The document appears to be a list containing 86 entries with information about patient names, identification numbers, and prescription details. Each entry includes fields for patient ID number, prescription reference number, and patient name. The bottom section includes prescription numbers, dates, billed amounts, and verified amounts for various prescriptions.
The document appears to be a list containing 86 entries with information about patient names, identification numbers, and prescription details. Each entry includes fields for patient ID number, prescription reference number, and patient name. The bottom section includes prescription numbers, dates, billed amounts, and verified amounts for various prescriptions.
The document appears to be a list containing 86 entries with information about patient names, identification numbers, and prescription details. Each entry includes fields for patient ID number, prescription reference number, and patient name. The bottom section includes prescription numbers, dates, billed amounts, and verified amounts for various prescriptions.