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File: 123096_oct96_decls1_0021.txt
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
UNCLASSIFIED
24FES91 y CO,@/7,2ND MAR DIV
y N
PATIENT ADMISSION REPORT AS OF 2400, 03-04-1991
F.'@-C- NO LNAME INITIALS RANK/RATE SSN SERVICE
Page 21
0158
ADMIT DIAGNOSIS
27FES91 (L) SHOULDER FX
[,,isc.Fi WIA PARENT COMMAND MEDEVAC
27FEB91 y 2ND LAM BN,ALPHA BAR,@D MAW y
PATIENT ADMISSION REPORT AS OF 2400, 03-04-1991
REG NO LNAME INITIALS RANK/RATE SSN SFPVTrF7
ADMIT DIAGNOSIS
25FEB91 SHRAPNEL WOUND (R) 3R[) FINGER
DISCH WIA PARENT COMMAND MEDEVAC RTD
26FES91 y WPNS CO,1/5,IST MAR DIV y N
PATIENT ADMISSION REPORT AS OF 2400, 03-04-1991
REG NO LNA.ME INITIALS RANK/RATE SSN SERVICE
0086 smc
DIAGNOSIS
24FE891 SHRAPNEL WOUND (R) SHOULDER U.S.C. 552
D7SCH WIA PARENT COMMAND MEDEVAC RTD (b)(tl
25FEB91 y I CO,3/7,IST MAR DIV y N
PATIENT ADMISSION REPORT AS OF 2400, 03-04-1991
.-REG NO LNAME INITIALS RANK/RATE SSN
0194
DIAGNOSIS
O'-MAR91 GUNSHOT WOUND (L) FOOT
DISCH WIA PARENT COMMAND MEDEVAC RTD
OIMAR91 y WPNS CO,1/8,IST MARDIV y N
PATIENT ADMISSION REPORT AS OF 2400, 03-04-1991
Rc---G NO LNAME INITIALS RANK/R@ATF SERVICE
0089
ADMIT DIAGNOSIS
24FES91 @.ND DEGREE BURNS (R) ARM,FACE
DISCH WIA PARENT COMMAND MEDEVAC RTD
24FE391 y 0 CO,2ND LAI, 2ND MAR DIV y N
UNCLASSIFIED
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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