YTQR,PATIENTENTRY PROXY (71) NEW PERSON (200)
Name
Value
NAME
YTQR,PATIENTENTRY PROXY
SIGNATURE BLOCK PRINTED NAME
PATIENTENTRY PROXY YTQR
SECONDARY MENU OPTIONS
TIMESTAMP
2026-09-15 15:30:05
DATE ENTERED
2026-09-15 00:00:00
CREATOR
PATCH,USER
USER CLASS
User Class:
APPLICATION PROXY
ISPRIMARY: Yes
