved.

Disapproved.

Oburatio fo Epilepes

Addena Go

.., 19---

Date

--9 19-00

Service.

Office, Chief of …

_ Service.

_ Service.

To ..

For consultation.

"M. C."

M.C.

Date - 10 Haret-

-, 1947-

Opinion of consultant:

subject attained a Full Score of lll on the "echsler-

I.Q. of 110 and

mental deterioration,

where the norm

for his age group

is 0%. Mis psyohometric patterr

• Is in. ceneral that of a

psy soorth:

score;

the per on man me meeter

the sum

the obiect

assembly

than the ver-

and

picture arranget

ment scores is

abnormelly high; the digit

the picture arrangement

score Is

symbol score is the lowest of the

performance scores.

Negative

signs: great intertest variabiltly;

very poor performance on digits backwards in a person of

otherwise average mentality.. This last sign is usually in-

dicative of

some organic impairment.

4111lam Lenniek,pfo

psychiatric social

workef.C.

29

(OVEB)

His a Mad

202621At Paue 32

---

## Page 33

T. LAST NAME, FIRST NAME, MIDDLE INITIAL

DIAGNOSIS

S. SAGAN ION ANO ANT 7. SENCE 4-50

4. GRADE®

-Pot

* REQUIRED

ONLY WHEN

STENCIL

PROCEDURE

IS USED

OURCE OF OMISSION 1/72

18 Feb 47

Dir Cas Prop Sta Ft Lewis, Wn

INSTRUCTIONS: Original of INITIAL REPORT must be forwarded to Registrar by

1200 of the day following admission.

File duplicate copy with clinical record.

Answer

all items.

The information need only be tentative, but should be as correct as possible.

A CORRECTED REPORT will be submitted without delay when any information sub-

mitted on the inilial report is found to be incorrect, as in a change of diagnosis.

ADDITIONAL REPORT.

will be submitted when supplemental information (including

additional diagnoses) becomes available or when a condition is cured.

12 WARD OFFICER

8.11h,4,

14. TYPE OF REPORT (Check one)

22/7

OLESTIAL

• ADDITIONAL

O STA. HOSP. [REG. HOSP. _ GEN. HOSP.

16. SPECIALTY (Check one)

GENERAL MEDICINE

NEUROSURGERY

GEN & ORTH SURGERY

CLOSED WARD NP

OPEN WARD NP

VASCULAR SURGERY

THORACIC SURGERY

TUBERCULOSIS

PLAST & MAX-FAC SUR

ARTHRITIS

DEAF

NEUROSYPHILIS

TROPICAL DISEASES

OPHTHALMOLOGIC SURGERY

TRENCH FOOT

FEMALE :

PW OFFICER

PW EM

BLIND

RHEUMATIC FEVER

AMPUTEE

NEUROLOGY

17. PROBABLE DISPOSITION (Check ono) IN APPROXIMATELY _

20

_ DAYS

0 FULL DUTY

• LIMITED DUTY

• RETIREMENT

[ CDD TO OWN CARE

• TRANSFER TO VAF

• TRANSFER TO OTHER HOSPITAL

18. HOSPITAL RECORDS REQUESTED (For probable CDD, record all previous hospitalization in U.S. Do noi

include records on ward.)

HOSPITAL

DATE OF HOSPITALIZATION

No AGo Fo: 8-176

30

16-15371-1

---

## Page 34

DATE

282442

DATE

NURSING NOTES

48 82043

ado. ma lecter. Pt

28 Fel

Sent him to Papital. Ote

Warm

du it. eye.

KP 12043

DATE

ORDERED

19 Fel

147Q

ORDERS (INITIAL EACH ITEM)

DATE

DISCON-

TiNUED

вн ра ерівер

0 E.E.6

Đ Ql. N.P.N. g

Ble glucretlerand ense.

2.7g

DATE

24Fel 27

B

D

177-0 5801

jISTER NO.

-0497

7

DATE OF ADNISSIONI

GRADE

ARMY SERIAL NUMBER

1!064.F0

ION THAT DUTIES INDICATED HAVE ECHO

NAME

H01l,

irer: N.

DIAGNOSIS

---

## Page 35

I. LAST NAME; FIRST NAME, MIDULE INITIAL

Hall Loran E

2 REGISTER No.

3. ARASY SEMIAL NO.

& GRADE

17224450

ivt

5. ORCANIZATION AND AN ON SERVICE (if AAF personnel, see below)

Co D 130

6. AcE | 7. RACK

18. LENGTE OF SERVICE. 9. DATE OF ADMISSION

17

IO. SOURCE OF ADMISION

1-12

20 Jan 47

Ci

DI

EI

*If AAF, indicato pilot, non-pilot lying per

11. CAUSE OF AUMISSION. ADDITIUNAL

aB, or don. Canet

KRATIONS, CHANCE

DO NOT USE CODE BOXES

Al

12

B2

B3

C2

D2

E2

D3

E3

2, 7,

QI

R

Q2

12. LINE OF DUTY

13. DISPOSITION

14. DATE OF DISPOSITION

15. DAYs LUST →7

ToTAL

QUARTERs

VI

72

16. NAME AND LOCATION OF REPORTING INSTALLATION

WI

17. SICNATURE

W. D., A.G

NO. 8-24

1 July 1944

This vi succes it tipto is revision., 3028

40804-1 # GP

HH 54756 DocId: 32262166 Page 35.:

,,-.

---

## Page 36

SO LAST NASIC, FIRST NAME, MINDLE INITIAL

HALL

Loran

• E

2. RicISTEn NU.

T3. ARMY SERIAL NO.

4. GRADE

80 497

17 224 450

Pvt

3. ORCANIZATION AND ARA OU SAUVICE (I AF personnel, see below)"

(Unaggd)

Co D 130th Tng Bn

6. Ncs

7. TRACE

18. LENGTH OF SERVICE 9, DATE OY ADMISSION

DI

1/22

18 Feb 47

D'tract Casuag Proper Station

El

Fort Lewis, Wash

*If AAF. indicate pilot, non-pilot flying pere, ground pere., or avn. cadet

I. CAST ADDISION, ADUITIONAL DIAGNOSES, OPERATIONS, CHANGE

DO NOT USF. CONE BOIRS

Al

AS

BI

132

133

C2

D2

E2

113

E3

Y005Y00

1. Disease, undiagnosed,

manifested by syncope.

N

21 Feb 47: (9172-023) Lumbar punctures

spinal fluid negative.

Specialized Treatment: Gen Medicine

Reconditioning Class: 3À

P

Q1

Q2

112. LINK ON DUTY

I-NO FITS

13. DISPOSiTION

Duty, Limited service due to dg 1

9 Apr 47

14. DATE OF DISPOSITION

IS. DAYS LOST -›

TOTAL

HOSPITAL

50

50

16. NAME AND LOCATION OF REPORTING INSTALLATION

Midigan, Eeneral Hospital, Tacoma,

17. SIGNATURE

C. R. GILLINGHAM, Major, MAC

(This form suporsedes W.

D. M. D.

72

W2

Wash

CAS

WI

W. D..A.G. 0

FORM NO. 8-21

July 1044

- 1010881-1 $ 6P0.

HH 54756

DocId: 32262166 Page 36.

---

## Page 37

REGISTER OF DENTAL PATIENTS AT

DENTAL CLINIC, DC-1 (B)

(1) SURNAME

AT LOCOME A 1722450

(4) COMPANY

REGIMENT OR STAFF CORPS

RL On

(8) ARAVICE, YEARS

1/12

10 Feb 47

DISEASE OR INJURY WITH

LOCATION.

COMPLICATIONS.

SEQUELAE, ETC.

& ray R-1 I-1

Aperi R&t 1

POT :

I ray I-2 F-?

Ex am

# 1515

Tass' 11

# 1557

Class 11

112) RESULTS AND REMARKS

1947

10 Feb

10 Feb

10 Hel

10 Feb

17 Feb

17 Fab

RJH

HEM

HEMC

THOMAS R. HADDOCK

Major. Dental Corps

Dental Corps. U.S. A.

MONS- 79

34

which may day

---

## Page 38

"REPORT OF DENTAL SURVEY

UPPER TEETH

Right.

8765431211234

Left

LOWER TEETH

Right

10 15 14 13 12 11 10 8 9 10 11 12113 14 15 16

M XI

XL Y

Occlusion

Periodontoclasia.

Dental foci auspected:

Other conditiona

CLASS.

-: Calculus: Slight,

Medium, Heavy

Yes

No

Date-

12 1 0vl

210-47,

THC: AS R. HADDOCK

Dental Corga, U.S: A.

Major, pentat Corps

Mising natural fath by X

Teeth replaced by, denture

(horizontal line),

=..

Teeth replaced by 'fixed bridge

(oval to include abutments)

35

---

## Page 39

25 Lay 1945

WACH 251

(revised 28 Nov 46)

Hard 228/5

Hosp. Rec. No. 80 497

I. Name

9952 151-S00

LADIAN CONtAL HOSPITAL

Tacora, ''ashington

Date 12 12r 47

AB 615-365

Request for XOD Proceedihi for:

5. Color

6. Date of admission

18 Feb 47

Previous hospitalization at:

Crianization, and Arm

It. Loris,

- (UDaaBEd) Co P 130 Ins B2

17.324. 450-

%. Diagnosis

Syncops, causo undotermined

Date of: Previous lospitalization at:

Date of:

Previous hospitalization at:

Note:

T'se back to reconmend further

Veterans or hone care

36

Dure of: Provious liospitalization at:

"Date of:

Let ent

i. 8.

Name or suan? of hard Officer

---

## Page 40

VSC FORM NO. 25

23. Sep 1944

HOSPITAL

HOSPITAL STATUS

MADIGAN •GH

NAME

DATE

REGISTER NUMBER

9tih apr 47 80 497

STATUS

Duty

HALL, LOran E

ARMY SERIAL NUMBER

ORGANIZATION

17. 224 450

Det of Pnts

TO: THE COMMANDING OFFICER

(THRU THE SURGEON)

IN COMPLIANCE WITH PAR 7C(3), AR 40-590, REPORT THE ABOVE NAMED MEMBER OF YOUR ORGANIZATION HAS BEEN

ADMITTED TO THIS HOSPITAL

DISCHARGED FROM THIS HOSPITAL

RANK

Pvt

DATE ADMITTED

18 Feb 47

INJURY

DISEASE

DATE RETURNING TO DUTY

9th Ap= 47

IS/WAS

IS/WAS NOT

OWN NISCONDUCTIENT'S

LINE DEDUTY

8] NO EPIS

AW 107

AR 35-1440

APPLYING

IS FURTHER TREATMENT REQUIRED

YES

NO

REMARKS

35 W22

SO#76p3

FOR THE COMMANDING OFFICER:

37

C R GILLINGHAM MAJOR MAC

SIGNATURE

BEC ISTRAR TITIE

2402—Presidio of SF (LGH) 7-23-49—100A1

54756

DocId: 32262166

Page

40

---

## Page 41

CLINICAL RECORD

- BRIEF

3. HOSTITAL

250th

.. ARD

Med

c. RELIGION

Cath

1, LAST NAME, FIRST NAME, MIDDLE INITIAL

Sta Hosp

HALL, Loran

E

d. PREY. AUDE

2. REGISTER No:

3. ARSE SERIAL NO.

1. GRADE

17

287

17 224 450

Ret

0. NAME AND ADDRESS OF NEAREST RELATIVE

Mother:

Marie

INANATION AND ANX ON SEATICE ( AT gerso al, de below)"

Trp 6th Const Regt

126

1/2

west

Sixth

7. RACE

' 8, LINOTH OF SERVICE O. DATION ADMIBBIO

Newton, Kansas

• JU

1 8/12

|26 Nov 48

1200

1. DIS. INJ. /B.C|5. ADMITENd OFRICE

10. SOURCE OF ADMISSION

CLJ

Disp 6th Const

• I AAF, Indicate pilot, non-pilot fying personnel, ground personnel or aviation cadet.

11, FINAL DIAGNOSIS, ADDITIOSAL DIAGNOSES, OPERATIONS, CHANGE OF STATUS

Adm Diag: Hepatitis, obs for

Sastrociterito, acute, underate, c/a.

Condition: Cured

PROFILE

SERIAL

x

LAST

(IS known)

PRESENT

12. LINE OF DUTY

ye

WD AGO FORM

APR

10418-33-

Í3. DISPOSITION AND DATE

Jodetty

14 De X88

# U.S. GOVERNMENT PRINTiNG OFFICE.

001 315-48-1014-24515519-40778-1

38

14. SIGNATURE OF WARD SURGION

Replaces WD A00 Form 8-33, 1 Jul 44 and WD

MD Form 55A, 31 May 39, which are obsolete.

976-

80-20

---

## Page 42

Form 56 B

CHIEF COMPLAINT- CONDITION ON ADMISSION-PREVIOUS

PERSONAL HISTORY

Namo Laran E Hale

Grado ...

Pcs.

Ward 3

2018 yold or in ses acete destrese.

Alar a co-operstive.

Occupation:

Tropical service:

Hove

Habits (alcohol, tobacco, drugs):

5-6 beers daily, ' pace, nove

Family history:

Т. Зата.

7.

Ho CA, diabetes, tte, kissh trable me alkey.

Previous personal history:

$ 19:40

No serions dieasis

Injuries:

-Fe6.47 - lite fawitzer - no fracture.

Venereal disease:

fr..

HH 54756

DocId: 32262166 Page 42

---

## Page 43

HISTORY OF THE PRESENT ILLNESS

For fact 10-i4 dies patient has had snarefia, malaise,

immedeately

very upon eating.

normal wite fish 3-4 der - 2 soft useumat

No reint coche, no coughe is sosstbrad. No hawfleis

Ho eat or nose trouble:

Who head headache, peeliged tops, frond a in wet,

trobing.

48-Hs

---

## Page 44

EDICAL DE

PHYSICAL EXAMINATION

Nano Hall, Pare Eino...

Normal weight:

Ret.

Ward 3

Shroat: It congstch

Neck:

symmetrial

Lungs:

Clear toP7a.

Vascular system (arterial and venous):

No varicostics

Good quality filer

Blood pressure: Systolio

125

; diastolio. 1.0

Heart:

Hot salaced, regular, tons good, to suermens.

41

(OYSE)

HY 11756 - DocTA:32262166 Pare 11

---

## Page 45

PHYSICAL EXAMINATION

i can Tie ele bit, agit is tender

No other russcao tendesces

Hernia:

Hove

Genito-urinary:

Anus and rectum:

Hey asternelly.

Glandular system (ymphatic and endocrine):

Bones and joints:

Normal

Muscular system:

Wildwelped

Nervous system:

No Rhombag,

Refles fleeinge

Date

26 Hoo.

Sigature § CWittme

-, 1048

Namo (typed)

Grado-

10-18810

42

---

## Page 46

ND AGO FORM 8-51

(Old WD MD Form

i l on as so War auble, may be

PROGRESS NOTES

Namo Hale,

Jarra E, Girado

Ret.

(Complications and changes in diagnosis, with date in each case, should be entered on this sheet)

31 Hoo. Clinically patint seme to have a gastritio altho

he should be chick for a Repstitic. Blook!

work slove today.

29 Koo. Lastric analysis this AM. Icteric indep 3à

jule bitter. sews brace A urabilinge a

30 Vo. No free All in gustice secrition. Fairly seamal

curve è alhobol. Elinically improve.

seur

4 Dee. Caget Bathilt was not nure he is to he left

sit is to me repeatef:

1ite it it ten bette no 2 is unl

ferables

If this in ok will discharge.

poor-sew

(Use both sides of this sheet)

43

10-18318-)

ME. 54756. Doc]d:32262166_₽aцe_Д6.

---

## Page 47

MEDICAL DEPARTMENI, U.B. ARMY

(Revised May 81, 1939)

119448

9l hoo

TREATMENT

Hall, Larau E Grado

Ret.

Ward

Rantire lal. warla in. a.un.

b) Low bak dich

1) Multiortaron tab i TID

br sloos and ovr

277lo.

Fig + semi-soft beet such as jelle,

Dastie auluis Mon AM

30M0 Cycke lab concerning stries inded

Isotte dick

110ka

(4f. 4)

blles

Залі

16-18819

. (OVER)

44

1H54756 - D00I6

---

## Page 48

MEDICAL DEFAR MEN, U.S. ARMY

(Revised May 31. 1939)

TEMPERÄTURE

Namo Mall, Faran 6.

A. M.

P.M.

Date

1948

R

6668

178

R

1284 9686218

13Dec 9686018

-TREATMENT NURSE'S NOTES

Grade Pet

Wt

Medication and Nurse's Notes

1000 No complainto

Ward 53

discharged in a.us,

Chast in

(OvEr)

HH

54756

DocId: 32262166 Page 48

45

---

## Page 49

Form 58 FI-I

MEDICAL DEPARTHEN

U.S.ABMY

Revised May 81. 1939

TEMPERATURE-TREATMENT-NURSE'S NOTES

Num Hall, Laran E cd Ret.. War 3

Dato

A.M.

P.M.

1948 T

PR

P

R

st

Medication and Nurse's Notes

Qlelas 97980220

084 8y 18

16:00

a chu.

ame.

@12.004

Boam

209

Dx: als far Hepatitin

Pt. Complaisss a

hansea d Varsitanig,

alse diast hea. -

Rx: Restive lab. wash

:2776x 98 68.20

9/8400.9786818

29400 9587018

3phou.

9,87018

JIG 8

6418

72118

16 Un Phenshark a belladonna CapT Wider

Hold breadsfast in a.m

98 72 18 1k.00

for Gastric

Penanto a proline

capat tial ac

Sitamis therapy

danalin to autale

Same care.

98 76 18 16,00

Gastric wash done

this a.m.

Steal apes, hat obtanise!

дет. .

9848•3-16.00

Bt. out of Hepatitis

salation.

to complain of pains

I stomach best ho hanasa

a titan ware..

- Mead. could.

Soft chiet ou

Same care.-

9886216600

(Over)

HW 51756 DocId: 32262166 Page 19

---

## Page 50

S. ARMY

RADIOLOGIC RECORD

Nam. Hall, done E cio Ret

i!!

Ward 3

Film No. --

MARIE

PART TO BE EXAMINEO COR TREATIO SCree

WIn.

HOSPITAL

2504.

AGE

Lice 481

SIGMATURE

The esophagus, stomach and

duodenum are normel.

Film No. 1590

1 DEC

l Dec 48

Date -i

So 12, which may krusd2-2,

AADIOLOGIG REPOR

D.P. Pabbitt, CantiC.

2309}

7590

8-63

47

HH

54756

MO AGO TOM

DE C 1944

Doc Id:32262166_-Pate: 50

Date 4 Dec-48 D.P.Babbitt, Capte, M.C.

Replaces TVD IID Form 55 K-2,

9 Jun 42, which tany be used

RADIOLOGIC REPORT

places WD MD Form 55 K.

Jun 12, which may be use

RADIOLOGIC REPORT

209

7-50 M-12655

---

## Page 51

Form 55 L

MEDICAL DEPART, 18, As

LABORATORY REPORTS

Hall, Tanan on.

Ret.

Ward 3

Smine, ran 6 the fe

Serial No..

Rank KC

Ward >

Examination requested by

(indicato xemtration requestiod by check (Y below a M. C

Character.

Reaction-..

Bile ---

Mucus.

Pus

Spanie or ova lie per asi to doll here pearls

Remarks:

2504. 1908

Lab. -

Form 55 L9

MEDICAL eViSed TURN D, 1042

U. 8. ARM!

PECES Date 3 Dee 1940 M

16-18072-

-9 The 947

MARON NOT SHOT THI

, U. 8. ARMY

Form 68 I-8

Tr are x -12193

FECES Date...

, Dee, 19.48 M. c

16-10978-1

it apo

18-88083-1

BLOOD (Chemisty)to

+00019-16283-1

(Ola WD. M.D. Fora No. 8652-5

(01d W. D., M. D. Form No. B62ke

209

Labur!

WD. AGO Form 3467

Date

- 00D 209

Aổ 6312-10-10007-12204-9139

MC.

2200095

FIC 54756 ROGT0:322f2166 RagE, 51

---

## Page 52

Form

MEDICAL DEPARTMENT, U

S. ARMY

(Revised May 31, 1939)

OPERATION REPORT

... Crade...

Ret.

Name.......

Hall, Loran

Date 14 DeC.

48

Reg--No: 1/287

Postoperative diagnosis:

Pigmented naevi, upper 11p.

Ward 3

Age 18

Operation: Excision of naevi

Remarks: Alter preparation of the operative site the areas sur-

rounding the naevi were infiltrated with 1 % procaine. the

naevi were excised using longitudinal ellipteal incision.

The hemorrhage was coptrolled by pressure and the skin su-

tured (NO 4 silk).

Operation begun_

Operator.

Assistants

1445

Capt. Babbitt

Capt. Henderson

Anesthesia used...

1 % Procaine

Anesthetist Operator

Specimens forwarded to laboratory for examination:

Naevi X 2

Ended

1510

almont.

NaSaLlist

Dodo

(OVER)

Babbitt, lapt.

49

NIL 51756 EDUCA

A.G. M.B.S. 12-43

40.000

962166-0N

M. C.

---

## Page 53

HEADQUANT URS

250th

RECRBEOREA

MATION HOSPITAL

PUS'E

APO 225

US ARMY

141 Dec"8

(Date)

SUBJECI: Hospital Clearance

TO

i Male Loran E. Bet.

are requested to have the

isled

indicated

and upon

completion.

be turned in to the Registrar.

form

form will

Until this form is completed you will not be dis-

charged from this hospital.

WARD OFFICER

M

LIBRARY

SPECIAL SERVICE

REGISTRAR

NAME

INITIALS

Cut Wittones

S. K.

Gribba Prulle

412

w. Bassion cess. W.is .

50

Hy 51756

DocId:32262166 Pare 53-

---

## Page 54

CLINICAL RECORD

a. IOSPITAL

1. LABT NAME, FIRST NAME, MIDDLE INITIAL

385th

Sta Hospital

b. WARD

C. RELIGION

FALL,

IORAN E

TRIV. ADI.

2. REGISTER NO.

BAMAT SERIAL NO.

A. ORADE

5-2

No

8. NAME AND ADDIESS OF NEARES, RELATIVE

35714

17. 224 450

Prt

5. ORGANIZAT SIng RaCON SERVICE (i AA porsonnel, seo below)*

M:Mar le Hall

97. Const Signal Sad, APO 154(1)

1267 West 6 Stu

0. AGE

17. RACI

8. LENGTH OF SERVICE 9. 18 DIADMISSION

Newton, Kansagl

20

11-8/12

•16 Sept 48

1. DIs.

INJ. B/C B. ADMINiC OFFICER

Directraanal proper station

97 Const Sig Sga, Stuttgart, (a

* IL AAF, indicate pilot, non-pilat ilying personnel, ground personnel or aviation cadet.

11. FINAL DIAGNOSIS, ADDITIONAL DIAGNOSES, OPERATIONS, CHANGE OF STATUS

DS: 7713

(a) Germany

MO: Sig Scicol, Ansbach, Germany, APO Ü96

Wound, contused,

back, lumbo-sacral region,

acute, mild.

a.1. at about 1430 hours on 16 September 1948

the kaserpe et Ansbach,

Germany,

when patient

duty was playing. in an

authorized foot

ball game whem he fell upon another players knee.

PROFILE

SERIAL

LAST

(If known)

PRogENT

12. LINE OF DUIY

yes

AGO

FORM

APR 1845

8-33

HH 54756

DocId:32262166

Page

54

13. DISPOSITION AND DATE

14. SIGNATURE OF WARD SURGEON

duty

gen serv.

* U. &. GOVERNMENT AR NTING OFFICE

16740778-11

18 CEP 1948 51

HERBERT MUNHALI CAPT.MC.

Replaces WD AGO Form 8-33, 1 Jul 44 and WD

MD Form 55A, 31 May 39, which are obsolete.

---

## Page 55

TEMPERATURE- TREATMENT-NURSE'S NOTES

Xall, Laran E.

A.M.

P.M.

Date

1948

2Дкс.

St

Wt

Medication and Nurse's Notes

R

98 % 18

R

3 Дес: 98 7218

4Dº4 22

-7618

Treatment a Medication cont

stee had epigastic distress

Vil. perier

the arm.

Medecatina X treatment cont

Daily treatment cart

93+ 2218 16 00

spee

92 70 18 2747218 1600

6 Nee 92 6618

9826181600

Same care de Rx

SIDO COMPLAiNiNG 2F EPiGASTRiC

DiSCOMFORT -

PAIN

BONE BY a100 WHEN

SZEN BY M.O.D.

4.l. Aeries in G-M (2 sec)

Predicatino cort.

ZDee97/7018

Di deer comet

2. series concealea.

hea. a rantine care

sant sal.

8D09724818

Routine fare " Mede cont,

states he fiecte about the same.

