Medical Report: 25-Year-Old Iraqi Male, Baghdad, Iraq re: Gunshot Wound to Abdomen

T3FRAPECTIVIIIMPOIERMITN-, •M'., --.1! , ,M_ _M.8. CLINICAL RECORD Fate B of this form, SBO AR 40407; Mo..C.--3 theDroannenta ncy is the Office of The Surgeon General. vERIFY BY INITIALING MAKIONORMNOWS:ta".8 .:: INITIAL PROPER COLUMN FOLLOWING EACH COMPLETION 14R DATE COMPLETEDORDER CLERK' RECURRING ACTIONS, DATE NURSE FREQUENCY, TIME 75-6D--1. -DF, '7D'0 S' f?Di/),./LSZ-- -Z0y-eci b. 5 ./ Z) liVil/ 1 II ill r . Ci a-, c---- ----- ce, ,,JVb 6((, . ... _ IMEEM a IIIE IPIPMI .' omit.illitIFANIN iT I of i-i-c,,,„ y c ‘,-, \ Z.,-75 111IIRKIN ATI¦ -M--- vi .yM.Mz'' (o r (6 .31 IIMPI nisi ini pill Er' , es" 4-- im C-: ':'' -r--.- \ V.\ 01\t_A 1•7\k S (-6 q IC. 1111 rr ¦¦¦ • . v. ' NMI AIMINIIIIP11111 6111a1111111111111.111EPIENdPIVAA IMILIOR 3M irr . ik Filet — / IIIIII II r .:sal/M1 ALLERGIES:DI. YESDLi NO PRIMARY DIAGNOSIS: ADDITIONAL PAGES IN USE: C---V;Cr-----. k___ NO NI YESD ..--r- 1--__ )D PAGP'n ' PATIENT IDENTIFICATION: ACTION TIMES -,---- r. USE PENCIL. CIRCLE ACTION TIMES ./1_) i_' L-.:M DD8D9D10D11 . ' 12D13D14D15 CO( (L) ---Dt/iD ED16D17D18D19D20D21D22D23 ND24D01D02D03D04D05D06D07 rf A reine• 12-,, 4 n p.m. , ... EDITION OF I DEC 77 MAY BE USED. USAPA 51.00 MEDCOM - 15841M' • ,‘M. ‘M\ „ (\;. DOD-029230 ¦ Verify by TRERAPEUTIC DOCUMENTATION CARE PLAN Initialing (NON-MEDICATION) Mo Yr Order Clerk Date tto Time to SINGLE ACTIONS lime Dona InitialsDate Nurse be Done be Done .4• • .. • ? A •:M.M:, ‘M. mai PRN INITIAL PROPER COLUMN FOLLOWING COMPLETION Orden Nu rse Date ACTION, FREQUENCY TIME!DATE COMPLETED 5k,"3 1 p L5 1114MV1kni i7,, cAc CP rotit . 42404'3 VAI ZA—7 i44itoduA P/H p c-rc-cc 7i 1-2--0 1- — c---- AIL . -4 -• .)3e' 00/2) AI 1211/i 1/4,3293fr ice-ll& pc—, — DC1 1 r--....,.. 1 (/_.:7)• -:,-,-.10,1111 -I i I II . 1 a A .- ..... -.) 0 , qt., _(,-(4------ De, ,,—. \ .. .•• • ,• LtSAPA VI OD MEDCOM - 15842 DOD-029231 s THERAPEUTIC DOCUMENTATION CARE PLAN (MEATTIONS) CLINICAL RECORD For u e of this form see AR 40-407; MO. ED' e3 theDreDmeet a encs It the Office of The Surgeon General. VERIFY BY INITIALING diggfintanaMEMOmak 1N177 AL PROPER COLUMN FOLLOWING EACH ADMINISIRA770N ORDER CLEM HR DATE DISPENSED DATE NURSE DOSE, FREQUENCY RECURRING MEDICATIONS, ¦ rta i r 1 RI . -e MVe.csop,„9,.; ocry Is .. ail ,M IIiikaimil Rc7 2-, t DD•Mc.• 1 I • ALLERGIES: 1 YES MI NO PRIMARY DIAGNOSIS:DA ADDITIONAL PAGES IN USE: ji-Nck‘i, 1 S 1 nMre,M'---‘-' c Mk-4) -D ''..1 M YES I. NO trM-3_D bc-(__e.A,_0\ PAGE NO. PATIENT IDENTIFICATION: DISPENSING TIMES USE PENCIL. CIRCLE MED TIMES tAD ' Ina D 7 8 9 10 11. 