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File: 092396_aug96_decls14_0020.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
CF,@4'0. 7 EAT,.@%IT --ILE @@,129j9o
.-NAL DA@A - PRIVACY ACT OF 19'4
5 U.S.C. 552 (b)(6) 1'. imoDE: A
1. NAME: 16. AUTHriR,T #: 036OA0@'I 2. SSAN:
.Y 3. PRECE@@ENICE: R
4. ST T: All 5. GRADE: E03 6, AG'i ISY 7. SEX; ri B. WT: 135 9. READY DATE: 360
.A a
10@ !So; 11, P,@R. 12. SPEC fATt
14. REAS REG: DS 15. DATE LAS] VISIT: 16. CLASS: 3A
'47. ACCc,Pi PHYS: JR@RO 19. A@PT/SLIRG DATE: NO
2A,. A@O@DROV A.UTH: 21. CAII'C/-INC: 22. VALID: I T'H Y9
23. MTF CRI'O: A5150 USA D TSPENSARY DHAHRAN 24. ICAD ORIG: O'@DR
2@@. MTF DEST: A503'v FRANKFURT ARMY RED Vc 26, ICAO DEST@ ITAF
ED
27. M--.D SPEC 1: SSE 28. DIAS 1: 2397 NEOPLASM OF U@NSPE IT F',ED NATURE, ENDO'@RINE,DTH NERVOUS SYSTEM
29. ilED SPEC 2: 30. DIAS 2:
31,. ri;-:D GPEP 3: 32. DIAS 3:
. PROCEDURE@
53. SPEC DIET: N/ 34. TV:
@5@ 02/LPVj: N --@6. SUCT: N 37. NS TUBE: N 38, REEP: FOLEY: N 40. STRYKERT N'
41. 'N@IUB: N 42. TRA@@T- t4 43. !MED: N 44. CAST/LGC@ N 1 45. TRACH@ iN 46, VION: N
71. PT BAB TYPE: NB 72@ PT BAB TAG #i 73. PT BAB WTi
47. SUPP INFD- HHS 319 fll Pi\' FT 3@R0.68 NC PNT AT 83 E?i
AV, REPORTED BY SUB-i@'iRO
48, MAX ENRT@ STOPS: Y / 9 49. MAX # RONS: Y 50. Al@T REST/MAX HT: N
I
INPATIENT: Y 54. SPEC PR@lu: IIA DRUG ALCOHOL WT NONE X VA CODE:
,6. AD;@,IN/UV;-7RSEAS:
59@ VITAL SIGNS(Tc_:r]P/PULSE/RESP/BLOOD PRESS): 096.6 72 16 1OCi 70
59. BB: 60. HOT: 61. ABS: DATE TAKEN:
62. NBC; 63. El,'V$li 64. MEDICATIONS: NONE
6i@ HISTORY: PATIENT WITH 1 '/'L MONTH HISTORY OF '@uvip TN LEFT NECK. ULTRA-
I
SOUND SHO'@G LEFT THYROID LOBE CYSTIC MA S 3X4 Dic PT NEc r THYROID SCAN
AS ED-
AND POSSIBLE @,'Ep@K EXPLORATION BY NECK SURGEON.
66@ ATT P4.YS@ ROLFE 67. P.H#: 000 O'@)O 0000 66. WARD#/P@4#: 000 / 000 000 0000
70. Pq#: OOC, 0000
74. ATIENDANT NAME 75. STATUS: 76. GRADEZ
77. ACE, 78, SEXT 78A. WT: 79. RE'@ATICNSHIP TO PATTENIT;
80. BAG TYPc@i Si. BAG TAG 82@ BAG WI;
871. ATTENDANI '@At"i-- @2: 84. STATUS: 8-@@ GRADE:
86, AGE: 81, SEXT 67A. WT: 86. RELATIONSHIP TO PATIENT;
89. BAB TYPE: 90. BAB TAG 91. BAD WT:
92. TRANS GRIG PHGNIE EXT:
93. TRANS DEBT PHONE EXT:
94. c A CRIG MTF(DATEITT@',E): 000 9@. ETA DEST MTF(DA T
I 000
91, OTHER COMM.ENTS@
M@SN #: 0000/-@60 52. RON LOC:
@.7. VALIDATED BYIREAS @cCR HIGHER PRE'uEDEPI.CE: I
96, AIRCRAFT ITINERARY:
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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