Joshua Baker

 
 MRN: 608698 
 Facility: NBMC 
 NorthBay Healthcare 
 Patient Discharge Instructions 
 Signature Page 
 Name: David Vargas
 Current Date: 12-03-2023 00:16:37 
 MRN: 608659
 FIN: 010998059 
 I, FLORENTINO MEJIA-GALLEGOS, have received and verbalized understanding of the above 
 instructions, list of medications, and/or patient education material(s) and my questions have 
 been answered to my satisfaction. 
 Mantino My Gilbers 
 Patient 
 Date 
 Time 
 Family Member (Relationship) 
 Date 
 Time 
 A Damn 9867 
 18-09-2023
 0015 
 Provider Signature 
 Date 
 Time 
 00608698 
 13-07-2022 
 MEJIA-GALLEGOS, FLORENTIN 
 19-11-1993 26Y M 
 NBHS Emergency 0010998059
 . 
 000450012 
 . 
 Name: David Vargas
 8 of 59 
 12-03-2023 00:16:38 AM 
 MRN: 608698 
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