Entry
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CHARGES
CLOPL
CLOUT
DATE
DETAIL
ENTRY
HEADER
PATIENT
PLACE
PROCEDURE
PROVIDER
SUMMARY
UNITS
| E  | S  | G  | C  | L  | O  | P  | L  | Y  | 
| M  | R  | S  | T  | I  | N  | U  | R  | R  | 
| S  | L  | U  | T  | R  | R  | T  | E  | E  | 
| E  | I  | M  | D  | E  | N  | N  | C  | D  | 
| G  | A  | M  | D  | E  | W  | C  | A  | I  | 
| R  | T  | A  | A  | I  | C  | L  | L  | V  | 
| A  | E  | R  | T  | O  | M  | O  | P  | O  | 
| H  | D  | Y  | E  | A  | B  | U  | R  | R  | 
| C  | T  | T  | N  | E  | I  | T  | A  | P  | 
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