12 13 14 " E 15 16 17 18 19 20 21 22 -M J N 23 24 01 02 03 04 05 06 n a cnonn 11C713 1 ren WI USAPA MEDCOM - 15843 DOD-029232 -411, MEDICAL RECORD-SUPPLEMENTAL MEDICAL DA Fm use of this form. see AR 40.66; the prooherst agency is the Office of The Suwon Goners!. T TITLE OTSG APPROVED Wald Post-Anesthesia Care Unit (PACU) Flow Sheet Date: • c rJ.Anesthesia Type (C,licl Gev.;-1pinal Epidural jDrains Airway090-5 Time In: t .1 IV tion Nerve Block ? Hemova NasalA! -I. A Allergies: OR Intake: Crystalloid c4ISFO Colloid NG Oral Pre-op V/S: :Vein.OR output: UOP gs EBL itr1/41V ," Procedures: r-....11Mg .- Meds/Times:i -tube T ch Foley ther Pre 0. Meds Histo TLS Time Pacu Intake Sa02 Time Sol•tion Amount Site By Infused Fi02 4 Methods 240 22D X-rays: Labs: Post-Anesthesia Recovery score 200 Criteria ADM 30' DIC Codes Activity AIRWAY (2) Moves 4 Extremities 180 (1) Moves 2 Extremities Ambu (0) Moves 0 Extremities BB = Blow-by M — Mask V Airway 160 FT = Face (2) Cough, Deep breath V V 4, (1) Dyspnea, limited breathing Tent (0) App RA = RoomAir 140 •4/ )60 NC = Nasal Blood Pressure Cannula (2) SBP=/- 20 of Pre-op 120 (1) SSP =/- 20-50 of Pre-op (0) SBP al-50 of Pre-op WS X =A-line BP Consciousness 100 V -=Cuff BP (2) Fully Awake, audible = Pulse a (1) Atousable to verbal or pain eying 80 • • A 11/4 • TEMP Color /81' A e • S = Skin AM (2)Baseline color & appearance 0 = Oral 60 (1) pale, mottled. jaundiced (0) Cyanotic A = Axilla ympanic 40 Circulation (Peds 5 Years) R = Rectal (2) radial Pulse Palpable (1) Axillary palpable. not radial (0) Carotid only reliable pulse LOS 20 C= Cervical TOTALS: Must be 9 or T = Thoracic greater to D/C. otherwise RR L = Lumbar 11111111MMEMEF needs anesthesia approval for DIC. S Sacral T Time Paten teaching done; Wound Care. Pain Management. Pain (0-10) C, & DB,. Incentive Spirometer, Comfort Measures LOS Safety: SR up X 2. Falls Precautions. Privacy Maintained 1 !COMM on ievene DEP/4117R KLINIC DATE tries give: Name1111111l facity)ka • 11Pli . HISTORYIPHYSICAL . FLOW C . OTHER EXAMINATION . OTHER gp•ari OR EVALUATION . DIAGNOSTIC STUDIES TREATMENT DA FORM 4700, MAY 78 WAMC OP 173-E, (Revised) 1 Apr 01 (MCXC-DN) Previous edition is obsolete USAPPC 5100 MEDCOM - 15844 DOD-029233 MEDICATIONS Allergies: NURSING NOTES Time Pain Medication & Route Pain WE By J ill 1-10D----f3macip 1-10 1 56 Pereoccii:', f-1: tr a daiz,MAIE 'POMP II rioet,iliar* •jo. Aiikt NEUROVASCULAR Time Site Range Sensory P • Cap T Color Of Refill Motion amolt, (aa Adm 15' 30' osiz. Ns z ­45' ),a5c4 hv ,010 60' 57=ei/ D/C r Movement/Sensation: + = present.- = absent Temp:C .. Cool, W =Warm Pulses: P = Palpable. D= Doppler, A = Absent Color: C = Cyanotic, Capillary Refill: B= Brisk, 5= Sluggish DP= Pale, Pk= Pink Ay. C-SECTIONS Adm 15' 39%167— 60' 90' DIC Fund. Height ,----"---Lochia Peri ' - und. Cond. DRESSINGS TimeDLocationDTypeDDrainage Adm MIEMMIILMMMIIIMPr" .:411111111 30' ValrealMIMMIMIIIIIIRAMM twarareffs /Miff= I 4% 1111111M1111 D/C .