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Telephone: +859 781 8877 Fax: +859 781 9310
Email: support@ppdi.com

Home		Call Log		Specification Sheet

Current User: Shelly Smith (ssmith01) Last Login: 08:59 06-Dec-2007

Incoming Call Summary

Current User:

Shelly Smith

Length of Call:

4 min 53 sec

Time/Date Call Received:

09:05 06-Dec-2007

Caller Name:

James Mills - Monitor

Caller Phone:

555-555-5678

Caller Fax:

555-555-2323

Caller Email Address:

jamesmills@monitor.com

Protocol Number:

12321

Study Number:

10001

Site Number:

102

Site Mailing Address:

999 Webster Ave, Columbus, OH 44123

Site Phone:

886-919-5555

Site Fax:

886-919-5544

Site Email:

company@columbus.oh.com

Resident #1 Screening ID:

100201

Resident #1 Randomization ID:

121212

Resident #1 Accession ID:

666666

Resident #1 Initials:

OSU

Resident #1 DOB:

24-Sept-1955

Resident #1 Gender:

Female

Reason(s) for Call:

- Inserted missing Resident Initials: 'OSU'

Additional Comments:

Resident #2 Screening ID:

100202

Resident #2 Randomization ID:

343434

Resident #2 Accession ID:

578432

Resident #2 Initials:

MIH

Resident #2 DOB:

05-Apr-1940

Resident #2 Gender:

Male

Reason(s) for Call:

- Inserted missing Gender field: 'Male'

Additional Comments:

Resident #3 Screening ID:

100211

Resident #3 Randomization ID:

555442

Resident #3 Accession ID:

456333

Resident #3 Initials:

REO

Resident #3 DOB:

22-Jun-1953

Resident #3 Gender:

Male

Reason(s) for Call:

- Adjusted invalid entry in Randomization ID: from '55544@' to '555442'

Additional Comments:

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