PATIENT INFORMATION (5239)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME PATIENT INFORMATION
FORM NATIONAL EYE TECH FY22-Q4
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