PATIENT FILES 21 DEC 90

File: 102896_aug96_decls3_0007.txt
Page: 0007
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


              @04:79:03                                               ATIENT FILE ....                                         1212'/90
                                                         PERSONAL DATA - PRIVA@@Y ACT OF 1974
                                                         5 U.S.C. 552 (b)(6)

                                                                                                                         13.
           NAME:                                            18. AUTHORITY 4: 035IAO86 2. SSAN@                           3.  PRECEDENCE@ R
       4.  STAT: All                 GRADE. E06              6. ASP: 24Y           7. SEX@ M             S. WT:  ISO     9.  READY DATE: 351
       1'V. ISO:                   11. POR:                                                                              12, SPEC CAT:
       14. REAS FEB; DS            15. DATE LAST VISITT                                                                  16. CLASS: IC
       17@ ACCEPT PHYS:       irtRO                                                                                      19. APPT/SLIRG DATE: NO
       20. APPROV AU-IH:                                                        21. CANC/INC@                            22@ VALID:                  imc    Y9
       23. iYtTF DPTG-        A5150 USA DISPENSARY DHAHRAN                                                               24. ICAG BRIG:      GEOR
                  I ,
       2@@. MTF DEBT: A5040        2ND GEN HOSP LANDSTUHL                                                                26. ICAO DEST:      EDAR
       27. NED SPEC 1: MPPS        28. DIAS 1:   29561 SCHIZOPHRPNIA, SPECIFIED, NEC, S'UBCHRONIC STATE
       29. NED SPEC 2:             30. DIAG 2:
       31, riED SPEC 3:            2. DIAS 3:
       32A. PROCEDURE:
       '3. SPEC DIET:         N/
                                                                                34.  IV:
            39. FOLEY:        N      40. STRYKER: k
       41. IINCUB:            N    42. TRACT:    N       43. IMP@D: N           44.  CAST/LOC: N                    45. TRACH,.       N      46. MON: N
       71, PT BAD TYPE: NB                               72. PT BAB TAG                                             73. PT BAB    WT:
       47. SUPP INFO: C DTRY 3/320 ADA           IOIST   AIRBORNE; FT. CAMPBELL,     KY                    REPORTED BY
       85 EVAC
       48. MAX ENRTE STOPS: Y / 9                        49@ MAX # RDNS: Y         9                                50. ALT REST/MAX HT- N
       53. INPATIENT: Y            54, SPEC PROS:        VA  DRUG       ALCOHOL      WT     NONE X                  55. VA CODE:
       @@6. ADiviINIOVERSEAS-
       58. VITAL SIGNS(T MPIPULSE/RESP/BLOOD PRESS); 097=6 /                  90     24 /   140 1        92
                              .E
       59@ HBB:                    60. HCT:              61. ABB:         I          I                   / DATE TAKEN:
       62@ NBC:                    63@ SI/VSI:           64. MEDICATIONS: H.ALDOL 2ViS      AM




       65. HISTORY: UNKNONN HX OF PAST           P@X - FLIGHT OF IDEAS, LMrtE ASSOCIATION, AGGITAT
       TON; RECOMMEND OUT OF AOR.








       66. ATT PHYS: STONEFELD                   67. PH#: 000 000 0000                                   66. WPRD#/PH#, 000 / 000 000 0000
       69. REPORTED BY: DENTON                                                                           70. PH#, 000 0000
       74. ATTENDANT NAME #I:                                                                            75. STATUS:                     76. GRADE:
       77. AGE:                                  78. SEX:               78A. WT:                         79. RELATIONSHIP TO PATIENT:
       80. BAB TYPE@                             81, BAG TAB 4:                                          82. BAB 6'T:
                     85. GRADE,
       86. AGE:                                  87. SEX:               87A. WT-                         86. RELATIONSHIP TO PATIENT-,
       89. BAB TYPE:                             90. BAG '[AG                                            91. BAB WT:
       92. TRANS DRIS PHONE                              EXJ.-
       93, TRANS DEST PHONE                              EXT:
       94. ETA BRIG MTF(DATE/TIME)@ 000                                                                  95. ETA DEST MTF(DATE/TIME): 000
       97. OTHER COMMENTS:



       31. INSN #: 0000/351                                                                              52. RON LOP@.
       57. VALIDATED BYIRF-AS FOR HIGHER PRECEDENCE.                i
       96@ AIRCRAFT           TTINIERARY:                   I                                            f


                                                                                               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