File PROSTHETICS_PATIENT(665) Data List
| NAME |
PROSTHETIC DISABILITY CODE |
PSC ISSUE CARD |
OTHER DATA |
HOME OXYGEN ELIGIBILITY |
SPECIAL NSC/OP CATEGORY |
HOME OXYGEN CONTRACT LOCATION |
HOME OXYGEN LETTER TO BE SENT |
HO LETTER 1 DATE |
HO LETTER 1 CODE |
HO LETTER 2 DATE |
HO LETTER 2 CODE |
HO LETTER 3 DATE |
HO LETTER 3 CODE |
HOME OXYGEN ACTIVATION DATE |
HOME OXYGEN PRESCRIPTION |
HOME OXYGEN ITEM |
HOME OXYGEN INACTIVATION DATE |
HOME OXYGEN INACTIVAT. REASON |
HOME OXYGEN INACTIVATED BY |
STATION |
HEIGHT (INCHES) |
WEIGHT (POUNDS) |
EYE COLOR |
HAIR COLOR |
CRITICAL COMMENTS |
DATE OF CLOTHING ALLOWANCE |