PATIENT INFORMATION (V2.1) (78) ENCOUNTER FORM BLOCK (357.1)
Name
Value
NAME
PATIENT INFORMATION (V2.1)
FORM
PRIMARY CARE 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