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PATIENT INFORMATION REPORT STATUS Final ERICKSON, CARL QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT SERVICE 702.733.3700 DOB: 11×06/1961 GENDER: M Age: 50Y SPECIMEN: 01268173 REQUISITION:
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Start by writing down the date "6 June 1961" at the top of the page.
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Include the day of the week, which is "Tuesday."
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