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PATIENT IDENTIFICATION (For mechanical imprinting, typewriter or hand entry) DATE OF ADMISSION/ OUTPATIENT TRMT
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Document Date: 2006-01-14 00:18:42
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DATE OF ADMISSION/ OUTPATIENT TRMT AUTHORITY FOR ADMISSION/OUTPATIENT TRMT PATIENT CATEGORY INVOICE MAILING ADDRESS /
office of The Surgeon General /
/
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Invoice
Hospitalization
Business
Knowledge
Language
Medical terms
Nursing
Patient