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JCSM Shareware Collection 1996 September
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JCSM Shareware Collection (JCS Distribution) (September 1996).ISO
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medhelth
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13770a01.zis
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SCREEN.013
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1995-07-12
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07/12/95 ACCOUNT/PATIENT - TRANSACTION POST 10:40:30
╔══════════╤════╤══════════════════════════════════════════════════════════════╗
║ Account │Code│ Prefix Last Name First I ║
║ 1.00 │ 01 │ Abraczinskas Donald ║
╚══════════╧════╧══════════════════════════════════════════════════════════════╝
<< Balance (Account: 6,098.48) (Patient: 6,098.48) Last seen: 06/14/95 >>
Inv.# Date Dr P T Table/Code Description Ins Amount
┌────< Invoice #.: 00028 Service date.: >────┐
│ Ins. #1 15001 Ins. #2 15025 │
│ Service provider: │
│ CPT code table..: │
│ CPT code..: │
│ │
│ Place of service: │
│ Type of service.: │
│ │
│ Dx code (Y/N) Units Rate Amount │
│ 1: 585 │
│ 2: 041.4 Discount......: │
│ 3: 194.3 Tax...........: │
│ 4: 250.0 Total.........: │
└───────────────────────────────────────────────────────┘
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