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File: 123096_oct96_decls1_0003.txt
Page: 0003
Total Pages: 21

Subject: PATIENT ADMISSION REPORT AS OF 2400 03 03 1991                  

Unit: VARIOUS SHIP

Parent Organization: NAVCENTCOM  

Box  ID: BX300118

Folder Title: FOLDER 2 - PATIENTS TREATED - AL KHANJAR TRAUMA CENTER  MAR 91                                  

Document Number:          4

Folder Seq  #:         35


                                                                    CA.,A tsn4           -IAH@ @ v                       y
                                                                         UNCLASSIFIED

                                PATIEN7 ADMISSION REPCR'F AS O@ -@400, 03-04-1991
                       LNA.ME                       TNI71ALS                     RANK/RATE                       SSN                       SERVICE
                                                                                                                                                          Page           3

  O'-83
  p L)tA.            DIAGNCSIS
  ,@FES91            LOW BACK PAIN
                       tqia                            PARENT @,@@MMAND                                          MEDEVAC                     RTD
                                        SUPPORT CO,8.H. E.NG,'$@ MARDIV                                                  N                       y



                                                 ADMISSION REPORT AS Ow 2400, 03-04-1991
                                e:,A 7 1 ENT
  .REG NO              LNAME                        INITIALS                     RANK/RA7E                       SSN                       SERVICE
  @oei
  AD@I.T-            DIAGNCSIS
  2@,-@-B9'          !ST DEGREE BURN PARTIAL FACE
  El-SCI-.             W:A                             P.AREN7 COMMAND                                           @IEDEVAC                    RTD
  24cc-391               N                C-,2/4,2ND MAR DIV                                                             y                       N



                                PATIENT ADM:SSI@N REPORT AS OF 2400, 03-04-1991
            NO           NAME                       :NIT:ALS                     tRANK/RATE                      ss@N                      SERVICE

  @L)MTT             DIAGNOSIS
  2-.F-rB9:          SHRAPNEL WOUND 'kL) tA.A$-OTD REGION,PERF^@RATED (L@@ 7M
MAND                                           MEDEVAC                     RTD
  ',7FEB91               y              A CO,3R7 TNKS,77H MEB                                                            y                       N



                                PATIENT ADMISSION RP-@ORR AS C= 2400, 03-04-1991
      c N@             L@NAME                       INITIALS                     RANK/RA7E                                                                E
  1-@2
                                                                                                                                                          tA. c
  ADtl-T             DIAGNOSIS
                     SHRAPNEL                          (L)                                                                                                5 U.S.C. 552
  /SFE691                               ',JOUNDS                 SHOUL-1@ER
                                                              -.q.                                               MEZ)EVA@                                 (b) 6)
  @,c,CH               ILIA                            PA.R@T T COMMAND                                                                      RTD
  27FE89'                y                          S'. MARD-V                                                           y                       N



                                PA71EN'T ADMISSION REPORT AS CF 2400, 03-04-i.991
  REG NO               LNA@IE                       !N!T:A-S                     RANK/RATE                       SSN                       SERVICE
  0-42                                                                                                                                             usmc
                     DIAGNOSIS
     E.@E391         2 -)EGRE-@ (Li ANK'-@. SPRAIN                                                                                           RTD
                       ',::A                           PARENT COMMAND                                            MEDEVAC
B9l               y              INDIA CO,-@/7,!$T MARRDIV                                                                                N



                                PATIENT ADMISSION REPORT AS OF 2400, 03-04-1991
  @7G NC                 NAt-iE                     :N-TIALc-,                   RANK/RATE                       SSN                       SERVICE
  C-87
            1 7      DIAGNOSIS
  OltO.AR9!          SHRAPNE;- lv)OUND '@ R j@ HAND
  rj T S@H             'li: A                          PAREN@ COMMAND                                            McD--VAC                    R7D
  oilkiAR9,-             y              I-SSD-l!,MO7CR--7,!S- FSSG

                                                                        UNCLASSIFIED
                                PA71ENT ADMISSI@IN REPORT AS CF 2400, 03-04-1@991
            14,        LNAME                        INITIALS                     RANK/RA                                                   SERVICE
            Q                                                                                    TE              SSN
                                                                                                                                                   usmc
                     D:A'@NOSIS
            .t39-    SPRAK>NEL TCL;ND 'k L ) THIGH
            i            I 4.                          PPRE@IT COMMAND                                           MEDEVAC                     RTD
            IR9@         y              r
                                                                    MAR rTV                                              y                       ri

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Document 21 f:/Week-42/BX300118/FOLDER 2 - PATIENTS TREATED - AL KHANJAR TRAUMA CENTER MAR 91/patient admission report as of 2400 03 03 1991:1217960957513
Control Fields 17
File Room = oct96_declassified
File Cabinet = Week-42
Box ID = BX300118
Unit = VARIOUS SHIP
Parent Organization = NAVCENTCOM
Folder Title = FOLDER 2 - PATIENTS TREATED - AL KHANJAR TRAUMA CENTER MAR 91
Folder Seq # = 35
Subject = PATIENT ADMISSION REPORT AS OF 2400 03 03 1991
Document Seq # = 4
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 = 17-DEC-1996