1922018

ya. series bi er. m

11968

68.18

I I seres this am

To have lilicio of males

is upper dep ox

10-19398

152

1 51756 RooTd: 32262166 Pais 55-

---

## Page 56

MEDICAL DEPARTMENT, U. S. ANAY

(Authorized Dec.

81, 1942)

ABBREVIATED CLINICAL RECORD

RAISAAGA

w!/TA.2:1385 th Station Hospital

APO 696, Nurnberg, Gormany

Name -

Hall, boran

• Grade -

Put

Ward S~

(This sheet to be used in conjunction with 55A, M. D. in cases where the data hereon will

suffice to conform with existing regulations.)

Pertinent history, chief complaint, and condition on admission.

rows... conscious. on anuing see.

Complete physical examination is negative except for the following:

mantra te

runess over testa

spined and

adjacent-muscles

l-1ay dracons

tachme

прятки.

Bumbo. Sanal Stran

promit to

ltbasi

17 Seph. 78

'ing's !!

asyn

discharge smustallbaptnG

(Use both sides of this sheet)

53

16-82789-1

---

## Page 57

TEMPERATURE TREATMENT-NURSE'S NOTES

DATE

A.M.

P

P.M.

WT

MEDICATION AND NURSE'U NOTIS

LABORATORY REPORTS

(Panto third report here lid o

seeding ones on above lines)

(Pasto second

it with top at this line)

asto fift report with top at this line)

MMENT PRINTINO OFFICE: 1042.

IH 54756 DocId: 32262166 Page 57.

---

## Page 58

Form 85 11-1

MEDICAI, DEPARTMENT

, U. B. Авих

(Revised May 3L, 1939

TEMPERATURE TREATMENT- NURSE'S NOTES

Namo 2 tall, saran)

Grade

A.M.

P. M.

Date

St

Wt

1948 T

R

P

R

нь бун

986

96 20 20

WardS:a

Medication and Nurse's Notes

Admited few ties @ 1820

RL. Reg

dest

1nAy+989218

Chast in for dis chuge

55°

16-10308-1

(Over)

HH. 54756. DosTA:32262166, PatE 58--

---

## Page 59

1. LAST NAME, FIRST NAME, MIDDLe INITIAL

FAIL,, LORAN E.

2. REcITER No.

14 GRADE

B1

35714

17 224 450

3. I gAT NAND MRAN On SERY

•Ci

97th Const Sie Sad (a)

6. AGE | 7. RACE 18. LENCTION

YICH 9. DATE OF ADMISSION

Di

20

1 1-8/1811.

_16 Sept 48

10. SOURcE or ADAIssION DiTsot-casual

EI

proper station, 7718 EUCOM (b)

*IL AAF, indicate pilot, non-pilor lzhs pere., ground pere., or ava. cadet

I1. CAUSE OF ADMISSION, ADDITIO

OF ANU.

AL DIAGNOSES, OPERATIONS, CHANCK

(a) DS: 7718 EUSCM S1K

School

(b) 51g School, ansbach, Germany

• cuna, contused.

back, lumbo-

sacral region, route, mila.

DO ROT USE CODE DOXES

12

A3

B2

B3

| C2

D2

D3

E3

tient while

on pauty

playing

in

an authorized footbali game

when he fell unan another

slavers knee.

N

Q2

12. LINg or DUTY Yes

13. DISPOSITION DutY, general service

14. DATE OF DISPOSITION

15. DAYs LOST -

TOTAL

18

2

T6. NANE AND LOCATION 85 IF

APO 60Ї

Bentember 1948

HOSPITAL

QUARTEns

2

bag. Gormany

17. SIGNATURE

FRITZ BLUHM, Capt

V1

V2

W2

W.D.

MSC, iegistrar

NO. 8-24

1 July 1944

pe or is revisio) 56010-0306-1 1t aro

---

## Page 60

I. LAST NAME, FIRST NASE, MIDDLE INITIAS

E

ARMY SENTAL I

1, GRADE

5. ORCANATON A 172 3 44 5 PP Pot

Ci

17. RACH

NCTE OF SKIVICK 9. DATE ON ADMISSI

DI

20

TO SOURCE OF ADMITO

66Spt48

El

DIREC

1230 krs

If AAF, indicate pilot, ion-pilor lying r

ere., ground pers., or avn. cader

DrACROSES, OPERATIONS, CHANGE

1O Digs

PI.

poorese

ful while laying

about 1430. Struch

DO NOT USE COOR BOXES

Al

A2

B3

C2

E2

D3

B3

M

Q1

12 TUNE OF DUTY

13. DISPOSITION

14. DATB OF DISPOSIT

15. DAYS LAST →

16. NAME AND

T7. SIGNATURE

HOspITaT

De REPORTINe INSTALLATION

QUARTERS

72

WI

W. D..A.G.O

FORM NO. 8-24

101149

This form suporse

---

## Page 61

• LAST NAME, FIRST NAME, MIDDLE INITIAL

-HAIL LORAN.

E.

4. GRADE

1322.17224450

P.VT

DO NOT USE CODE BOXIS

AL

A2

A3

BI

Cl

DI

x O

O. SOURCE Or ArMISSION

20 me

El

B2

B3

C2

TD3

E2

E3

*IS AF. indicatillut, non-pilot flying vera. ground pern. or uND. cadet

II. CAUER UY AUGISION, ADDITIONAL DIAGNOSES, UPEMATIONS, CHANCE

OF STATUS

Anna

88lept 48

I gen ed-

21 dat 418.

Backace day. Mr. APC.

stest.

kenn

22 dART 48

Back ala contessuri: Mec. Hest.

23 list it,

Reg. to spida. D-c.

han

12. LINE OY DUTY

13. DISPOSITION

Q1

14. DATE OF DISPISITION

13. DATS LOST -

TOTAL

HOSPITAL

QUABTERS

vi

V2

T6. NAME AND LOCATION OF REPORTING INSTALLATION

W2

17. SICNATUnE

255 Med Detachment

7713 EUCOM Sig Sdiool

W. D..A.G.

. 0.

FORM NO. 8-24

1 July 1948

APQ 696

(This form su

US-Army

D. M.

This terraine eded is ripe or nis rovision. 55-810-10308-5 #ap

NN 54756

DocId:32262166 Page 61

---

## Page 62

21 1D5 48-

bort

11 dut45

Fut matro.

ситный.

haw

14: 54756

---

## Page 63

OUT-NATIeNTINdEY

?EPORTS CONTROL SYMBOL MCS 6'

1. LAST NAME, FIRST NAME, MIDDLE INITIAL

HALL

2 REGISTER No.

E.

13" ARMY SEH!AL NO

14. GRADE

ORGANIZATION ANDARM OR SERIES

_ RCT

‹ SERVICE (I1 AAF personne), sca balo

-26 N001948

10 SOURCE OF ADMISSION

26 NoU:.

timar biag:

Güs Focati- Tai, acuto, erod.

Tile Cambdio

114 DeC

22 Jon 49

-epila

obo. 7or

250k Staltook

MAG

3/ MA). 49

Ebarmai

co.d.y

both poet after baraing

Praguadar dirlan.

D. ges

A botan

Med. DeTARMA. CAU.ReGT.APO3OS

HH 54756

DocId: 32262166 Page 63

---

## Page 64

--

I. LAST NAME, FIRST NAME, MIDDLE INITIA

HALL, Loran E-

2. RecIteR No.

T 3. ABsT SERIAL No.

17.281

17. 224 450

.Rc.t

5. ORGANZATION AND ARE ON SERVICE (il A AF personnel, sce below)

INF,

ury, oth con Ret

18

W

10. LEALTH OF SERVICE 9. DATE OF ADMISsION

1' 8/12

26 Nov 48

TO. SOURCE Or

Disp 6th Cong

DO NOT USE CODE BOXES

AI

A2

BI

CI

DI

El

B2

B3

C2

1D2

I D3

E2

E3

II

ease madaid mined.

Q1

02

12. LINE OF DUTY

?.

13. DISPOSITION

T

14. DATE OF DISCO ITION:

15. DATS LOST →

TOTAL,

30

HOSPITAL

I QUARTERS

19

vI

16. NAME AND LOCATION OS REPORTING INSTALLATION

2.01:

usy Rege sourg Cervany

WI

17. SIGNATURE

V2

W2

COU USA

FEGISTRAR

(This form suporsedes w! D. M.

bich will not bo used attor race form rovision, f

W. D.,A.G. O

1 July 1044

10-80808-1 # 000

HH 54756

DocId: 32262166

Page

64

---

## Page 65

LAS NAME LANNI

TANK, MIDDLE INITIAL

HALL, Loan E

2. REcItea No.

3. ARkY SERIAL No.

4. GRAD&

17 224 450. Rot

5. ORCANIZATION AND ANA OR SERVICE (if AAF personnel, sce below)*

Ha Trp

th const sao

6. Ась

17. RACE

18

3. LENGTI OF SERVICR| 9. DATE OF ADMISSIO

10. SOURCE OF ADHISSION

DI

El

*If AAF, indicato pilot, nog-pilot lying pere, fround pers., or ave cadet

II. CAUSE OF ADMISSION, ADDITIONAL DIAGNOSES, OPERATIONS, CHANCE

OF STATUS

26 NoR 48

Tri. Diag:

4. 00 ga

sdace

Hepatitis, obs for

DO NOT USE CODE BOXES

Al

A3

BI

B2

B3

C2

D2

E2

D3

E3

Q1

R

02

T2: LINE Of DUTY

13. DISPOSITION

16. DATE OF DISMOTITION

T5. DAYs LOST →›

TOTAL

HOSPITAL

QUARTERs

To geNe On, 170 225

17. SIGNATURE

VI

wI

V2

W2

FORM NO. 8-24

1 July 1044

HH. 54756

DocId: 32262166

Page 65.

---

## Page 66

SPORTS CONTROL SYMBOL MCS 67

LAST NAME, FIRST NAME, MIDDLE INITIA

2. REGISTER No.

HER NO. FOR S A Na."

4. GRADE*

669

RA 17 224 450 Rot

5. ORGANIZATION AND ARM OR SERVICE (it AAF personnel, see below)*

"H2! TROOP 6th Con ReBt

6. ACE TE RACE E LENCE OF SERVICE T9, DATE OF ADMISSIOM

•18 | W

+ 1 8/12

26 Nov 1948

10. SOURCE OF ADMISSION

Direct

DO NOT USE CODE BOXES

A1

A3

"BT

B2

B5

CT

"C2

DT TD2

E2

E3

1. CAUSE 01

Hepatitis, observation for.

p-..

12. LINE OF DUTY:

yes

13. DiSPOSITION Tard to 250th Sta. -orp.

14. DATE OF DISPOSITION

26 Nov 1948

15. DÃYS LOST → TOTAL

HOSPITAL

QUARTERS®

16. NÄME AND LOCARION OF REPORTING INSTALLATION

Lisp. oth don Rait, Sürauoins(23m-so)

V1

WT

V2

, W2

W.D.,A.G.O.

FORM No.

1 Jaly 1944

This form

---

## Page 67

1. LAST NAME. FIRST NAME, MIDDLE INITIAL

Hall, Ipran F.

2. REGISTER NO. 3 474224458

REEDE

5. ORGANIZATION AND ARM OR SERVICE

6th

Con Regt., Ha Ha Sv Ip. Sparing

6. AGE| 7. RACE | 8. LENGTH OF SERV.

9. DATE OF ADM.

18

33/12

1*1 Dec 48

PATIENTS

10. SOURCE OF ADMISSION®

Adm R

Bdg Def (Fac)

car 1-15

Pitia I-7

Car 1-T FO

II-7-15

"Required only w

nan stonell procedure is used.

DATES AND OPERATIONS EATMENTS

1948

Exan

12/1

Bag rep'd

OA

12/1

TT (ZOE.)

DA

F11 Pol

12/6

1241

12/13

13. RESULTS AND REMARKS

c1.I1 Machter

Cl.II

MW

MWachler

44

SIGNATURE OF DENTAL OFFICER

10-20022-2

---

## Page 68

REPORT OF DENTAL SURVEY

UPPER TEETH•

LETO DO

43281298

h93 43030666686944

LOWER TEETH•

16 15

IGHT

LEFT

1413 12 71 10 9 9 10 11 12 13 14

15 16

198109999899909808

CLASS

CALCULUS: SLIGHT. MEDIUM, HEAVY

OCCLUSION

PERIODONTOCLASIA

DENTAL FOCI SUSPECTED

OTHER CONDITIONS

• YES

• NO

SIGNATURE OF DENTAL OFFICE

1D. see, 0

* RESTORABLE CARIOUS TEETH BY O

NONRESTORABLE DARIOUS TEETH BY /

MISSING NATURALI

BETH BY X

TEETH REPLACED B

(Horizonta

RENTURE

TEETH REPLACED BI

FIXED BRIDGE

(Oval to include abutments)

WD

AGO FORM

85 MAB 1845

8-106

1 Thie form

uned uDon

sipt of thin rovision

995 a 14, 20 1'16

GS

apo

---

## Page 69

CLINICAL RECORD

17159

10SP1TAI

1. LAST NAME, FIRST NAME, MIDDLE INITIAL

250th

Aked

Sta

OSP

Hall,

Loren

E

b. WARD

C. RELIGICH

d. ThEY. ADN.

2. REGISIBE NO.

• ABST SERIALN&

1. GRADE

3

trot

48

660

17 229 450 PV

O. NAME AND ADDRESS OF NEARE MELATIVE

5. ORDAiIZATION AND ARM O8 SERVICI (I AAE parsonnel, see below)°

Mother: Mrs

Int,

001

6th

Armd

Cav Regt

11.

S. E. ith st.

G. AGE

7. RACE

8. LENGTHOr SERVICE 9. DATEOr ADMIESION

FORTO

Newton, lansale

19

1-8/12

22 Jan 49,

1100

1. Dis.

INJ. B/C S. ADJUTAID OFFICER

10. SOURCE OF ADMISSION

WIKI

Disp, 6th Arma

• Il•AAF, indicate pilot, non-pild diving personnel, ground personnel or aviation cadet.

11. FINAL DIAGNOSIS, ADDITIONAL DIAGNOSES, OPERATIONS, CHANGE OF STATUS

Transfer:

Epilepsy, obs for

Diagnosis Confirmed

Tanafer diagnosis not enfirmed!

Afaeriation for indee as puts t

PROFILE

SERIAL

LAST

(If known)

PRESENT

12. LINE OF DUTY

Yes

WD AGO FORM

APR

10458-33

13. PAPOSITION AND DATE

8 teh 49

# v.s..

CANNENT PRINTING OFFICK

-40778-1

AGL GOA $+48-1001-12439-330

66

Replaces WD AGO Form 8-33, 1 Jul 44 and WD

MD Form $5A, 31 May 38, Which are obsolete.

07-72-10

---

## Page 70

sat

W.D., A. G.O. Horm N0.8-31

B August 1441

Me. Nari

(Old T. i December 102)

No. 55A-1,

ABBREVIATED CLINICAL RECORD

Name Hall, Foren

Grade_OVT Ward 3

(This sheet to be used in confunction with 55A, M. D. in cases where the data hereon will

suffice to conform with existing resulations.)

Pertinent history, chief complaint, and condition on admission.

ent he he wile vigilan

Later

atthe

once which watt

uh she all

yesteday

P.72.

EENT-har

hare

1. д.

--

has

У-И. -

-- hara

: Progress

Jump

no freiane

(lise both sides of this sheet)

---

## Page 71

Form 65 1

MEDICAL DEA SAYS: 145) AR

CHIEF COMPLAIN'T CONDITION ON ADMISSION-PREVIOUS

PERSONAL HISTORY

Name

Hall, Loran E

Grade

Bet Prt

Ward

Chief complaint:

Plack out spells and headaches - 4 days

General appearance and condition on admission:

Patient is a robust

saldier of about stated age of 19 who

appears well and in no distress.

3

Occupation:

Soldier

Tropical service:

None

Habits (alcohol eleces per:

5 or ô

per

day

previously, none in last two months

One package of cigarettes per day

Family history:

Mother and father living and well

No history of serious family diseases

Previous personal history:

Usual childhood diseases

appendectomy in 1940 without complications

No serious diseases or operations

Injuries:

Hit back of left ear

with baseball bat 8 no. ago, unconscious

2 hrs or so and had

amnesia for about one day

Back injury in Feb. 147, po fracture.

Venereal disease:

GC. at age 14, was

treated with sulfa and had no recurrence.

(OVER)

181-14415-1

NE 54756 DocId: 32262166 Paue 7-

---

## Page 72

HISTORY OF

THE PRESENT ILLNESS

This is the second admission to this hospital

for this

soldier in last two months trevious discharge followed

a diagnosis of gastroenteritis.

He had been well

and was boxing

in his outfit and had been for

admission he was sparring with another fellow and

It jarred himp a bit

to box for a few seconds and then he

u t" and

He was out just momentarily and and then got up

and went on to shower and felt oK.

Then later he was sitting

in the club playing cards and had a similar episode wiphich

lasted only monentarily.

Ile had one episode

the next day hile

walking along.

Then he had two

the day

defore admission,

while sitting

the club and the other

while just sitting

around.

has continued to have a rether nild, constant

aching keneralized headache.

felt perfectly well

otherwise.

He states

he wants to get out as quickly

as possible

since he thinks

to make the boxing

team which will go to The

states to box next spring.

174 5474

---

## Page 73

MEDICAL DEPARTMENT

DORANTEE C, U.S. ABMY

Revised May 31, 1939

Name

Hall, Loran E.

PHYSICAL EXAMINATION

Grade :

Fvt

Ward..

#

Height:

Skin:

Normal wright:

Clear no rashes or lesions

Present weight:

Head (including special senses, nose, mouth, throat, and pharynx):

No significant abnormalities observed except that bone

conduction hearing is reduced or nearly absent on the left

Neck: -

Normal

Thorax:

Normal

Lungs:

Clear to percussion

and auscultation

Vascular system (arterial and venous):

Normal

Blood pressure: Systolic.

138

84

; diastolic.

Heart:

Normal

idiot!;

1 or)

18-19810

NK 54756 DocId:32262166 Page 73

---

## Page 74

PHYSICAL EXAMINATION

Abdomen:

RIs old "scar. No tenderness, no masses

Hernia:

None

Genito-urinary:

Normal externally

Anus and rectum:

Normal externally

Glandular system (lymphatic and. endocrine):

Normal

Bones and joints:

Normal

Muscular system:

Normal

Nervous system:

Normal except for hebring defect.

Date

22 Jan

-, 19.

Namd (typed) ..

Verheyden

71.

Grado ..

Capt

1809:10

-DocId: 32262166. Faue 74

---

## Page 75

Form as 7'

MEDIA DIA MAN, 1035,4848

PROGRESS NOTES

Name Hall, torea

Grade ...

PuT

Ward U

(Complications and changes in diagnosis, with date in each case, should be entered on this sheet)

vili to tight te licht and munttin

in't Harp te were the the left of the papille

And some digjiness.

sitting a supine

28gan. Patent has kale bank out epin any

repeated.

since arm

Headaches and dizzi

very

F,N.C.

Fed. Patient is air

iplomatia sno. the fellan

alich stairs 2 day

Shull filma are to

he but histo

requlae.

...7. A.V.

3 TeR. Caleine Caffein

slusations

relil He contines

und headaches. Shell films were wey a bus

7.1.00,

(Use both sides of this sheet)

22

---

## Page 76

PROGRESS NOTES Continued

ut the same

it the came whe pickeld

haca mencero

cut to 781 me Me chris me te

He has not had a west

compatible with-t.

75:

---

## Page 77

Form 65 G-1

Name Hall Loren

TREATENT

Grade ..

Ward J3

...........-...

Dato

22 gan 1. Rantine Lab warte

2. To sero Falli

24- X-ray prom reall and pou left proces. mestridens.

di Mulers

27eh.

V Codeine

headache

I//r:

-20311

• (OVER)

---

## Page 78

TREATMENT

Dato

Pett.

8- 18818

12.5.

---

## Page 79

MEDICAL DI

TEMPERATURE TREATMENT- NURSE'S NOTES

Name Hall, Loren

Grado ....

PUT

Dato

A.M.

P.M.

Wt

Modication and Nurse's Notes

PR

P

R

23/6-4797.7218

2am.

Pantine Merciens

Ward U

@ 1130.

2304 46°80 x.

2492u/72%x010

no complaints

To missom

X Rays will he taken

ma. m as anolereal.

Peti has no special tau

plaists.:

172 22 5 78 80 18 19

13 D

9268.18

Teel about the same.

97.8020

964 10 20 98.4620 N6.00

Toutere care.

24 an e k620

toutin cun-

70/9

is a 6418 not in leas

3. 1am 91401

11 MA.

1948 50|30

214. 91k018

Be Chef camplits

outrie

wetie cale

198. 8018

374. 9446848

4tel.91 k118

1345 Cod. gir E Caffeine Citrate quit for halache;

1300

Cod. giz è Caffeine

920618 10 90

A git far beaded coese

тина

68 6 7600

endache

HH

54756

514. 171:020

48 4 36 18

6. Рев. 96

6820

DocId: 32262166

Page 79

145.00

Ora grai

a pox forkediche 1530 dis.

(Over)

---

## Page 80

TEMPERATURE TREATMENT-NURSE'S NOTES

File.

A.M.

Date

194.2

6. He

154. 924 12.,20

P.M.

R

St

Modication and Nurse's Notes

0e9 88

20 16 0e Pantine.

shese tale

Ristino - Mess Hall.

54756

/ DocId: 32262166

Page 80.

AGPD 11-44/250M1C-46A8CD

---

## Page 81

MEDICAL DEPaRTMENT,

DEPARTEENT, U. B. ARKY

(Rorised May 31, 1039)

Namo Hall Aoren

-drasasaszasaazzi

RADIOLOGIC RECORD

Grade

: OUT

. .........-....

Ward U

Film No. ..

ivame Hull Soran.

Potserial No 1122445drard 3 16019

Pare bo is oxlege

et reeguniall, lift ansstend

bss.keft.mastoid.ne

wos.c.b.adet.ulc

1.F.ck.49

w otos ale fu. egilepatiion 1р

"Blw"

J. KL Vesheylann

10spi til 1.5.0. Htatirnispza..

FiLm NO. ./J.G.

Negatire skull.

Date.

2 Feb 4?

D.? abbitt, Caot.

74

NW 51756 l PocId: 22262(56 Jaage 81

I.*

•"aobitt, cast.

---

## Page 82

W

Porn No. 55-

which may continue in use

lune 104

Name: Hall. foren

LABORATORY REPORTS

Grado OuT

4...-----0-000400

Ward U

Name Hall, Lehen

Stations8th-fus) gentlesa

Examination requested by

Indiertak

Kahn&

Quantitative Kahn

E. Typhosa -.

S. Paratyphi

S. Schottmuelleri

Heterophile antibody

Remarks .--

Laboratory

Form 55 L-8

SPANIMEN

MEDICAL VERA MEND, V

Revised June 9, 1042)

I.D. FOrm" NO. OB

23 De

18440-07

22 Ding nock 191, has tea. "

79

Bank -

• Isolate

sted by chick (V) bel

Wassermann

i. C.

Tularemia-.

Undulant fever

CAPT.

SEROLOGY

Date.

203

URINALISI

203

Dav.....

M. 5. 6

8-Fch

-M.°

S644319--73907-1204-9159

203

GPO 16-1-2439

GPO

---

## Page 83

CLINICAL RECORD

(V)

A. HOSPITAL

b. WARD

98

Gen, $56p

APO

407

C. RELIGION

IN PREY. ADH.

B 1

L, 112

1. LAST NAME, FIRT NAME, MIdDLE INITIAL

Hall Toren

E

2. REGISTER NO.

3. ARMY SERIAL NO.

50 012

RA17 224 450

4. GRADE

0. NAME AND ADDRESS OF NEARtET RELATIVE

Mario Hall

Pest. APO 30;

Ill South East 7tH

1. St

8. LENGTHOr SERVICE d. LATROY ADMIssION

Nerton Lans,

12

W

8/12 (a)

8 Feb

49

1. Dis.

INJ. B/C 8. ADMITTING OFFICER

10. SOURCE Of ADMISSION Trid. fr 250th Med

Sta

hitti

HOsp Apo 305

* Il AAF, Indicate pilot, non-pint tying personnel, ground personnel or aviation cadet.

11. FINAL DIAONOSIS, ADDITIQIAL DIAONOSES, OPERATIONS, CHANGE OF StATUS

Trid De: Observation

In mindle ear pathology.

50012

Finc

loft Hering

range

1o decle loss arenage conversitinel

38-0 aft.

LAST

(1I knOwD) -

PrEseNT

12. LINE OF DUTY

You.

HW

ND

AGO FORM

1 APR 1845

8-33

54756

DocId: 32262166

Page

B3

13. DISPOSITION AND DATE

Duty

us-Fol.

11994

16.

