| Patient Number | Chart Type | Department | (mm/dd/yy) - (hh:mm) |
Optional Physician |
| - |
| Line# | Patient Name | Patient Number | Location | Type | Sex | Race | Birth Date | Age | Medical Record | Admision Date |
| 1 | Smith, John | 11111 | ER | Out | Male | 01/02/1993 | 6 | 1543 | 02/24/1999 | |
| 2 | Smith, Mike | 11112 | 2south | In | Male | L | 02/02/1990 | 9 | 1545 | 03/03/1999 |
| 3 | Smith, Joe A. | 11113 | ER | Out | Male | 05/15/1978 | 21 | 1549 | 03/03/1999 | |
| 4 | Krauss, John W. | 11114 | OP | Out | Male | 01/12/1979 | 20 | 1553 | 03/03/1999 | |
| 5 | Smith, Jennifer | 11115 | ER | Out | Female | C | 01/02/1993 | 6 | 1563 | 03/04/1999 |
| 6 | Smith, George | 11116 | PreOp | In | Male | C | 07/02/1915 | 84 | 1561 | 03/06/1999 |
       