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<VirtuaReport>
<Site>
<SiteName>C.I.M LES OLIVIERS</SiteName>
<SiteAddress>DB 14 JANVIER 2011</SiteAddress>
<SitePhoneNumber>73 242 711</SitePhoneNumber>
</Site>
<Patient>
<PatientName>METATLA YAHIA</PatientName>
<PatientID>IU18022666</PatientID>
<PatientBirthDate>15 mars 2015</PatientBirthDate>
<PatientSex>M </PatientSex>
<PatientAddress></PatientAddress>
<PatientPhoneNumber></PatientPhoneNumber>
<PatientAccountNumber></PatientAccountNumber>
</Patient>
<Study>
<AccessionNumber>DX175895</AccessionNumber>
<Modality>SR</Modality>
<DiagnosticServSectID></DiagnosticServSectID>
<ExamDate>26 octobre 2018</ExamDate>
<OrderingProvider>N/A</OrderingProvider>
<PrincipalResultsInterpreter>N/A</PrincipalResultsInterpreter>
<ReasonForStudy></ReasonForStudy>
<ResultsStatus></ResultsStatus>
<Transcriptionist>N/A</Transcriptionist>
<UniversalServiceID>TDM MASSIF FACIAL </UniversalServiceID>
<VisitNumber></VisitNumber>
<ObservationIdentifier></ObservationIdentifier>
<ObservationText>ct03</ObservationText>
<ObservationText>GE Medical Systems</ObservationText>
<ObservationText>LightSpeed VCT</ObservationText>
<ObservationText>1</ObservationText>
<ObservationText></ObservationText>
<ObservationText></ObservationText>
<ObservationText></ObservationText>
<ObservationText>1</ObservationText>
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<ObservationText>1</ObservationText>
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