1. INSTITUTION: Bedlam Hospital
2. LAST NAME/FIRST NAME/MIDDLE INITIAL: Dolgoruky, Viktor Y.
3. SEX: M
4. RELIGION: Russian Orthodox
5. MARITAL STATUS: Single
6. AGE AT ADMISSION: 23
7. LEGAL STATUS AT ADMISSION: Involuntary
8. LOCATION FROM WHICH ADMITTED: Moscow, Russia
9. EDUCATION: Unfinished degree in astrophysics
10. USUAL OCCUPATION: Unemployed
11. ESTABLISHED DIAGNOSIS, MENTAL DISORDER: Post-Traumatic Stress Sydrome
12. ESTABLISHED DIAGNOSIS, OTHER CONDITIONS: Alcohol dependency syndrome, possible pyrophobia, burn scars covering forearms
13. WARD: 3