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File: 092496_aug96_decls38_0002.txt
Subject: PATIENT EVACUATION MANIFEST
Unit: 22D SUPCOM
Parent Organization: ARCENT
Box ID: BX005121
Folder Title: MEDICAL SERVICES
Document Number: 3
Folder SEQ #: 43
------------------------------------------------------------------------ ---------
PATIENT EVACUATION MANIFEST
Manifest No.: Es atel De artle Page of
tA , A -
DTG:
Medical Facility Preparing Ma@fest:
21ST EVACUATION HOSPITAL Ori""L iiiiial:
------------------------------------ i :a @ t- ) @Aurpie
----------------------------------------------------------------------------------
Name -- Grade Service NLtmber/SSAN Emergency Addressee -- Rela@ionship
Diagnosis Class of Patient Address Towii and State
---------------------------------------------- --------------------------------
5 USC 552 (b)(6)
CDR
SKULL FRACTURE CONTUSION FRONTAL LO 2B BLUONT ISL JACKSONVILLE FL 32226
ISO DYE, ASAS
ACUTE FEBRILE P,ROSTATITIS 2B 181 ENGR CO CSC/864 ENGR BN
5 USC 552 (b)(6)
Ar /"A-1:114, Ce,4t,
-----------------------------------------------------------------------------------
Carrier; Flt. No.: Trip, Signature:
----------------------------------------------------------------------------------
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Document 2 f:/Week-34/BX005121/MEDICAL SERVICES/patient evacuation manifest:09209615584677
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-34
Box ID = BX005121
Unit = 22D SUPCOM
Parent Organization = ARCENT
Folder Title = MEDICAL SERVICES
Folder Seq # = 43
Subject = PATIENT EVACUATION MANIFEST
Document Seq # = 77
Document Date =
Scan Date =
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 = 20-SEP-1996