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File: 102896_aug96_decls1_0003.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
06:46:'4L **** PATIENT FILE **** iO/2@/90
PERSONAL DATA - PRIVACY Ap.T Or- '?74
',ODE; A
NIA@',,E; 18. AUTHORITY #.- 029SA05' 2. SSANT 3. @RECEDEN@CE@ R
4. STAT! All 5. CO DE: 006 6. A' 50Y 7@ SEX: M 8. 'OT: 19B 9. READY DATE: 293
@,A GE
10. 730,. 11. POR@ 12. SPEC CAI:
14. REAS RES; DS 15. DATE LAST VISIT: 16. 'CLASS: 3A
17. ACCEPT PHYS: 5 U.S.C. 552 (b)(6) 19. APPIISURG DATE: NO
20. APP@ROV ALIT@.! 21. 22, VALID: I L@MK Y4
2'. MTF 0,Rl@ A5150 USA DISPENSARY DHAHRAN 24. ICAO CRIG: DEDR
25. i@TF DEST; F5070 USAFRIMC WIESBADEN Gc 26. ICAO DEST: EDAF
27. V@ED SPEC 1: FIMA 28@ DIA' l@ 4619 ACLIT' SINUSI'TS, UNI;PE@',FTED
'-)g@ riED SPEC 2: SBR 30. DIAS 'L; 4739 CHRONIC SIN@JBITIS, UNSPECIFIED
31. IM'@D SPEC 7@: @@2@ DIAS 70:
32A. @DoCc,DU@RF-:
34. IV:
75@ 32/LPM: N 36. SUCTZ N 37@ Ng TUBE: Ni '@s. RESP: N 39. FOLEY@ N 40, STRYKER: N
41@ !NCUQ: N 42. TRACT; N 43. II@ED@ N 44. CAST/LOC: N 4@@. iRA,@@H@ N 46. MOIN: N
71. PT BAB TYPE: @NB 72. PT BAG iAS 73. PT BAG WT:
47@ SUPP INFO: OTSO, FALLS CHURCH, VA REPORTED BY
56T,@i ATH.
49. @iAX ENRTE STOPS. Y / 9 49@ IIAX # ROIIS: Y 9 50@ ALT REST/iiAX HT: N
TN@OA'IENT@ Y 54. SPEC PROGT VA DOUG ALCOHOL WT NIONE X 55, VA CODE:
@3 ,I
56. ADVi!N/OVc,RSEASi
(A-
@8. Vi@ i SIGNS(TEr,-P/PULSE/RESP/BLOOD PRESS): 098.0 72 16 130 1 96
59. PGB: 60. HCT: 61@ ABG: / DATE TAKEN:
62. i4BC@ 63. SI/VS!: 64. MEDICATIONS: HUMIBID I TAB BID, BECONASE NASAL 9
PRAY TIE, nly@',ITAP I TAB DID 2 [ABS 0 4F.Rg. AFRIN NASAL SPRAY TRS.
65. HISTORY: HX CiF CHRONIC ACUTE SINUSTTIS FOR SEVERAL YEARS. SY@'jPTOM.6 PERSIST
DESPITE SEVERAL COURSES 07 Ar4TIODIDTIn THERAPY A D FOUR SURBICAL PROCEDURES I
N @OASI.
66@ ATT PHYS: RODBERS 67. PH4: 000 000 000(i 68@ 'AARD#/PH@ 000 / 000 000 0000
69. REPORTED BY: '@AREPANIT 70. PH'@! 000 0000
75. STATUS: 76. GRADE:
AT
77, AGE: 76. Sq@ 78A. WT! 79. RELATIONSHIP TO PATIENT:
80. BAG TYPE: 81. BAG TAG #i 82. BAG WT:
83. ATTENDANT NIAVIE #2. 84. STATUS: 85, GRADE:
86. AGE: 87, SEX; 67A. WT: 88. RELATIONSHIP TO PATIENT:
89. BAB TYPE: 90. BAB TAG 91. BAG t4T:
92. TRANS gRiG PHONE t@ EXI:
9Z%. TRANS DEST PHONE #: EXTI
94. ETA ORIG riF(DA P/T'ME): 000 1 95. ETA DEST MTF(DATc/TIME): 000
97@ OTHER
51. vSN 4@: 0000/298 52. RON LOC:
57@ VALIDATED BY/REAS FOR HIGHER PRECEDENCE:
96. AIRCRAFT ITTNFRARY: I
I
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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