Patient ID: | {{data?.patientIdNumber}} |
---|---|
Last Name: | {{data?.lastName}} |
First Name: | {{data?.firstName}} |
Date of Birth: | {{data?.dateOfBirth}} |
Gender: | {{data?.gender}} |
Date of Death: | {{data?.dateOfDeath_5010}} |
Address 1: | {{data?.addressLineOne}} |
---|---|
Address 2: | {{data?.addressLineTwo}} |
City: | {{data?.city}} |
State: | {{data?.state}} |
ZIP Code: | {{data?.postalCode}} |
Country: | {{data?.country}} |