"

U. S. GOVERNMENT SETTING OFPICS., 1680778-3

80

14. SIGNATURE OF WABD SURGEON

Replaces WD AGO Form 8-33, 1 Jul 44 and WD

MD Form 65A, 81 May 89, which are obsolate.

---

## Page 84

98 Cen Hosp

APO 407

Kal Taron 8.

50 072

RAZ7 224 450

(64)

$ 1

1ar10 Hall

112 south East 7th St

2225

Nenton Hans,

79 $ 8/72 (0)

8 Feb 49

DD

Irfd is 250th Nod sta

HOBs Apo 305

Trid Des Obervation for middle oar pathology.

,01191

DIAGNOSIS SLIP

19- To 194) PREPART. ALL REPORIS IN DUPDICAII

DATE Coon? B-I

to the Registras for all lilitar!

original of fattaL mpent must be his carried

atients. by 1200 trung of tho

day dollowing admission.

File duplicate

copy of ali reports with

cliniorl recor for reference.

Diagnosis Slip is not submitted

for non-military patiants.

A CORREC IED MPORT will br submitted without delay when any diag-

nosis submitted on

previous report

incorrent. AND A

ADDITION.L RAPORT Will

be supratted without delay when a

additional

diagnosis becomes established.

a condition previously

reported is cured (insuah cases the fact and date of cure will

TYPT: OF REPORT (check ono). Initial Corrected Additional

DIAGNOSIS:

if positively

state briefly but concisel" undiagnosied condition

Diagnosis will be stated

or scatement

The " urdiagnosed

, will be used for cragnosis not vet

established and

a CORTEC ID report will be subritted when the

" undiagnosred

condition" changes to t positivo diagnosis.

Reports for

Venareal Diseases will be completed and accompanied by Two copies

of the Contact History, ED Form 8-4, (old USFT.T Form 302. )

Despass, prytide, cause indetemind, loft.

Head

38.0

170 deciled loss arcige contre satund nauge at.

loft.

98th Gen Hosp Form # 45

(Issue

to Receiving Office Only)

SIGYED VIRT OFFICER

HH, 54756

| DocId: 32262166 Page 84

---

## Page 85

WD AGO FORM 8-43

AU G

(Supersedes WD MD Form 55E4, 31 Ma

1939, which may be usod

untll exhausted.

DENTAL EXAMINATION

Namo Hall, Loren

Grade.

it

Age 19 Color...

Date

8 -Jeb, 1049

Referred for:

1. Dental treatment. Routine:

Emergency

2.. Elimination of dental foci.

8. If special examination for focal

only is desired, check here.

afection and report

4. In hospital for dental treatmen

5. Probable period of hospitaliza

6. Infectious lues?

Medical diagnosis:

98th (US) Gen. Fleep.

Ward Bl

bas Pathology

Tor Clearance May toberts

Findings:

Date --

FEB 8 1949

-, 19...

NEAL A. HARPER, COL.D. C

"D. C.

18-178353

54756

DecId: 32262166

(OVEB)

Page 85

82

---

## Page 86

REPORT OF DINTAL, SURVEY"

RICHT

UPPER

LEE

16.

19

14

RIGHT

13

12

LOWER

TEỆTH

1 10'

LEFY

11

18

Occlusion

Calculus: Slight-

Medium

Peridontoclasia -

nove

Dental foci suspected:. Yes

No

Other conditions:

Carous Teeth

Kreeth missing

Gingivitis

Stomotitis

Appointment given for treatment

Treatment started today

Reterreato -

Class

Remarks

*Indicate:

Restorable teeth, carious by

Nonrestorable teeth, carious by

Missing natural teeth by

TENT PRINTING OFFICE

18-17695

Heavy

ANGAL A, HARPER, COL. D.C.

D. C."

XXX

Teeth replaccd by denture

(horizontal line)

Teeth replaced by fired bridge

(oval to include abutments)

54756

DocId: 32262166 Page

---

## Page 87

FOrM 55 F

MEDICAL DEPARTURNT, U. B. ARM

Revised May 81, 1851

PROGRESS NOTES T

Name

Halli Loren

Grade --

Piste

Ward_ BI

(Complications and changes in diagnosis, with date in each case, should bo entered on this sheet)

ig - Fel:

Hoap.

car

Tralet fum 3508 noista.

ding f alamit is la middle

He logg:"

This is gould ew s

mile can fathology. He prented

vaguly, my ts of remind type, and

ringing"

I car.

Dining: amal epicaminat on it was

which horne sand i baller him in parami

his Lif

Also his dezziness and tient

(Use both sides of this sheet)

---

## Page 88

PROGRESS

NOTES !Continued

lave. cleard uf

lingital

Hes genered

hoon 2e wag

for dischinge

seivie.

lil he his han in the

condition is goal. olke

so che i ma contra indietria

F-Rolat

---

## Page 89

• DATE

NUhDING NOtS

Stil

adm 12:36

971 98÷12-18

0800-

DATE

ORDEREO

ORDERS (INITIAL EACH

Steh Routine Lab+ XI

Rowtine Uburd. Care

DATE

DISCON-

N.

DEC. 101S U-LLU

GISTER NO.

0012

19

OUTIES INDICATED HAVE DENO

DIAGNOSIS

1.161

15o211722448

---

## Page 90

DEPARTMENT, U. B. ARM

(Lievised May 81, 1939)

RADIOLOGIC RECORD

amo Hall, Loren

Grado/

Put

58th (US) Gen. Hosp

Ward -

B./

Film No. -

Name....

Serial No. / 7224450

aren

Part to be examined

mest.i.

Clinical diagnosis and symptoms (include operations)

Date..

Hit 9

... 197%

9ath General Hospital

Dale....

10 Feb 19

BOTH MASTOIDS: The mastoid

cells

are clear.

3714/4

vard oil

EN Bank

18

.t..

inte at anting

? via the oare enjoy.

7X Rotest men

IM. C.

Him Nó 37/8/4

H. GARRISON:

CAPT

MC

M. C.""

RADIQLOGIC REPORTSY

НП. 51736

---

## Page 91

Form 65 L

MEDICAL DEPARTMENT, U.S. ARMY

(rovste May she dose

Name Hall, Loren

LABORATORY REPORTS

Grade

Put

sath (US) Goa, Hespo

Ward B/

Paste 3d repi

ere 1 and succeeding ones on above lines

12d report with top at this line T

fist report with top at this line 1

HH 54756|

RecId: 32262166 Fate, 91

---

## Page 92

DO NOT USE CUDE HOXES

Al

1A9.

T A3

BI

B2

B3

4. GRADE

17: 224 450

Rct

5. ORCANIZATION AND A RA dE SCEYiCE (if AAF permonnol, ace below)"

Get 6th Arma DiaTon

W

10. SOURCE OF ADMI

1+ 013l2

•I AAr, indicate piles, nomillaying pers., groun

11. CAUSE OF ADMISSION. ApSITIONAL

OF STATUs

EI

E2

D3

E3

22 Jan 49

Transfer"

ward III

Epilepsy

obs. for

lax.

Q1

02

12. LINE OF DUTY

T3. DISPOSITION

S

T

14. DATE OF DISPOSITION

15. DAYS LOST → | TOTAL

T& 250 th

T%. SIGNATUnE

HOSPITAL

QUARTERS

VI

WI

ogensburg, Germany

W2

W. D.. AG.

FORM NO. 8-24

1 July 194

(This forin su

which will autos used are rece

---

## Page 93

I. LAST NAME, FIRT ARE MIncE INTiAL

ALL

REGIsTER No

Loren E

3 SAY SERCAE NO. TA. GRADE

17 660

10: 224 450| Pvt

• ORCANIZATION ANG AN I, SEE VIE ( A personal, go bolow

6. ACE

CO AH OF SHA TICE

19

W

114-8/12: 22 Jan 49

Dispe

11. CAUsE

OF STATUS

DO NOT USE CODE BOXES

Al

A2

A3

B1

CI

DI

El

B2

| D2

E2

B3

D3

E3

1. Observation for middle ear

pathology®

Q2

12. LINE oF DUTY

1. Yes

13. DISFOSITION

Trid

to 98th Gen Hosp

14. DATE Or DISPOSITION DI

Munich, Ceo 19

Germany

15. DAYS LOST →

TorAr

HOSPITAL

QUARTERs

16. NAME AND LOCATIÚN 5

KEPORTINO INSTALLATION

250th lied Ste Hosp Resensburg Germany

17. ЗлорАтины

VI

WI

72

W2

W. D..

. A.G. 0.

1 July 1011

REGISTRAR

cats to sure te dir rein in on so ates tana

---

## Page 94

BEPARTE CONTROL SYMBOL MCS 67

1 Lasi Name Fra Nene, Miadia Initiel

DO NOT USE CODE BOXES

1•A1

A2

A3

B1

1B2

B3

1 4. Grade

02

17722/1150

5. Organization land ami or Service (il AAF personnel, Bee below)"

Inf Hq Coi Uth' Armd Cav' (US Con)

6. Age

7. Haçe 8. Length of Service

9. Date of Admission

18

W

1. 8/12

i0. Source or familion

22 Jan 49;

Direct

"ITAAF, Indicate pilott ton-pl

(ying pars, ground pers., or avn. cadet

11. Cause of Admistlin/

Additional Diagnoses, Operetions Change of Status

I Epilepsy, Obs dor:

C2.

Di

1E2

E3

O1 T02

12. Line of Doty

Tes

13 Disposition

Trfd to 257711

sta tosp 22 Jan 19

: 14. Date of Dispostion

15. Days Lost -s

Hospital

Quarters

Installaton

(25m S)

WI

W.D., A.G.O

NH 54756

DocId: 32262166

Page

94

---

## Page 95

1: LAST NAME. FIRST NAME, MIDDLE INITIAL

Hell Lorard

2. REGISTER NO. | 3 ARMY SERIAL NO.

FAIT: 274 450

4. GRADE

Prt

5. ORGANIZATION AND ARM OR SERVICE

6

Arm

C27

APO

5

6. AGE

7. RACE'| 8. LENGTH OF SERV.

9. DATE OF ADM.

19

A 10/12 | 9 Feb 49

10. SOURCE OF ADMISSION®

98 t, GEN. HOSP. APO - 407

"Reaulred ons

nell procedure is used.

B-1

REGISTER

OF DENTAL

PATIENTS

DATES AND D OPERATION REATMENTS

STAMINAFION

1949

Feb 9

Disch. From Hosp

RESULTS AND REMARKS

II AdmR ERN E

CASE GLOSED

16-20822-7

---

## Page 96

REPORT OF DENTAL SURVEY

UPPER TEETH•

RIGHT

LEFT

3211234567

XI

N9314000000668680

LOWER TEETH•

RIGHT

LEFT

16

15

14. 19|12 11 10 9 9 10 11 12 13 14

15 16

OCCLUSION

PERIODONTO@LASIA LONG

DENTAL FOCI; SUSPECTED

OTHER CONDITION ALON

CLASSIL

CALCULUS: SLIGHT, MEDIUM. HEAVY

• YES

I-NO

DATE

FEB 5: 194g

• RESTORABLE CARIOUS TEETH BY O

NONRESTORABLE CARIOUS TEETH BY 1

MISSING NATURAL TEETH BY X

FEETH (Horizontal Tin

D BY DENTUR

Coval to include a meRiDE

nclude abutments)

SIGNATURE OF DENTAL OFFICER

HARPER, COL. D. C.

WD AGO FORM

15

MAR

1945

8-116

16-20028-3

HH 51756: DocId: DocId:32262166

Page 96

---

## Page 97

I LAST NA59S, ANY

NAME MIDDLE INITIAL

CISTEIN I

1. GRADE.

DO NOT USE CODE DOXFA

Al

A2

•A3

132

B3

C2

FLANGE UN SERVICH D, DATE ON AUMISSION

1i2* (0)

15 jiah 19

DI

'If AAF, indicaen pialt.

ach-pilot fiying perd, Bround pers, or avn. cadee

I. CROSTATUS AUSE ATIONAL DIAGNOSES, OPKRATION;, CHANGE

(a) verifien

Lictive

3v

Leainess, perceptive,

cause

undetermined, left. Hearing 17.0 de-

cibels loss average conversational

range, righti - 38.0 left.

D2

1D3

E3™

M

Specialized Treatment - General Sur-

gery.

02

T2. LINK OF DUTY

Yes

13. DISPOSiTIOn

Duty - Genera

Service

116

February 1949

14. DATE oF DIsrOsiTiON

15. DAYS LOST ->

Total

HOSPITAL

QUAsTERs

8

6. NAME AND TAGATION OM MOUNTING INSTALLATIOI

Hospital, Munich,Gernan

17. SIGNATURI:

This forin supersadas V. D

which will not to lust

VI

V2

W2

W. D..A.G.O.

FORM NO. 8-21

160194

14-11814-1 SGP0

HH 54756, DocId: 32262166

Page

97.

---

## Page 98

1. LAST NAME. FIRST

Hall, Lorian

34 AUNT SERIA NO

4. GRADE

RA-1?

1224 450

Put

•5. ORCANIZATION ANDAL

SE SERVICE (iS AT porsonnel, sco below)"

Ci

Pa.

6. Асв

7712

INTELT, SCFOOL (cadre)

7. RACE

T8. Li

STUDE SELVICK 9. DATE OF AMMISSION

DI

19

3 10/12

17 Cot 49

TO. SouRcE or ADASSION

12 у

1.3

Bit

B2

183

*M AAT, indicate pi

IT. CAUSE, 4E ins

OF STATUS

37 Oct 49

BATIONE, CHANGE

C2

D2

E2

E3

23 I. 48

Blood I est....

some drippus

aspiral dachrice

use lint 2028p001.

XPyo

Intens

seniercen

28 X.

uncles, zerot

1 02

sulfudien

Culauren

12. LINE OF DUEY

13. DISPOSITION

14. DATE OF DISPOSIT

I5. DATS LOST -

HOSPITAL

QUARTERS

16. NAME AND LOCATION OH

REPORTING INSTALLATION

DISP HO 4*12

EUCOM INT-SCHCOL

17. SIGNATURE

V2

L'his form supersides W. D, M

hich will woth

Wi

W. D..AG.

FORM

NO. 8-24

1 July 1944

18-10801-2 # aP0

51756 DocId:32262166

Page

98

---

## Page 99

AGO Form N0.8-34

ABBREVI

AD CLINICAL ROCORD

Nane

Hale Lon

Grade

ward

(This sheet to

be

useo

conjunction with

where the data hereon

554, 1. D.In

cases

regulations.)

i surtice to conform with existins

Pertinent history, chief conplaint, and condition on ad-

mission.

18f,1.50.

20 sker.

ald. i.M. as hit on

his rect, siste

casted arm at the M. P. stations

farmish in perp

Pat. is

mauce of his cuty at 20%0 hrs. today,

Complete physickl:

antion a admire lene

following:

B.P. 150/90.

P..70. Pupils equal, with

wormal reacts

To light.. Pet, comes slowly

and without

ess to hids seasey,

Progress:

X mey

estives a p. + lat, of scall

and cervical spine.

Conson

contusion

Fracture

af

cerebial, mod

Tal part of spinal card

inod

14.

stehra C6 nat definitely diter

54756 PocId: 3

2166

Page

99

---

## Page 100

NAME

PART TO BE EXAMINED (OR TREATED

GRADE

Pic

Back of

8kul1

CLINICAL, DIAGNOSIS (INCLUDE OPERATIONS)

SERIAL NO

RA17224450

Corvical Region

Aus

20

Possible Fracuire

HOSPITAL

LOth Gen Disp

bA

14

Man

150

BIGNATURE LE,

Concussion-Cerebral

contusion,

proraty,

Mod •

corvivals

Fracture

C-6

pinal 'Cord with possible

WARD

DISP

,M. C.

Film No.

9423

Date

This form supersedes W.

a supersedes or.D

December 194;

which may

D. Form 55K-2, 9 June ra

be used until existing stocks are erbäusted

RADIOLOGIC REPORT

M. C.

1012737-18

OPO

262166P946-100

---

## Page 101

Name

(Complications and changes inle

16 Dam: 1950

Pr. nece

cant over ?

consciousne

pensiod. Xi

fractune the

complainet

and showed!?!

This cleared.

tlay i pan

tenderness or

PROGRESS NOTES

Grade --

Ward

incarnanda

nodis, with date in each case, should be entered on thie sheet)

ed mathet punch o heady.

perea. Regained

slowly over I hae

" menealed possible

on flexion y neck x

+ Chantine: Trang

She evidenc

liner Xinay chuch.

both sides of this sheet)

1756

Doe

---

## Page 102

CLINICAL

AL RECORD

derebral

2. Contusion,

derrical

spinal cord

M/possible

fracture. C-6

D. HOSPITAL

1. LAST NAME, FIRST NAME, MIDDLE INITIAL

98th

Gen Hosp' 4P0 407

Hall, Loren E

b. WARD

C. RELIGION

18-1

P

2. REOISTER No.

61

3. ARMY SERIAL NO.

4. GBADE

447

RA17224

450

Pfc

0. NAME AND ADDLESS OF NEAREST RELATIVE

5. ORGANIZATION AND ALI O& SERVICE (I AAF personnel, see below)"

Mrs farie Hall

(C1JP)

521st HP So Plat APO 172.

111 South East th St

8. 102"

•7. RACE'

Newton, Kar

20

8. LENGTH OF SERVICE ORGODMIsSION

1. DIs.

DI ADMITTING OREICEN

10. SOURCE OF ADMISSION

Irfd

fr

lOth Gen

Inj

INJ.

B/C

2 9/12(a)

16 Jan 50

Di so APO 172

* I AAF, Indicato pilot, non-plot flyiug personnel, ground personnel or aviation cadet.

11. FIVAL DIAGNOSIS, ADDITIORAL DIAONOSES, OPERATIONS, CHANGE OF STATUS

(a) Verified

Conti

%. Coast

cerebral

mochirate.

2. Her

and nudd

61447

8263

when pr.

A2 4 S0, ch in moih

Hornial t14

len 1s2

See Irattent; Nurosangery

PROFILE

LAST

(1f known).

PRESENT

12. LiNE OF DUTY

pI

ves

WD AGO FORM

AP R

1445 8-33

13, DISPATION AND DATE

Ruter.

23/An 4950

# U.S. GOVERN

11. SIGNATURE OF WARD SURGBON

Replaces WD AGO Form 8-33, 1 Jul 44nad WD

• MD Form BSA, 81 May 39, #bich aro bbsoloto.

НЫ 54756

DocId:32262166 Page 102

---

## Page 103

Lo Gonous1o2,

corobral

2o Costasion,;.

servioal

spinal cord

M/possiblo

frasture C-6

1.

TO:

98th

Gen Hosp APO

407

P

Loren »

, =61 147.

RA17Z2A 450

PRO

15) Hrs Mario Fall

(ChP) 521st IP ST Plet APO 172

121 South Last

ith st

(1200)

Newton, Kan!

sus 20

2 9/12(8) 16 Jan 50

Irfd is 10th Gon

Ing

Diop APO 172

16SH

• CTi 8 6

AND AG. ....-

Above patient for wischaree to cun core

Diacherge to Duty

irancfer:

2:

IC:

Central learance

registrar

3.

Time of departure

Date of reparture

bran

Signature

"OrM

No

137

12 Nep 1549

0835

23.41

150.

dosp treasurer:

KATI

Libraryu.

negistrat

Disposition Slip

160

HH 51756 mDepId: 32262166 Paus 103

---

## Page 104

HH

• 54756

10 r

166

Pagé

4C = 1946

Да. р.

Hooks 10r Back-disteration -gouttes - 1949-8.

---

## Page 105

407

1021, L0ren 8

conauasion,

sproberat.

62 447

RA17224 400

So Contualon.,

comical'

•IN): Ing Harlo Fol1

(0I) 62I0t LP So Pret APO 172

aploal cond

122 South East ath St

Mentor. Kam

430:

(1400) :":

2 0/12(0)

16 son t

trea fe 20th Gon

Irag

PLoy 150.172

(8) Vorired

a1 when but was hit from dehind while in nerformanco of his

duty in ip Sta ramsch Germany at 2040 hrs: 14 Jan 50

HH

54756

DocId

62166

Page 105

---

## Page 106

1. LAST NAME, H

RST NAME, MEDDLE INITIAL

DIAGNOSIS

SLIP

2 REGISTER NO

3. ARMY SERIAL NO°

61 140

1427. 284 450

4. GRADE®

Pro

5. ORGANIZALION AND ARM OR SERVICE®

Feet Me Sy fat ADO 172

6. AGÉ®

8. LENGTH OF SER.* | 9. DATE OF ADMISSION®

20

2 9/2

10 can 50

10. SOURCE OF ARMISSION®

Trid fri

1oth den 'I8p APO IT&. "

" REQUIRED

PROCEDURE

IS USED

INSTRUCTIONS: Original of INITIAL, REPORT must be forwarded to Registrar by

1200 of the day following admission.

all items.

File duplicate copy with clinical record.

Answer

The informalion need only be tentative, but should be as correct as possible.

additional diagnoses) becomes available or when a condition is cured.

12 WARD OFFICER

11. DATE

13. WARD NO.

14. TYPE OF REPORT (Check unc)

INITIAL • CORRECTED

16. SPECIALTY (Check onz)

GENERAL MEDICINE

GEN & ORTH SURGERY

OPEN WARD NP

THORACIC SURGERY

PLAST & MAX-FAC SUR

DEAF

BLIND

AMPUTEE

[a ADDITIONAL

15. TYPE OF PATIENT (Check one)

• STA. HOSP.

• REG. HOSP. • GEN. HOSP.

NEUROSURGERY

CLOSED WARD NP

VASCULAR SURGERY

TUBERCULOSIS

ARTHRITIS

NEUROSYPHILIS

TROPICAL DISEASES

OPHTHALMOLOGIC SURGERY

TRENCH FOOT

FEMALE

PW OFFICER

PW EM

RHEUMATIC FEVER

NEUROLOGY

17. PROBABLE DISPOSITION (Check One I APPROXIMATELY

_ DAYS

FULL DUTY

I LIMITED DUTY

* RETIREMENT

• CDD TO OWN CARE

• TRANSFER TO VAF L TRANSFER TO OTHER HOSPITAL

18, HOSPITAL RECORDS REQUESTED (F" probable CDD, record all previous hospitolization in U.S. Do not

include recorda on ward.)

DATE OF HOSPITALIZATION

WD

AGO FORM

130618018-176

103

18-18378-1

---

## Page 107

DIAGNOSIS

SLIP

MAME, FIRST NAME. MIDDLE INITIAL

Hell

Loren b

I3. ARMY SERIAL NO°

4. GRADE®,

RA17 224 450

S. ORGANIZATION AND ARM OR SERVICE®

aph salat MP So Plat APO 172

6. AGE

17. RACE®

8. LENGTH OF SER. *

9. DATE OF ADMISSION®

80 "

2 9/18

26 Jan 50

10. SOURCE OF ADSISSION®

Treat 10th den 18p APO 172

PREOLIDES

ONLY WHEN

STENCIL

PROCEDURE

IS USED

INSTRUCTIONS: Original of INITIAL REPORT must be forwarded to Registrar by

1200 ot the day following

File duplicate copy with clinical record.

Answer

all items..

The information need only be tentative, but should be as correct as possible.

A CORRECTED REFORT will be submitted without delay when any information sub-

mitted on the initial

ADDITIONAL REPO Pills found to be incorrect, as in a change of diagnosis.

will be submitted when supplemental information (including

additional diagnoses becomes available or when a condition is cured.

11. DATE

13. WARD NO.

14. TYPE OF REPORT (Chuck aze)

_ INITIAL

• CORRECTED

C ADDITIONAL

15. TYPE OF PATIENT (Check ons)

I STA. HOSP. [REG. HOSP. [] GEN. HOSP.

16. SPECIALTY (Check onc)

GENERAL MEDICINE

NEURQSURGERY

GEN & ORTH SURGERY

CLOSED WARD NP .

OPEN WARD NP

VASCULAR SURGERY

THORACIC SURGERY

TUBERCULOSIS

PLAST & MAX-FAC SUR

ARTHRITIS

DEAF

NEUROSYPHILIS

TROPICAL DISEASES

OPHTHALMOLOGIC SURGERY

TRENCH FOOT

FEMALE

PW OFFICER

PW EM

BLIND

RHEUMATIC FEVER

AMPUTEE

NEUROLOGY

17. PROBABLE DISPOSITION (Greck ofc) IN APPROXIMATELY.

_ DAYS

• FULL DUTY

O AMITED DUTY

• RETIREMENT

• CDD TO OWN CARE

TRANSFER TO VAF

• TRANSFER TO OTHER HOSPITAL

8. HOSPITAL RECORDS REQUESTED (For probablo CDD, record all previous hospitalization in U.S. Do no

include records on ward.)

HOSPITAL

1A2 OF HASPTALZATIO

B.

AGO FORM

18458-176

104

intrie

---

## Page 108

19. DIAGNOSIS:

п ітиту із іновеа

Ictedl

must also be com

20. LINE OF DUTY: (Check)

YES

•NO

EPTS

AR 35-

1440

107

TAli

W/C.

