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File: 092396_aug96_decls14_0009.txt
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