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TIME 3:55 DATE 7/3/2012PATIENT REGISTRATION ID:Chart ID:First Name:Last Name:Middle Initial:Preferred Name:Policy HolderPatient Is:Responsible Party (if someone other than the patient) First Name:Last

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To fill out time 355 pm, follow these steps:

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Start by writing the number '3' to indicate the hour.

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Next, write '55' to indicate the minutes.

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Finally, add 'pm' to indicate that it is in the afternoon.

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The complete time would be '3:55 pm'.

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