FORM FOR EXAMINING A RECRUIT

RECRUIT William B. Tucker age 23 occupation Farmer

Born in Illinois presented by Stephen Rigdon 2nd Lieut 1st Ogn inf

 

  1. Have you ever been sick? Yes
  2. When, and of what diseases? Of Scarlet fever

  3. Have you any disease now, and what? no
  4. Have you ever had fits? no
  5. Have you ever received and injury or wound upon the head? no
  6. Have you ever had a fracture, a dislocation, or a sprain? no
  7. Are you in the habit of drinking? no Or have you ever had the "horrors?" no
  8. Are you subject to the piles? no
  9. Have any difficulty in urinating? no
  10. Have you ever been vaccinated, or had small pox? Been Vaccinated

Vertebral Column scar on the left side of the back just above the (can’t read) edge of pelvis.

Superior Extremities Vaccine scar on left arm middle (can’t read)

Inferior Extremities Scar on bottom of left foot from a cut.

Date: Dec 20th 1864

Rendezvous: Eugene City ~ Org