Medical Report: 29-Year-Old Iraqi Male, Detainee, Camp Cuervo, Baghdad, Iraq (0234-04-CID259-80271)

0114-04-CID789
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Name: L-f)_(6)_-4____------11m59-80271
BHA MEDICAL SCREENING FORM
1-82 FA. I BDE. 1 CAY Age: 2q " . .., C.-\MP CUERVO_ BAJHDAD DatelTime of~~gJ_~2ao'l110 ,-Last Re\ised: 11 JU L ()4 Type: Initial !~.er) Release
HISTORY

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Current illness: T . U' ~J
P\t1HX!Hospitalizatior s/SurgeriesfTB: ;z
Allergies: Rf
\1cdicines currently tai;en: L L!.~Q."Z-.I"'''-''"-:l-·~t "\ l '"J--\..r5.

ETOH/Tobacco/Drug lise: ~.t-O":~ p·c....o 'yy I J!' C (l.-j ;;

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Is this detainee fit for i lterrogation e release(i_~~) NO
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Last Revised: 23 J IN 04 Cell #: 0234-04-CID2S9-80271
HISTORY
Current illness: t
P!v1HXiHospitaliz tions/Surgeries/TB: p'
Allergies: f!.
\-1edicines currentl: taken: ¢

ETOH/Tobacco/Dr 19 use: G ;reiJ, Y' (,""7-"/1 I ,s /)11-v"t-f. SIP: Il..y'

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