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P. S. S. Smith

Admitted to:

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Date of Injury:

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D.O.B/Age when admitted:

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Cause of Incident:

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Transferred to QVH:

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Injuries:

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No. of Operations at East Grinstead:

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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:

P. S. S.

Surname:

Smith

Service No:

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Nationality:

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Awards/Honours:

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Patient Unit:

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Profession:

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Patient Rank:

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Death:

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Age at Death:

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Dr Rank:

Dr Unit:

Notes:

Glossary:

Further Reading:

References:

EGTRM 6599.31.68 / unsure