MIT MEDICAL DEPT. LABORATORY
 25 CARLETON ST. E23-169  DATE/TIME; 06/##/00 ##:##
 CAMBRIDGE, MA 02139
  M.R.  NUMBER:   ##-##-#### FINAL (CHART COPY)

  PATIENT NAME:   DOE,JANE

           DOB:   ##/##/19##  AGE:   ##  SEX: F
      PROVIDER: DOLITTLE,JOHN
      LOCATION: INTERNAL MEDICINE  3 WEST
      ... THE PATIENT MAY HAVE HEPATITIS C ...
      SHOULD BE MONITORED FOR ... 6 TO 12 MONTHS ...
Copyright 2000, Massachusetts Institute of Technology. All rights reserved.
Jane Doe and John Dolittle are fictitious names for the patient and physician, respectively.