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Telephone: +859 781 8877   Fax: +859 781 9310
Email: support@ppdi.com
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Current User: Shelly Smith (ssmith01)    Last Login: 08:59 06-Dec-2007
Caller
Information
Caller Name: Phone: Fax: Study Number: Site Number:
Fred Smith - Investigator 763-234-5678 763-235-2323 10001 101
Email: Phone Toll Free: Fax Toll Free: Protocol Number: Call Start Time/Date:
fredsmith@investigator.com 888-234-5678   12321 09:05 06-Dec-2007
= changes from completion of DDE, sample entry = recent change = all tests reported
P
= pending test  
 
Resident Information
Screening ID: 100001 Randomization ID: 123456 Accession ID: 888888
Initials: AAA DOB: 12-Nov-1973 Gender: Male
 
Site Information
Mailing Address: 1234 Main Street, New Hope, MN 55428-3623
Phone: 763-404-1443 Fax: 763-553-9796 Email: abccompany@somewhere.com
 
Visit History
Visit 1 Samples Clinical History
DSR: 02-Nov-2007 Exp: 6 Fasting
  Rec'd: 4 Weight: 185 lbs
Visit 2 Samples Clinical History
Create DSR Exp: 6 Fasting
  Rec'd: 4 Weight:186 lbs
Visit 3 Samples Clinical History
Create DSR Exp: 6 Fasting
  Rec'd: 4 Weight: 185 lbs
Sample Type
Test
Reported
Time/Date
Urine
12:01
02-Nov-2007
NS
01-Nov-2007
Heam
12:01
02-Nov-200
NS
01-Nov-2007
Hbalc
12:01
02-Nov-200
NS
01-Nov-2007
Chemistry
12:01
02-Nov-200
NS
01-Nov-2007
Lipid
P
NS
01-Nov-2007
Storage        
Test
Reported
Time/Date
Urine
14:53
06-Nov-2007
NS
05-Nov-2007
Heam
14:53
06-Nov-2007
NS
05-Nov-2007
Hbalc
14:53
06-Nov-2007
NS
05-Nov-2007
Chemistry
14:53
06-Nov-2007
NS
05-Nov-2007
Lipid
P
NS
05-Nov-2007
Storage        
Test
Reported
Time/Date
Urine
14:05
16-Nov-2007
NS
15-Nov-2007
Heam
14:05
16-Nov-2007
NS
15-Nov-2007
Hbalc
14:05
16-Nov-2007
NS
15-Nov-2007
Chemistry
14:05
16-Nov-2007
NS
15-Nov-2007
Lipid
P
NS
15-Nov-2007
Storage        
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