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6318-054 Date of Bldh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: SRN Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Order: No Completed by RN on 07/28/2019 07:22 Requested to be cosigned b
10:44 Reported 07/10/2019 14:46 LIS ID 188191004 6.9-10.6 IL cto 0.0-5.0 1.9-6.7 K/uL 1.3-3.7 K/uL 0.3-1.1 K/uL 0.0-0.5 K/uL 0.0-0.1 K/u L 0.00-0.50 10"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive
h: 01/20/1953 Encounter Date: 07/28/2019 06:51 Sex: Provider: M Race: WHITE ME RN Reg #: 76318-054 Facility: NYM Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Orden No Completed by RN on 07/28/2019 07:22 Requested to be cosigned by
10:44 Reported 07/10/2019 14:46 LIS ID 188191004 6.9-10.6 IL cto 0.0-5.0 1.9-6.7 K/uL 1.3-3.7 K/uL 0.3-1.1 K/uL 0.0-0.5 K/uL 0.0-0.1 K/u L 0.00-0.50 10"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive
: 76318-054 Date of Bldh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Order: No Completed by on 07/2812019 07:22 Requested to be cosigned by
2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 6.9-10.6 IL 0.0-5.0 1.9-6.7 K/uL 1.3-3.7 K/uL 0.3-1.1 K/uL 0.0-0.5 K/uL 0.0-0.1 K/u L 0.00-0.50 10"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected In patients with severely advanced immunosuppression. Non-Reactive
76318-054 Date of Bit 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: SRN Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by RN on 07/28/2019 07:22 Requested to be cosigned b
10:44 Reported 07/10/2019 14:46 LIS ID 188191004 6.9-10.6 IL cto 0.0-5.0 1.9-6.7 K/uL 1.3-3.7 K/uL 0.3-1.1 K/uL 0.0-0.5 K/uL 0.0-0.1 K/u L 0.00-0.50 10"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive
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