PATIENT INFORMATION (1099)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME PATIENT INFORMATION
FORM NATL TELEHLTH-PT SITE FY15-Q1
BLOCK'S STARTING ROW 3
BLOCK'S STARTING COLUMN 0
WIDTH IN CHARACTERS 132
HEIGHT IN LINES 3
OUTLINE TYPE INVISIBLE
BRIEF DESCRIPTION Patient information-name/ssn/age