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Patient Information

Patient ID: PAT789012
Name: Eleanor Vance
Date of Birth: 1985-03-15
Gender: Female
Contact: 555-123-4567
Address: 123 Health St, Meditown, CA 90210
PCP: Dr. Alan Grant
Allergies: Penicillin, Latex

Visit Details

Date: 2025-04-29
Reason for Visit: Unknown
Attending: Dr. Sarah Chen
Location: West Hospital

Clinical Assessment

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Chart ID: PAT-45729Last Modified: May 1, 2025 10:45 AM
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Connection: Secure8/28/2025, 10:58:20 AM