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{"status": "completed", "conte {"status": "completed", "content": "ABATACEPT for Polyarticular Juvenile \nIdiopathic Arthritis \nSPECIAL AUTHORIZATION REQUEST FORM \nPlease complete all required sections to allow your request to be processed. Patients may or may not meet eligibility requirements as established \nby Alberta Government sponsored drug programs. \nPATIENT INFORMATION COVERAGE TYPE\nPATIENT LAST NAME FIRST NAME INITIAL\n Alberta Blue Cross \n Alberta Human Services \n Other\nDATE OF BIRTH: YYYY/MM/DD ALBERTA PERSONAL HEALTH NUMBER\nSTREET ADDRESS CITY PROV POSTAL CODE ID /CLIENT/COVERAGE N UMBER \nPRESCRIBER INFORMATION \nPRESCRIBER LAST NAME FIRST NAME INITIAL PRESCRIBER PROFESSIONAL ASSOCIATION REGISTRATION \n CPSA \n CARNA \n ACP \n ACO \n ADA+C \n Other \nREGISTRATION NUMBER \nSTREET ADDRESS \nPHONE FAX \nCITY, PROVINCE \nPOSTAL CODE FAX NUMBER MUST BE PROVIDED WITH EACH REQUEST SUBMITTED \nPlease provide the following information for ALL requests \nDiagnosis \n Polyarticular Juvenile Idiopathic Arthritis \n Other ( please specify) ______________________ \nCurrent weight (kg) Dosage \nDosing frequency \nPlease provide reason if a switch from a different biologic agent to abatacept is requested \nNote: Patients will not be permitted to switch back to a previously trialed biologic agent if they were deemed unresponsive to ther apy \nCurrent ACR Pedi 30 FLARE score (provide for ALL requests) \nACR Pedi 30 RESPONSE score at 16 to 20 weeks after first dose \nof previous abatacept treatment (provide for RETREATMENT \nrequests) \nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________ w\nith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. No\n. of active joints* ___________ 6. ESR (mm/hr) ____ ______\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nDate of assessment___________________________ \n1. R\nheumatologist global 4. No. of joints\na\nssessment (0-10) ___________\nwith LROM ___________ \n2. P\natient global 5. CHA\nQ (0-3) ___________\nassessment (0-10) ___________\n3. N\no. of active joints* ___________ 6. ESR (mm/hr) _____ _____\n or CRP ______________\n*joints with swelling not due to deformity or joints with limitation of motion with pain,\ntenderness or both\nPlease provide the following information for ALL NEW requests \nPrevious medications utilized: Dose, duration and response is required \n DMARD(s) (please specify agents) \n Adalimumab\n Etanercept \n Tocilizumab \n Other (please specify agent) \nAdditional information relating to request (e.g. reasons why any of the above therapies were not tried) \nPRESCRIBER'S SIGNATURE DATE Please forward this request to \nAlberta Blue Cross, Clinical Drug Services \n10009 108 Street NW, Edmonton, Alberta T5J 3C5 \nFAX: 780 498-8384 in Edmonton \u2022 1-877-828-4106 toll free all other areas \nONCE YOUR REQUEST HAS SUCCESSFULLY TRANSMITTED, PLEASE DO NOT MAIL OR RE-FAX YOUR REQUEST \nThe information on this form is being collected and pursuant to sections 20, 21 and 22 of the Health Information Act, and sec tions 33 and 34 of the Freedom of Information and \nProtection of Privacy Act, for the purposes of determining or verifying eligibility to participate in a program or receive a benefit, product or health service. If you have any questions \nregarding the collection or use of this information, please contact an Alberta Blue Cross privacy matters representative toll -free at 1-855-498-7302 or write to Privacy Matters, \nAlberta Blue Cross, 10009 108 Street, Edmonton AB T5J 3C5. \n \u00ae*The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC \nBenefits Corporation for use in operating the Alberta Blue Cross Plan. \u00ae\u2020 Blue Shield is a registered trade- mark of the Blue Cross Blue Shield Association. \nABC 60010 (2016/10) \n65\nKash jf\nDiv af\n1998-12-11\n578788878\nMequanent\n52 Castlefall Way NE\nCaglary\nT3J1M7\ncalgary\nT1Y6L4\n1\n4036481926\nChoose Province\nTed"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel: 4038797911 | Fax: 4038797899\nDate 12/29/25 