____Mt-Mtf..p rnIMEINVIIIIIIIIIIIMIIII PACU OUTPUT Time Source Color/Appearalve-Amount Discharg = Criteria: Date: 3Time,: PARS: iD BP: ) T: OHR: RR: /9 Sa020 Pain _.:V) (0-0): Intake: Output:/ Additional Data:.'74,41-Yeza/y-- CARDIAC RHYTHM - _.. rTar erred To: Time lAythm 1 Symptomatic? m Strip Run? Report Given To: -----------Transferred Via: WIC Ambulance Transferred By: . Cleared lAW Recovery Room SOP 8-3 Charge Nurse Signature: WA 73-E MEDCOM - 15845 DOD-029234 MEDICAL RECORD-SUPPLEMENTAL MEDICAL DA1 Foe use of this term. see AR 40.66: the praponeni agency • the Office of The Surgeon General. REPORT TITLE OTSG APPROVED Ware) Post-Anesthesia Care Unit (PACU) Flow Sheet A4,6. 0 3 Date: Anesthesia Type (Circle)): M, pinal Epidural Drains Airway Time In: M15P MAllergies: MIX.P)ir OR Intake: Crystalloid S.(P IV . n Nerve Block ...1)43 Hemovac Nasal NG Oral Pre-op V/S: ID.47 (1 1 OR Output UOP y're,,M/Mc JP '''dSwrFe ETT Procedures: tt.1.4^'0.94 Meds/Times: Trach 44 s-14-1‘56 Other Pre Op Meds History Phi- stirti-OP ez. Time %Tx-- Pacu Intake Sa02 cis Time Solution Amount Site • By F102 CA grk 414 i 15 21-14-Mg=DIEMIIMILI Methods 240 220 X-rays: 1J I Or-. Labs: Post-Anesthesia Recovery score 200 Criteria ADM 30' D/C Codes Activity *A. AIRWAY (2) Moves 4 Extremities Sit.. 180 CO Moves 2 Extremities A =Ambu 2, (0) Moves 0 Extremities BB = Blow-by any M — Mask 160 FT = Face (2) Cough. Deep breath (1) Clyspnea. Smiled breathing ,--1.----Tent (0) Apnea RA = RoomAir 140 NC = Nasal Blood Pressure V' V Cannula (2) SBP 4- 20 of Pre-op V 120 (1) SBP 4- 20-50 of Pre-op q...- -Z.- (0) SSP 4- 50 of Pre-op VIS a X =A-line BP Consciousness 100 -= Cuff BP (2) Fully Awake, =Stile • a = Pulse • • crillig ( (1) Arousable to verbal or pain 80 • • TEMP Col or A A S = Skin (2)Baseline coke & appearance #2....... 2-/-- A 0 = Oral (1) pale, mottled, jaundiced A (0) Cyanotic A = Axillary -T = Tympanic Ix Circulation (Peds 5 Years) R = Rectal (2) radial Pulse Palpable (1) AtellarY Paloable, not radial (0) Carotid only reliable pulse LOS 20 C = Cervical TOTALS: Must be 9 or T = Thoracic Ater to D. otherwise RR 17 L = Lumbar a 10 Zit t5 needs anesthesia approval for ci S = Sacral INC, I . . Time [SID 14f ^f Patien Pain (0-10) 600 '110 1-/ lo T. C. & OB,. Incentive Spirometer, Comfort Measures L Safety: SR up X 2, Falls Precautions. Privacy Maintained M icommue.or averse! k.,t)•-- .2_ 1G4M(Do) 5 NFL 3 DEPARTMENTISERVICEICLINIC DATE PA or wilier entries give:. Name — laS4 fiat, middle; grade; date; taelityl . HISTORTIPHYSICAL FLOW CHART . OTHER EXAMINATION OTHER xs=rtri OR EVALUATION 1:3 DIAGNOSTIC STUDIES TREATMENT . DA FORM 4700, MAY 78 WAMC OP 173-E, (Revised) 1 Apr 01 (MCXC-DN) Previous edition is obsolete USAF V2.00 MEDCOM - 15846 DOD-029235 sp• MEDICATIONS Allergies: Time Pain Medication &D-Route Pain I/E By 1-10 flosanp 1.10 / . Al° NEUROVASCULAR TimeDSite Range I Sensory P Cap TDColor OfD Refill Motion Adm ®1*6 (t)utwitb I (U 15' 30' I. 45' 60' It It U :1/4M4 9(Y D/C 14 ti Movement/Sensation: + =present,- =absent Temp:C =Cool, W =Warm Pulses: P =Palpable, D =Doppler, A= Absent Color. C = Cyanotic, D Capillary Refill: B= Brisk, 5= Sluggish P=Pale, Pk =Pink Adm 15 45'D60'D90'DD/C Fund. Height Lochia Peripad# Fund. Cond. DRESSINGS Time Location Type Drain age Adm (i'l 4011 Faktits) ACe VRt't ,,D„ 1.DkM1 1 • 30' xDi t kMitM. 60' (7 i., NMkMP. DIG `` PACU OUTPUT Time Sour Color/Appearance Amount ef CARDIAC RHYTHM TimeD;;•7 Rt(y.thm Symptomatic? Rhythm Strip Run? ,• WAMC OP 173-E NURSING, NOTES 0.smit-)Dcut,iva -11 AOA oh tuoiM2/2e4 Qat 11 l ,ea al41014 Jokk- -7; 4eAle4ke a 41 M4 lJ gaa ace auAtar iliPliCtui€1k Slc lief ale bk CiA.Att* 41/i4tirc woAL ' 11 I mom ,idete Ibkiw- .,gLu 4._ ace La? Susi last liM. Z 3jec c. 4tta, 0/ kJ ' Gu w..4.4.g9 (Arc. e„ RNA Lx-oe. 05-4,,, so, ,i, tn vuate -6 rMco sozwe. Kuo ot-Iff 01_ wic A(c. -fr4t4zA-- (1109 110 b t^ iptew. 646. -to p ',Aka (23cl Discharge Criteria: Date:5 At4 03 Time: MC PARS: BP: ( 74(1-c T: Cri OA, HR:ll 0 RR: 17 Pain Level at =10-101: Intake:MOutput: 50C CM Additional Data: SO • Transferred To: Report Given To: Transferred Transferred Cleared IA Charge Nurse Signa MEDCOM - 15847 DOD-029236 2nd PRIORITY MODERATE A789849 Mass Casualty Incident Tag ©Eastern PA EMS Council - 1997 (A) Patient Name (if know Notes/Treatment M i (1D; To be given to: TRANSPORTATION OFFICER Hospital DOD-029237 2nd PRIORITY MODERATE DECEASED Minor Injuries/Illness: D Moderate Injuries/Illness: D 1 Life Threatening Injuries/Illness D co-worker injured LI uncontrollable emotional disorder LI OBVIOUSLY DEAD (D.O.A. - D.A.S.) Mass Casualty Incident Tag Developed for Triage and Patient Management et Eastern PA EMS Council 1997 (610) 620-9212 Additional Information: D 4 •4 MEDCOM -15849 DOD-029238 uml11/ gillar 1 . REPORTING MTF 2.m IIKfF LOCATION ADMISSION AND CODING INFORMATION IM 1 2 I 3 4 5 6 7 8 (State or 1 Country For use of this form. see AR 40-400; the proponent agency is MSG A 1 I 1.,-,, — -Z.,.. Code.) .,,,,,..,, Zs) 3 . REGISTER NUMBER NAME (Last, First, Middle Initial) 4. PAY GRADE 5. SEX .___, 9 10 11 1213 14 15 16 17 1 ,_Dts_e _0 0 t 14 t 0 cpv\i 44- 1 ,2,4-x18 i—I ' B . DATE OF BIRTH (YYYYMMDD) 7. AGE ATA • . • . RACE 9. ETHNIC RELIGION 19 20 21 22 23 25 26 27 28 29 30 31 BACK-GROUND U Ai Z- 12 '1-- --z "Z --1 y 10. LENGTH OF SERVICE ETS 11. FMP 12. SOCIAL SECURITY NUMBER 32 33 34 35 36 37 worm 40 41 42 43 44 45 ------, q 9- ORGANIZATION (Active Duty Only) 13. MARITAL STATUS HOUR 0 - • ADMISSION '— 46 CC' (-____-------.) 