Fyll i uppgift om personnummer och fullständigt namn. Kom ihåg att ta med sekelsiffran i personnumret.Saknas personnummer, fyll i födelsedatum (ÅÅÅÅ-MM-DD) i rutan för ”Personnummer”.
Enter the social security number and full name. Remember to bring along century figure of the social security number.Lacking social security numbers, fill in the date of birth of (yyyy-MM-DD) in the box for "personal identification number";
Fill in the details of social security number and full name. Remember to bring a century figure in personnumret.Saknas security number, complete date of birth (YYYY-MM-DD) in the box for "Personal".
Fill in the medical record number and full name. Remember to take sekelsiffran in medical record number.Missing medical record number, fill in date of birth (YYYY-MM-DD) in the box for "MRN" .