Patient data
Patient ID
99990000999
Name
Patient 4 name
Sex
Female
DOB
Nov. 19, 1932
<MML Version = 2.3>
Medical insurance
Recorded by
Physician 3 name
@
Facility
Test Clinic 1 [JPN999999900099]
Date recorded
02-09-2002
@
Department
Insurer No.
Insured person data
-
Individual/family
Family
Insurance start date
02-20-2001