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REGISTER

CASE NO. ADMISSION NAME AGE SEX HOME ADDRESS MEDICARE MEMBER

DATE TIME GM-GSIS MEMBER


IN PATIENTS GD- GSIS MEMBER
SM- SSS MEMBER
SD- SSS MEMBER
CLASSIFICATION MEALS
SSS-SUBSIDIZED
DISCHARGE GYNE OB
ADMITTING FINAL ATTENDING DISPOSITION/CONDITION NB P
DAIGNOSIS DAIGNOSIS PHYSICIAN ON DISCHARGE M
DATE TIME
0

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