| Name | Lane Paucek |
| Referral ID | 10036 |
| MRN | 891553 |
| Date of Birth | 6/29/1955 |
| Admission Date | 8/22/2025 |
| Discharge Date | 8/29/2025 |
| Projected Discharge Date | 8/31/2025 |
| Sex At Birth | Other |
| Race | Black |
| Primary Diagnosis | vicissitudo tenus |
| Secondary Diagnosis | annus claustrum |
| Sending Organization | North Oaks Medical Center |
| Marital Status | Single |
| Primary Language | Chinese |
| Religion | None |
| Patient Height | 5'5" |
| Patient Weight | 193 lbs |
| SSN | 125783771 |
| Last Activity Date | 8/24/2025 |
| Address |
56108 Georgette Tunnel Jacobichester, ND 65238 |