Matthew Gray

 
 January 26, 2017 FROM- CWFMD 
 936-703-5455 
 T-252 P0017/0063 F-236 
 Printed: 11/09/20 13:33 
 3 
 PatientKeeper 
 By: Smalling, Ciara C 
 CTABD&RELVISIWIOCONT 
 PRICE ERICAN 
 Age: 49Y Gender: F DOB: 08/05/1971 MRN: BH00288051 Phone: 936-701-8024 
 Signed by: Roy Kumar, M.D. 
 CT ABD&PELVIS W/O CONT 
 ORDERED PROVIDER: Huval,Adam FNP 
 date of examination January 25, 2019 
 FACITLIY: EMERGENCY ROOM SERVICES 
 STATUS: Signed 
 Exam 
 Procedure 
 021095113 CT/CT ABD&PELVIS W/O CONT 
 Signed: LSDR.RK5 April 13, 2023 5:43am 
 Page 2 of 2 
 Name: Matthew Gray 
 DOB: April 15, 1993 
 Date:
