CAPTION LINE COLUMNS |
-
- ITEM NAME: NUMBER
- COLUMN: 1
- WIDTH: 4
-
- ITEM NAME: SC REASONS
- COLUMN: 74
- WIDTH: 5
- DISPLAY TEXT: SC Reas
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- ITEM NAME: PAT NAME
- COLUMN: 6
- WIDTH: 17
- DISPLAY TEXT: Patient Name
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- ITEM NAME: PAT STATUS
- COLUMN: 30
- WIDTH: 1
- DISPLAY TEXT: S
-
- ITEM NAME: APT DATE
- COLUMN: 32
- WIDTH: 8
- DISPLAY TEXT: Apt Date
-
- ITEM NAME: WARD/CLINIC
- COLUMN: 41
- WIDTH: 10
- DISPLAY TEXT: Ward/Clnc
-
- ITEM NAME: COB
- COLUMN: 51
- WIDTH: 3
- DISPLAY TEXT: COB
-
- ITEM NAME: INSURANCE NAME
- COLUMN: 55
- WIDTH: 14
- DISPLAY TEXT: Insurance Comp
-
- ITEM NAME: UR REQ
- COLUMN: 70
- WIDTH: 2
- DISPLAY TEXT: U/
-
- ITEM NAME: PRE-CERT REQ
- COLUMN: 72
- WIDTH: 1
- DISPLAY TEXT: P
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