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Midview Hospital |500 Dunn St., Meadowville, IL 55555 | 555-555-5555
WORK / SCHOOL EXCUSE & RESTRICTIONS
Arrived:
12:00 PM
01/20/16
Discharged:
4:00 PM
01/20/16
YOURNAMEHERE was seen today in the Emergency Department by Dr. Jim Stean.
FIRSTNAMEHERE is unable to return to work until 1/29/16.
If you have any questions regarding the validity of this note, please call the number above.
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