                              Your Practice Name                                         (53B)
                          VSS Medical Office System          Run: Jan 11, 2006
                        +---------------------------+       Page: 1
                        | REFFERRALS MADE BY DOCTOR |
                        +---------------------------+

 Account  Patient Name               Date Ref   Rep Rec'd   Result
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 Referral Dr: 1 - Vicki Henry
------------------------------
        1 Adells Helena               05/26/00
                241.9     UNSPEC NONTOXIC NODULAR GOITER
                LAUGH     LAUGHING GAS
                This is a sample of the referral screen
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  Total Referrals to Vicki Henry                      =        1
                                      Number Completed:
                                    Number Outstanding:        1
                              Average Days to Complete:
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