14. FLYING STATUS 15. BENEFICIARY CATEGORY 18. ZIP CODE OF RESIDENCE 47 48 49 50 51 52 . 53 54 55 56 57 58 59 60 81 g_ -7 I g L -E 17. UNIT LOCATION (State or 18 MOS 79. TAAUMA PREV . ADMISSION Country Code/ 1 62 63 64 66 67 68 69 1 70 71 YEAR ,M ,_____ 1 — 20. SOURCE OF ADMISSION/ AUTHORITY FOR WARD NAME/RELATIONSHIP OF EMERGENCY ADDRESSEE . ADMISSION VI Ne--_. ,.....„ 72 ADDRESS OF EMERGENCY ADDRESSEE (Include DP Code) ,--,, ( 77) \ ^ . L fill T C ud Z- TMENT FACIL , Z..— _„, TELEPHONE NUMBER OF EMERGENCY ADDRESSEE U/ .M.:- 21. N1. TYPE OF DISPOS . M F TRANSFERRED TO 23. DATE OF DISPOSITION IYYMMDD) 73 74 1 75 76 17-..,, 78 1 79 80 81 82 83 84 85 86 , 5 0-i , 0 MEI - 24. CLINIC SVC - ADMITTING 5. MTF TRANSFERRED FROM 26. DATE THIS ADMISSION IYYMMD0.1 1 87 i1 88 1 89_ j 90 j 91 1 92 93 94 95 96 97 98 99 100 101 102 ; — 7Ffri .11 LA I a 3 & .4 Itan 27. LOCATION Of OCCURRENCE 28. MTF OF INITIAL ADMISSION 29. DATE INITIAL ADMISSION (Y V MMD 0)-----;—.. (Battle Casualty Only) 103 104 105 106 1 107 108 1 109 110 111 112 113 114 115 116 -.... FOR LOCAL USE , --- 05(A) 4 cfevx OK CD kaNtol ,, D ,i; Mi Pow. 5rdi .---itaCern A s'rol rfltiq --?-r-i 9 —7q.-3 1M • as required) Crtnxit . tlor 11,11A n On MEDCOM - 15850 DOD-029239 t' INPATIENT TREATMENT RECORD COVER SHEET For use of this form, see AR 40-400; the propone t agency Is 0"fp3 (e J - REGISTER NUMBER NAME (Last FIrs1 3.DGRADE lit) 4Dsax 5.D. AGE 6.DRACE 7.DRELIGION 8.DLE 10.DPREVIOUS 0° i LHO5 .....—,... --...—. in 1 At jrD 11.Dn 3 12.DSSN 1 ,DORGANIZATIOND.,. 14.DWARD L Lk 7c ol's2_ Ll 15.DFLYING 16. . 18.DBRANCH/CORPS 19.DUIC/ZIP 20.DTYPE CASE STATUS DSG BEN i,..7.9_1) 1 4 1 +1- ki 0 21.DSOURCE OF ADMISSION/AUTHORITY FOR -ADMISSION----22.DHOURS OF 23.DCLINIC SERVICE ADMISSION I)recf-Pom :ER 1130 A-5A- A - 24 NAME/RELATIONSHIP OF EMERGENCY ADDRESSEE 25.DTYPE DISPOSITION 26.DDATE OF DISPOSITION U 13Nt., /0 Iit .A.Vi 27s.DADDRESS OF EMERGENCY ADDRESSEE (Include ZIP Code) 27b.DTELEP ONE NO. 28.DDATE OFD7 ADMISSIO 0oy._.- 'b. PVIA 29.DNAME AND LOCATION OF MEDICAL TREATMENT FACILI 30.DDATE ADMISSION n -(2 31. 33. CAUSE OF INJURY G-.ThtZ 34. DIAGNOSES/OPERATIONS AND SPECIAL PROCEDURES DSC: Gado --1-0 10 Knce, /6D -pa-i-e,110,r Cfpgn 'TX 35. Total Days This Facility ABSENT SICK DAYS b.DOTHER DAYS C.DCONV, LV/COOP CARPS d.DSUPPLEMENTAL CARDS e.DBED DAYS 36. Total Days All Facilites e.DABSENT SICK DAYS b.DOTHER DAYS C.DCONY. LV/COOPDd.DSUPPLEMENTAL CARE DAYD CARE DAYS ' • BED DAYS 0 - Al SIGNATURE OF ATTENDING MEDICD DICAL RECORDS OFFICER n ADOhl •sa -, a MEDCOM - 15851 ADMISSION REMARKS ADMITTINGDOVICERDLe r.} l.D (..... 