PATIENT INFORMATION (734)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME PATIENT INFORMATION
FORM NATL REC THERAPY IND FY14-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