Admitted to: --- |
Date of Injury: --- |
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D.O.B/Age when admitted: 05/08/1923 |
Cause of Incident: --- |
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Transferred to QVH: --- |
Injuries: --- |
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No. of Operations at East Grinstead: --- |
IDENTITY CARD
This is to certify that the patient mentioned below and whose description is stated hereon is the authorised holder of this Identity card.
Forename: Cyril |
Surname: Harper |
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Service No: 1624797 |
Nationality: --- |
Awards/Honours: --- |
Patient Unit: --- |
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Profession: --- |
Patient Rank: --- |
Death: 25/11/2012 |
Age at Death: 89yrs |
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Dr Rank: |
Dr Unit: |
Notes:
Glossary: