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TIME 08:39 AMD ATE 12/20/201PATIENT REGISTRATION
ID:Chart ID:First Name:
Patient Is:Last Name:
Policy HolderResponsible PartyMiddle Initial:Preferred Name:Responsible Party (if someone other than
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Write '08' to represent the hour.
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Time 0839 am refers to a specific time of day, indicating 8:39 in the morning.
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Individuals or entities required to report specific time-sensitive information to a governing authority or organization will need to file at that time.
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