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Chris Allan

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Patient ID :

008988 (007860)

Centurion House, 3rd Floor,	Phone : 989-876-7760
37 Jewry Street,	Work Phone : 989-876-4456
London	Email : Chris.Allan@email.com
EC3N 2ER

Patient Name :

Mr. Chris J Allan

NHS Number :

0078777

Date of Birth :

02/03/1974

Gender :

Male

Insurer :

CAB Havering

Policy Number :

008975555

Status :

PreAdmission Cancelled

Date :

12/05/2016 13:30

Cancelled by :

Robert White (24/07/2014)

Reason :

Patient do not want to continue treatment

Notes :

Booked via Choose and Book

Pre - Admission / Admission Details

Visit Type :

Consultant :

Pre-Admission Date :

Time :

Admission Date :

Time :

Estimated Length of Stay :

Days / Hours

Nights Covered :

Expected Discharge Date :

Expected Discharge Time :

SNCT Level :

Fee Status :

Ward :

Bed :

Bed Use :

Bed Rate :

Patient Source :

Service Type :

Admit Decision On :

Unknown

Admission Type :

Diet and Special Request

Diet :

Select	Diet
	DIAB - Diabetic Diet
	KOSH - Kosher Diet

Special Request :

Operation Details

Operation Status :

Treatment Code :

Comments :

Additional Details

Bed Transfers

Moved From Ward	Moved From Bed	Moved To Ward	Moved To Bed	Moved Date	Moved By	Bed Rate		Notes
Ward 1	Bed 3	Ward 3	Bed 1	07/05/2013	Mike Miller	£ 250.00
Ward 4	Bed 5	Ward 1	Bed 5	08/05/2013	Mike Miller	£ 250.00
Ward 3	Bed 6	Ward 3	Bed 3	11/05/2013	Mike Miller	£ 260.00
Ward 7	Bed 2	Ward 1	Bed 6	16/05/2013	Mike Miller	£ 270.00