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Records: 897 EMPLOYER 1 WORKSAFE 5 LEGAL 8 INTERNAL 852 PERSONAL 31 ⭐ Key: 26 | Last import: 2026-05-11 10:20
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HOLAND_CLAIM_FILE_p389
📄 HOLAND_CLAIM_FILE | p.389
📝 Extracted Text (OCR)
Sent 02/23/2026 12:10:21, Page - 29

Royal Columbian Hospital EMERC oe SCORD
Y ® HOLAND MARK THOMAS
Boposeapre SEM An a8
Unit PRCOBESO728 PHN 9128 549 738 20
RCH ACU te: O&-Mar
Be Belcan ey hoot: CAD TO0I21

6 "INA UN NNN A

ARRIVAL: + CS 03 /ep true: Y:US” REG. cat:

(nN) TIME: LOCATION:
DOB: GP: ; oF 5 ae
SHER NAME? — REL: PHONE:
ADDRESS: “REASON FOR VisTt anne
HONE ornen | cHIBP coment > se EES,
P : :
PHN: tWe MSE Herma proernasls
ACCIDENT insu: COMMENT:
TRI. DATE/TIME: Mar SHOVES Torag ret [ALERTS - jeer? a
02 Sat \Gacs Glucometer nin pepe
GP/| 1S 1014

VSSRLSY Bs —
DR ONATHAN Lit "RY B7C7AN

p2sse2 MSP S4250
to: Ta SIGNATURE |
(A

PAGE 29/47 * 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

NURSES SIGNATURE:

ERXX107462A