Labels:text | screenshot | display | software | number OCR: Patient Information Enter Patient Information: Last Name First name MI ID Number Enter Optional Information: 4 Physician Male Female Diagnosis Date of Save 02-05-97 Referred By Date of Birth Group Save osys Eyosys Eyesys Eyesys Eyesys Eyo Sys Eyesyo Eyesyo Ey EyeSys Eye Sys Eye Sys Eye Syd Eve Sur Eun Gun Et TEURSVE asys Eyesys Eyesyo Eyesyd E EyOSyo EVOSyo Ey ISyd Eyesy! Return to Patient Directory ?
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