Patient Profile

• Patient: Fred Lane


• Gender: Male


• MRN: 12456789


• Age: 75


• DOB: December 25 1945


• Height: 72 Inches/182 cm


• Weight: 200 Lbs/90.72 Kilos


• Social Security Number: 006-14-1946


• Marital Status: Married


• Spouse: Fiona Lane


• Religion: Protestant


• Race: Caucasian


• Language: Old English


• Occupation: RTD Bus Driver


• Employer: Retired


• Insurance: Medicare


• Address: 425 S Main St Los Angeles, CA 90013, United States


• Next of Kin: Leland T. Lane

• ....
• End of Profile

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