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Appointment Code	Visit Location	Health Condition
10000072	HIP6HRTVALVE	Aortic Valve Disease
10000072	HIP6HRTVALVE	Aortic Valve Disease
10000589	HIP6HRTVALVE	Aortic Valve Disease
CT0923457	MILCARDCATH	Cardiac Catheterization
1180000046	MILCARDCATH	Cardiac Catheterization
1180000026	MILCARDCATH	Cardiac Catheterization
1180000218	MILCARDCATH	Cardiac Catheterization
118004956	MILCARDCATH	Cardiac Catheterization

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Patient First Name:		Patient Last Name:		Male	Female
Patient Birthday:		Patient Email:		Patient Phone:
Patient Address:		Patient City:		Patient State:
Patient Zip:		Visit Location:

Visit Type:		Appointment Code:
Order Code:		Diagnosis Code: