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Chris Allan

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Highgate Private Hospital

The Edinburgh Clinic

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Patient ID :

008988 (007860)

Patient Name :

Chris, J Allan (Mr.)

NHS Number :

0078777

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

DOB :

10/01/1995 (21 Yrs)

Gender :

Male

Weight :

165 lbs

Height :

5' 09"

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Notes

Notes Type :		Note Title :
Notes :
Active :
	01/01/2013, Robin Williams

Notes List

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Notes Type

Refund Notes

Note Title	Notes	Date	Added By	Active
Unused drug return	Notes Here	01/01/1998	Robin William
Unused drug return	Notes Here	01/01/2003	Jhon White

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Comments :

Payment List

Payment Number	Payment Date	Payment Mode	Lodgement No.	Received Amount	Posted Amount	Balance Amount	Notes
25150315 - 0005	07/01/2015	Cash	007676786	£20.00	£10.00	£10.00
25150315 - 0006	01/04/2015	Bank Transfer	003245677	£5.00	£5.00	£0.00

Total Amount :

£250.00