| Referral ID | 10037 |
| Name | Fermin Rippin |
| DOB | 10/17/1980 |
| Patient Address |
62347 Main Street N East Lelia, WI 04820-5458 |
| Admission Date | 3/31/2026 |
| Discharge Date | 4/11/2026 |
| Projected Discharge Date | 4/26/2026 |
| Admit Reason | |
| Admit Source | |
| Allergies | |
| Attending Physician | |
| Sending Organization | |
| Facility Name | Pacocha Inc Hospital |
| Patient Class | |
| Height | 4'2" |
| Weight | 110 lbs |
| Diagnosis & Procedure Codes | defluo delicate |
| Primary Physician | |
| Readmission Risk | |
| Respond By Date | |
| Service Line | |
| SSN | 831010730 |