EFTA00110342

U.S. Medical Center for Federal Prisons
Springfield, MO 65807

<table><thead><tr><th></th><th></th><th></th><th colspan="2">*** Sensitive But Unclassified ***</th></tr></thead><tbody><tr><td>Name</td><td>EPSTEIN, JEFFREY</td><td>Facility</td><td>MCC New York</td><td>Collected 07/09/2019 13:34</td></tr><tr><td>Reg #</td><td>76318-054</td><td colspan="2">Order Unit E06-547U</td><td>Received 07/10/2019 10:44</td></tr><tr><td>DOB</td><td>01/20/1953</td><td>Provider</td><td>MD</td><td>Reported 07/10/2019 14:46</td></tr><tr><td>Sex</td><td>M</td><td></td><td></td><td>LIS ID 188191004</td></tr></tbody></table>

<table><thead><tr><th>FLAG LEGEND</th><th>L=Low</th><th>L!=Low Critical</th><th>H=High</th><th>H!=High Critical</th><th>A=Abnormal</th></tr></thead></table>

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