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Transaction Date:
Patient Name: {{SelectedItem.PatientName}}({{SelectedItem.PatientCode}})
Department ItemName Reporting Doctor(Radiologist) Prescriber Dr. Name
{{SelectedItem.ServiceDepartmentName}} {{SelectedItem.ItemName}} {{SelectedItem.PerformerName}} {{SelectedItem.PrescriberName ? SelectedItem.PrescriberName : 'SELF'}} Change?
Reporting Doctor(Radiologist) :
Change Prescriber Doctor: