Vater SHEL
'
wre
REEPARAMBS TRON PESTRIOS GUSTER Ca PaGvGhacs Oo PDE DESTIUET
+
pisukier farsha its
tan
moons
TI a a Ta tas
Iv-1i3
.
ao
;
.
-
:
:
POVNET STAN
lone
eve
.
F
Tripler.
Osteorvlitis C-¥ ~ 44
Osteomyelitis rt. +
mip joint,
32
Pulmonary neoplasm 43
- Renal shut down
comlicated by Pul-
4
Tripler
563.00
-F
M
Tripler
Tripler
1,067.00
563.00
.edder
-
COST
563.00
..
LAST
.
.
"
TOTAL
4. COSTS
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CHEDICAL
aoye
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brewers be
wee
7
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i
s
e
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.
.
ATTENDENT TOTAL
r
Ora
RAVEL
TRAVEL
TRAVE
COST
.
monary Ecbolism
:
PLACE OF .PATIENT
oy
*»
o
“4s
REFERRAL
TRAVEL
DISEASE OR
Cugture Urinary ,
.
eee
3976
YEAR
f
f
I
.
t
ot
1
2m
oe
= eee mT”
vate
*
.
ee
|
t--
}
or
.
"
;
4
nm
553.00
5,510.09
6,173.99
563.09 -
5,610.00
6,173.99
5,619.09
5,610.99
7,286.09
6,173.99
'
39
-F
Kidney failure
/ 33
“lexor digitorum
‘tart. finger*23
Ca. Cervix
45
Suddural Hematoma
Gms.
Kidney disease
(complication)
Hydrocephalus
‘
45
]
Levxonenia Ediology 45
Heart Slack
62
-F
Tripler
Tripler
923.00
4H
F
Tripler
Tripler
863.09
803.00
F
4
Tripler
Tripler
1,979.00
653.00
M
F
St.Fran.
Tripler
31,566.00
M
7
Tripler
609.00
563.00
|
789.00
660.09
1,712.09
5,619.00
7,322.09
1,223.00
§,610.90
893.90
893.69
5,610.00
1,870.00
6,833.00
.
6,413.99
2,673.95
709.00
1,779.00
653.50
5,349.00
3,740.00
7,179.90
4,393.09
758.00
§63.09
2,324.09
563.90
3,749.00
5,610.09
6,064,090
6,173.00
§23.09
-
1,678.00
553.00
§23.00
5,340.99
6,263,095
a2)
os]
OI
o-