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Global Care Medical Center 100 Main St, Alfred NY 14802 (607) 555-1234 Hospital No. 999 F W S IPCase002 TIDD, JUDY 1227 MAIN STREET ALMOND, NY 14804 02/08/YYYY 63 Tidd Landscape Architect ! 09/24/YYYY 08:35 09/26/YYYY 10:00 01 DAY (607)555-5535 ” # TIDD, JUDY 1227 MAIN STREET ALMOND, NY 14804 TIDD, GEORGE 1225 MAIN STREET ALMOND, NY 14804 ” # ! (607)555-5535 Self (607)555-6986 Brother $ ! % Philip Newman, MD 254 Philip Newman, MD Cataract right eye & ! & ! NA NA NA NA Cataract of the right eye Chronic obstructive pulmonary disease Extracapsular cataract extraction with implantation of a 16 Diopter posterior chamber lens (Sinskey style posterior chamber lens) in the ciliary sulcus. & ACTIVITY: Bedrest Light Usual Unlimited Other: DIET: Regular Low Cholesterol Low Salt ADA Calorie FOLLOW-UP: Call for appointment Office appointment on Other:& :None ATTENDING PHYSICIAN AUTHENTICATION: Reviewed and Approved: Philip Newman MD ATP-B-S:02:1001261385: Philip Newman MD (Signed: 09/24/YYYY 9:04:26 AM EST)

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