Agency: FBI
Originator: FBI
From: DL
Document date: 02/24/1960
Document type: PAPER, TEXTUAL DOCUMENT

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Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC 2107 Note) .

DATE: 11-14-2017

JFK Assassination System

Identification Form

Date:

5/27/201

Agency Information

AGENCY:

FBI

RECORD NUMBER:

124-10134-10240

RECORD SERIES: HQ

AGENCY FILE NUMBER :

67-494012-89

Document Information

ORIGINATOR: FBI

FROM: DL

TO:

TITLE :

DATE:

PAGES:

SUBJECTS :

02/24/1960

8

JAMES P. HOSTY JR.

DOCUMENT TYPE: PAPER, TEXTUAL DOCUMENT

CLASSIFICATION: Unclassified

RESTRICTIONS:

3

CURRENT STATUS :

Redact

DATE OF LAST REVIEW: 08/20/1998

OPENING CRITERIA: INDEFINITE

COMMENTS: MED. RPT, INC MED RPT, RPT, MEMO

V9.1

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Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC 2107 Note).

DATE?

11-14-2017

ndard Form, 88

1956)

Il) HOSTY JAMES PATRICK, JR.

HOME ADDRESS- (Number, street or RFD, city

or. (own, zone and State)

I1018 Genetta Drive, Dallas 28,

Texas

PORT OF MEDICAL EXAMINATION

AND COMPONENT OR POSITION

3.- IDENTIFICATION NO.

Special Agent

5. PURPOSE OF EXAMINATION,

7392

6. DATE OF. EXAMINATION

Annual

24 February 1960

7. SEX

B. RACE

White

9: TOTAL YEARS GOVERNMENT SERVICE

MILITARY

3-

CIVILIAN 8

Male

12. DATE OF BIRTH

13. PLACE OF BIRTH

28 August 1924

(35)

Chicago: Illinois

15.

EXAMINING FACI

. OR EXAMINER: AND ADDRESS

USAF Hospital Carswell AFB, Texas

17. RATING OR SPECIALTY

10. AGENCY

11. ORGANIZATION UNIT

Department Of Justice, FBI

14. NAME. RELATIONSHIP, AND ADDRESS-OF NEXT-OF KIN

Janet P. Hosty (W)

Same As Item 74

16: OTHER INFORMATION

TIME: IN THIS CAPACITY (Total)

LAST SIX MONTHS

*

x

CLINICAL

EVALUATION

NOTES

Describe everyone alienated senter perti

comment.

abnormality. in

pertinent item number berore each

sheets if necessary.)

NOR-

•MAL

check eath item in

appropriate col-

umn; enter

it not evaluated.)

ABNOR-

MAL

18. HEAD, FACE. NECK. AND SCALP"

19: NOSE

20.

SINUSES

21. MOUTH, AND THROAT

22./ EARS- GENERAL

(Int: di ext. canclo)

(Auditori

acuitu under items 70 and 71)

23.; DRUMS (Perforation)

24. EYES- GENERAL

Wier i amity and red action

25.-OPHTHALMOSCOPIC

26- PUPILS (Fiquality and reaction) :

27. OCULAR MOTILITY (Associated, parallel move

ments. nustaamus)

28.

LUNGS AND CHEST (Include breasts)

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

30. VASCULAR SYSTEM (l'aricosities, etc.)

31. ABDOMEN AND VISCERA (Include hernia)

32., ANUS AND RECTUM (Memorrhoids fistular)

(Proacate.

if indicated)

33. ENDOCRINE SYSTEM

Bilit to SAC,

3-25-60

дияв

34, G-U SYSTEM

34. Minimal atrophy right testicle.

35. UPPER EXTREMITIES Wrenth, range of

36. FEET

37. LOWER EXTREMITIES

(Ercent fert)

'(•Strenoth, range of motion)

38.

SPINE: OTHER MUSCULOSKELETAL

XEROX

MAR IN 1980

39.

IDENTIFYING BODY MARKS. SCARS. TATTOOS

40. SKIN, LYMPHATICS

41. NEUROLOGIC (Equilibrium tests under, item-7e)

REC ISB

REC-133

42. PSYCHIATRIC (specifuany personalit deviation"

43. PELVIC (Females only) (Check how done)

Searched

87

Numitru

OVAGiNAL O RECTAL

(Continuein itgaza no

44. DENTAL (Place appropriate symbols above or below number of'upper and lower teeth, respectively

REMÄRKS, ANDKADDITIONAL DENTAL

O-Restorable tẻeth

X. Missins teeth

*(6X8)-Fixed bridge, brackets to

CAr,DEFECTS AND DISEASES

Nonrestorable teeth

XXX

-Replaced by dentures.

• include, abutments

TYPE

15:116

LABORATORY FINDINGS

*45: URINALYSIS: AiSPECIFIC GRAVITY

B. ALBUMIN

Neg

C.. SUGAR -

Neg

A7. SEROLOGY (Specifyntest used and result)

Cardiolipin

Negative

1.020

D. MICROSCOPIC

46. CHEST X-RAY (Place, date, film number and result)

48. EKG

Normal

49.

CAEB. TEXAS #60-2852 Negative 24 Feb 60

BLOOD TYPE AND RH

50. OTHER TESTS

- FACTOR,

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