32.DUNITS OF WHOLE BLOOD/ COMPONENT TRANSFUSED Check If Continued on Reverse I. DTOTAL SICK DAYS I. DTOTAL SICK DAYS USAPPC V1 10 DOD-029240 MEDICAL RECORD PERTINENT HISTORY, -" AB CHIEF COMPLAINT, AND C -- ABBREVIATED MEDICAL. RECORD ONDITION ON ADMISSION ( r dotr of rulmipaioni PHYSICAL EXAMINATION PROGRESS (A:Hie/date of diadletet and lima d(optosie IGNATIME OF PHYSICIAN VtfrENT•S 10ENTIFICATION (Po, trped or written entries give ORGANIZATION N. ame Ian:. &ie• grade: dart; hospital or medical Medley) VVAIRO NO. ABBREVIATED MEDICAL RECORD standsett Irons SOS SERVICE INTERAGENCY ,_ADMINISTFIATION AND RECORDS ON MEDICAL PIRM (41 CM) 201 -45.505 OCTOBER 1976 MEDCOM - 15852 AUTHORIZED FOR LOCAL REPRODUCTION PROGRESS NOTES MEDICAL RECORD NOTES DATE 0/27He 5 • .., E_PZAJ.4?-e¦Locttir-1- A4.4-1-A./Lee,/e- O'et. .‹---. / , 1. • k..‹. 6-5-z--z-e"-t-f2- . AJA.„,,,f_45,,7 le-2 i'e i Att,0--- .. ,.....2.„(..i.r.) ,t4,5 L4 1 ,,,4„„...„_12Q . gi, A.,0 P P „ ip.dp-e( ,i---3.Vey-i • 1 /si --i2)-------f ,.....4„, ' V--7"e? Ale-e/ gAtt lie't ,191t-14.16 C^ r • 7 ,.__ 4,,i____ .¦ .619¦74glitt.YILIV6/L sck._ L.--,_ e g , 5 A's...-„, of...t1WL..../ SPONSOR'S 10 NUMBER RELATIONSHIP TO SPONSOR SPONSOR'S NAME ISSN or Mal LAST FIRST -MI HOSPITAL OR MEDICAL FACILITY RECORDS MAINTAINED AT DEPARTJSERVICE PATIENTS IDENTIFICATION: (For typed or mitten sorties, gim• Name -lest. lost, middle; REGISTER NO. WARD NO. IID No Of ..SIX Sec Date of Birth; ReoldGrede) PROGRESS NOTES M Medical Record 3 STANDARD FORM 509 (REY. 51101H0 Prescribed by GSAACMR FPMR I4ICFRI 101.11.21:13(b)1101 USAPA 41 .00 MEDCOM - 15853 DOD-029242 AUTHORIZED FOR LOCAL REPRODUCTION PROGRESS NOTES MEDICAL RECORD DATE av_71.4 11-NOTES /14. A.L 67-3 ci 20-isA — , _ a, 'h-' b ..c —,j4 I ¦ -Ai '''/ S 6 A5 --i,.e-..t44/ Al.t..,,,tti c 1L-MPttilaM4-ice ike,,,,41MG5 /4 , . 4MVilA 4 eir,.. 4.1.( le-n-v-zo-.1 et.," 4 ..M, 9 if kit.Mla.Mel-' 5M/14.-4 io3M-M'-M.=,), et ,,..T.., ;11 .. 4.4-%., ,..c.C2.......,..friz%Mc,-)....,4.4.4,M14.A, .,hep ..... . 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ID No or SSN; of Birth:Ram/6mo sio• Dote _, PROGRESS NOTES Medical Record STANDARD FORM 509 (REY. 5119DM ProccrInd by GSAIICMR FPIER 141CFR) 101.1 22030111 01 IISAPIt V1.00 MEDCOM - 15854 DOD-029243 AUTHORIZED FOR LOCAL REPRODUCTION MEDICAL RECORD PROGRESS NOTES DATE 2 NOTES ) ) 4'itte.514/itehai /2/1-pi", alto, tizadc AAAM ?rz0A-1 (25 ;fir 2 R R .A."1 114" 44, A A— 4,10-4,/ A 'vacM441., $ 05-ew Pt p,,// 0-"Ce-,e1.-14.-upt41 ,,Zvx.4* f01-4-A44219)) Pie 66,e6-,2 et tlwiesLX-vc tekvc, 9(e-,4 s-ce44,1 ii/74.04)54,..,6 Al 1-, t;Li-e c . Pe 1,7,17,0 ir le-e'dx-4e hr.; "ket--.,-e.G-eetiit .12~14.74 _ u-sill; iD41-w 4,7(D4.—-D \ la;D2 '-4-DY-D c:r iti,td, C.. VF h V4-.-uet k--/Crxt Iail.Flez,,IX. --' klayt* 7— SktiCk i n. 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