Ticket #: 53918

Submitted by: Goldstein, Harriet

Date Submitted: 7/26/2017

Division: Anesthesia

Facility: Baptist O/P Services - Country Walk

EVPS Account #: 011869701

Patien't Name: Smith, Josephine

Date of Birth: 01/01/1970

Patient Account #: 98789856

Medical Record #: 2569856

Date of Service: 06/25/2017

Requesting: Operative Report

Missing Item(s): Missing ANES Start/End Times | Missing Provider Signature

Notes: Please provide lus Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.

Ticket #: 53918

Submitted by: Goldstein, Harriet

Date Submitted: 7/26/2017

Division: Anesthesia

Facility: Baptist O/P Services - Country Walk

EVPS Account #: 011869701

Patien't Name: Clark, Maximiliano

Date of Birth: 01/01/1970

Patient Account #: 98789856

Medical Record #: 2569856

Date of Service: 06/25/2017

Requesting: Operative Report

Missing Item(s): Missing ANES Start/End Times | Missing Provider Signature

Notes: Please provide lus Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.

Ticket #: 53918

Submitted by: Goldstein, Harriet

Date Submitted: 7/26/2017

Division: Anesthesia

Facility: Baptist O/P Services - Country Walk

EVPS Account #: 011869701

Patien't Name: Apple, Jonathan

Date of Birth: 01/01/1970

Patient Account #: 98789856

Medical Record #: 2569856

Date of Service: 06/25/2017

Requesting: Operative Report

Missing Item(s): Missing ANES Start/End Times | Missing Provider Signature

Notes: Please provide lus Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.

Ticket #: 53918

Submitted by: Goldstein, Harriet

Date Submitted: 7/26/2017

Division: Anesthesia

Facility: Baptist O/P Services - Country Walk

EVPS Account #: 011869701

Patien't Name: Guzman, Nuret

Date of Birth: 01/01/1970

Patient Account #: 98789856

Medical Record #: 2569856

Date of Service: 06/25/2017

Requesting: Operative Report

Missing Item(s): Missing ANES Start/End Times | Missing Provider Signature

Notes: Please provide lus Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.

Ticket #: 53918

Submitted by: Goldstein, Harriet

Date Submitted: 7/26/2017

Division: Anesthesia

Facility: Baptist O/P Services - Country Walk

EVPS Account #: 011869701

Patien't Name: Gordon, Nicholas

Date of Birth: 01/01/1970

Patient Account #: 98789856

Medical Record #: 2569856

Date of Service: 06/25/2017

Requesting: Operative Report

Missing Item(s): Missing ANES Start/End Times | Missing Provider Signature

Notes: Please provide lus Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.