The photo is real and was taken of President Bush and First Lieutenant Melissa Stockwell U.S. Army Retired during festivities after the Warrior 100K Ride.
The ride was presented by the George W. Bush Presidential Center on April 26-28, 2012 where “nineteen servicemen and women wounded in Iraq or Afghanistan joined President George W. Bush for a 100 kilometer mountain bike ride in Palo Duro Canyon State Park.”
According to her bio, Stockwell was on deployment on April 13, 2004 when the HUMVEE she was in “was hit by a roadside bomb and Melissa suffered the loss of her left leg above the knee.”