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File: 102896_aug96_decls1_0006.txt
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