Documents tagged "NAME"
Found 125 documents with this tag
DOJ-OGR-00026244.jpg
The image shows a printed document with various columns of information. At the top left corner, there's a header that includes numbers and possibly reference codes. There are several entries under different categories such as "Date," "Time," "Location," "Patient Name," and "Medical Problem." Some of these fields have data entered into them, while others appear to be blank or marked with an "N/A." The document appears to be a medical record sheet used for tracking patient information during hospital visits or treatments.
DOJ-OGR-00026224.jpg
The image displays a document with several lines of text and some redacted sections where information has been obscured for privacy. The top section of the document appears to be from an organization named "Bureau of Health Services," suggesting it might be related to health or medical services. There are various fields including 'Name', 'Address', 'Day Visits', and 'Accommodations', but the specific details in these sections have been redacted. The text is black on a white background, and the document appears to be a printed form or report with handwritten markings indicating certain areas should not be shared.
DOJ-OGR-00026219.jpg
The image shows a printed document with various sections that appear to be related to a business or organizational process. At the top right corner of the page, there is an "Understanding" section with a line drawn through it, indicating deletion or modification. Below this, underlined text reads "Health" and "Care." The central part of the document has tables with column headings such as "Policy No," "Policy Holder Name," and "Address," suggesting that the table is for recording insurance policy details. The bottom section includes a boxed area labeled "Notes," which contains text but is too small to read clearly in this description. The image quality and angle make it difficult to discern specific information or text with clarity.
DOJ-OGR-00026217.jpg
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.
DOJ-OGR-00026188.jpg
The image is a photograph of a piece of paper with printed text on it. The text appears to be structured into different fields, possibly indicating some form of data entry template or record sheet. There are headings like "Name," "Date," and "Address," followed by blank lines or spaces where information is meant to be filled in. There's also a line for "Notes" at the bottom. The paper has a slightly creased appearance and there's visible handwriting or marks across it. The overall style of the image is straightforward and documentary, capturing what seems to be an official form or record sheet.
DOJ-OGR-00026174.jpg
The image is a photograph of a printed document with handwritten annotations on it. The document appears to be an official form or report related to the U.S. Medical Center for Federal Prisons. There are various fields and headings that include "Name," "Age," "Gender," "Race/Ethnicity," and "Medical Diagnosis." These fields are likely used to collect patient information. The top right corner of the document has a red stamp, but its details are not clear due to the resolution of the image. The handwriting on the form is in black ink, and it seems to be indicating corrections or highlights within the text provided.
DOJ-OGR-00026173.jpg
The image shows a document with the title "U.S. MEDICAL CENTRE" at the top. The text is red and centered on the page. Below this title is a table with columns labeled "Drug Name/Code," "Qty," "Price ($)," and "Amount Due." In the first row of the table, there are two entries: "HUMAN MENOPAUSE" in the Drug Name/Code column and "100" in the Quantity column. There is a handwritten annotation above this entry, circling the words "HUMAN MENOPAUSE" and underlining it with red ink. The image has a formal appearance consistent with official or medical documentation.
DOJ-OGR-00026166.jpg
The image appears to be a document, possibly an itemized receipt, report, or list from a pharmacy or medical facility. It contains various fields of data including date and time stamps at the top. There is printed text with information such as "RX #" followed by a number, "Patient's Name," which is likely where the patient's name would be listed, and other fields like "Prescriber's Name," "Quantity," and "Amount Due." The specific details in these fields are not visible in this description. There are also numerical amounts and codes under some headings, which are common elements of medical billing or prescription records to denote medication names, dosage forms, and costs.
DOJ-OGR-00026162.jpg
The image shows a document with the heading "Department of Prisons Health Services" and includes information such as dates and times under sections like "Date/Time," "Inmate Name," and "Visitor Name." There is also a column for "Reason" which is not fully visible in this section. The document has red markings over certain parts, suggesting corrections or notes have been made. It appears to be an official health services form from a prison department, possibly related to medical appointments or visits for inmates within the facility.
DOJ-OGR-00026149.jpg
The image appears to be a photograph of a printed document from the Department of Prisons Health Services. The document has sections that include information such as "Name" and other details about an individual in a prison setting. Due to the resolution, specific text or personal information is not legible. At the bottom right corner of the document, there's a pink handwritten note with what seems to be medical advice or a reminder related to medication, but it's too small to read clearly. The overall quality of the image suggests that it may have been taken from an electronic device displaying the document, possibly for legal or medical purposes.