21: INJURY REPORT

A DATE AND HOUR OF INJURY

B. WHERE INCURRED

Sonnesch,

& HOW INCURRED

M. strech in nich by cast

22, IS INVESTIGATING OFFICERT

23. REMARKS (Enter here addi

tions, eic., nich may le

NO O

varis

sier.

Kot furnished elsewhere on this form; as clothing, pay dala, decora-

Be complete.)

108

HW 51756

DocId: 32262166 Paye 108,

---

## Page 109

Form 55 C-1

MEDICAL DEPARTMENT, U.S. ARMY

(Revised May 31, 1939)

Name: Tall

PHIMSICAL EXAMINATION

...:Grade.

Ward

Height:

Skin :

Norm

Present weight:

Clear.

Head (including special senses, nose, mou

throat, and pharynx);

Nock,

Lendermeis

muscle shas

fire

Thorax:

To defanse

Lungs:

eleau

Vascular system (arterial and venous) :

Blood prossure: Systolic...

¿ diastolic

20

Heart:

but inla

Но то

HH 54756

DocId: 32262166 Page 109

(OVER)

10%

---

## Page 110

PHYSICAL

EXAMINATION

hive

Genito-urinary:

Glahdilar system (lymphatic and andocrine)

- Bones and joints:

11:

Muscular system:

Iy perplexia it. either ami

Grade...........

75.038 MON. 874

HY 51756

• DocId: 32262166 Page 110

107

---

## Page 111

MIDICAL DEP.

Form 65 B

KENT, U. 8. ABSSY

Revised May 31, 1939

Hall

Name Presett

Chief complaint:

CONDITION ON ADMISSION-PREVIOUS

PERSONAL HISTORY

Grado Get Pla

Ward B-I.

General appearance and condition on admission:

disa cd us male m no distres,

Occupation:

Zu

Tropical service:

Tina

Habits (alcohol, tobacco, drugs):

furtes shack/day

alms moduatety

Family history:

14SI4O

5.1+00.

Previous personal history:

To senses diseases.

2н 1949- Dicined back an Any, Leakitate d

quenths bor delocaties- their duchauged

form Arey:

Injuries:

Venereal disease:

УС

1946

HH-.5

---

## Page 112

HISTORY OF THE PRESENT ILLNESS

A was uncousines

pain mi necke

bachel noch.

14 J0u1950.

Hit bey cast on

Homic 3040 us:

109

---

## Page 113

Form 65 I'

MEDICAL DEPARTMENT, U. B. ARI

(Revised May 31, 1029)

Name

PROGRESS NOTES

Grade .

Ward

(Complications and changes in diappphis, with date in each case, should be entered on this sheat)

19 9am. 50

7-Raip negative to date: 04

i much upsoned to date. Can

more head in

all directions s

raw.

syrip for

aus.

MH 51756 | DocId: 32262166 Pate 143

(Use both sides of this aleet)

0

18-18818

---

## Page 114

SUMMARY

several his ,

paraly a hamalleria

lift neglitt

ву.!

cu exain

logical liange

stallit nechues.

To duty

---

## Page 115

FOrM 65 1

MEDICAL DEPARTMENT, U. 8. ARMY

•(Rovised May 81, 1939)

INIMIAL SUMMAN

WORKING DIAGNOSIS, CONTEMPLATED

Name Wall

LABORANDI

PY TESTS, AND CONSULTATIONS

Grado

Ward B T

Transfer diagnosis:

i?!.

• сій,

Initial summary:

Meze tas

*.."T.

Working diagnoss or impression:

i lon cussio

bai sendi

Contemplated laboratory tests and

aminations:

H1H

---

## Page 116

Forma 55 K-1

LEDICAL DIPARTMENT, U. 8. Am

M44?0444

RAPALOGIC RECODE

DATE OF REQUEST

19 JaNso

AGE

5xm

20

C BEDSIDE, WI

CHAIR. OR

STRETCHER

* BED PATIENT

REQUESTED BY

I AMBULATORY

K.m. Berkell

EXAMINATION REQUESTED

Apthat Skull

ÁRY OF PERTINENT CLINICAL HISTORY, PHYSICAL FINDINES ANS/ PROVISIONAL DIAGNOSIS

Caucussion, fer.ebral

RADIOGRAPHIC REPORT (Use reverse side jor additional sa

No abnormil it

KULL

#sidemonstrated.

FILM NO.

47021

98th Goneral

Hospit

(Check one)

PATIENT'S LAST NAME- FIRST NAME MIDDLE NAME

I BEDSIDE. WHEEL

CHAIR.

Hall , lorent

Ffc

STRETCHER

• BED PATIENT

REQUESTED BY

I AMBULATORY

Felly do Burn

Captitio

EXAMINATION REQUESTED

portable:

AF and lite tat

dervacal spine

SUMMARY OF PERTINENT CLINICAL HISTORY, PHYSICAL FI

AND: PROVISIONAL DIAGNOSIS

REGISTER NO.

61 147

WARD NO.

B - 1

DATE OF REQUEST

16

January 1950

SEX

AGE

20

nile

RADIOGRAPHIC REPORT (Ure reverse aide for addlliona

No evidence

Lane

CERVICAL SPINE

dislocation.

FILM NO. -

4702/

IU Jan 00

(DATE OF REPORT)

Dry, Cajua, lic

REPORT MADEBY- Initiala)

seam sure o 5190

• 518 stated A Su, 1018

RADIOGRAPHIC REPORTS

SPITAL OR OTHER MEDICAL FACILITY)

713

---

## Page 117

16

NURSING NOTES

via tita

sоt микі

Sever slee

ă munic

DATE

NURSING NOTES

0000

-

32p43

DAIR

DATE

ORDERED

ORDERS (INITIAL EACH

MEMO

DATE

DISCON-

TINUED

Mill

diet titluids 20

up + ahout: Ra dix

D

No Ace. nay 8-225

"'EGISTER NO.

AGE

CATED HAVE S

DATE O!

відн

ARMY SERIAL NUMDER

172. 2454

15176

aren

---

## Page 118

NAME

DATE

HAll- LoRen

TAn 1952

DAAGEADOR -

POSTOPERATIVE

HOUR OF DAY

11209124

RESP, PULSE TEMP.

150

107°.

140

106°.

190

105°

120

104°

110

103°.

100

102°.

•50

90

101°

40

80

100°.

-30

70

9g°.

-20

60

98°

-10

50

97°

40 )

96°

HEIGHT-WEIGHT

MOUTH

PARENTERAL

TOTAL

URINE

FLUID

EMESIS

OTHER

TOTAL

120

SPUTUM

STOOLS

BLOOD PRESSURE

TEMPERATURE GRAPHIC CHART

Pife

170

GRADE

14

WARD Bi

21

22

110112191924

l0г00

1900/020% 1900 d000

820 19504/701

8 20642424

120 890

14100

12 90

MEDICATIONS

W.D., A. G. O. Form No. 8-57

15 September 1944

Is form supersedes W.D., M.D. Form 55 H-2, 31 May 1937, which may be wed

#ahtil existing stocke are exhausted

DocId: 32262166

Page

118

-• TEMPEDA•

---

## Page 119

is the fleir

ABBREVIATED CLINICAL RECORD

8439

Name

Hall, Loren Earado..

ере

Ward17/45

This sheet to be used in conjunction with W$ A 00/Form 8-38 (WD MD Form 55A), lu casas whore the data bereon will sutice to conform

with existing regulations.

Pertinent history, chief complint, and condition on admission.

21.A4

Get sinked on antre of it bene

playing fittell this pine.

Complete physical examinatioa is negative except for the following:

mod.. Ca

leineos on last. side

of it.

X-ray: meg

Bris part in eyes trainy.

Tups :

налі

"It. Bace

14.

X:

Methi

to duty

1. Kum

WD AGO FORN

APR

1045 8-34 86

(USE BOTH SIDES OF THIS SHEET)

(Old WD MD Forn

ed us existing stocks are exhausled

16-32789-2

es WD AGO

D C. 1042), thick

119

---

## Page 120

TEMPERATURE-

-TREATMENT-NURSE'S NOTES

д. M

P. M.

LAbOrATORY REPORTS

Name HAlle

LORen

Serial No. -

Station.. 101h. GENERAL DISFINSANY

S22-2Rak PEC

Examination requested by

Capit.

.. M.C.

RB.C. 45DOERWOS0770%- 704-13807

DISTaRENTIAL: Neutrophiles -

"3&

Monocytes -

Boninophies i

Reticulocytes.

Flatelets

-. Basophiles..

Color index

R B. C. morphology -

Parasites -

Clotting time

Sedimentation rate.

Bleeding time.

Hemstoorit :

Remarks -

Lab.

WO AGO FORM 8-6T

Old WD.

1944

23 December

Form

1942, which may be used until

existing stocks are exhausted.

BLOOD

111

NO AT 1041 8-69

Replaces

WD MD Formn 85 L-B

Doris 32262166 Paue 120

SEROLOGY

-i M. C.

Date p:2

18-83174-8

Hung 50.

# GPO 16-0-12993

Dao 22 Que 28

: 'аро

---

## Page 121

SING

TES AND

DATE

NOTENS

17 Ady. PeR Wheel

At 2630195. T. 18-70010

X-RAY TAKeN ON EdM

Ice CAP ToLt KNee

Marked

Leg elevAted.

98-80-18@0800. 172-Eadne

CAP IT 0800; 98-

12/8/0/609

18-10-18@2000.-

sang 18-80-189.0700

DATE

NURSING NOTES

DATE

ORDERED

21.8

ORDERS (INITIAL EACH NIEM)

Reg diet

Ront: lab:

Elevato It leg on palle

Le-bag, on linte

A.P. c Cod. 35 gion

Релавотв: 55 gr ete Af.

DATE

DISCON-fly

21

TINUED

22

23

6182a

D.

GI

rang

DEC. iDa U-LEU

EGISTER NO.

8639

20.

Д:

POSI'E EACH ORDER COMPLETED AND WILL ENTER

NITIALION, BOTTOM LINE

IS DEATIFICATION THAT DUTIES IMDIOATED HAVE BEEN COMPLETED

DATE OF ADMISSION

GRADE

ARMY SERIAL NUMBER

NAME

RH.

21 P/uд50

PFC

Ine 24450

DIAGNOSIS

CONTeSION eFT KNee

---

## Page 122

gO ABERVATED CLINICAL RECORD

Name -

Tall Foren

Grade -

Pfe.

• Ward _

(This sheet to be used in conjunction with 55A, M.D. in cases where the data hereon will

"suffice to conform with existing regulations.)

Pertinent history, chief complaint, and condition on admission.

9, Angust

1950

20%

an old W. M. started an

a aching

all over" I fee dos ago.

tise

headache, loss of appetite.

Complete physical examination is pegative except for the following:

Infected cut an It the finger it band.

Soreness

in all muscles.

To 101°

Imps. Mysettenia gravis, generalised,

inter criter. twis

12 Cueg: tri.

-d.K

(Use both sides of this sheet)

119

14732740-1

---

## Page 123

л. M.

TEMPERATURE-

BREATMENT-NURSE'S NOTES

P. M.

MEDICATION AND NUKE'S NOTES

"DATE

LASORATORY REPORTS

3: 143

(Paste third repott here and succeeding ones on above lines)

(Pust

setond report with top at thie line)

Name HAlle

Loke

Station10th GENERAL

DISPENSARY

Examination requested

Capt.

Serial No..

Rank: P.Fc

Ward.

512-12

Do Re Korst.

.M. C.

Color.-..

Sp. G.

Acetone.

Blood.

Microscopic...

../412 9.0

Character.

Albumen.

Diacetic acid..

Indican..

acid erassaus

Bile...

Volume (24-hr.)

APF

Lab...

Remarks:.

W. Do. A; Getober 10m

No.

October 1944

(Old W.D- June 1942)

M.D. Form No. B5Il

...м. С.

URINALYSIS

- 16969

3-12193

Lab..

7. Do, A. G. O.Form

NO.

• September 1944

COld W. D.,

M. D. Form NO. 55

23 December 1912)

BLOOD

120

10 54756.

ThE Page 12572F

---

## Page 124

RSING

TES AND

EATMENT

CORD

RD NO.

NURSIG NOTENS

9 Hag pt A dM simB allooles

+ 100-26-20-993 88 80 1604

99-84-1802000

10 Qug 99 -72-16 600700 , 150 - 9034-180200

980-72-18 0160: 98-16-18 0 0000.

Il lug: 92%-50-18@0700.

DATE

NURSING NOTES

8611

XP 92461

CE NO.

DATE

ORDERED

9.9.

50.

ORDERS (INITIAL EACH ITEM!

Ред. Сів

@Paut. lab-

DATE

DISCON. My

TINUED

9.

10

220308.287388633

-0=04-100

v

ненил

A.P. C. "I tabe, t. 1004

Dischar.

рона 8-225

AGO

REGISTER NO.

86ll

AGE

10

DATE OP AL

AT THE ENO OF EACH PERIOD ON DUTY MUR

CHEON MARK IN PROPIA COLUMN

'OPPOSITE EACH

ORDER COMPLETED AND WILL ENTER HER

HITIAL ON BOTTOM LINE

ICATION THAT OUTIEB INDICATED HAVE BEEN

GRADE

TRAL TAKIAL 104D48

F4c224450

Hall, to per

LoReN

DIAGNOSIS

Agastic press;

---

## Page 125

8650=

1. 2. 4 Poo ABBREVIATED CLINICAL RECORD

Form No. 65A-1,

31 Decomber 1942

Name -

Grade

Pfe.

Ward-

(This sheet to be used in conjunctiot with 55A, M.D, in cases where the data hereon will

suffice to conform with existing regulations.)

Pertinent history, chief complaint, and condition on amission

28. Angun

19 sta

20 years

ned W. M. got hit or et

Arigant 1950 and head

cong i hate wor game, caut

stand oa

Mad, sells.

3 up It, Race

only 130 deg

so, pasterion ta

Progress:

Impi. Heyd.

zyau

nd lightle

the Bundle

12.2

Use bott sides of this sheet)

10332740-2

---

## Page 126

Д. М.

TEMPERATURE

P. M

TENT-NURSE'S NOTES

MEDICATION AND NURER'+ NOTES

tie.

LABORATORY REPORTS

free no? o

(Check one)

ID BEDSIDE. WHEEL

I BED PATIENT

AMBULATORY

EXAMINATION REQUESTED

PATIENT'S LAST NAME-FIRST

-MIDDLE NAME

HAlL

LaReN, E.

REQUESTED BY

cant

Bout pf

ches

plAte

IMMARY OF PERTINENT CLINICAL HISTORY, PHYSICAL FINDINGS. AND PROVISIONAL DIAGNOSIS

REGISTER NO.

WARD NO.

517-12

DATE OF MESSA

AGE

Ang 50

20

M

MyASTheN IA,

RADIOGRAPHIC REPORT (Use reverse side for additionab space)

FILM NO.

9423

REPORT MADE BY - Iniliala)

PromulEatod Auzus

Stand Been She Been rel A g

1048

RADIOGRAPHIC REPORTS

(NAME OF HOSPITAL OR OTHER MEDICAL FACILITY)

54756. JDog1d932262166

Page. 126

---

## Page 127

*DATE

NURSIG NOTENS

25/ Qug

I AM PeR, Whe

* 1200 hrs. T 98

98: 12-18@2000.

29/arg: 98"- 80-1800800

Discharged is enste

to the port in fortlace

DATE

CHAIR.

4-2014

*SING

YES AND

ATMENT

'ORD

ID NO.

707-157

,. ¿ NO.

many

DATE

ORDERED

28.81

ORDERS (INITIAL EACH

diet

cout lat

Warm wet packet lt bale

Fore contine

Pay Distani,

ISCON

TINUED

280ng s

kau.

DEC.

•F.GISTER NO.

8650

ICE

20

DATE OF A

28.8.50.

1L-5175610

ASTHE END OF EACH PERIOD ON DUTY NURBE WILI

OPPOSITE EACH ORDER COMPLETED AND WILL ENTER HE

GRADE

ARMY SERIAL NUMBER

1922-44450

PROPER COLUMN

BOTTOM LINE

NURSING NOTES

kO 2264.

28

0700

12Y

1500

2300

DIAGNOSIS

---

## Page 128

PATALENT

HIEL MIDDLE LNITIL

DO NOT USE CODE BOIES

Al

A2

A3

1a11, Lore

. REGISTER N

ATHY SERIAL NO.

17224450

B3

5. ORGANIZATION AND A

(MP)

52121

3. ACE 17. RAc

20

16

10. SOURCE OF ADMISERO

C2

Di

D2

D3

Jearsl 14 ien 50

E2

*If AAF, indicato poll

II. CAUSE OF ADNK

oa pilot fying pere. ground père. or ava. cader

• ADDITIONAL DIACNOSES, OPERATIONS, CHANGE

G

*Garmi sch

Germany

irätient

as trouhht into

this

Lis pensar

alitter

at

2100

hT's

l4 jet

50.

Pat ient

by

Was

hit from behind

anothe

soldier while in the

Derformen

el'of his

dutv

in

the

KP Statio

(521st MPs) Garmison

Gormary at

2040 hrs

Concussion-Cerebral, Severity

Mod.

cortraion Cervical Spinal Cora-

vati possiblo fracture iC-6

24.1.501

tras 2x 98 tu: na fractino N

Ph.

tai

ting af wech

termina, neck tr

ti fate.

QI

ignoli prolaritar

4.n.

9.3.50.1

Dermatom/cosas rokand.

12. LUNE OF DUTT

13. DIsPOsITION

14. DATE OF DISPOSTTION

15. DATe LOST →

HOSPITAL

I6. NANE AND LOKA

OF 'REPORTINE INSTALLATION

10th

Genen

Dispensary

17. SICNATURE GAT

plach, Germany

A PO

172

WI

W.D..A.G.O.

F MY 1024

July 1944

which will not

. D. M. D.

Form

alter receipt of this revision.

TOS"

---

## Page 129

K'aive

lif.

Rheiis

bios

50

1

Dge A.

4. р

bireise

→714.

14.

cao o

Ide

in

1me

ptathermy

#1.12:50

Dxdpile

(1)

dow Buni 06

ма ши так ліхуква

Mosol Drips-Bupa sed! Ar

ww 54756 1Dectd:32262166 Page 129

biten 2

---

## Page 130

I. LAST NAM

2. RECISTER

5. ORGANIZATH

(* )

6. Ace

7. RAes

20

10. SOURcE OF

Di

*If AAF, indica

II. CAUSI

OF STATUS

I NAME, MIDDLE INITIA

ManY SkarAz No.

4. CRADE

417.12

1450

Ffc

RA ON SERVICE (iS AAT personnel, see below)"

SV

Flaton 127)

14 can 50

Cl

DI

El

lying pers., ground pprs., or avn. cadet

DIAGnOSES, OPERATIONS. CoANGI

DO NOT USE CODE BOXES

Al

A2

A3

B3

C2

D2

D3

E3

nicorebral, moderato

with poss

1& 25

from bel

of his

Garnid

14 Jan

mned when rationt was hit

whilo in

the performance

mr is in th NP Station

Germany at 2040 hours

01

02

12. LINE OF DOrY

13. DISPOSITIO!

LD.

Yes

g8th

General Hospital

14. DATE OF DHER

IS. DAYS LOST -

16

Jan

50

HOSPITAL

QUaNtERs

2

16. NAMB AND LOS

INTON ON RRPORTING INSTALLATION

10th Go

Dispensary Al

T7. SuNATURE

172

main

"CAPASCO GIFT

Malia

VI

V2

IVI

W. D

A. G. O

NO. 8-24

1 July 1044

which will

H# 54756

DocId: 32262166

Page 130

---

## Page 131

HIS CONTROL BIMBOL MOS 07

I. LAST NANE. F

Hall, LoYM

•E

2. REGISTER No.

AHMt SERIALiNO.

d. GRADE

61 447

RA 17 224 450

Pfc

5. ORCANIZATION

EM OR SAUVICE (iT AAY personnel, see below)"

CMP) 521 st

sv Phat AYO 172

T7. RAce

& LENGTA OT SRIVICE 9. DATE OF ADMISSION

20

W

319/12(a) |16 Jan: 50

IO. SOURCE OF

Trid fr

Gen Disp AYO 172

•If AAF, indicato

But ion pilot flying pers, ground pers., or avo. endet

II. CAUSE

1010r1009M04

DIACNOSES, OFFE

OF StaTUs

l. Contusion,

cerebral, moderate.

2.

Conc us silon

of spinal cord.

Dg 1 - 21A

aprx 2040 hrs, 14 Jan 50,

patient

was hit in the neck by another

EM, while

denforming duty in the mi

Station,

Germisch, Germany.

DO NOT USE CODE BOXES

AI

A2

A3

BI

CI

DI

E1

B2

D2

E2

B3

D3

ЕЗ

850/

0010

8263

7030

N

3

979

Specialized Treatment: Neurosurgery.

Q1

12. LINE OF DUXE

1 Yes,

le s

13. DISPOSITION

Duty,

general

14. DATE OF DiSE

15. DAYs LOST →

service

23 Jan 50

HOSPITAL

QUARTERS

T6. NANE AND To

98th General

T7. SIGNATURE

7:

Of REPORTING INSTALLATION

Hospital, Munich, Geruany

72

WI

B. L.ISEMI

RE, NOJG, USA, Ass't RegistratoRMN 6)

|1 July 1049

bis for

• bich will do

GPO

HH 54756

DocId: 32262166

Page

131

---

## Page 132

CONTROL SYMBOL MOS 67

LIE MIDDLE INITTAL

DO NOT USE CODE BOXEE

A2

I. LAST NAME, InsT

Hall,

ICH

2. REGISTeR NO.

ANAY SELIAE NO.

4 GRADI

S611

14. 7722/450

Pfc

5. ORCANIZATION AND

A CA SERViCE A AF pereonnel, see below)*

(MP)

5215€

Psy platoon

7. RACE

& ARNETH OF SERVICE

9. DATE OF AUSVISSION

20

W

133/12

19 Ang 50

10. SOURCE OF ADMISION

•If AAT, indicato nil

I1. CAUsE Or

AnNI

DI STATU!

B1

CI

DI

EI

Direct

on pilorifyias pera, ground prre., or ayn. cader

ADITTIONAL DIAGNOSER, OPRiATIONS, CHANCE

132

B3

C2

D2

D3

5704-fastroentritis, acute, virus

infection

type unknown

Q1

Q2

Total penio1llin 680,000 units

12. LINE OF DUTY

13. DISPOSITION

14. DATE OF DISPOS

IS. DAIS LOST →

Yes

y General Service

11 Aug 50

HOSPITAL

QUAsTERE

2

2

T6. NABIB AND LOCATON DE REFORTING INSTALLATION

10th GeneraL Dispensary

APO 172

17. SiGNATURE

10.

visit

ENRICO

CAPRASÇO,

, САРІя РА.С •

(Chia loren su

isodes IV. D; M. D.

which will not

assa aitor receipt ol tais revision.

V2

WI

W. D..A.G.

FORM NO. 8-2A

1cLy 1031

HH 54756

DocId: 32262166

Page

132

---

## Page 133

DO NOT USE CODE BOXER

Al

A3

1. LABT NAME IN HAME, MINGLE INITIAL

Hall,

& RACISTER NH

AHAY SERIAL NO.

4 GRADE

B1

8639

FA17224450

PRO

5. OnCANIZATIO

47ам OR SeavICE (if AAF personnel, see below)

CT

(MP)

5213

MP Sv Platoon

б. AcE

7. T

TENCHROE SKEVICH| 9. DATE Of ADMISSION

DI

20

1 3 7/22

1-21 Aug 50

10. SOURCE OF ATMISSION)

E1

Direct

•If AAE, indightel

play non-nilot dying pere.. ground t

or nyn. cavel

IT. CAUSE OF ATTALION, 'ADUITIONAL. DIACORES, OPRIATIONS, ChANGE

O8 STATUS!

119.

B3

C2

D2

D3

E2

TEЗ

8263 Conthsion, left knee, Incurred

while practicing foot-ball, 1600 hrs

20 Aug 50, In Garmisch Germany.

K

QI

R

02

12. LINE ON

ID Yes

13. DIsPoSE

14. DATE OF

LORISION

IS. DAYS LOST

puty General Sertice

23 Aug 50

HOSPITAL

QUAnTERS

2

2

16. NAME AND

JOCATION O7 REPORTINC INSTALLATION

10th General Dispensary APO 172

17. SIGNATUAti

T

ENRICO

DI. CARRASCO, CAP

M.C.

