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TIME 04:41 DATE 5/18/2018PATIENT REGISTRATION
ID:Chart ID:First Name:
Patient Is:Last Name:
Policy HolderResponsible PartyMiddle Initial:Preferred Name:Responsible Party (if someone other than the
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To fill out time 0441 pm, follow these steps:
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Start by writing the two-digit hour, which in this case is '04'.
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The final time would be '04:41 pm'.
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