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File: 092396_aug96_decls14_0012.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
-@4
I t)8
@RSO.@A!- DATA - PR@,:."y A'@i 'OF 'CIA
5 U.S.C. 552 (b)(6)
i@ NA@.E; '8@ ALTH,@5@RliY O'llkOA001 c'SAN@ PRECEDENCE: R
4. TAT: A' I CRADE; 3 6@ AGE: '9'@ 7. SEX; c S. @jT@ II' 9. READY DATE: 0
@6
7 L. I @'. OPEC CAI:
POR@,
I,lr. @R@@AS RES@ DS 15. DATE -AST VISIT: 16. CI,ASSI 3A
." AP EPT PHYS: Jt@iR' 19. APPT/S;JO@u DATE: NO
.i @c u
zo. A,--PROV AIJIHI 21. '@ANCIiIN)'; 22@ VALID: r@WH Y4
27. -X-TF ORTO: A@'50 USA DISPENSARY DH*IRAN O@4, ICAO GRIG: OEER
@ITF DEST: @5070 liSAFRO@', Cc@ 26. !CAO DEST: EDAF
r, IINfo PDEGNANP,YL A,@@TE-ARTUV@
,f7. riED SPEC !-. SB@@ 28@ DIAS '@ 64B27@ ANEr@,!A 'u@ViPLTC.A
E PELVIC INFLAMMATORY DIS@cAS@', Cl.'4S?Er-'IFIED
@'l. iMc,D SPEC 3t S@rO -52. DIAS 3: V238 SUPERVISION nr OTHER HTBH-RISK PREGNANCY
32A. PROCEDURE:
r
S7,, SPEC DIET: c4l 34@ !Vi
35. 02/LPM: N @16. SUCT: 37. NS TliBC- NI 38. RESP: @t '9. POLEY; N 40. STRYKER: N
41. liNCUB: N 472 @TOAZI: N 43. IMED: N 44. @,AS-,/LOC: @l 1 45@ TRAP@p.: N 46. N
71. PT BAG TYPE: rlid 71-. PT BAG TAG 77. PT BAG WT:
47. SUPP 224TH SLIPT SUPPLY Bli; Fi. STE@'4ART, CA REPORTED BY
SUB P.REA/47TH FIELD
49. ',IAX ENRTE Sl-OP6t Y / 9 49. I@IAX # RONS: 'I' 50. ALI F.EST/MAX PT: N
53. INPAilENT: Y 54. SPEC PROB: VA DRUG ALCOHOL @iT NONE X Si. VA CODE:
56. ADMIN/GVE@SEAS:
38. VITAL STSiN.S(TCMP/PULS--/RESP/B' OD ;RESS): 097@6 i 7" 18 102 58
10 .
39@ HGB@ 60. ii.CT: 61. ABO; DATE TAKEN@
62. i4BC: 63. SIIVSI: 64. MEDICATIONS: NCNE
6". HISTORY: PT WAS PREGNANT X15 PT MISCARRIP-D IN 7TH [',ONTH, Pi NOW HAS PID
AiNEjk'ilA COMPLICATING PR@c3NANCY, PT IS TN HER IS-' TRL'@i-@STER; ACT AL W@ KS B@STA
U -E
TTON IS UNKNOWN',
00 000 OL)OO 68. WARD#/PH#: 'VOO I' (100 Orlo 0000
60. REPORTED BY: DENTON' 7@l. PFi#: 000 OL,)OO
74, ATTENDANT NAM@E #I; 75. STATUS: 76. GRADE:
77. ABE.- 78. Scl'i 78A. '-@'T: 79. RELATIONSHIP TO PATIENT:
80@ BAG TYP='; 31 . BAG TPG B2. BAG
63. ATTENDANT NIAFIE #2: 8-. STATUS: 85, GRADE:
86. AEEI 87. Sc,X: 87@A. WT: 88. RELATIONSHIP TO PATIENT:
89@ BAG TYPE: 9'v@ BAG TAG 91. BAG '#IT:
92. I-.RANS CRIG P u@iE EXT:
9@'. TRANS BEST PHONE EXT:
94. -@-TA rlqlg MTF(DVtE/T2t4E): 000 95. @-TA DI--ST MJIC(DATE/T7ri.C) (,Ioo
97, OTHER CERMENTS@
@'l@ -ISN #: 07'0/ 61
52. RON LO@ PI i
,7. VALIDATED BY/RaAS FOR il,1014,1-:R FRECUP-N'@@E:
96. AIRCRAFT IT INERARY: 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