WI

W2

W. D.. A.G. O

FORM NO. 8-24

1 July 1U91

*apo

54756

DocId: 32262166

Page 133

---

## Page 134

RARONZA CONTROL SYMBOL MOS 67

I. LAST NAME FUST NAE, MOLE INTIAZ

Hall

2. REGISTER NO

IlLenen

13. Amary SERrAI No.

8650

RA 7.7224450

Pfc

5. OBCANIZATIONI

La KeNoa SErvicE (il AAF personmel, soe belom)"

(CMP)

5Plat MPISv Platoon

6. AcE

7. RACK

B, LENCTION SERVICE D. DATE O8 ADMISSION

20

113 7/12

128 Aug 50

DO NOT USE CODE BOXES

Al

A2

RI

C1

DI

El

Direct

•IL AAF, indiratatiot poh pilot Aying pere. aro

o avn. citer

I1. CAUSE off

DRESSION. AUDITIONAL DIAGNOSRI, OPRRATIONS, CHANGE

OF STATUS

B2

B3

C2

D2

D3

E2

1E3

1350-Derangament internal, of leit:

torn ligament medicuns.

Q1

03

12. LuNE or DU

ID Yes

T3. Dispostinday General Service

14. DATE OF DI

15. DAys Loste

IRION

29 Aug 50

HOSPITAL

QUARTERS

T

1

VI

v2

16. NAME AND LOCATION ON REPONTING INSTALLATION

10th Gensy

Al Dispensary APO 172

WI

W2

17. SIGNATURE

Co

40.

ENT ICON

CARRASCO CAPT, M.C.

W. D..A.G. C

FORM

NO. 8-2

1 July 1991

This tormist

ardes WAD. M. D.

vhich will

adre usd azer rocolpt or fais rovision.) 0'5

16-10384-8 #OPO

HH

54756

DocId: 32262166

Page

134

---

## Page 135

CLINICAL RECORD

BRIEF

hends.

B. HOSPITAL

98th Gen Hosp

b. TV ARD

c 2.

e. NANE AND ADDRESS OF

(M)

Mario

111 South Fed

Neviton,

Kas:

1. DIS. INJ.

B/C

•AAr. T0it8 00L :0

11. FINAL DIAGNOSIS. A

(s.) Verifiod

Arried 3:70

Seen

162.0

LP Mar. 57.

PX Card Fo

HALL LORA: 3

1407"

FREV. ADM

501

LASt NAME RE NAME, MIDDLE INTAL

HALL TORATE

2. REGISTERINO.

79.2261

A17 224 45

* ORADE:

Col

¡RELATIVE

'B. ORQANIZATION AND ARM OR SERVICE (1! AAF personnel, see below)

MPC 52130. MP Sv Co 40 172.

610 1 Pa:

• LENGTHOr SERVICE 9. DATEbY ADMIsSIO

1. 5/12 (4) 20 Apri7 5

10. SOURCE OR ADMISBION

Direst Casual Fro

Germisch,

APO 17% (Constitation)

aying personnel, ground personnel or aviation cadot;

NAY DIAGNOSES, OPERATIONS, CHANGE OF STATUS

C-2354477

12-23-19

FINAL DIAGNOSIS: #7 (R440) Dezema, mycotic, ban

SPECIALIZED

IRRATENT: Generall bedaoine

COCC: Cured

•A CLAIMS LOCATOR

DUDER!!

ĐEC 28 1959

TERF

TILITARY NONSED:

TA SING ATTICHED

A NS NICHIA KANSAS

•jEC

12 4 1959

LETIAL

PROFILE

SERIAL

D'

D

(11 known)

PRESENT

12. LINE OF DUTY

YES

WD

AGO FORA

TAPR 1845 8-35

AND; DATE

Hey 1951

The ORFICK

1951

18-10778-11

ARD SURGEON

2 Thank

Replaces WD AQO Form 8-33, 1 Jul 44and WD'

MD Form 55A, 31 May 39, which are obsolete.

1.342

---

## Page 136

ForDE

nat

By Bufaul

Vircuiar A - 32

CLINICAL RECORD

HISTORY-Part I

NATURE

AND DURATION OF COMPLAINTS (Includo circumstanco ajadmission)

cc.:

Sin trouble an it haid ff' on for the past 3'yes.

Isefered in to the

hoggsital from

the Dermatology Chive?

3-yrs. ago during

ISTORY OF PRESENT ILLNESSES

tennier mos.

the pot. noted the

hand. These

subsequeritte

The lesiones there upon

pidly epargad ques

Vesiculatin es hielege

Leet cochinge sn and lesion gradually

and tren desquamation.

cleared up aver the

winter: mos.

este following wane

sscondaicly.iie

not recive pericilia

son seit

ritinue on reverso sido)

a11. oran

HH.

AL FACILITY)

2666 Ba 106T11

AGL (I) 3-51- 70M-17337

REGISTER NO.

77.226

133

DATE

20 april 51

WARD NO.

HISTORY-Part |

Blandard FOrra 506

---

## Page 137

standara Form 508

Proqiulgated August 1019

By Bureau of the Budget

Laun A-Se

CLINICAL RECORD

HISTORY-Part 2

PAST HISTORY

INSTRUCTIONS.—Includo (1) OCCUPATIOMCP:

emar and postwar), (2) MILITARY HISTORY (Includo geographic

locations and dates), '(3) HABITS (Alcohol) tobacco, and drugs), (4) FAMILY HISTORY, (5) CHILDHOOD ILL-

NESSES, (6) ADULT ILLNESSES, (7) OPERATIONS, and (8) INJURIES

stationed at It. Lewis, Fat. Pitey, D tet. Knox.

in Cavas

past a ya.

) Sabits - alcohol - aven

'(mainly west -ends)

Jabeeco ..

14 Family History -

Fathers

Mother

& inter

39

3.9

ting of alligy, tve, cances, hypertension,

o) operationa

declong in 1939

inabitity to bens

- Coupiele

recovers and

"no difficuity"

the inaus pradents play fattall

on reverso sido)

TIENT'S LAST NAME-FIRST NAME

Hall,

Loran i.

REGISTER NO.

72÷00

WARD NO.

HISTORY (Parts 2 and 3)

Standard Form 505

CHAME OF HOSPITAL OR OTHER M

FACILITY)

184

---

## Page 138

HISTORY-Part 3

ISYSTEM

REVIEWI

INSTRUCTIONS.-Include (1) GENERAL,

Including (3) EYE, (4) EAR, (5) NOSE and (6)

• THROAT,,.

(7) NECK, (8) RESPIRATORY, (9) CARDIOVASCULAR. (10) GASTROINTESTINAL, (11) GENITO-URINARY land

(12) GYNECOLOGICAL). (13) HEMOPOIET/O U4) LYMPHATIC, (15) MUSCULO-SKELETAL and (16) NEURO-

PSYCHIATRIC SYSTEMS.

() Beveral Health - Exeillent

Read

_ Нед •

- She iritis

colomato, diplopia ete

Eje

Ear

Those

Throat

- Veg.

- Angrip.

Peeks

_ Mild

cold" for past in we,

I teaspoonful/d of yellons.

No fever in with look!

Cardiovases.

GI.

_ No molene.

_ No. V.D

Gu.

P) Lymphate - Meg

ls) Musculoskel

- Ig

(6) Neurol.

- Neg

ina, palpitations, digeprea

DATE

SIGNATURE OF PHYSICIAN

JocId: 32262166

Page

138

---

## Page 139

12. тра.

DOCTOR

PROGRESS NOTES

Sigri allenotes)

- SUMMARY

THiS 21 YBARN

OLO UNI MALERT WAS ADMiTTED 20 APRILST

iNTO THiS HOSP. ON REQUEST UF,

DERMATOL. CLiNiC TELAUSE

OF IMYCOTiC ECRETION BUTA HAMOS.

CONDiTION DRESENT FOR LAUT SYEARS WiTH CHANGiNG

MANiFESTATiONS EN BOTTA HANDS

AT TIME DE DOMISSIÓN CONDITiON CONDiSTED UF DESQUAMATVE

CRUSTED, ERODiVE

ERUPTOrA ON BOTH HANDS, MAINY ON DORIAL

ASPECT AT "BAJE

FiNGERS. CONDiTiON iMPROVED VELL

UNDER TREATME SIN

WITH DOMBERRO'S SOAKS, FUNGICiDAL

LOTIONS AND SALONGIS O iNTMENT.

MYCOTiC, HANDS.

FIN. DG. ECZEMAIN

Coch .

2440

136

---

## Page 140

taintel Form 5o0

Pron then

Le August lUSH

Ký Then of the

Bucket

Cirallar A-32

/ CLINIÇAL RECORD

DATE

DOCTOR'S PROGRESS NOTES

"Sign all notes)

he dar antrangot prodines.

5: Mang

Cinditin much

2+4 onta

12.

ты.

Hand caption.

Pr. ready fire

iNT'S LAST NAME-FIRST NAME-MIDDLE

Loran 1,.

(Continue on re

verse side)

REGISTER NO.

79.226

WARD NO.

DOCTOR'S PROGRESS NOTES

HAME DE HOSPITAL OR OTHER MEDICAL FACILITY)

4089 8-58-7084-1

---

## Page 141

Standard Horm 502

By Baronu of the Budget

circlery my

CLINICAL RECORD

•DATE OF ADMISSION

20 April 51

NARRATIVE SUMMARY

DATE OF DISCHARGE

14 May 51

NUMBER OF DAYS HOSPITALIZED

24 days

(Sign and dato at ond of narratives

m!!

This 21 y. old white male parient

was admisted 20 April 1951

into this hospital on request of dermatol. clinic because of mycotic

edzen on both hands.

PHYSICAL EXAMINATION: Condition as present for last 3 years with

changing manifestations on both hands. At time of admission condition consistea

of desquamative crusted, erosty eruptions on both hands, mainly on dorsar aspect

COURSE IN HOSPILAL:

at base of fingers.

Condition improved well under treatment with dombrorro's soaks, fungicidal

lotions and salicylic.ointmentd

FINAL, DIAGNOSIS: Eczema, nyptici

hards.

CODE: 2440

LOD: Yes

DISPOSIT ION:: Duty

JOACHIM THOMSEN

MD

SIGNATURE OF PHYSICIAN

(Use additional sheets of this form (Staadard Form 502) if more space is required)

IDENTIFICATION NO..

TORGANIZATION

"S LAST NAME-FIRST NAME-MIDDLE NAM

Hal; Loan

REGISTER NO.

79,226

WARD NO.

C2

NARRATIVE SUMMARY

Standard Form 502

NAME OF HOSPITAL OR OTHER MEDIÇAL FACILITY)

ma a big!

HH

547561

DocId: 32262166 Page 141

NT PRIMTIMO OFFICH

188

=58190-1

---

## Page 142

ormany Hard 40%

romutgated August 1948

y Burerulof the Budget

Cirqular A -32

CLINICAL RECORD

DATE

OF ADMISSION

20 April 51

NARRATIVE SUMMARY

DATE OF DISCHARGE

11 Ma

(Sig

51

NUMBER OF DAYS HOSPITALIZED

24 days

and of narratiy

This 21 J. olu hite male pallent was adnatted 20 April 1951

into this hospital on reyuest

of dermatol. clinic because of mycotic

eczema on both hands.

PHYSICAL EXAMINATION: Condition was present for last 3 years with

changing manifestations on both hands. At time of aunission condition consisted

of desquanative crusted, crosite eruplions on both hands, rainly on dorsar uspect

COURSE IN HOSPITALI

au kese of fingers.

Conditiou inproved well unler treatmept with doabrorro's soaks, fungicidal

lotions and salicylic ointnont.

FINAE, DIAGNOSIS: Eczema, nyasic,

hands.

CODE: 2440

LQD: Yes

DISPOSITION: Duty

JOACHIM /'HOMSEN

• MD

(Use additional sheets of this.

SIGNA

URE OF PHYSICIAN

PATIENT'S LAST NAME-FIRST NAME- MIDDLE NAM

Fil, Loan

dard Form 503

if more space is required)

IDENTIFICAT

¡ON NO.

ORGANIZATION

REGISTER NO.

79,226

WARD NO.

C2

NARRATIVE SUMMARY

Btandard Form 502

OR OTHER MEDICAL FACILITY)

RIATING OFFICE

60-18-56100-1

139

---

## Page 143

RETORIS CONTROL STIBOL MCS 67

I. LAST NAME, K'INST MANS, MIDDLE INITIAL

Hall, Lonen E.

3. REGISTER No.

3. ARAY SERIA, No.

1. GRAD

8903

R$ 17224450•

Col

5. OSCANIZATION AND ARN OR SEEViCK( AAF personnel, sep below)*

(MPC)

52lst MP SV Platoon

б. Асв

T7. RACE

B/LENGTH OF SETICE 9. DATE OF ARMISSION

21

14/1/12

9 Jan 51

10. SOURCE OF ADMISION

Direct

•If AAF, indicate pilot, non-pilot flyike pers. ground pere. or avn. endet

II. CAUSE

OY ADMISSION. ADDITION DIAGNOSES, UPEEATIONS, CHANcE

OF STATUS

DO NOT USE CODE DOXTA

12

A3®

BI

C1

B2

B3

D2

E2

D3

ЕЗ

421oPharyngitis

acute, moderate

cause undetermined

M

N

Q1

'Q2

Total peniciliin

900,000 undts

12. LINE Of DUTY

ID

Yes

13. DISPOSITION

Duty

General Service

4. DATE OF DISPOSITION

5. DAYs LOST -

TotAL

13 Jan 51

LIOSPITAL

QUARTERS

16. NAME AND LOCATION Of INPORTLIC INSTALLATION

10th General Dispensary

7. SIGNATURE

APO

1,72

ENRICO DI

CARRASCO MAJOR,

T

VI

V2

wI

TV2

N. D.. A.G,0

FORM NO. 8-2

1 July 1011

M.Co

10/620-1090-2

MH 54756: DooId: 32262166 Page 143 •

---

## Page 144

REPORTE CONTROL ETHBOL MC$ 37

I. LAST NAZIR, PID NALE MIDDLE INITIAL

Hallo

Loren'E.

2 REELSTI NO

3. AONT, SEBTAL Na

& GRADE

195

RA 17224450

Cpl.

5. ODOAMIL

FOR AMORER dE SEATICE (i AAF personnel, oca below)"

(MPC)

62nd

MP, Highnay Patrol Co.

21

28 Sep 51

DI

DIRECT

•Il AAF. indicao bilos, hop pilot fying pero. s

11. CAUSE DE ADMISaION

OF STATUs

Ders., of avD. Cadet

ITIONS, CHANGE

VO NOT USE CODE BOXES

Al

A3®

B3

D2

E2

D3

E3

4210

Influenza, virus unidentified.

"Specialized

icine"

Treatnent-General Med-

N

,CLINICAL RECORD BRIEF (WD #GO FORM 8-53 OR

WOMD ECIMIISTA,

REVISED) HAS

BEEN PRITARED

AND INCLUDES

INFORMATION ON THIS MEDICAI

12. LINE dI DUzE,

LD. Jes

13. DISPOSITION

Duty

General Servie

14. DATE)Or DIsPOsItION

30

Sep 51

15. DAXS LOST

TOTAl

HOSPITAL

QUANTILLS

2

16. NAME ANO LOCATION OP REPORTIKO INSTALLATION

DET "9"/ 7779 MEDICAL DET • , APO 172

Q1

ENRICO D. CARRASCO, MAJOR 11. C.

This formi supersedes W

wl

W. D..A.G. 0

FORM NO. 8-24

July 1044

AGL (1) 8-50- 250M-12750

Bol

NH 54756, DocId: 32262166 Page 144 .

---

## Page 145

REPORTS CONTROL STMROL MOS:67

I. LAST NAMB, FUIST NASF, MIDDLE INITIAL

Hall,

Loran E

Z. RECISTER No.

3. AREny SEnIAL NO.:

4, CRADE

79 226

RA 17 224 450|

.Cpl

5. OUCANZZATION AND ARN'OR SERVICE (il AAF perconnel, uco belosy)"

MPC)581st MP Sv Co APO 172

G. ACE TE RACE 8. LENCTI ON SRAVICE 9. TINTE OF AUMIESIUN

Di

21

Li: V:143/12 (a*) 20 Apr 57

T0 sounte or Arwieson |Direct - Gasual Prop

Sta Garmisch Mil Post

1fAAF. indicato uilos, nog pilat lying pera.

ind pers., or usn. cades

1. CAUSEYOF TADMISION, PALDITIONAL

DIAGNORÍS, OPBRATIONS, CLANGE

(a) verified

Eczema, mycotich

hands. (<440).

H070114 109-1004

Al

A2

A3

B3

C2

D2

E2

TD3

E3

CLINICAL RECORD BRIEF (WD AGO FORM 8-33

OR WD MD FORM S5A, REVISED) HAS BEEN

PREPARED ANDINCLUDES INFORMATION ON

THIS MEDICAL REPORT CARD

Specialized Treatment: Dermatology.

"R

12. Luxe da Dusk

Yes

13. DIsPOSi

Duty, general

3

T

service

15 May 51

14. DATE O# DISPOSITION

IS. DAYS LOST -,

TOTAL

25

HOSPITAL

125

QUAATERS

16. NAME AND LOCATION OI

REPORTING INSTALLATION

98th General Hospital, Munich, Germany

17. SICNATUAE!

wI

W2

W.A.HAENDIGUS Capt,MSC, Hegisog

W. D.

ORM

10.6. 2

1 July 1014

ha Chh anr ded lo og D o Tie Ni 62:).

AGL (1) 9-51- 300M-18999

192

NH 54756, DocId:32262166 Page

145

---

## Page 146

I. INST NAZIE, EST NANE, ATTESIS INSTIAL

Ha 11,

Loren E

2 FEGIN NI

1. Силок

_ RA17834450

Cpl

5. OLANTATE LADRI OU STAVICE (il AAF personal

, ace leclow)"

(MPC)

521st

MP Sv PLA

1i. FINE

сти Oу StaviCB| 9. Dai

invasolon

21 4 62 | 11 Jun 51

DI

EI

1i 147. indican

TT. TATer

TeTAGNO LE.

TrITATION:, CHANCE

Garnisch,

Germany

DO NOT USE CODE BOSES

Al

12

1 B2

102

D2

АЗ

B3

D3

Q1

Q2

72. LINE OF DETT

13. DISPOSITION

14. DATE OF DiSPOSITION

75. DATS LOST "

TOTAL

HOSPITAL

QUARTERs

Det C 7779

Med" Det APO 172

"17. SICNATUR

WI

і м. 1-2

1 July 194

AGL (1) B-50- 250M-12750

163

---

## Page 147

27.9,57:

cald

169

^54750 pocId: 32262166

Page

14'

---

## Page 148

REPORTS CONTROL 813

HOTHEADE MOSINIC

• LAST A SA NAME, MADE LASTIAL

Hall,

Loren E:

• REGISTER NO.

3. Дци* Senit No.

1, CEASE

RA17224450

Cal

5. ORGANIZATION AND ARST OF SERVICE (I AAF personnel, yeo below)"

(MPC) 52130

б. Лов

7. RACh

B. LINGT OF SKATICE 9. DATE OY LOMISION

21

14/1/12:

30 Jan 51

1O. SOURCE OF APUSSION

• If AAF, indicate p

I. CAUSE

*APO 17P

H0110094YA 10R00

Al

A2

BI

CI

DI

E1

B2

B3

C2

D2

1D3

E2

|83

or ayn. ender

LATIONS, CHANGE

walking-cert

17..3

MW. T

30, 3:

2. It lie get on nat

erstion a f.

12. LINS OF DUT

280g, 7t.

13. DISPOSSTIOn

11. DATE OF DI

15. DAYS LOSTA

HOSPITAL,

MOLITIEN ONIONY O ON MOMENT SEEN GE

10TH GEN DISP. APO 172

17. SIGNATURI

WI

bich wil

no his ede

OdD

LAT ATMETI

NW 51756: DocId: 32262166

Page

148

15:

---

## Page 149

14.4-371

in

8 он

HH 547567

DocIa:3226

---

## Page 150

OUT PATIENT CLINI DO XOT VE CONS B0X58

1. CINAME HIT NAE, MODLE INITIAL

Al

'A3

Halt

BI

B2

B3

77224450

5. ORCANIRATION

ANDAR ON SERVICE (iI AAF pe

& GRADE

PPL

anel, seo belosyj"

HIP SV P1

1. AcI

21.

L. LENCHEON SREVICE 9. DAE O7 ADMISION

K 1/12

9, Jan 51

C2

DI

D2

D3

El

12

E3

•1f AAF. indicato wil

Dying pere.. F

11. CAUSE

ts iAphis

N. ADITIONAL •DIAGNOSEA, O

OF STAMOS,

farmack, dermany.

Cp i00 b-tuke-98.

CUANGE

plan

spen

Q2

12. LANE de DOT

13. DisPO

T

15. DATE PAPO

THUN

TOTAI

HOSPIIA+

QUARTIL

16, NAURIAND LOCANTON O REPORTINO IMETALÇATION

BOTH GEN. DISP APO 172

17. SIoN

No.

W2

W. D..A.G.O.

FORM NO. 8-24.

1 Julg 1911

AGL (1) 5-50- 250M-12750

162

HH 54756

PocId: 32262166

Page

150

---

## Page 151

168

HH

5473g/-PocId: 32262166

Page 151

tiganie

wither frate

---

## Page 152

inviro Medical DetachmantiC

1. LAST NAME, FIRSTINAMEL MIDDLE INITIAL

Hall LotAn

2. REGISTER NO

3. ARMM SERIAL NO.

RA77224450

4. GRADE

Cpl

5 ORGANIZATIÓN AND ARM OR SERVICE

521st MP

GMP

6. AGE 7. RACE:

8/ LENGTH OF SERV.

9. DATE OR ADM.

REGISTER

OF DENTAL

PATIENTS

20

W

3 vrs| 14 June 1951

10. SOURCE OFADMISS ONI

•Required on

lure is used.

11. DISEASE OR INJURY WITH

TIONS, SEQUELAE, ETC

Adm R

racing Looge

DATES AND D OPERATIO REAMENTS

1951

Exam.

Sept

27

Facing Rec.

27

13. RESULTS AND REMARKS

RZ

RZ

SIGNATURE OF DENTAL OFTAGER

129

HH 54756

DocId: 32262166 Page 152

---

## Page 153

REPORT OF DENTAL SURVEY

UPPER TEETH®

RIGHT

LEFT

12345 67 8

MARR

RIGHT

16

115 14 13.12

LOWER TEETH®

LEFT

10 9 9 10 11 12 13 14

15 16

S52999089990008

CLASS

CALCULUS: SLIGHT, MEDIUM, HEAVY

OCCLUSION

PERIODONTOCLASIA

DENTAL FOCI SUSPECTEO

OTHER CONDITIONS

• YES:

I NO

i en deeing beers

DATE,

• RESTORABLE CARIOUS FELTH EY O

YONRESTORABLE CARIOUS TEETH BY

MISSING NATURAL TEETH BY X

ETH REPLACED BY DENTU

rizontal line

TEETY A PLACE RY EXED BRIDGE

to include abutments)

WD

AGO FORM

1S MAR 10AS 8-11O

віс.

AGL (2) 10-50- 30M-14007

180

54756: DooId:32262166

Page 153

---

## Page 154

V!

98th Gen Hoen Hwaich Garvey

OUTRATIENT DEPARTMENT

Last Name

First

1'ali

Ramals

Orge

021a

Race,

Age

ArC 172

ASN

I Or AGO

2192 BA-11224150

Dependent of

6 dpr 51

Chise

сезн

Derm

13 Apr 511

Вана

racking.

open

intento

Return tire

ит 36.0

pos microrespe

lando, mit inquerred.

R- silve

HH 54756 DocId: 32262166 Page 154

---

## Page 155

CAL RECORD BUF

HALI

LORAN E

USAFI CP CHAEREI

1 19k19

D-5

B

NI O

Loran

E Hall

3011

Redwood

Parsons

Kan

г. DIs.

HORI

*IF AAF, INTENT

11., FINAL DIAGHOSI

(3531)

Epilopsy, grand

mal.

HART, MIDDLE INNTAL

FAIL LORAN E

і іна.

16406

RA 17 224 450 Cpl

O NIE OR SERVICE (IF RAF PERSONNEL, SEE BELOW)O

505th

7. RX

122

D. EUT TEE UF ATl!

Direct

LENGTH OF SERVICT

9. DATE OF ADHISSION

5

yr

10 July

1025

52

ATIONS. CHANGE OF STATUS

1944

17f

SPECIALIZED TREATMENT NEUROLOGY

SERIAL

LAST

(IF KNOWN)

FRESENT PROFILE SERIAL

PLINE OF DUTY

NO

EPTE

Dudand M

90A

Im TA

GRATUNE OF WARD SUNGEON

Mayen

HHT7

GOND FORM SSA (REVISED)

1 FEBRUARY 1945

264166

• Pat

172

---

## Page 156

TERK, TOMN 513

mered. 1001

By Bureau of the Budget

Circulat A-32

¡ CLINICAL RECORD

TO:

Cont

SON FOR REQUEST (Complaints and findings)

10425)

CONSULTATION SHEET

REQUEST

FROM: KReques

ling ward, unit, or actioily)

ATE OF REQUEST

15 July82

Rain

PROVISIONAL DIAGNOSIS

Es file 8s

DOCTOR SENATURE

APPROVEL

can tro

Salocals

mal

PLACE OF CONSULTATIONALL

•BEDSIDE

JATION REPORT

D ROUTINE

D EMERGENCY

i so lik

ligen fis

ion Scotion,

1'. i, Branch

ATURE AND TITL

JU'S LAST NAME-FIRSU

ÜsAA comP

TAL ORI

(Continued on' reverse gide)

PATE

IDENTIFICATION NO.

