Matthew Holmes
 Rosewood General 
 Patient Name: Courtney Ramos 
 Rosewood General 
 MRN: 00094620, birthdate: Jun 11, 1992, Sex: M 
 Rosewood General 
 58221 Matthew Forks
Johnsonfurt, AS 12554 
 Acct #: 7813965 
 Patient Info 
 Patient Name 
 Account Number 
 Gender 
 birthdate (Age) 
 Matthew Holmes (00094620) 
 7813965 
 Male 
 Jun 11, 1992 (26 year old) 
 Patient Demographics 
 Address 
 Phone 
 45823 Hughes Plaza Suite 661
North Rickyside, NY 94402 
 163-516-5833 (Home)
 Emergency Contact(s) 
 Name 
 Relation 
 Home 
 Work 
 Mobile 
 Courtney Ramos 
 Girlfriend 
 163-516-5833 
 Epic Admission Information 
 Arrival Date/Time: 
 04/17/2018 1005 
 Admission Date/Time: 
 Jan 01, 2023 1005 
 IP Adm. Date/Time: 
 Admission Type: 
 Emergency 
 Point of Origin: 
 Emergency Room 
 Means of Arrival: 
 Walk In 
 Primary Service 
 Emergency 
 Secondary Service: 
 Transfer Source: 
 Home 
 Service Area: 
 MEMORIALCARE 
 Unit: 
 CHLB EMERGENCY 
 SERVICE AREA 
 Admit Provider: 
 Attending Provider: 
 Dr Jacob Shah, MD 
 Referring Provider 
 DATE OF DISCHARGE/Time 
 Jan 31, 2023 1155 
 55 of 107 
 06/15/2021