PATIENT INFORMATION (V2.1) (66)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME PATIENT INFORMATION (V2.1)
FORM EMERGENCY SERVICES SAMPLE V2.1
BLOCK'S STARTING ROW 1
BLOCK'S STARTING COLUMN 0
WIDTH IN CHARACTERS 63
HEIGHT IN LINES 21
OUTLINE TYPE SOLID LINE
BLOCK HEADER PATIENT INFORMATION
HEADER APPEARANCE CR
BRIEF DESCRIPTION Name,sex,DOB,PID,eligibilty,address,telephone
TOOLKIT ORDER 0