ORGANIZATION

REGISTER NO

SAN CAMP CHATTLE AR A 660

14 193

WARD NC

CONSULTATION SHEET

Standard Form 518

HH

---

## Page 157

Startend Forma 818

Promulgated

By Bureau of tbe Budget

Circular A-32

CLINICAL RECORD

HALL

Locu?

cal Clinic

LEASON FOR REQUEST (Complaine and Andings

Hallow.up

1714

CONSULTATION SHEET

• REQUEST

dealin

DATE OF REQUEST

15

July 52

PROVISIONAL DIAGNOSIS

egan (906)

APPROVED

inal

PLACE OF CONSULTATION

[BEDSIDE

CON CALL

CONSULTATION REPORT

• ROUTINE

• EMERGENCY

15 July 52

There is a well healed scar over the thenar aspect of the right hand.

There

are

two small nodules located over this area, one'is somewhat painful but inferior.

A small incision was made and the suture was removed. It appeared

to be a 000

chromic catgut suture. In the other

larea no suture was found. The areas were

cleaned with merthiolate and; dressed.

Pt. discharged from the clinic.

SAM. SHASHY, Ist It, MC

s/loved in Solisted Furs.

He Brangd

"Continued

on reverse fide)

DATE

DENTIFICATION

SIGNATURE AND TITLE

TIENTS LAST NAYS-FIRST NAME MIDDLE TE

Haill Karen

# U.S. GOVERNMENT PRINTING DE

ne...

0-66119. 16-

ORGANIZATION

REGISTER NO.:

162406

174

WARD NO.

N.S

CONSULTATION SHEET

Standard Form 813

---

## Page 158

standard Form 80

Aug.

1050)

BURYAU DE THE

/CIRQULAR A-24

LAST NAME-FIRST NAME- MIDDLE NAME

REPORT OF MEDICAL HISTORY

THIS INFORMATION IS #OR DEFICIAL USE ONTY, AND WILL MOT BE RELEASED TO UNAUTHORIZED PERSONS

•GRADE AND COMPONENT OR POSITION

3. IDENTIFICATION NO.

R14-1722445

5. DATE OF EXAMINATION

1/1/42

Jes bewit

274240002

Seperation

TIO: DIPARTMENT. AGENCIKOR SERVICE

M.

w

121 DATE OF BIRTH

LIMITSY

4.

Fan 70

NewTen Kars.

• STAT

Hono A MathWite,

Nove

Vecription of past balory, y complaint exisla)

Good

Ball Pad wood

PaRsoNse Mansas

110. FAMILY HISTORY

RELATION

HER

MOTHER

AGE

VL

SPOUSE

isisler

BROTHERS

STATE OF HEALTH

100d

Card

Excelent

-5001

IF DEAD, CAUSE OF DEATH

SISTERS

CHILDREN

2D. HAVE YOU EVER HAD OR HAVE YOU NOW (Place check al tejs of each dEc

VES NO

(Check each item)

YES NO

(Check paph item)

SCARLET FEVER, ERYSIPELAS

DIPHTHZRIA

RHEUMATIC FEVER

SWOLLEN OR PAINFUL JOINTS

MUMPS

WHOOPING COUGH

FREQUENT OR SEVERE HEADACHE

DIZZINESS OR FAINTING SPELLS

EYE TROUBLE

EAR, NOSE OR THROAT TROUBLE

RUMNING EARS

CHRONIC OR FREQUENT COLDS

SEVERE TOOTH OR GUM TROUBLE

SINUSITIS

HAY FEVER

TUBERCULOSIS

SOAKING SWEATS

ASTHMA

SHORTNESS Of AREATH

PALI OR PRESSURE IN CHEST

CHRONIG COUSH

PALPITATION OH POUNDING HEART

HISH OR LOW

BLOOD PRESSURE,

GRAMPS IN KOHN LEGS

FREQUENT LNDISESTION

STOMACH LIVER OR INTESTINAL TROYALE

CALL BLADDER FONDLE OR GALL STORES

JAUNDiCE

ANY RENGTION NO SERUM, DRUG OF

21. HAVE YOU EVER (Chook asch itom)

WORN GLASSES

ATTEMPTED SUICIDE

WORN IN ARTIFICIAL EYE

BEEN A SUER WALKER

WORN HEARING AIDS

IVEDSITE AMNONE WHO HAD

STUTTERED OR STAMMERED

COUCHED ME BLOOD

BLED EXCE

5.4

WORN A BRACE OR BACK SUPPORT V!!I

TOOTH EXTRACTION

VELY AFTER INJURY OR

23. HOW MANY JOBS HAVE YOU HAD IN THE

PAST THREE:

YEARS?

20 WHAT IS THE LONGEST PERIOD YOU •".

MONTHS;

51756 DooId:32262166 Paus 152-mu

AGE AT

DEATH

19. HAS ANY BLOOD RELATION (Parent, brother, eister, other)

OR HUSAND OK WIET:

YES

(Chock each itom)

RELATION(S)

011:9101L99

HAD SYPHILIS

HAD DIABETES

HAD CANCER

HAD KIDNEY TROUBLE

HAD HEART TROUBLE

HAD STOMACH TROUBLE

HAD RHEUMATISM (Arthrilis)

HAD ASTAMA, RAY FEVER.

HIVES

HAD EPILEPSY (Fils)

COMMITTED SUICIDE

BEEN INSANE

sisten

MotheR

Sister+ Mom

YES NO

(Chogt each itom)

TUMOR. GROWLIST, CANCER

RUPTURE

APPENDICITIS

PILES OR RECTAL DISEASE

FREQUENT OR PAINFUL URINATION

KIDNEY STONE OR BLOOD IN URINE

SUGAR OR ALBUMIN IN URINE

BOILS

X VENEREAL DISEASE

RECENT GAIN OR LOSS OF WEIGHT

ARTHRITIS OR RHEUMATISM

BONE, JOINT. OR OTHER DEFORMITY

LAMENESS

LOSS OF ARM, LEG, FINGER, OR TOE

PAHFUL, OR "TRICK 'SHOULDER OR ELBOW

22 FEMALES ONLY: A HAVE YOU EVER-

BEEN PREGNANT

HAD A VAGINAL DISCHARGE

BETEN TREATED FOR A FEMALE DISORDER

HAD PAINFUL MENSTRUATION

HAD IRREGULAR MENSTRUATION

23. WHAT IS YOUR USUAL OCCUPATION?

YES NO

(Chook each itoms)

"TRICK"' OR LOCKED KNEE

1E02019

PARALYSIS (Inc. infantile)

EPILEPSY OR FITS

CAR, TRAIN, SEA. OR AIR SICKNESS

FREQUENT TROUBLE SLEEPING

FREQUENT OR TERRIFYING NIGHTMARES

DEPRESSION OR EXCESSIVE WORRY

LOSS OF MEMORY OR AMNESIA

BED WETTING

NERVOUS TROUBLE OF ANY SORT

X ANY DRUG OR NARCOTIC HABIT

EXCESSIVE DRINKING HABIT

HOMOSEXUAL TENDENCIES

B. COMPLETE THE FOLLOWING:

AGE AT ONSET OF MENSTRUATION

INTERVAL BETWEEN PERIODS

DURATION OF PERIODS

DATE OF LAST PERIOD

QUANTITY: HORMAL EXCESSIVE LUSCANTE

26. ARE YOU (Check ono)

MA REAT HINDED

10-02288-2

175

---

## Page 159

X

CHECK EACH ITEM YES OR ND.

27| HAVE YOU BEEN UNABLE TO HOLD A JOB DECAUSE

A. SENSITIVITY TO CHENICALS, DUST. SUNLIGHT JET

B. INABILITY TO PERFORM CERTAIN MOTIONS

INABILITY TO ASSUME CERTAIN POSITIONS

D. OTHER MEDICAL REASONS ('1 yes, divo roaspr

i28. HAVE YOU EVER WORKED WITH RACIOACTIVE ELE

STANCE?

KED "YES' MUST BE FULLY EXPLAINED IN BLANK SPACE ON RIGHT

"lectimy Age "

DA.

NewToN, TaNs.

pai tRaily NewToN, taNs.

29. DiD YOU

HAVE DIFFICULTY WITH SCHOOL STUDNE

VeTa HospiTal Wichita, taNs.

OR TEACHERS? (If yoe, firo dorails)

; 30.

HAVE YOU EVER BEEN REFUSED EMPLOYMENT BEGA'

OF YOUR THEN YOS, SEMPLOY MENTAL

fon

samelillness/ haue now

31. HAVE YOU EVER BEEN DENIED LIFE INSURANCE

Il yes, stato reason and dira derails

32.

HAY ORE ATROOS HAVE YOU BEEN ADVISED TO HAVE

ANY OPERATIONSI

describo und, dire

wrong. wilh me

3. HAVE YOU EVER BEEN A PATIENT (commitigad

voluntary) IN A MENTAL

IOSPITAL OR SANTAN

Mirror vos saeedy

when, whore,

mane 1l 40c101.

and compete way, an

hospital or clinic)

36.

THAN T60S2 ALIZART

rhon, where, and divo dotally)

HAVE YOU CONSULTED OR DEEN TREATED BY CLINIES

H001629

OR OTHER PRACTITIONERS

five com

address of

doctor, hospital, clinic,

ano delatien

LAVE YOU TREATED YOURSELF FOR LICE SIS

HAN MINOR COLDST (If yes, which

37. HAVE

YOU EVEP. BEEN REJECTED FOR

MILITAR

EASONS CAUSE REYS CA, ENTAL OR GE

rejecrio, (if yos, give date and reason for

Maoliarie-vinister

38. HAVE YOU EVER BEEN DISCHARGED FROM MILITARY.

REASON RE CAUSE

: OF PHYSICAL. MENTAL. OR OTHER

giro

date.

rerson.

discharge.

whether

honoria t

other than honorablo, for unfitness ar ut

suitability)

39. HAVE YOU EVER RECEIVED.

IS THERE

PENSION

OR COM ENSATION FOR EXISTOG PISANDE

you god see was whon, why th

ERTIFY THAT I NAVE REVIEWED THE FOREGOING INFORMATION SUPPLIE

MY NEIAND THAT IT IS TRUE

OCUSING MY A PELICATION COOP THIS ENTALS ENT ON SERVE ELONED ABOVE T

PED ON PRINTED NAME OF EXAMINEE

SIGNATUr

LORZA

TYSICIAN'" SUMMARY AND ELABORATION OF ALL PERTINENT PAN

1.U3

HOTRE DO CREE 50)

NUMBOR OF ATTACHED

SHIGETS

RENTED NAME OF PHYSICIAN OR EXAMINER

S. F. Condon, Capta MC

1756% DocId: 32262166 Pade 159

78 11 7.52

I N. S. GOVER

PRINTING OF

1o6r8e.

---

## Page 160

Standara Form 88

Aar. 1950)

PROMULA TEDIET

BUDGET

REPORT OF MEDICAL EXAMINATION

LAME- FIRST NAME- MIDDLE NAME

Z-GRADE AND COMPONENT OR POSITION

Loran Eugene

= ADORESS ( Number, strect or RED, cily or lown, zone and Slave)

Gpla

5. PURPOS OF EXAMINATION

11 Regrood, TerBins, Kansas

Seperation

I3. IDENTIFICATION NO.

RA 17221450

6. DATE OF EXAMINATION

28 duly 1952

9. TOTAL YRS. GOVT. SERVICE 1I1Q DEPARTMENT AGENCY. OR SERVICE

11. ORGANIZATION UNIT

ABdo

Faste

SETARY

CIVILIAN

14. DATE OF BIRTH,

13. PLACE OF BIRTH

I NAME REINTS SHIP AND ADORE OF NEXT OF KIN

505th MP Ca

bigar 30

Kenang

Fatal

3011 Eedranda F'arrona, Ranisa

§ EXAMINING FACILITY OR EXAMINER, AND ADDRESS

LEI OTHER INFORMATION

DE ARE HOSPITAL, COME CHAPEE, ARE

SINE

1Z RATING ORISPECIALTY

IN THIS CAPACITY: TOTAL

LAST SIX MONTHS

CLINICAL EVALUATION

NOTES|-Desgnibel

very abnormalily in

(Enter pertinent item number before each

commert

Iontinue in iam 73 and use additional sheets if necessary.)

ABN

NORM L

MALI

8. HEAD, FACE, NECK, AND SCALP

19. NOSE

20. SINUSES

9h035

Інорої

Tante

439

1.21;

21, MOUTH AND THROAT

Tri. «t est. canala) (duditor,

22.

EARS- GENERAL acuity u

ider iloma 70 and 71)

DRUMS (Perforation)

2A, EYES- GENERAL (Vinual

a it a i, 6o reaction

25, OPHTHALMOSCOPIC

26, PUPILS (Equality and reaction)

27, OCULAR MOTILITY in ated omallel more.

2B. LUNGS AND CHEST (Include breasts)

29. HEART (Thrust, size, rhythm, sounds)

U30: VASCULAR SYSTEM (Varicosities, elc.)

31 ABDOMEN AND VISCERA (Include hernia)

I32. ANUS AND RECTUM Wron

33. ENDOCRINE SYSTEN

134. G-U SYSTEM

35 UPPER EXTREMITIES Motions, range ol

36. FEET

37, LOWER EXTREMITIES (2

(tenet, range of motion

38, SPINE. OTHER MUSCULOSKELETAL

39. IDENTIFYING BODY MARKS, SCARS, TATTOOS

40. SKIN, LYMPHATICS

A1, MEUROLOGIC (Equilibriura terla under ilem 79)

42.

Epileptio grand mal.

42, PSYCHIATRIC (Specifu aris personalita devialion)

females only

(Check horo done)

43. PELVIC

• VAGINAL

• RECTAL

Mi DENTAL Plac appropriate symbols above or belou number of upper and roler leir, ne

petirely)

ized bridge, brackets to

O.- Restorable teets

1. Nontestorable leetn

-Replaced by dentute

clude abulment

314

3

MS.

29

5

28

413

14

(Continue in item 73)

REMARKS AND ADDITIONAL DENTAL DEFECTS AND

DISEASES

Bag- fixed (sart)

Cci. Nosmal

CLass 2

27

26

25

241l:

23

22 ;

'18

aS.

PRIMAL SIS: SP GR.

ALBUMIN

SUGAR

NIG

Lev2

MICROSCOPIC

NEG

49. BLOOD TYPE AND RH

FACTOR

LABORATOR

FINDINGS

46. CHEST X-RAY (Place,

bale flin number, rosull)

USAl koss. Oat

Chaffast

18|JuF 195

26145g NEG

50. OTHER TESTS

47. SEROLOGY (Specify test used and result)

KANN-NEG

NOT DOTE

TYPE А

NONE

16-82288-1

172

---

## Page 161

HEIGHT

52. WEIGHT

53. COLOR H

OTHER FINDINGS

LoR EYES':

55. BUILD:

÷181

SLENDER MEDIUM HEAVY. OBESE

56. TEMP.

984

7 BLOOD PRESSURE

Irm at heart leve

SITUANG :

1S. 228

DIAS.

BENT

20

DISTANT VISION

20

TEROPHORTA

(Specify dislance

CORR. TO 20/1

CORR. TO 20/

ES°

SYS.

BlANUING

l min..

60.

BY

BY

RETRACE OC

LSE: (Arm at heart level)

ATTIER EXERCISE

1102

61.

2 MIN: AFTER

RECUMBENT

AFTER STANDING

INMIN.

2.1

1, CX

CORR. TO

CORR. TO

BY

BY

EX

R. H.

PRISM DIV.

PRISM CONV.

PC

E3 LCCOMMODATION

RIGET.

66. FELO OF VISION

FiA. COLOR VISION (Test

od and result

55.

EPTH PERCEPTIC

UNCORRECTED

CORRECTED

• MOON VISION

68. RED LENS

69. INTRAOCULAR TENSION

70.

, HEARING

1•71.

72, PSYCHULOGICAL AND PSYCHOMOTOR (Tests used and score)

RIGHT WN 15/1551

88

wv

15/15

15 115

RIGHT

1733 NOTES Continued) ANC SIGNIFICANT OR INTERVAL HISTORY

-ppendectomy 1940;

mutine complaints, if and chefusee diagnosis.

loft shoulder and left knee injuirs

occasional pain, not disqualifying.

a1d URI with headaches, otitis and

sirustiis.

HUG &

V. TEA:

21 Pri 1062

(Ua

additional

plain paper if nectesary)

ECTS AND DIAGNOSES (List diagnoses

tem 76, 541 see Item 41.

PHYSICAL PROFILE

1.

]

PHYSICAL CATEGORY

see attached Consultation.

THEE (Check)

Separation

IF NOTIQUAUFIED. LIST DISQUALIFYING DEFECTS BY ITEM NUMBE

TYPED OR PRINTED NAME OF PHYSICIAN.

•OR PRINTED NAME OF DENTIST OR PHYSICIAN (Indicale wal

TYFED OR PRINTED NAME OF REVIEWING OFFICER OR APPROVING MA HORITY

SIGNATURE

SIGNATURE

16-hix488-

178

NUMBER OF AT.

TACHED SHEETS

---

## Page 162

Ea Apri2:51

5h

Ibis 21 Jo ola chito nege dollen

ras adultted 20 Aril 1951

Into this, hispital on reques un decitol, jellade becuse of sycotie

desome on both hands.

Present: for last & secre pith

changiag monifestatious on cork hando, Atictre af adaission coniltion concisted

ot ces, tomative erusted, ersate erotions on both hande, maibly on dorsar aspect

COUL S5 IIs MISPITAL*

et base: of flagers.

Conditiou Leprovod vell under runtstat with doubrorsala soais, funglesdal"

lotiona at salloylle virtuai

CODES 2140

3013. Jes

DISPOSITICH: Duty

---

## Page 163

bATE OF ExAM.

¡CLINICAL RECORD

HEIGHT

PHYSICAL EXAMINATION

PULSE

BLOOD PRESSURE

WEIGHT

TEMPERATURE

AVERAGE

Triter

180

VIBo

98

80

INSTRUCTIONS.-

Describe (1) General Apy

parance and

Mental Status;

Head and Neok (General); (3) Eyes;

4) Ears: (5) Nose; (6) Mouth; (7) Throat;

domen;

(13) Hernia;

ostato; (17) *Back; (18) Extremities; (19) Neurological;

(20) Skin; (21) Lymphatics.

D General appecronce:

w.d.c.w.n.;

1 of 22; alut o cooperativa

Head a wich

E Eyes

Pupill

"well to 244; sosus EOM

D Cars: Ney

A Nose: Hey

@ Mouth: No lesioni.

O throat: Blight port-riasse dis; phys benign

Q Testhe: Neg

O Chest: lymmetries!

¿Lungo: Cleas to p8a

@ abd.; No wasses one

O Hunia: Neg:

@ Henitalia: Neg.

Back: Good ristan, rounal cave; no benderess

Estremittes: Na

10 Slein: Eezematized crati

hid, thetened shin é seol

over dossum of it haus frizio spalme. Als a fe

plagues on

@ Modes + Meg.

(Continualon reverso, side)

ENT'S LAST NAM

Hal1,

Loran

-FIRST NAME-MIDDLE

IME

REGISTER NO

70.CLE

WARD NO.

Ck.

PHYSICAL EXAMINATION

Standard Form 508

1 4

---

## Page 164

PHYSICAL

XAMINATION

PROGRAM

Ossireet microsegge

Q Cutiere

1o9o No thiellate, e

Macote legeroi

ICIAN

15 arte

---

## Page 165

Promulgated August 1948

By Buredu, of the Budget

Crcular A - 32

CLINICAL RECORD

RADIOGRAPHIC REPORTS

STAPLE 3D REPORT ALONG HERE A AND SUÇCEEDING ONES ON ABOVE LINES

STAPLE 2D REPORT WITH TOP AT THIS LINE g

STAPLE IST REFORT ALONG LEFT MARGIN WITH TOP AT THIS LINE 1

STAPLING MARGIN

1141ar

(Checkione):

59

PATIENT'S LAST NAME-

RST NAME. MIDDLE NAME

[I BEDSIDE, WHEEL

Da-L

CHAIR,

STRETCHER

REQUESTED BY

• BED PATIENT

• AMBULATORY

EXAMINATION REQUESTED

Fouting chort 7-ti

SUMMARY OF PERTINENT CLINICAL HISTORY. PHYSICAL FINDINGS.

JANO PROVISIONAL DIAGNOSIS

Mynotic eczena

2426

WARD NO.

REGISTER NO.

73. 2:6

DATE OF REQUEST

LO. Acril Fl

AGE,.

SEX

male

RADIOGRAPHIC REPORT (Use reverac side for addl

The heart and. lungs

allopace)

CHEST

are

negative

54

FILM NO.

24 4 PM 5F REFORT

tandar

RADIOGRAPHIC REPORTS

(NAISE OF HOSPITAL OR OTHER MEDICAL FACILITY)

japo

08+18-50906-1

143

---

## Page 166

WD AGO FORM

19,44 8-66

Cond WD MD Form G6L, at May 1809.

which may be used until existing stocks

are eshausted.)

LABORATORY REPORTS

Name -

Hall, loran i.

Grade Col

(Check one)

LE BED PATIENT

PATIENT'S LAST NAME-FIRST

REQUESTED BY

AMBULATORY

Cani.

CHECK (V) EXAMINATION REQUESTED

1 ROUTINE FLOCCULATION

REPORT:

41 GEOM

• ROUTINE COMPLEMENT FIXATION!,

LU OTHER (Specifu)

CARDIOLIN NEGATIVE

" (Greck one)

C BED PATIENT.

C AMBULATORY i

CHECK

REQUESTEDAM

I w.в. Cr

LE DIET ERENTIAL COUNT

PATIENT'S LAST NAME-FIRST NAME MIDOLE NAME

REQUESTED BY

Maddie Iccuri

Cant 111skt)

RESULTS

5,400

CHECK

REQUESTED M

MR. B.C.

RESULTS

MONOGATES,

OTHER

OR EXAMINATIONS (Spe

• HEMOGLOBIN

BLEEDING TIME!:

COAGULATION TIME

BLOOD MORPHOLOGY

• MALARIA SMEAR

REGISTER.NO.

29.226

'DATE OF REQUEST

CHECK

20 mil

REQUESTEAM:

O PLATELETS

I SEDIMENTATION RATE

• HEMATOCRIT.

I BLOOD TYPE..:"

CJ Rh FACTOR

Captain

54

(NAME OF HOSPITAL OR OTHER MEDICAL, FACILITY)

(Check oxe)

'LE BED PATIENT

fk11

REQUESTED BY

O AMBULATORY

Capt

dinnerth

CHECK (V | EXAM. REQUESTED

RESULTS

COLOR-APPEARANCE

REACTION

SPECIFIC GRAVITY

1,010

YALBUMIN (Qualitative)

ALBUMIN (Quantitarte)

MICROSCOPIC

OTHER TELE REMUS (Se)

Wees-1 per tie

REMARKS.

CASTS ZANe 1

HEMATOLOGY:

CHECK I/| EXAM. REQUESTED

( SUGAR Qualitative)

• SUGAR (Quantitative)

D ACETONE

I DIACETIC ACID

DJ BILE:

DocId: 32262166

Page 166

Ward. C2

WARD NO.

REGISTER: NO.

20.226

DATE OF REQUEST

80 40÷11 51

WARD NO.

RESULTS

зата

M80

32-29 1954

RESULTS

ADR 21195;

(DATE OF REPORT)

CEORGE W. JONES

Captain

REPORT MADE BY - H

Intrials)

Standard Form S14a Promulgalod August 194

3y Buroau of the Budgol-Clroular A-3

---

## Page 167

standard Form

Bý Burean of the

Budget

Circuler A-32

CLINICAL RECORD

iND

BATOUR

MEDICATION-TREAT

Mein Mess

NURSE'S NOTES

(Sign all notes)

OBSERVATIONS

(When indicated include intake and output, typo, amount, and timo)

Pala: 140s s. Bal

Ten. 984- 74-18

* Roni

22 April

23 April

25 Sprit

29, gusl

Beems

Lonel arms

Same:

Rx Qink.

Rx. Oint tol

nand a pandage.

No complaints

Same Greet

Rx Quit discont.

Kmnas doals day?

(Continue on reverse side)

PATIENT'S LAST NAME-FIRST NAME- MIODLE NAME

Hall. or'o E.

