The President of the United States of America, authorized by Act of Congress, July 9, 1918, takes pleasure in presenting the Army Distinguished Service Medal to Captain Sayers Louise Milliken, United States Army Nurse Corps, for exceptionally meritorious and distinguished services to the Government of the United States, in a duty of great responsibility during World War I. As Chief Nurse of the Base Hospital at Camp Devier, South Carolina, during the early part of the World War, Captain Milliken was responsible for the nursing care of thousands of patients under most trying and difficult circumstances. Her tact, energy, and ability were greatly instrumental in saving many lives, particularly during the influenza epidemic. Her services were characterized by zeal and excellent judgment, and her achievements have been conspicuous. Later, while serving as Assistant Superintendent, Army Nurse Corps, in the Office of the Surgeon General, her administrative ability and professional experience were of inestimable value to the Medical Department in providing proper nursing care for the sick and wounded.