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File: 102896_aug96_decls1_0008.txt
Subject: PATIENT FILE 29 OCT 90
Box ID: BX000482
Unit: ARCENT
Parent Organization: CENTCOM
Folder Title: MEDSTAT - SITREPS OCT 90 3 OF 4
Folder SEQ #: 16
Document Number: 10
06:49:0-@ PATIENT FILE 101,@9/90
PERSONAL n,AT - PRIVACY ACT OF i974
.A
13. @IODE: A
1. N!A,,qE; 18, AUTHORITY @: 0299AOI9 2. SSAN: 3@ PRECEDENCE: @R
4. STAI: All 5. GRADE: E02 6. AGE: I.Ov 7. SEX@ @@i S. 'tlT- 185 9. READY DATE: 299
10, TSO@ 'I. POR@ 12. SPEC CAT:
14. REAS RES: DS IS. DATE LAST VISIT: 16. CLASS: 3A
17@ ACCEPT PHYS: JFJRD U.S.C. 552 (b)(6) 19. APPTISLLRB DATE: NO
20@ APPROV AUTI4: 21. @@ANP,,"N'u: 22. VALID: LikiK Y7
23. IJT L9RTO: A.5'50 USA DISPENSARY D@@' AN 24. ICAO DRIG: OEDR
IF
z5. TITF DEST- F@@070, US@,FRM'u Vj'IESBADEt@ GE 26. ICAO DEST: EDAF
27. MED SP-EC 1: M@iT 'IS. DTAG 1: 4017 ESSENTIAL HYPERTENSION, INDS
29. MED SPEC '4: MO@l 30. DIAG 2: 4GO9 PNr7'u'@NIA DUE 10 VIRUS i@OS
6 CELLULTTIS AND ABSCESS OF LEG, EXCEPT FOOT
32A. PROCEDURE@
,3. SPEC Dic@T: NI 34. IV;
35. 02/LPj'l: N Z6. SUCT- N37. NS TUBE: tl 36. RESP: N' 39. FOLEY: N 40, STRYKER: N
41. INCUB. N 42. TRACI: il 43, IMED: N 44. '@ASi/',OC,. N 45. TRA'@H: N 46. VION: N
71, PT BAB TYPE, NB 72@ PT BAG TAG 73. PT BAG 'hT:
47. SUPP -INFO. *****DS*** 1-19 IRANS FT ELITIS VA
46. r@,AX E@'.RTE STOPS: Y / 9 49@ MAX @, RONS: Y 9 50. ALT REST/IIAX HT: N
53@ '@"PATIENT@ Y 54. SPEC PROS: VA DRUG ALCOHOL WT NONE X 55@ VA CODE;
o6. AD@tTN/Okit-RSEAS:
58. VTT ' SIG,%ig(Tc-14,P/PULBEIR@ P/B' OD PRc S): 09&0 64 18 / 10 110
iA.L Is @o @s Do
59. PGD: 60@ 'dCT,, 61. ABG- DATE TAKENT
62. @AD@ 63. SI/VSI: 64, VEDICATIONS@ TETR.Af-'Y@@LYN 50 m@, AD QID , HUMIDID
650MG PA BID, ifiDROALL 2OVG PA TIC, PRGCAR-IIA 2OMP, PO TTD
65. '@'.IST RY; ADMT IT FOR @'El@LUL TS OF LEG DCVEI P@NU AND H.YPERTENSToi%', CELL AND PNU
.0
E UNDER CONTROL BUT HYPER POORLY CONTROL.
66@ AT' PH@YS: @IAJ T@,IUKTNE 67, PH#: 000 000 0000 68. @IARD@c/PH#: 000 000 000 0000
@@150 70. PF@#: 000 0000
74@ ATTENDANT i\'AM@c@ #1. 75. STATUS; 76. GRADE%
77. AGE: 78. SEX: 76A. 'WT: 79.D ATTOI
'El- @, 46HIP TO PATIENT:
80. DAG TYP@.2 Si. BAB TAG 'ff: 62, BAB WT:
83. ATTENDANT #2,. 64. STATUS.- 85. GRADE:
86@ AGE: 87. SEX: 67A. WI: 88. REL4TION,@IP TO PATIENT:
69. BAG TYPE: 90, BAB AC 91. 2@AS @IT;
92. TRAtig CRIB PHONE vg; EXT:
93@ T ANS DEST PHONE 'XT:
.R I m
94. PTA DRIS MTF(DATE/Ti,@E): 000 1 95. ETA, DEST MT@(DATE/TIME): 000
97. OTHER CO@@ENITS:
5i. i@iSN #: 52@ RON LOC:
57. VALIDATED BYIREAS FOR HIGHER PRECEDENCE:
96. AIRCRAFT 7TW%cRARY:
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Document 46 f:/Week-32/BX000482/MEDSTAT - SITREPS OCT 90 3 OF 4/patient file 29 oct 90:10019616503417
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 29 OCT 90
Document Seq # = 10
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