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2 Tesseneer Drive, Highland Heights, KY 41076-9167
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 |
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12321 |
09:05 06-Dec-2007 |
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Screening ID:
100001 |
Randomization ID:
123456 |
Accession ID:
888888 |
Initials:
AAA |
DOB:
12-Nov-1973 |
Gender:
Male |
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Mailing Address:
1234 Main Street, New Hope, MN 55428-3623 |
Phone:
763-404-1443 |
Fax:
763-553-9796 |
Email:
abccompany@somewhere.com |
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Visit History |
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Sample Type |
Test |
Reported |
Time/Date |
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Urine |
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12:01 02-Nov-2007 |
NS |
01-Nov-2007 |
Heam |
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12:01
02-Nov-2007 |
NS |
01-Nov-2007 |
Hbalc |
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12:01
02-Nov-2007 |
NS |
01-Nov-2007 |
Chemistry |
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12:01
02-Nov-2007 |
NS |
01-Nov-2007 |
Lipid |
P |
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NS |
01-Nov-2007 |
Storage |
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Exceptions (2) |
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Outstanding
Queries (1) |
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