CHAME OF HOSPITATE

BOTHER MEDICAL FACILI

NH. 54756, DocId: 32262166 Page 167

The sen

720-10 60173-11

REGISTER NO. 1'

79.225

WARD No..

NURSE'S NOTES

Standard Form 510

---

## Page 168

Standira Form 508

Ty nue one stage

CLINICAL RECORD

DATE

STANT

7o apil 51.

БТОР

DOCTOR'S ORDERS

(Sign all orders)

DOCTOR'S SIGNATURE

NURSE'S

INITIALS

@ Regular mess

Is ambulatory

1 Dental Exam

@ Chet X-Ran

B Minalpis

Mr t

Int

2) as Aro

30 Apr

30 Apr

30 Apr

ma shasty

salieglie Acid 10%

Undeykenic Add

128%2

apply to lessins on st. hand

and it. auble bid.

mit

some this cullete sol'in for it hand

30Ap bid

W. Juant

Knines bak to desins

duing đạu

10% Salicylie art

itS

ontinue op

reverse side)

NT'S, LAST NAME-FIRST NAME-MIDDLE NA

Hu21,

'AL OR OTHER MEDICAL FACILITY)

-Perorrot!

REGISTER NO.:

7:1.226 °

146.

+• 0 •79491

Friar

"it:

WARD NO.

DOCTOR'S ORDERS

Standard FOrMa 508

---

## Page 169

I DATÉ

NURSING NOTES

144

NURSiNG NOTES

DERED

450

DATE

DISCÓN.

Во

Main Duan

Emper

Soaks during day

Jalieglie Cent

Main Mess

Soaks

10% Saliculie,

Oint

9

Blu

A60. 1085 8-225

LEGISTER NO

1920l

21

Cel

79 222 450|

кео"

•ATED HAVE SIN

MAME

choran

747

Ec son

---

## Page 170

Name

089)

CONSULTATION REQUEST AND REPORT

Hall

& Grade -

•сів.

Consultation requested because of

and com

Provisional diagnosis -

Ward

, Date -

6-4.-

-, 19.51.

welling, ithing

ep pinlant pimple

+ And I last year sharied

Routine..

rgency

Date. -

Office, Chief of

To Chief of

Approved

Disappr

Service.

Office, Chief of

19---

Service.

er consultation,

"M. C. :

M. C.

—Date

:, 19.

Opinion of consultant:

Carefit in he rhe

potions

chroni de. 3e3

sharin

R4204

eugen fripas

(phenoten

(OVER)

AGPO I-45/100H/C342ABCD

---

## Page 171

W. De, A. C OUT NO. 881 ABBRIVIATED CLINICAL RECORD

(Old TV. Di December 1042)

M. D. Form No. 85 A-1,

Name -

dall, To

- Grade CP/

— Ward 516-2

(This sheet to be used in conjunction with, 55A, M.D. in cases where the data hereon will

suffice to conform with existing regulations.)

Pertinent history, chief complaint, and coadition on admission.

Gli.

he passer di

do witani

Complete physical examination is pegative except for the following:

Teng. 99.11

times, it wrigh

mad playing to.

Progress:

Inflieza, beg.

29 Ats. Ang ton. B.P. 11

be allosed tonet hil

if PT. It idiotsk.

ep. come

Wint

DgpId: 32262166

Page 171

Wenzer

don of timelibut

150

---

## Page 172

TEMPERAT

-TREATMONT -NURSE'S NOTES

Д. ПП.

P.M.

" MEDICATION AND NURSE'S NOTIS

LABORATORT REPORTS

- Nams

Station

Color

Sp. C.

Acetone

Blood .:

Microscopio

(Paste third report here and susceeding ones on above lines)

nation requested i

INDICATE EX

11018

With fiend lein gos.

Serial No. -

DONALDIE, RORST. CAPT. MC

MCHECK V) BELO

INTO EACh: Reaction

Character

Albumen'

Well sugar.

Diacetic sodi.

Bile..

Indicets.

Volume (24-hr)

ZOWN WHOE

.... M. C.

aud

V

Lab. inä.

Remarks®

it:

URINALYSIS

Dao 28 Sent 3,C

762143 3 0P0

SH 19418-07

23: December

012, which ma

sisting stocks are exhausted.

AGL (1) 4-51-50M-18818

157

1547 55

PacId;

---

## Page 173

kuroing voila

28. Sept Pt Adm Am b

Cal 1300

SeeN By DR GRubishi Paren

Is Adm. TPR. 98÷

- 22/200120

Boulene LAk woRk

коль @ 15050

DATE

NURSING NOTES

ISING

LES AND

ITMENT

CORD

iD NO.

516

2

ENO.

29 Sist Ate slept well complaips dunse

stomach this An. Pereir

86hr. hr. 7N60 ZN6r0R1

LAMp 0.0. 10 meN @ 11130

2o sept

Pt. Sleel guade during wigh A

1o complarns

This Am I disch

To du a

DATE

ORDERED

ORDERS (INITIAL EACH ITEM

Ку. іл:

Rat. Cbrat

LAPC tes coon 6 40

3-1 penine- 22062

hose; ely

DATE

DISCON

TINUED

DATE

28.29

30 PCT,

I

116, 1525 8-225

EGiSTERINd.

1951

GE

21

30/грн.

Ascharged to dee

Perpet

887224450

CAVE LANE DEER

NAHE

INflUENZA

---

## Page 174

MANE

HALL

DATE SCPT

195/1

DAY PE

HOSPE

at aniloto

POSTOMERATIVE

DAY

HOUR OF DAY

PULSE

LOREN-A

TEMPERATURE GRAPHIC CHART

GRADE

30

2

WARD 5 16-2

TEMP

107€

77x55902

100

108°

100°

-30

98°

HEIGHT-WEIGHT

MOUTH

PARENTERAL

TOTAL

URINE

EMESIS

OTHER

TOTAL

SPUTUM

STOOLS

BLOOD PRESSURE

MEDICATIONS

W. Do Ais Bepiember ton

No, 8-81

A A TEMPERATURI

• RESPIRATIO

used

. RADIAL PUS

AGL (1) 5-50-25M-12745

153

---

## Page 175

W. Dd, A. G.O. FOrDaNo. 8-84

8 August 1914

ABBREVIATED CLINICAL RECORD

COLd T. Dr December 19 2

M. D. Form No. 66A-1

Name

Fall

; Cle Ward-

(This sheet to be used in confunction withiSSA, M.D. in cases where the data hereon will

suffice to conform with existing regulations

Pertinent history, chief compiaunt,

and condition on admission.

..5%.

Since.

he is trevelaping

a cold.

couples

of save runsle.

coughing, no appetite

Complete physical examination is negati

except for the following:

4121

Phas

Ties of

uppe

malaise.

Progress:

pirating

supertiane

tr,

not fuses

- lyricar

(Use )

both eldes of this

45Y

---

## Page 176

TEMPERATURE TREATMENT-NURSE'S NOTES

d.M.

P.M.

MEDICATION AND NURE'S NOTES

DATI

LABORATONN REPORTS

Name HAll LaReN

s D15.00

Indicate exam

Kahn J

Quantitative Kahr

I. Typhosa

S: Paratyphi .

S. Schottmueller

Heterophile antibody

Remarks

Laboratory

WD AGO FORM 8-69

Roplaces WD MD larm so Leö

9 Jun 12, Which may be used.

WD AGO FORM

8-81

Replaces MD Form 556-15, 9

un 12,

which miss he user.

WD AGO FORM

1044

8-67

3 December 1642, whleh m

existing stocks are exhausted.

1848)

erial No

Kant 206 CP

Check (V) belat

M, C.

Negative

emia.

lant fever

Fest

Freurce ba

10

SEROLOC

Dard 14

fan 5)

MISCEL ANSOUS

1 Date.

BLOOD

Dats!.

4 jon 31

I GPO 16-

18889-3

---

## Page 177

RSING

TES AND

FATMENT

CORDI

RD NO.

4 Jan. Pt. ad

2130 0

982E88-19-Pfelor che

5/4 18-70-18-1206-974

1600 98-80-18 20060838003

Logan 0860 98* 84-16

iE NO.

Dbach

DATE

ORDERED

ORDERS (INITIAL EACH TEM)

DATE

DISCON

TINUED.

Corte bedoest ou f

Core abrection fine,!

1 DEC. 16-02

•¡STER NO.

1214

20

Ket mes

un log festion et

Codune,

015 9 4 2

PPOSITA RACH ORDER

GRADE

4 has pre

OM LINE

NAMI

ARMY SERIAL NUMBER

117424450

1940

DIAGNOSIS

---

## Page 178

DATE

1. Hon

NURSIG NOTENS

Admitted @1045. AntalaR

T. 100% 84-200m

IRo cAire Penicillin e

Fluids urged

iSING

TES AND

ATMENT

•ORD

I0 NO.!

• 18. 1/6

2000 FOR TONIP. 101-14=2002000

E NO:

LENAN 100348-16@0800 ARENAEZ

0700 FOR TeMP.

Expen bo Capt Korst 0.11930

79176-200-1200, 947-5414p1660

997-80-1802000

11 7хм

99-84-160,9800

99 = 76.18

@ 1700. " 99-80-180

1o0s.

DATE

NURSING NOTES

П9-76-18.09.200 0 мемритна СПР.

$ 2200 Ear SLeeP

12 iN 928 72-16@0800,99-12-186/700

94-72-1801600.

Pratheremy to It shralder e 1130

Ten Inhaletone 1400

100276-6802000.

13fan: 99-80-18 00800

DATE

ORDERED

4.1.

St.

ORDERS (INITIAL EACH HEM)

DATE

TINUED

han an a doughna

O Minther

exile

i.d.l

якя)

рин

ini.d.

Ofare fluide:

, E.T. 4.

В кра 2400

Intelatis

EGISTER: NO,

9903

2%.

THAT DUTIES IMDICATED HAVE BEEN COMPLETED

9.1.5%

ARMY SERIAL NUMBER

GER) 224450

DIAGNOSIS

ве

---

## Page 179

S3UTH GENERAL DISFENSARY

Punic1llln

Same HAll, LoRei. Rank CP.!

pate started . 9.

JAN..

Completed

Drus RacHiNe PeNicelleN300, 000

40|000

Units 9.

20 .

ohh

-107

Therapy

Foom S!8.

Bed 1d.,

all. Jost, 51.

1xdry

180.

"SCE

Date

9 Jon 51

NOLAN. 51

V/

51

Hour

0300

0600

0500

1270

1500

1800

2100

2400

0300

Ù5u0

1200

1500

1800

2100

2400

OX0

0500

2820

1200

1,500

18:0

2100

24C0

0300

0600

0200

1200

1.500

1800

3400

400

-0300

nErO

Date

e rep region el

3 00, 000 M.

300.000/4

300l d00!

900, moi

148.

1.5г

-HOur

0300

0600

0500

1200

1500

1300

2100

ZANU

0300

O500

050D

1200

1500

1300

2100

2400

0300

05°0

Q900

1200

1500

1900

2100

2400

0300

05r0

arco

1200

1500

1300

2100 .

3400

0350

---

## Page 180

(Check ond)

DO BEDSIDE, WHEEZ

OR

STRETCHER

• BED PATIENT

'AMBULATORY

ILAMINATION REQUESTED

PATIENT'S LAST MAME-FIRST NAME-MIDDLE NAME

HAIl, LoReN-E

cel

REQUESTED BY

DR. GRubich

Chest. plATe

SUMMARY OF PERTINENT CLINICAL HISTORY, PHYSICAL FINDINGS; AND PROVISIONAL DIAGNOSIS

REGISTER NO.

WARD NO.

195

516-2

DATE OF REQUEST

28.5005.51

21

RADIOGRAPHIC REPORT (Ure reborer side jor addilional space)

Ny. -

FIM NO. -

1282

300. 5-

AIL OF PUTORT

REPORY MADE DY - TALION

149. med bet.

TO FROSTITAL OR OTHER MED

AGI (8) 4-50- 100M-11939

15$

RADIOGRAPHIC REPORTS

-HH 54756

DoCItr Page ten

---

## Page 181

DISPOSITION BOARD PROCEEDINGS

An de too

I NAME VIND LOCATION OF HOSPITAL WHERE BOARD MET

2 DATE OF MEETING

CA'P CHAVACE, MILARIAS

10 July ja

• SLAST NAME FIRST NAME MIDDLE INITIAL

& ARMY SERIAL NO.

5 GRADa

& ARM OR SERVICE

T AGE IN YEARS

LORAT Bo

apl

ARTY

22

& 'UNIT ORGANIZATION (REGIMENT, SQUADRON, GROUP COMMAND)!

UNRINATE

Sooth in co

AAF

ASF OTHER

& DATE ADMITTED

10 TRANSFERRED FROM (FACILITY)

20 бu2 52

Eirect

IT CIRCUNSTANCES UNDER WHICH ADMITTED TO HOSPITAL (CAUSE OF ADMISSION)

2 DATE ENTERED ON ACTIVE DUTY IN COMMISSIONED STATUS AND WHETHEI

IMITED OR GENERAL SERV

Psychiatrio ovalliatson

30 Pao 194

13 MILITARY OCCUPATIONAL SPECIALTY (TITLE)

14 CURREN ENFECTIVE AERONALTICAL RATING | 15 ONIFLYING STATUS PRIOR TO

YES

NO

PRESENT PERIOD OF HOSPITALI

Fano

Nano

AFTER CAREF

NORTON TEN CONE ON OF CASE ANALRE OF DSTY BORATES FOLDING LAL

HYSICAL EXAMINATION THE BOARD FINDS THE OFFICER TO HAVE THE FOLLOWING DIAGNOSIS

LAGNOSIS. (LI5T DIAGNOSES BY NUMBER PREFIX.

spilopoy, Broad nal. ALl Eric. Boldior 15 unfit for sull or sodistad duty.

Physical Profilo 1llllly)e

Does not noos tha miniman standard roguiraronts fos induotion or onllatmoat

(Dar 77 & AR 40-115).

DATE BECAME

INCAPACITATED FOR

MILITARY DUTY

(ENTER ONE DATE)

110 бід 52

APPRON MATTE

DATE OF ORIGIN OF

EACH INCAPACITY

(ENTER EACH DATE).

2945

IS RAUSE Ol

INGARACITY

INCIDENT TO SERVICE

NO

EXISTED PRIOR

1e.cul chiner

YES!

NO

PERMANENTLY

AGGRAVATED

BY ACTIVE DUTY

TYES

NO

MAXIMUM

HOSPI

BENEFTI

RECEIVED

YES

(1)

(2)

(9)

(4)

DEGREE CIR DISABILITY FOR MILITARY SERVICE (CHECK APPROPRIATE ITEMS)

23 TOTAL

24j PARTIAL

25 PER.VANENT| 26 TEMPORARY | 27 NONE

TYPE OF SERVICE RECOMMENDED (CHECK ONE)

28 GENERAL

29 PERMANENT

30 TEMPORARY

LIMITED

LIMITED.

31 NONE

FOR OVERSEAS

YES

33 ISTATE DISABILITY BRIEFLY IN NONTECHNICAL LANGUAGE

Epiloptio solauros n no trustrant available.

3A THE BOARD RECOMMENDS THAT:

"Individual bo dischargod tron mistory service for

tho

ocavorleado of tro

govornest under proviaiuns of an 600-450-20.

95| SIGNATURE OF BOARD MEMBER REQUIRED (PRESIDENT)

36 SIGNATURE OF BOART MEMBER REQUIRED (RECORDER)

37 SIGNATURE OF THIRD MEMBER (NOT REQUIRED)

IE, GRADE, ARM.OR SERVICE (1

RHID

CAPTOR

39: POSITION VACANCY EXISTS

CITE APPLICABLE WAR DEPARTMENT DIRECTIVE

YES

NAME, GRADE, ARM OR SERVICE (TYPE)

SLICE PO HASAN I71

197 LEo,

39 DATE APPROVED

SIGNATURE OF C. O. OF HOSHITAL

221

71954

NAME, GRADE, ARM OR SERVICE (REQUIRED

JAO"

Do PRE63380

287

LTo,

40 DATE APPROVED

†SIGNATURE!C. O.. OR DEPUTY OF STATION

SIGNATURE OF LIAISON OFFICER

NAME, GRADE, ITTLE WE)

Ro Do 1U19 18080

INAME, GRADE, TITLE (TYPE)

NAME AND GRADE OF LIAISON OFFICER (TYPE)

41 DATE DEPARTURE

12 TREMARKS

Sign original only: Signature constitutes approval. At

WD AGO FORM

1 MAR 1945

• 8-118

Reples 1, maich ma

Maint

---

## Page 182

Standard

509

Promulgated August 1918

By Bureau of the Budget

Circular A - 32

DATE

10 July 52

CLINICAL RECORD

DOCTOR'S PROGRESS NOTES

(Sign all notes)

This man has a long stahding history of grand mal epilopsy, and

was discharged fromthe army on a previous occasion's with this

diagnosis.

He has from one to, two seizures per month under

ordinary circumstanpes on madication. Lately his seizures have

increased somewhat and he has had 3 seizures in the presence of the

follow shakut soldiers of the IP Company. This has reached the

attention of his commanding officer who sent him to the Psychiatry

& Neurology Service for evaluation.

DIAGNOSIS: (3531) Epilepsy, grand mal, partially, controlled,

etiology unknown.

RECOMMENDATIONS: Discharge at the convenience

of the government.

this

HOWARD C. REID, CAPT•, MC

PATIENT'S LAST NAME-FIRST NAME- MIDDLE NAME

'Hall,' Loran

19. " CRATER, ANISAST

(Continue.on reverse side)

REGISTE

Đ 10 406

WARD NO.

D8

DOCTOR'S PROGRESS NOTES

e: 8) 644-798563

130

BId:32262166

Page 182

---

## Page 183

Standard Forin 501

Promulgated August 1948

Dy. Bunau of the Budget

Circular A—39

CLINICAL RECORD

• DATE OF ADMISSION

10 July 52

-LINICAL DIAGNOSES

(3531) Epilepsy, grand mal.

DATE OF DISCHARGE

DIAGNOSTIC SUMMARY

NUMBER OF DAYS HOSPITALIZED

7

July SP

OPERATiONS

NONE

THERAPEUTIC PROCEDURES AND OTHER FACTORS OF

NICAL.INTE

PSYCHOTHERAPY

PATHOLOGICAL DIAGNOSES

NONE

CAUSE OF

DEATH

THIS DOES NOT MEAN THE MODE!

A. DISEASE OR CONDITION DIRECTLY LEAD-

OF DYING, SUCH AS HEART FAIL-

ING TO

DEATH

URE.

THE

DISEASE.

ETC..

MEANS

INJURY. ON

coM-

PLICATIONS WHICH

CAUSED;

DEATH.

B.

DUE TOLOR AS CONSI

QUENCE OF)

(Do not

ontes märe

then one

causo por'

tine for items

ia, bi and o)

ANTECEDENT CAUSES

MORBID CONDITIONS, IF ANY.:

GIVING RISE

TO THE ABOVE.

CAUSE

UTEM

STATING THE

UNDERLYING CAUSE LAST.

C. DUE TO (OR AS CONSEQUENCE OF)

D. OTHER SIGNIFICANT CONDITIONS

THIS

MEANS CONDITIONS CON-

TRIBUTING

TO THE

DEATH BUT

NOT

RELATED TO

THE DISEASE

OR CONDITION CAUSING DEATH!

GRE OF FHYSICIAN

DATE

REGAN III, Ist Lto, Mo

117. July

SENTS LAST NAME-FIRST NAME-MIDDLE NAME

Hall, Loran E.

IDENTIFICATION NO.

RA17224450

USAH, CP CHAFFEE, ARK.

ITAL OR OTHER MEDICAL PACILITY)

PRIATIMO OFFICE

APPROXIMATE

VAL BETWEEN ONSET

AND DEATH

ORCANIZATION

505th MP Co.

REGiSTER NO.

WARD NO.

1! 16406

D8

DIAGNOSTIC SUMMARY

Standard Foria 501

80188-3

18)

---

## Page 184

Standard form

Promulgated

508

114085 4019

By Buresuol the Baoget

Circalar: A-92

'CLINICAL RECORD

DATE OF ADMISSION

10 July 52

NARRATIVE SUMMARY

DATE OF DISCHARGE

NUMBER OF DAYS HOSPITALIZED

H7 July 5R

Sien and date and of narato,

This 22-year old white male was admitted to

the Psychiatry & Neurology Service be-

cause of severe ax grand mal epilepsy which

has incapacitated him in military and

civil life.

He

is

discharged at tha convenience of

the government when symptoms

retum to preinduction level.

(Use additional sheets of this form (Str

- DATE

117 July

P. FA REGAN III, Ist Lt.,

MC

PATIENT'S LAST NAME-FIRST NAME-MIDDLE NAME

Hall, Loran E.

USAH,

CP CHAFFEE, ARK.

TAME OF HOSPITAL OR OTHER MEDICAL FACILITY)

ndard Form 502) if more spece is required)

IDENTIFIC

SATION NO.

ORGANIZATION

RA17224450

505th MP Co.

REGISTER NO.

164,00

WARD NO.

D8

NARRATIVE SUMMARY

Standara FOrAL 80%

5.47.55

08-18-88190-2

182

DocId: 32262166- Pate, 184-

---

## Page 185

Etandard Kom 804

Promoigatod August 1818

By Bureau of the Budget

ircultr A-32

" CLINICAL RECORD

NATURE AND DURATION OF COMPLAINTS (Inolude dirou mstance a demission)

chief Comilaint - Lipilepsy

HISTORY-Part 1

FISTORY OF PRESENT ILLNESSES

•In 1946 pt was hit on the head with the o

int and or an ax and bathe rendered un-

consious. About

saX says

that

die months consten hquaaches with was on both aldos running trot

liter he began having epileric seizures. In

addition he

his temples to the rear of the band. In 1946 pt wal also knucken unconsious after

being hit on

the head with a base bill bat!

In 1947 ut enlisted in the army out was discharged at the end of 45

months. He clains

that he was discharged because he hid epilepsy but

He suys that he

was not told that

be had isr that disease. ufter his return home in 1947 he saw a civilian doctor who

• told bim that he was evilepic and ut him on dilantin. It mentions that when ne

takes dialantin he may do one or more months without an altack but recently he has

stoped taking me:ication. t realisted in the aruy in 1948 and has xaps appearently

been doing fairly well in the hilitary since then.

He had a seizure about 5 duys ago und mentions that the seizure perceeding the last

about s weeks

ago pt married ü wouen whom he had met

while he was overseas in stan

mUcow While she is pregnant he brings out that he drried her becauses it

loves her.

He is concerned over the possibility that their chilu might be epileple und mentions

that he had not married proviously becauselof the possibilty.

Impressions: It seems that this

bt does not accept

the limitations

of his illness

very well. une example or that is that helvas not

king his modicution. nother is

that he has been driving an automobile until recently|when he had a

seizure while

driting, and the result was in automobile leciuent

i$ license however has been

taken away.

(Continue a feverse side

ESTRSBURRE DE EUROSALI

Pe

iond

PATIENT'S LAST NAME-FIRST NAME- MIDDLE NAME

HALL

Loran

USAH' Camp Chaffee,

arkansas

NAME OF HOSFITAL OR OTHER MEDICAL FACILITY).

Cation

EGISTER N9

16 440 4

i4 July o2

ARD T

HISTORY-Part 1

Blandara FOrMa 501

1o so, 18%

india nia

---

## Page 186

REPORT

RICHES G

5,4 4'13

DENTAL SURVEY

R TEETH •

3.1913

LEFT

15

0

bYg 400040660009

LO

ER TEETH®

& GRIGHT

3% 151

LEFTSC

12•9

2521232771261419576

5503909

OCCLUSION MaX AM

PERIODONTOCLASIAN O

DENTAL FOCI SUSPECTED

OTHER CONDITIONS

Виде

X-he

3.

CALCULUS: SLIGHT, MEDIUM, HEAVY

• YES

DATE

26 Pul

1952102

ESTORABIA CARIOUS TE

NRESTORABLE CARIOUS E

MISSING NATURAL TEETH BY

ETH REPLACED

DENTURE

orizontal li

ETH REPLACED BY FIXED BRING

val to include abutment

SICNATURE OF DEN

STAL OFFICER

htO.% Harker

NO MAR, 19

1945

8-116

XXX

# revision

I0-20022-8

hot

lapo

#H 54756

DocId: 32262166

Page 186

---

## Page 187

Standura Form 507

•By Burenu at the

Budget

Circular A-32

CLINICAL RECORD

Identifying bata

ASN

R4 17 824 450

Rank

CpL

Drey

505th MP Co

Race

Age

Nel

22

P

H/S

5 years

Report on

11. Lorah

Bill

Continuation

of S. F.

i Social 41story

qut one line)!

(Specity type of oxamination or data)

I Sign and

date)..

