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FAMILY NAMEMRNGIVEN NAMED / MM / YYY. O.B. Facility: COM HK MAN ME MV RNS RYDCOR5147(REMOTE HEPATOLOGY CONSULT: CV TREATMENTMALEHOM/CLY N O SEM. O. U L A T SPIADDRESSFEMALEPHFINLOCATION / WARDADMDD
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To fill out the dd mm yyyy facility, follow these steps:
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Start by entering the day in the 'dd' format. For example, if the day is 15, then enter '15'.
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The dd mm yyyy facility is a form used for reporting specific information on a certain date.
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