RECOMMENDATIONS FOR FURTHER IMPROVEMENTS AT CARC PAINTING

File: 110596_aug96_decls14_0005.txt
Page: 0005
Total Pages: 5

Subject: RECOMMENDATIONS FOR FURTHER IMPROVEMENTS  AT CARC PAINTING      

Unit: 22D SUPCOM  

Parent Organization: ARCENT      

Box ID: BX005154

Folder Title: CARC  ISSUES                                                                                    

Document Number:          3

Folder SEQ  #:         72









                                     Hx & P,,,. Screen



          ADMINISTRATIVE DATA:


           NAME


           RNK/GDE: ----------     SEX:-           AGE:
                                       --------        ---------

           UNIT:
                ------------------------------------------------------------------



         MEDICAL HISTORY


           HAVE YOU EVER HAD:



                    1.  LUNG PROBLEMS                                YES        NO


                    2.  ALLERGY PROBLEMS                             YES        NO


                    3.  HEART PROBLEMS                               YES        NO


                    4.  LIVER PROBLEMS                               YES        NO


                    5.  ANY OTHER SIGNIFICANT PROBLEMS WE
                        SHOULD BE MADE AWARE OF                      YES        NO


            CURRENTLY DO YOU HAVE:


                    1. A COLD OR RESPIRATORY kf%BBLEM                YES         NC)


                    2. POSSIBL-E PREGNANCY                           YES        NO



          PHYSICAL  FINDINGS:



                    1. LUNG ABNORMALITY (WHEEZING. El-C)             @ES        NO


                    2. HEAR'T ABNORMALITY (MURMUR. !RREGLJI-@,@,,)   YES        NO


                        ADD. ABN.(ORGANOMEGALY,MASS,TENDERNESS@      YES        NO



    IV.   DISPOSITION:


                    @OL.i'-!E.I;Z Sf-ICiiii-LI AVOID F@i'ilN'Fll@G    y F7C
                                                                                 N(Li

Document 5 f:/Week-34/BX005154/CARC ISSUES/recommendations for further improvements at car:11049609135695
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-34
Box ID = BX005154
Unit = 22D SUPCOM
Parent Organization = ARCENT
Folder Title = CARC ISSUES
Folder Seq # = 72
Subject = RECOMMENDATIONS FOR FURTHER IMPROVEMENTS AT CAR
Document Seq # = 3
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 = 04-NOV-1996