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