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File: 092396_aug96_decls14_0009.txt
Page: 0009
Total Pages: 30

Subject: PATIENT FILE                                                    

Box  ID: BX000482

Document Number:          2

Folder Title: MEDSTAT - SITREPS  DEC 90  4 OF 6                                                               

Folder Seq #:          8

Unit: ARCENT      

Parent Organzation: CENTCOM     



                                                                          PATIEN, FILE                                                      121@19/90
                                                                  Go         - PRIVACY ACT OF 1974
                                                          PE@RC ,4A" DATA

                                                                  5 U.S.C. 552 (b)(6)                                                   13. imODE: A
                1. N@AME:                                         18, AUTHORITY #: 0359AO24@ '4.                                            PRECEDENCE: R
                4. STAT: A12           GRADE: EI,14               6. AE4@-@: 23Y            1. SEX: I            S. hl-i:       170     9.  READY DATE: -@59
                i@), !Sol              FUR-.                                                                                            12. SPEC CAT,.
                14,@ REAS REG. DS    15, DATE LAST VISIT:                                                                               16. CLASS: 3A
                i7. ACCEPT PHYST     JMRO                                                                                               '9. APPT/SURG DAIE: NO
                20, APPROV P.UTH:                                                           21. @uAN@@/Ii\4C:                           22. VALID:                   r,WH    Y5
                23, FTF CRIG: A5150  USA DISPENSARY DHAHRAN                                                                             24. ICAC, CRIS-      OEDR
                25, ',ITF DEST: A5100 NU-TRENIBERS A'U'l                                                                                26. ICAO DEBT:       EDDN
                27. VED SPEC 1: S@no @-8. DIAS 1: 71616 TRAU@iFlIC ARTHROPATHY INVOLVING                  LOWER LEC
                29, 4,E'Ll SPEC 2,   30. DIAS 2,
                31@ MED SPEC 7:      2, DIAS 7,:
                .3@@A. PROCEDURE:
                                      34. 'V@
                35@ 02/LPV,: N       '-t6. SUCT:      i\i         37. NG TUBE: @4           S@ RESP; 'i@                        39.     FOLEY:        N      4@@'. STRYKER@
                41. INICUB:N         42. TRACT: iN                43. lYiED: 14             44. CASili-OC: iN                   45,     TRACH:        N      46. ilON: N
                71. PT BAG TYPE: ND                               72. PT BAB TAB                                                73.     Pi BAG @IT:
                jr, .SL@'PP INFO: D CO 239 E@lo F@. N 'AEISBADEN CER                                                   PNT AT   @r'@T   5
                , REPORTED BY SUB-JMRO
                48. @IAX ENIRTE STOPS: Y / 9                      49, i@,AX 0. RONS: Y      9                                   50.     ALT RE'oT/.MA.X HT: i\l 11
                @3. INPATIENT: Y     @,4. SPEC PROD:      VA      DRUB         ALCOHOL       'i@T     NONE X                    55.     VA @IODE@
                56. ADFsljNI/OVERSEAS@
                58. VITAL SIGNS(TElip/PULSE/RESP/BLn,DD PRESS): 097.6                 56     16       100        70
                                                                  1. ABB:                                        DATE TA@ENT
                @9. HGB:             60. HCT:                     6i
                62. WBC;             63. S-I/VSI@                 64. DEDICATIONS: @NM@4E




                65. HISTORY: INJURC@D, KN@CE VAR 89 TN M.OTORCYP,LE A',r,IDEN], REINJURED KNEE 15 DEC.
                PA'ilENi HAS CHRONIC KN@LE PA'N AND NE;-:DS REHABILITATION AND POSSIBLE INIEB CUT
                OF AOR.







                66. ATTPHYS: FRASSIR-A                67. PH#@ O'vo 000 00@l'                                    68. @IARD4/PH#: 000        00' 000 0000
                I                                                              0                                                               v
                                                           70, @'H#; 0 0 00(i(l
                74. AT-IENDANI NAFIE #i:                                                                         l@. STATUS@                             76. GRADE:
                ,7, ACE:                              78. SEX;                 78A. WT:                          79. RELATIONSHIP TO PATIENT:
                60. BAS TYPE,                         St. DAG TAG                                                82. BAG WT.
                B-l'. ATTENDANT N,AriE #2:                                                                       84. STATUS:                             65. GRADE:
                86, AGE:                              87. SEX;                 67A@ I:                           88, RrLATICI@qSHIP TO PATIENT:
                89, BAG TYPE;                         90. BAG TAG                                                91. BAG WT"
                92. TRANS CRIB PHONE                      EXi:
                9-@TAND DEST PHONE 4@                     EXT:
                IR
                94. ETA O@RIG iMTF(DA'E/Ti@@'.E): 000                                                            95@ --TA D     T 'IT
                                                                                                                          rSi @i.F(DAT-Z/TIPE): '00
                97. OTHER CO@iVEk@ITS-.



                51. @IBN #: 00001359                                                                             50@. RON LOC:
                57. VALIDATED BYIREAS FOR             @tC7LvENIP,E:        1)
                96@ AIRCRAr'l ITINERARY:                  i                                                                     I

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Document 30 f:/Week-32/BX000482/MEDSTAT - SITREPS DEC 90 4 OF 6/patient file:09069614064231
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-32
Box ID = BX000482
Unit = ARCENT
Parent Organization = CENTCOM
Folder Title = MEDSTAT - SITREPS DEC 90 4 OF 6
Folder Seq # = 8
Subject = PATIENT FILE
Document Seq # = 31
Document Date =
Scan Date = 14-AUG-1996
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 06-SEP-1996