You are on page 1of 1

Riyadh Third Health Cluster

)PATIENT STATMENT(
Secrete
>DOC_STATUS<
REGIDBARCODE
Patient Information
FILE NUMBER ID NATIONALITY AGE NAME
<PATIENT_IDS
>FILE_ID< >NAT_E< >AGE_PER< >PATIENT_NAME_E<
#>
SERVICE
TYPE AND <SERVICE_TYPE_DATE>(END).
DATE
DIAGNOSIS <DIAGNOSIS_ALL>(End of DIAGNOSIS).

MEDICATION <VISIT_MED_ALL> (END OF MEDICATION)

LABATORY <LAB_ALL> (END OF LAB TESTS)

This Statement was Approved (E-SIGNED).

USER ID: <USER_TRANS>

* In the case of a modification or abrasion on the report it is considered Disallowed.


*This STATMENT was issued electronically and does not need to sign a certified official seal after seal.
*All information in this statement is for financial purposes ONLY.

R3-info@moh.gov.sa cluster3Riyadh +966118356500 EX: 12222

You might also like