|
|
| Patient Name : |
Mr. Chris J Allan |
|
|
| 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 ID : |
008988 (007860) |
NHS Number : |
0078777 |
| Date of Birth : |
02/03/1974 |
Gender : |
Male |
| Insurer : |
CAB Havering |
Policy Number : |
008975555 |
| Status : |
PreAdmission Cancelled |
Reason : |
Patient do not want to continue treatment |
| Cancelled by : |
Robert White (24/07/2014) |
Notes : |
 |
|
|
|
|
|
|
| |
|
|
|
