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DATE 911412012 TIME 11:49AM PATIENT REGISTRATION Chart LD: ID: Patient ls: I ! O Preferred Name: policyholder Responsible Party is also a policyholder for Sex: emulate Female Patient O Primary insurance
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To fill out date 911412012, follow these steps:
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Start by entering the month, which is '9'.
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Next, enter the day, which is '11'.
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Then, enter the year, which is '2012'.
05
Verify that the date is written correctly as 'September 11, 2012.'
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