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ap. Date: Exp. Date: May have the following equipment in his / her possession: Equipment Start C ite End Date Return Date C-Pap 07 ni 19 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Page 082 of 148 Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions

Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 ylo male, elevated BP Labs requested to be reviewed by: New Non-Medication Orders: Page 047 of 148 Order Frequency .._Dumlloo Details . Ordered By withherb pursuant to exemption EKG One Time 66 yio male PA-C Orde

her: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start D.:\te End Date Return Date C-Pap 07/30i2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1 1312813B1 ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N

rmation: 66 y/o male, elevated BP No known OTCs Frequency One Time Labs requested to be reviewed by: l ..... :bX_6_l;(-blC_n_cc_> ___ __.IMO New Non-Medication Orders: Order Frequency Duration Details EKG One Time 66 y/o male Order Date: 07/06/2019 Due Date 08/05/2019 00:00 Fecal Occult Blood On

other: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A

/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Frequency One Time Labs requested to be reviewed by: ~b)(6); (b)(7)(C) New Non-Medication Orders: Order Frequency Duration EKG One Time Order Date: 07/06/2019 Details 66 y/o male Due Date 08/05/2019 00:00 Fecal Occult Blood On