Chart No: A4381909\nDavid White\nSAIT\nFax: 4032354147\n\u00a0\nRE: Div Kash\nPHN: 57878887871\nDOB: 1998-12-11\nGender: MALE\n\u00a0\nDear Dr. White,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/29/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel: 4038797911 | Fax: 4038797899\nDate 12/29/25 Chart No: A4381909\nDavid White\nSAIT\nFax: 4032354147\n\u00a0\nRE: Div Kash\nPHN: 57878887871\nDOB: 1998-12-11\nGender: MALE\n\u00a0\nDear Dr. White,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/29/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel: 4038797911 | Fax: 4038797899\nDate 12/29/25 Chart No: A4381909\nDavid White\nSAIT\nFax: 4032354147\n\u00a0\nRE: Div Kash\nPHN: 57878887871\nDOB: 1998-12-11\nGender: MALE\n\u00a0\nDear Dr. White,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/29/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel: 4038797911 | Fax: 4038797899\nDate 12/29/25 Chart No: A4381909\nDavid White\nSAIT\nFax: 4032354147\n\u00a0\nRE: Div Kash\nPHN: 57878887871\nDOB: 1998-12-11\nGender: MALE\n\u00a0\nDear Dr. White,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/29/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel: 4038797911 | Fax: 4038797899\nDate 12/29/25 Chart No: A4381909\nDavid White\nSAIT\nFax: 4032354147\n\u00a0\nRE: Div Kash\nPHN: 57878887871\nDOB: 1998-12-11\nGender: MALE\n\u00a0\nDear Dr. White,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\nPage 1 of 1 PHN / ULI: 57878887871 Report Date: 12/29/2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\n\u00a0\u00a0\u00a0\nasgvf test 1\ntest2\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Super Admin\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel: 1234567876 | Fax: 1234345676\nChart Number : A43819\nAaron, Stephen\nFax: 5345435435345345435\n\u00a0\nRE: Div Kash\nPHN: 666777888\nDOB: 1998-12-12\n\u00a0\nDear Aaron, Stephen,\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum.\nWhy do we use it?\nIt is a long established fact that a reader will be distracted by the readable content of a page when looking at its\nlayout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to\nusing 'Content here, content here', making it look like readable English. Many desktop publishing packages and\nweb page editors now use Lorem Ipsum as their default model text, and a search for 'lorem ipsum' will uncover\nmany web sites still in their infancy. Various versions have evolved over the years, sometimes by accident,\nsometimes on purpose (injected humour and the like).\n\u00a0\nWhere does it come from?\nContrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin\nliterature from 45 BC, making it over 2000 years old. Richard McClintock, a Latin professor at Hampden-Sydney\nCollege in Virginia, looked up one of the more obscure Latin words, consectetur, from a Lorem Ipsum passage,\nand going through the cites of the word in classical literature, discovered the undoubtable source. Lorem Ipsum\ncomes from sections 1.10.32 and 1.10.33 of \"de Finibus Bonorum et Malorum\" (The Extremes of Good and Evil)\nby Cicero, written in 45 BC. This book is a treatise on the theory of ethics, very popular during the Renaissance.\nThe first line of Lorem Ipsum, \"Lorem ipsum dolor sit amet..\", comes from a line in section 1.10.32.\nThe standard chunk of Lorem Ipsum used since the 1500s is reproduced below for those interested. Sections\n1.10.32 and 1.10.33 from \"de Finibus Bonorum et Malorum\" by Cicero are also reproduced in their exact original\nform, accompanied by English versions from the 1914 translation by H. Rackham.\n\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 1998 Page 1 of 2 Dictation file: Super Admin\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the\nreader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or\ncopying of this communication or any of its contents is strictly prohibited. If you received this communication in error,\nPlease return it to the sender and contact Advanced Cardiology 403-235-4109.\ntest\nPage 2 of 2Name: Div Kash | PHN: 666777888 | DOB: 12 Dec, 1998"}...
