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TIME 01:24 DATE 12/19/201PATIENT REGISTRATION
Chart ID:ID:Last Name:First Name:
Patient Is:Policy HolderMiddle Initial:Preferred Name:Responsible PartyResponsible Party (if someone other than the
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To fill out the time 0124 pm, follow these steps:
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Write the hour: 01
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The completed time should look like this: 01:24 pm
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Time 0124 pm refers to 1:24 in the afternoon.
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