| Name | Jeramy Waters |
| Referral ID | 10034 |
| MRN | 377412 |
| Date of Birth | 1/17/1953 |
| Admission Date | 8/24/2025 |
| Discharge Date | 8/27/2025 |
| Projected Discharge Date | 9/2/2025 |
| Sex At Birth | Male |
| Race | Black |
| Primary Diagnosis | pariatur nisi |
| Secondary Diagnosis | iste sum |
| Sending Organization | North Oaks Medical Center |
| Marital Status | Widowed |
| Primary Language | English |
| Religion | Other |
| Patient Height | 6'4" |
| Patient Weight | 103 lbs |
| SSN | 128908100 |
| Last Activity Date | 8/22/2025 |
| Address |
462 Kayley Crescent Cleoramouth, AK 94139 |