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File: 092396_aug96_decls5_0002.txt
Subject: PATIENT FILE
Box ID: BX000482
Document Number: 4
Folder Title: MEDSTAT - SITREPS DEC 90 4 OF 6
Folder Seq #: 8
Unit: ARCENT
Parent Organzation: CENTCOM
PAT iE',@T F T - **** l@/29/70
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DATA - PRIVACY A@@i Fr lq7@
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1, NAME: 18, NJTHORITY #: O-,Z7AO'4 2. SBANT PRECEDENCE: R
4. STAT@ All 5. GRADC@@ 001, 6. AGE: 26Y 7. SEX@ all S. WT: 150 9. READY DATE. 257
lo@ ISO.. 11. POR: l@. OPEC CAT;
14@ REAS R'CB4 DS 15. DATE LAST VISIT: 16. CLASS: 2A
17. ACCEPT PFYS: 5 U.S.C. 552 (b)(6) 19. APPTISURG DAT \0
,E
. VALID: I CWH Y2
23. Y,,Tr' CR;G- ASISO USA DISPENSARY D@'A@.RAN 24. ICA@C ORTr@'. CEDR
z3@ 14TF DEBT; A@@040 2N'D CEN UDSP LA.IIDSTU4L 26. !P,AG C@DAR
I , @ERVERTEBRAL DISC DISORDER M@YEi-OPATPY, CERVICAL REGION
,7z V@@ED SPEC 'i@ SOOC 28. DIAS 1: 72271 TNI-,
29. ilc-D SPEC 2. 30. DIAG II:
711. ric@D SPEC 3: 32. DIAS 3:
32h. PROCED'u'REi
33. SPEC DIET: N/' 34. IV-
,%Z,, 02/LP@-'@: N f @-,6. SLICT: t\l 1-17. NO TUBE: N 38. RESP: N' @7. F@ull@-Y: @N' 40. STRYRER: N'
41@ I@ICUB; N 42. TRACI: N 43. !Mca: N, LA. CAST/LOC: N @'@5. TRAP@H: N 46. N
7". PT BAG TYPE@ NB 'f2. PT BAG TAG 73. PT BAB @4T:
47. SUPP INFO: 1123 S & @@O GOODw@A-ER, AL 85T EVAC
48. r(AX FN@;.TE STOPS: Y 9 4@, ?l@AX # FICNS. Y 9 5L,. A.LT REST/cIAX kT: N
INPATIENT: Y @4@ SPEC PR'16@. VA DRUB ALCOm'OL 'AT NONE X 55. VA - DE:
i II
'16@ ADViINI/CVERSEAS:
GD PRESS); 097@6 / 60 'IO 108 1 82
59; PGD; 60. PDT: 61. A@r: I i DATE TAKEN:
62. ;4BC: 63. SIIVSI. 64, ?IEDICATIO@.'Ig.@ TYLENOL 3 0 6 Y@
65. HiStORY-, C-6 RADIC@'LrjMYELO@'A-PiY SE,@r@IDANY TO H,14P WHO HAS DEVELOPED
SIGNS OF SDlj\'AL CORD COMPRESSION'. @RE9@'.'IRES INTERVENTION ASAP.
REPORTED AS A PRIORITY PATTEN-i*y,********k*,iA! IDA@ D PY Fl@,rP,' SURGECK," t 1 I
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@46. ATT P4YSi M.A." '@@@A'UH 67. P4#2 000 000 0000 66. WARD#/@OH#@ 000 I 000 000 O'VOO
69. REPORTED BY: JKRO 70. PH#: Slid 0000
74. ATTENDANT NAME #1: 75. STATUS: 76, ORADE-
17, AGE: 78@ SEXT ISA. '@,T: 79. RE',ATTONSHIP TO PATIENT:
80. BAB TY@0E. 61. PAS TAB 92. DA-3 WT:
BZ, ATTENDANT NAME 84. STATUS: 85. C@ADE:
86. AGr@- 37. SEX@, 87A, Y)iT: 88. RELAT!Gi\'S,44P TO PATIE,@'T@
01, BAB @IT:
92. IRANS ORID PHONE cx-:
?S. TRANS DEST PHGNE O@ EXT:
94. ETA ORIG iyiTF(DAT'C IIT@Wlp): 000 95. ETA DEBT @iTF(DATE/T'ViE); 000
97. C@HCR Egli,@EP@i S.
@l'. M'OIN #@. 000@ii3i., 50-. RON LOC@
57. VALIDATED BY/REAS FOR H-ISHER PRECEDENCE!
96. AIRCRAFT ITINERARY: f
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Document 18 f:/Week-32/BX000482/MEDSTAT - SITREPS DEC 90 4 OF 6/patient file:09069614061216
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 # = 16
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