DATE: 09/03/17 @ 1621 The Burke Rehabilitation Hospital ADM PAGE 1

USER: IS.SCRIPT INPATIENT Admission Register by Name

For Date: 09/03/17 0000-1621

Patient Name Account Num Med Rec Num Time Reason for Visit Room-Bed ADM Physician ADM Clerk

SLADEK,BRIDGET J W00001219651 M000209439 1108 SEVERE SPINAL STENOSIS,S/ 106-01 BRIONES,MARIA M.D. SGIORDANO
WEINER,ABBY A W00001219762 M000134264 1324 ARTHROSCOPY KNEE,DEBRIDEM 153-02 BALCETIS,NOMEDA M. DWILLIAMSO

Admitted Patients: 2