Name	Value
REPORT NUMBER	10
INSTRUMENT	File: 601.71, IEN: 100108
RPT	WHYMPI Date Given: <.Date Given.> Clinician: <.Staff: Ordered By.> Location: <.Location.> Veteran: <.Patient Name: Last, First.> SSN: <.Patient: SSN.> DOB: <.Patient: Date Of Birth.> (<.Patient: Age.>) Gender: <.Patient: Gender.> This is a sample report to help you get started. <.Patient: Gender.> Done. <_Script_1_> $~ <_Script_1_>=Please indicate who your significant other is:`101620`1. Spouse`100979`Equals``````Testr script.~

Name

Value

REPORT NUMBER

INSTRUMENT

File: 601.71, IEN: 100108

RPT

 WHYMPI  Date Given: <.Date Given.> Clinician: <.Staff: Ordered By.> Location: <.Location.>  Veteran: <.Patient Name: Last, First.> SSN:  <.Patient: SSN.> DOB:  <.Patient: Date Of Birth.> (<.Patient:   Age.>) Gender: <.Patient: Gender.>  This is a sample report to help you get started. <.Patient: Gender.>  Done. <_Script_1_>  $~    <_Script_1_>=Please indicate who your significant other is:`101620`1. Spouse`100979`Equals``````Testr script.~

10 (10) MH REPORT (601.93)