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File: 102896_aug96_decls4_0008.txt
Subject: PATIENT FILE
Box ID: BX000482
Unit: ARCENT
Parent Organization: CENTCOM
Folder Title: MEDSTAT - SITREPS OCT 90 3 OF 4
Folder SEQ #: 16
Document Number: 11
51. NSN @@@ 0000/301 52. RON LOC,.
@7. VAL@DAT;
I -:r) BY/REA@. FOR HIGHER PRECEDENCE:
9". AIRCRAFT TIYLNERARY! I
03:59@51 @ATIEN7t FILE 10/30/90
PERSONAL DATA - PRIVACY ACT OF '974
5 U.S.C. 552 (b)(6)
i3. MODE: A
l@ NAME: 18. AUTHORITY @: 030!AO'@7 2. ESANI: 3@ PRECEDENCE: P
4. STAT: Al.! 5@ GRADE: E03 6. AGE@ 20Y 7. SEX: il 8, WT. 190 9. READY DAT---i 301
10. IS@ 11. P03@ il@. SPEC PAT:
14. PEAS RED: DS 15. DATE LAST VISIT: 16. CLASST 3A
17. ACCEPT P@HYS: 19. APPT/SURB DATE: NO
20. @APPROV AUTH. 21. CANC/INCi 22. VALID; j@RL Y2
23. FiTr@ ORIC-. P,5150 USA DISPENSARY DHAHRAN 24. ICAO ORIG@ DE@.@D
5. MTF DESTI A"CI30 FRA,@IKFUF @t AMY RED rtED 26. ICA.0 DEST: @@DAF
,R
S'uD 28. DIAG 1: 61600 CLOSED FRACTURE OF PHALANX OR PDALANSES OF HAND, UNSPECIFIED
29. mED SPEC 2: 3A,. DI@,G 2;
31. FIED SPEC 3@ 32. DIAS 3;
@4A. PROCED'@IRET
3'@. SPEC DIET@@ i@,'/ 34. TV:
,5. 021' Nt 36. SUCT: N' -$7@ NS TUBE: N' 78. R'CSP: N' 39, FOLEY: N' 40. STRYKER: N
'Al. '-NOUBI -.N 42. TRACTI N 4'@. ii@i;,:D@ N 44, '@AST/LOCt Y LA 45. TRACH: N 46. ORION: N
71. PT BAB TYPET NB 72@ PT DA - I #@ 73, PT BAG tk]Tt
AG IAO
47. SLIPF inco@ FT qtEWART GA 28 CSH
48, i@iAX ENRTE SIOPS@ Y 9 49. t'iAX t RON@ Y 9 50. ALT REST/VAX HT: N I
R
@3@ INPATIENT: Y @.4. SPEC O OG: VA DRUG ALCOHOL '4T NONE X @@5. VA CODE:
56. ADV@Ti'@/GVERSEAS:
@S, VITAL SIGNS(-,Ei@'t@ol'@OULSEIRESP/BLOOD PRESS): 098.2 11 72 18 10@O / 72
59@ @4OD: 60, HOT: 61. ABS: I I DATE TAKEN:
62. iAIRCt 63. SI/Vgl: 64. MEDICATIONS: NONE
65, HIST09Y: WIDE REMOVED FROM L THUMB, PATIENT PAS CAST ON' L '@,ANID.
66. ATT PHYS: BROPHY 67. P 0- 000 000 0000 68. @IARD#./PH#: qOO / 00,0 000 0000
70. PH@; 000 OOOC,
74@ ATT
.E@'4DANT NAME 75. STATUS: 76. GRADE:
77. AGE: 78. SEX: 78A. WT@ 79. RELATIONSHIP TO PATIENT:
80. BAB TYPE@ 81, BAB T fo 82. BAG WT:
.A
63, AT ENDP.,N'T NAME #2@ 84. STATUS: 85. GRADE:
IT
S6. ACE: 87@ SEX: 67A. 'AT: 88. RELATIONSHIP TO PATIENT:
69. ef@ TYPE: 90@ BAB TAB BAB @,T:
92. TRANS 3R!G PHONE EXT:
9@@ TRANS DEST PHONE EXT:
94. ETA D@16 @iTF(DATE/T-[ViE): 000 95. ETA DEST 000
97. 0 i HER C@i @'fEOTS:
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Document 31 f:/Week-32/BX000482/MEDSTAT - SITREPS OCT 90 3 OF 4/patient file:10019616503620
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
Document Seq # = 11
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