Sent 02/23/2026 12:10:21, Page - 10 FRASER HEALTH AUTHORITY Emerg Note Royal Columbian Hospital HOLAND,MARK THOMAS RC0430440/25 Discharge Reason For Visit: EAR PAIN ED Diagnosis: Ear pain Patlant Instructlons and Follaw Up: Return to the emergency department If increasing pain, worsening symptoms, signs of infection, concerns Discharge Date/Time: 25/01/2026 22:49 Electronically Signed on: 25/01/26 2249 Electronically Signed by: Ng,Pearlly P MD Copied To: Ademiluyi,Gbogboade AMD BCCA #: Meditech Report ID: 2501-00357 Document Created Date/Time: 25/01/26 2247 This record contains conTdential Information which must be protected. Any unauthorized use or disclosure Is strictly prohibited. Meditach Report ID: 2501-00357 30f3 PAGE 10/47 * RCVD AT 2/23/2026 12:10:26 PM [Pacific Standard Time] * SVR:FAXP21/3 * DNIS:9777 * CSID: * ANI:17783680130 * DURATION (mm-ss):21-27