Page Comparison

Visit Date

␣␣-␣␣-␣␣␣␣ 📆

163137AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

Receiving Facility

__________________________________

162724 Health facility name

Transfer-Out Date (Date transfer-out takes effect)

␣␣-␣␣-␣␣␣␣ 📆

160649 Date transferred out

Transfer-out Verified

🔘 Yes

🔘 No

🔘 Unknown

VerificationDone Verification Complete

• 1065 Yes

• 1066 No

• 1067 Unknown

• 488b58ff-64f5-4f8a-8979-fa79940b1594???

Date verification done

␣␣-␣␣-␣␣␣␣ 📆

160753 Date of event

Notes

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116509 5General 165095 General patient note