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OCR: Bob Billy Lab Entry Requ Results Patient Gender: Male Input Date 2/7/2011 10:13:59AM HD30-24342 HD10- 24342 HD10-24342- Dote 1/28/2010 Specimen ID Add Ne Provider: Hochman Lisa MD Assistant <No Userz Create To-Do Location Canadian Location Insurance No Insurance Request Form Instructions Receiving Lab Lab Request Form Resuts For Specimen Label ocation Send vaHL Locator {No Link} Qualifier Has had relevant previous biopsy Hstory.of melanom Comments Preview Inital Diagnosis Print Cancel Signed By: Signature Date Requisitions Irsurance Blopsy Histon Initial