he completed USM form 552 is to be retained in the prisoner's files Section I - USMS Prisoner Information I. Prison: Name (Last. First. Mil I?I) SIg-/d/ ‘JeFrrei/.1. 3. Oi tries Name /1 4 CItslftct 11 „CD/VI 1 Section II - Prisoner Personal Data And Medics! Information 6. Vale Of Birth (Mo/Day/