Jennifer Luna

PATIENT: Jennifer Luna 
 MRN: 59723358004(CSB): 59723358004(SBM) 
 date of birth: 1993/30/09 
 FIN: 80357806001 
 Auth (Verified) 
 * 
 Golden Oaks Clinic 
 PATIENT DATA 
 DATE 
 ACCOUNT 
 MRN 
 ROOM# 
 2022/11/06 
 8035780601 
 59723358004 
 Room 1 
 ACCESSION 
 EMPI 
 ADMISSION DATE 
 ACCHF002459 
 2018/21/06 
 PATIENT 
 SSN# 
 RACE 
 Jennifer Luna 
 Black 
 ADDRESS 1 
 CITY 
 STATE 
 67576 Thompson Station Suite 603
Robertbury, WY 69527 
 date of birth 
 AGE 
 1993/30/09 
 84 
 PROCEDURE
 STAFF 
 Left Heart Catheterization 
 Dr Suzanne Nguyen MD 
 Physician 
 Coronary Angiography - Selective 
 Ingle, Genesis RN 
 Scrub 
 Left Ventriculography 
 Pierce, Kristopher RN 
 Circulate 
 Occlusive Device, Art/Vein G0269 
 Camarillo, Melissa RT 
 Recorder 
 Dr Cody Gordon MD 
 Fellow Physician 
 Jennifer Luna 
 M# 3800369833 
 date of birth:1993/30/09 
 DOS:2023/25/09 
 Age: 84Y Sex: M 
 LOC: MSG 
 *CARDIAC 
 A# 80008942601 
 Jennifer Luna: 59723358004, date of birth: 1993/30/09 
 Printed On 2022/11/06:14:65:09 
 Attending: {Doctor Name} MD 
 CaseID HF002459 
 Golden Oaks Clinic 
 Xper.IM. Philips 
 Facility SBMC 
 Page 34 of 379 
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