Patient Name /
Patient ID
Apt. ID /
Visit ID
Req. Date/
Req. Time
From Department /
From Doctor
To Department /
To Doctor
Patient Billing
Code
Payment Type Severity Status
Luis Hall
PID 681845
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
GEN 1 Ins 2 C C 3 S S 4 S P Normal Update
Clui Reed
PID 921733
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
STF 1 Ins 2 C C 3 S S 4 S P Urgent Update
Antonio Brluit
PID 432970
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
STFRL 1 Ins 2 C C 3 S S 4 S P Urgent Update
Amanda Wrilui
PID 893534
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
GEN 1 Ins 2 C C 3 S S 4 S P Normal Update
Patient Name /
Patient ID
Apt. ID /
Visit ID
Req. Date/
Req. Time
From Department /
From Doctor
To Department /
To Doctor
Patient Billing
Code
Payment Type Severity Status
Luis Hall
PID 681845
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
GEN 1 Ins 2 C C 3 S S 4 S P Normal View
Clui Reed
PID 921733
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
STF 1 Ins 2 C C 3 S S 4 S P Urgent View
Antonio Brluit
PID 432970
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
STFRL 1 Ins 2 C C 3 S S 4 S P Urgent View
Amanda Wrilui
PID 893534
123456
110225
25-03-2019
16:45
Surgery
Dr. Sateesh Talpade
Surgery
Dr. Sateesh Talpade
GEN 1 Ins 2 C C 3 S S 4 S P Normal View