Document Page: First | Prev | Next | All | Image | This Release | Search
File: 092396_aug96_decls5_0013.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
PA-I C IT FILE '211@19J9k!
Ilk t
PERSONA" DATA - PRIVACY ACT OF l9t4
1'. RODE: A
16. AUTHORITY 4: 0356AO29 SBAN: 3. PRP'U-DENCE: R
4. STAI: All
GRADE: E05 6@ ACE: 24Y 7. SEX; F 8, WT@ 14@@ 9. READY DATE@ 356
10. '601 II. POR: f 12, SPEC CPT:
i4. PEAS REB: DS 15, DAE LAST VISIT: 16. CLASS:
i7. ACCEPT PHY@ JMRO 5U.S.C. 552 (b)(6) '9. APPT/9-JRG DATE: NO
Lo. APPROV ALITH@ 21. CAi@IC/'@iNC: 21@. VALIDI CWH. I Y2
23. @'@TF DRIG- A5150 USA DISPENSARY DHAHRAN 24. 'CAD ORI& CEDR
2@@. mTF DEST: F@@070 Uc@A@cRi,iC WIESBADC@N' BE -06. ICAU DPSTI EDAF
27. MED SPEC 1: SSG 28, DIAS 1: 79@-C) NON@bPE@@IF-IC ABNOPMA" PAPANICOLAOU SV.,EAR OF CERVIX
29. M-@D SPEC 2. 0. DIAS
@ll. rED SPEC 3: 'o2. DIAS 3:
3@@A. PROCEDURE:
3 . SPEC DIET: N/ --,4, Ivi
,,5, 02/LPM; N' 36@ SUCT: i@ -@7. N@u TUBE: N 716. R--@S@D: N' 39= FOLEY: N 40. STRYKER: N
41. INCUB: k' 4 TRA.@ ; N 43. 1'rlE@; N 44@ P ST/LOC: N 45. T@RAC@q: N 46. MON@ N
.2 CT A
71. PT BAG TYPE: NB 701. PT BAB TAB 73, PT BAG Wi:
@'7, SUPP INFO. FT rg 47 CSH REPO
RTED BY 44
48@ MAX @CNRTE STOP@ Y 9 49. j@'iAX 4 lot@'S, Y 9 50. ALT RES@/MAX HT: N
53. INPATIENT: Y 54. SPEC PPQ'O: VA. DRUG ALCOHOL k4T NONE X 55, VA CODE@
5'0. ADvIIN/OVERSc@AS@
S@ VITAL S'LGNS(TE@!O/PJL@-E/RESP/BLODD 'RESS)I 099@4 60 i4 122 / 66
50. HBBT 60. HCi: 61, ADIG; I DA'c TAKEN:
6@'@ '4BC@, 63. SI/V@'l: 64. DEDICATIONS NONE
65. 41STORY: A.B@IORMAL PAP S@'@EP.R 14/ ATYPICAL CELLS IN APR & SEP OF 90. RECoillriEND
FOR COLriSP@OID'C EXAil R'C-GUTRES CYTOLOGY, Cn,]-SF@LISCOPY, HISTOLOGY SUPPORT AND AV
A"@ABIL!Tv OF TX.
O'VO 0000 68. WARD#/PH#: 000 I 000 000 Orl,(@O
,,9@ REPORTED BY- LT JA@41S@,EE 70. PH#: 000 0000
74. ATTENDANT NAILE #i! 75. STA.TU@ 76. GRADE:
77. AGE: 78. FzX: 76A. WIT: 77. RELATIONSHIP TO PATIENT:
80. BAG TYPE: 81. BAB TAB 82. 4AC WT:
83. ATTENDANT NA-XC@ #2@ 84, STATUS: 85. GRADE;
86. AGEI 0,7. -QEXZ 87A. WT: 88@ RELATIONSHIP TO PATIENT:
89. BAG T PE: 90@ BAG TAB 91. BAB WT;
'Y
52. TRANS CRIS PHONE
93. TRANS DEST PHONE EXT:
94. ETA ORIS MTF(DATE/TIM@c): 000 95. ETA DEST MT--(DATE/TIt@,c)@ Or,
97. OTHER COMMEN@'Tg;
51, #i 0000/'O@6 @,2. RON LOC;
Q@. VALIDATED EYIREAS FCR VIOT@EP PRECEDENCE:
96. AIRCRAFT IIINERAPY:
Document Page: First | Prev | Next | All | Image | This Release | Search
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