Henry Richardson

 Central Regional Medical 
 PATIENT NAME: 
 Henry Richardson 
 MRN: 
 05788322 
DATE OF ADMIT: 03 Aug 2020
 FIN: 
 86116279642
 Disch: 02 Sep 2020
 D.O.B/Age/Sex: 21 Jul 1994
 62 years 
 Female 
 Admitting: 
 Dr Joshua Graves.MD 
 Location: 
 E4M4 E440-E447; E442; 1 
 Attending: Dr Joshua Graves.MD 
 Copy to: Li,Ed 
 Discharge Documentation 
 Document Type: 
 ED Clinical Summary 
 date of service/Time: 
 27 Feb 2019 01:35 PDT 
 Result Status: 
 Auth (Verified) 
 Perform Information: 
 Inez,Darlene M RN (05 Oct 2019 01:35 PDT) 
 Sign Information: 
 Inez,Darlene M RN (05 Oct 2019 01:35 PDT) 
 ED Clinical Summary 
 Central Regional Medical 
 Unit 9909 Box 1062
DPO AA 09279
 Visit Information 
 PATIENT NAME: Henry Richardson 
 FIN: 
 D.O.B: 21 Jul 1994 12:00 AM 
 Arrival Date/Time: 8/27/2019 6:31 PM 
 Current Date/Time: 08/28/19 01:35:40 
 Primary Care Provider: UNK, Provider 
