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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

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Request List

Request Class	Request Type	Description	Requested On	Requested By	Select	Status	Action	Synced to RIS	Diagnostic Form
Pre-Op	Blood Test		07/05/2013	Mike Miller		Requested
Pre-Op	X-Ray		07/05/2013	Mike Miller		Booked
Pre-Op	MRI		07/05/2013	Mike Miller		Booked
On Admission	CT Scan		07/05/2013	Mike Miller		Cancelled
Post-Op	Follow-up Consultation		07/05/2013	Mike Miller		Requested
Post-Op	Blood Test		07/05/2013	Mike Miller		Requested
Post-Op	Dressing		07/05/2013	Mike Miller		Requested