PATIENT FILES 21 DEC 90

File: 102896_aug96_decls3_0006.txt
Page: 0006
Total Pages: 26

Subject: PATIENT FILES  21 DEC 90                                        

Box ID: BX000482

Unit: ARCENT      

Parent Organization: CENTCOM     

Folder Title: MEDSTAT - SITREPS  DEC 90  2 OF 6                                                               

Folder SEQ  #:          6

Document Number:          5


           04:38:39                                           PAiitrii @ ILE                                         12/21/90
                                                 PERSONAL D.A,A - PRIVACY ACT OF 1974

                                                    5 U.S.C. 552 (b)(6)
                                                                                                                13.  VIODE: A
     'i. NAME                                          16. AUIHORITY #: 035IAOBB 'I. SSAN:                      3.   PRECEDENCE: R
     4@  STAT: All              5, GRADE: E04          6@ AGE: 22Y           7. SEX: M        8. WT:       140  9.   READY DATE; 351
     10. ISO:                   11. POR:                                                                        12.  SPEC CAT:
     14. REAS REB,. DS          15, DATE LAST VISIT.                                                            16.  CLASS; 3A
     17. ACCEPT PHYS:           JMRO                                                                            19.  APPT/SURG DATE: NO
     40. APPRCV AUTH:                                                        21. CANC/INC:                      22.  VALID-.           I imc     Y9
     23. MTF GRIG: A5150        USA DISPENSARY DHAHRAN                                                          24.  ICAO CRIS:    DEDR
     25. MTF DEBT.- F5070       USA
                                @FRMC 141ESBADEN GE                                                             26.  ICAO DEST@    EDAF
     27, MED SPEC 1: SOD        28. DIAG 1: 82522 CLOSED FRACiUFLc OF        NAVTCULAR (SCAPHOID) BONE OF FOOT
     29. NED SPEC 2:            30. DIAG 2:
     31. @IED SPEC 3:           7.2. DIAS 3:
     32A, PROCEDURE@
     ,)3. SPEC DIET:  iN/                                                    34. IV:
     35. 02/LPti: N             36. SUCT:   N'      37. NG TUBE: N           39. RESP: N                   39, FOLEY:          N,  40. STRYKER. N
   44. CAST/LOC: N               45. TRACH:          N   46. MON2 N
     71. PT BAG TYPE: NIB                           72. PT BAG TAG     4t                                  73. PT BAG WT-.
     47. SUPP INFO: VII CORPS; GERMANY                                                             REPORTED BY
     85 C@VAP@
     48. MAX ENRTE STOPS: Y / 9                     49. MAX # RONS; Y        / 9                           50. ALI REST/MAX HT: N
       . INPATIENT: Y           54. SPEC PROS:   VA    DRUG       ALCOHOL     WT     NONE X                55. VA CODEI
     56. ADiIIN/DVERSEAS:
     58. VITAL SIONS(TEMP/PULSE/RESP/BLOOD PRESS): 098.6                     82 /20 /110      60
     59. FGB:                   60. P@CT:           61. ABS:                                / DATE TAKEN:
     62. NBC:                   63. SI/VSI:         64. Mc,DICATIONS@ NONE




     65. HiSTORY: FOOTBALL INJ 8-12 W@,S: CAST 11 NOV 90. RECOMMEND OUT OF AOR PER
     COL MOORE.








     66, ATT PHYS- MALCOLM                  67. PH#: OLIO 000 0000                          68,  WARD#/PH#: 000 / 000 000 0000
     69. REPORTED BY: DEVIDIN                                                               70.  PH#: 000 0000
     74. ATTENDANT NAME #I-                                                                 75.  STATUS:                       76. GRADE:
     77. ABE,                               71 SEX:               78A@ WT@                  79@  RELATIONSHIP TO PATIENT:
     00. BAB TYPE:                          81. BAB TAG                                     82.  BAG WT:
     8@  ATTENDANT   NAME #2i                                                               84,  STATUS:                       85. GRADE-.
     0
     @6. AGE:                               67. SEX.              67A. t4T:                 88.  RELATIC@NSHIP TO PATIENT!
     89. BAG TYPcl@                         90. BAG TAG                                     91.  BAG WT:
     92. TRANS GRIG PHONE                        EXT:
              EXT:
     94. ETA CRIG MTF(DATE/TIrE)@ 000                                                       95.  ETA DEST 4TF(DATE/Tli4E): 000
     97. OTHER COMMENTS:



     @@l. MSN #: 0000/351                                                                   52.  RON '@0C.
     j7. VALIDATED BY/REAS FOR HIGHER PRECEDCN'CE@
     96. AIRCRAFT ITINERARY:                                                 I


                                                                                  5 USC 552 (b)(6)

Document 26 f:/Week-32/BX000482/MEDSTAT - SITREPS DEC 90 2 OF 6/patient files 21 dec 90:10019616503519
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 2 OF 6
Folder Seq # = 6
Subject = PATIENT FILES 21 DEC 90
Document Seq # = 5
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