PATIENT INFORMATION (1143) ENCOUNTER FORM BLOCK (357.1)
Name
Value
NAME
PATIENT INFORMATION
FORM
NATIONAL BLIND REHAB FY15-Q2
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