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{"name": "letters-2025_11_13_050720_69 {"name": "letters-2025_11_13_050720_6915c9f8b8aa2_9464.pdf", "content_type": "application/octet-stream", "size": 18169, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-152d14ae-8103-47ab-8f01-e4b70b4a37c8"}...
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f9921d560d95f5c5a0dbb9a104c6729f9dbe0d15130aea3aa2 f9921d560d95f5c5a0dbb9a104c6729f9dbe0d15130aea3aa239f1f80c9f2b00...
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{"status": "completed", "conte {"status": "completed", "content": "#250 8500 Blackfoot Trail SE Calgary\ncalgay, Alberta, T2J 7E1\nP: (403) 879-7911\nF: 403-879-7899\nE: admin@advancedcardiology.ca\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n#250 8500 Blackfoot Trail SE Calgary, AB T2J 7E1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Tel 403-879-7911 Fax 403-879-7899\nFaxTo:\u00a0\u00a0Aamer, Nazish From:\u00a0Advanced Rheumatology\nFax:\u00a0\u00a0- Pages: 1\nPhone:\u00a0\u00a0- Date:\u00a0\u00a013 November 2025\nRe:\u00a0\u00a0Div Kash CC:\nThank you for your referral.\n\u00a0\nPlease be advised that Dr. Dhalla / Advanced Rheumatology can only provide evaluation for pediatric\npatients at this time. As the referred patient is over the age of 18 they cannot be seen and the file will be\nclosed. We will direct this referral to rheumatology central triage (see above) but would recommend you also\nsend a referral in to ensure it is processed and that you can be sent a status update, and/or consider referral to\nany of the private rheumatology practices in the city.\n\u00a0\nAt this time we will close the file. If there is anything further we can do to assist you, please contact us at\n403-879-7911 or Fax 403-879-7899.\n\u00a0\nThank you,\nDr. Dhalla\nPatient Care Coodinator\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If\nyou received this communication in error, Please return it to the sender and contact Advanced Cardiology\n403-879-7911."}...
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letters-2025_11_13_051037_6915cabd5cd1e_7237.pdf
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{"name": "letters-2025_11_13_051037_69 {"name": "letters-2025_11_13_051037_6915cabd5cd1e_7237.pdf", "content_type": "application/octet-stream", "size": 17526, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-ec4cd75c-1891-4634-8f8c-96828ae9b25b"}...
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fdc4ee52a1e99bd18961a3f73f4d3fb63e2439c30620120463 fdc4ee52a1e99bd18961a3f73f4d3fb63e2439c30620120463ad8f0efaac17fe...
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{"status": "completed", "conte {"status": "completed", "content": "3151 27 St NE #201\nCalgary, Alberta, T1Y 0B4\nP: (403) 235-4109\nF: F:403.235.4147,\nE: admin@advancedcardiology.ca\nDate: 13 November 2025\n\u00a0\nDear: Aamer, Nazish\nFax: -\n\u00a0\nRef: Div Kash\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Chart: A43819\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nPHN: 666777888\nTel: (587) 998-7876\n\u00a0\nThank you for your referral\nThe above patient has been booked for the following appointment:\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0 \u00a0\nDr John Doe 21 November 2025 07:00 AM\n\u00a0\n\u00a0\nPlease arrive 15 min before your appointment.\n__________\u00a0Patient has been informed on Telephone No.: (587) 998-7876\n__________ Message has been left for the patient on Telephone No.:\u00a0 (587) 998-7876. Kindly assist in\ninforming the patient.\u00a0\n\u00a0\nKind regards\nAdvanced Cardiology Consultants & Diagnostics Inc.\n#201-3151 27th St NE,\nCalgary AB,\u00a0T1Y 0B4\nTel: 403 235 4109\nFax: 403 235 4147\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109."}...
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chart-1768985481496-plain.pdf
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{"name": "chart-1768985481496-plain.pd {"name": "chart-1768985481496-plain.pdf", "content_type": "application/octet-stream", "size": 32880, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-0a28d474-432e-4d18-b9a3-ad3bd6feb057"}...
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nBooked appointment for Pt.\nPrinted by Super Admin, 2026 at Jan 21, 2026 08:51:21 AM Page: 1"}...
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