DOJ-OGR-00026146.jpg
The image displays a piece of paper with printed text on it. The visible content appears to be a document from the U.S. Department of Justice, specifically concerning prisoners and their rights. There are sections with headings such as "Date," "Name/Number," and "Rights Statement," along with checkboxes next to each section. A portion of a signature is seen on the paper, indicating an individual's approval or agreement with the contents of the document. The text is organized in a structured format typical for official documentation.
DOJ-OGR-00026134.jpg
The image shows a document with various pieces of information and data points highlighted in pink. The content includes fields such as "Date," "Time," "Temperature," "Location," and others that seem to be related to tracking or monitoring conditions at different times and locations. There are also entries under the "Item Name" column followed by corresponding details like "Serial Number," "Date Completed," "Operator Signature," etc. The document appears to be a structured log or record-keeping sheet used for inventory management or quality control purposes.
DOJ-OGR-00026130.jpg
The image shows a printed document with various fields filled out in ink. The document appears to be related to medical testing or analysis, as indicated by the presence of terms such as "Test Requested" and "Laboratory Results." There are codes and numbers listed under sections like "Patient's Name," "Date & Time of Draw," and other areas that likely pertain to patient information, test details, and results. The text is handwritten and includes signatures in some areas, suggesting that the document has been reviewed or signed off by healthcare professionals.
DOJ-OGR-00026126.jpg
The image shows a document with the title "Bureau of Prisons SEA" at the top, indicating it is related to the United States Bureau of Prisons and possibly sea-related matters within their jurisdiction. The document appears to be an official form or notice due to its structured layout with lines for writing information. There are sections on the document that seem to include fields such as "Inmate Name," "Facility Name," and others, although these specific fields are not fully visible. The document is mostly blank and seems to have been created using a computer program designed for official forms or notices.
DOJ-OGR-00026117.jpg
The image is a scanned document with a grainy quality due to the photocopying process. It appears to be a form or list of some kind with multiple columns and rows containing typed information. The text within the document includes phrases such as "Name", "Address", "Phone Number", "Email Address", and other fields that are typically found on identification cards, registration forms, or similar documents. There is also a date mentioned in the upper right corner of the form. It's not clear what the purpose of this document is from this description alone.
DOJ-OGR-00026109.jpg
The image appears to be a photograph of a printed document, possibly an official form from a governmental department. The title at the top reads "Bureau of Prisons," indicating it's related to the United States Department of Justice's Bureau of Prisons. Below that is the header for the form itself, which includes spaces for sections such as "Date," "Name," and "Location," but these are not filled in. The text on the document includes instructions or notes written in red ink; however, to ensure privacy, I will refrain from describing the content of these notes. The overall style of the image is straightforward, focusing on providing a clear view of the document's header and the top portion of its body.
DOJ-OGR-00026091.jpg
The image appears to be a photograph of an official document. It's difficult to read the exact content due to the angle and quality of the photo. However, I can see that there are sections with titles such as "Application" and sub-titles like "Application Number," "Applicant Name," and "Publication Date." There is a watermark or text across the middle of the document that reads "CONFIDENTIALITY AGREEMENT." Additionally, on the right side, there's a section with a title that looks like it could be "Signature," but again, due to the angle and quality of the image, details are not clear enough to provide more information accurately.
DOJ-OGR-00026086.jpg
The image shows a document titled "Department of Prisons Clinical Encounter Summary". It is dated April 2019 and appears to be an official report or record related to healthcare encounters within the prison system. The document contains various sections with headings such as 'Encounter ID', 'Provider Name', 'Location', and 'Date of Service'. There are also columns for patient information, diagnosis codes, treatment rendered, and medications. Specific details like names, encounter numbers, and medical information are redacted to maintain privacy. The document is printed on standard white paper with black text.
DOJ-OGR-00026085.jpg
The image shows a document with various sections of text and numbers, including a form filled out by hand. There is also an x-ray film placed on top of the document, which appears to be a dental panoramic radiograph showing teeth and jaw structures. The focus of the image seems to be related to medical records or patient information, specifically for dental care. The text includes words such as "Patient Name", "Date of Birth", "Address", and numbers possibly representing identification numbers, ages, or dates.
DOJ-OGR-00026044.jpg
The image appears to be a photograph of a printed document or email. The document contains several lines of text with various fields such as "Name," "Email Address," and other contact information that seem to pertain to individuals involved in some sort of work-related project or event. One section is highlighted with pink highlights, drawing attention to specific pieces of text within the body of the document. The photo quality is not high, which affects the legibility of the text; however, it's clear enough to understand that the content is informational and possibly organizational in nature.