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File: 102896_aug96_decls1_0006.txt
Page: 0006
Total Pages: 46

Subject: PATIENT FILE  29 OCT 90                                         

Box ID: BX000482

Unit: ARCENT      

Parent Organization: CENTCOM     

Folder Title: MEDSTAT - SITREPS  OCT 90  3 OF 4                                                               

Folder SEQ  #:         16

Document Number:         10


                                                                                                   -----------

             06:48:2i                                            @ATIFNT FILE                                           iO/29/90
                                                       PERSONAL DATA, - PRIVACY A.P,T OF 1974



                                                                                                                  '3. @',OD-1
                                                                                                                  I       -: A
                                                          '8. AUTHOR  TTY #: 02999,017 2. -%A                     3.  PRECEDENCE: R
       4,    STAT@  All          5. G@RADE@ 003           6. AGE: 40Y          7, SEX: M         B. WT:    190    9.  READY DATE: 299
       10.   ISO:                !I. POR:                                                                         12@ SPEC 'uAT:
       14.   REAS RES: DS        15. DATE LAST VISIT;                                                             16. CLASS: 2A
       17.   A@,CP-Pi PHYS;  JriRC-                           5 U.S.C. 552 (b)(6)                                 19. APPT/SURB DATE: NO
       40.   APP@ROV ALITH@                                                    21. uP.NC/INC@                     22. VALID:                LMK f Y7
       23.   N.TF OR15: A5150    USA DTSPI SPRY D4A' AN                                                           24@ ICAD ORIG:     OEDR
                                     @ EN              @,R
       25.   MF DESI@, A5030     FRANKFU.R-" ARMY REC ','iED                                                      26. ICAD DEST:     EDAF
       27.   MED SPEC 1: MPPS    28. DIAB 1: 2707      OTHER DTSTURBANCCS      OF STRAIGHT-P@HAIN AYIINO-ACID METABOLISM
       L9@   rED SPEC 2@         30. DIAS 2;
       31.   tlED SPEC 7.:       32. DIAS 3:
       32A. PROCEDURE;
 4. IV:
       35.   C,2/LPYi: N         36. SLICTT  N         '@7. NG TUBE@ N         38, REEP: N                    39. FOLEY:          N  40, STRYKER:
       41.   INCUR:       N      42. TRACT- N          43. IMED: t,,'          44, CAST/LOC: @14              45. TRP.P,H:        N  46. rDNl: N
             PT BAG TYPE:                              71@. PT BPS TAG                                        73. PT BAD WT:
       47@   SUPP INFO: *****DS*** D CO 27]H I@ISC FT     HOOD TX


       48.   NAX ENRTE STOPS: Y / 9                    49. MAX # RONIS: Y      f 9                            @@o. ALT R@EST/MAX HT., N
       53.   INPATIENT; Y        @@4. SPEC PRO'U:      VA DRUG      ALCOHOL      WT    NONE X                 @@5. VA CODE:
       5@4.  ADrtIN/OVERSEAS:
       ,S.   VT-',AL SiG.NS(TEMP/PULSE/RESP/BLOOD PRESS): 098.6 f        61 /    IS /   130      90
       @9.   F@BB@               60. HOT:              61. ABC:                               / DATE TAKEN;
       &2.   NBC:                63,                   64. NEDICAIIGNS; REGULAR INSULIN FOR SUBCUTANEOUS
       ADM,!N



       6@'.  PISIORY:










       66.   ATT PPYS:                      67. P.H4;                                         66.  WARD#/P@H#.        f
       67.   R@'PORTED BY@                                                                    70.  PH#:
       74.   ATTENDANT NAME #I:                                                               75.  STATUS:                        76. GRADE:
       77.   AGE:                           78. SEX:                78A. WT:                  79,  RELATIONSHIP TO    PATIENT:
       80.   BAG TYPE.-                     81. GAS    TAG                                    82.  PAS WT:
       83.   ATTENDANT    \'AriE 02:                                                          84.  STATUS:                        85. GRADE:
       66.   ACc-j                          87. SEXQ                67A. WT:                  88,  RELATTOINSHIP TO   PATIENT;
       90. RAS TAG                                       91,  BAG tk'T:
       92.   TRANS R@'RIG PHONE                        EXT:
       93,   TRANS DEST PHONE 4:                       EXT:
       9f@,  EJA ORIC t!TF'DATE/TTMc@": 000                                                   95,  ETA DEST MTF(DATEITliME)-. 000
       97,   OTHER COMMENTS:
             1



       51.   r.SNl 1:                                                                         @,2. RON LOC:
       51.   VALIDATED BY/REAS FOR HIGHER PRECEDENCE:
       96.   AIRCRAFT IT47NIERARY-,

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Document 46 f:/Week-32/BX000482/MEDSTAT - SITREPS OCT 90 3 OF 4/patient file 29 oct 90:10019616503417
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-32
Box ID = BX000482
Unit = ARCENT
Parent Organization = CENTCOM
Folder Title = MEDSTAT - SITREPS OCT 90 3 OF 4
Folder Seq # = 16
Subject = PATIENT FILE 29 OCT 90
Document Seq # = 10
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 = 01-OCT-1996