Case Data Sheet

C/S <-----                    10 Feb '89
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CO's MAA CMO PAC

                    RUSH
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               CASE DATA SHEET

Person's Name:  Lisa Skonetski
PT Case Level:  [ARC S/W crossed out] Gr. IV   # PC Folders 12
PTS?   Yes        What Type?  Looks False/Pretended
Does this PC R/C?   Yes
Chronically Ill?  No
Case Gain?  Medium
Unhandled R/Ss?  No
W R/Ss?  No
Average TA Last 12 1/2 Hrs   2.6 divs in .46 mins
TA Range   2.25 - 3.0
Needle Behavior  clear
Biochemical Personality?  [no answer]
Success Stories Good?  Yes
Any comments?  [none]

I attest that this data is true.

Post [illegible - Edie Hyett?] crew C/S   Date 10/2/89

FSO 00922