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Patient demographics
Patient name	Date of birth	Date of death	Gender	Ethinicity	NHS number
BROWN, PETER (MR)	08-Sep-1956	07-Jan-2014	Male	Irish	Verified - 123 456 7890

Home Address

386 BOROUGH ROAD
WESTHAMPNETT
CHICHESTER
CS34 7UU

Temporary Address

CARVANS 4 U
SHOREHAM-BY-SEA
BRIGHTON
BG45 6YY

Home Phone 0234567890
Mobile Phone 078855443322

GP Practice

THE TOWN SURGERY

Phone 024546544687

GP Practice Code

A81017

Document Created	09-Jan-2014, 14:00
Document Owner	THE TOWN SURGERY
Authored by	DR TERRANCE ROBERTS - , THE TOWN SURGERY on 09-Jan-2014, 13:57

Health Protection Electronic Notification

Diagnoses

Diagnosis	Yellow Fever
Date diagnosis made	08-Jan-2014 12:36
Date of first presentation	29-Dec-2013

Relevant clinical risk factors

Occupational risk factors

Occupation risk description	The patient has recently work as an Amazonian rainforest logger

Workplace or education contact details

Workplace or education address	TREE FELLERS LTD 1 LOGGERHEAD WAY BRISTOL BS34 5TT
Workplace or education phone number	01645 534555

Overseas travel

Country	Dates
BRAZIL	03-Dec-2013 to 24-Dec-2013
UNITED STATES	24-Dec-2013 to 27-Dec-2014