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nic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Dela Frequency endlUate General Radiology-Chest-2 Views One Time Specific reason(s) for request (Complaints and findings): 66

Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 06110/2019 07.00 by Columba. Joseph RN Bureau of Pawns - NYM Page 1 or 2 EFTA00049696 Reg if: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED -

nic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Freauency And Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine Specific reason(s)

ang, Yoon PA-C Rate Per Minute Provider 12 Beaudouin, Robert MD Orig Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 07/28/2019 20:28 NYM 14 Columba, Joseph RN Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM Orig Entered: 07/28/2019 06:58 EST 07/23/2019 06:30 NYM Orig Entered: 07/23

ic Care Clinics-Diabetic-Hemoglobin Al C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine Specific reason(s)