YTQR,PATIENTENTRY PROXY (71) NEW PERSON (200)

Name	Value
NAME	YTQR,PATIENTENTRY PROXY
SIGNATURE BLOCK PRINTED NAME	PATIENTENTRY PROXY YTQR
SECONDARY MENU OPTIONS
TIMESTAMP	2024-10-14 21:40:58
DATE ENTERED	2024-10-14 00:00:00
CREATOR	PATCH,USER
USER CLASS	User Class: APPLICATION PROXY ISPRIMARY: Yes