360 Clinic | Admin Panel

12 Month Location Total

Months	OC Fair Grounds	Anaheim Convention Center	360 Clinic	Saigon City Maret
Months	OC Fair Grounds	Anaheim Convention Center	360 Clinic	Saigon City Maret
Nov-20	12	12
Oct-20		34	56
Sep-20			2423
Aug-20	12	12
Jul-20		34	56
Jun-20			2423
May-20	12	12
Apr-20		34	56
Mar-20			2423
Feb-20	12	12
Jan-20		34	56
Dec-19			2423

Your Information

First Name

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Address

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Custom Demo Fields

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race*

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Primary Insurance

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Primary Insurance Int

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Identification

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Identification Upload

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Identification Number

Identification Upload

Identification Type*

Identification Number

Identification Upload

Appt Date	DOS	Check In Status	Soap Status	Result Status	Follow up Status	Billing Status
Appt Date	DOS	Check In Status	Soap Status	Result Status	Follow up Status	Billing Status
10/22/2020	10/23/2020	Signed Off	Physical Exam	Waiting Notification	Follow Up Needed	Ready to Bill
10/22/2020	10/23/2020	Signed Off	Physical Exam	Waiting Notification	Follow Up Needed	Ready to Bill

Appointment Date	DOS	Collection Date	Payment Type	Amount
Appointment Date	DOS	Collection Date	Payment Type	Amount
Appointment Date	DOS	Collection Date	Payment Type	Amount

PTID	First Name	Last Name	DOB	Phone	Street	City	State	Zip
PTID-1-1	Shakir	Ansari	10/10/1990	9173595860	Street	City	State	Zip

PTID	First Name	Last Name	DOB	Phone	Street	City	State	Zip
PTID	First Name	Last Name	DOB	phone	street	City	State	Zip
PTID-1-1	First Name	Last Name	DOB	Phone	Street	City	State	Zip
PTID-1-2	First Name	Last Name	DOB	Phone	Street	City	State	Zip