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DOJ-OGR-00026217.jpg

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The image is a scanned document titled "Bureau of Prisons Clinical Encounter Administrative Note" with the date stamp reading April 2017.

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The image is a scanned document titled "Bureau of Prisons Clinical Encounter Administrative Note" with the date stamp reading April 2017. The document appears to be a form intended for medical-related interactions within the Bureau of Prisons, possibly in the United States. There are sections labeled "Patient Name," "Visit Date," and other fields that would likely contain information about the patient's visit, although the specific details are redacted or not filled out on this particular form. A signature is visible at the bottom right corner of the document, but the name associated with it is not legible in this image. The style of the document suggests a standard administrative format typically used by governmental agencies for tracking medical encounters within their jurisdiction.

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DOJ-OGR-00026217.jpg

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