12/8/05 1:34 PM AdmitPatient 3.9 Cody William F 01/01/1975 M Bill 1234 Oak Rd #5 Scott County Iowa 90211 (222)222-2223 wbill@msn.com (333)333-3334 M 111-11-1112 Don't call before 10am. I take these medications: blah blah blah. Allergic to pen. Don't lay back too far, etc. Cody William F 1234 Oak Rd #4 Scott County Iowa 90210 (222)222-2222 wbill@msn.com (333)333-3333 01/01/1946 M other 111-11-1111 M Aetna 1234 Main St. Suite 5 Tulsa OK 44744 (800)123-1234 12-55656 Metro Waste Metro Waste 1/1/03 Cody William F parent 1/5/83 Y 123-45-6789 51 1001 M 6 Percents: 100/80/50. 1 yr wait on major. No flo cov.