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File: 092396_aug96_decls14_0018.txt
Subject: PATIENT FILE
Box ID: BX000482
Document Number: 2
Folder Title: MEDSTAT - SITREPS DEC 90 4 OF 6
Folder Seq #: 8
Unit: ARCENT
Parent Organzation: CENTCOM
0 P Ti@ ' FILE 12/119JO0
A cNk;
-RSG"'AL DATA - 'PRIVACY
PC .@ 197f,,
5 U.S.C. 552 (b)(6) 13@ T!GDE: A
18. AUTHORITY 4: O'@61'hOO@. 2. SSANT 3. PRECEDENCE: R
4. STAT: Ail 5@ BRAD@-@ c,04 6. AGE; 2qY 7. SEXI 6, 'iT: 165 9. READY DATE: 361
10@ -sDt 11. FOR. 12. SPEC C4T.
14. @REAS RES: DS 15, DATE LASI VISTTI 16. CLASS: I'u
17. ACCEPT PHYS: 19. APPT/SURS DATE: NU
20, AP.-@R-IV AUTH: 111. C@ANI@IIIN"t 22. VALID: LM.@< Y5
271. MTF GRIC; A@@150 USA DISPENSARY DHAHRAN '@4. ICAO ORTG: OEDR
T: EDAF
MED SPEC 1: MPPB 26. DIAG 'Li 29590 SCHIZOPHRENIA, lyPE NOS, c.iATE UNSPECIFIED
29. NED SPEC 2; 30. DIAS 2.@
,@l@ MT-:D SPEC 7@: @2. DIAG 3:
32A. PROCEDURE:
33. SPEC DIET: NI 34. TV:
35. 02/ilpri: N 36. SU'UT; N 37, @16 TUB'C: 38. Rcls'Pt %I 39. Fr@"@EYt @4 40. STRYKER: N
41@ INC'UB: N' 42. TRACTI N 4'@ 1,@IED: N 44@ CAST/LC@'i N 45. TRACH: N 46. ViOrl;
71. Pi BAG TYPE: NB 72. Pi BAG TAB 73. PT BAG WT:
47, SUCP INFO. 346 ?OED DC', , ORLANDO, rL //173 n@,n//
1/8@, EVACI/
48. MAX ENRTE SEOPS: Y / 7 49. MAX # R'UTNS: Y 9 50. ALT REST/MA HT: N
@x
53. !NPATIENT@ Y 5t. SPEC PROS-. VA DRUG ALCOHOL WT NONE X 55, VA r@OD--@t
56. ADMIiN/GVPRSEAS.
@@8, VITAL SIS,@'S(TEP/PULScl/RESP/B'@@nCiD PRESS): 09@.2 80 16 106 80
I DATE TAKEN@
19. HGB: 60. HCT: 61. ABC:
OOKEPIII' 25,@,G PO DA.RGS@ BE-%IZTROPINE
25@G PO QDAY; 'I-HIOTRTXAN' 2MG PO
65. @IST RYt LONG STANDING HISTORY OF SCI,4.IZOPHRc IA.
.0 -N
,k5, ATT PHYS: STDI\-EFIELD 67, PP,#: 999 99? 9999 66. WARD#/PH#,. 999 999 979 9999
69. REPORTED BY@ SEr ABBOTT 70@ Pff#,: 959 99q9
74. ATTENDANT NAME 75. STATUS: 76, GRADc@i
77@ AG-; 78. SEX: 72A. t4T: 79. RELATIONSHIP TO PATIElTi
80. BAG TYPE. 81. GAS TAB 82. BAG @,'T:
83. ATTENDANT NAME #2: 84, STATUS: 95. GRADE:
86. AfoEt 87. P@EX@ 87A. WT: 66. @P-L4-ilONSHYP TO PATIENT;
87. BAG TYPE: 90. BAG TAG 91. BAG WT:
92. TRANS ORIS PHONE EXT:
93. TRANS DEST PHONE EXT:
94. ETORIG mFTF(DATE/Ti,@E): 000 95. ETA DEST MTF(N E/-INE): 000
@A vAT
97. OTHER
SN #: 000@)/16! 52. RON LOC@
57. 'VALIDATED BY/REAS FOR @@IC,4.ER FREO@EDENC@-:
96. AIR@u.-RAFTTTINERARY,
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Document 30 f:/Week-32/BX000482/MEDSTAT - SITREPS DEC 90 4 OF 6/patient file:09069614064231
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 4 OF 6
Folder Seq # = 8
Subject = PATIENT FILE
Document Seq # = 31
Document Date =
Scan Date = 14-AUG-1996
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 = 06-SEP-1996