Fillable hospital discharge summary form

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PHYSICIAN HOSPITAL DISCHARGE SUMMARY Provider: Ken Cure, MD Patient: Patient H Sample Provider's Pt ID: 6910828 Sex: Female Attachment Control Number: XA728302 HOSPITAL DISCHARGE DX 174.8 Malignant neoplasm of female breast: Other specified sites of female breast 163.8 Other specified sites of pleura. HOSPITAL DISCHARGE PROCEDURES 1. 32650 Thoracoscopy with chest tube placement and pleurodesis. HISTORY OF PRESENT...
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