PATIENT INFORMATION (V3.0) (103)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME PATIENT INFORMATION (V3.0)
FORM TOOL KIT
BLOCK'S STARTING ROW 0
BLOCK'S STARTING COLUMN 0
WIDTH IN CHARACTERS 52
HEIGHT IN LINES 18
OUTLINE TYPE SOLID LINE
HEADER APPEARANCE BUC
BRIEF DESCRIPTION Name,sex,DOB,PID,eligibilty,address,telephone
TOOLKIT ORDER 47