Page Comparison

Receiving Facility

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162724 Health facility name161562 Name of where the patient was referred to

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

␣␣-␣␣-␣␣␣␣ 📆

160649 Date transferred out

Transfer-out Verified***

🔘 Yes

🔘 No

🔘 Unknown

VerificationDone Verification Complete

797e0073-1f3f-46b1-8b1a-8cdad134d2b3169465 Transfer out verification complete

• 1065 Yes

• 1066 No

• 1067 Unknown

Date verification done

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160753 Date 169466 Datetime of eventverification

Notes

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165095 General patient note160632 Free text general