Escalate Reception Patients – Utulivu POS

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Escalation Form – Reception

Use this form to approve entries that will be used with the nurse.

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Select Patient

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Post ID

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Admin in Charge

Patient Names

Registration Number(Required)

Payment Status

Admission Fee

Admission Status(Required)

Reason for Escalation(Required)

Future Payment Date(Required)

DD slash MM slash YYYY

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