14Ouly 1952

Date. of Ind

Walte of nam

30 June 1948

11 July 1952

iss

kergency addressee

Loran E. Hall (v)

301/1 Hedwood

Parsons, jansas

General nopearance: it is a shof dark hatred indiviaual of stocky build. ne

cooperated west the was

spontanious land 'volüble with no tendency to vanuer. e

seemed to be in exceilent spirita and displayed & somewhat cocky attitude.

appeured to enjoy the interview and smiled and laughed frequently and aproprintely.

Family history: Father, about 44, hud an operation e nonths ago for the renovar o1

'a cancerous growth on his. forhedd. the operation was apparently successful and he is

now able, to work. he is a division tanaget for a household goods wholesuler, anu has

made a good living at this. he hus a uick temper and pt states, that he's had many

disagreements with his father who could never seemto let pt do what he lante.

Mother, 41, has had fair health qut spends some time in bed each year because o1

nervousness. She is a very enotional undiused to hate frequent crylig spells. Loises

and other disturbances tend to reset.

sgewas fairly strict with pt when he was

little but he feels he's gotten slohy nuch better with her than with his father.

Pt is the oldest of 2 siblings, onelboy and one girt, ages i9 anu 2a.. His sister

!Is very emotionul and "high strung" and has been going to a doctor for her nerves

for 1, years. At timesit is impossiple to get along with but pt feels that he's gotten

along with her as well as anybody alse.

A meternal great aunt was in i montul bosnital.

'of epilepsy in his fantly.

Carly leveloument: It was born.it

Nansas

He was easily frightened as a chill.

tie'

suuttered

poousional temper tantruns. as achild. No

enuresis

Car as pt knows there is no nistory

Jan. 1930. and was a houlthy baby.

üite badly till he was 14.

tie had

School nistory: It started to suhdergarte

at age!

Is and quit at age 16 after he

pinished his third year of high schood.m

quit

,SC

ool to i join the aruy und states

that he's always wanted to be'in continuear

reverse sider

the army. he liked school u.d always

ME-FIRST NAME-MIDDLE NA

12001e

15. ball • tora

NO

1.-%

16406

USAH Op Chaffee, Arkansas

MAME OF HOSPITAL OR OTHER MEDICAL FACILITY;

8'a. cortannen PRIMTING OPTICE 0--10-98048-1

REPORT ON

• OT

'CONTI

INUATION OF E

Standard Form GUT

---

## Page 188

tade passing grades. He got clot ock. ith his teuchers üsually although

occasionally he couldn't seen tol gat along

with certain teachers. he got along well

with his sh school nates und alyays took

mart in athletics especially football.

york history: pt

worked as a salesdin fo

14d years. de

worked for his futher but

aidn't like to work with hili. after & year

he quit working with hi and was hired

as a salesmon for a wholesuling crocery

concern, no had an attack in i grocer.

store and lost txa this store's buginess phis' erployers inew of his evilegsy but

didn't seem to mind.

belin uency record: ivegative.

Relizion: Prostestant. baptist. haluttends church deregularly anu considers hinself.

religious.

Sex History: Pt received consideruble set intornation from his futhur at age 16.

He denies feeling any guilt over cly aspect

of his sexual behavior. he started

dating at age 16 and has been out with a

Hot of gils especially in Gernany. dis

first engagenent was broken up whelhe hur an epileptic attack in his Ilancis

presence. ie has been legally married tols weeks

but has lived nikkxx with nis wle

for ly years. She is an unglish girl wholls a prosessivnal ice skater. It met her

while he was in Germany. they are expecting a child in sept.

Arocutions: Pt is a avid fisherman land states

that he goes fishing every chance he

gets. He likes to putter around the house, he doesn't like, to be, around people

because of, his siezures.

HenIth History: It has had seizures fof flyears. he has one every week of so when

he's not taking dilantin but when he takes the diluntin regularly he has donly one

attack every month or two. He bites his tongue whadeyer he has a seizure says he

"ocuses the hell out of hinself" sometimes when he falls during a seizure. He says.

that he only has ¿or i seconds warning before the fit comes. dollowing the fit he

'"aches all over" for an hour or so-

In 1946 pt received a bruin condussion when he was hit in the head with u baseball

bat. he was in bed

for over i week' following this. lIt has broken his right hand,

left elbow, nose, and left kneel in accidents. He seens to be always getting hurt.

He had an appendectomy at agel 11)

Military History: Pt enlisted in ivewton, Kansas 7 Jan 194? ana completed & weeks of

basic at F't Lewis.: he was sent to ladigan ana was discharged atter 4 months in the

He again enlisted in 1948 uni was sent directly to Germany where he was

seat directly. to vermany where he served a? months in the Mi's. he returned to the

states in "eb 1952 and has been assigned to Up Chaffee Mi's, siace then. de has likod

the army very much and likes being: an Mer tie

's gatten along weld with

all army

personnod so and hud linod copinio & paroor of toe army. de now feels that he

wants. a dischargt.

Personalitv traits: It has a hard tine

sLeep he sleeps good. He rarely deans.

3 or 4 times a month. he says he has

packs perday. He's never considered co

to sleep but after he gets to

te, lixes to drink and used to get dru

drinking. entirely. he smokes about

sting su

cide

TOHN WI.

Wd wenberry

DUStiNstinY Pro

Social hork lech.

---

## Page 189

Handard Forn BuT

Prominated Aurust 1918

By Bureau

Budgel

Circular A-32

CLINICAL RECORD

14 July 1952.

Report on

Psychological Testing

continua cur

Kit out ne (socity yo of examination or daia)

(Sign and date)

Tests Administered:

#-B Information

W-B Comprehension

W-B Similarities

W-B Block Designs

NiGS Color-Form

Draw-A-Ferson

Prayson Perceptualization

W-B Picture Completion

Introduction:

The patiant appeared friendly,

cooperative and

related fairly well; stupitos although the patient was somewhat smug

and

cocky. Affect appeared appropriate.

Test Analysis:

The penient eerned an average IQ of 118 (Chaffee

Battery, indicating preserti function at the Bright Normal level.

Abstracting ability seemed superior, particularly in the non-verbal

areas, and the patient demanstrated an ability to readily shift his

conceptual framework.. Figure drawings showed signs of aggressiveness,

negativian and evasiveness, with some feelings of insecurity.

There

appeared to be sore sexual preoccupation. The tests were negative in

signs of a thinking disorder or organic brain damage.

Impression: This recond is most consistent with those of Bright

Normal,

somewhat aggressive, individuals with mild

feelings of insecurity.

Robeit

ROBERT W. BENSON, evt.

Clinical Psychology Technician.

(Continue on reverse side)

ATIENT'S LAST NAME-FIRST. NAME- MIDDLE NAME

HALI, LORAN E.

USAH, CAMP CEAFFEE, ARE.

(NAME OF HOSPITAL OR OTHER MEDICAL FACILITY)

MH 54756 DOGICL:323

REGISTER NO.

1lo 4 00

WARD NO.

D-S

REFORT ONESYCHCLOGICAL. 755787g

184 ATON O

Handant Form 507

---

## Page 190

standard

Form 507

Hronillgutsu

nurlos!

1018

By Burequ

of the

Hall,

Lorun

Report on

CLINICAL RECORD

dr

additional Inforuation

continuation

"of ShF.

(strive but one line) (Specity type of examination or data)

(Sign and date)

24 July 52

Pt wanted to see une of the social vork officers, lad indicated in in eicited voice

that he hud a problen. he felt thut it was

in emergency and therefore I saw hin

immediately.

Pt. explains, that he has an uncle who is 4? years old who is a very good friend of

his.

this uncle

was wounded in the second world war and lost the use of one aril.

Following his discharge, he worked with his uncle in his father'g business and they

became fast friends.

recently His uncle becane involved with a women who was

married to a Catholic and upon his unclels insistance the women becune divorced.

He was about to marry this women when they had an arguent anu she left from vichit

o kansas City, where this women's former husband lived.

at this, his uncle became

very excited and depressed, undi had not, been acting norally since.

It then went on to day that he fulled his parents on this day, and told then that

his uncle is really acting abnormally.

he is quite concerned because his uncle has

¡entered into a hot rod race, which he feels is very dangerous and there is a

possibility that his uncle nay be killed.

He feels that this is especially true

Ibecause his uncle has never driven in hot nod races before, and in

adaition has only

the use of one äril.

He believes that this toolish move is a direct result of his

'uncle's breakup with this girl. de wanted' us to give hind soue advice

as to what

he should say to his uncle when he culls hin or what he should write to him if he

should write.. It showed a great deul of concern and excitment about this,

felt that it was necessary to talk it over with him.

'It was pointed out that any

reasoning with his uncle at this tine way not at all be helpful.

probably doing this as a vension giving mechanism, and in tine would probably get

over it.

However, if pt was to call him, pt would feel better if he diu so, he may.

"It was

advised

that he speak to his uncle in a nornal tone of voice,

excitment as possible,

and let his undle know that he was reiurning troll the

soon and that

they would be together acein. In mentioning the flot nod races

iwas to act as if this was a notial und acceptable.

ictivity, lor any excluen

he would

give his uncle ould only arouse his feelings, and made his uncle's attent-

•ion getting device more useful:

at the same the ot was supported in being cal

about the situation, and helping him see that hia

uncle would probably get over.

this shortly.

eA. Glasses

PAUL HI

Gussik and It sisu

Continue prirev

evarch late Social vors Officer

"PATIENT'S LAST NAME-FIRST. NAME-MIDDLE NAME

Ha11

Loran

1640

WARD NO

D-8

USAH Cp Chaffee, Arkansas

FRAME OF HOSPITAL OR OTHER MEDICAL FACILITY)

6 CTUSRNATAS PAIR'ING OTRICE

+0-18-3701-8-1

HE 54758 DACIAL:22260166

REPORT ON

CONTINUATION OF

187

---

## Page 191

Standard Form 513

Rev. Feb, 1951

Fromulgated

By Buresu of ibe Budget

11609S4

CLINICAL RECORD

ROM: (Regu

CONSULTATION SHEET

ward, unil, or adlintly)

Clinic

LEASON FOR REQUEST (Complaints and findings)

Follow up.

DATE OF REQUEST

Iss July

ONAL DIAGNOSIS

Epilepa

DR'S SICNATURE

Frans

APPROVED

PLACE OF CONSULTATION

BEDSIDE

DON CALL

CONSULTATION REPORT

• ROUTINE

• EMERGENCY

15 July 52

There is a well healed scar over the thenar aspect of the right hand. There are

tro small nodules located over this area, one 1s somewhat painful but inferior.

A small Incision was made and the suture was removed. It appeared to be a 000

chronic catgut suture. In the other area no suture was found. The areas were

cleaned with nerthiolate andiatessed! Pt. discharged from the clinic.

SAM

SHASHY,

Ist It, MC

ATURE AND TITLE

TION -NO.

ORCANE4AT10

REGISTER NO.

1640b

LODLE NAM

hall

U.s. D.H.

Lamere

AME OF HOSPITAL OR OTHER MÉDICAL FACILITY

Chaff

, # U.S. GOVE

WARD NO.

5

CONSULTATION SHEET

Standard Form 613

188

---

## Page 192

Standard Ferm 513

DONATH A1KIAL 1444

By. Buresu of the Budget

•Circular A-32

CLINICAL RECORD

Ent

REASON FOR REQUEST (Complatts and findings)

FROM:

CONSULTATION SHEET

ing ward or unlu

104.29

DATE OF REQUEST

IS JulliSa

Pair

ROVISiONAL DIAGNOSIS

• 2:993 -

-TOR'S SIGNATU

CATION REF

≤ 7u98/5г

Pran

APPROVE,

PLACE OF CONSULTATION

I BEDSIDE

DON'CALL

I ROUTINE

I EMERGeNCY

Subocile

ollo

Palis

lager Coffine

IT'S LAST NAN

TION NO.

ORGANIZATION

505+h M.P.

REGISTER NO

1600b

WARD NO:

CONSULTATION SHEET

Standard FOrm 513

---

## Page 193

Standard Form 514

Promulgated August 1948

By Bureau of tho

Badget

Dircular A-22

CLINICAL RECORD

ABORATORY REPORTS

(Check one)

• BED PATIENT

Sotin

PATIENT'S LAST NAME FIRST NAME-.M

DBLE NAME.

LORANLE

REQUESTED BY

[) AMBULATORY

CHECK (V) EXAM

REQUESTED

RESULTS

CHECK SV TELA

REQUES

OI R. R'CI

, W. B. C.

D DIFFERENTIAL COUNT

NEUTROPHILS

LYMPHOCYTES

MONOCYTES

EOSINOPHILS

BASOPHILS

OTHER TESTS OR EXAMINATIONS (Speti))

DI HEMOGLOBIN

Ci BLEEDING MIME

[I COAGULAT

LPAKTIME

BLOOd MONPHOLOGY

MALARIA SMEAR

REGISTER NO,

16406

DATE OE HIQUESL

18 q uly

CHREOUE EOM.

• PLATELETS

[ SEDIMENTATION RATE

_ HEMATOCRIT

• BLOOD TYPE

E RA FACTOR

VARDNI

RESULTS

(REPORT MADE UY - Inilla2s)

STAPLINA MARGIN

Hosp.

NAME OF HOSPITAL

A OF HOSPRAE BA OTHER NEDICAL FRLET) E

94-18--86272

(Check one)

• BED PATIENT

D'AMBULATORY

CHECK (V) EXAMINATIOT REQUESTED

• ROUTINE FLOCCULATION

REPORT:

Mutine

PATIENT'S LAST NAME-FIRST NAME--MIDDLE NAME

REQUESTED, BY

HALL

IORAN E

teaon

•J ROUITINE COMPLEMENT FIXATION

Standard Form

HEMATOLOGY

REGISTER NO,

16406

DATE OF REQUEST

guly

[ QTHER (Specifu)

'52.

Va los

NAME OF HOSPITAL OR OTHER MEDICAL'FACILITY)

TONES

NAME OF HOSPITAL OR OTHÈR ME

L OR OTHER CEDER PIGEIRR

FATIENT

tall,

Liran

MuSAt ip Chyfe, ark

NEGATIVE

/AITR - 52

(DATEJOF REPOS

apo

ПРО

aro

SIGNATURE (Speci)y

"not part of requesting facilily)

Lecrhor.ma duD

d Fort Buye ciroular ro-uleate

SEROLOSY

By Haroau of tho Budzol-Cirow

URINALYSIS

1640 6

LABORATORY REPORTS

Standaid FOrIa E11

(181-883073

190

---

## Page 194

Btandard Form 591

WHD4:6D 139

1950

HITD:40119 900441

•CLINICAL RECORD

REPORT: OF CEN

DENTAL

EXAMINI

WON

CALCULUS

I SLIGHT

MODERATE

IDONTAL OR GINGIVAL DISEASE

Slight

Slight mal

ORAL INFECTION (Other than gingival or

X-Ray.

HER FINDINGS

# 3

Eepitract T#3 -

DENTAL CLASSIFICATION

APPROXIMATE TIME REQUIRED FOR COMPLETION OF RECOL

MENDED DENTAL TREATMENT

DAYS

DENTAL FACILITY.

DATE

Heapital Dental O

1952

SIGNATURE OF DETT. Karkrader, Capt

INFORMATION FOR DENTAL

SERVICEL TO be flled!

in by referring agency)

FALLEN

PRINCIPAL MEDICAL DIAGNOSIS

HOSPITALIZED FOR

DENTAL TREATMENT ONLY

PATIENT REFERRED FOR

• EMERGENCY TREATMENT

[TOUTINE TREATMENT

EXAMINATION FOR ORAI

I ELIMINATION OF ORAL: DI

OTHER (Spoolly)

CTION

REMARKS (Inolude any special precautions to be obs

GRADE, RATING, OR POSITION

APPROXIMATE PERIOD OF

MEET A MAN IN CAR MOOL AT

ALL

OF HOSTEL OR OTHER MEDICAL FACUIT

DATE REFER

359

SIGNATURE OF FERRING PHYSICIAN

220

REGISTER INO.

EART

19/

WARD NO

DENTAL

standard

form 521

Rev. April 1950

---

## Page 195

•HSING

'TES ANP

EATMENT

CORD

RD NO,

• GE NO.)

al July, labile du mine

1730

eT. became dãle.

Totloas & Seiter

deprax 4 min. 559

entir dady. trai

Maish

complaing. at ha

DATE

ORDERED

ORDERS (INITIAL EACH ITEM)

DATE

TINUED

15 gue

Dental Clic.

- GNí Clinic

Jerramyciw en

X yte.

OO 192s 8-225

-2.0 Cant 1002/444

gue anderaleran

Reguear 10-08

REGISTER NO.

ili2 Onders cofied

6706

Pag Diet

AGE

Dilantise a/100

22

Abouly Sed. Pheno bi

marstat

192

GRADE.

NURSING NOTES

- V

263225 29:332

Epileps, Grond, ha"

---

## Page 196

NURSING 'NOTES

DATE

ORDERS (INITIAL EACH ITEM

ORDERED

3l Jill

Diders Copero

Reg Diet

Dilantine

allos tia

DATE;

SCON-

TINUED

5Th a C30 52 12 224400 Hall

2166- R005 12620 400

NURSING NOTES

Анд

плавал не деревнара

DIAGNOSIS

rilejay, quand mal

---

## Page 197

DCH-SU-R

Headguarters, US Arny Hospital, Camp Chaffee,

Arkansas

84. Ju1 1002

(Date.)

TO: Commanding officer,

0 5t MP

l.

with Medical Board Proceedings

Ta on dance with a han

sa,

ted

SR 600-450-10, inclosed here-.

papers

pertaining: to

a member of your command.

It is requested that

with.

?: corresponrience should

paragrape 7b,

SR 600-450-10 be complied

adressed to 'Conmanding General, 5th

Armored Division, Camp Chaffee, Arkansas.

FOR THE COMMANDING OFFICER:

15717744

Ca3t, 30,

thief,

Medical

Records Branch

194

---

## Page 198

Camp Chaffee, Arkansas

12 Пор 1952.

SUBJECT: Request for Discharge

TO:

Commanding General

5th Armored Division

Camp Chaffee, Arkansas

1. I request * (dischargolfor

the convenience of the Government

physical disability.

I have been notified

that, based upon preliminary.

Findings, I am considered unfit for raren-

tion in the military service on account of a physical disability

is considered to hate existed prior to +-0

(Enter date of entry on

active duty

and which appears to be not

sequent military service.

incideut to, or aggravated by, prior or sub-

2.

I certify that

it has been fully expleined to me that I am en-

titled as a matter of right to the sane processing as any other member oi

the Army of the United States mo 18 separatod for physical disability,

which includes consideration

Many cose by a physical evaluation board.

However, I do not elect to enarcise this right.

3.

I further certify that it has been fully explained to me that

as a result of this application and proviced that the approved findings

of a medical board corroborate the preliminary findings

fitness, I may be *(discharged for the convenience of the Government)

(muttonat foo actite duty for physical disability without further hear-

I understand that such

ment or

disability severance

applying for benofits administered by the Veterans Administration.

40

i understand that in the event this emplication if approved 1

will bé honorably separated

unless other circumstances connoctod with my

period of service requiro a different typo of separation.

*Strike out inapplicable term

в. Але

Cel. 997-1722-4450

(signatule of member)

(Grado) (Sto no)

late

Yulx

of application,

Hospital Form No. 78

Revised 24 Jar-52

---

## Page 199

LAST NAME. FIRST NAME, MIDDLE INITIAL

Hall, Loran E

2. REGISTER NO! I3. ARMY SERIAL NO.

| RA 2722/1460

4, GRADE

Cpl

5. ORGANIZATION AND ARM OR SERVICE.

505

MRICO

6. AGE 7. RACE

8, LENGTH OF SERV.. D. DATETOR ADM.

22

5 krs

18/441 52

10. SOURCE OF ADMISSION-

REGISTER

OF DENTAL

PATIENTS

•Required only when stencil procedure is usec

SH CLAIMS

LOpATeR

12. DATES AND DURATION AMENTS

13. RESULTS AND REMARKS

SIGNATURE OF DENTAL OI

10.1731

p. Mà

STATE

196

HW 54756

• DocId: 32262166

Page 199

---

## Page 200

REPORT OF

DENTAL SURVEY

UPPER TEETH

LEFT

49.204

713.16 15 16,

XX

LOWER TEETH

32 31

sARISHTS 27 86 25 21 23 2211

16 '15

74 93 12 410

127110

18

00

• SDRONG

OCCLUSION NI

PERIODONTOCLASIA

DENTAL FOCI SUSPECTED

OTHER CONDITIONS

No

Bag Fixed (Serv

X-Ray BW RI

CLASS 2

CALCULUS: SLIGHT. MEDIUM, HEAVY

X] NO

DATE

18 Jul 1952

*RESTORABLE CARIOUS TEETH. BY O

NONRESTORABLE CARIOUS TEETH BY /

MISSING NATURAL, TEETH BY X

TEETH REPLACED Y DENTURE

CoVal to incide me

WD AGO FORM

15 MAR 1945

8-116

→ el

i form i n

seed upon roceipt ol

087

X

X

VD AGO ForT

NiP

Form

rovison.

18-20828-8.

HH

51756

DocId: 32262166

Page 200

---

## Page 201

DO NOT USE CODE BOXIES

I. LAST NAMES, FIST

5. OBCANIZATION

* 221200

low•

9. DATE OF AUSTESION

CI

DI

D3

O. SOURCE OF AS

*It AAF. indicate pilot non-pilor Aying, pere, ground pe

DIAGNOSES, OPI

EL

52

E3

cadet

ONS, CHANcE

I meet Far. Darena

13. DisPOSITION

14. DATE OY DISFOSILO

I5. DAYS LOST →

HOsPITAL

QUARTERS

TO, NAME AND LOGATION ON RePOS

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DO NOT USE CONE DOXES

1. LAST NAME, FIST NAME

HAli,

Z. RECLiTE NO.

3. Amps SERIALIN

17 1292445

gall

BI

5. ORCANZATION AND AEN ON SATVICE (AAl personnel, dee bolow)

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12. LINE OF DUTY

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DATE Or DISpOsTSION

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TOTAZ

HOSPITAL

16. NAME AND LOCATION OF REPORTS INSTALKATION

17. SIENATURE 1. Prenti

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vi

TH72

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159

1. D.AG

1 July 1v11

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LAST NAME, FINAN

AMBOL MED 19'

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REPORT

OF DENTAL SURVEY

HUPPER TEETH!

LEFT

16

LOWER TEETH

LEFT

RIGHT

14 13 12 11 10 9 9 10 11 12 13 14

15 16

SR09900000

occusion bad

CLASS

CALCULUS: SLIGHT, MEDIUN, HEAVY

PERIODONTOCLASIA

DENTAL FOCI SUSPECTED

oTHER CONDITIONS

DATE

nOT: 23/1952

SIGNATURE Of PENTAL OFFICER

Parad

• RESTORABLE CARIOUS TEETH BY O

NONRESTOF BLE CARIOUS TEETH BY O

MISSING. NATURAL TEETH BY &

TEETH GET ASED EY LENTURE

SETH REPLACED BY FIXED BRID

valea includeiabutmen

WD AGO FORM.

15 MAI

1945!

8-116.190

Ibe of thie reviion.

10-20022-3

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54756

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204

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## Page 205

REGISTER

OF DENTAL

PATIENTS

1019 GENERA! CISTENSANY

1. LAST NAME, FIRST NAME. MIDDLE INITIAL

Hall, koran E.

2. REGISTER NO. 3, ARMY SERIAL NO.

4, GRADE

1L7224450 7224450-

5. ORGANIZATION AND ARM OR SERVICE

521st/ MP

7. RACE

IS, LENGTH OFSERV.

2. DATE OF ADM.

20

3!

Mrs.

10. SOURCE OF AGAISSION-

Mey 50

". DISCATION COMPLICA" 12. DATES AND OPERATIONS EAT MENIS

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1951

Exam

9/11/50

9/31750

March

15

RESULTS AND REMARKS

COLoT %.

18-2024 / 173

Kiss

vice

beast Can see

202

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## Page 206

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FALLITRAN

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3. ORGANIZATION AND

9. DATE or ADdIsSION

DI

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T6. NAME AND LE

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HOSPITAL

Q2

QUAaTERS

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## Page 207

Rx

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## Page 208

Disch

1. LAST NAME. FIRST NAME MIPILE INITIAL

Hall,

Taran Ba

2. REGISTER NOIL

$. ARMY SERI

. NO.

RA 72228450

4. GRADE

Gp1.

5 ORGANIZATION AND ARMORS

IRVICE

505th N

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LENGTH OF SERY.

9. DATE QF ADM.

28

5 ITS,

26 Jult 1952

10. SOURCE Of ADMISSION'"

Hospital.Dental:011nic

Cemp Charfee, Arkansas

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REGISTER

OF DENTAL

PATIENTS

Admi

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July

26

Bage

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12. DATES AND D OPERATIONS EAT MENTS

1952

13. RESULTS AND REMARKS

SIGNATURE OF DENTAL

10-20028-2

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