Name: Test Patient		Soc Sec No: 111-11-1111	Married 

Home address 111 Main Street, Fairfield, NJ 07004 Phone 973-555-5555
Occupation: Architect, Smith Associates: Wayne, NJ,
Work phone: 973-444-4444
Insurance: United Healthcare; member 111-11-1111, group 222222
	      PCP: A. Gupta-973-666-6666
	
	This information could come from HIS-HL7 interface