Tracking Details - #1195
Tracking Information
Case No: 1111
Order Date:
12/04/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: 21st Century Optical Fashions
51 NY-111
Smithtown, NY 11787
Phone: 631-724-4545
• Fax: (631) 724-4575
Patient: Kendrick Lamar
DOB: 12/31/1992
• SSN: ***-**-4793
Requested Records
| Record | Status |
|---|---|
| Attendance Records | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| 285048453759_20251204034026409.JPEG | 2025-12-04 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/3/2025 10:40 PM |
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